|
H pylori (c-13) blood
|
$735.43 |
$735.43 |
$735.43 |
$169.60
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$158.28 |
$158.28 |
$158.28 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$6.24 |
$6.24 |
$6.24 |
$46.74
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$44.50 |
$44.50 |
$44.50 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$5.06 |
$5.06 |
$5.06 |
$120.72
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$245.67 |
$245.67 |
$245.67 |
$73.45
|
|
Hysterosalpingography s&i
|
$2,025.92 |
$2,025.92 |
$2,025.92 |
$663.50
|
|
I-123 sod iodide diag per 100 uci
|
$543.82 |
$543.82 |
$543.82 |
$144.24
|
|
I-131 iobenguane sulf diag mibg
|
$12,917.32 |
$12,917.32 |
$12,917.32 |
$3,638.48
|
|
I131 iodide cap, rx
|
$2,536.60 |
$2,536.60 |
$2,536.60 |
$71.70
|
|
I131 max 100uci
|
$558.12 |
$558.12 |
$558.12 |
$53.39
|
|
Iadna legionella pneumophila amplified probe tq
|
$1,036.68 |
$1,036.68 |
$1,036.68 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,844.47 |
$1,844.47 |
$1,844.47 |
$684.45
|
|
Igh gene rearrange amp meth
|
$1,997.68 |
$1,997.68 |
$1,997.68 |
$464.00
|
|
Igk rearrangeabn clonal pop
|
$1,379.67 |
$1,379.67 |
$1,379.67 |
$399.36
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,879.88 |
$4,879.88 |
$4,879.88 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$605.65 |
$605.65 |
$605.65 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$565.46 |
$565.46 |
$565.46 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$571.66 |
$571.66 |
$571.66 |
$142.50
|
|
In-111 capromab pendet
|
$18,088.91 |
$18,088.91 |
$18,088.91 |
$3,141.45
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,854.77 |
$3,854.77 |
$3,854.77 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$78.00 |
$78.00 |
$78.00 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$330.63 |
$330.63 |
$330.63 |
$72.58
|
|
Infect ag na hep b amp
|
$724.60 |
$724.60 |
$724.60 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$487.83 |
$487.83 |
$487.83 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,446.13 |
$1,446.13 |
$1,446.13 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$98.74 |
$98.74 |
$98.74 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$383.16 |
$383.16 |
$383.16 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,193.52 |
$3,193.52 |
$3,193.52 |
$943.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$307.46 |
$307.46 |
$307.46 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$512.94 |
$512.94 |
$512.94 |
$72.80
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$239.47 |
$239.47 |
$239.47 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$132.87 |
$132.87 |
$132.87 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$83.72 |
$83.72 |
$83.72 |
$100.02
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$461.96 |
$461.96 |
$461.96 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$366.88 |
$366.88 |
$366.88 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$330.63 |
$330.63 |
$330.63 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$387.81 |
$387.81 |
$387.81 |
$98.02
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$72.62 |
$72.62 |
$72.62 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$28.08 |
$28.08 |
$28.08 |
$139.68
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$973.36 |
$973.36 |
$973.36 |
$217.85
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$28.08 |
$28.08 |
$28.08 |
$136.03
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$85.76 |
$85.76 |
$85.76 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$85.76 |
$85.76 |
$85.76 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$186.93 |
$186.93 |
$186.93 |
$108.75
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$608.40 |
$608.40 |
$608.40 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$651.99 |
$651.99 |
$651.99 |
$239.50
|
|
Inj., benralizumab, 1 mg
|
$14,617.63 |
$14,617.63 |
$14,617.63 |
$11,239.97
|
|
Inj ceftolozane tazobactam
|
$312.62 |
$312.62 |
$312.62 |
$380.80
|
|
Inj crotalidae im f(ab')2 eq
|
$2,530.12 |
$2,530.12 |
$2,530.12 |
$2,613.60
|
|
Inj, durolane 1 mg
|
$3,512.67 |
$3,512.67 |
$3,512.67 |
$1,950.93
|
|
Injection carpal tunnel therapeutic (both sides)
|
$339.00 |
$339.00 |
$339.00 |
$450.72
|
|
Injection, fulvestrant
|
$245.93 |
$245.93 |
$245.93 |
$1,817.65
|
|
Injection, necitumumab, 1 mg
|
$18.55 |
$18.55 |
$18.55 |
$8,572.91
|
|
Injection, renflexis
|
$1,271.90 |
$1,271.90 |
$1,271.90 |
$1,341.52
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$339.00 |
$339.00 |
$339.00 |
$472.76
|
|
Inj., eravacycline, 1 mg
|
$256.32 |
$256.32 |
$256.32 |
$206.64
|
|
Inj, fulvestrant (teva)
|
$282.16 |
$282.16 |
$282.16 |
$136.50
|
|
Inj octafluoropropane mic,ml
|
$726.00 |
$726.00 |
$726.00 |
$211.40
|
|
Inj progesterone per 50 mg
|
$30.00 |
$30.00 |
$30.00 |
$15.00
|
|
Inj testostero enanthate 1mg
|
$20.46 |
$20.46 |
$20.46 |
$123.24
|
|
Insitu hybridization auto
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$377.37
|
|
Insitu hybridization manual
|
$1,592.91 |
$1,592.91 |
$1,592.91 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$330.63 |
$330.63 |
$330.63 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$665.90 |
$665.90 |
$665.90 |
$331.69
|
|
Insulin tolerance panel
|
$421.78 |
$421.78 |
$421.78 |
$258.40
|
|
Insulin total
|
$140.60 |
$140.60 |
$140.60 |
$66.64
|
|
Integra meshed bil wound mat
|
$350.18 |
$350.18 |
$350.18 |
$9,924.16
|
|
Intrinsic factor antibody
|
$304.38 |
$304.38 |
$304.38 |
$63.15
|
|
Intro long gi tube w/mult fluo
|
$1,797.88 |
$1,797.88 |
$1,797.88 |
$466.00
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$25.72 |
$25.72 |
$25.72 |
$174.47
|
|
Iron binding capacity
|
$326.01 |
$326.01 |
$326.01 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$86.12 |
$86.12 |
$86.12 |
$81.70
|
|
Iron stain peripheral blood
|
$145.23 |
$145.23 |
$145.23 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$420.00 |
$420.00 |
$420.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$141.78 |
$141.78 |
$141.78 |
$114.40
|
|
Ivp w/nephrotomography
|
$2,295.15 |
$2,295.15 |
$2,295.15 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$2,295.15 |
$2,295.15 |
$2,295.15 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$336.71 |
$336.71 |
$336.71 |
$393.43
|
|
Kidney imag w/bld flow multi
|
$8,674.17 |
$8,674.17 |
$8,674.17 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$4,337.97 |
$4,337.97 |
$4,337.97 |
$1,425.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$133.50 |
$133.50 |
$133.50 |
$923.90
|
|
Kras gene addl variants
|
$2,847.05 |
$2,847.05 |
$2,847.05 |
$386.75
|
|
Kras gene variants exon 2
|
$913.10 |
$913.10 |
$913.10 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.40 |
$12.40 |
$12.40 |
$33.60
|
|
Lactoferrin fecal qualitative
|
$378.53 |
$378.53 |
$378.53 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$25,371.50 |
$25,371.50 |
$25,371.50 |
$19,124.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$5,589.56 |
$5,589.56 |
$5,589.56 |
$1,092.58
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$15,971.69 |
$15,971.69 |
$15,971.69 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$8.90 |
$8.90 |
$8.90 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$33.04 |
$33.04 |
$33.04 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$404.79 |
$404.79 |
$404.79 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$595.60 |
$595.60 |
$595.60 |
$121.00
|
|
Lipase
|
$463.50 |
$463.50 |
$463.50 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$568.55 |
$568.55 |
$568.55 |
$86.42
|
|
Lipoprotein direct measurement hdl
|
$390.88 |
$390.88 |
$390.88 |
$57.50
|
|
Lithium therapeutic drug level
|
$264.19 |
$264.19 |
$264.19 |
$69.42
|
|
Liver Function Test
|
$962.53 |
$962.53 |
$962.53 |
$115.44
|
|
Liver/spleen imag static only
|
$4,103.63 |
$4,103.63 |
$4,103.63 |
$1,123.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$8,584.00 |
$8,584.00 |
$8,584.00 |
$1,909.80
|