|
Inj, aspara, rylaze, 0.1 mg
|
$81.97 |
$81.97 |
$81.97 |
$81.97
|
|
Inj., benralizumab, 1 mg
|
$268.40 |
$268.40 |
$268.40 |
$16,865.48
|
|
Inj, bupivacaine liposome
|
$2.40 |
$2.40 |
$2.40 |
$816.31
|
|
Inj ceftolozane tazobactam
|
$8.64 |
$8.64 |
$8.64 |
$447.36
|
|
Inj crotalidae im f(ab')2 eq
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$2,836.95
|
|
Inj, donanemab-azbt, 2 mg
|
$7.44 |
$7.44 |
$7.44 |
$121.74
|
|
Inj, durolane 1 mg
|
$22.20 |
$22.20 |
$22.20 |
$3,382.31
|
|
Injection, doxercalciferol
|
$8.26 |
$8.26 |
$8.26 |
$30.35
|
|
Injection, inclisiran, 1 mg
|
$17.63 |
$17.63 |
$17.63 |
$10,366.61
|
|
Injection, isavuconazonium
|
$1.48 |
$1.48 |
$1.48 |
$646.20
|
|
Injection, ruconest
|
$48.46 |
$48.46 |
$48.46 |
$34.72
|
|
Inj human fibrinogen con nos
|
$2.41 |
$2.41 |
$2.41 |
$1.52
|
|
Inj ivig privigen 500 mg
|
$68.49 |
$68.49 |
$68.49 |
$7,298.71
|
|
Inj. jivi 1 iu
|
$2.99 |
$2.99 |
$2.99 |
$2.44
|
|
Inj, lecanemab-irmb, 1 mg
|
$2.00 |
$2.00 |
$2.00 |
$1,729.21
|
|
Inj levocarnitine per 1 gm
|
$101.27 |
$101.27 |
$101.27 |
$138.96
|
|
Inj mepivacaine hcl/10 ml
|
$5.60 |
$5.60 |
$5.60 |
$28.41
|
|
Inj, pedmark, 100 mg
|
$170.54 |
$170.54 |
$170.54 |
$96.08
|
|
Inj retacrit esrd on dialysi
|
$1.38 |
$1.38 |
$1.38 |
$307.40
|
|
Inj sulf hexa lipid microsph
|
$54.24 |
$54.24 |
$54.24 |
$315.78
|
|
Inj, sutimlimab-jome, 10 mg
|
$27.12 |
$27.12 |
$27.12 |
$18.13
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$417.88 |
$417.88 |
$417.88 |
$92,981.70
|
|
Inj teplizumab mzwv 5 mcg
|
$55.08 |
$55.08 |
$55.08 |
$36.90
|
|
Inj. teprotumumab-trbw 10 mg
|
$472.50 |
$472.50 |
$472.50 |
$47,971.67
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$3,429.94 |
$3,429.94 |
$3,429.94 |
$3,429.94
|
|
Insitu hybridization (fish)
|
$233.20 |
$233.20 |
$233.20 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$66.00 |
$66.00 |
$66.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$66.00 |
$66.00 |
$66.00 |
$338.40
|
|
Instillation anticarcinogenic agent bladder
|
$326.40 |
$326.40 |
$326.40 |
$721.50
|
|
Instill, bupivac and meloxic
|
$1.08 |
$1.08 |
$1.08 |
$1,127.61
|
|
Insulin total
|
$42.00 |
$42.00 |
$42.00 |
$67.60
|
|
Integra meshed bil wound mat
|
$5,517.63 |
$5,517.63 |
$5,517.63 |
$24,354.93
|
|
Interferon alfa-2b inj
|
$115.33 |
$115.33 |
$115.33 |
$494.64
|
|
Intrinsic factor antibody
|
$8.30 |
$8.30 |
$8.30 |
$59.95
|
|
Iodine i-123 sod iodide mil
|
$442.40 |
$442.40 |
$442.40 |
$677.98
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$18.00 |
$18.00 |
$18.00 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$23.68 |
$23.68 |
$23.68 |
$153.98
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$299.30 |
$299.30 |
$299.30 |
$227.39
|
|
Iron
|
$63.79 |
$63.79 |
$63.79 |
$70.72
|
|
Iron binding capacity
|
$63.79 |
$63.79 |
$63.79 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$38.45 |
$38.45 |
$38.45 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.08 |
$1.08 |
$1.08 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$82.40 |
$82.40 |
$82.40 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$132.40 |
$132.40 |
$132.40 |
$154.50
|
|
Ivp w/nephrotomography
|
$968.40 |
$968.40 |
$968.40 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,007.60 |
$1,007.60 |
$1,007.60 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$308.00 |
$308.00 |
$308.00 |
$378.30
|
|
Ketamine and metabolite screen - quest
|
$42.40 |
$42.40 |
$42.40 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$23.54 |
$23.54 |
$23.54 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$6.93 |
$6.93 |
$6.93 |
$30.08
|
|
Kidney function study
|
$654.00 |
$654.00 |
$654.00 |
$549.70
|
|
Kidney imaging morphology
|
$1,235.60 |
$1,235.60 |
$1,235.60 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$2,327.60 |
$2,327.60 |
$2,327.60 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$265.60 |
$265.60 |
$265.60 |
$668.25
|
|
Kit gene analys d816 variant
|
$112.00 |
$112.00 |
$112.00 |
$355.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$159.90 |
$159.90 |
$159.90 |
$5,329.23
|
|
Knee MRI (with and without contrast)
|
$1,414.80 |
$1,414.80 |
$1,414.80 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$2,181.10
|
|
Knee X-ray
|
$720.80 |
$720.80 |
$720.80 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$1.20 |
$1.20 |
$1.20 |
$42.38
|
|
Lactate dehydrogenase (ldh)
|
$24.82 |
$24.82 |
$24.82 |
$53.30
|
|
Lactated ringers intravenous solution
|
$23.10 |
$23.10 |
$23.10 |
$54.11
|
|
Lactic acid
|
$59.53 |
$59.53 |
$59.53 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$10.21 |
$10.21 |
$10.21 |
$88.40
|
|
Laryngoscopy w/fb & op scope
|
$4,389.20 |
$4,389.20 |
$4,389.20 |
$3,786.00
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$4,698.80 |
$4,698.80 |
$4,698.80 |
$660.10
|
|
Lead capillary
|
$26.64 |
$26.64 |
$26.64 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$604.80 |
$604.80 |
$604.80 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$146.32 |
$146.32 |
$146.32 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$332.22 |
$332.22 |
$332.22 |
$3,271.64
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$1.60 |
$1.60 |
$1.60 |
$89.14
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$55.28 |
$55.28 |
$55.28 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$13.60 |
$13.60 |
$13.60 |
$319.12
|
|
Lidocaine therapeutic drug level
|
$146.64 |
$146.64 |
$146.64 |
$83.85
|
|
Lincomycin injection
|
$6.93 |
$6.93 |
$6.93 |
$13.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$85.54 |
$85.54 |
$85.54 |
$177.90
|
|
Lipase
|
$59.92 |
$59.92 |
$59.92 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$45.73 |
$45.73 |
$45.73 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$52.09 |
$52.09 |
$52.09 |
$60.00
|
|
Lithium therapeutic drug level
|
$46.94 |
$46.94 |
$46.94 |
$67.60
|
|
Liver Function Test
|
$48.68 |
$48.68 |
$48.68 |
$110.50
|
|
Liver/spleen imag static only
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,301.60 |
$1,301.60 |
$1,301.60 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.47 |
$3.47 |
$3.47 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$15.80 |
$15.80 |
$15.80 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,373.60 |
$1,373.60 |
$1,373.60 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$226.80 |
$226.80 |
$226.80 |
$344.00
|
|
L/s ratio fetal lung
|
$21.55 |
$21.55 |
$21.55 |
$168.00
|
|
Lung perfusion imaging
|
$693.60 |
$693.60 |
$693.60 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$1,543.75
|
|
Lymphocytotoxicity assay
|
$102.34 |
$102.34 |
$102.34 |
$370.20
|
|
Macroscopic exam parasite
|
$35.52 |
$35.52 |
$35.52 |
$38.50
|
|
Magnesium
|
$46.14 |
$46.14 |
$46.14 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$7.20 |
$7.20 |
$7.20 |
$65.49
|
