|
Hc i-131 sodium iodide cap dx per mci
|
$302.90 |
$302.90 |
$302.90 |
$113.12
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,648.40 |
$1,648.40 |
$1,648.40 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,682.85 |
$1,682.85 |
$1,682.85 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$4,335.50 |
$4,335.50 |
$4,335.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$3,426.80 |
$3,426.80 |
$3,426.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$3,054.35 |
$3,054.35 |
$3,054.35 |
$1,268.90
|
|
Heart first pass add-on
|
$3,630.90 |
$3,630.90 |
$3,630.90 |
$485.27
|
|
Heart first pass multiple
|
$3,541.85 |
$3,541.85 |
$3,541.85 |
$1,422.05
|
|
Heart image spect
|
$2,303.60 |
$2,303.60 |
$2,303.60 |
$1,135.68
|
|
Heart infarct image
|
$940.55 |
$940.55 |
$940.55 |
$942.29
|
|
Heart infarct image (ef)
|
$1,238.90 |
$1,238.90 |
$1,238.90 |
$865.98
|
|
Heavy metal qual any number
|
$23.40 |
$23.40 |
$23.40 |
$72.50
|
|
Heel (Calcaneus) X-ray (both feet)
|
$492.70 |
$492.70 |
$492.70 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$259.35 |
$259.35 |
$259.35 |
$92.00
|
|
Hematocrit
|
$62.40 |
$62.40 |
$62.40 |
$33.80
|
|
Hematopoietic nuclear tx
|
$342.55 |
$342.55 |
$342.55 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$165.10 |
$165.10 |
$165.10 |
$20,618.46
|
|
Hemoglobin
|
$62.40 |
$62.40 |
$62.40 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$335.40 |
$335.40 |
$335.40 |
$51.75
|
|
Hemoglobin plasma
|
$23.40 |
$23.40 |
$23.40 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$66.95 |
$66.95 |
$66.95 |
$62.48
|
|
Hepagam b im injection
|
$813.80 |
$813.80 |
$813.80 |
$1,118.05
|
|
Heparin assay
|
$414.70 |
$414.70 |
$414.70 |
$139.15
|
|
Heparin bolus from bag
|
$1,001.65 |
$1,001.65 |
$1,001.65 |
$66.06
|
|
Heparin neutralization
|
$56.55 |
$56.55 |
$56.55 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$5.20 |
$5.20 |
$5.20 |
$12.00
|
|
Hepatitis a antibody igm
|
$332.15 |
$332.15 |
$332.15 |
$89.44
|
|
Hepatitis b core antibody igm
|
$332.15 |
$332.15 |
$332.15 |
$89.60
|
|
Hepatitis b core antibody total
|
$332.15 |
$332.15 |
$332.15 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$5,376.80 |
$5,376.80 |
$5,376.80 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$332.15 |
$332.15 |
$332.15 |
$82.32
|
|
Hepatitis c antibody
|
$332.15 |
$332.15 |
$332.15 |
$108.25
|
|
Hepb vacc 3 dose immunsup im
|
$296.40 |
$296.40 |
$296.40 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$37.05 |
$37.05 |
$37.05 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$35.10 |
$35.10 |
$35.10 |
$87.36
|
|
Herpes simplex virus isolation
|
$199.55 |
$199.55 |
$199.55 |
$110.00
|
|
Heterophile antibodies screening
|
$143.00 |
$143.00 |
$143.00 |
$73.87
|
|
Hgb methemoglobin qual
|
$103.35 |
$103.35 |
$103.35 |
$15.21
|
|
Hhv-6 dna quant
|
$246.35 |
$246.35 |
$246.35 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$828.75 |
$828.75 |
$828.75 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$1,334.45 |
$1,334.45 |
$1,334.45 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$414.70 |
$414.70 |
$414.70 |
$233.50
|
|
Hip X-ray
|
$666.90 |
$666.90 |
$666.90 |
$294.75
|
|
Histamine
|
$33.15 |
$33.15 |
$33.15 |
$115.00
|
|
Histochemical stains add-on
|
$185.90 |
$185.90 |
$185.90 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$70.85 |
$70.85 |
$70.85 |
$7,320.13
|
|
Hla class i high defin qual
|
$654.55 |
$654.55 |
$654.55 |
$631.15
|
|
Hla class ii high defin qual
|
$371.80 |
$371.80 |
$371.80 |
$569.25
|
|
Hla i & ii typing hr
|
$263.90 |
$263.90 |
$263.90 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$1,220.70 |
$1,220.70 |
$1,220.70 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$128.05 |
$128.05 |
$128.05 |
$475.00
|
|
Hla i typing 1 locus hr
|
$1,220.70 |
$1,220.70 |
$1,220.70 |
$439.20
|
|
Hla i typing complete hr
|
$285.35 |
$285.35 |
$285.35 |
$607.86
|
|
Hla i typing low res one locus ea
|
$126.10 |
$126.10 |
$126.10 |
$340.00
|
|
Hla typing a b or c
|
$817.05 |
$817.05 |
$817.05 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.95 |
$1.95 |
$1.95 |
$79.78
|
|
Home sleep test/type 3 porta
|
$628.55 |
$628.55 |
$628.55 |
$570.00
|
|
Home sleep test/type 4 porta
|
$858.65 |
$858.65 |
$858.65 |
$613.60
|
|
Homocysteine
|
$189.80 |
$189.80 |
$189.80 |
$125.40
|
|
Homogenization tissue
|
$76.70 |
$76.70 |
$76.70 |
$41.30
|
|
Homovanillic acid (hva)
|
$29.25 |
$29.25 |
$29.25 |
$59.95
|
|
Human epididymis protein 4 (he4)
|
$343.85 |
$343.85 |
$343.85 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$3.25 |
$3.25 |
$3.25 |
$5,568.57
|
|
Hyaluronidase 150 unit/ml injection solution
|
$468.00 |
$468.00 |
$468.00 |
$126.37
|
|
Hyaluronidase 200 units/ml inj
|
$588.90 |
$588.90 |
$588.90 |
$245.00
|
|
Hydralazine 20 mg/ml injection solution
|
$100.75 |
$100.75 |
$100.75 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,368.25 |
$1,368.25 |
$1,368.25 |
$140.54
|
|
Hydrogel drsg gel filler
|
$13.00 |
$13.00 |
$13.00 |
$32.50
|
|
Hydrogel dsg>16<=48 sq in
|
$11.70 |
$11.70 |
$11.70 |
$11.70
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$5.20 |
$5.20 |
$5.20 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$304.85 |
$304.85 |
$304.85 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$263.90 |
$263.90 |
$263.90 |
$72.65
|
|
Hyqvia 100mg immuneglobulin
|
$224.90 |
$224.90 |
$224.90 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$1,124.50 |
$1,124.50 |
$1,124.50 |
$669.12
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$317.85 |
$317.85 |
$317.85 |
$352.24
|
|
I-123 iobenguane diag
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$5,170.70
|
|
I-123 ioflupane diag
|
$3,102.45 |
$3,102.45 |
$3,102.45 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$543.40 |
$543.40 |
$543.40 |
$147.46
|
|
I-131 iobenguane sulf diag mibg
|
$4,044.30 |
$4,044.30 |
$4,044.30 |
$3,638.48
|
|
I131 iodide cap, rx
|
$358.80 |
$358.80 |
$358.80 |
$71.70
|
|
I131 iodide sol, rx
|
$420.55 |
$420.55 |
$420.55 |
$34.87
|
|
Iadna legionella pneumophila amplified probe tq
|
$77.35 |
$77.35 |
$77.35 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$684.45 |
$684.45 |
$684.45 |
$684.45
|
|
Ibuprofen injection
|
$24.70 |
$24.70 |
$24.70 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,916.25 |
$3,916.25 |
$3,916.25 |
$980.94
|
|
Icatibant injection
|
$469.30 |
$469.30 |
$469.30 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$52,423.80 |
$52,423.80 |
$52,423.80 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$61,438.65 |
$61,438.65 |
$61,438.65 |
$39,070.50
|
|
Icd crtp serena MRI
|
$24,754.60 |
$24,754.60 |
$24,754.60 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$18,784.35 |
$18,784.35 |
$18,784.35 |
$9,264.83
|
|
Idarubicin hcl injection
|
$549.25 |
$549.25 |
$549.25 |
$447.02
|
|
Idh1 common variants
|
$226.20 |
$226.20 |
$226.20 |
$415.35
|
|
Idh2 common variants
|
$226.20 |
$226.20 |
$226.20 |
$486.00
|
|
Iduc valve sply repl
|
$1,178.45 |
$1,178.45 |
$1,178.45 |
$44.80
|
|
Ifosfamide 1 gram intravenous solution
|
$323.70 |
$323.70 |
$323.70 |
$246.95
|
|
Igh gene rearrange amp meth
|
$201.50 |
$201.50 |
$201.50 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$685.75 |
$685.75 |
$685.75 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$215.15 |
$215.15 |
$215.15 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$650.00 |
$650.00 |
$650.00 |
$191.52
|
