|
Hcg quantitative
|
$76.50 |
$76.50 |
$76.50 |
$141.83
|
|
Head CT scan (with and without contrast)
|
$717.00 |
$717.00 |
$717.00 |
$1,834.20
|
|
Head CT scan (with contrast)
|
$611.50 |
$611.50 |
$611.50 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$515.00 |
$515.00 |
$515.00 |
$1,268.90
|
|
Hematocrit
|
$26.00 |
$26.00 |
$26.00 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$26,762.50 |
$26,762.50 |
$26,762.50 |
$20,618.46
|
|
Hemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$31.98
|
|
Hemoglobin methemoglobin quantitative
|
$58.50 |
$58.50 |
$58.50 |
$54.00
|
|
Hemoglobin plasma
|
$68.00 |
$68.00 |
$68.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$80.00 |
$80.00 |
$80.00 |
$58.32
|
|
Heparin assay
|
$49.00 |
$49.00 |
$49.00 |
$140.10
|
|
Heparin bolus from bag
|
$99.80 |
$99.80 |
$99.80 |
$68.93
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$30.98 |
$30.98 |
$30.98 |
$11.73
|
|
Hepatitis a antibody igm
|
$122.50 |
$122.50 |
$122.50 |
$90.40
|
|
Hepatitis b core antibody igm
|
$125.50 |
$125.50 |
$125.50 |
$88.80
|
|
Hepatitis b core antibody total
|
$94.00 |
$94.00 |
$94.00 |
$77.61
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,238.24 |
$2,238.24 |
$2,238.24 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$104.00 |
$104.00 |
$104.00 |
$83.50
|
|
Hepatitis c antibody
|
$120.50 |
$120.50 |
$120.50 |
$110.25
|
|
Hepatobiliary system imaging
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$1,494.00
|
|
Herpes simplex type 1 antibody igg
|
$95.00 |
$95.00 |
$95.00 |
$71.20
|
|
Herpes simplex type 2 antibody igg
|
$95.00 |
$95.00 |
$95.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$116.50 |
$116.50 |
$116.50 |
$106.53
|
|
Heterophile antibodies screening
|
$104.00 |
$104.00 |
$104.00 |
$74.00
|
|
Hip X-ray
|
$197.50 |
$197.50 |
$197.50 |
$294.75
|
|
Histamine
|
$166.00 |
$166.00 |
$166.00 |
$115.00
|
|
Histochemical stains add-on
|
$142.50 |
$142.50 |
$142.50 |
$153.00
|
|
HIV prep, inj, cabotegravir
|
$9,840.63 |
$9,840.63 |
$9,840.63 |
$7,211.48
|
|
Hizentra injection
|
$1,351.25 |
$1,351.25 |
$1,351.25 |
$3,912.58
|
|
Hla class i high defin qual
|
$528.50 |
$528.50 |
$528.50 |
$574.86
|
|
Hla ii typing 1 loc hr
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$290.94
|
|
Hla i typing high res 1 allele grp ea
|
$257.00 |
$257.00 |
$257.00 |
$285.60
|
|
Hla i typing low res one locus ea
|
$467.50 |
$467.50 |
$467.50 |
$321.60
|
|
Home sleep test/type 3 porta
|
$907.50 |
$907.50 |
$907.50 |
$606.45
|
|
Homocysteine
|
$123.00 |
$123.00 |
$123.00 |
$123.50
|
|
Homogenization tissue
|
$42.50 |
$42.50 |
$42.50 |
$41.16
|
|
Ho post-op hip abduction
|
$2,878.24 |
$2,878.24 |
$2,878.24 |
$1,788.69
|
|
Hpa-1 genotyping
|
$225.00 |
$225.00 |
$225.00 |
$202.20
|
|
H pylori (c-13) breath
|
$229.00 |
$229.00 |
$229.00 |
$213.00
|
|
H pylori drug admin
|
$59.00 |
$59.00 |
$59.00 |
$28.56
|
|
Hyaluronidase 200 units/ml inj
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$245.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$221.86 |
$221.86 |
$221.86 |
$150.41
|
|
Hydralazine 20 mg/ml injection solution
|
$95.54 |
$95.54 |
$95.54 |
$48.00
|
|
Hydration IV infusion each additional hour
|
$133.50 |
$133.50 |
$133.50 |
$134.00
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$418.00 |
$418.00 |
$418.00 |
$388.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$696.80 |
$696.80 |
$696.80 |
$154.90
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$546.45 |
$546.45 |
$546.45 |
$136.01
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$96.00 |
$96.00 |
$96.00 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$124.18 |
$124.18 |
$124.18 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.64 |
$0.64 |
$0.64 |
$1.00
|
|
Hysterosalpingography s&i
|
$718.00 |
$718.00 |
$718.00 |
$668.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$422.96 |
$422.96 |
$422.96 |
$352.24
|
|
I-123 iobenguane diag
|
$5,163.50 |
$5,163.50 |
$5,163.50 |
$5,256.50
|
|
I-123 ioflupane diag
|
$3,591.50 |
$3,591.50 |
$3,591.50 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$227.71 |
$227.71 |
$227.71 |
$141.90
|
|
I131 iodide cap, rx
|
$6,861.02 |
$6,861.02 |
$6,861.02 |
$76.44
|
|
Iaadi respiratory synctial virus
|
$64.50 |
$64.50 |
$64.50 |
$49.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$492.16 |
$492.16 |
$492.16 |
$676.78
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$464.54 |
$464.54 |
$464.54 |
$980.94
|
|
Icatibant injection
|
$1,515.38 |
$1,515.38 |
$1,515.38 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$37,548.52 |
$37,548.52 |
$37,548.52 |
$35,347.68
|
|
Icd crtd cobalt hf MRI is1 df1
|
$56,786.40 |
$56,786.40 |
$56,786.40 |
$38,711.25
|
|
Icd crtp serena MRI
|
$19,320.00 |
$19,320.00 |
$19,320.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$9,267.72
|
|
Icut allergy test drug/bug
|
$49.00 |
$49.00 |
$49.00 |
$70.29
|
|
Idarubicin hcl injection
|
$258.28 |
$258.28 |
$258.28 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$246.95 |
$246.95 |
$246.95 |
$244.44
|
|
Ihc/icc per specimen each additional single antibody stain
|
$263.50 |
$263.50 |
$263.50 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$263.50 |
$263.50 |
$263.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$283.50 |
$283.50 |
$283.50 |
$273.70
|
|
Immobilizer shldr cntor adlt
|
$226.12 |
$226.12 |
$226.12 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$281.97 |
$281.97 |
$281.97 |
$102.00
|
|
Immune complex assay
|
$179.00 |
$179.00 |
$179.00 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,930.00 |
$5,930.00 |
$5,930.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,809.32 |
$3,809.32 |
$3,809.32 |
$3,358.00
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,977.00 |
$6,977.00 |
$6,977.00 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$155.00 |
$155.00 |
$155.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$142.50 |
$142.50 |
$142.50 |
$118.80
|
|
Immunodiff gel qual ea antigen/ab
|
$36.00 |
$36.00 |
$36.00 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$152.00 |
$152.00 |
$152.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$124.00 |
$124.00 |
$124.00 |
$161.85
|
|
Immunofluorescence per specimen initial single antibody stain
|
$214.00 |
$214.00 |
$214.00 |
$238.22
|
|
Immunoglobulin assay
|
$317.50 |
$317.50 |
$317.50 |
$74.15
|
|
Implant cochlear osia osi300
|
$35,580.73 |
$35,580.73 |
$35,580.73 |
$17,698.33
|
|
Implant pulse generator remede el
|
$68,750.00 |
$68,750.00 |
$68,750.00 |
$50,985.00
|
|
Implant ureth bulk agent
|
$3,680.00 |
$3,680.00 |
$3,680.00 |
$2,141.57
|
|
In-111 oxyquinolin per 0.5 mci
|
$29.84 |
$29.84 |
$29.84 |
$2,601.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,598.17 |
$2,598.17 |
$2,598.17 |
$2,598.17
|
|
In-111 pentetreotide
|
$4,394.56 |
$4,394.56 |
$4,394.56 |
$4,994.01
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$2,080.80
|
|
Incobotulinumtoxin a
|
$2,578.00 |
$2,578.00 |
$2,578.00 |
$1,359.43
|
|
Infect ag drug suscept pheno predict
|
$293.00 |
$293.00 |
$293.00 |
$323.20
|
|
Infect ag genotype na hiv-1 other region
|
$340.00 |
$340.00 |
$340.00 |
$340.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$514.00 |
$514.00 |
$514.00 |
$603.75
|
|
Infect ag if ea plyvlnt antsrm
|
$77.00 |
$77.00 |
$77.00 |
$68.40
|
|
Infect ag if influenza a
|
$45.00 |
$45.00 |
$45.00 |
$42.35
|
|
Infect ag if influenza b
|
$48.50 |
$48.50 |
$48.50 |
$41.22
|
|
Infect ag if pneumocystis carinii
|
$81.50 |
$81.50 |
$81.50 |
$68.69
|
|
Infect ag na herpes simplex quant
|
$230.50 |
$230.50 |
$230.50 |
$168.50
|
|
Infect ag na influenza r/amp 1st 2 types
|
$216.00 |
$216.00 |
$216.00 |
$219.70
|
