|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$349.60 |
$349.60 |
$349.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$460.80 |
$460.80 |
$460.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$105.60 |
$105.60 |
$105.60 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$153.60 |
$153.60 |
$153.60 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$342.40 |
$342.40 |
$342.40 |
$217.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$312.80 |
$312.80 |
$312.80 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$745.60 |
$745.60 |
$745.60 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$179.20 |
$179.20 |
$179.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$100.00 |
$100.00 |
$100.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$129.60 |
$129.60 |
$129.60 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$415.20 |
$415.20 |
$415.20 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$348.00 |
$348.00 |
$348.00 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,456.41 |
$1,456.41 |
$1,456.41 |
$2,047.13
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$586.51 |
$586.51 |
$586.51 |
$1,537.84
|
|
Inj., benralizumab, 1 mg
|
$4,780.59 |
$4,780.59 |
$4,780.59 |
$11,310.00
|
|
Inj cefazolin sodium, hikma
|
$29.82 |
$29.82 |
$29.82 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$116.89 |
$116.89 |
$116.89 |
$69.85
|
|
Inj daptomycin (xellia)
|
$35.44 |
$35.44 |
$35.44 |
$56.04
|
|
Injection, edaravone, 1 mg
|
$3,817.92 |
$3,817.92 |
$3,817.92 |
$1,136.59
|
|
Injection, renflexis
|
$887.96 |
$887.96 |
$887.96 |
$1,341.52
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$992.80 |
$992.80 |
$992.80 |
$1,043.72
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$609.60 |
$609.60 |
$609.60 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$112.00 |
$112.00 |
$112.00 |
$145.60
|
|
Inj. fe derisomaltose 10 mg
|
$2,448.42 |
$2,448.42 |
$2,448.42 |
$3,221.52
|
|
Inj, lidocaine w epinephrine
|
$28.49 |
$28.49 |
$28.49 |
$45.60
|
|
Inj, meropenem (b. braun)
|
$119.25 |
$119.25 |
$119.25 |
$71.14
|
|
Inj pantoprazole(hikma) 40mg
|
$28.37 |
$28.37 |
$28.37 |
$34.67
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$2,486.82 |
$2,486.82 |
$2,486.82 |
$6,614.40
|
|
Inj, releuko 1 mcg
|
$136.52 |
$136.52 |
$136.52 |
$475.36
|
|
Insertion catheter bladder non indwelling
|
$230.40 |
$230.40 |
$230.40 |
$208.01
|
|
Insitu hybridization manual
|
$318.40 |
$318.40 |
$318.40 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$338.40 |
$338.40 |
$338.40 |
$338.40
|
|
Insulin total
|
$84.80 |
$84.80 |
$84.80 |
$66.64
|
|
Intrinsic factor antibody
|
$56.80 |
$56.80 |
$56.80 |
$65.00
|
|
Intubation endotracheal emergency procedure
|
$483.20 |
$483.20 |
$483.20 |
$601.28
|
|
Ipratropium bromide non-comp
|
$2.40 |
$2.40 |
$2.40 |
$4.06
|
|
Iron
|
$32.00 |
$32.00 |
$32.00 |
$75.00
|
|
Iron binding capacity
|
$46.40 |
$46.40 |
$46.40 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$69.53 |
$69.53 |
$69.53 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$33.25 |
$33.25 |
$33.25 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$117.60 |
$117.60 |
$117.60 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$188.80 |
$188.80 |
$188.80 |
$146.11
|
|
IV Fluids (each additional hour)
|
$102.40 |
$102.40 |
$102.40 |
$133.90
|
|
IV Fluids (first hour)
|
$372.00 |
$372.00 |
$372.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$174.40 |
$174.40 |
$174.40 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$174.40 |
$174.40 |
$174.40 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$121.60 |
$121.60 |
$121.60 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$447.20 |
$447.20 |
$447.20 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$168.00 |
$168.00 |
$168.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$295.20 |
$295.20 |
$295.20 |
$252.76
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$448.00 |
$448.00 |
$448.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$439.20 |
$439.20 |
$439.20 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$51.20 |
$51.20 |
$51.20 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$28.24 |
$28.24 |
$28.24 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$615.20 |
$615.20 |
$615.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$476.80 |
$476.80 |
$476.80 |
$490.75
|
|
Knee MRI (with and without contrast)
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$3,022.20
|
|
Knee MRI (without contrast)
|
$2,511.20 |
$2,511.20 |
$2,511.20 |
$2,130.88
|
|
Knee X-ray
|
$460.00 |
$460.00 |
$460.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$188.00 |
$188.00 |
$188.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$233.60 |
$233.60 |
$233.60 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$212.00 |
$212.00 |
$212.00 |
$251.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$28.52 |
$28.52 |
$28.52 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$44.80 |
$44.80 |
$44.80 |
$55.50
|
|
Lactated ringers intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$43.74
|
|
Lactic acid
|
$57.60 |
$57.60 |
$57.60 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$111.20 |
$111.20 |
$111.20 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$627.20 |
$627.20 |
$627.20 |
$740.40
|
|
Lead capillary
|
$62.40 |
$62.40 |
$62.40 |
$57.50
|
|
Leg CT Scan (with contrast, both legs)
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,235.20 |
$1,235.20 |
$1,235.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$928.00 |
$928.00 |
$928.00 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$594.40 |
$594.40 |
$594.40 |
$1,065.00
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,113.96 |
$1,113.96 |
$1,113.96 |
$6,360.76
|
|
Levalbuterol non-comp unit
|
$3.32 |
$3.32 |
$3.32 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$112.08 |
$112.08 |
$112.08 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$68.80 |
$68.80 |
$68.80 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$112.96 |
$112.96 |
$112.96 |
$55.69
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$27.34 |
$27.34 |
$27.34 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$73.12 |
$73.12 |
$73.12 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$2,968.00 |
$2,968.00 |
$2,968.00 |
$3,322.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$167.40 |
$167.40 |
$167.40 |
$121.00
|
|
Lipase
|
$53.60 |
$53.60 |
$53.60 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$38.40 |
$38.40 |
$38.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$65.60 |
$65.60 |
$65.60 |
$61.60
|
|
Lithium therapeutic drug level
|
$39.20 |
$39.20 |
$39.20 |
$69.75
|
|
Liver Function Test
|
$112.80 |
$112.80 |
$112.80 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$27.81 |
$27.81 |
$27.81 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$500.00 |
$500.00 |
$500.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,924.00 |
$3,924.00 |
$3,924.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,162.40 |
$3,162.40 |
$3,162.40 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,202.40 |
$2,202.40 |
$2,202.40 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$277.60 |
$277.60 |
$277.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$368.80 |
$368.80 |
$368.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$657.60 |
$657.60 |
$657.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$193.60 |
$193.60 |
$193.60 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$324.80 |
$324.80 |
$324.80 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$137.60 |
$137.60 |
$137.60 |
$182.91
|