|
Hematopoietic nuclear tx
|
$2,240.40 |
$2,240.40 |
$2,240.40 |
$928.98
|
|
Hemodialysis one evaluation
|
$1,437.60 |
$1,437.60 |
$1,437.60 |
$1,364.27
|
|
Hemoglobin
|
$18.00 |
$18.00 |
$18.00 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$125.40 |
$125.40 |
$125.40 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$67.80 |
$67.80 |
$67.80 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$259.80 |
$259.80 |
$259.80 |
$89.13
|
|
Hemoglobin plasma
|
$67.20 |
$67.20 |
$67.20 |
$41.40
|
|
Hemolysin acid
|
$102.00 |
$102.00 |
$102.00 |
$79.04
|
|
Hemophilus influenza antibdy
|
$159.00 |
$159.00 |
$159.00 |
$62.70
|
|
Heparin assay
|
$69.60 |
$69.60 |
$69.60 |
$139.15
|
|
Heparin bolus from bag
|
$158.03 |
$158.03 |
$158.03 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$45.16 |
$45.16 |
$45.16 |
$12.00
|
|
Hepatitis a antibody igm
|
$67.80 |
$67.80 |
$67.80 |
$89.44
|
|
Hepatitis b core antibody igm
|
$82.20 |
$82.20 |
$82.20 |
$89.60
|
|
Hepatitis b core antibody total
|
$121.20 |
$121.20 |
$121.20 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,116.61 |
$1,116.61 |
$1,116.61 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$69.00 |
$69.00 |
$69.00 |
$82.32
|
|
Hepatitis c antibody
|
$132.00 |
$132.00 |
$132.00 |
$108.25
|
|
Hepb vacc 3 dose immunsup im
|
$305.08 |
$305.08 |
$305.08 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$87.36
|
|
Herpes simplex virus isolation
|
$118.80 |
$118.80 |
$118.80 |
$110.00
|
|
Heterophile antibodies screening
|
$40.20 |
$40.20 |
$40.20 |
$73.87
|
|
Hib-hepb vaccine im
|
$128.23 |
$128.23 |
$128.23 |
$85.80
|
|
Hib-mency vacc 6wk-18m0 im
|
$118.91 |
$118.91 |
$118.91 |
$201.60
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$274.80 |
$274.80 |
$274.80 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$376.80 |
$376.80 |
$376.80 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$172.80 |
$172.80 |
$172.80 |
$233.50
|
|
Hip X-ray
|
$274.80 |
$274.80 |
$274.80 |
$294.75
|
|
Histamine
|
$172.80 |
$172.80 |
$172.80 |
$115.00
|
|
Histochemical stains add-on
|
$360.60 |
$360.60 |
$360.60 |
$152.75
|
|
Hiv-1 ag ia
|
$45.60 |
$45.60 |
$45.60 |
$107.90
|
|
HIV prep, ftc/taf 200/25mg
|
$104.33 |
$104.33 |
$104.33 |
$88.39
|
|
Hla class i high defin qual
|
$406.20 |
$406.20 |
$406.20 |
$631.15
|
|
Hla class ii high defin qual
|
$378.00 |
$378.00 |
$378.00 |
$569.25
|
|
Hla class i&ii antibody qual
|
$175.80 |
$175.80 |
$175.80 |
$255.00
|
|
Hla i & ii typing lr
|
$581.40 |
$581.40 |
$581.40 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$323.40 |
$323.40 |
$323.40 |
$299.20
|
|
Hla i typing high res 1 allele grp ea
|
$336.60 |
$336.60 |
$336.60 |
$304.20
|
|
Hla typing a b or c
|
$595.80 |
$595.80 |
$595.80 |
$364.00
|
|
Hla x-math non-cytotoxic
|
$235.80 |
$235.80 |
$235.80 |
$364.80
|
|
Hlth bhv assmt/reassessment
|
$189.60 |
$189.60 |
$189.60 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$189.60 |
$189.60 |
$189.60 |
$147.16
|
|
Hlth bhv ivntj indiv 1st 30
|
$189.60 |
$189.60 |
$189.60 |
$200.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$0.36 |
$0.36 |
$0.36 |
$79.78
|
|
Home sleep test/type 3 porta
|
$608.40 |
$608.40 |
$608.40 |
$570.00
|
|
Homocysteine
|
$244.80 |
$244.80 |
$244.80 |
$125.40
|
|
Homogenization tissue
|
$48.60 |
$48.60 |
$48.60 |
$41.30
|
|
Homovanillic acid (hva)
|
$166.20 |
$166.20 |
$166.20 |
$59.95
|
|
Ho post-op hip abduction
|
$3,491.40 |
$3,491.40 |
$3,491.40 |
$1,753.00
|
|
Hpv types 16 & 18 only
|
$127.20 |
$127.20 |
$127.20 |
$112.00
|
|
H pylori (c-13) breath
|
$283.80 |
$283.80 |
$283.80 |
$212.25
|
|
H pylori drug admin
|
$59.40 |
$59.40 |
$59.40 |
$28.56
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$3.39 |
$3.39 |
$3.39 |
$5,568.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$180.48 |
$180.48 |
$180.48 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$46.01 |
$46.01 |
$46.01 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$252.95 |
$252.95 |
$252.95 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$203.90 |
$203.90 |
$203.90 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$119.06 |
$119.06 |
$119.06 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$179.40 |
$179.40 |
$179.40 |
$73.45
|
|
Hysterosalpingography s&i
|
$557.40 |
$557.40 |
$557.40 |
$669.12
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$331.10 |
$331.10 |
$331.10 |
$352.24
|
|
I-123 iobenguane diag
|
$15,673.80 |
$15,673.80 |
$15,673.80 |
$5,170.70
|
|
I-123 ioflupane diag
|
$3,451.20 |
$3,451.20 |
$3,451.20 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$157.80 |
$157.80 |
$157.80 |
$147.46
|
|
I131 iodide cap, rx
|
$51.00 |
$51.00 |
$51.00 |
$71.70
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,098.28 |
$1,098.28 |
$1,098.28 |
$684.45
|
|
Ibuprofen injection
|
$1,867.30 |
$1,867.30 |
$1,867.30 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$342.78 |
$342.78 |
$342.78 |
$980.94
|
|
Idarubicin hcl injection
|
$25.30 |
$25.30 |
$25.30 |
$447.02
|
|
Igh gene rearrange amp meth
|
$293.40 |
$293.40 |
$293.40 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$369.60 |
$369.60 |
$369.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$359.40 |
$359.40 |
$359.40 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$372.00 |
$372.00 |
$372.00 |
$277.90
|
|
Iliac revasc add-on 37222
|
$9,819.60 |
$9,819.60 |
$9,819.60 |
$6,082.65
|
|
Immobilizer shldr cntor adlt
|
$67.80 |
$67.80 |
$67.80 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$205.80 |
$205.80 |
$205.80 |
$118.43
|
|
Immune complex assay
|
$164.40 |
$164.40 |
$164.40 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,572.65 |
$6,572.65 |
$6,572.65 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,568.72 |
$2,568.72 |
$2,568.72 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$6,925.50 |
$6,925.50 |
$6,925.50 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$166.20 |
$166.20 |
$166.20 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$156.60 |
$156.60 |
$156.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$188.40 |
$188.40 |
$188.40 |
$48.57
|
|
Immunodiffusion nes
|
$175.80 |
$175.80 |
$175.80 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$255.00 |
$255.00 |
$255.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$162.60 |
$162.60 |
$162.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$365.40 |
$365.40 |
$365.40 |
$234.27
|
|
Immunoglobulin assay
|
$52.20 |
$52.20 |
$52.20 |
$78.00
|
|
Immunology procedure
|
$406.80 |
$406.80 |
$406.80 |
$150.70
|
|
Implant cartilage 10mm synthetic
|
$43,500.00 |
$43,500.00 |
$43,500.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$30,293.40 |
$30,293.40 |
$30,293.40 |
$16,195.55
|
|
Implant neuroelectrodes
|
$7,654.20 |
$7,654.20 |
$7,654.20 |
$7,728.86
|
|
Implant ureth bulk agent
|
$3,147.60 |
$3,147.60 |
$3,147.60 |
$2,168.00
|
|
In-111 autol wbc diag per dose
|
$7,185.60 |
$7,185.60 |
$7,185.60 |
$3,493.75
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,641.80 |
$2,641.80 |
$2,641.80 |
$2,598.17
|
|
In-111 pentetreotide
|
$12,661.20 |
$12,661.20 |
$12,661.20 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$2,086.70
|
|
Incision of foot fascia
|
$3,888.60 |
$3,888.60 |
$3,888.60 |
$4,599.40
|