|
Head CT scan (with contrast)
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,268.90
|
|
Heart infarct image
|
$674.30 |
$674.30 |
$674.30 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$438.90 |
$438.90 |
$438.90 |
$84.80
|
|
Hematocrit
|
$32.45 |
$32.45 |
$32.45 |
$33.57
|
|
Hemodialysis one evaluation
|
$566.50 |
$566.50 |
$566.50 |
$1,329.90
|
|
Hemoglobin
|
$27.50 |
$27.50 |
$27.50 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$223.85 |
$223.85 |
$223.85 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$146.30 |
$146.30 |
$146.30 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$618.20 |
$618.20 |
$618.20 |
$73.00
|
|
Hemoglobin plasma
|
$135.30 |
$135.30 |
$135.30 |
$40.56
|
|
Hemolysin acid
|
$75.35 |
$75.35 |
$75.35 |
$31.74
|
|
Hemolysins/agglutinins auto
|
$70.95 |
$70.95 |
$70.95 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$70.95 |
$70.95 |
$70.95 |
$67.50
|
|
Heparin assay
|
$139.15 |
$139.15 |
$139.15 |
$130.20
|
|
Heparin neutralization
|
$35.75 |
$35.75 |
$35.75 |
$47.45
|
|
Hepatitis a antibody igm
|
$243.10 |
$243.10 |
$243.10 |
$85.15
|
|
Hepatitis b core antibody igm
|
$22.55 |
$22.55 |
$22.55 |
$87.98
|
|
Hepatitis b core antibody total
|
$169.40 |
$169.40 |
$169.40 |
$83.29
|
|
Hepatitis b surface antibody
|
$185.90 |
$185.90 |
$185.90 |
$83.79
|
|
Hepatitis c antibody
|
$282.70 |
$282.70 |
$282.70 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,806.65 |
$2,806.65 |
$2,806.65 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$1,466.30 |
$1,466.30 |
$1,466.30 |
$1,956.00
|
|
Herpes simplex 1 ag if
|
$70.40 |
$70.40 |
$70.40 |
$40.28
|
|
Herpes simplex 2 ag if
|
$70.40 |
$70.40 |
$70.40 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$208.45 |
$208.45 |
$208.45 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$208.45 |
$208.45 |
$208.45 |
$87.10
|
|
Herpes simplex virus isolation
|
$40.70 |
$40.70 |
$40.70 |
$93.32
|
|
Heterophile antibodies screening
|
$100.10 |
$100.10 |
$100.10 |
$73.60
|
|
Heterophile antibodies titer
|
$124.30 |
$124.30 |
$124.30 |
$16.80
|
|
Hhv-6 dna quant
|
$127.05 |
$127.05 |
$127.05 |
$200.25
|
|
Hip X-ray
|
$376.20 |
$376.20 |
$376.20 |
$292.05
|
|
Histamine
|
$355.30 |
$355.30 |
$355.30 |
$125.40
|
|
Histochemical stains add-on
|
$158.95 |
$158.95 |
$158.95 |
$169.65
|
|
Hiv-1 ag ia
|
$84.15 |
$84.15 |
$84.15 |
$84.67
|
|
Hla class i&ii antibody qual
|
$863.50 |
$863.50 |
$863.50 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$282.70 |
$282.70 |
$282.70 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$169.40 |
$169.40 |
$169.40 |
$164.00
|
|
Hla i typing 1 locus hr
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$398.40
|
|
Hla i typing high res 1 allele grp ea
|
$434.50 |
$434.50 |
$434.50 |
$307.53
|
|
Home sleep test/type 2 porta
|
$517.00 |
$517.00 |
$517.00 |
$347.75
|
|
Home sleep test/type 3 porta
|
$1,008.70 |
$1,008.70 |
$1,008.70 |
$632.40
|
|
Homocysteine
|
$352.00 |
$352.00 |
$352.00 |
$113.10
|
|
Homogenization tissue
|
$36.30 |
$36.30 |
$36.30 |
$39.00
|
|
Homovanillic acid (hva)
|
$243.65 |
$243.65 |
$243.65 |
$56.00
|
|
H pylori (c-13) breath
|
$155.65 |
$155.65 |
$155.65 |
$219.05
|
|
Htt gene detc abnor alleles
|
$310.20 |
$310.20 |
$310.20 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$214.50 |
$214.50 |
$214.50 |
$131.84
|
|
Hydration IV infusion each additional hour
|
$100.10 |
$100.10 |
$100.10 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$383.35 |
$383.35 |
$383.35 |
$394.40
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$411.40 |
$411.40 |
$411.40 |
$76.13
|
|
Hysterosalpingography s&i
|
$1,144.55 |
$1,144.55 |
$1,144.55 |
$629.46
|
|
I-123 iobenguane diag
|
$4,305.40 |
$4,305.40 |
$4,305.40 |
$5,730.40
|
|
I-123 ioflupane diag
|
$3,278.00 |
$3,278.00 |
$3,278.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$174.90 |
$174.90 |
$174.90 |
$158.05
|
|
I131 iodide cap, rx
|
$117.70 |
$117.70 |
$117.70 |
$91.83
|
|
Iaadi respiratory synctial virus
|
$42.35 |
$42.35 |
$42.35 |
$42.48
|
|
Ia infect ag ab qual/semiquant sgl step
|
$169.40 |
$169.40 |
$169.40 |
$48.57
|
|
Icd cobalt xt dr MRI is1 df1
|
$32,319.18 |
$32,319.18 |
$32,319.18 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$46,687.57 |
$46,687.57 |
$46,687.57 |
$32,098.95
|
|
Icd crtp serena MRI
|
$9,615.70 |
$9,615.70 |
$9,615.70 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$10,772.50 |
$10,772.50 |
$10,772.50 |
$7,292.40
|
|
Igh gene rearrange amp meth
|
$744.70 |
$744.70 |
$744.70 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,282.60 |
$1,282.60 |
$1,282.60 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$558.80 |
$558.80 |
$558.80 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$362.45 |
$362.45 |
$362.45 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$405.90 |
$405.90 |
$405.90 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$400.95 |
$400.95 |
$400.95 |
$266.76
|
|
Iliac/fem angio cath insert
|
$2,931.50 |
$2,931.50 |
$2,931.50 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$7,197.85 |
$7,197.85 |
$7,197.85 |
$6,513.10
|
|
Immune complex assay
|
$440.00 |
$440.00 |
$440.00 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$68.20 |
$68.20 |
$68.20 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$68.20 |
$68.20 |
$68.20 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$496.10 |
$496.10 |
$496.10 |
$53.95
|
|
Immunodiffusion nes
|
$72.60 |
$72.60 |
$72.60 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$107.80 |
$107.80 |
$107.80 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$117.70 |
$117.70 |
$117.70 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,918.95 |
$1,918.95 |
$1,918.95 |
$250.00
|
|
Immunoglobulin assay
|
$178.75 |
$178.75 |
$178.75 |
$74.00
|
|
Immunology procedure
|
$118.25 |
$118.25 |
$118.25 |
$281.45
|
|
Implant neuroelectrodes
|
$10,323.50 |
$10,323.50 |
$10,323.50 |
$7,345.58
|
|
Implant neuroelectrodes
|
$9,286.75 |
$9,286.75 |
$9,286.75 |
$7,266.73
|
|
Implant single ventricular device 33975
|
$31,632.70 |
$31,632.70 |
$31,632.70 |
$5,053.23
|
|
In-111 autol wbc diag per dose
|
$2,262.15 |
$2,262.15 |
$2,262.15 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,087.90 |
$1,087.90 |
$1,087.90 |
$2,135.29
|
|
In-111 pentetreotide
|
$4,241.05 |
$4,241.05 |
$4,241.05 |
$6,617.05
|
|
Incise inner ear
|
$1,847.45 |
$1,847.45 |
$1,847.45 |
$2,133.48
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,779.25 |
$1,779.25 |
$1,779.25 |
$2,261.20
|
|
Incision of eardrum
|
$300.30 |
$300.30 |
$300.30 |
$470.73
|
|
Incision of tongue fold
|
$1,384.35 |
$1,384.35 |
$1,384.35 |
$1,865.58
|
|
Incisn windpipe
|
$3,849.45 |
$3,849.45 |
$3,849.45 |
$3,837.72
|
|
Infect ag drug suscept pheno predict
|
$380.60 |
$380.60 |
$380.60 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$16.50 |
$16.50 |
$16.50 |
$69.03
|
|
Infect ag genotype na dna hepatitis b
|
$354.75 |
$354.75 |
$354.75 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$146.85 |
$146.85 |
$146.85 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$518.10 |
$518.10 |
$518.10 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$114.95 |
$114.95 |
$114.95 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$45.10 |
$45.10 |
$45.10 |
$37.74
|
|
Infect ag if influenza a
|
$42.35 |
$42.35 |
$42.35 |
$40.61
|
|
Infect ag if influenza b
|
$42.35 |
$42.35 |
$42.35 |
$34.67
|
