|
Hand X-ray
|
$562.80 |
$562.80 |
$562.80 |
$317.78
|
|
Haptoglobin quantitative
|
$174.00 |
$174.00 |
$174.00 |
$75.00
|
|
Hcg qualitative
|
$95.40 |
$95.40 |
$95.40 |
$72.50
|
|
Hcg quantitative
|
$216.60 |
$216.60 |
$216.60 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$145.20 |
$145.20 |
$145.20 |
$84.80
|
|
Hematocrit
|
$18.00 |
$18.00 |
$18.00 |
$32.50
|
|
Hemoglobin
|
$18.00 |
$18.00 |
$18.00 |
$28.60
|
|
Hemoglobin methemoglobin quantitative
|
$67.80 |
$67.80 |
$67.80 |
$43.01
|
|
Hemoglobin plasma
|
$67.20 |
$67.20 |
$67.20 |
$43.80
|
|
Heparin assay
|
$69.60 |
$69.60 |
$69.60 |
$107.50
|
|
Heparin bolus from bag
|
$99.09 |
$99.09 |
$99.09 |
$50.95
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$38.80 |
$38.80 |
$38.80 |
$7.15
|
|
Hepatitis a antibody igm
|
$73.20 |
$73.20 |
$73.20 |
$80.60
|
|
Hepatitis b core antibody igm
|
$88.80 |
$88.80 |
$88.80 |
$85.80
|
|
Hepatitis b core antibody total
|
$121.20 |
$121.20 |
$121.20 |
$84.75
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,116.61 |
$1,116.61 |
$1,116.61 |
$468.80
|
|
Hepatitis b surface antibody
|
$69.00 |
$69.00 |
$69.00 |
$81.12
|
|
Hepatitis c antibody
|
$132.00 |
$132.00 |
$132.00 |
$106.50
|
|
Herpes simplex type 1 antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$96.20
|
|
Herpes simplex virus isolation
|
$118.80 |
$118.80 |
$118.80 |
$110.50
|
|
Heterophile antibodies screening
|
$40.20 |
$40.20 |
$40.20 |
$59.40
|
|
Hip X-ray
|
$274.80 |
$274.80 |
$274.80 |
$262.64
|
|
Histamine
|
$172.80 |
$172.80 |
$172.80 |
$132.60
|
|
Hiv-1 ag ia
|
$45.60 |
$45.60 |
$45.60 |
$87.00
|
|
HIV prep, ftc/taf 200/25mg
|
$104.33 |
$104.33 |
$104.33 |
$104.33
|
|
Hla ii typing 1 loc hr
|
$323.40 |
$323.40 |
$323.40 |
$342.60
|
|
Hla i typing high res 1 allele grp ea
|
$336.60 |
$336.60 |
$336.60 |
$340.00
|
|
Homocysteine
|
$244.80 |
$244.80 |
$244.80 |
$100.00
|
|
Hpv types 16 & 18 only
|
$127.20 |
$127.20 |
$127.20 |
$114.33
|
|
H pylori (c-13) breath
|
$283.80 |
$283.80 |
$283.80 |
$236.00
|
|
Hyaluronidase 200 units/ml inj
|
$327.84 |
$327.84 |
$327.84 |
$203.80
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$180.48 |
$180.48 |
$180.48 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$46.01 |
$46.01 |
$46.01 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$181.20 |
$181.20 |
$181.20 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$415.80 |
$415.80 |
$415.80 |
$388.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$43.68 |
$43.68 |
$43.68 |
$63.24
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$47.18 |
$47.18 |
$47.18 |
$47.18
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$119.06 |
$119.06 |
$119.06 |
$75.95
|
|
Ihc/icc per specimen initial single antibody stain
|
$382.80 |
$382.80 |
$382.80 |
$274.86
|
|
Immobilizer shldr cntor adlt
|
$127.20 |
$127.20 |
$127.20 |
$89.70
|
|
Immobilizer shldr dlx str 24-36in med
|
$144.60 |
$144.60 |
$144.60 |
$72.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$166.20 |
$166.20 |
$166.20 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$156.60 |
$156.60 |
$156.60 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$50.40 |
$50.40 |
$50.40 |
$58.25
|
|
Immunofixation electrophoresis serum
|
$255.00 |
$255.00 |
$255.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$162.60 |
$162.60 |
$162.60 |
$185.00
|
|
Implant cartilage 10mm synthetic
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$14,238.00
|
|
Infect ag genotype na cytomegalovirus
|
$367.80 |
$367.80 |
$367.80 |
$577.60
|
|
Infect ag genotype na hiv-1 other region
|
$529.80 |
$529.80 |
$529.80 |
$390.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,026.60 |
$1,026.60 |
$1,026.60 |
$619.11
|
|
Infect ag ia direct hiv-1 antgn
|
$133.20 |
$133.20 |
$133.20 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$50.40 |
$50.40 |
$50.40 |
$65.58
|
|
Infect ag if nos ea
|
$109.80 |
$109.80 |
$109.80 |
$66.40
|
|
Infect ag na herpes simplex quant
|
$77.40 |
$77.40 |
$77.40 |
$145.20
|
|
Infect ag na hpv high-risk types
|
$147.00 |
$147.00 |
$147.00 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$286.80 |
$286.80 |
$286.80 |
$248.80
|
|
Infect ag na resp virus 12-25 targets
|
$1,454.40 |
$1,454.40 |
$1,454.40 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$108.60 |
$108.60 |
$108.60 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$63.60 |
$63.60 |
$63.60 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$68.40 |
$68.40 |
$68.40 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$67.80 |
$67.80 |
$67.80 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$175.20 |
$175.20 |
$175.20 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$152.40 |
$152.40 |
$152.40 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$44.40 |
$44.40 |
$44.40 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$145.80 |
$145.80 |
$145.80 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$110.40 |
$110.40 |
$110.40 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$109.80 |
$109.80 |
$109.80 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$40.20 |
$40.20 |
$40.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$189.60 |
$189.60 |
$189.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$161.40 |
$161.40 |
$161.40 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$194.40 |
$194.40 |
$194.40 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$154.80 |
$154.80 |
$154.80 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$148.80 |
$148.80 |
$148.80 |
$148.80
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$261.00 |
$261.00 |
$261.00 |
$217.10
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$141.00 |
$141.00 |
$141.00 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$319.20 |
$319.20 |
$319.20 |
$109.18
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$309.60 |
$309.60 |
$309.60 |
$135.00
|
|
Infectious agent nucleic acid quantification bk virus
|
$279.00 |
$279.00 |
$279.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$179.40 |
$179.40 |
$179.40 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$485.40 |
$485.40 |
$485.40 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$417.00 |
$417.00 |
$417.00 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$23.58 |
$23.58 |
$23.58 |
$178.95
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$20.66 |
$20.66 |
$20.66 |
$157.14
|
|
Influenza dna amp prob addl
|
$69.60 |
$69.60 |
$69.60 |
$75.80
|
|
Initiation & management bipap/cpap initial day
|
$421.80 |
$421.80 |
$421.80 |
$608.40
|
|
Inj cefazolin sodium, hikma
|
$66.16 |
$66.16 |
$66.16 |
$66.38
|
|
Inj ceftolozane tazobactam
|
$239.31 |
$239.31 |
$239.31 |
$248.93
|
|
Injection,onabotulinumtoxina
|
$12.88 |
$12.88 |
$12.88 |
$12.88
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$426.60 |
$426.60 |
$426.60 |
$1,017.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$587.40 |
$587.40 |
$587.40 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$211.80 |
$211.80 |
$211.80 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$174.60 |
$174.60 |
$174.60 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$303.60 |
$303.60 |
$303.60 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$148.20 |
$148.20 |
$148.20 |
$130.19
|
|
Insertion catheter bladder non indwelling
|
$332.40 |
$332.40 |
$332.40 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$306.00 |
$306.00 |
$306.00 |
$245.00
|