|
Herpes simplex 1 ag if
|
$5.75 |
$5.75 |
$5.75 |
$40.28
|
|
Herpes simplex type 2 antibody igg
|
$20.00 |
$20.00 |
$20.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$58.25 |
$58.25 |
$58.25 |
$93.32
|
|
Heterophile antibodies screening
|
$219.75 |
$219.75 |
$219.75 |
$74.00
|
|
Hip X-ray
|
$485.75 |
$485.75 |
$485.75 |
$290.72
|
|
Hiv-1 ag ia
|
$7.75 |
$7.75 |
$7.75 |
$84.67
|
|
Hla typing a b or c
|
$447.75 |
$447.75 |
$447.75 |
$309.40
|
|
Hla typing dr/dq
|
$321.75 |
$321.75 |
$321.75 |
$135.20
|
|
Homocysteine
|
$17.50 |
$17.50 |
$17.50 |
$107.62
|
|
Homogenization tissue
|
$7.00 |
$7.00 |
$7.00 |
$39.20
|
|
Homovanillic acid (hva)
|
$14.25 |
$14.25 |
$14.25 |
$56.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$5,568.57
|
|
Hyaluronidase 150 unit/ml injection solution
|
$263.00 |
$263.00 |
$263.00 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$133.00 |
$133.00 |
$133.00 |
$56.70
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$27.00 |
$27.00 |
$27.00 |
$86.47
|
|
Hydroxyzine pamoate 25 mg capsule
|
$111.75 |
$111.75 |
$111.75 |
$15.72
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$20.50 |
$20.50 |
$20.50 |
$73.45
|
|
Hysterosalpingography s&i
|
$5,404.00 |
$5,404.00 |
$5,404.00 |
$595.40
|
|
I-123 ioflupane diag
|
$11,322.75 |
$11,322.75 |
$11,322.75 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$1,884.75 |
$1,884.75 |
$1,884.75 |
$158.05
|
|
I131 iodide cap, rx
|
$547.25 |
$547.25 |
$547.25 |
$91.83
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,566.00 |
$3,566.00 |
$3,566.00 |
$918.69
|
|
Idarubicin hcl injection
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$536.85
|
|
Ifosfamide 1 gram intravenous solution
|
$833.00 |
$833.00 |
$833.00 |
$294.81
|
|
Igh gene rearrange amp meth
|
$300.50 |
$300.50 |
$300.50 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$300.50 |
$300.50 |
$300.50 |
$372.00
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$597.50 |
$597.50 |
$597.50 |
$348.15
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$95.75 |
$95.75 |
$95.75 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$24.75 |
$24.75 |
$24.75 |
$51.21
|
|
Immunodiffusion nes
|
$16.25 |
$16.25 |
$16.25 |
$56.71
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$22.25 |
$22.25 |
$22.25 |
$161.85
|
|
In-111 oxyquinolin per 0.5 mci
|
$12,140.25 |
$12,140.25 |
$12,140.25 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$11,907.00 |
$11,907.00 |
$11,907.00 |
$2,106.00
|
|
In-111 pentetreotide
|
$22,266.00 |
$22,266.00 |
$22,266.00 |
$6,610.16
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$141.25 |
$141.25 |
$141.25 |
$558.00
|
|
Infect ag ia optc obs influenza
|
$347.50 |
$347.50 |
$347.50 |
$66.00
|
|
Infect ag if varicella zoster
|
$32.25 |
$32.25 |
$32.25 |
$66.00
|
|
Infect ag na influenza revr/amp ea type
|
$213.75 |
$213.75 |
$213.75 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.00 |
$90.00 |
$90.00 |
$101.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$116.75 |
$116.75 |
$116.75 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$116.75 |
$116.75 |
$116.75 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$255.50 |
$255.50 |
$255.50 |
$81.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$85.75 |
$85.75 |
$85.75 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$441.75 |
$441.75 |
$441.75 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$255.50 |
$255.50 |
$255.50 |
$60.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$145.75 |
$145.75 |
$145.75 |
$210.00
|
|
Infectious agent nucleic acid quantification bk virus
|
$280.00 |
$280.00 |
$280.00 |
$285.66
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$105.00 |
$105.00 |
$105.00 |
$212.30
|
|
Infliximab 100 mg intravenous solution
|
$3,242.75 |
$3,242.75 |
$3,242.75 |
$2,568.58
|
|
Influenza virus vaccine, live trivalent intranasal
|
$130.00 |
$130.00 |
$130.00 |
$40.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$581.50 |
$581.50 |
$581.50 |
$357.05
|
|
Inj calcitriol per 0.1 mcg
|
$60.00 |
$60.00 |
$60.00 |
$32.01
|
|
Inj ceftolozane tazobactam
|
$429.50 |
$429.50 |
$429.50 |
$436.64
|
|
Inj crotalidae im f(ab')2 eq
|
$1,897.00 |
$1,897.00 |
$1,897.00 |
$2,836.95
|
|
Inj cyclophosphamd (ingenus)
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$339.04
|
|
Injection, cangrelor
|
$1,948.00 |
$1,948.00 |
$1,948.00 |
$2,457.89
|
|
Injection, fulvestrant
|
$685.00 |
$685.00 |
$685.00 |
$2,744.26
|
|
Injection,onabotulinumtoxina
|
$3,459.00 |
$3,459.00 |
$3,459.00 |
$2,154.07
|
|
Inj hydroxocobalamin IV 25mg
|
$2,225.00 |
$2,225.00 |
$2,225.00 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$110.25 |
$110.25 |
$110.25 |
$139.67
|
|
Inj, levothyroxine, freskabi
|
$305.00 |
$305.00 |
$305.00 |
$287.45
|
|
Inj., meropenem, vaborbactam
|
$837.75 |
$837.75 |
$837.75 |
$618.43
|
|
Inj, moxifloxacin 100 mg
|
$352.00 |
$352.00 |
$352.00 |
$190.81
|
|
Inj progesterone per 50 mg
|
$256.00 |
$256.00 |
$256.00 |
$48.51
|
|
Inj secretin synthetic human
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$610.89
|
|
Insitu hybridization auto
|
$121.00 |
$121.00 |
$121.00 |
$393.13
|
|
Insitu hybridization (fish)
|
$314.75 |
$314.75 |
$314.75 |
$481.60
|
|
Insitu hybridization manual
|
$95.00 |
$95.00 |
$95.00 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$64.75 |
$64.75 |
$64.75 |
$341.60
|
|
Interferon alfa-2b inj
|
$526.00 |
$526.00 |
$526.00 |
$494.64
|
|
Intra-atrial pacing
|
$3,053.25 |
$3,053.25 |
$3,053.25 |
$5,041.63
|
|
Intra-atrial recording
|
$13,170.50 |
$13,170.50 |
$13,170.50 |
$5,625.00
|
|
Intracard echo interv w/s&i
|
$3,711.75 |
$3,711.75 |
$3,711.75 |
$4,013.16
|
|
Intracranial limited study
|
$2,116.50 |
$2,116.50 |
$2,116.50 |
$423.52
|
|
Intraventricular pacing
|
$9,400.00 |
$9,400.00 |
$9,400.00 |
$5,644.35
|
|
Intrinsic factor antibody
|
$8.00 |
$8.00 |
$8.00 |
$59.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$482.00 |
$482.00 |
$482.00 |
$200.51
|
|
Irradiation of blood product each unit reference
|
$265.25 |
$265.25 |
$265.25 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$192.50 |
$192.50 |
$192.50 |
$154.00
|
|
Ivp w/nephrotomography
|
$8,638.75 |
$8,638.75 |
$8,638.75 |
$769.86
|
|
Ivp w/wo kub w/wo tomography
|
$7,527.25 |
$7,527.25 |
$7,527.25 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$259.00 |
$259.00 |
$259.00 |
$378.30
|
|
Ketamine and metabolite screen - quest
|
$59.50 |
$59.50 |
$59.50 |
$66.00
|
|
Kidney imag w/bld flow multi
|
$16,782.75 |
$16,782.75 |
$16,782.75 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$11,956.50 |
$11,956.50 |
$11,956.50 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$668.25
|
|
Kras gene addl variants
|
$166.25 |
$166.25 |
$166.25 |
$346.45
|
|
Kras gene variants exon 2
|
$166.25 |
$166.25 |
$166.25 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$566.25 |
$566.25 |
$566.25 |
$42.38
|
|
Lactoferrin fecal quant
|
$215.75 |
$215.75 |
$215.75 |
$106.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,844.75 |
$3,844.75 |
$3,844.75 |
$1,092.58
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$517.00 |
$517.00 |
$517.00 |
$3,818.36
|
|
Levetiracetam therapeutic drug level
|
$15.00 |
$15.00 |
$15.00 |
$72.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$957.00 |
$957.00 |
$957.00 |
$167.08
|
|
Lipoprotein blood high res frac & quant
|
$37.25 |
$37.25 |
$37.25 |
$89.52
|
|
Lipoprotein direct measurement hdl
|
$289.25 |
$289.25 |
$289.25 |
$55.00
|
|
Lithium therapeutic drug level
|
$157.75 |
$157.75 |
$157.75 |
$67.60
|
|
Liver Function Test
|
$363.25 |
$363.25 |
$363.25 |
$111.13
|
|
Liver/spleen imag static only
|
$10,485.25 |
$10,485.25 |
$10,485.25 |
$1,140.78
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$17,790.00 |
$17,790.00 |
$17,790.00 |
$1,921.40
|
