|
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
|
|
Impl ear abutment ba300 9mm
|
$54,346.00 |
$54,346.00 |
$54,346.00 |
$3,576.29
|
|
Imported lipodox inj
|
$15,784.00 |
$15,784.00 |
$15,784.00 |
$528.86
|
|
In-111 autologous plt stdy dx
|
$12,684.00 |
$12,684.00 |
$12,684.00 |
$1,494.95
|
|
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
|
|
Infect ag drug suscept pheno predict
|
$779.00 |
$779.00 |
$779.00 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$603.41
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$4,619.00 |
$4,619.00 |
$4,619.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$95.55
|
|
Infect ag if legionella pneumophila
|
$478.00 |
$478.00 |
$478.00 |
$75.79
|
|
Infect ag na hpv high-risk types
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$106.00 |
$106.00 |
$106.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$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 hepatitis b surface agn neutralization
|
$307.00 |
$307.00 |
$307.00 |
$55.00
|
|
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
|
$953.00 |
$953.00 |
$953.00 |
$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 multiplex amplified probe gi pathogen 12-25 targets
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$727.50
|
|
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, alfentanil hcl, 500mcg
|
$901.00 |
$901.00 |
$901.00 |
$19.53
|
|
Inj anifrolumab-fnia 1mg
|
$28,034.00 |
$28,034.00 |
$28,034.00 |
$9,648.88
|
|
Inj, artesunate, 1mg
|
$13,967.00 |
$13,967.00 |
$13,967.00 |
$18,824.75
|
|
Inj. cefepime hcl (baxter)
|
$146.00 |
$146.00 |
$146.00 |
$54.36
|
|
Inj, cefepime hcl (b braun)
|
$146.00 |
$146.00 |
$146.00 |
$81.41
|
|
Inj crotalidae im f(ab')2 eq
|
$4,389.00 |
$4,389.00 |
$4,389.00 |
$2,735.85
|
|
Injection, caplacizumab-yhdp
|
$53,448.00 |
$53,448.00 |
$53,448.00 |
$18,673.20
|
|
Injection, doxercalciferol
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$31.83
|
|
Injection, fulvestrant
|
$14,541.00 |
$14,541.00 |
$14,541.00 |
$1,817.65
|
|
Injection, pentamidine iseth
|
$3,491.00 |
$3,491.00 |
$3,491.00 |
$312.33
|
|
Inj fluphenazine hcl 1.25 mg
|
$103.00 |
$103.00 |
$103.00 |
$44.95
|
|
Inj, fulvestrant (fresenius)
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$1,242.20
|
|
Inj, fulvestrant (teva)
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$57.40
|
|
Inj heparin, pfizer, 1000u
|
$148.00 |
$148.00 |
$148.00 |
$26.85
|
|
Inj hydroxocobalamin IV 25mg
|
$5,453.00 |
$5,453.00 |
$5,453.00 |
$2,452.32
|
|
Inj imip 4 cilas 4 releb 2mg
|
$1,666.00 |
$1,666.00 |
$1,666.00 |
$743.18
|
|
Inj levocarnitine per 1 gm
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$136.62
|
|
Inj melpha hydroch nos 50 mg
|
$22,490.00 |
$22,490.00 |
$22,490.00 |
$1,713.99
|
|
Inj. mycophenolate mofetil
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$291.54
|
|
Inj pemetrexed, hospira 10mg
|
$7,684.00 |
$7,684.00 |
$7,684.00 |
$64.35
|
|
Inj progesterone per 50 mg
|
$218.00 |
$218.00 |
$218.00 |
$19.53
|
|
Inj testosterone cypionate
|
$8.00 |
$8.00 |
$8.00 |
$82.58
|
|
Inj thiotepa nos 1 mg
|
$8,437.00 |
$8,437.00 |
$8,437.00 |
$4,601.24
|
|
Inj vocal cord bulking agent
|
$23,094.00 |
$23,094.00 |
$23,094.00 |
$801.48
|
|
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
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$47,412.00 |
$47,412.00 |
$47,412.00 |
$9,970.16
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$6,661.00 |
$6,661.00 |
$6,661.00 |
$5,977.59
|
|
Intrinsic factor antibody
|
$528.00 |
$528.00 |
$528.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$477.85
|
|
Ipratropium bromide non-comp
|
$287.00 |
$287.00 |
$287.00 |
$4.77
|
|
Iron
|
$199.00 |
$199.00 |
$199.00 |
$70.72
|
|
Iron binding capacity
|
$266.00 |
$266.00 |
$266.00 |
$63.00
|
|
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
|
|
IV inj ra drug dx study
|
$952.00 |
$952.00 |
$952.00 |
$560.00
|
|
John cunningham antibody
|
$2,634.00 |
$2,634.00 |
$2,634.00 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$454.00 |
$454.00 |
$454.00 |
$56.61
|
|
Kidney img w/bldflw sgl without rx
|
$3,977.00 |
$3,977.00 |
$3,977.00 |
$1,468.04
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$740.00 |
$740.00 |
$740.00 |
$234.08
|
|
Kras gene variants exon 2
|
$732.00 |
$732.00 |
$732.00 |
$495.00
|
|
Kyleena, 19.5 mg
|
$7,840.00 |
$7,840.00 |
$7,840.00 |
$2,211.85
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$188.92
|
|
Lactoferrin fecal quant
|
$704.00 |
$704.00 |
$704.00 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$53,806.00 |
$53,806.00 |
$53,806.00 |
$21,487.67
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,291.00 |
$2,291.00 |
$2,291.00 |
$1,100.74
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$13,092.00 |
$13,092.00 |
$13,092.00 |
$6,694.24
|
|
Levalbuterol non-comp unit
|
$166.00 |
$166.00 |
$166.00 |
$8.13
|
|
Levetiracetam therapeutic drug level
|
$597.00 |
$597.00 |
$597.00 |
$71.40
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$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
|
|
Liletta, 52 mg
|
$2,426.00 |
$2,426.00 |
$2,426.00 |
$1,790.04
|
|
Lincomycin injection
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$13.25
|
|
Lipase
|
$549.00 |
$549.00 |
$549.00 |
$83.20
|
