|
Hemolysins/agglutinins auto
|
$30.65 |
$30.65 |
$30.65 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$39.25 |
$39.25 |
$39.25 |
$67.50
|
|
Hepagam b intravenous, inj
|
$780.00 |
$780.00 |
$780.00 |
$569.70
|
|
Hepatitis a antibody igm
|
$798.50 |
$798.50 |
$798.50 |
$85.15
|
|
Hepatitis b core antibody igm
|
$123.45 |
$123.45 |
$123.45 |
$87.98
|
|
Hepatitis b core antibody total
|
$26.75 |
$26.75 |
$26.75 |
$83.29
|
|
Hepatitis b surface antibody
|
$898.45 |
$898.45 |
$898.45 |
$83.79
|
|
Hepatitis c antibody
|
$599.25 |
$599.25 |
$599.25 |
$108.00
|
|
Hepatobiliary system imaging
|
$22,957.90 |
$22,957.90 |
$22,957.90 |
$1,521.10
|
|
Histochemical stains add-on
|
$439.40 |
$439.40 |
$439.40 |
$169.65
|
|
Hiv-1 ag ia
|
$77.95 |
$77.95 |
$77.95 |
$84.67
|
|
Hla i low res one antigen equiv ea
|
$26.75 |
$26.75 |
$26.75 |
$164.00
|
|
Hla typing a b or c
|
$524.05 |
$524.05 |
$524.05 |
$309.40
|
|
Homocysteine
|
$37.95 |
$37.95 |
$37.95 |
$113.10
|
|
Homogenization tissue
|
$24.50 |
$24.50 |
$24.50 |
$39.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$239.00 |
$239.00 |
$239.00 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$234.00 |
$234.00 |
$234.00 |
$57.02
|
|
Hysterosalpingography s&i
|
$16,549.80 |
$16,549.80 |
$16,549.80 |
$629.46
|
|
I-123 sod iodide diag per 100 uci
|
$1,822.50 |
$1,822.50 |
$1,822.50 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$28,967.55 |
$28,967.55 |
$28,967.55 |
$5,062.20
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$4,559.00 |
$4,559.00 |
$4,559.00 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,663.00 |
$1,663.00 |
$1,663.00 |
$891.89
|
|
Icatibant injection
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$3,939.88
|
|
Ihc/icc per specimen each additional single antibody stain
|
$606.25 |
$606.25 |
$606.25 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,147.45 |
$1,147.45 |
$1,147.45 |
$339.73
|
|
Immunoassay tumor antigen quantitative ca 125
|
$399.20 |
$399.20 |
$399.20 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$210.55 |
$210.55 |
$210.55 |
$116.40
|
|
Immunodiffusion nes
|
$13.65 |
$13.65 |
$13.65 |
$53.76
|
|
In-111 pentetate dtpa / 0.5 mci
|
$11,277.00 |
$11,277.00 |
$11,277.00 |
$2,135.29
|
|
In-111 pentetreotide
|
$8,743.05 |
$8,743.05 |
$8,743.05 |
$6,617.05
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$602.30 |
$602.30 |
$602.30 |
$1,099.05
|
|
Infect ag if pneumocystis carinii
|
$762.20 |
$762.20 |
$762.20 |
$62.29
|
|
Infect ag if varicella zoster
|
$54.80 |
$54.80 |
$54.80 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,470.65 |
$1,470.65 |
$1,470.65 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$93.40 |
$93.40 |
$93.40 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$182.00 |
$182.00 |
$182.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$43.05 |
$43.05 |
$43.05 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$12.15 |
$12.15 |
$12.15 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$32.80 |
$32.80 |
$32.80 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$199.65 |
$199.65 |
$199.65 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$78.00 |
$78.00 |
$78.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1,230.55 |
$1,230.55 |
$1,230.55 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$65.60 |
$65.60 |
$65.60 |
$60.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,250.34 |
$1,250.34 |
$1,250.34 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$93.30 |
$93.30 |
$93.30 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$105.27 |
$105.27 |
$105.27 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$135.05 |
$135.05 |
$135.05 |
$210.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$98.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$105.27 |
$105.27 |
$105.27 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$230.31 |
$230.31 |
$230.31 |
$200.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$96.10 |
$96.10 |
$96.10 |
$226.35
|
|
Infectious agent nucleic acid quantification hiv-1
|
$722.00 |
$722.00 |
$722.00 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$5,103.00 |
$5,103.00 |
$5,103.00 |
$2,791.24
|
|
Inj calcitriol per 0.1 mcg
|
$292.00 |
$292.00 |
$292.00 |
$33.36
|
|
Inj cefazolin sodium, hikma
|
$37.25 |
$37.25 |
$37.25 |
$56.70
|
|
Inj ceftolozane tazobactam
|
$456.00 |
$456.00 |
$456.00 |
$447.36
|
|
Inj crotalidae im f(ab')2 eq
|
$5,600.00 |
$5,600.00 |
$5,600.00 |
$2,836.95
|
|
Inj cyclophosphamd (ingenus)
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$1,040.94
|
|
Inj, daptomycin (hospira)
|
$1,562.00 |
$1,562.00 |
$1,562.00 |
$167.85
|
|
Injection, daratumumab 10 mg
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$7,107.73
|
|
Injection, fulvestrant
|
$6,362.00 |
$6,362.00 |
$6,362.00 |
$2,756.47
|
|
Injection,onabotulinumtoxina
|
$4,413.00 |
$4,413.00 |
$4,413.00 |
$2,154.07
|
|
Injection, renflexis
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,457.42
|
|
Inj fluphenazine hcl 1.25 mg
|
$109.45 |
$109.45 |
$109.45 |
$37.93
|
|
Inj levocarnitine per 1 gm
|
$85.00 |
$85.00 |
$85.00 |
$138.96
|
|
Inj, levothyroxine, freskabi
|
$12.00 |
$12.00 |
$12.00 |
$302.07
|
|
Inj meropenem (wg crit care)
|
$187.55 |
$187.55 |
$187.55 |
$104.29
|
|
Inj, moxifloxacin 100 mg
|
$272.00 |
$272.00 |
$272.00 |
$190.81
|
|
Inj., plazomicin, 5 mg
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$3.59
|
|
Inj, vancomycin hcl (mylan)
|
$56.00 |
$56.00 |
$56.00 |
$63.82
|
|
Insitu hybridization auto
|
$265.95 |
$265.95 |
$265.95 |
$398.16
|
|
Insitu hybridization (fish)
|
$737.60 |
$737.60 |
$737.60 |
$481.60
|
|
Insitu hybridization manual
|
$290.85 |
$290.85 |
$290.85 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$357.70 |
$357.70 |
$357.70 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$499.20 |
$499.20 |
$499.20 |
$338.40
|
|
Insulin total
|
$117.95 |
$117.95 |
$117.95 |
$67.60
|
|
Integra meshed bil wound mat
|
$127.00 |
$127.00 |
$127.00 |
$24,354.93
|
|
Interrogate subq defib
|
$198.30 |
$198.30 |
$198.30 |
$139.10
|
|
Intra-atrial pacing
|
$17,392.80 |
$17,392.80 |
$17,392.80 |
$5,155.51
|
|
Intra-atrial recording
|
$17,392.80 |
$17,392.80 |
$17,392.80 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$9,532.60 |
$9,532.60 |
$9,532.60 |
$3,982.59
|
|
Intracranial complete study
|
$7,311.25 |
$7,311.25 |
$7,311.25 |
$883.30
|
|
Intrinsic factor antibody
|
$6.95 |
$6.95 |
$6.95 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$1,325.95 |
$1,325.95 |
$1,325.95 |
$477.85
|
|
Ipratropium bromide non-comp
|
$10.00 |
$10.00 |
$10.00 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$5,278.00 |
$5,278.00 |
$5,278.00 |
$227.39
|
|
Iron dextran 50 mg/ml injection solution
|
$679.00 |
$679.00 |
$679.00 |
$62.70
|
|
Irradiation of blood product each unit reference
|
$80.10 |
$80.10 |
$80.10 |
$124.24
|
|
Ivc venogram s&i
|
$12,077.60 |
$12,077.60 |
$12,077.60 |
$3,332.55
|
|
Ivp w/nephrotomography
|
$20,731.55 |
$20,731.55 |
$20,731.55 |
$790.08
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$50.50 |
$50.50 |
$50.50 |
$56.61
|
|
Kidney function study
|
$19,860.70 |
$19,860.70 |
$19,860.70 |
$549.70
|
|
Kidney img w/bldflw sgl without rx
|
$21,493.35 |
$21,493.35 |
$21,493.35 |
$1,468.04
|
|
Kras gene variants exon 2
|
$626.15 |
$626.15 |
$626.15 |
$495.00
|
|
Kyleena, 19.5 mg
|
$5,611.60 |
$5,611.60 |
$5,611.60 |
$2,618.91
|
|
Lactoferrin fecal qualitative
|
$611.75 |
$611.75 |
$611.75 |
$88.40
|
|
Lactoferrin fecal quant
|
$51.00 |
$51.00 |
$51.00 |
$106.10
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$6,337.00 |
$6,337.00 |
$6,337.00 |
$6,208.50
|
|
Levetiracetam therapeutic drug level
|
$19.80 |
$19.80 |
$19.80 |
$71.40
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$120.00 |
$120.00 |
$120.00 |
$319.12
|
