|
Hc pet myocardial imaging metabolic eval single study
|
$10,518.00 |
$10,518.00 |
$10,518.00 |
$3,267.37
|
|
Head CT scan (with and without contrast)
|
$18,006.00 |
$18,006.00 |
$18,006.00 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$12,594.00 |
$12,594.00 |
$12,594.00 |
$1,543.10
|
|
Head CT scan (without contrast)
|
$12,096.00 |
$12,096.00 |
$12,096.00 |
$1,268.90
|
|
Heart infarct image
|
$3,826.00 |
$3,826.00 |
$3,826.00 |
$840.74
|
|
Heinz bodies direct
|
$423.00 |
$423.00 |
$423.00 |
$31.22
|
|
Hematocrit
|
$241.00 |
$241.00 |
$241.00 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$5,197.00 |
$5,197.00 |
$5,197.00 |
$19,899.42
|
|
Hemodialysis one evaluation
|
$5,181.00 |
$5,181.00 |
$5,181.00 |
$1,291.00
|
|
Hemoglobin
|
$201.00 |
$201.00 |
$201.00 |
$31.98
|
|
Hemoglobin fetal qualitative
|
$813.00 |
$813.00 |
$813.00 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$162.00 |
$162.00 |
$162.00 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$162.00 |
$162.00 |
$162.00 |
$48.60
|
|
Hemoglobin plasma
|
$103.00 |
$103.00 |
$103.00 |
$39.00
|
|
Hemoglobin urine
|
$551.00 |
$551.00 |
$551.00 |
$23.31
|
|
Hemolysin acid
|
$567.00 |
$567.00 |
$567.00 |
$29.49
|
|
Hemolysins and agglutinins incubated
|
$944.00 |
$944.00 |
$944.00 |
$62.48
|
|
Hemophilus influenza antibdy
|
$214.00 |
$214.00 |
$214.00 |
$56.80
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$79.00 |
$79.00 |
$79.00 |
$28.84
|
|
Hepatitis a antibody igm
|
$384.00 |
$384.00 |
$384.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$88.06
|
|
Hepatitis b core antibody total
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$934.28
|
|
Hepatitis b surface antibody
|
$1,057.00 |
$1,057.00 |
$1,057.00 |
$83.79
|
|
Hepatitis c antibody
|
$1,399.00 |
$1,399.00 |
$1,399.00 |
$108.00
|
|
Hepatitis c rna dir probe
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$34.34
|
|
Hepatobiliary system imaging
|
$4,518.00 |
$4,518.00 |
$4,518.00 |
$1,525.40
|
|
Heterophile antibodies screening
|
$946.00 |
$946.00 |
$946.00 |
$73.25
|
|
Hip X-ray
|
$1,787.00 |
$1,787.00 |
$1,787.00 |
$290.72
|
|
Histochemical stains add-on
|
$170.00 |
$170.00 |
$170.00 |
$170.00
|
|
Hiv-1 ag ia
|
$491.00 |
$491.00 |
$491.00 |
$84.67
|
|
Hla ii typing ag equiv lr
|
$170.00 |
$170.00 |
$170.00 |
$325.13
|
|
Hla i typing high res 1 allele grp ea
|
$813.00 |
$813.00 |
$813.00 |
$306.80
|
|
Hla typing dr/dq
|
$575.00 |
$575.00 |
$575.00 |
$135.20
|
|
Homocysteine
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$106.08
|
|
Homogenization tissue
|
$5.00 |
$5.00 |
$5.00 |
$39.20
|
|
Homovanillic acid (hva)
|
$286.00 |
$286.00 |
$286.00 |
$56.00
|
|
Human epididymis protein 4 (he4)
|
$175.00 |
$175.00 |
$175.00 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$7,864.19 |
$7,864.19 |
$7,864.19 |
$5,568.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$654.00 |
$654.00 |
$654.00 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$157.00 |
$157.00 |
$157.00 |
$57.02
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$151.00 |
$151.00 |
$151.00 |
$73.45
|
|
Hysterosalpingography s&i
|
$2,937.00 |
$2,937.00 |
$2,937.00 |
$591.80
|
|
I-123 sod iodide diag per 100 uci
|
$399.00 |
$399.00 |
$399.00 |
$158.05
|
|
Iaadi respiratory synctial virus
|
$781.00 |
$781.00 |
$781.00 |
$42.35
|
|
Ibuprofen injection
|
$121.00 |
$121.00 |
$121.00 |
$90.23
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,277.56 |
$1,277.56 |
$1,277.56 |
$918.69
|
|
Ifosfamide 1 gram intravenous solution
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$289.34
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$349.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,761.00 |
$1,761.00 |
$1,761.00 |
$123.49
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$114.00
|
|
Immunodiffusion nes
|
$203.00 |
$203.00 |
$203.00 |
$56.71
|
|
Immunofixation electrophoresis serum
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$626.00 |
$626.00 |
$626.00 |
$250.00
|
|
Immunoglobulin assay
|
$3,484.00 |
$3,484.00 |
$3,484.00 |
$74.15
|
|
Implant ureth bulk agent
|
$990.00 |
$990.00 |
$990.00 |
$1,722.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,703.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$48,382.00 |
$48,382.00 |
$48,382.00 |
$2,106.00
|
|
In-111 pentetreotide
|
$48,382.00 |
$48,382.00 |
$48,382.00 |
$6,610.16
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$9,430.00 |
$9,430.00 |
$9,430.00 |
$558.00
|
|
Infect ag ia optc obs influenza
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$65.65
|
|
Infect ag if hep delta agent
|
$340.00 |
$340.00 |
$340.00 |
$123.00
|
|
Infect ag if influenza a
|
$126.00 |
$126.00 |
$126.00 |
$40.61
|
|
Infect ag if influenza b
|
$129.00 |
$129.00 |
$129.00 |
$33.60
|
|
Infect ag if legionella pneumophila
|
$479.00 |
$479.00 |
$479.00 |
$75.75
|
|
Infect ag if pneumocystis carinii
|
$944.00 |
$944.00 |
$944.00 |
$57.00
|
|
Infect ag if varicella zoster
|
$184.00 |
$184.00 |
$184.00 |
$66.00
|
|
Infect ag na orthopoxvirus amp prb each
|
$110.00 |
$110.00 |
$110.00 |
$101.00
|
|
Infect ag na resp virus 12-25 targets
|
$930.00 |
$930.00 |
$930.00 |
$835.80
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$449.00 |
$449.00 |
$449.00 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$839.00 |
$839.00 |
$839.00 |
$81.40
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$423.00 |
$423.00 |
$423.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$438.00 |
$438.00 |
$438.00 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$423.00 |
$423.00 |
$423.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$610.00 |
$610.00 |
$610.00 |
$77.62
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$199.00 |
$199.00 |
$199.00 |
$99.75
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$542.00 |
$542.00 |
$542.00 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$589.00 |
$589.00 |
$589.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$329.00 |
$329.00 |
$329.00 |
$139.20
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$368.00 |
$368.00 |
$368.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$991.00 |
$991.00 |
$991.00 |
$173.60
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$4,303.00 |
$4,303.00 |
$4,303.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$103.00 |
$103.00 |
$103.00 |
$133.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$74.00 |
$74.00 |
$74.00 |
$103.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$3,683.00 |
$3,683.00 |
$3,683.00 |
$208.91
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,738.00 |
$1,738.00 |
$1,738.00 |
$269.75
|
|
Initiation & management bipap/cpap initial day
|
$7,230.00 |
$7,230.00 |
$7,230.00 |
$639.60
|
|
Inj, artesunate, 1mg
|
$41,876.27 |
$41,876.27 |
$41,876.27 |
$19,423.99
|
|
Inj calcitriol per 0.1 mcg
|
$552.00 |
$552.00 |
$552.00 |
$32.01
|
|
Inj, cefiderocol, 10 mg
|
$1,680.85 |
$1,680.85 |
$1,680.85 |
$718.84
|
|
Inj crotalidae im f(ab')2 eq
|
$6,631.00 |
$6,631.00 |
$6,631.00 |
$2,836.95
|
|
Inj daptomycin (xellia)
|
$12.00 |
$12.00 |
$12.00 |
$0.04
|
|
Injection, fulvestrant
|
$11,721.00 |
$11,721.00 |
$11,721.00 |
$2,744.26
|
|
Injection,onabotulinumtoxina
|
$7,448.00 |
$7,448.00 |
$7,448.00 |
$2,154.07
|
|
Inj hydroxocobalamin IV 25mg
|
$4,353.00 |
$4,353.00 |
$4,353.00 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$597.00 |
$597.00 |
$597.00 |
$138.58
|
|
Inj meropenem (wg crit care)
|
$94.00 |
$94.00 |
$94.00 |
$104.12
|
|
Inj, nithiodote, 3mg / 125mg
|
$431.00 |
$431.00 |
$431.00 |
$520.19
|
|
Inj progesterone per 50 mg
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$48.51
|
|
Insitu hybridization auto
|
$363.00 |
$363.00 |
$363.00 |
$393.13
|
