|
Head CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,252.80
|
|
Heart image spect
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$566.74
|
|
Helicobacter pylori antibody igm
|
$382.20 |
$382.20 |
$382.20 |
$84.80
|
|
Hematocrit
|
$61.20 |
$61.20 |
$61.20 |
$32.50
|
|
Hematopoietic nuclear tx
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$878.33
|
|
Hemin 350 mg intravenous powder for solution
|
$16,410.74 |
$16,410.74 |
$16,410.74 |
$37,212.55
|
|
Hemodialysis one evaluation
|
$1,697.40 |
$1,697.40 |
$2,017.80 |
$1,131.00
|
|
Hemoglobin
|
$63.60 |
$63.60 |
$63.60 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$172.20 |
$172.20 |
$172.20 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$267.00 |
$267.00 |
$267.00 |
$43.01
|
|
Hemoglobin-oxygen affinity
|
$357.60 |
$357.60 |
$357.60 |
$59.94
|
|
Hemoglobin plasma
|
$237.60 |
$237.60 |
$237.60 |
$43.80
|
|
Hemolysin acid
|
$140.40 |
$140.40 |
$140.40 |
$65.19
|
|
Hemophilus influenza antibdy
|
$217.80 |
$217.80 |
$217.80 |
$56.80
|
|
Heparin assay
|
$576.00 |
$576.00 |
$576.00 |
$107.50
|
|
Heparin bolus from bag
|
$158.03 |
$158.03 |
$158.03 |
$50.95
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$38.80 |
$99.30 |
$99.30 |
$7.15
|
|
Hepatitis a antibody igm
|
$288.00 |
$288.00 |
$288.00 |
$80.60
|
|
Hepatitis b core antibody igm
|
$288.60 |
$288.60 |
$288.60 |
$85.80
|
|
Hepatitis b core antibody total
|
$223.80 |
$223.80 |
$223.80 |
$84.75
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,580.54 |
$1,580.54 |
$1,580.54 |
$468.80
|
|
Hepatitis b surface antibody
|
$217.20 |
$217.20 |
$217.20 |
$81.12
|
|
Hepatitis c antibody
|
$316.20 |
$316.20 |
$316.20 |
$106.50
|
|
Hepatobiliary system imaging
|
$2,378.40 |
$2,378.40 |
$2,378.40 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$38.40 |
$172.20 |
$172.20 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$72.60 |
$198.60 |
$198.60 |
$96.20
|
|
Herpes simplex virus isolation
|
$259.80 |
$259.80 |
$259.80 |
$110.50
|
|
Heterophile antibodies screening
|
$162.60 |
$162.60 |
$162.60 |
$59.40
|
|
Hip X-ray
|
$274.80 |
$274.80 |
$274.80 |
$262.64
|
|
Histamine
|
$304.80 |
$304.80 |
$304.80 |
$132.60
|
|
Histochemical stains add-on
|
$433.80 |
$433.80 |
$433.80 |
$179.04
|
|
Hiv-1 ag ia
|
$51.60 |
$51.60 |
$51.60 |
$87.00
|
|
HIV prep, ftc/taf 200/25mg
|
$104.33 |
$104.33 |
$104.33 |
$104.33
|
|
HIV prep, ftc/tdf 200/300mg
|
$50.75 |
$50.75 |
$50.75 |
$50.75
|
|
Hla class i high defin qual
|
$532.20 |
$532.20 |
$532.20 |
$574.86
|
|
Hla class ii high defin qual
|
$493.20 |
$493.20 |
$493.20 |
$530.54
|
|
Hla class i&ii antibody qual
|
$241.20 |
$241.20 |
$241.20 |
$241.20
|
|
Hla class i/ii antibody qual
|
$324.00 |
$324.00 |
$324.00 |
$128.80
|
|
Hla class ii phenotype qual
|
$587.40 |
$587.40 |
$587.40 |
$341.64
|
|
Hla class ii semiquant panel
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$724.80
|
|
Hla class i phenotype qual
|
$612.00 |
$612.00 |
$612.00 |
$341.64
|
|
Hla class i semiquant panel
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$802.40
|
|
Hla i & ii typing hr
|
$2,798.40 |
$2,798.40 |
$2,798.40 |
$776.00
|
|
Hla i & ii typing lr
|
$760.20 |
$760.20 |
$760.20 |
$1,178.15
|
|
Hla ii typing 1 loc hr
|
$596.40 |
$596.40 |
$596.40 |
$342.60
|
|
Hla ii typing ag equiv lr
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$372.06
|
|
Hla i low res one antigen equiv ea
|
$358.80 |
$358.80 |
$358.80 |
$164.00
|
|
Hla i typing 1 locus hr
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$398.40
|
|
Hla i typing complete hr
|
$817.80 |
$817.80 |
$817.80 |
$607.86
|
|
Hla i typing complete lr
|
$1,792.20 |
$1,792.20 |
$1,792.20 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$336.00 |
$336.00 |
$336.00 |
$340.00
|
|
Hla typing a b or c
|
$817.80 |
$817.80 |
$817.80 |
$379.20
|
|
Hla x-match noncytotoxc addl
|
$331.20 |
$331.20 |
$331.20 |
$148.32
|
|
Hla x-math non-cytotoxic
|
$323.40 |
$323.40 |
$323.40 |
$265.00
|
|
Hlth bhv assmt/reassessment
|
$195.60 |
$195.60 |
$195.60 |
$182.25
|
|
Hlth bhv ivntj fam 1st 30
|
$195.60 |
$195.60 |
$195.60 |
$162.40
|
|
Hlth bhv ivntj indiv 1st 30
|
$195.60 |
$195.60 |
$195.60 |
$208.24
|
|
Hocm 250-299mg/ml iodine,1ml
|
$49.12 |
$49.12 |
$49.12 |
$49.12
|
|
Hocm 350-399mg/ml iodine,1ml
|
$70.67 |
$70.67 |
$70.67 |
$9.00
|
|
Home sleep test/type 3 porta
|
$632.40 |
$632.40 |
$632.40 |
$606.45
|
|
Homocysteine
|
$548.40 |
$548.40 |
$548.40 |
$100.00
|
|
Homogenization tissue
|
$129.60 |
$129.60 |
$129.60 |
$39.20
|
|
Homovanillic acid (hva)
|
$174.60 |
$174.60 |
$174.60 |
$66.60
|
|
Hpv types 16 & 18 only
|
$175.20 |
$175.20 |
$175.20 |
$114.33
|
|
H pylori (c-13) breath
|
$526.20 |
$526.20 |
$526.20 |
$236.00
|
|
H pylori drug admin
|
$81.60 |
$81.60 |
$81.60 |
$33.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$3.39 |
$3.39 |
$3.39 |
$3.39
|
|
Hyaluronidase 200 units/ml inj
|
$203.80 |
$203.80 |
$203.80 |
$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
|
$102.60 |
$102.60 |
$102.60 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$413.40 |
$413.40 |
$500.40 |
$388.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$43.68 |
$252.95 |
$252.95 |
$63.24
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$81.11 |
$669.31 |
$669.31 |
$47.18
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$119.06 |
$119.06 |
$119.06 |
$75.95
|
|
Hydroxyzine pamoate 25 mg capsule
|
$1.87 |
$1.87 |
$1.87 |
$1.87
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$246.60 |
$246.60 |
$246.60 |
$86.45
|
|
Hyoscyamine sulfate inj
|
$123.83 |
$123.83 |
$123.83 |
$123.83
|
|
Hysterosalpingography s&i
|
$325.80 |
$325.80 |
$325.80 |
$555.39
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$331.10 |
$331.10 |
$331.10 |
$394.13
|
|
I-123 iobenguane diag
|
$9,466.20 |
$9,466.20 |
$9,466.20 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$63.00 |
$63.00 |
$63.00 |
$157.09
|
|
I131 iodide cap, rx
|
$42.60 |
$42.60 |
$42.60 |
$117.00
|
|
I131 iodide sol, rx
|
$33.60 |
$33.60 |
$33.60 |
$44.49
|
|
I-131 sod iodide sol diag per mci
|
$33.60 |
$33.60 |
$33.60 |
$135.45
|
|
Iadna legionella pneumophila amplified probe tq
|
$64.20 |
$64.20 |
$64.20 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,098.28 |
$1,098.28 |
$1,098.28 |
$768.06
|
|
Ibuprofen injection
|
$1,240.42 |
$1,240.42 |
$1,240.42 |
$150.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$342.78 |
$342.78 |
$342.78 |
$614.95
|
|
Idarubicin hcl injection
|
$25.30 |
$25.30 |
$25.30 |
$249.51
|
|
Idh1 common variants
|
$532.20 |
$532.20 |
$532.20 |
$406.90
|
|
Idh2 common variants
|
$814.20 |
$814.20 |
$814.20 |
$463.45
|
|
Igh@/bcl2 translocation alys
|
$448.80 |
$448.80 |
$448.80 |
$351.00
|
|
Igh gene rearrange amp meth
|
$334.80 |
$334.80 |
$334.80 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$1,039.80 |
$1,039.80 |
$1,039.80 |
$685.75
|
|
Igk rearrangeabn clonal pop
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$382.50
|
|
Ihc/icc per specimen each additional single antibody stain
|
$155.40 |
$155.40 |
$155.40 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$410.40 |
$410.40 |
$410.40 |
$339.73
|
