|
Homogenization tissue
|
$136.16 |
$136.16 |
$136.16 |
$41.00
|
|
Homovanillic acid (hva)
|
$800.43 |
$800.43 |
$800.43 |
$59.95
|
|
Hpv types 16 & 18 only
|
$676.99 |
$676.99 |
$676.99 |
$110.06
|
|
H pylori (c-13) blood
|
$1,685.21 |
$1,685.21 |
$1,685.21 |
$169.60
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$99.05 |
$99.05 |
$99.05 |
$120.72
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$562.72 |
$562.72 |
$562.72 |
$73.45
|
|
I-123 ioflupane diag
|
$9,997.55 |
$9,997.55 |
$9,997.55 |
$4,077.15
|
|
I-131 iobenguane sulf diag mibg
|
$26,554.11 |
$26,554.11 |
$26,554.11 |
$3,638.48
|
|
I131 max 100uci
|
$1,157.45 |
$1,157.45 |
$1,157.45 |
$53.39
|
|
Iadna legionella pneumophila amplified probe tq
|
$1,376.72 |
$1,376.72 |
$1,376.72 |
$109.00
|
|
Ibuprofen injection
|
$32.38 |
$32.38 |
$32.38 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,978.69 |
$1,978.69 |
$1,978.69 |
$975.45
|
|
Igh gene rearrange amp meth
|
$2,355.88 |
$2,355.88 |
$2,355.88 |
$464.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,042.98 |
$1,042.98 |
$1,042.98 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$319.00 |
$319.00 |
$319.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$142.50
|
|
Immunology procedure
|
$262.01 |
$262.01 |
$262.01 |
$142.56
|
|
Imported lipodox inj
|
$2,831.50 |
$2,831.50 |
$2,831.50 |
$528.86
|
|
In-111 capromab pendet
|
$37,200.44 |
$37,200.44 |
$37,200.44 |
$3,141.45
|
|
In-111 oxyquinolin per 0.5 mci
|
$9,943.20 |
$9,943.20 |
$9,943.20 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$9,534.45 |
$9,534.45 |
$9,534.45 |
$2,598.17
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,111.57 |
$1,111.57 |
$1,111.57 |
$766.66
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$8,925.03 |
$8,925.03 |
$8,925.03 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$548.98 |
$548.98 |
$548.98 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$869.54 |
$869.54 |
$869.54 |
$72.58
|
|
Infect ag na hep b amp
|
$1,363.60 |
$1,363.60 |
$1,363.60 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$450.57 |
$450.57 |
$450.57 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,448.70 |
$1,448.70 |
$1,448.70 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$1,448.70 |
$1,448.70 |
$1,448.70 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$110.54 |
$110.54 |
$110.54 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,530.36 |
$1,530.36 |
$1,530.36 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$11,410.68 |
$11,410.68 |
$11,410.68 |
$943.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$935.77 |
$935.77 |
$935.77 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$1,269.73 |
$1,269.73 |
$1,269.73 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$278.78 |
$278.78 |
$278.78 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$313.34 |
$313.34 |
$313.34 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$1,554.34 |
$1,554.34 |
$1,554.34 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$394.13 |
$394.13 |
$394.13 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$842.70 |
$842.70 |
$842.70 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$309.16 |
$309.16 |
$309.16 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$674.93 |
$674.93 |
$674.93 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$274.47 |
$274.47 |
$274.47 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$812.14 |
$812.14 |
$812.14 |
$139.68
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$812.14 |
$812.14 |
$812.14 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$812.14 |
$812.14 |
$812.14 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$97.60 |
$97.60 |
$97.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$97.60 |
$97.60 |
$97.60 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$269.36 |
$269.36 |
$269.36 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$5,309.77 |
$5,309.77 |
$5,309.77 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,000.35 |
$1,000.35 |
$1,000.35 |
$239.50
|
|
Infliximab 100 mg intravenous solution
|
$3,926.41 |
$3,926.41 |
$3,926.41 |
$2,080.86
|
|
Influenza dna amp prob addl
|
$1,321.25 |
$1,321.25 |
$1,321.25 |
$64.26
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,976.14 |
$1,976.14 |
$1,976.14 |
$293.25
|
|
Inj, bezlotoxumab, 10 mg
|
$13,300.00 |
$13,300.00 |
$13,300.00 |
$7,612.43
|
|
Inj ceftolozane tazobactam
|
$277.00 |
$277.00 |
$277.00 |
$380.80
|
|
Inj crotalidae im f(ab')2 eq
|
$2,530.92 |
$2,530.92 |
$2,530.92 |
$2,613.60
|
|
Injection, fulvestrant
|
$294.62 |
$294.62 |
$294.62 |
$1,817.65
|
|
Injection,onabotulinumtoxina
|
$2,219.00 |
$2,219.00 |
$2,219.00 |
$2,277.65
|
|
Injection, pentamidine iseth
|
$321.86 |
$321.86 |
$321.86 |
$429.92
|
|
Injection, renflexis
|
$1,271.90 |
$1,271.90 |
$1,271.90 |
$1,341.52
|
|
Inj, fulvestrant (fresenius)
|
$1,642.55 |
$1,642.55 |
$1,642.55 |
$1,043.05
|
|
Inj, fulvestrant (teva)
|
$204.57 |
$204.57 |
$204.57 |
$136.50
|
|
Inj hydroxocobalamin IV 25mg
|
$3,260.70 |
$3,260.70 |
$3,260.70 |
$2,452.32
|
|
Inj levocarnitine per 1 gm
|
$169.75 |
$169.75 |
$169.75 |
$136.62
|
|
Inj levoleucovorin nos 0.5mg
|
$608.35 |
$608.35 |
$608.35 |
$109.92
|
|
Inj, lidocaine w epinephrine
|
$109.43 |
$109.43 |
$109.43 |
$47.52
|
|
Inj, nithiodote, 3mg / 125mg
|
$584.30 |
$584.30 |
$584.30 |
$462.04
|
|
Inj, pedmark, 100 mg
|
$294.30 |
$294.30 |
$294.30 |
$132.57
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$13,258.49 |
$13,258.49 |
$13,258.49 |
$6,403.59
|
|
Inj progesterone per 50 mg
|
$153.81 |
$153.81 |
$153.81 |
$15.00
|
|
Inj testostero enanthate 1mg
|
$0.54 |
$0.54 |
$0.54 |
$123.24
|
|
Inj vocal cord bulking agent
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$1,480.00
|
|
Insitu hybridization auto
|
$939.91 |
$939.91 |
$939.91 |
$377.37
|
|
Insitu hybridization manual
|
$1,249.31 |
$1,249.31 |
$1,249.31 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$283.20 |
$283.20 |
$283.20 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$1,274.43 |
$1,274.43 |
$1,274.43 |
$331.69
|
|
Insulin tolerance panel
|
$2,404.31 |
$2,404.31 |
$2,404.31 |
$258.40
|
|
Insulin total
|
$293.87 |
$293.87 |
$293.87 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$3,316.70 |
$3,316.70 |
$3,316.70 |
$8,629.72
|
|
Interferon alfa-2b inj
|
$485.30 |
$485.30 |
$485.30 |
$1,409.92
|
|
Interferon beta-1b / .25 mg
|
$1,643.18 |
$1,643.18 |
$1,643.18 |
$1,662.71
|
|
Interrog dev eval scrms ip
|
$346.62 |
$346.62 |
$346.62 |
$124.80
|
|
Interrog device eval heart
|
$1,098.90 |
$1,098.90 |
$1,098.90 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$648.69 |
$648.69 |
$648.69 |
$124.80
|
|
Intra-atrial pacing
|
$16,976.99 |
$16,976.99 |
$16,976.99 |
$4,780.80
|
|
Intra-atrial recording
|
$153,044.77 |
$153,044.77 |
$153,044.77 |
$5,252.30
|
|
Intracranial limited study
|
$563.00 |
$563.00 |
$563.00 |
$465.01
|
|
Intraventricular pacing
|
$61,049.23 |
$61,049.23 |
$61,049.23 |
$5,456.17
|
|
Intrinsic factor antibody
|
$697.82 |
$697.82 |
$697.82 |
$63.15
|
|
Ionm in operatng room 15 min
|
$1,831.28 |
$1,831.28 |
$1,831.28 |
$200.16
|
|
Ipratropium bromide non-comp
|
$1.43 |
$1.43 |
$1.43 |
$3.75
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,040.50 |
$9,040.50 |
$9,040.50 |
$5,517.12
|
|
Iron binding capacity
|
$818.98 |
$818.98 |
$818.98 |
$63.60
|
|
Iron stain peripheral blood
|
$316.12 |
$316.12 |
$316.12 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$170.00 |
$170.00 |
$170.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$272.21 |
$272.21 |
$272.21 |
$114.40
|
|
Kidney imag w/bld flow multi
|
$17,832.40 |
$17,832.40 |
$17,832.40 |
$1,557.41
|
|
Kras gene addl variants
|
$1,722.49 |
$1,722.49 |
$1,722.49 |
$386.75
|
|
Kras gene variants exon 2
|
$1,858.40 |
$1,858.40 |
$1,858.40 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$101.20 |
$101.20 |
$101.20 |
$33.60
|