|
Hydralazine 20 mg/ml injection solution
|
$99.00 |
$99.00 |
$99.00 |
$56.70
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$97.00 |
$97.00 |
$97.00 |
$73.45
|
|
Hysterosalpingography s&i
|
$6,278.00 |
$6,278.00 |
$6,278.00 |
$591.80
|
|
I-123 sod iodide diag per 100 uci
|
$749.00 |
$749.00 |
$749.00 |
$158.05
|
|
I131 iodide cap, rx
|
$876.00 |
$876.00 |
$876.00 |
$95.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$4,709.00 |
$4,709.00 |
$4,709.00 |
$918.69
|
|
Idarubicin hcl injection
|
$3,345.00 |
$3,345.00 |
$3,345.00 |
$533.16
|
|
Ifosfamide 1 gram intravenous solution
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$289.34
|
|
Ihc/icc per specimen each additional single antibody stain
|
$386.00 |
$386.00 |
$386.00 |
$192.43
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$364.00 |
$364.00 |
$364.00 |
$348.15
|
|
Ihc/icc per specimen initial single antibody stain
|
$133.00 |
$133.00 |
$133.00 |
$271.70
|
|
Immune complex assay
|
$224.00 |
$224.00 |
$224.00 |
$88.80
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$792.00 |
$792.00 |
$792.00 |
$1,770.41
|
|
Immunoassay tumor antigen quantitative ca 125
|
$114.00 |
$114.00 |
$114.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$114.00 |
$114.00 |
$114.00 |
$114.00
|
|
Immunofixation electrophoresis serum
|
$130.00 |
$130.00 |
$130.00 |
$133.38
|
|
Implant power module patient cable cable 14 volt
|
$7,746.00 |
$7,746.00 |
$7,746.00 |
$2,839.56
|
|
Imported lipodox inj
|
$6,519.00 |
$6,519.00 |
$6,519.00 |
$528.86
|
|
In-111 oxyquinolin per 0.5 mci
|
$3,181.00 |
$3,181.00 |
$3,181.00 |
$2,703.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$42,433.00 |
$42,433.00 |
$42,433.00 |
$2,106.00
|
|
In-111 satumomab pend
|
$15,673.00 |
$15,673.00 |
$15,673.00 |
$3,524.25
|
|
Infect ag drug suscept pheno predict
|
$425.00 |
$425.00 |
$425.00 |
$325.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$558.00
|
|
Infect ag ia direct hiv-1 antgn
|
$133.00 |
$133.00 |
$133.00 |
$95.55
|
|
Infect ag if legionella pneumophila
|
$183.00 |
$183.00 |
$183.00 |
$75.75
|
|
Infect ag if pneumocystis carinii
|
$183.00 |
$183.00 |
$183.00 |
$57.00
|
|
Infect ag if varicella zoster
|
$135.00 |
$135.00 |
$135.00 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$158.00 |
$158.00 |
$158.00 |
$227.50
|
|
Infect ag na orthopoxvirus amp prb each
|
$98.00 |
$98.00 |
$98.00 |
$101.00
|
|
Infect ag na resp virus 12-25 targets
|
$896.00 |
$896.00 |
$896.00 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$155.00 |
$155.00 |
$155.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$148.00 |
$148.00 |
$148.00 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$224.00 |
$224.00 |
$224.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$572.00 |
$572.00 |
$572.00 |
$77.62
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$187.00 |
$187.00 |
$187.00 |
$99.75
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$111.00 |
$111.00 |
$111.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$74.00 |
$74.00 |
$74.00 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$187.00 |
$187.00 |
$187.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$417.00 |
$417.00 |
$417.00 |
$139.98
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$391.00 |
$391.00 |
$391.00 |
$173.86
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$173.60
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$178.00 |
$178.00 |
$178.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$417.00 |
$417.00 |
$417.00 |
$133.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$71.00 |
$71.00 |
$71.00 |
$103.20
|
|
Infectious agent nucleic acid quantification bk virus
|
$1,423.00 |
$1,423.00 |
$1,423.00 |
$285.60
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$603.00 |
$603.00 |
$603.00 |
$208.91
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$269.75
|
|
Infectious agent nucleic acid quantification hiv-1
|
$987.00 |
$987.00 |
$987.00 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$14,489.00 |
$14,489.00 |
$14,489.00 |
$2,518.17
|
|
Initiation & management bipap/cpap initial day
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$639.60
|
|
Inj, bortezomib, dr. reddy's
|
$23.48 |
$23.48 |
$23.48 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$39.20 |
$39.20 |
$39.20 |
$16.50
|
|
Inj calcitriol per 0.1 mcg
|
$239.00 |
$239.00 |
$239.00 |
$31.89
|
|
Inj ceftolozane tazobactam
|
$3,049.00 |
$3,049.00 |
$3,049.00 |
$426.29
|
|
Inj crotalidae im f(ab')2 eq
|
$5,929.00 |
$5,929.00 |
$5,929.00 |
$2,836.95
|
|
Injection, daratumumab 10 mg
|
$1,606.00 |
$1,606.00 |
$1,606.00 |
$5,536.46
|
|
Injection, fulvestrant
|
$10,044.00 |
$10,044.00 |
$10,044.00 |
$2,744.26
|
|
Injection, isavuconazonium
|
$2,182.00 |
$2,182.00 |
$2,182.00 |
$634.28
|
|
Injection,onabotulinumtoxina
|
$7,650.00 |
$7,650.00 |
$7,650.00 |
$2,154.07
|
|
Injection, renflexis
|
$1,900.63 |
$1,900.63 |
$1,900.63 |
$1,479.34
|
|
Inj fluphenazine hcl 1.25 mg
|
$46.79 |
$46.79 |
$46.79 |
$35.90
|
|
Inj human fibrinogen con nos
|
$2.00 |
$2.00 |
$2.00 |
$1.52
|
|
Inj hydroxocobalamin IV 25mg
|
$4,796.24 |
$4,796.24 |
$4,796.24 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$359.00 |
$359.00 |
$359.00 |
$138.58
|
|
Inj, levothyroxine, freskabi
|
$39.75 |
$39.75 |
$39.75 |
$287.00
|
|
Inj., meropenem, vaborbactam
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$618.43
|
|
Inj. mycophenolate mofetil
|
$874.50 |
$874.50 |
$874.50 |
$348.34
|
|
Inj, nithiodote, 3mg / 125mg
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$600.00
|
|
Inj., patisiran, 0.1 mg
|
$257.00 |
$257.00 |
$257.00 |
$99.82
|
|
Insitu hybridization manual
|
$524.00 |
$524.00 |
$524.00 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$356.00 |
$356.00 |
$356.00 |
$259.01
|
|
In situ hybridization per specimen initial single probe stain
|
$356.00 |
$356.00 |
$356.00 |
$341.60
|
|
Insulin total
|
$146.00 |
$146.00 |
$146.00 |
$67.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$26,264.00 |
$26,264.00 |
$26,264.00 |
$9,970.16
|
|
Interrogation vad in person
|
$871.00 |
$871.00 |
$871.00 |
$272.16
|
|
Interrog dev eval icpms ip
|
$214.00 |
$214.00 |
$214.00 |
$106.80
|
|
Interrog dev eval scrms ip
|
$97.96 |
$97.96 |
$97.96 |
$132.95
|
|
Interrog device eval heart
|
$615.00 |
$615.00 |
$615.00 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$615.00 |
$615.00 |
$615.00 |
$129.13
|
|
Intra-atrial recording
|
$40,061.00 |
$40,061.00 |
$40,061.00 |
$5,644.35
|
|
Intracard echo interv w/s&i
|
$27,624.00 |
$27,624.00 |
$27,624.00 |
$3,982.59
|
|
Intracranial complete study
|
$3,646.00 |
$3,646.00 |
$3,646.00 |
$874.99
|
|
Intracranial limited study
|
$2,425.00 |
$2,425.00 |
$2,425.00 |
$418.44
|
|
Intrinsic factor antibody
|
$327.00 |
$327.00 |
$327.00 |
$59.66
|
|
Ipratropium bromide non-comp
|
$36.00 |
$36.00 |
$36.00 |
$9.93
|
|
Iron
|
$145.00 |
$145.00 |
$145.00 |
$71.76
|
|
Iron binding capacity
|
$50.00 |
$50.00 |
$50.00 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$492.00 |
$492.00 |
$492.00 |
$62.12
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$919.00 |
$919.00 |
$919.00 |
$210.49
|
|
Irradiation of blood product each unit reference
|
$133.00 |
$133.00 |
$133.00 |
$124.24
|
|
Ivc venogram s&i
|
$18,676.00 |
$18,676.00 |
$18,676.00 |
$3,316.95
|
|
IV inj ra drug dx study
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$549.70
|
|
Kidney img w/bldflw sgl without rx
|
$3,226.00 |
$3,226.00 |
$3,226.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$3,753.00 |
$3,753.00 |
$3,753.00 |
$668.25
|
|
Kras gene variants exon 2
|
$630.00 |
$630.00 |
$630.00 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$76.00 |
$76.00 |
$76.00 |
$42.38
|
|
Lactated ringers intravenous solution
|
$184.00 |
$184.00 |
$184.00 |
$51.80
|
|
Lactic acid
|
$278.00 |
$278.00 |
$278.00 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$50.00 |
$50.00 |
$50.00 |
$83.20
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,875.00 |
$22,875.00 |
$22,875.00 |
$22,903.90
|
