|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$139.15 |
$139.15 |
$139.15 |
$80.11
|
|
I-123 sod iodide diag per 100 uci
|
$430.51 |
$430.51 |
$430.51 |
$157.80
|
|
I131 iodide cap, rx
|
$110.21 |
$110.21 |
$110.21 |
$97.90
|
|
Iadna legionella pneumophila amplified probe tq
|
$140.36 |
$140.36 |
$140.36 |
$117.02
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$5,403.30 |
$5,403.30 |
$5,403.30 |
$990.35
|
|
Ihc/icc per specimen each additional single antibody stain
|
$1,672.70 |
$1,672.70 |
$1,672.70 |
$191.75
|
|
Immobilizer shldr cntor adlt
|
$53.00 |
$53.00 |
$53.00 |
$112.45
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$938.53 |
$938.53 |
$938.53 |
$4,058.27
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$180.47 |
$180.47 |
$180.47 |
$114.00
|
|
Immunodiffusion nes
|
$92.12 |
$92.12 |
$92.12 |
$63.05
|
|
Immunofixation electrophoresis serum
|
$198.40 |
$198.40 |
$198.40 |
$133.38
|
|
Immunoglobulin assay
|
$57.73 |
$57.73 |
$57.73 |
$74.15
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,143.93 |
$3,143.93 |
$3,143.93 |
$2,106.00
|
|
In-111 pentetreotide
|
$7,659.27 |
$7,659.27 |
$7,659.27 |
$6,269.30
|
|
In-111 satumomab pend
|
$801.54 |
$801.54 |
$801.54 |
$3,524.25
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$422.07 |
$422.07 |
$422.07 |
$1,099.05
|
|
Infect ag genotype na dna hepatitis b
|
$1,193.13 |
$1,193.13 |
$1,193.13 |
$531.05
|
|
Infect ag ia direct hiv-1 antgn
|
$250.00 |
$250.00 |
$250.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$752.33 |
$752.33 |
$752.33 |
$65.58
|
|
Infect ag if legionella pneumophila
|
$72.31 |
$72.31 |
$72.31 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$55.46 |
$55.46 |
$55.46 |
$56.15
|
|
Infect ag if varicella zoster
|
$62.21 |
$62.21 |
$62.21 |
$64.80
|
|
Infect ag na influenza r/amp 1st 2 types
|
$714.20 |
$714.20 |
$714.20 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$97.31 |
$97.31 |
$97.31 |
$102.87
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$301.81 |
$301.81 |
$301.81 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$47.90 |
$47.90 |
$47.90 |
$76.45
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$263.90 |
$263.90 |
$263.90 |
$143.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$172.58 |
$172.58 |
$172.58 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,800.49 |
$1,800.49 |
$1,800.49 |
$855.45
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$193.16 |
$193.16 |
$193.16 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$263.90 |
$263.90 |
$263.90 |
$136.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$162.65 |
$162.65 |
$162.65 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,931.58 |
$1,931.58 |
$1,931.58 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$136.40 |
$136.40 |
$136.40 |
$230.75
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$380.05 |
$380.05 |
$380.05 |
$278.78
|
|
Infliximab 100 mg intravenous solution
|
$6,421.03 |
$6,421.03 |
$6,421.03 |
$1,824.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$281.38 |
$281.38 |
$281.38 |
$76.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$478.83 |
$478.83 |
$478.83 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,351.85 |
$1,351.85 |
$1,351.85 |
$627.00
|
|
Inj, abilify maintena, 1 mg
|
$9,329.37 |
$9,329.37 |
$9,329.37 |
$4,402.80
|
|
Inj allopurinol sodium 1 mg
|
$11,413.12 |
$11,413.12 |
$11,413.12 |
$5,937.23
|
|
Inj calcitriol per 0.1 mcg
|
$130.20 |
$130.20 |
$130.20 |
$30.19
|
|
Inj cefazolin sodium, hikma
|
$57.13 |
$57.13 |
$57.13 |
$54.91
|
|
Inj, cefiderocol, 10 mg
|
$1,429.98 |
$1,429.98 |
$1,429.98 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$741.87 |
$741.87 |
$741.87 |
$333.00
|
|
Inj crotalidae im f(ab')2 eq
|
$6,353.76 |
$6,353.76 |
$6,353.76 |
$2,735.85
|
|
Injection, cangrelor
|
$4,134.94 |
$4,134.94 |
$4,134.94 |
$2,314.80
|
|
Injection, doxercalciferol
|
$67.27 |
$67.27 |
$67.27 |
$28.25
|
|
Injection, isavuconazonium
|
$2,567.44 |
$2,567.44 |
$2,567.44 |
$634.28
|
|
Injection,onabotulinumtoxina
|
$4,745.79 |
$4,745.79 |
$4,745.79 |
$2,154.07
|
|
Injection, renflexis
|
$3,923.63 |
$3,923.63 |
$3,923.63 |
$1,407.33
|
|
Inj hydroxocobalamin IV 25mg
|
$6,308.19 |
$6,308.19 |
$6,308.19 |
$3,180.35
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,896.84 |
$1,896.84 |
$1,896.84 |
$1,004.42
|
|
Inj levocarnitine per 1 gm
|
$109.59 |
$109.59 |
$109.59 |
$122.28
|
|
Inj melpha hydroch nos 50 mg
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$1,627.50
|
|
Inj., meropenem, vaborbactam
|
$1,160.14 |
$1,160.14 |
$1,160.14 |
$618.43
|
|
Inj meropenem (wg crit care)
|
$214.18 |
$214.18 |
$214.18 |
$104.12
|
|
Inj, moxifloxacin 100 mg
|
$331.20 |
$331.20 |
$331.20 |
$153.27
|
|
Inj, nithiodote, 3mg / 125mg
|
$1,030.75 |
$1,030.75 |
$1,030.75 |
$653.00
|
|
Inj, pedmark, 100 mg
|
$270.71 |
$270.71 |
$270.71 |
$96.08
|
|
Inj progesterone per 50 mg
|
$19.53 |
$19.53 |
$19.53 |
$49.00
|
|
Inj testosterone cypionate
|
$0.76 |
$0.76 |
$0.76 |
$81.39
|
|
Insitu hybridization auto
|
$1,587.22 |
$1,587.22 |
$1,587.22 |
$398.51
|
|
Insitu hybridization manual
|
$1,587.22 |
$1,587.22 |
$1,587.22 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$375.41 |
$375.41 |
$375.41 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$375.41 |
$375.41 |
$375.41 |
$341.90
|
|
Insulin total
|
$102.22 |
$102.22 |
$102.22 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,319.00 |
$6,319.00 |
$6,319.00 |
$9,736.00
|
|
Intra-atrial pacing
|
$8,673.91 |
$8,673.91 |
$8,673.91 |
$5,155.51
|
|
Intra-atrial recording
|
$8,031.20 |
$8,031.20 |
$8,031.20 |
$5,593.09
|
|
Intracard echo interv w/s&i
|
$20,041.72 |
$20,041.72 |
$20,041.72 |
$4,013.16
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$8,673.97 |
$8,673.97 |
$8,673.97 |
$3,690.00
|
|
Intraventricular pacing
|
$8,673.91 |
$8,673.91 |
$8,673.91 |
$5,644.35
|
|
Intrinsic factor antibody
|
$11.29 |
$11.29 |
$11.29 |
$59.95
|
|
Iron binding capacity
|
$1,464.64 |
$1,464.64 |
$1,464.64 |
$61.47
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$581.56 |
$581.56 |
$581.56 |
$255.60
|
|
Ivc venogram s&i
|
$15,777.56 |
$15,777.56 |
$15,777.56 |
$3,258.00
|
|
Ivp w/wo kub w/wo tomography
|
$5,907.06 |
$5,907.06 |
$5,907.06 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$646.81 |
$646.81 |
$646.81 |
$379.87
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$54.16 |
$54.16 |
$54.16 |
$52.80
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$528.00 |
$528.00 |
$528.00 |
$150.60
|
|
Kras gene variants exon 2
|
$895.59 |
$895.59 |
$895.59 |
$495.00
|
|
Lactoferrin fecal qualitative
|
$91.21 |
$91.21 |
$91.21 |
$88.40
|
|
Levetiracetam therapeutic drug level
|
$20.25 |
$20.25 |
$20.25 |
$75.00
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$687.35 |
$687.35 |
$687.35 |
$274.85
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$44.25 |
$44.25 |
$44.25 |
$38.02
|
|
Lidocaine therapeutic drug level
|
$25.22 |
$25.22 |
$25.22 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,009.05 |
$1,009.05 |
$1,009.05 |
$130.49
|
|
Lipoprotein direct measurement hdl
|
$1,502.71 |
$1,502.71 |
$1,502.71 |
$54.60
|
|
Lithium therapeutic drug level
|
$983.07 |
$983.07 |
$983.07 |
$66.43
|
|
Liver imag w/vasclr flow
|
$6,195.03 |
$6,195.03 |
$6,195.03 |
$1,255.15
|
|
Liver/spleen imag static only
|
$4,946.45 |
$4,946.45 |
$4,946.45 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$387.35 |
$387.35 |
$387.35 |
$13.65
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$10,551.54 |
$10,551.54 |
$10,551.54 |
$2,013.08
|
|
Lung Function Test (Spirometry)
|
$1,804.17 |
$1,804.17 |
$1,804.17 |
$296.91
|
|
Lung perfusion imaging
|
$6,509.45 |
$6,509.45 |
$6,509.45 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$4,742.24 |
$4,742.24 |
$4,742.24 |
$1,526.38
|
|
Macroscopic exam parasite
|
$19.98 |
$19.98 |
$19.98 |
$36.40
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$213.79 |
$213.79 |
$213.79 |
$137.25
|
|
Manipulation chest wall initial demonstration/evaluation
|
$593.12 |
$593.12 |
$593.12 |
$163.15
|
