|
Hdr rdncl skn surf brachytx
|
$883.10 |
$883.10 |
$883.10 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$768.31 |
$768.31 |
$768.31 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$722.43 |
$722.43 |
$722.43 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$676.55 |
$676.55 |
$676.55 |
$1,268.90
|
|
Heart first pass multiple
|
$7,049.00 |
$7,049.00 |
$7,049.00 |
$1,100.00
|
|
Heart image spect
|
$1,550.95 |
$1,550.95 |
$2,927.00 |
$566.74
|
|
Heart infarct image
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$7.86 |
$7.86 |
$7.86 |
$84.80
|
|
Hematocrit
|
$18.50 |
$18.50 |
$18.50 |
$33.57
|
|
Hematopoietic nuclear tx
|
$2,260.89 |
$2,260.89 |
$2,260.89 |
$918.60
|
|
Hemin 350 mg intravenous powder for solution
|
$18,078.00 |
$18,078.00 |
$18,078.00 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$181.58 |
$181.58 |
$181.58 |
$1,329.90
|
|
Hemoglobin
|
$15.91 |
$15.91 |
$427.00 |
$31.75
|
|
Hemoglobin f (fetal) chemical
|
$13.23 |
$13.23 |
$13.23 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$10.64 |
$10.64 |
$10.64 |
$49.40
|
|
Hemoglobin plasma
|
$5.92 |
$5.92 |
$10.00 |
$40.56
|
|
Hemolysins/agglutinins auto
|
$41.07 |
$41.07 |
$41.07 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$41.53 |
$41.53 |
$41.53 |
$67.50
|
|
Heparin assay
|
$33.76 |
$33.76 |
$33.76 |
$130.20
|
|
Heparin bolus from bag
|
$241.66 |
$241.66 |
$243.09 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$66.16 |
$66.16 |
$66.65 |
$32.27
|
|
Hepatitis a antibody igm
|
$35.71 |
$35.71 |
$35.71 |
$85.15
|
|
Hepatitis b core antibody igm
|
$34.60 |
$34.60 |
$34.60 |
$87.98
|
|
Hepatitis b core antibody total
|
$42.74 |
$42.74 |
$249.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$66.23 |
$66.23 |
$68.16 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$51.25 |
$51.25 |
$51.25 |
$83.79
|
|
Hepatitis c antibody
|
$46.62 |
$46.62 |
$284.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$41.44 |
$41.44 |
$41.44 |
$40.28
|
|
Herpes simplex 2 ag if
|
$9.44 |
$9.44 |
$9.44 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$19.52 |
$19.52 |
$270.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$28.64 |
$28.64 |
$28.64 |
$87.10
|
|
Herpes simplex virus isolation
|
$97.50 |
$97.50 |
$672.00 |
$93.32
|
|
Heterophile antibodies screening
|
$69.93 |
$69.93 |
$1,179.00 |
$73.60
|
|
Hip X-ray
|
$175.38 |
$175.38 |
$219.23 |
$292.05
|
|
Histamine
|
$15.54 |
$15.54 |
$15.54 |
$125.40
|
|
Histochemical stains add-on
|
$31.64 |
$31.64 |
$31.64 |
$169.65
|
|
Hiv-1 ag ia
|
$162.00 |
$162.00 |
$162.00 |
$84.67
|
|
Hizentra injection
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$13.23
|
|
Hla class i/ii antibody qual
|
$176.00 |
$176.00 |
$176.00 |
$88.58
|
|
Hla class i phenotype qual
|
$468.00 |
$468.00 |
$468.00 |
$335.40
|
|
Hla i low res one antigen equiv ea
|
$110.01 |
$110.01 |
$110.01 |
$164.00
|
|
Hla i typing complete lr
|
$166.50 |
$166.50 |
$166.50 |
$588.55
|
|
Hla i typing low res one locus ea
|
$176.00 |
$176.00 |
$176.00 |
$340.00
|
|
Hla typing a b or c
|
$221.82 |
$221.82 |
$1,176.00 |
$309.40
|
|
Homocysteine
|
$46.25 |
$46.25 |
$339.00 |
$113.10
|
|
Homogenization tissue
|
$8.51 |
$8.51 |
$324.00 |
$39.00
|
|
Homovanillic acid (hva)
|
$15.00 |
$15.00 |
$15.00 |
$56.00
|
|
Hpv types 16 & 18 only
|
$32.56 |
$32.56 |
$32.56 |
$93.60
|
|
H pylori (c-13) breath
|
$29.60 |
$29.60 |
$29.60 |
$219.05
|
|
Human epididymis protein 4 (he4)
|
$100.27 |
$100.27 |
$100.27 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4.19 |
$4,190.44 |
$4,340.00 |
$4,652.48
|
|
Hyaluronidase 150 unit/ml injection solution
|
$152.81 |
$152.81 |
$203.00 |
$152.81
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$203.00 |
$203.00 |
$203.00 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$48.03 |
$100.27 |
$140.00 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$94.63 |
$94.63 |
$94.63 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$727.14 |
$727.14 |
$727.14 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$59.54 |
$59.54 |
$63.60 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$7.47 |
$7.47 |
$48.17 |
$112.22
|
|
Hydroxocobalamin im 10mcg
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$7.15
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$24.14 |
$24.14 |
$24.14 |
$86.47
|
|
Hydroxyzine pamoate 25 mg capsule
|
$41.00 |
$41.00 |
$41.00 |
$10.83
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$90.00 |
$90.00 |
$90.00 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$12.03 |
$12.03 |
$12.03 |
$215.75
|
|
#hypersens-actinomyces ab
|
$15.07 |
$15.07 |
$15.07 |
$19.60
|
|
Hysterosalpingography s&i
|
$739.45 |
$739.45 |
$739.45 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$174.31 |
$174.31 |
$174.31 |
$331.10
|
|
I-123 sod iodide diag per 100 uci
|
$81.12 |
$81.12 |
$81.12 |
$158.05
|
|
I131 iodide cap, rx
|
$476.28 |
$476.28 |
$476.28 |
$91.83
|
|
I131 iodide sol, rx
|
$89.00 |
$89.00 |
$89.00 |
$42.01
|
|
Iaadi respiratory synctial virus
|
$122.00 |
$122.00 |
$122.00 |
$42.48
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$355.39 |
$355.39 |
$772.00 |
$891.89
|
|
Icatibant injection
|
$492.10 |
$492.10 |
$492.10 |
$3,939.88
|
|
Idarubicin hcl injection
|
$36.58 |
$36.58 |
$36.63 |
$544.37
|
|
Idh1 common variants
|
$374.00 |
$374.00 |
$374.00 |
$415.35
|
|
Idh2 common variants
|
$374.00 |
$374.00 |
$374.00 |
$451.91
|
|
Ifosfamide 1 gram intravenous solution
|
$45.20 |
$45.20 |
$49.40 |
$289.34
|
|
Igh gene rearrange amp meth
|
$97.00 |
$97.00 |
$97.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$143.84 |
$143.84 |
$143.84 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$367.00 |
$367.00 |
$367.00 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$915.29 |
$915.29 |
$915.29 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$134.03 |
$134.03 |
$134.03 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$915.29 |
$915.29 |
$915.29 |
$266.76
|
|
Imetelstat 188 mg intravenous solution
|
$113.19 |
$113.19 |
$113.19 |
$57.02
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$1,077.68 |
$1,221.89 |
$2,205.00 |
$5,617.36
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$63.83 |
$63.83 |
$64.25 |
$2,568.72
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,132.49 |
$3,132.49 |
$3,132.49 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$39.59 |
$39.59 |
$414.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$51.62 |
$51.62 |
$414.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$17.73 |
$17.73 |
$17.73 |
$53.95
|
|
Immunodiffusion nes
|
$22.20 |
$22.20 |
$22.20 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$116.18 |
$116.18 |
$451.00 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$36.08 |
$36.08 |
$602.00 |
$250.00
|
|
Immunoglobulin assay
|
$12.58 |
$12.58 |
$12.58 |
$74.00
|
|
Impedence cardiogram
|
$116.74 |
$116.74 |
$116.74 |
$121.55
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,930.36 |
$5,930.36 |
$5,930.36 |
$2,808.00
|
|
In-111 pentetreotide
|
$10,737.22 |
$10,737.22 |
$14,964.00 |
$6,617.05
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$451.00 |
$451.00 |
$451.00 |
$1,099.05
|
|
Infect ag drug suscept pheno predict
|
$46.25 |
$46.25 |
$46.25 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$44.31 |
$44.31 |
$44.31 |
$69.03
|
