|
Herpes simplex type 2 antibody igg
|
$10.00 |
$10.00 |
$10.00 |
$87.10
|
|
Heterophile antibodies screening
|
$1,685.55 |
$1,685.55 |
$1,685.55 |
$72.00
|
|
Hip X-ray
|
$2,323.95 |
$2,323.95 |
$2,323.95 |
$283.80
|
|
Histamine
|
$13.56 |
$13.56 |
$13.56 |
$125.45
|
|
Histochemical stains add-on
|
$82.47 |
$82.47 |
$82.47 |
$170.00
|
|
Hla ii typing ag equiv lr
|
$157.20 |
$157.20 |
$157.20 |
$325.13
|
|
Hla i low res one antigen equiv ea
|
$20.25 |
$20.25 |
$20.25 |
$164.00
|
|
Hla i typing low res one locus ea
|
$72.00 |
$72.00 |
$72.00 |
$339.35
|
|
Hla typing a b or c
|
$439.23 |
$439.23 |
$439.23 |
$322.80
|
|
Homocysteine
|
$134.88 |
$134.88 |
$134.88 |
$108.54
|
|
Homogenization tissue
|
$169.73 |
$169.73 |
$169.73 |
$40.30
|
|
Hpv types 16 & 18 only
|
$38.00 |
$38.00 |
$38.00 |
$93.50
|
|
H pylori (c-13) breath
|
$73.31 |
$73.31 |
$73.31 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$180.00 |
$180.00 |
$180.00 |
$135.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$2,512.50 |
$2,512.50 |
$2,512.50 |
$6,142.50
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$412.43 |
$412.43 |
$412.43 |
$180.48
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$118.81 |
$118.81 |
$118.81 |
$80.11
|
|
Hysterosalpingography s&i
|
$6,379.19 |
$6,379.19 |
$6,379.19 |
$557.40
|
|
I-123 ioflupane diag
|
$21,229.81 |
$21,229.81 |
$21,229.81 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$571.36 |
$571.36 |
$571.36 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$16,210.80 |
$16,210.80 |
$16,210.80 |
$5,062.20
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,053.07 |
$3,053.07 |
$3,053.07 |
$990.35
|
|
Ifosfamide 1 gram intravenous solution
|
$289.34 |
$289.34 |
$289.34 |
$278.13
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$339.64 |
$339.64 |
$339.64 |
$339.73
|
|
Immunoassay tumor antigen quantitative ca 125
|
$77.81 |
$77.81 |
$77.81 |
$122.50
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$3,333.91 |
$3,333.91 |
$3,333.91 |
$2,147.21
|
|
In-111 oxyquinolin per 0.5 mci
|
$43,670.83 |
$43,670.83 |
$43,670.83 |
$2,568.98
|
|
In-111 pentetreotide
|
$31,809.57 |
$31,809.57 |
$31,809.57 |
$6,269.30
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$30.00 |
$30.00 |
$30.00 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$41.05 |
$41.05 |
$41.05 |
$369.85
|
|
Infect ag genotype na dna hepatitis b
|
$52.00 |
$52.00 |
$52.00 |
$531.05
|
|
Infect ag genotype na hiv-1 other region
|
$25.00 |
$25.00 |
$25.00 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$81.12 |
$81.12 |
$81.12 |
$603.75
|
|
Infect ag if legionella pneumophila
|
$181.67 |
$181.67 |
$181.67 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$67.46 |
$67.46 |
$67.46 |
$56.15
|
|
Infect ag if varicella zoster
|
$13.85 |
$13.85 |
$13.85 |
$64.80
|
|
Infect ag na hpv high-risk types
|
$42.00 |
$42.00 |
$42.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$382.53 |
$382.53 |
$382.53 |
$227.50
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$102.87
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$691.11 |
$691.11 |
$691.11 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$51.69 |
$51.69 |
$51.69 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$137.62 |
$137.62 |
$137.62 |
$76.20
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$225.75 |
$225.75 |
$225.75 |
$85.15
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1,996.71 |
$1,996.71 |
$1,996.71 |
$93.60
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$691.11 |
$691.11 |
$691.11 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$550.00 |
$550.00 |
$550.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$17.59 |
$17.59 |
$17.59 |
$175.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$37.02 |
$37.02 |
$37.02 |
$208.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$33.00 |
$33.00 |
$33.00 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$195.00 |
$195.00 |
$195.00 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$79.17 |
$79.17 |
$79.17 |
$228.38
|
|
Infectious agent nucleic acid quantification hiv-1
|
$50.00 |
$50.00 |
$50.00 |
$381.55
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,718.92 |
$1,718.92 |
$1,718.92 |
$1,654.83
|
|
Initiation & management bipap/cpap initial day
|
$977.50 |
$977.50 |
$977.50 |
$627.00
|
|
Inj allopurinol sodium 1 mg
|
$4,978.44 |
$4,978.44 |
$4,978.44 |
$5,937.23
|
|
Inj calcitriol per 0.1 mcg
|
$151.94 |
$151.94 |
$151.94 |
$30.19
|
|
Inj cefazolin (wg crit care)
|
$20.26 |
$20.26 |
$20.26 |
$18.05
|
|
Inj crotalidae im f(ab')2 eq
|
$2,735.85 |
$2,735.85 |
$2,735.85 |
$2,735.85
|
|
Injection, cangrelor
|
$490.88 |
$490.88 |
$490.88 |
$2,314.80
|
|
Inj levocarnitine per 1 gm
|
$596.86 |
$596.86 |
$596.86 |
$122.28
|
|
Inj, levothyroxine, freskabi
|
$88.61 |
$88.61 |
$88.61 |
$244.63
|
|
Inj. mycophenolate mofetil
|
$587.25 |
$587.25 |
$587.25 |
$374.72
|
|
Inj, nithiodote, 3mg / 125mg
|
$654.75 |
$654.75 |
$654.75 |
$653.00
|
|
Inj, palonosetron (posfrea)
|
$3,000.47 |
$3,000.47 |
$3,000.47 |
$59.74
|
|
Inj pantoprazole(hikma) 40mg
|
$82.67 |
$82.67 |
$82.67 |
$30.47
|
|
Inj, pedmark, 100 mg
|
$621.00 |
$621.00 |
$621.00 |
$96.08
|
|
Inj progesterone per 50 mg
|
$52.40 |
$52.40 |
$52.40 |
$49.00
|
|
Inj testosterone cypionate
|
$1.62 |
$1.62 |
$1.62 |
$81.39
|
|
Insitu hybridization manual
|
$918.75 |
$918.75 |
$918.75 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$106.09 |
$106.09 |
$106.09 |
$341.90
|
|
Insulin total
|
$67.46 |
$67.46 |
$67.46 |
$67.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,362.45 |
$16,362.45 |
$16,362.45 |
$9,736.00
|
|
Intracranial limited study
|
$2,943.59 |
$2,943.59 |
$2,943.59 |
$418.44
|
|
Intrapul surf admin endo tube
|
$838.35 |
$838.35 |
$838.35 |
$240.68
|
|
Intrinsic factor antibody
|
$5.00 |
$5.00 |
$5.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$1,797.88 |
$1,797.88 |
$1,797.88 |
$477.85
|
|
Ipratropium bromide non-comp
|
$22.46 |
$22.46 |
$22.46 |
$11.59
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$164.49 |
$164.49 |
$164.49 |
$236.99
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$984.69 |
$984.69 |
$984.69 |
$255.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$867.10 |
$867.10 |
$867.10 |
$153.75
|
|
IV inj ra drug dx study
|
$3,287.03 |
$3,287.03 |
$3,287.03 |
$544.45
|
|
Ivp w/wo kub w/wo tomography
|
$8,098.77 |
$8,098.77 |
$8,098.77 |
$692.18
|
|
John cunningham antibody
|
$35.00 |
$35.00 |
$35.00 |
$43.90
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.98 |
$44.98 |
$44.98 |
$52.80
|
|
Kidney img w/bldflw sgl without rx
|
$17,453.93 |
$17,453.93 |
$17,453.93 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$5,911.69 |
$5,911.69 |
$5,911.69 |
$668.25
|
|
Lactated ringers intravenous solution
|
$120.12 |
$120.12 |
$120.12 |
$47.66
|
|
Lens iol ant bicnvx 24.0 multi
|
$568.65 |
$568.65 |
$568.65 |
$920.08
|
|
Lens iol ant chamb 10.5
|
$124.34 |
$124.34 |
$124.34 |
$203.84
|
|
Levetiracetam therapeutic drug level
|
$11.44 |
$11.44 |
$11.44 |
$74.92
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$315.43 |
$315.43 |
$315.43 |
$38.02
|
|
Lidocaine therapeutic drug level
|
$51.69 |
$51.69 |
$51.69 |
$87.45
|
|
Lift heel adjustable med
|
$310.89 |
$310.89 |
$310.89 |
$59.90
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,706.70 |
$1,706.70 |
$1,706.70 |
$130.49
|
|
Lipase
|
$1,708.30 |
$1,708.30 |
$1,708.30 |
$81.25
|
|
Lipoprotein direct measurement hdl
|
$1,519.78 |
$1,519.78 |
$1,519.78 |
$54.60
|
|
Listeria monocytogenes
|
$6.50 |
$6.50 |
$6.50 |
$95.40
|
|
Lithium therapeutic drug level
|
$1,525.19 |
$1,525.19 |
$1,525.19 |
$66.43
|
|
Liver ds alys 3 bmrk srm alg
|
$154.00 |
$154.00 |
$154.00 |
$365.28
|
|
Liver/spleen imag static only
|
$11,201.89 |
$11,201.89 |
$11,201.89 |
$1,140.78
|