|
Hepatitis b core antibody igm
|
$117.92 |
$117.92 |
$117.92 |
$83.91
|
|
Hepatitis b core antibody total
|
$120.18 |
$120.18 |
$120.18 |
$79.34
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,263.30 |
$2,263.30 |
$2,263.30 |
$774.99
|
|
Hepatitis b surface antibody
|
$109.36 |
$109.36 |
$109.36 |
$81.12
|
|
Hepatitis c antibody
|
$138.61 |
$138.61 |
$138.61 |
$108.00
|
|
Hepatobiliary system imaging
|
$5,921.42 |
$5,921.42 |
$5,921.42 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$16.90 |
$16.90 |
$16.90 |
$40.28
|
|
Herpes simplex 2 ag if
|
$1,435.79 |
$1,435.79 |
$1,435.79 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$129.66 |
$129.66 |
$129.66 |
$71.20
|
|
Herpes simplex type 2 antibody igg
|
$180.77 |
$180.77 |
$180.77 |
$87.10
|
|
Herpes simplex virus isolation
|
$20.71 |
$20.71 |
$20.71 |
$97.06
|
|
Heterophile antibodies screening
|
$889.06 |
$889.06 |
$889.06 |
$72.00
|
|
Histochemical stains add-on
|
$140.39 |
$140.39 |
$140.39 |
$169.65
|
|
Hla i low res one antigen equiv ea
|
$3,901.00 |
$3,901.00 |
$3,901.00 |
$164.00
|
|
Hla typing a b or c
|
$278.00 |
$278.00 |
$278.00 |
$322.80
|
|
Homocysteine
|
$12.22 |
$12.22 |
$12.22 |
$108.49
|
|
H pylori ag ia
|
$2,272.90 |
$2,272.90 |
$2,272.90 |
$35.20
|
|
Hydralazine 20 mg/ml injection solution
|
$25.99 |
$25.99 |
$25.99 |
$54.51
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$66.15 |
$66.15 |
$66.15 |
$78.03
|
|
I-123 iobenguane diag
|
$11,452.35 |
$11,452.35 |
$11,452.35 |
$5,730.40
|
|
I-123 ioflupane diag
|
$7,875.00 |
$7,875.00 |
$7,875.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$19.50 |
$19.50 |
$19.50 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$12,095.09 |
$12,095.09 |
$12,095.09 |
$5,062.20
|
|
I131 iodide cap, rx
|
$1,596.69 |
$1,596.69 |
$1,596.69 |
$97.90
|
|
I131 iodide sol, rx
|
$1,127.32 |
$1,127.32 |
$1,127.32 |
$42.01
|
|
Iaadi respiratory synctial virus
|
$293.27 |
$293.27 |
$293.27 |
$44.38
|
|
Ihc/icc per specimen initial single antibody stain
|
$56.88 |
$56.88 |
$56.88 |
$265.60
|
|
Immune complex assay
|
$116.04 |
$116.04 |
$116.04 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$189.43 |
$189.43 |
$189.43 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$189.43 |
$189.43 |
$189.43 |
$111.07
|
|
Immunodiffusion nes
|
$7.60 |
$7.60 |
$7.60 |
$63.05
|
|
Immunofixation electrophoresis serum
|
$12.01 |
$12.01 |
$12.01 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$248.64
|
|
Immunoglobulin assay
|
$90.48 |
$90.48 |
$90.48 |
$74.15
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,753.23 |
$2,753.23 |
$2,753.23 |
$2,568.98
|
|
In-111 pentetreotide
|
$23,762.57 |
$23,762.57 |
$23,762.57 |
$6,269.30
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,099.05
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$276.00 |
$276.00 |
$276.00 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$1,048.30 |
$1,048.30 |
$1,048.30 |
$65.58
|
|
Infect ag if influenza a
|
$295.00 |
$295.00 |
$295.00 |
$40.61
|
|
Infect ag if influenza b
|
$35.25 |
$35.25 |
$35.25 |
$35.25
|
|
Infect ag if legionella pneumophila
|
$35.25 |
$35.25 |
$35.25 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$1,435.79 |
$1,435.79 |
$1,435.79 |
$56.15
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,828.48 |
$1,828.48 |
$1,828.48 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$103.50
|
|
Infect ag na resp virus 12-25 targets
|
$5,858.01 |
$5,858.01 |
$5,858.01 |
$836.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$293.27 |
$293.27 |
$293.27 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$351.10 |
$351.10 |
$351.10 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$351.10 |
$351.10 |
$351.10 |
$76.20
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$30.00 |
$30.00 |
$30.00 |
$84.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$105.94 |
$105.94 |
$105.94 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$320.77 |
$320.77 |
$320.77 |
$99.04
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$88.72 |
$88.72 |
$88.72 |
$137.40
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1,143.22 |
$1,143.22 |
$1,143.22 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$86.22 |
$86.22 |
$86.22 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$267.33 |
$267.33 |
$267.33 |
$143.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$57.00 |
$57.00 |
$57.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$175.00 |
$175.00 |
$175.00 |
$173.60
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$271.00 |
$271.00 |
$271.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$267.33 |
$267.33 |
$267.33 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$51.31 |
$51.31 |
$51.31 |
$100.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$3,901.00 |
$3,901.00 |
$3,901.00 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$66.79 |
$66.79 |
$66.79 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$92.00 |
$92.00 |
$92.00 |
$381.55
|
|
Inj crotalidae im f(ab')2 eq
|
$2,735.85 |
$2,735.85 |
$2,735.85 |
$2,735.85
|
|
Injection,onabotulinumtoxina
|
$2,422.50 |
$2,422.50 |
$2,422.50 |
$2,154.07
|
|
Inj heparin, pfizer, 1000u
|
$19.50 |
$19.50 |
$19.50 |
$19.04
|
|
Inj, vancomycin hcl (mylan)
|
$83.84 |
$83.84 |
$83.84 |
$63.82
|
|
Insitu hybridization auto
|
$1,907.14 |
$1,907.14 |
$1,907.14 |
$398.16
|
|
Insitu hybridization manual
|
$1,907.14 |
$1,907.14 |
$1,907.14 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$109.00 |
$109.00 |
$109.00 |
$341.90
|
|
Insti hexaminolevulinate hcl
|
$5,062.50 |
$5,062.50 |
$5,062.50 |
$2,359.80
|
|
Insulin total
|
$115.07 |
$115.07 |
$115.07 |
$67.50
|
|
Intrinsic factor antibody
|
$10.69 |
$10.69 |
$10.69 |
$59.95
|
|
Ipratropium bromide non-comp
|
$24.50 |
$24.50 |
$24.50 |
$11.59
|
|
Iron
|
$73.98 |
$73.98 |
$73.98 |
$72.15
|
|
Iron binding capacity
|
$92.77 |
$92.77 |
$92.77 |
$61.47
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.00 |
$36.00 |
$36.00 |
$52.80
|
|
Kidney imaging morphology
|
$9,260.37 |
$9,260.37 |
$9,260.37 |
$769.51
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$6,048.60 |
$6,048.60 |
$6,048.60 |
$668.25
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$19.37 |
$19.37 |
$19.37 |
$29.35
|
|
Lactate dehydrogenase (ldh)
|
$1,498.08 |
$1,498.08 |
$1,498.08 |
$52.80
|
|
Lactic acid
|
$929.18 |
$929.18 |
$929.18 |
$100.65
|
|
Lead capillary
|
$4.00 |
$4.00 |
$4.00 |
$62.40
|
|
Levetiracetam therapeutic drug level
|
$13.00 |
$13.00 |
$13.00 |
$74.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$519.75 |
$519.75 |
$519.75 |
$274.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$864.64 |
$864.64 |
$864.64 |
$130.49
|
|
Lipase
|
$1,917.98 |
$1,917.98 |
$1,917.98 |
$81.25
|
|
Lipoprotein direct measurement hdl
|
$1,498.08 |
$1,498.08 |
$1,498.08 |
$54.60
|
|
Listeria monocytogenes
|
$2,272.90 |
$2,272.90 |
$2,272.90 |
$95.40
|
|
Lithium therapeutic drug level
|
$1,075.48 |
$1,075.48 |
$1,075.48 |
$66.43
|
|
Liver Function Test
|
$1,573.94 |
$1,573.94 |
$1,573.94 |
$111.13
|
|
Liver imaging
|
$4,167.92 |
$4,167.92 |
$4,167.92 |
$1,241.25
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$21,898.82 |
$21,898.82 |
$21,898.82 |
$1,892.15
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$18,460.16 |
$18,460.16 |
$18,460.16 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$17,997.68 |
$17,997.68 |
$17,997.68 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$13,853.33 |
$13,853.33 |
$13,853.33 |
$2,893.15
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$11,566.04 |
$11,566.04 |
$11,566.04 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$3,350.14 |
$3,350.14 |
$3,350.14 |
$341.64
|
|
Lung perfusion imaging
|
$6,572.08 |
$6,572.08 |
$6,572.08 |
$1,082.75
|