|
Hdr rdncl ntrstl/icav brchtx
|
$1,637.88 |
$1,637.88 |
$1,637.88 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,801.93 |
$1,801.93 |
$1,801.93 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,867.20 |
$1,867.20 |
$1,867.20 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$2,022.72 |
$2,022.72 |
$2,022.72 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$2,222.94 |
$2,222.94 |
$2,222.94 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$3,873.75 |
$3,873.75 |
$3,873.75 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$3,236.06 |
$3,236.06 |
$3,236.06 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,362.00 |
$2,362.00 |
$2,362.00 |
$1,268.90
|
|
Heart image spect
|
$2,805.94 |
$2,805.94 |
$2,805.94 |
$566.74
|
|
Heart infarct image (ef)
|
$2,504.30 |
$2,504.30 |
$2,504.30 |
$636.97
|
|
Hematocrit
|
$75.38 |
$75.38 |
$81.44 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$9,876.05 |
$9,876.05 |
$9,876.05 |
$21,893.50
|
|
Hemodialysis one evaluation
|
$1,614.36 |
$1,614.36 |
$1,614.36 |
$1,329.90
|
|
Hemoglobin
|
$51.75 |
$51.75 |
$75.38 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$48.51 |
$48.51 |
$93.65 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$92.61 |
$92.61 |
$189.58 |
$49.40
|
|
Hemoglobin plasma
|
$16.76 |
$16.76 |
$37.69 |
$40.56
|
|
Hemoglobin urine
|
$4.51 |
$4.51 |
$8.75 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$27.79 |
$27.79 |
$53.96 |
$53.90
|
|
Heparin assay
|
$131.72 |
$131.72 |
$222.69 |
$130.20
|
|
Heparin bolus from bag
|
$174.35 |
$174.35 |
$174.35 |
$72.61
|
|
Heparin neutralization
|
$9.06 |
$9.06 |
$17.59 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.94 |
$7.94 |
$7.94 |
$22.75
|
|
Hepatitis a antibody igm
|
$89.09 |
$89.09 |
$172.45 |
$85.15
|
|
Hepatitis b core antibody igm
|
$65.86 |
$65.86 |
$126.20 |
$87.98
|
|
Hepatitis b core antibody total
|
$52.63 |
$52.63 |
$93.65 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$152.46 |
$152.46 |
$774.99 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$63.51 |
$63.51 |
$113.63 |
$83.79
|
|
Hepatitis c antibody
|
$79.97 |
$79.97 |
$143.90 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,371.89 |
$3,371.89 |
$3,371.89 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$3.97 |
$3.97 |
$7.71 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$3.97 |
$3.97 |
$7.71 |
$87.10
|
|
Herpes simplex virus isolation
|
$7.35 |
$7.35 |
$14.26 |
$93.32
|
|
Heterophile antibodies screening
|
$105.64 |
$105.64 |
$193.16 |
$73.60
|
|
Hexa gene
|
$105.84 |
$105.84 |
$105.84 |
$179.04
|
|
Hhv-6 dna quant
|
$22.05 |
$22.05 |
$42.83 |
$200.25
|
|
Histamine
|
$20.00 |
$20.00 |
$38.83 |
$125.40
|
|
Histochemical stains add-on
|
$43.76 |
$43.76 |
$90.00 |
$169.65
|
|
Histoplasmosis skin test
|
$86.73 |
$86.73 |
$167.31 |
$46.22
|
|
Hla class i&ii antibody qual
|
$77.91 |
$77.91 |
$151.32 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$73.50 |
$73.50 |
$142.75 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$17.64 |
$17.64 |
$34.26 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$29.40 |
$29.40 |
$57.10 |
$307.53
|
|
Hla typing a b or c
|
$105.84 |
$105.84 |
$205.56 |
$309.40
|
|
Hlth bhv assmt/reassessment
|
$59.98 |
$59.98 |
$59.98 |
$180.70
|
|
Hlth bhv ivntj indiv 1st 30
|
$77.03 |
$77.03 |
$77.03 |
$190.13
|
|
Hocm 250-299mg/ml iodine,1ml
|
$35.87 |
$35.87 |
$35.87 |
$33.91
|
|
Hocm 350-399mg/ml iodine,1ml
|
$239.91 |
$239.91 |
$239.91 |
$79.78
|
|
Homocysteine
|
$42.83 |
$42.83 |
$87.91 |
$113.10
|
|
Homogenization tissue
|
$11.75 |
$11.75 |
$47.04 |
$39.00
|
|
Homovanillic acid (hva)
|
$4.37 |
$4.37 |
$8.48 |
$56.00
|
|
Hpa-15 genotyping
|
$24.68 |
$24.68 |
$47.93 |
$147.17
|
|
Hpa-1 genotyping
|
$24.67 |
$24.67 |
$47.92 |
$147.17
|
|
Hpa-2 genotyping
|
$24.67 |
$24.67 |
$47.92 |
$147.17
|
|
Hpa-3 genotyping
|
$24.67 |
$24.67 |
$47.92 |
$147.17
|
|
Hpa-4 genotyping
|
$24.67 |
$24.67 |
$47.92 |
$147.17
|
|
Hpa-5 genotyping
|
$24.67 |
$24.67 |
$47.92 |
$148.20
|
|
Hpa-6 genotyping
|
$24.67 |
$24.67 |
$47.92 |
$147.17
|
|
Htt gene detc abnor alleles
|
$55.44 |
$55.44 |
$107.66 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$75.27 |
$75.27 |
$146.18 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$64.10 |
$64.10 |
$64.10 |
$130.57
|
|
Hydralazine 20 mg/ml injection solution
|
$122.31 |
$122.31 |
$122.31 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$288.12 |
$288.12 |
$288.12 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$378.38 |
$378.38 |
$378.38 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$52.63 |
$52.63 |
$52.63 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$245.79 |
$245.79 |
$245.79 |
$136.93
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$343.98 |
$343.98 |
$343.98 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$19.11 |
$19.11 |
$37.12 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$13.14 |
$13.14 |
$25.51 |
$76.13
|
|
Hysterosalpingography s&i
|
$745.59 |
$745.59 |
$745.59 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$338.61 |
$338.61 |
$338.61 |
$331.10
|
|
I-123 ioflupane diag
|
$3,308.68 |
$3,308.68 |
$3,308.68 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$190.52 |
$190.52 |
$190.52 |
$158.05
|
|
I131 iodide cap, rx
|
$19.41 |
$19.41 |
$19.41 |
$91.83
|
|
I131 iodide sol, rx
|
$136.13 |
$136.13 |
$136.13 |
$42.01
|
|
Iaadi respiratory synctial virus
|
$4.03 |
$4.03 |
$7.82 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$117.02 |
$117.02 |
$117.02 |
$125.25
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$518.62 |
$518.62 |
$518.62 |
$962.29
|
|
Icatibant injection
|
$12,142.79 |
$12,142.79 |
$12,142.79 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$20,014.35 |
$20,014.35 |
$20,014.35 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$24,217.08 |
$24,217.08 |
$24,217.08 |
$35,650.00
|
|
Icd crtp serena MRI
|
$11,297.54 |
$11,297.54 |
$11,297.54 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$4,654.32 |
$4,654.32 |
$4,654.32 |
$8,612.50
|
|
Idarubicin hcl injection
|
$573.30 |
$573.30 |
$573.30 |
$474.69
|
|
Ifosfamide 1 gram intravenous solution
|
$486.87 |
$486.87 |
$486.87 |
$294.81
|
|
Igh@ var region somatic mutation analy
|
$116.13 |
$116.13 |
$116.13 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$51.59 |
$51.59 |
$79.38 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$110.07 |
$110.07 |
$123.78 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$58.48 |
$58.48 |
$140.24 |
$266.76
|
|
Iliac/fem angio cath insert
|
$1,605.24 |
$1,605.24 |
$1,605.24 |
$1,943.69
|
|
Iliac revasc add-on 37222
|
$3,592.10 |
$3,592.10 |
$3,592.10 |
$6,513.10
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$103.20 |
$103.20 |
$103.20 |
$357.03
|
|
Immobilizer shldr cntor adlt
|
$134.95 |
$134.95 |
$134.95 |
$154.00
|
|
Immobilizer shldr dlx str 24-36in med
|
$103.20 |
$103.20 |
$103.20 |
$90.86
|
|
Immobilizer shldr sling med
|
$78.21 |
$78.21 |
$78.21 |
$34.03
|
|
Immune complex assay
|
$38.04 |
$38.04 |
$73.87 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$108.49 |
$108.49 |
$285.77 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$108.49 |
$108.49 |
$184.93 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$13.77 |
$13.77 |
$26.74 |
$53.95
|
|
Immunodiffusion nes
|
$15.59 |
$15.59 |
$30.27 |
$53.76
|