|
Inj naloxone hydrochloride
|
$99.22 |
$99.22 |
$99.22 |
$83.16
|
|
Inj ogivri 10 mg
|
$4,371.95 |
$4,371.95 |
$4,371.95 |
$4,492.28
|
|
Inj., omadacycline, 1 mg
|
$1,487.48 |
$1,487.48 |
$1,487.48 |
$865.34
|
|
Inj ontruzant 10 mg
|
$8,113.58 |
$8,113.58 |
$8,113.58 |
$6,706.27
|
|
Inj, panzyga, 500 mg
|
$11,237.00 |
$11,237.00 |
$11,237.00 |
$8,041.38
|
|
Inj., patisiran, 0.1 mg
|
$23,776.00 |
$23,776.00 |
$23,776.00 |
$17,613.00
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$9,640.55 |
$9,640.55 |
$9,640.55 |
$6,371.38
|
|
Inj, pemivibart, 4500 mg
|
$1,527.92 |
$1,527.92 |
$1,527.92 |
$1,235.55
|
|
Inj., perseris, 0.5 mg
|
$6,775.10 |
$6,775.10 |
$6,775.10 |
$5,146.85
|
|
Inj., plazomicin, 5 mg
|
$1,589.55 |
$1,589.55 |
$1,589.55 |
$607.16
|
|
Inj proc ankle arthr
|
$407.50 |
$407.50 |
$407.50 |
$405.60
|
|
Inj proc elbow arthro
|
$432.00 |
$432.00 |
$432.00 |
$442.80
|
|
Inj proc myelogram lumbar
|
$828.00 |
$828.00 |
$828.00 |
$859.98
|
|
Inj progesterone per 50 mg
|
$66.30 |
$66.30 |
$66.30 |
$14.93
|
|
Inj, releuko 1 mcg
|
$435.98 |
$435.98 |
$435.98 |
$461.20
|
|
Inj retro urethrocysto
|
$443.50 |
$443.50 |
$443.50 |
$450.00
|
|
Inj, rimabotulinumtoxinb
|
$2,328.70 |
$2,328.70 |
$2,328.70 |
$746.79
|
|
Inj secretin synthetic human
|
$3,773.82 |
$3,773.82 |
$3,773.82 |
$1,285.20
|
|
Inj, spesolimab-sbzo, 1 mg
|
$36,539.13 |
$36,539.13 |
$36,539.13 |
$83,709.85
|
|
Inj, sutimlimab-jome, 10 mg
|
$4,820.02 |
$4,820.02 |
$4,820.02 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$80,398.50 |
$80,398.50 |
$80,398.50 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$17,678.92 |
$17,678.92 |
$17,678.92 |
$17,517.56
|
|
Inj teplizumab mzwv 5 mcg
|
$19,420.00 |
$19,420.00 |
$19,420.00 |
$22,340.08
|
|
Inj. teprotumumab-trbw 10 mg
|
$42,570.05 |
$42,570.05 |
$42,570.05 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$227.37 |
$227.37 |
$227.37 |
$157.81
|
|
Inj testosterone cypionate
|
$60.05 |
$60.05 |
$60.05 |
$64.80
|
|
Inj., tildrakizumab, 1 mg
|
$24,162.46 |
$24,162.46 |
$24,162.46 |
$26,635.60
|
|
Inj tofersen intrathec 1 mg
|
$19,952.01 |
$19,952.01 |
$19,952.01 |
$422.10
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,878.22 |
$1,878.22 |
$1,878.22 |
$1,090.75
|
|
Inj, vancomycin hcl (mylan)
|
$70.84 |
$70.84 |
$70.84 |
$76.59
|
|
Inj, vegzelma, 10 mg
|
$5,170.88 |
$5,170.88 |
$5,170.88 |
$1,291.28
|
|
Inj vocal cord bulking agent
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$1,480.00
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$62,655.04 |
$62,655.04 |
$62,655.04 |
$44,026.28
|
|
Insert drug delivery implant
|
$1,910.50 |
$1,910.50 |
$1,910.50 |
$280.00
|
|
Insertion catheter bladder temporary simple
|
$409.50 |
$409.50 |
$409.50 |
$232.30
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,193.50 |
$2,193.50 |
$2,193.50 |
$2,414.16
|
|
Insitu hybridization auto
|
$438.50 |
$438.50 |
$438.50 |
$386.10
|
|
Insitu hybridization manual
|
$274.50 |
$274.50 |
$274.50 |
$398.16
|
|
In situ hybridization per specimen each additional single probe stain
|
$143.50 |
$143.50 |
$143.50 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$233.00 |
$233.00 |
$233.00 |
$337.20
|
|
Ins mark abd/pel for right perq
|
$2,839.50 |
$2,839.50 |
$2,839.50 |
$2,393.43
|
|
Ins mark thor for right perq
|
$2,839.50 |
$2,839.50 |
$2,839.50 |
$2,477.45
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,610.00
|
|
Insulin total
|
$61.50 |
$61.50 |
$61.50 |
$66.64
|
|
Integra meshed bil wound mat
|
$9,924.00 |
$9,924.00 |
$9,924.00 |
$9,924.16
|
|
Interferon alfa-n3 inj
|
$661.02 |
$661.02 |
$661.02 |
$59.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$19,967.35 |
$19,967.35 |
$19,967.35 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$841.69 |
$841.69 |
$841.69 |
$1,662.71
|
|
Intracranial complete study
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$882.00
|
|
Intracranial limited study
|
$907.50 |
$907.50 |
$907.50 |
$473.85
|
|
Intrapul surf admin endo tube
|
$114.50 |
$114.50 |
$114.50 |
$221.85
|
|
Intrinsic factor antibody
|
$139.00 |
$139.00 |
$139.00 |
$64.20
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$212.28 |
$212.28 |
$212.28 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$764.75 |
$764.75 |
$764.75 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$87,057.20 |
$87,057.20 |
$87,057.20 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$109.59 |
$109.59 |
$109.59 |
$173.40
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,113.50 |
$7,113.50 |
$7,113.50 |
$5,476.68
|
|
Iron
|
$48.00 |
$48.00 |
$48.00 |
$74.40
|
|
Iron binding capacity
|
$44.00 |
$44.00 |
$44.00 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$113.28 |
$113.28 |
$113.28 |
$79.47
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$535.58 |
$535.58 |
$535.58 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$141.50 |
$141.50 |
$141.50 |
$117.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$185.00 |
$185.00 |
$185.00 |
$143.76
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$9,919.62 |
$9,919.62 |
$9,919.62 |
$8,273.35
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$233.50 |
$233.50 |
$233.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$174.50 |
$174.50 |
$174.50 |
$158.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$174.50 |
$174.50 |
$174.50 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$488.00 |
$488.00 |
$488.00 |
$444.49
|
|
Ivp w/nephrotomography
|
$644.00 |
$644.00 |
$644.00 |
$764.40
|
|
Ivp w/wo kub w/wo tomography
|
$491.00 |
$491.00 |
$491.00 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$2,835.60 |
$2,835.60 |
$2,835.60 |
$10,695.32
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$78.00 |
$78.00 |
$78.00 |
$60.32
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$27.20 |
$27.20 |
$27.20 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,456.50 |
$1,456.50 |
$1,456.50 |
$1,435.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$484.50 |
$484.50 |
$484.50 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$11,056.50 |
$11,056.50 |
$11,056.50 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,865.00 |
$13,865.00 |
$13,865.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$67,500.00 |
$67,500.00 |
$67,500.00 |
$31,318.14
|
|
Kit lead specify 5-6-5
|
$27,426.00 |
$27,426.00 |
$27,426.00 |
$16,405.24
|
|
Knee MRI (with and without contrast)
|
$1,382.50 |
$1,382.50 |
$1,382.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,152.50 |
$1,152.50 |
$1,152.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$960.00 |
$960.00 |
$960.00 |
$2,139.80
|
|
Knee X-ray
|
$320.50 |
$320.50 |
$320.50 |
$425.55
|
|
Kras gene addl variants
|
$419.50 |
$419.50 |
$419.50 |
$384.80
|
|
Kras gene variants exon 2
|
$419.50 |
$419.50 |
$419.50 |
$495.00
|
|
Kyleena, 19.5 mg
|
$1,447.36 |
$1,447.36 |
$1,447.36 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$57.34 |
$57.34 |
$57.34 |
$33.14
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$500.32 |
$500.32 |
$500.32 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$43.00 |
$43.00 |
$43.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$64.00 |
$64.00 |
$64.00 |
$44.91
|
|
Lactic acid
|
$100.50 |
$100.50 |
$100.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$20,293.00 |
$20,293.00 |
$20,293.00 |
$19,124.00
|
|
Lead acuity x4 spiral l 86cm
|
$7,814.50 |
$7,814.50 |
$7,814.50 |
$5,617.19
|
|
Lead capillary
|
$78.00 |
$78.00 |
$78.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$8,260.00 |
$8,260.00 |
$8,260.00 |
$3,154.46
|
|
Lead tachy durata sj4 58cm
|
$16,786.00 |
$16,786.00 |
$16,786.00 |
$8,202.66
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$884.50 |
$884.50 |
$884.50 |
$1,090.23
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,383.00 |
$3,383.00 |
$3,383.00 |
$1,012.32
|
