|
Hc nm kidney imaging with flow
|
$3,392.38 |
$3,392.38 |
$3,392.38 |
$849.00
|
|
Hemoglobin methemoglobin quantitative
|
$558.66 |
$558.66 |
$558.66 |
$52.32
|
|
Hemolysins/agglutinins auto
|
$268.86 |
$268.86 |
$268.86 |
$57.28
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$132.90 |
$132.90 |
$132.90 |
$12.91
|
|
Hepatobiliary system imaging
|
$8,144.00 |
$8,144.00 |
$8,144.00 |
$1,438.99
|
|
Heterophile antibodies screening
|
$161.69 |
$161.69 |
$161.69 |
$72.00
|
|
Hip adj flex ext abduct cont
|
$8,624.00 |
$8,624.00 |
$8,624.00 |
$837.61
|
|
Hla i typing high res 1 allele grp ea
|
$517.86 |
$517.86 |
$517.86 |
$304.20
|
|
Hla typing a b or c
|
$4,881.83 |
$4,881.83 |
$4,881.83 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$877.90 |
$877.90 |
$877.90 |
$79.78
|
|
Homogenization tissue
|
$53.53 |
$53.53 |
$53.53 |
$41.00
|
|
Homovanillic acid (hva)
|
$730.40 |
$730.40 |
$730.40 |
$59.95
|
|
H pylori (c-13) blood
|
$1,343.67 |
$1,343.67 |
$1,343.67 |
$169.60
|
|
Hydralazine 20 mg/ml injection solution
|
$84.12 |
$84.12 |
$84.12 |
$46.74
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$303.33 |
$303.33 |
$303.33 |
$73.45
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$294.00 |
$294.00 |
$294.00 |
$352.24
|
|
I-123 iobenguane diag
|
$20,374.06 |
$20,374.06 |
$20,374.06 |
$5,170.70
|
|
I-123 ioflupane diag
|
$10,579.17 |
$10,579.17 |
$10,579.17 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$790.65 |
$790.65 |
$790.65 |
$144.24
|
|
I-131 iobenguane sulf diag mibg
|
$38,078.94 |
$38,078.94 |
$38,078.94 |
$3,638.48
|
|
I131 iodide cap, rx
|
$397.21 |
$397.21 |
$397.21 |
$71.70
|
|
I131 max 100uci
|
$7,307.64 |
$7,307.64 |
$7,307.64 |
$53.39
|
|
Iadna legionella pneumophila amplified probe tq
|
$2,071.84 |
$2,071.84 |
$2,071.84 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,386.88 |
$1,386.88 |
$1,386.88 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,305.15 |
$1,305.15 |
$1,305.15 |
$975.45
|
|
Icatibant injection
|
$4,014.08 |
$4,014.08 |
$4,014.08 |
$8,695.05
|
|
Igh gene rearrange amp meth
|
$2,574.65 |
$2,574.65 |
$2,574.65 |
$464.00
|
|
Igk rearrangeabn clonal pop
|
$1,780.13 |
$1,780.13 |
$1,780.13 |
$399.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$71.67 |
$71.67 |
$71.67 |
$2,900.11
|
|
Immunology procedure
|
$204.74 |
$204.74 |
$204.74 |
$142.56
|
|
In-111 capromab pendet
|
$15,918.68 |
$15,918.68 |
$15,918.68 |
$3,141.45
|
|
In-111 oxyquinolin per 0.5 mci
|
$9,162.41 |
$9,162.41 |
$9,162.41 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$9,551.47 |
$9,551.47 |
$9,551.47 |
$2,598.17
|
|
In-111 pentetreotide
|
$25,628.80 |
$25,628.80 |
$25,628.80 |
$5,201.00
|
|
Incobotulinumtoxin a
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,404.35 |
$1,404.35 |
$1,404.35 |
$766.66
|
|
Infect ag if legionella pneumophila
|
$149.41 |
$149.41 |
$149.41 |
$72.58
|
|
Infect ag na hep b amp
|
$1,360.40 |
$1,360.40 |
$1,360.40 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$628.73 |
$628.73 |
$628.73 |
$139.75
|
|
Infect ag na resp virus 12-25 targets
|
$613.29 |
$613.29 |
$613.29 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$6,920.21 |
$6,920.21 |
$6,920.21 |
$943.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$537.48 |
$537.48 |
$537.48 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$607.71 |
$607.71 |
$607.71 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$519.64 |
$519.64 |
$519.64 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$396.95 |
$396.95 |
$396.95 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$137.18 |
$137.18 |
$137.18 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$71.91 |
$71.91 |
$71.91 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$640.06 |
$640.06 |
$640.06 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$88.09 |
$88.09 |
$88.09 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$1,507.61 |
$1,507.61 |
$1,507.61 |
$139.68
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,961.41 |
$1,961.41 |
$1,961.41 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$1,507.61 |
$1,507.61 |
$1,507.61 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$99.56 |
$99.56 |
$99.56 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$99.56 |
$99.56 |
$99.56 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$84.25 |
$84.25 |
$84.25 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,045.40 |
$1,045.40 |
$1,045.40 |
$727.50
|
|
Infliximab 100 mg intravenous solution
|
$3,926.41 |
$3,926.41 |
$3,926.41 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,593.69 |
$1,593.69 |
$1,593.69 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$153.57 |
$153.57 |
$153.57 |
$111.51
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$778.56 |
$778.56 |
$778.56 |
$293.25
|
|
Initiation & management bipap/cpap initial day
|
$2,501.59 |
$2,501.59 |
$2,501.59 |
$576.00
|
|
Inj, artesunate, 1mg
|
$18,824.75 |
$18,824.75 |
$18,824.75 |
$14,460.21
|
|
Inj, bupivacaine liposome
|
$1,445.66 |
$1,445.66 |
$1,445.66 |
$699.38
|
|
Inj ceftolozane tazobactam
|
$383.64 |
$383.64 |
$383.64 |
$380.80
|
|
Inj., cerliponase alfa 1 mg
|
$339.19 |
$339.19 |
$339.19 |
$167.25
|
|
Inj crotalidae im f(ab')2 eq
|
$2,667.53 |
$2,667.53 |
$2,667.53 |
$2,613.60
|
|
Injection, cangrelor
|
$3,118.36 |
$3,118.36 |
$3,118.36 |
$1,889.78
|
|
Injection, doxercalciferol
|
$165.90 |
$165.90 |
$165.90 |
$23.86
|
|
Injection, fulvestrant
|
$245.93 |
$245.93 |
$245.93 |
$1,817.65
|
|
Injection, renflexis
|
$1,503.01 |
$1,503.01 |
$1,503.01 |
$1,341.52
|
|
Inj, fulvestrant (teva)
|
$241.08 |
$241.08 |
$241.08 |
$136.50
|
|
Inj. herceptin hylecta, 10mg
|
$19,636.02 |
$19,636.02 |
$19,636.02 |
$7,690.59
|
|
Inj hydroxocobalamin IV 25mg
|
$1,356.99 |
$1,356.99 |
$1,356.99 |
$2,452.32
|
|
Inj imip 4 cilas 4 releb 2mg
|
$877.56 |
$877.56 |
$877.56 |
$739.77
|
|
Inj, lanreotide, (cipla) 1mg
|
$25,916.56 |
$25,916.56 |
$25,916.56 |
$11,648.70
|
|
Inj levocarnitine per 1 gm
|
$169.75 |
$169.75 |
$169.75 |
$136.62
|
|
Inj., meropenem, vaborbactam
|
$556.87 |
$556.87 |
$556.87 |
$558.08
|
|
Inj, moxifloxacin 100 mg
|
$268.75 |
$268.75 |
$268.75 |
$107.25
|
|
Inj. mycophenolate mofetil
|
$657.35 |
$657.35 |
$657.35 |
$252.66
|
|
Inj octafluoropropane mic,ml
|
$3,080.50 |
$3,080.50 |
$3,080.50 |
$211.40
|
|
Inj, pedmark, 100 mg
|
$192.00 |
$192.00 |
$192.00 |
$132.57
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$13,258.49 |
$13,258.49 |
$13,258.49 |
$6,403.59
|
|
Inj secretin synthetic human
|
$1,837.50 |
$1,837.50 |
$1,837.50 |
$1,285.20
|
|
Inj vocal cord bulking agent
|
$7,117.00 |
$7,117.00 |
$7,117.00 |
$1,480.00
|
|
Insertion of catheter vein
|
$3,011.68 |
$3,011.68 |
$3,011.68 |
$836.25
|
|
Insitu hybridization auto
|
$751.56 |
$751.56 |
$751.56 |
$377.37
|
|
Insitu hybridization manual
|
$900.99 |
$900.99 |
$900.99 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$419.65 |
$419.65 |
$419.65 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$1,015.83 |
$1,015.83 |
$1,015.83 |
$331.69
|
|
Insulin tolerance panel
|
$773.88 |
$773.88 |
$773.88 |
$258.40
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$3,645.62 |
$3,645.62 |
$3,645.62 |
$8,629.72
|
|
Interferon alfa-2b inj
|
$648.94 |
$648.94 |
$648.94 |
$1,409.92
|
|
Interferon beta-1b / .25 mg
|
$1,643.18 |
$1,643.18 |
$1,643.18 |
$1,662.71
|
|
Interfyl, 1 mg
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$4,656.80
|
|
Interrog dev eval icpms ip
|
$40.27 |
$40.27 |
$40.27 |
$103.50
|
|
Interrog dev eval scrms ip
|
$40.27 |
$40.27 |
$40.27 |
$124.80
|
|
Interrog device eval heart
|
$40.27 |
$40.27 |
$40.27 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$40.27 |
$40.27 |
$40.27 |
$124.80
|
|
Intra-atrial recording
|
$26,836.21 |
$26,836.21 |
$26,836.21 |
$5,252.30
|
|
Intrapul surf admin endo tube
|
$778.56 |
$778.56 |
$778.56 |
$220.80
|
