|
Hepatitis b core antibody total
|
$214.00 |
$214.00 |
$214.00 |
$84.75
|
|
Hepatitis b surface antibody
|
$214.00 |
$214.00 |
$214.00 |
$83.79
|
|
Hepatobiliary system imaging
|
$8,284.14 |
$8,284.14 |
$8,284.14 |
$1,522.95
|
|
Herpes simplex 1 ag if
|
$77.00 |
$77.00 |
$77.00 |
$40.28
|
|
Heterophile antibodies screening
|
$1,015.55 |
$1,015.55 |
$1,015.55 |
$74.00
|
|
Hip X-ray
|
$3,914.47 |
$3,914.47 |
$3,914.47 |
$290.72
|
|
Hiv-1 ag ia
|
$29.00 |
$29.00 |
$29.00 |
$84.67
|
|
Hla i typing high res 1 allele grp ea
|
$68.00 |
$68.00 |
$68.00 |
$306.80
|
|
Homocysteine
|
$247.00 |
$247.00 |
$247.00 |
$107.62
|
|
Homogenization tissue
|
$15.00 |
$15.00 |
$15.00 |
$39.20
|
|
Homovanillic acid (hva)
|
$20.00 |
$20.00 |
$20.00 |
$56.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$388.00 |
$388.00 |
$388.00 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$96.00 |
$96.00 |
$96.00 |
$56.70
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$31.00 |
$31.00 |
$31.00 |
$73.45
|
|
Hysterosalpingography s&i
|
$312.79 |
$312.79 |
$312.79 |
$595.40
|
|
I-123 iobenguane diag
|
$93,594.59 |
$93,594.59 |
$93,594.59 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$16,593.58 |
$16,593.58 |
$16,593.58 |
$5,062.20
|
|
I131 iodide cap, rx
|
$1,260.46 |
$1,260.46 |
$1,260.46 |
$91.83
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$918.69
|
|
Idarubicin hcl injection
|
$16,883.00 |
$16,883.00 |
$16,883.00 |
$536.85
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$376.67 |
$376.67 |
$376.67 |
$348.15
|
|
Immobilizer shldr dlx str 24-36in med
|
$97.49 |
$97.49 |
$97.49 |
$77.18
|
|
Immune complex assay
|
$36.00 |
$36.00 |
$36.00 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$247.00 |
$247.00 |
$247.00 |
$125.43
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$247.00 |
$247.00 |
$247.00 |
$116.40
|
|
Immunodiffusion nes
|
$143.00 |
$143.00 |
$143.00 |
$56.71
|
|
Immunofixation electrophoresis serum
|
$24.00 |
$24.00 |
$24.00 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$20.00 |
$20.00 |
$20.00 |
$250.00
|
|
In-111 capromab pendet
|
$38,146.46 |
$38,146.46 |
$38,146.46 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$21,731.24 |
$21,731.24 |
$21,731.24 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$19,371.37 |
$19,371.37 |
$19,371.37 |
$2,106.00
|
|
In-111 pentetreotide
|
$43,459.81 |
$43,459.81 |
$43,459.81 |
$6,610.16
|
|
In-111 satumomab pend
|
$34,426.32 |
$34,426.32 |
$34,426.32 |
$3,524.25
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$162.00 |
$162.00 |
$162.00 |
$1,099.05
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$163.00 |
$163.00 |
$163.00 |
$558.00
|
|
Infect ag if hep delta agent
|
$50.00 |
$50.00 |
$50.00 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$17.00 |
$17.00 |
$17.00 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$7.00 |
$7.00 |
$7.00 |
$59.15
|
|
Infect ag na hep b amp
|
$127.00 |
$127.00 |
$127.00 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$52.00 |
$52.00 |
$52.00 |
$127.27
|
|
Infect ag na influenza r/amp 1st 2 types
|
$318.00 |
$318.00 |
$318.00 |
$227.50
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$101.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$494.00 |
$494.00 |
$494.00 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$494.00 |
$494.00 |
$494.00 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$1,358.95 |
$1,358.95 |
$1,358.95 |
$81.60
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$33.00 |
$33.00 |
$33.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$214.00 |
$214.00 |
$214.00 |
$78.51
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$247.00 |
$247.00 |
$247.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$299.48 |
$299.48 |
$299.48 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$94.00 |
$94.00 |
$94.00 |
$141.12
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$877.10 |
$877.10 |
$877.10 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$35.00 |
$35.00 |
$35.00 |
$175.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$38.00 |
$38.00 |
$38.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$94.00 |
$94.00 |
$94.00 |
$133.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$99.83 |
$99.83 |
$99.83 |
$103.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$80.00 |
$80.00 |
$80.00 |
$212.30
|
|
Infliximab 100 mg intravenous solution
|
$8,084.00 |
$8,084.00 |
$8,084.00 |
$2,568.58
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$851.84 |
$851.84 |
$851.84 |
$357.05
|
|
Initiation & management bipap/cpap initial day
|
$1,119.37 |
$1,119.37 |
$1,119.37 |
$641.55
|
|
Inj, artesunate, 1mg
|
$18,675.00 |
$18,675.00 |
$18,675.00 |
$19,423.99
|
|
Inj calcitriol per 0.1 mcg
|
$243.00 |
$243.00 |
$243.00 |
$32.01
|
|
Inj, cefiderocol, 10 mg
|
$769.27 |
$769.27 |
$769.27 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$848.00 |
$848.00 |
$848.00 |
$436.64
|
|
Inj crotalidae im f(ab')2 eq
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$2,836.95
|
|
Injection, fulvestrant
|
$6,071.00 |
$6,071.00 |
$6,071.00 |
$2,744.26
|
|
Injection, isavuconazonium
|
$3.00 |
$3.00 |
$3.00 |
$646.20
|
|
Injection,onabotulinumtoxina
|
$4,107.00 |
$4,107.00 |
$4,107.00 |
$2,154.07
|
|
Inj hydroxocobalamin IV 25mg
|
$3,392.47 |
$3,392.47 |
$3,392.47 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$231.00 |
$231.00 |
$231.00 |
$139.67
|
|
Inj, levothyroxine, freskabi
|
$88.61 |
$88.61 |
$88.61 |
$287.45
|
|
Inj., meropenem, vaborbactam
|
$703.00 |
$703.00 |
$703.00 |
$618.43
|
|
Inj, nithiodote, 3mg / 125mg
|
$654.75 |
$654.75 |
$654.75 |
$519.39
|
|
Inj pantoprazole(hikma) 40mg
|
$35.46 |
$35.46 |
$35.46 |
$35.46
|
|
Inj tedizolid phosphate
|
$1,008.16 |
$1,008.16 |
$1,008.16 |
$1,001.48
|
|
Insitu hybridization auto
|
$20.00 |
$20.00 |
$20.00 |
$393.13
|
|
Insitu hybridization manual
|
$31.00 |
$31.00 |
$31.00 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$163.00 |
$163.00 |
$163.00 |
$341.60
|
|
Insti hexaminolevulinate hcl
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$2,359.80
|
|
Insulin total
|
$242.00 |
$242.00 |
$242.00 |
$67.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,362.45 |
$16,362.45 |
$16,362.45 |
$9,970.16
|
|
Intra-atrial pacing
|
$15,228.03 |
$15,228.03 |
$15,228.03 |
$5,041.63
|
|
Intra-atrial recording
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$5,625.00
|
|
Intracranial complete study
|
$6,766.80 |
$6,766.80 |
$6,766.80 |
$882.00
|
|
Intracranial limited study
|
$3,411.35 |
$3,411.35 |
$3,411.35 |
$423.52
|
|
Intraventricular pacing
|
$15,228.03 |
$15,228.03 |
$15,228.03 |
$5,644.35
|
|
Intrinsic factor antibody
|
$8.00 |
$8.00 |
$8.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$2,256.05 |
$2,256.05 |
$2,256.05 |
$477.85
|
|
Iron binding capacity
|
$280.84 |
$280.84 |
$280.84 |
$61.92
|
|
Iron dextran 50 mg/ml injection solution
|
$128.00 |
$128.00 |
$128.00 |
$65.63
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$200.51
|
|
Irradiation of blood product each unit reference
|
$1,273.77 |
$1,273.77 |
$1,273.77 |
$124.24
|
|
IV inj ra drug dx study
|
$5,624.81 |
$5,624.81 |
$5,624.81 |
$549.70
|
|
Ivp w/wo kub w/wo tomography
|
$7,679.87 |
$7,679.87 |
$7,679.87 |
$692.18
|
|
Ketogenic steroids fract
|
$65.00 |
$65.00 |
$65.00 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$40.00 |
$40.00 |
$40.00 |
$54.16
|
|
Kidney imag w/bld flow multi
|
$9,872.03 |
$9,872.03 |
$9,872.03 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$4,154.05 |
$4,154.05 |
$4,154.05 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$7,040.99 |
$7,040.99 |
$7,040.99 |
$668.25
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$15.24 |
$15.24 |
$15.24 |
$42.38
|
