|
Ibuprofen injection
|
$143.00 |
$143.00 |
$143.00 |
$90.23
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,684.00 |
$2,684.00 |
$2,684.00 |
$938.19
|
|
Idarubicin hcl injection
|
$4,589.00 |
$4,589.00 |
$4,589.00 |
$530.27
|
|
Ifosfamide 1 gram intravenous solution
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$288.64
|
|
Ihc/icc per specimen each additional single antibody stain
|
$105.00 |
$105.00 |
$105.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,543.00 |
$1,543.00 |
$1,543.00 |
$340.00
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$121.00 |
$121.00 |
$121.00 |
$161.17
|
|
Immunofluorescence per specimen initial single antibody stain
|
$922.00 |
$922.00 |
$922.00 |
$250.00
|
|
In-111 autol wbc diag per dose
|
$29,295.00 |
$29,295.00 |
$29,295.00 |
$3,704.00
|
|
In-111 capromab pendet
|
$14,028.00 |
$14,028.00 |
$14,028.00 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$32,213.00 |
$32,213.00 |
$32,213.00 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$61,838.00 |
$61,838.00 |
$61,838.00 |
$2,106.00
|
|
In-111 pentetreotide
|
$61,838.00 |
$61,838.00 |
$61,838.00 |
$6,610.16
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$576.35
|
|
Infect ag if hep delta agent
|
$146.00 |
$146.00 |
$146.00 |
$123.00
|
|
Infect ag if influenza a
|
$96.00 |
$96.00 |
$96.00 |
$40.61
|
|
Infect ag if influenza b
|
$96.00 |
$96.00 |
$96.00 |
$33.60
|
|
Infect ag if legionella pneumophila
|
$669.00 |
$669.00 |
$669.00 |
$75.75
|
|
Infect ag if pneumocystis carinii
|
$162.00 |
$162.00 |
$162.00 |
$56.15
|
|
Infect ag na influenza r/amp 1st 2 types
|
$159.00 |
$159.00 |
$159.00 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$105.00 |
$105.00 |
$105.00 |
$101.00
|
|
Infect ag na resp virus 12-25 targets
|
$966.00 |
$966.00 |
$966.00 |
$870.00
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$143.00 |
$143.00 |
$143.00 |
$85.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$70.00 |
$70.00 |
$70.00 |
$102.57
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$596.00 |
$596.00 |
$596.00 |
$226.35
|
|
Infliximab 100 mg intravenous solution
|
$13,053.00 |
$13,053.00 |
$13,053.00 |
$2,180.74
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$535.56 |
$535.56 |
$535.56 |
$1,654.83
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$254.00 |
$254.00 |
$254.00 |
$76.00
|
|
Inj calcitriol per 0.1 mcg
|
$270.00 |
$270.00 |
$270.00 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$0.40 |
$0.40 |
$0.40 |
$54.91
|
|
Inj, cefiderocol, 10 mg
|
$495.32 |
$495.32 |
$495.32 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$505.00 |
$505.00 |
$505.00 |
$381.60
|
|
Inj crotalidae im f(ab')2 eq
|
$6,631.00 |
$6,631.00 |
$6,631.00 |
$2,836.95
|
|
Inj cyclophos dr.reddy's 5mg
|
$696.00 |
$696.00 |
$696.00 |
$9.00
|
|
Injection,onabotulinumtoxina
|
$7,861.00 |
$7,861.00 |
$7,861.00 |
$2,154.07
|
|
Injection, renflexis
|
$1,579.60 |
$1,579.60 |
$1,579.60 |
$1,407.33
|
|
Inj hydroxocobalamin IV 25mg
|
$4,263.60 |
$4,263.60 |
$4,263.60 |
$3,180.35
|
|
Inj, lanreotide, (cipla) 1mg
|
$14,916.14 |
$14,916.14 |
$14,916.14 |
$12,160.05
|
|
Inj levocarnitine per 1 gm
|
$443.00 |
$443.00 |
$443.00 |
$132.69
|
|
Inj melpha hydroch nos 50 mg
|
$1,934.00 |
$1,934.00 |
$1,934.00 |
$1,627.50
|
|
Inj., meropenem, vaborbactam
|
$1,330.01 |
$1,330.01 |
$1,330.01 |
$618.43
|
|
Inj, moxifloxacin 100 mg
|
$292.00 |
$292.00 |
$292.00 |
$181.67
|
|
Inj, nithiodote, 3mg / 125mg
|
$389.50 |
$389.50 |
$389.50 |
$644.66
|
|
Inj, pedmark, 100 mg
|
$898.00 |
$898.00 |
$898.00 |
$96.08
|
|
Inj. pemetrexed, 10 mg
|
$170.87 |
$170.87 |
$170.87 |
$50.83
|
|
Inj pemetrexed, hospira 10mg
|
$576.00 |
$576.00 |
$576.00 |
$4.93
|
|
Inj progesterone per 50 mg
|
$83.00 |
$83.00 |
$83.00 |
$47.93
|
|
Inj prohance multipack
|
$312.00 |
$312.00 |
$312.00 |
$51.48
|
|
Inj testosterone cypionate
|
$376.00 |
$376.00 |
$376.00 |
$80.28
|
|
Insitu hybridization auto
|
$248.00 |
$248.00 |
$248.00 |
$398.16
|
|
In situ hybridization per specimen each additional single probe stain
|
$535.00 |
$535.00 |
$535.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$922.00 |
$922.00 |
$922.00 |
$340.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$26,264.00 |
$26,264.00 |
$26,264.00 |
$9,463.86
|
|
Interrogation vad in person
|
$531.00 |
$531.00 |
$531.00 |
$269.75
|
|
Interrog device eval heart
|
$435.00 |
$435.00 |
$435.00 |
$150.00
|
|
Intra-atrial pacing
|
$45,892.00 |
$45,892.00 |
$45,892.00 |
$4,967.24
|
|
Intra-atrial recording
|
$45,892.00 |
$45,892.00 |
$45,892.00 |
$5,593.09
|
|
Intracard echo interv w/s&i
|
$15,813.00 |
$15,813.00 |
$15,813.00 |
$4,013.16
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$45,892.00 |
$45,892.00 |
$45,892.00 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$240.68
|
|
Intraventricular pacing
|
$45,892.00 |
$45,892.00 |
$45,892.00 |
$5,676.98
|
|
Intrinsic factor antibody
|
$148.00 |
$148.00 |
$148.00 |
$59.95
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$8,574.32 |
$8,574.32 |
$8,574.32 |
$52,277.70
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$236.99
|
|
Iron dextran 50 mg/ml injection solution
|
$422.00 |
$422.00 |
$422.00 |
$62.12
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$604.00 |
$604.00 |
$604.00 |
$236.18
|
|
Irradiation of blood product each unit reference
|
$379.00 |
$379.00 |
$379.00 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$279.00 |
$279.00 |
$279.00 |
$153.75
|
|
IV inj ra drug dx study
|
$1,446.00 |
$1,446.00 |
$1,446.00 |
$544.45
|
|
Ivp w/nephrotomography
|
$15,668.00 |
$15,668.00 |
$15,668.00 |
$748.15
|
|
Ketogenic steroids fract
|
$121.00 |
$121.00 |
$121.00 |
$79.54
|
|
Kidney imaging morphology
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$769.51
|
|
Kidney img w/bldflw sgl without rx
|
$5,526.00 |
$5,526.00 |
$5,526.00 |
$1,468.04
|
|
Lactoferrin fecal qualitative
|
$140.00 |
$140.00 |
$140.00 |
$87.21
|
|
Lactoferrin fecal quant
|
$106.00 |
$106.00 |
$106.00 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$14,916.14 |
$14,916.14 |
$14,916.14 |
$22,903.90
|
|
Laryngeal function studies
|
$470.36 |
$470.36 |
$470.36 |
$335.40
|
|
Laryngoscopic sensory vid
|
$578.00 |
$578.00 |
$578.00 |
$323.20
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$13,136.00 |
$13,136.00 |
$13,136.00 |
$4,799.28
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$34.85 |
$34.85 |
$34.85 |
$40.79
|
|
Lidocaine therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$85.15
|
|
Lipoprotein blood quant
|
$465.00 |
$465.00 |
$465.00 |
$103.40
|
|
Lipoprotein direct measurement hdl
|
$68.00 |
$68.00 |
$68.00 |
$55.80
|
|
Listeria monocytogenes
|
$231.00 |
$231.00 |
$231.00 |
$95.40
|
|
Liver imaging
|
$2,321.00 |
$2,321.00 |
$2,321.00 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$2,321.00 |
$2,321.00 |
$2,321.00 |
$1,255.15
|
|
Liver/spleen imag static only
|
$9,462.00 |
$9,462.00 |
$9,462.00 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$8.00 |
$8.00 |
$8.00 |
$41.76
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$22,508.00 |
$22,508.00 |
$22,508.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$14,590.00 |
$14,590.00 |
$14,590.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$15,466.00 |
$15,466.00 |
$15,466.00 |
$2,065.69
|
|
Lumbar diskogram s&i
|
$10,374.00 |
$10,374.00 |
$10,374.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$295.35
|
|
Lung perfusion imaging
|
$7,493.00 |
$7,493.00 |
$7,493.00 |
$1,082.75
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$15,503.60 |
$15,503.60 |
$15,503.60 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$3,165.00 |
$3,165.00 |
$3,165.00 |
$1,526.38
|
|
Lymph vessel x-ray arm/leg
|
$2,726.00 |
$2,726.00 |
$2,726.00 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$3,300.00 |
$3,300.00 |
$3,300.00 |
$2,229.24
|
