|
H pylori (c-13) blood
|
$1,099.53 |
$1,099.53 |
$1,099.53 |
$169.60
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$3,001.60 |
$3,001.60 |
$3,001.60 |
$5,642.96
|
|
Hyaluronidase 150 unit/ml injection solution
|
$359.70 |
$359.70 |
$359.70 |
$120.76
|
|
Hydralazine 20 mg/ml injection solution
|
$90.50 |
$90.50 |
$90.50 |
$46.74
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$195.50 |
$195.50 |
$195.50 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$364.60 |
$364.60 |
$364.60 |
$73.45
|
|
Hysterosalpingography s&i
|
$3,015.26 |
$3,015.26 |
$3,015.26 |
$663.50
|
|
I-123 ioflupane diag
|
$12,410.68 |
$12,410.68 |
$12,410.68 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$1,024.01 |
$1,024.01 |
$1,024.01 |
$144.24
|
|
I-131 iobenguane sulf diag mibg
|
$24,201.15 |
$24,201.15 |
$24,201.15 |
$3,638.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$1,629.16 |
$1,629.16 |
$1,629.16 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$352.07 |
$352.07 |
$352.07 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$822.00 |
$822.00 |
$822.00 |
$975.45
|
|
Idarubicin hcl injection
|
$105.00 |
$105.00 |
$105.00 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$179.90 |
$179.90 |
$179.90 |
$246.95
|
|
Igh gene rearrange amp meth
|
$1,974.48 |
$1,974.48 |
$1,974.48 |
$464.00
|
|
Igk rearrangeabn clonal pop
|
$1,364.08 |
$1,364.08 |
$1,364.08 |
$399.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$147.00 |
$147.00 |
$147.00 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,074.58 |
$1,074.58 |
$1,074.58 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$867.34 |
$867.34 |
$867.34 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$871.18 |
$871.18 |
$871.18 |
$142.50
|
|
Immunology procedure
|
$312.20 |
$312.20 |
$312.20 |
$142.56
|
|
Imported lipodox inj
|
$1,415.75 |
$1,415.75 |
$1,415.75 |
$528.86
|
|
In-111 capromab pendet
|
$33,902.20 |
$33,902.20 |
$33,902.20 |
$3,141.45
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,238.33 |
$5,238.33 |
$5,238.33 |
$2,598.17
|
|
In-111 pentetreotide
|
$5,374.65 |
$5,374.65 |
$5,374.65 |
$5,201.00
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$216.01 |
$216.01 |
$216.01 |
$766.66
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$5,555.23 |
$5,555.23 |
$5,555.23 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$59.21 |
$59.21 |
$59.21 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$104.66 |
$104.66 |
$104.66 |
$72.58
|
|
Infect ag na hep b amp
|
$1,112.95 |
$1,112.95 |
$1,112.95 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$482.17 |
$482.17 |
$482.17 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$362.66 |
$362.66 |
$362.66 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$839.55 |
$839.55 |
$839.55 |
$158.06
|
|
Infect ag na orthopoxvirus amp prb each
|
$119.50 |
$119.50 |
$119.50 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$431.75 |
$431.75 |
$431.75 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$5,660.80 |
$5,660.80 |
$5,660.80 |
$943.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$531.57 |
$531.57 |
$531.57 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$451.79 |
$451.79 |
$451.79 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$370.46 |
$370.46 |
$370.46 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$181.33 |
$181.33 |
$181.33 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$976.73 |
$976.73 |
$976.73 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$698.49 |
$698.49 |
$698.49 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$257.14 |
$257.14 |
$257.14 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$54.93 |
$54.93 |
$54.93 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$631.57 |
$631.57 |
$631.57 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$71.80 |
$71.80 |
$71.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$1,050.72 |
$1,050.72 |
$1,050.72 |
$139.68
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,344.11 |
$1,344.11 |
$1,344.11 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$1,050.72 |
$1,050.72 |
$1,050.72 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$94.22 |
$94.22 |
$94.22 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$94.22 |
$94.22 |
$94.22 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$210.98 |
$210.98 |
$210.98 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$894.30 |
$894.30 |
$894.30 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$890.37 |
$890.37 |
$890.37 |
$239.50
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$1,604.33 |
$1,604.33 |
$1,604.33 |
$1,537.84
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$90.50 |
$90.50 |
$90.50 |
$111.51
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$736.31 |
$736.31 |
$736.31 |
$293.25
|
|
Inj calcitriol per 0.1 mcg
|
$9.05 |
$9.05 |
$9.05 |
$23.28
|
|
Inj, cefiderocol, 10 mg
|
$800.54 |
$800.54 |
$800.54 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$90.50 |
$90.50 |
$90.50 |
$380.80
|
|
Injection, doxercalciferol
|
$90.50 |
$90.50 |
$90.50 |
$23.86
|
|
Injection, fulvestrant
|
$6,319.07 |
$6,319.07 |
$6,319.07 |
$1,817.65
|
|
Injection, renflexis
|
$1,503.00 |
$1,503.00 |
$1,503.00 |
$1,341.52
|
|
Inj., eravacycline, 1 mg
|
$201.02 |
$201.02 |
$201.02 |
$206.64
|
|
Inj, fulvestrant (teva)
|
$245.93 |
$245.93 |
$245.93 |
$136.50
|
|
Inj imip 4 cilas 4 releb 2mg
|
$877.55 |
$877.55 |
$877.55 |
$739.77
|
|
Inj levocarnitine per 1 gm
|
$207.39 |
$207.39 |
$207.39 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$102.50 |
$102.50 |
$102.50 |
$303.45
|
|
Inj., meropenem, vaborbactam
|
$556.87 |
$556.87 |
$556.87 |
$558.08
|
|
Inj. mycophenolate mofetil
|
$367.58 |
$367.58 |
$367.58 |
$252.66
|
|
Inj, nithiodote, 3mg / 125mg
|
$809.67 |
$809.67 |
$809.67 |
$462.04
|
|
Inj, pedmark, 100 mg
|
$378.12 |
$378.12 |
$378.12 |
$132.57
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$13,170.53 |
$13,170.53 |
$13,170.53 |
$6,403.59
|
|
Inj, tofidence, 1 mg
|
$3,290.38 |
$3,290.38 |
$3,290.38 |
$92.13
|
|
Insertion of catheter vein
|
$2,455.11 |
$2,455.11 |
$2,455.11 |
$836.25
|
|
Insitu hybridization auto
|
$744.51 |
$744.51 |
$744.51 |
$377.37
|
|
Insitu hybridization manual
|
$1,226.17 |
$1,226.17 |
$1,226.17 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$358.13 |
$358.13 |
$358.13 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$802.11 |
$802.11 |
$802.11 |
$331.69
|
|
Insulin tolerance panel
|
$633.25 |
$633.25 |
$633.25 |
$258.40
|
|
Insulin total
|
$278.24 |
$278.24 |
$278.24 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$3,407.99 |
$3,407.99 |
$3,407.99 |
$8,629.72
|
|
Interferon beta-1b / .25 mg
|
$1,643.18 |
$1,643.18 |
$1,643.18 |
$1,662.71
|
|
Intra-atrial pacing
|
$17,911.21 |
$17,911.21 |
$17,911.21 |
$4,780.80
|
|
Intracard echo interv w/s&i
|
$4,070.52 |
$4,070.52 |
$4,070.52 |
$3,461.04
|
|
Intraventricular pacing
|
$17,843.71 |
$17,843.71 |
$17,843.71 |
$5,456.17
|
|
Intrinsic factor antibody
|
$44.13 |
$44.13 |
$44.13 |
$63.15
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,532.00 |
$7,532.00 |
$7,532.00 |
$5,517.12
|
|
Iron binding capacity
|
$516.19 |
$516.19 |
$516.19 |
$63.60
|
|
Iron stain peripheral blood
|
$207.23 |
$207.23 |
$207.23 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$271.26 |
$271.26 |
$271.26 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$220.79 |
$220.79 |
$220.79 |
$114.40
|
|
Ivc venogram s&i
|
$36,225.41 |
$36,225.41 |
$36,225.41 |
$3,316.95
|
|
Ivp w/nephrotomography
|
$9,580.36 |
$9,580.36 |
$9,580.36 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$9,319.57 |
$9,319.57 |
$9,319.57 |
$692.18
|
|
Kidney imag w/bld flow multi
|
$16,248.22 |
$16,248.22 |
$16,248.22 |
$1,557.41
|
|
Kras gene addl variants
|
$2,813.98 |
$2,813.98 |
$2,813.98 |
$386.75
|
|
Lactoferrin fecal qualitative
|
$564.15 |
$564.15 |
$564.15 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$33,467.00 |
$33,467.00 |
$33,467.00 |
$19,124.00
|