|
Homocysteine
|
$2,355.92 |
$2,355.92 |
$2,355.92 |
$121.92
|
|
Homogenization tissue
|
$53.69 |
$53.69 |
$53.69 |
$39.20
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$8,465.15 |
$8,465.15 |
$8,465.15 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$739.95 |
$739.95 |
$739.95 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$342.68 |
$342.68 |
$342.68 |
$46.74
|
|
Hydroxyurea 500 mg
|
$6.88 |
$6.88 |
$6.88 |
$14.00
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$173.11 |
$173.11 |
$173.11 |
$72.65
|
|
Hysterosalpingography s&i
|
$1,988.52 |
$1,988.52 |
$1,988.52 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$89.81 |
$89.81 |
$89.81 |
$139.20
|
|
I131 iodide cap, rx
|
$131.91 |
$131.91 |
$131.91 |
$78.75
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$5,754.39 |
$5,754.39 |
$5,754.39 |
$980.94
|
|
Idh1 common variants
|
$497.93 |
$497.93 |
$497.93 |
$406.90
|
|
Idh2 common variants
|
$762.08 |
$762.08 |
$762.08 |
$486.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$653.14 |
$653.14 |
$653.14 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$653.14 |
$653.14 |
$653.14 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$653.14 |
$653.14 |
$653.14 |
$274.86
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$564.18 |
$564.18 |
$564.18 |
$3,593.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,140.59 |
$1,140.59 |
$1,140.59 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$1,140.59 |
$1,140.59 |
$1,140.59 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$1,956.21 |
$1,956.21 |
$1,956.21 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$369.69 |
$369.69 |
$369.69 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$422.42 |
$422.42 |
$422.42 |
$232.05
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,850.45 |
$4,850.45 |
$4,850.45 |
$2,568.98
|
|
Infect ag drug suscept pheno predict
|
$2,466.38 |
$2,466.38 |
$2,466.38 |
$320.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$2,466.38 |
$2,466.38 |
$2,466.38 |
$603.75
|
|
Infect ag if legionella pneumophila
|
$1,878.23 |
$1,878.23 |
$1,878.23 |
$73.46
|
|
Infect ag if pneumocystis carinii
|
$831.86 |
$831.86 |
$831.86 |
$67.46
|
|
Infect ag na resp virus 12-25 targets
|
$874.14 |
$874.14 |
$874.14 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$555.00 |
$555.00 |
$555.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$38.35 |
$38.35 |
$38.35 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$601.14 |
$601.14 |
$601.14 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$298.95 |
$298.95 |
$298.95 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$1,199.06 |
$1,199.06 |
$1,199.06 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$66.82 |
$66.82 |
$66.82 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1,150.33 |
$1,150.33 |
$1,150.33 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$33.24 |
$33.24 |
$33.24 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$773.37 |
$773.37 |
$773.37 |
$137.67
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,156.56 |
$1,156.56 |
$1,156.56 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$916.00 |
$916.00 |
$916.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$97.38 |
$97.38 |
$97.38 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$558.25 |
$558.25 |
$558.25 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$773.37 |
$773.37 |
$773.37 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$68.00 |
$68.00 |
$68.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$537.07 |
$537.07 |
$537.07 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$213.04 |
$213.04 |
$213.04 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$683.18 |
$683.18 |
$683.18 |
$711.93
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$3,002.59 |
$3,002.59 |
$3,002.59 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$2,355.92 |
$2,355.92 |
$2,355.92 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$682.39 |
$682.39 |
$682.39 |
$374.50
|
|
Infliximab 100 mg intravenous solution
|
$1,789.60 |
$1,789.60 |
$1,789.60 |
$2,080.86
|
|
Initiation & management bipap/cpap initial day
|
$2,771.63 |
$2,771.63 |
$2,771.63 |
$576.00
|
|
Inj, biorphen, 20 micrograms
|
$32.12 |
$32.12 |
$32.12 |
$17.12
|
|
Inj calcitriol per 0.1 mcg
|
$107.96 |
$107.96 |
$107.96 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$48.33 |
$48.33 |
$48.33 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$34.30 |
$34.30 |
$34.30 |
$18.30
|
|
Inj, cefiderocol, 10 mg
|
$948.56 |
$948.56 |
$948.56 |
$544.85
|
|
Inj crotalidae im f(ab')2 eq
|
$6,362.55 |
$6,362.55 |
$6,362.55 |
$2,613.60
|
|
Inj., eravacycline, 1 mg
|
$282.56 |
$282.56 |
$282.56 |
$206.64
|
|
Inj hydroxocobalamin IV 25mg
|
$4,068.99 |
$4,068.99 |
$4,068.99 |
$2,452.32
|
|
Inj meropenem (wg crit care)
|
$159.50 |
$159.50 |
$159.50 |
$77.97
|
|
Inj vocal cord bulking agent
|
$5,365.00 |
$5,365.00 |
$5,365.00 |
$1,480.00
|
|
Insitu hybridization auto
|
$1,933.45 |
$1,933.45 |
$1,933.45 |
$371.00
|
|
Insitu hybridization manual
|
$1,478.53 |
$1,478.53 |
$1,478.53 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$228.08 |
$228.08 |
$228.08 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$2,108.96 |
$2,108.96 |
$2,108.96 |
$326.04
|
|
Insulin total
|
$1,004.08 |
$1,004.08 |
$1,004.08 |
$66.64
|
|
Intrapul surf admin endo tube
|
$1,272.75 |
$1,272.75 |
$1,272.75 |
$220.80
|
|
Intrinsic factor antibody
|
$1,660.54 |
$1,660.54 |
$1,660.54 |
$66.60
|
|
Ipratropium bromide non-comp
|
$38.61 |
$38.61 |
$38.61 |
$3.75
|
|
Iron
|
$714.86 |
$714.86 |
$714.86 |
$74.40
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,906.91 |
$1,906.91 |
$1,906.91 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$362.02 |
$362.02 |
$362.02 |
$119.83
|
|
Ivc venogram s&i
|
$6,600.97 |
$6,600.97 |
$6,600.97 |
$3,316.95
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$461.42 |
$461.42 |
$461.42 |
$60.20
|
|
Kras gene addl variants
|
$497.93 |
$497.93 |
$497.93 |
$384.80
|
|
Kras gene variants exon 2
|
$2,125.21 |
$2,125.21 |
$2,125.21 |
$486.45
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$742.92 |
$742.92 |
$742.92 |
$175.92
|
|
Lactoferrin fecal qualitative
|
$54.67 |
$54.67 |
$54.67 |
$80.40
|
|
Lactoferrin fecal quant
|
$311.12 |
$311.12 |
$311.12 |
$106.10
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,732.06 |
$9,732.06 |
$9,732.06 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$57.43 |
$57.43 |
$57.43 |
$6.00
|
|
Levetiracetam therapeutic drug level
|
$779.86 |
$779.86 |
$779.86 |
$88.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$372.37 |
$372.37 |
$372.37 |
$385.62
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$37.53 |
$37.53 |
$37.53 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$854.00 |
$854.00 |
$854.00 |
$89.70
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,034.55 |
$1,034.55 |
$1,034.55 |
$125.66
|
|
Lipoprotein blood quant
|
$418.00 |
$418.00 |
$418.00 |
$102.05
|
|
Lithium therapeutic drug level
|
$1,004.08 |
$1,004.08 |
$1,004.08 |
$69.42
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$34.30 |
$34.30 |
$34.30 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$9,907.86 |
$9,907.86 |
$9,907.86 |
$1,958.19
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$13,118.60 |
$13,118.60 |
$13,118.60 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$8,732.70 |
$8,732.70 |
$8,732.70 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$7,529.85 |
$7,529.85 |
$7,529.85 |
$2,096.84
|
|
Lung Function Test (Spirometry)
|
$394.48 |
$394.48 |
$394.48 |
$295.35
|
|
Lung perfusion imaging
|
$1,358.56 |
$1,358.56 |
$1,358.56 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$3,611.17 |
$3,611.17 |
$3,611.17 |
$1,448.00
|
|
Macroscopic exam parasite
|
$11.97 |
$11.97 |
$11.97 |
$36.40
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$522.73 |
$522.73 |
$522.73 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$565.76 |
$565.76 |
$565.76 |
$152.54
|
|
Mayo alkaline phosphatase isoenzyme
|
$831.86 |
$831.86 |
$831.86 |
$66.30
|