|
Herpes simplex type 1 antibody igg
|
$405.00 |
$405.00 |
$405.00 |
$71.50
|
|
Herpes simplex type 2 antibody igg
|
$441.00 |
$441.00 |
$441.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$630.00 |
$630.00 |
$630.00 |
$95.22
|
|
Heterophile antibodies screening
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$72.00
|
|
Histamine
|
$505.00 |
$505.00 |
$505.00 |
$125.45
|
|
Hiv-1 ag ia
|
$380.00 |
$380.00 |
$380.00 |
$77.95
|
|
Hla i low res one antigen equiv ea
|
$324.00 |
$324.00 |
$324.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$221.00 |
$221.00 |
$221.00 |
$314.05
|
|
Homocysteine
|
$368.00 |
$368.00 |
$368.00 |
$108.54
|
|
Homogenization tissue
|
$62.00 |
$62.00 |
$62.00 |
$40.30
|
|
Homovanillic acid (hva)
|
$529.00 |
$529.00 |
$529.00 |
$57.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$560.00 |
$560.00 |
$560.00 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$781.00 |
$781.00 |
$781.00 |
$52.61
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$193.00 |
$193.00 |
$193.00 |
$80.11
|
|
Hysterosalpingography s&i
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$557.40
|
|
I-123 iobenguane diag
|
$38,881.00 |
$38,881.00 |
$38,881.00 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$157.80
|
|
I131 iodide cap, rx
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$97.90
|
|
Idarubicin hcl injection
|
$919.00 |
$919.00 |
$919.00 |
$463.25
|
|
Ifosfamide 1 gram intravenous solution
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$278.13
|
|
Ihc/icc per specimen each additional single antibody stain
|
$129.00 |
$129.00 |
$129.00 |
$191.10
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$170.00 |
$170.00 |
$170.00 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$642.00 |
$642.00 |
$642.00 |
$265.60
|
|
Immune complex assay
|
$423.00 |
$423.00 |
$423.00 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$298.00 |
$298.00 |
$298.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$298.00 |
$298.00 |
$298.00 |
$114.00
|
|
Immunofixation electrophoresis serum
|
$744.00 |
$744.00 |
$744.00 |
$133.38
|
|
Imported lipodox inj
|
$4,650.00 |
$4,650.00 |
$4,650.00 |
$528.86
|
|
In-111 pentetate dtpa / 0.5 mci
|
$36,573.00 |
$36,573.00 |
$36,573.00 |
$2,106.00
|
|
In-111 pentetreotide
|
$36,573.00 |
$36,573.00 |
$36,573.00 |
$6,269.30
|
|
Incobotulinumtoxin a
|
$19.00 |
$19.00 |
$19.00 |
$1,535.73
|
|
Infect ag drug suscept pheno predict
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$369.85
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,737.00 |
$3,737.00 |
$3,737.00 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$182.00 |
$182.00 |
$182.00 |
$95.55
|
|
Infect ag if legionella pneumophila
|
$477.00 |
$477.00 |
$477.00 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$267.00 |
$267.00 |
$267.00 |
$56.15
|
|
Infect ag if varicella zoster
|
$267.00 |
$267.00 |
$267.00 |
$64.80
|
|
Infect ag na influenza r/amp 1st 2 types
|
$160.00 |
$160.00 |
$160.00 |
$227.50
|
|
Infect ag na orthopoxvirus amp prb each
|
$100.00 |
$100.00 |
$100.00 |
$102.87
|
|
Infect ag na resp virus 12-25 targets
|
$4,889.00 |
$4,889.00 |
$4,889.00 |
$847.94
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$247.00 |
$247.00 |
$247.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$380.00 |
$380.00 |
$380.00 |
$76.20
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$348.00 |
$348.00 |
$348.00 |
$85.15
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$562.00 |
$562.00 |
$562.00 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$182.00 |
$182.00 |
$182.00 |
$99.04
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$179.00 |
$179.00 |
$179.00 |
$135.85
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$663.00 |
$663.00 |
$663.00 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$39.00 |
$39.00 |
$39.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$433.00 |
$433.00 |
$433.00 |
$143.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$349.00 |
$349.00 |
$349.00 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$375.00 |
$375.00 |
$375.00 |
$175.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$433.00 |
$433.00 |
$433.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$607.00 |
$607.00 |
$607.00 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$72.00 |
$72.00 |
$72.00 |
$100.13
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$788.97 |
$788.97 |
$788.97 |
$489.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$659.00 |
$659.00 |
$659.00 |
$228.38
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$659.00 |
$659.00 |
$659.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$74.40 |
$74.40 |
$74.40 |
$1,824.84
|
|
Initiation & management bipap/cpap initial day
|
$5,861.00 |
$5,861.00 |
$5,861.00 |
$627.00
|
|
Inj, bupivacaine liposome
|
$22,962.00 |
$22,962.00 |
$22,962.00 |
$1,040.36
|
|
Inj calcitriol per 0.1 mcg
|
$197.00 |
$197.00 |
$197.00 |
$30.19
|
|
Inj, cefiderocol, 10 mg
|
$875.00 |
$875.00 |
$875.00 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$627.00 |
$627.00 |
$627.00 |
$333.00
|
|
Inj crotalidae im f(ab')2 eq
|
$5,238.00 |
$5,238.00 |
$5,238.00 |
$2,735.85
|
|
Inj cyclophosphamd (ingenus)
|
$2,198.00 |
$2,198.00 |
$2,198.00 |
$15.45
|
|
Injection, isavuconazonium
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
$634.28
|
|
Injection,onabotulinumtoxina
|
$7,397.00 |
$7,397.00 |
$7,397.00 |
$2,154.07
|
|
Inj levocarnitine per 1 gm
|
$263.00 |
$263.00 |
$263.00 |
$122.28
|
|
Inj, levothyroxine, freskabi
|
$202.00 |
$202.00 |
$202.00 |
$244.63
|
|
Inj. mycophenolate mofetil
|
$609.00 |
$609.00 |
$609.00 |
$374.72
|
|
Inj ogivri 10 mg
|
$7,710.00 |
$7,710.00 |
$7,710.00 |
$3,358.00
|
|
Inj testosterone cypionate
|
$200.00 |
$200.00 |
$200.00 |
$81.39
|
|
Inj, vancomycin hcl (mylan)
|
$157.00 |
$157.00 |
$157.00 |
$63.82
|
|
Insitu hybridization auto
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$398.51
|
|
Insitu hybridization manual
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$138.00 |
$138.00 |
$138.00 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$341.90
|
|
Insulin total
|
$247.00 |
$247.00 |
$247.00 |
$67.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$26,264.00 |
$26,264.00 |
$26,264.00 |
$9,736.00
|
|
Intracranial limited study
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$418.44
|
|
Intrapul surf admin endo tube
|
$922.00 |
$922.00 |
$922.00 |
$240.68
|
|
Intrinsic factor antibody
|
$228.00 |
$228.00 |
$228.00 |
$59.95
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$725.00 |
$725.00 |
$725.00 |
$184.87
|
|
Ipratropium bromide non-comp
|
$25.00 |
$25.00 |
$25.00 |
$11.59
|
|
Iron
|
$500.00 |
$500.00 |
$500.00 |
$72.15
|
|
Iron binding capacity
|
$279.00 |
$279.00 |
$279.00 |
$61.47
|
|
Irradiation of blood product each unit reference
|
$356.00 |
$356.00 |
$356.00 |
$124.24
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$248.00 |
$248.00 |
$248.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$502.00 |
$502.00 |
$502.00 |
$181.26
|
|
Ivp w/wo kub w/wo tomography
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$109.00 |
$109.00 |
$109.00 |
$52.80
|
|
Kidney imaging morphology
|
$5,652.00 |
$5,652.00 |
$5,652.00 |
$769.51
|
|
Kidney img w/bldflw sgl without rx
|
$6,138.00 |
$6,138.00 |
$6,138.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$4,803.00 |
$4,803.00 |
$4,803.00 |
$668.25
|
|
Knee MRI (with contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,384.25
|
|
Kras gene variants exon 2
|
$795.00 |
$795.00 |
$795.00 |
$496.60
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$193.00 |
$193.00 |
$193.00 |
$29.35
|
|
Lactoferrin fecal qualitative
|
$284.00 |
$284.00 |
$284.00 |
$88.40
|
