|
Hydralazine 20 mg/ml injection solution
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$63.91
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$428.00 |
$428.00 |
$428.00 |
$120.06
|
|
Hydroxyurea 500 mg
|
$100.00 |
$100.00 |
$100.00 |
$6.80
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$386.00 |
$386.00 |
$386.00 |
$80.11
|
|
I-123 sod iodide diag per 100 uci
|
$598.00 |
$598.00 |
$598.00 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$9,753.00 |
$9,753.00 |
$9,753.00 |
$5,062.20
|
|
I131 iodide cap, rx
|
$123.00 |
$123.00 |
$123.00 |
$91.83
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$6,053.00 |
$6,053.00 |
$6,053.00 |
$962.29
|
|
Ihc/icc per specimen each additional single antibody stain
|
$509.00 |
$509.00 |
$509.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,519.00 |
$1,519.00 |
$1,519.00 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$510.00 |
$510.00 |
$510.00 |
$266.76
|
|
Immunoassay tumor antigen quantitative ca 125
|
$781.00 |
$781.00 |
$781.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$781.00 |
$781.00 |
$781.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$538.00 |
$538.00 |
$538.00 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$645.00 |
$645.00 |
$645.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$378.00 |
$378.00 |
$378.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$250.00
|
|
In-111 capromab pendet
|
$9,753.00 |
$9,753.00 |
$9,753.00 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$3,233.00 |
$3,233.00 |
$3,233.00 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,455.00 |
$5,455.00 |
$5,455.00 |
$2,135.29
|
|
In-111 pentetreotide
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$6,617.05
|
|
In-111 satumomab pend
|
$9,112.00 |
$9,112.00 |
$9,112.00 |
$3,524.25
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,618.00 |
$2,618.00 |
$2,618.00 |
$876.13
|
|
Infect ag ia direct hiv-1 antgn
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$95.55
|
|
Infect ag na orthopoxvirus amp prb each
|
$106.00 |
$106.00 |
$106.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$718.00 |
$718.00 |
$718.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$463.00 |
$463.00 |
$463.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$332.00 |
$332.00 |
$332.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$416.00 |
$416.00 |
$416.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$438.00 |
$438.00 |
$438.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$840.00 |
$840.00 |
$840.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$266.00 |
$266.00 |
$266.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$309.00 |
$309.00 |
$309.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$953.00 |
$953.00 |
$953.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$953.00 |
$953.00 |
$953.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$935.00 |
$935.00 |
$935.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$953.00 |
$953.00 |
$953.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$81.00 |
$81.00 |
$81.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$953.00 |
$953.00 |
$953.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$954.00 |
$954.00 |
$954.00 |
$200.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$958.00 |
$958.00 |
$958.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$958.00 |
$958.00 |
$958.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$958.00 |
$958.00 |
$958.00 |
$381.55
|
|
Inj calcitriol per 0.1 mcg
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$31.69
|
|
Inj crotalidae im f(ab')2 eq
|
$4,389.00 |
$4,389.00 |
$4,389.00 |
$2,735.85
|
|
Inj fluphenazine hcl 1.25 mg
|
$376.00 |
$376.00 |
$376.00 |
$44.95
|
|
Inj, nithiodote, 3mg / 125mg
|
$132.00 |
$132.00 |
$132.00 |
$228.00
|
|
Inj testosterone cypionate
|
$268.00 |
$268.00 |
$268.00 |
$82.58
|
|
Insitu hybridization auto
|
$1,930.00 |
$1,930.00 |
$1,930.00 |
$398.16
|
|
Insitu hybridization manual
|
$665.00 |
$665.00 |
$665.00 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$338.40
|
|
Insulin total
|
$469.00 |
$469.00 |
$469.00 |
$67.60
|
|
Intrinsic factor antibody
|
$528.00 |
$528.00 |
$528.00 |
$59.95
|
|
Iodine i-123 sod iodide mil
|
$3,417.00 |
$3,417.00 |
$3,417.00 |
$677.98
|
|
Ipratropium bromide non-comp
|
$318.00 |
$318.00 |
$318.00 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,884.00 |
$1,884.00 |
$1,884.00 |
$203.92
|
|
Iron
|
$199.00 |
$199.00 |
$199.00 |
$70.72
|
|
Iron binding capacity
|
$266.00 |
$266.00 |
$266.00 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2,342.00 |
$2,342.00 |
$2,342.00 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$566.00 |
$566.00 |
$566.00 |
$124.24
|
|
Ivc venogram s&i
|
$6,799.00 |
$6,799.00 |
$6,799.00 |
$3,332.55
|
|
Kidney img w/bldflw sgl without rx
|
$3,977.00 |
$3,977.00 |
$3,977.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,437.00 |
$2,437.00 |
$2,437.00 |
$668.25
|
|
Kras gene variants exon 2
|
$718.00 |
$718.00 |
$718.00 |
$495.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$188.92
|
|
Lead capillary
|
$378.00 |
$378.00 |
$378.00 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$1,100.74
|
|
Levetiracetam therapeutic drug level
|
$597.00 |
$597.00 |
$597.00 |
$71.40
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$420.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$603.00 |
$603.00 |
$603.00 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$172.25
|
|
Lipoprotein blood quant
|
$374.00 |
$374.00 |
$374.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$288.00 |
$288.00 |
$288.00 |
$55.90
|
|
Lithium therapeutic drug level
|
$277.00 |
$277.00 |
$277.00 |
$67.60
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$532.00 |
$532.00 |
$532.00 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$6,900.00 |
$6,900.00 |
$6,900.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$7,028.00 |
$7,028.00 |
$7,028.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$6,632.00 |
$6,632.00 |
$6,632.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,058.00 |
$8,058.00 |
$8,058.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$344.00
|
|
Lung perfusion imaging
|
$4,162.00 |
$4,162.00 |
$4,162.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$3,731.00 |
$3,731.00 |
$3,731.00 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$274.00 |
$274.00 |
$274.00 |
$38.58
|
|
Mannitol 12.5 gm/50 ml inj
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$28.48
|
|
Mayo aathr protein s free
|
$171.00 |
$171.00 |
$171.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$412.00 |
$412.00 |
$412.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$597.00 |
$597.00 |
$597.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$646.00 |
$646.00 |
$646.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$603.00 |
$603.00 |
$603.00 |
$87.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$732.00 |
$732.00 |
$732.00 |
$326.48
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$597.00 |
$597.00 |
$597.00 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$552.00 |
$552.00 |
$552.00 |
$68.90
|
|
Mayo c1 esterase inhibitor
|
$443.00 |
$443.00 |
$443.00 |
$88.35
|
