|
I-123 iobenguane diag
|
$11,228.00 |
$11,228.00 |
$11,228.00 |
$5,730.40
|
|
I-123 ioflupane diag
|
$11,767.00 |
$11,767.00 |
$11,767.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$316.00 |
$316.00 |
$316.00 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$9,949.00 |
$9,949.00 |
$9,949.00 |
$5,062.20
|
|
I131 iodide cap, rx
|
$120.00 |
$120.00 |
$120.00 |
$91.83
|
|
I131 iodide sol, rx
|
$60.00 |
$60.00 |
$60.00 |
$42.01
|
|
I131 max 100uci
|
$181.00 |
$181.00 |
$181.00 |
$57.72
|
|
Iaadi respiratory synctial virus
|
$194.00 |
$194.00 |
$194.00 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$473.00 |
$473.00 |
$473.00 |
$125.25
|
|
Ia nfct ab sarscov2 covid19
|
$67.00 |
$67.00 |
$67.00 |
$49.81
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$6,758.00 |
$6,758.00 |
$6,758.00 |
$768.24
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$11,639.00 |
$11,639.00 |
$11,639.00 |
$962.29
|
|
Idh1 common variants
|
$446.00 |
$446.00 |
$446.00 |
$415.35
|
|
Idh2 common variants
|
$683.00 |
$683.00 |
$683.00 |
$451.91
|
|
Igh gene rearrange amp meth
|
$2,414.00 |
$2,414.00 |
$2,414.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$2,651.00 |
$2,651.00 |
$2,651.00 |
$660.80
|
|
Ikbkap gene
|
$607.00 |
$607.00 |
$607.00 |
$156.20
|
|
Iloprost non-comp unit dose
|
$2,618.00 |
$2,618.00 |
$2,618.00 |
$180.80
|
|
Immune complex assay
|
$902.00 |
$902.00 |
$902.00 |
$88.80
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$2,854.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$882.00 |
$882.00 |
$882.00 |
$116.40
|
|
Immunodiffusion nes
|
$307.00 |
$307.00 |
$307.00 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$228.00 |
$228.00 |
$228.00 |
$133.38
|
|
Imported lipodox inj
|
$18,422.00 |
$18,422.00 |
$18,422.00 |
$528.86
|
|
In-111 autol wbc diag per dose
|
$4,733.00 |
$4,733.00 |
$4,733.00 |
$3,704.00
|
|
In-111 capromab pendet
|
$18,126.00 |
$18,126.00 |
$18,126.00 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,928.00 |
$5,928.00 |
$5,928.00 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$4,733.00 |
$4,733.00 |
$4,733.00 |
$2,135.29
|
|
In-111 pentetreotide
|
$4,817.00 |
$4,817.00 |
$4,817.00 |
$6,617.05
|
|
In-111 satumomab pend
|
$12,591.00 |
$12,591.00 |
$12,591.00 |
$3,524.25
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$574.60
|
|
Infect ag if hep delta agent
|
$617.00 |
$617.00 |
$617.00 |
$125.97
|
|
Infect ag if influenza a
|
$232.00 |
$232.00 |
$232.00 |
$40.61
|
|
Infect ag if influenza b
|
$185.00 |
$185.00 |
$185.00 |
$34.67
|
|
Infect ag if legionella pneumophila
|
$523.00 |
$523.00 |
$523.00 |
$75.79
|
|
Infect ag if nos ea
|
$232.00 |
$232.00 |
$232.00 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$533.00 |
$533.00 |
$533.00 |
$62.29
|
|
Infect ag na hep b amp
|
$596.00 |
$596.00 |
$596.00 |
$108.44
|
|
Infect ag na hpv high-risk types
|
$305.00 |
$305.00 |
$305.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$630.00 |
$630.00 |
$630.00 |
$227.96
|
|
Infect ag na orthopoxvirus amp prb each
|
$113.00 |
$113.00 |
$113.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$3,877.00 |
$3,877.00 |
$3,877.00 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$935.00 |
$935.00 |
$935.00 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$416.00 |
$416.00 |
$416.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$365.00 |
$365.00 |
$365.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$737.00 |
$737.00 |
$737.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$580.00 |
$580.00 |
$580.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$169.00 |
$169.00 |
$169.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$241.00 |
$241.00 |
$241.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$459.00 |
$459.00 |
$459.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$439.00 |
$439.00 |
$439.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$459.00 |
$459.00 |
$459.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$76.00 |
$76.00 |
$76.00 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$111.00 |
$111.00 |
$111.00 |
$248.15
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$389.00 |
$389.00 |
$389.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$176.00 |
$176.00 |
$176.00 |
$282.10
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$205.00 |
$205.00 |
$205.00 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$561.00 |
$561.00 |
$561.00 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$956.00 |
$956.00 |
$956.00 |
$226.35
|
|
Inj atezolizumb 5mg hya-tqjs
|
$18,122.00 |
$18,122.00 |
$18,122.00 |
$44.30
|
|
Inj, biorphen, 20 micrograms
|
$124.00 |
$124.00 |
$124.00 |
$20.40
|
|
Inj cefazolin sodium, hikma
|
$184.00 |
$184.00 |
$184.00 |
$34.59
|
|
Inj cefazolin (wg crit care)
|
$106.00 |
$106.00 |
$106.00 |
$25.00
|
|
Inj crotalidae im f(ab')2 eq
|
$5,399.00 |
$5,399.00 |
$5,399.00 |
$2,735.85
|
|
Injection, fulvestrant
|
$18,422.00 |
$18,422.00 |
$18,422.00 |
$1,817.65
|
|
Injection glatiramer acetate
|
$2,903.00 |
$2,903.00 |
$2,903.00 |
$646.72
|
|
Inj fluphenazine hcl 1.25 mg
|
$270.00 |
$270.00 |
$270.00 |
$44.95
|
|
Inj hydroxocobalamin IV 25mg
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$2,452.32
|
|
Inj meropenem (wg crit care)
|
$433.00 |
$433.00 |
$433.00 |
$99.20
|
|
Inj mogamulizumab-kpkc, 1 mg
|
$7,708.00 |
$7,708.00 |
$7,708.00 |
$2,984.20
|
|
Inj. mycophenolate mofetil
|
$1,874.00 |
$1,874.00 |
$1,874.00 |
$291.54
|
|
Inj pemetrexed ditromethamin
|
$4,606.00 |
$4,606.00 |
$4,606.00 |
$10.34
|
|
Inj progesterone per 50 mg
|
$321.00 |
$321.00 |
$321.00 |
$19.53
|
|
Inj thiotepa nos 1 mg
|
$19,125.00 |
$19,125.00 |
$19,125.00 |
$4,601.24
|
|
Inj vocal cord bulking agent
|
$19,129.00 |
$19,129.00 |
$19,129.00 |
$801.48
|
|
Insitu hybridization auto
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$398.16
|
|
Insitu hybridization manual
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$407.11
|
|
Insulin total
|
$193.00 |
$193.00 |
$193.00 |
$67.60
|
|
Interferon gamma 1-b inj
|
$7,663.00 |
$7,663.00 |
$7,663.00 |
$26,394.13
|
|
Intrinsic factor antibody
|
$212.00 |
$212.00 |
$212.00 |
$59.95
|
|
Ipratropium bromide non-comp
|
$31.00 |
$31.00 |
$31.00 |
$4.77
|
|
Iron binding capacity
|
$125.00 |
$125.00 |
$125.00 |
$63.00
|
|
IV inj ra drug dx study
|
$831.00 |
$831.00 |
$831.00 |
$560.00
|
|
Jak2 targeted sequence analysis
|
$800.00 |
$800.00 |
$800.00 |
$378.30
|
|
John cunningham antibody
|
$1,753.00 |
$1,753.00 |
$1,753.00 |
$48.57
|
|
Kidney imag w/bld flow multi
|
$1,234.00 |
$1,234.00 |
$1,234.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$5,518.00 |
$5,518.00 |
$5,518.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
$668.25
|
|
Kyleena, 19.5 mg
|
$2,950.00 |
$2,950.00 |
$2,950.00 |
$2,211.85
|
|
Lactoferrin fecal qualitative
|
$221.00 |
$221.00 |
$221.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$20,096.00 |
$20,096.00 |
$20,096.00 |
$21,487.67
|
|
Levetiracetam therapeutic drug level
|
$663.00 |
$663.00 |
$663.00 |
$71.40
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$974.00 |
$974.00 |
$974.00 |
$420.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$823.00 |
$823.00 |
$823.00 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$564.00 |
$564.00 |
$564.00 |
$83.85
|
