|
Guid loc target vol rad tx
|
$3,696.51 |
$3,696.51 |
$3,696.51 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$544.97 |
$544.97 |
$544.97 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$386.64 |
$386.64 |
$386.64 |
$32.92
|
|
Hbot, full body chamber, 30m
|
$1,280.05 |
$1,280.05 |
$1,280.05 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$4,058.31 |
$4,058.31 |
$4,058.31 |
$759.72
|
|
Hcg qualitative
|
$1,444.83 |
$1,444.83 |
$1,444.83 |
$77.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,668.17 |
$2,668.17 |
$2,668.17 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$2,428.23 |
$2,428.23 |
$2,428.23 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$13,311.55 |
$13,311.55 |
$13,311.55 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$7,906.25 |
$7,906.25 |
$7,906.25 |
$3,267.37
|
|
Head CT scan (with and without contrast)
|
$12,003.63 |
$12,003.63 |
$12,003.63 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$10,589.87 |
$10,589.87 |
$10,589.87 |
$1,543.10
|
|
Head CT scan (without contrast)
|
$8,971.78 |
$8,971.78 |
$8,971.78 |
$1,268.90
|
|
Heart first pass multiple
|
$8,445.91 |
$8,445.91 |
$8,445.91 |
$1,100.00
|
|
Heart image spect
|
$713.00 |
$713.00 |
$713.00 |
$566.74
|
|
Heart infarct image
|
$6,884.89 |
$6,884.89 |
$6,884.89 |
$840.74
|
|
Heart infarct image (ef)
|
$713.00 |
$713.00 |
$713.00 |
$636.97
|
|
Heinz bodies direct
|
$554.79 |
$554.79 |
$554.79 |
$31.22
|
|
Hemoglobin
|
$390.80 |
$390.80 |
$390.80 |
$31.98
|
|
Hemoglobin methemoglobin quantitative
|
$60.03 |
$60.03 |
$60.03 |
$48.60
|
|
Hemolysins/agglutinins auto
|
$1,332.01 |
$1,332.01 |
$1,332.01 |
$53.90
|
|
Heparin assay
|
$87.35 |
$87.35 |
$87.35 |
$130.20
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$29.47 |
$29.47 |
$29.47 |
$28.84
|
|
Hepatobiliary system imaging
|
$11,014.28 |
$11,014.28 |
$11,014.28 |
$1,525.40
|
|
Heterophile antibodies screening
|
$935.21 |
$935.21 |
$935.21 |
$73.25
|
|
Hip X-ray
|
$1,915.83 |
$1,915.83 |
$1,915.83 |
$290.72
|
|
Histochemical stains add-on
|
$43.50 |
$43.50 |
$43.50 |
$170.00
|
|
Hiv-1 ag ia
|
$39.00 |
$39.00 |
$39.00 |
$84.67
|
|
Hla class i high defin qual
|
$215.00 |
$215.00 |
$215.00 |
$567.00
|
|
Hla class ii high defin qual
|
$184.00 |
$184.00 |
$184.00 |
$568.50
|
|
Hla class i&ii antibody qual
|
$215.00 |
$215.00 |
$215.00 |
$206.70
|
|
Hla class ii semiquant panel
|
$645.00 |
$645.00 |
$645.00 |
$696.87
|
|
Hla class i semiquant panel
|
$645.00 |
$645.00 |
$645.00 |
$697.50
|
|
Hla i typing high res 1 allele grp ea
|
$62.50 |
$62.50 |
$62.50 |
$306.80
|
|
Hla x-match noncytotoxc addl
|
$67.14 |
$67.14 |
$67.14 |
$135.63
|
|
Hla x-math non-cytotoxic
|
$370.00 |
$370.00 |
$370.00 |
$265.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$60.70 |
$60.70 |
$60.70 |
$68.86
|
|
Homogenization tissue
|
$169.73 |
$169.73 |
$169.73 |
$39.20
|
|
H pylori (c-13) breath
|
$73.31 |
$73.31 |
$73.31 |
$213.00
|
|
Htt gene detc abnor alleles
|
$235.00 |
$235.00 |
$235.00 |
$246.75
|
|
Hyaluronidase 150 unit/ml injection solution
|
$397.86 |
$397.86 |
$397.86 |
$152.81
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$679.80 |
$679.80 |
$679.80 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$243.24 |
$243.24 |
$243.24 |
$57.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$233.98 |
$233.98 |
$233.98 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$24.46 |
$24.46 |
$24.46 |
$73.45
|
|
Hysterosalpingography s&i
|
$571.42 |
$571.42 |
$571.42 |
$591.80
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$1,327.87 |
$1,327.87 |
$1,327.87 |
$331.10
|
|
I-123 iobenguane diag
|
$16,865.72 |
$16,865.72 |
$16,865.72 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$295.31 |
$295.31 |
$295.31 |
$158.05
|
|
I131 iodide sol, rx
|
$279.42 |
$279.42 |
$279.42 |
$42.01
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,858.20 |
$1,858.20 |
$1,858.20 |
$918.69
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$846.03 |
$846.03 |
$846.03 |
$349.80
|
|
Immobilizer shldr sling med
|
$263.51 |
$263.51 |
$263.51 |
$35.82
|
|
Immune complex assay
|
$13.11 |
$13.11 |
$13.11 |
$88.80
|
|
Immunodiffusion nes
|
$11.24 |
$11.24 |
$11.24 |
$56.71
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$38.80 |
$38.80 |
$38.80 |
$161.85
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,684.84 |
$1,684.84 |
$1,684.84 |
$250.00
|
|
Implant ureth bulk agent
|
$796.11 |
$796.11 |
$796.11 |
$1,722.00
|
|
In-111 autol wbc diag per dose
|
$19,484.39 |
$19,484.39 |
$19,484.39 |
$3,704.00
|
|
In-111 capromab pendet
|
$37,342.67 |
$37,342.67 |
$37,342.67 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$19,484.39 |
$19,484.39 |
$19,484.39 |
$2,703.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$17,614.37 |
$17,614.37 |
$17,614.37 |
$2,106.00
|
|
In-111 pentetreotide
|
$17,693.01 |
$17,693.01 |
$17,693.01 |
$6,610.16
|
|
In-111 satumomab pend
|
$17,135.87 |
$17,135.87 |
$17,135.87 |
$3,524.25
|
|
Infect ag drug suscept pheno predict
|
$686.00 |
$686.00 |
$686.00 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$603.41 |
$603.41 |
$603.41 |
$587.40
|
|
Infect ag genotype na dna hepatitis b
|
$203.63 |
$203.63 |
$203.63 |
$450.60
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$150.00 |
$150.00 |
$150.00 |
$558.00
|
|
Infect ag ia optc obs influenza
|
$496.46 |
$496.46 |
$496.46 |
$65.65
|
|
Infect ag if pneumocystis carinii
|
$365.64 |
$365.64 |
$365.64 |
$57.00
|
|
Infect ag if varicella zoster
|
$614.91 |
$614.91 |
$614.91 |
$66.00
|
|
Infect ag na influenza revr/amp ea type
|
$225.00 |
$225.00 |
$225.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$101.00
|
|
Infect ag na resp virus 12-25 targets
|
$749.06 |
$749.06 |
$749.06 |
$835.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$1,135.29 |
$1,135.29 |
$1,135.29 |
$81.40
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$540.06 |
$540.06 |
$540.06 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$110.49 |
$110.49 |
$110.49 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$122.43 |
$122.43 |
$122.43 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$419.40 |
$419.40 |
$419.40 |
$99.75
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$790.16 |
$790.16 |
$790.16 |
$60.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$138.00 |
$138.00 |
$138.00 |
$173.60
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$100.00 |
$100.00 |
$100.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$101.42 |
$101.42 |
$101.42 |
$103.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$90.00 |
$90.00 |
$90.00 |
$208.91
|
|
Infliximab 100 mg intravenous solution
|
$4,780.69 |
$4,780.69 |
$4,780.69 |
$2,550.73
|
|
Influenza dna amp prob addl
|
$52.93 |
$52.93 |
$52.93 |
$69.60
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$609.16 |
$609.16 |
$609.16 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$2,452.09 |
$2,452.09 |
$2,452.09 |
$639.60
|
|
Inj, bupivacaine liposome
|
$1,410.45 |
$1,410.45 |
$1,410.45 |
$842.91
|
|
Inj calcitriol per 0.1 mcg
|
$221.12 |
$221.12 |
$221.12 |
$32.01
|
|
Inj, cefiderocol, 10 mg
|
$1,607.83 |
$1,607.83 |
$1,607.83 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$120.14 |
$120.14 |
$120.14 |
$429.50
|
|
Inj crotalidae im f(ab')2 eq
|
$4,575.00 |
$4,575.00 |
$4,575.00 |
$2,836.95
|
|
Injection, cangrelor
|
$2,368.32 |
$2,368.32 |
$2,368.32 |
$2,457.89
|
|
Injection, isavuconazonium
|
$8.20 |
$8.20 |
$8.20 |
$634.28
|
|
Injection,onabotulinumtoxina
|
$2,900.16 |
$2,900.16 |
$2,900.16 |
$2,154.07
|
|
Inj hydroxocobalamin IV 25mg
|
$3,493.61 |
$3,493.61 |
$3,493.61 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$136.80 |
$136.80 |
$136.80 |
$138.58
|
|
Inj, levothyroxine, freskabi
|
$1,435.01 |
$1,435.01 |
$1,435.01 |
$287.45
|
|
Inj., meropenem, vaborbactam
|
$1,562.81 |
$1,562.81 |
$1,562.81 |
$618.43
|
