|
Infectious agent nucleic acid amplified probe
|
$427.80 |
$427.80 |
$427.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$253.80 |
$253.80 |
$253.80 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$205.20 |
$205.20 |
$205.20 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$451.80 |
$451.80 |
$451.80 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$285.00 |
$285.00 |
$285.00 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$291.00 |
$291.00 |
$291.00 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$253.20 |
$253.20 |
$253.20 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$430.80 |
$430.80 |
$430.80 |
$109.18
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$182.40 |
$182.40 |
$182.40 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$747.00 |
$747.00 |
$747.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$918.60 |
$918.60 |
$918.60 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,121.40 |
$1,121.40 |
$1,121.40 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$23.58 |
$23.58 |
$23.58 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$20.66 |
$20.66 |
$20.66 |
$157.14
|
|
Initiation & management bipap/cpap initial day
|
$691.20 |
$691.20 |
$691.20 |
$608.40
|
|
Inj cefazolin sodium, hikma
|
$104.18 |
$104.18 |
$104.18 |
$66.38
|
|
Inj cntr knee arthro incl ct/mri
|
$549.00 |
$549.00 |
$549.00 |
$505.20
|
|
Injection epidural blood patch or clot
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$639.60 |
$639.60 |
$639.60 |
$521.18
|
|
Injection for bladder x-ray
|
$717.00 |
$717.00 |
$717.00 |
$585.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$745.20 |
$745.20 |
$745.20 |
$514.36
|
|
Injection,onabotulinumtoxina
|
$12.88 |
$12.88 |
$12.88 |
$12.88
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$670.20 |
$670.20 |
$670.20 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$695.40 |
$695.40 |
$695.40 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$684.60 |
$684.60 |
$684.60 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$241.80 |
$241.80 |
$241.80 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$229.80 |
$229.80 |
$229.80 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$302.40 |
$302.40 |
$302.40 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$152.40 |
$152.40 |
$152.40 |
$130.19
|
|
Inject sacroiliac joint
|
$2,422.80 |
$2,422.80 |
$2,422.80 |
$1,028.95
|
|
Inj for mammo ductogram
|
$610.80 |
$610.80 |
$610.80 |
$469.16
|
|
Inj intralesional <= 7 lsn(s)
|
$247.20 |
$247.20 |
$247.20 |
$238.77
|
|
Inj mepivacaine hcl/10 ml
|
$40.76 |
$40.76 |
$40.76 |
$28.41
|
|
Inj, moxifloxacin 100 mg
|
$262.28 |
$262.28 |
$262.28 |
$100.44
|
|
Inj proc ankle arthr
|
$588.60 |
$588.60 |
$588.60 |
$405.60
|
|
Inj proc elbow arthro
|
$639.60 |
$639.60 |
$639.60 |
$483.15
|
|
Inj proc myelogram lumbar
|
$1,491.60 |
$1,491.60 |
$1,491.60 |
$1,026.35
|
|
Inj testosterone cypionate
|
$77.15 |
$77.15 |
$77.15 |
$78.79
|
|
Insertion catheter bladder non indwelling
|
$336.00 |
$336.00 |
$336.00 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$344.40 |
$344.40 |
$344.40 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,432.80 |
$4,432.80 |
$4,432.80 |
$2,457.24
|
|
Insitu hybridization auto
|
$694.20 |
$694.20 |
$694.20 |
$328.79
|
|
Insitu hybridization manual
|
$978.00 |
$978.00 |
$978.00 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$273.00 |
$273.00 |
$273.00 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$364.00
|
|
Ins picad w subq port 5yr>
|
$6,087.60 |
$6,087.60 |
$6,087.60 |
$4,312.97
|
|
Insulin total
|
$251.40 |
$251.40 |
$251.40 |
$72.15
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$588.25 |
$588.25 |
$588.25 |
$104.31
|
|
Intrinsic factor antibody
|
$206.40 |
$206.40 |
$206.40 |
$76.77
|
|
Intro long gi tube
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$880.75
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.63 |
$0.63 |
$0.63 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.67 |
$0.67 |
$0.67 |
$145.52
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$111.98 |
$111.98 |
$111.98 |
$111.98
|
|
Iron
|
$137.40 |
$137.40 |
$137.40 |
$67.50
|
|
Iron binding capacity
|
$156.60 |
$156.60 |
$156.60 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$660.70 |
$660.70 |
$660.70 |
$211.09
|
|
Irrigation implantable venous access device for drug delivery systems
|
$283.80 |
$283.80 |
$283.80 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$153.60 |
$153.60 |
$153.60 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$125.40 |
$125.40 |
$125.40 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$153.60 |
$153.60 |
$153.60 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$618.00 |
$618.00 |
$618.00 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$672.60 |
$672.60 |
$672.60 |
$687.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$130.80 |
$130.80 |
$130.80 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$39.01 |
$39.01 |
$39.01 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$610.80 |
$610.80 |
$610.80 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$5,846.40 |
$5,846.40 |
$5,846.40 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$5,095.20 |
$5,095.20 |
$5,095.20 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$3,898.80 |
$3,898.80 |
$3,898.80 |
$2,120.00
|
|
Knee X-ray
|
$964.80 |
$964.80 |
$964.80 |
$387.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$50.65 |
$50.65 |
$50.65 |
$13.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$130.51 |
$130.51 |
$130.51 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$102.60 |
$102.60 |
$102.60 |
$50.55
|
|
Lactated ringers intravenous solution
|
$78.66 |
$78.66 |
$78.66 |
$46.35
|
|
Lactic acid
|
$214.20 |
$214.20 |
$214.20 |
$85.20
|
|
Lactoferrin fecal quant
|
$206.40 |
$206.40 |
$206.40 |
$106.10
|
|
Lead capillary
|
$177.60 |
$177.60 |
$177.60 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$1,053.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$544.80 |
$544.80 |
$544.80 |
$1,136.25
|
|
Leukocyte phagocytosis
|
$67.80 |
$67.80 |
$67.80 |
$92.88
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$9,502.54 |
$9,502.54 |
$9,502.54 |
$5,001.00
|
|
Levalbuterol non-comp unit
|
$20.15 |
$20.15 |
$20.15 |
$20.15
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$40.91 |
$40.91 |
$40.91 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$325.20 |
$325.20 |
$325.20 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$64.88 |
$64.88 |
$64.88 |
$43.61
|
|
Lipase
|
$176.40 |
$176.40 |
$176.40 |
$67.68
|
|
Lipoprotein blood quant
|
$265.80 |
$265.80 |
$265.80 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$160.80 |
$160.80 |
$160.80 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$164.40 |
$164.40 |
$164.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$187.20 |
$187.20 |
$187.20 |
$62.40
|
|
Liver Function Test
|
$239.40 |
$239.40 |
$239.40 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$76.05 |
$76.05 |
$76.05 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,866.60 |
$1,866.60 |
$1,866.60 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,837.40 |
$2,837.40 |
$2,837.40 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$302.40 |
$302.40 |
$302.40 |
$328.23
|