|
Head CT scan (without contrast)
|
$222.76 |
$222.76 |
$222.76 |
$1,268.90
|
|
Heart infarct image
|
$334.31 |
$334.31 |
$334.31 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$61.70 |
$61.70 |
$61.70 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$13.26 |
$13.26 |
$13.26 |
$92.00
|
|
Hematocrit
|
$1.70 |
$1.70 |
$1.70 |
$33.80
|
|
Hemodialysis one evaluation
|
$480.65 |
$480.65 |
$480.65 |
$1,364.27
|
|
Hemoglobin
|
$11.87 |
$11.87 |
$11.87 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$6.67 |
$6.67 |
$6.67 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$25.88 |
$25.88 |
$25.88 |
$89.13
|
|
Hemoglobin plasma
|
$6.67 |
$6.67 |
$6.67 |
$41.40
|
|
Hemoglobin urine
|
$1.36 |
$1.36 |
$1.36 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$83.30 |
$83.30 |
$83.30 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$6.29 |
$6.29 |
$6.29 |
$61.79
|
|
Hemophilus influenza antibdy
|
$10.54 |
$10.54 |
$10.54 |
$62.70
|
|
Heparin assay
|
$74.20 |
$74.20 |
$74.20 |
$139.15
|
|
Hepatitis a antibody igm
|
$28.56 |
$28.56 |
$28.56 |
$89.44
|
|
Hepatitis b core antibody igm
|
$30.09 |
$30.09 |
$30.09 |
$89.60
|
|
Hepatitis b core antibody total
|
$9.35 |
$9.35 |
$9.35 |
$77.50
|
|
Hepatitis b surface antibody
|
$9.35 |
$9.35 |
$9.35 |
$82.32
|
|
Hepatitis c antibody
|
$43.35 |
$43.35 |
$43.35 |
$108.25
|
|
Herpes simplex 1 ag if
|
$12.42 |
$12.42 |
$12.42 |
$38.58
|
|
Herpes simplex 2 ag if
|
$12.42 |
$12.42 |
$12.42 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$9.01 |
$9.01 |
$9.01 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$10.03 |
$10.03 |
$10.03 |
$87.36
|
|
Herpes simplex virus isolation
|
$21.11 |
$21.11 |
$21.11 |
$110.00
|
|
Heterophile antibodies screening
|
$2.72 |
$2.72 |
$2.72 |
$73.87
|
|
Hhv-6 dna quant
|
$26.08 |
$26.08 |
$26.08 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$70.09 |
$70.09 |
$70.09 |
$374.40
|
|
Hip and Pelvis X-ray (single view, left side)
|
$56.12 |
$56.12 |
$56.12 |
$233.50
|
|
Hip X-ray
|
$68.16 |
$68.16 |
$68.16 |
$294.75
|
|
Histamine
|
$10.06 |
$10.06 |
$10.06 |
$115.00
|
|
Histochemical stains add-on
|
$79.69 |
$79.69 |
$79.69 |
$152.75
|
|
Hla class i high defin qual
|
$165.24 |
$165.24 |
$165.24 |
$631.15
|
|
Hla class ii high defin qual
|
$166.26 |
$166.26 |
$166.26 |
$569.25
|
|
Hla class i&ii antibody qual
|
$32.81 |
$32.81 |
$32.81 |
$255.00
|
|
Hla class ii phenotype qual
|
$41.82 |
$41.82 |
$41.82 |
$313.60
|
|
Hla class i phenotype qual
|
$48.79 |
$48.79 |
$48.79 |
$397.20
|
|
Hla i & ii type verify lr
|
$307.94 |
$307.94 |
$307.94 |
$742.50
|
|
Hla i & ii typing hr
|
$163.85 |
$163.85 |
$163.85 |
$804.00
|
|
Hla i & ii typing lr
|
$306.20 |
$306.20 |
$306.20 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$94.17 |
$94.17 |
$94.17 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$56.72 |
$56.72 |
$56.72 |
$164.00
|
|
Hla i typing 1 locus hr
|
$84.06 |
$84.06 |
$84.06 |
$439.20
|
|
Hla i typing complete hr
|
$159.11 |
$159.11 |
$159.11 |
$607.86
|
|
Hla i typing complete lr
|
$307.31 |
$307.31 |
$307.31 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$129.40 |
$129.40 |
$129.40 |
$304.20
|
|
Hla i typing low res one locus ea
|
$97.01 |
$97.01 |
$97.01 |
$340.00
|
|
Hla typing dr/dq
|
$15.47 |
$15.47 |
$15.47 |
$135.20
|
|
Hla x-math non-cytotoxic
|
$55.93 |
$55.93 |
$55.93 |
$364.80
|
|
Homocysteine
|
$6.55 |
$6.55 |
$6.55 |
$125.40
|
|
Homogenization tissue
|
$3.73 |
$3.73 |
$3.73 |
$41.30
|
|
Homovanillic acid (hva)
|
$7.68 |
$7.68 |
$7.68 |
$59.95
|
|
Hpv types 16 & 18 only
|
$25.25 |
$25.25 |
$25.25 |
$112.00
|
|
H pylori (c-13) breath
|
$22.94 |
$22.94 |
$22.94 |
$212.25
|
|
Human epididymis protein 4 (he4)
|
$16.49 |
$16.49 |
$16.49 |
$157.32
|
|
Hysterosalpingography s&i
|
$147.92 |
$147.92 |
$147.92 |
$669.12
|
|
I-123 iobenguane diag
|
$1,558.59 |
$1,558.59 |
$1,558.59 |
$5,170.70
|
|
I-123 ioflupane diag
|
$807.44 |
$807.44 |
$807.44 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$75.84 |
$75.84 |
$75.84 |
$147.46
|
|
I131 iodide cap, rx
|
$42.53 |
$42.53 |
$42.53 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$12.42 |
$12.42 |
$12.42 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$21.94 |
$21.94 |
$21.94 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$23.12 |
$23.12 |
$23.12 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$27,157.24 |
$27,157.24 |
$27,157.24 |
$34,093.09
|
|
Icd crtp serena MRI
|
$10,862.40 |
$10,862.40 |
$10,862.40 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$4,293.38 |
$4,293.38 |
$4,293.38 |
$9,264.83
|
|
Ifnl3 gene
|
$34.92 |
$34.92 |
$34.92 |
$147.20
|
|
Igh gene rearrange amp meth
|
$150.73 |
$150.73 |
$150.73 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$224.20 |
$224.20 |
$224.20 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$131.61 |
$131.61 |
$131.61 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$62.06 |
$62.06 |
$62.06 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$174.50 |
$174.50 |
$174.50 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$83.59 |
$83.59 |
$83.59 |
$277.90
|
|
Iliac/fem angio cath insert
|
$390.43 |
$390.43 |
$390.43 |
$1,856.01
|
|
Immune complex assay
|
$12.58 |
$12.58 |
$12.58 |
$101.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$10.71 |
$10.71 |
$10.71 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$10.71 |
$10.71 |
$10.71 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$6.12 |
$6.12 |
$6.12 |
$48.57
|
|
Immunodiffusion nes
|
$9.35 |
$9.35 |
$9.35 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$24.14 |
$24.14 |
$24.14 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$91.60 |
$91.60 |
$91.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$120.45 |
$120.45 |
$120.45 |
$234.27
|
|
Immunoglobulin assay
|
$40.12 |
$40.12 |
$40.12 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$23,609.18 |
$23,609.18 |
$23,609.18 |
$8,332.51
|
|
Implant ureth bulk agent
|
$754.11 |
$754.11 |
$754.11 |
$2,168.00
|
|
In-111 autol wbc diag per dose
|
$481.10 |
$481.10 |
$481.10 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$466.80 |
$466.80 |
$466.80 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$367.79 |
$367.79 |
$367.79 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,379.04 |
$1,379.04 |
$1,379.04 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,046.25 |
$1,046.25 |
$1,046.25 |
$2,086.70
|
|
Infect ag drug suscept pheno predict
|
$81.14 |
$81.14 |
$81.14 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$160.01 |
$160.01 |
$160.01 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$160.01 |
$160.01 |
$160.01 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$80.11 |
$80.11 |
$80.11 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$160.01 |
$160.01 |
$160.01 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$10.35 |
$10.35 |
$10.35 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$12.42 |
$12.42 |
$12.42 |
$68.40
|
|
Infect ag if influenza a
|
$12.42 |
$12.42 |
$12.42 |
$41.30
|
|
Infect ag if influenza b
|
$12.42 |
$12.42 |
$12.42 |
$37.95
|
|
Infect ag if legionella pneumophila
|
$9.73 |
$9.73 |
$9.73 |
$73.45
|