|
Haloperidol lactate 5 mg/ml injection solution
|
$63.72 |
$63.72 |
$63.72 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$109.60 |
$109.60 |
$109.60 |
$105.30
|
|
Hand X-ray
|
$218.40 |
$218.40 |
$218.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$172.00 |
$172.00 |
$172.00 |
$294.90
|
|
Haptoglobin quantitative
|
$72.00 |
$72.00 |
$72.00 |
$92.80
|
|
Hcg qualitative
|
$52.00 |
$52.00 |
$52.00 |
$90.10
|
|
Hcg quantitative
|
$79.20 |
$79.20 |
$79.20 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,248.00 |
$2,248.00 |
$2,248.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,883.20 |
$1,883.20 |
$1,883.20 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$184.00 |
$184.00 |
$184.00 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$84.00 |
$84.00 |
$84.00 |
$92.00
|
|
Hematocrit
|
$14.40 |
$14.40 |
$14.40 |
$33.80
|
|
Hemoglobin
|
$15.20 |
$15.20 |
$15.20 |
$33.54
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Hepagam b intravenous, inj
|
$903.33 |
$903.33 |
$903.33 |
$386.40
|
|
Heparin assay
|
$156.80 |
$156.80 |
$156.80 |
$139.15
|
|
Heparin bolus from bag
|
$156.88 |
$156.88 |
$156.88 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$8.97 |
$8.97 |
$8.97 |
$12.00
|
|
Hepatitis a antibody igm
|
$64.00 |
$64.00 |
$64.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$68.80 |
$68.80 |
$68.80 |
$89.60
|
|
Hepatitis b core antibody total
|
$70.40 |
$70.40 |
$70.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$61.60 |
$61.60 |
$61.60 |
$82.32
|
|
Hepatitis c antibody
|
$97.60 |
$97.60 |
$97.60 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$92.80 |
$92.80 |
$92.80 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$92.80 |
$92.80 |
$92.80 |
$87.36
|
|
Heterophile antibodies screening
|
$36.00 |
$36.00 |
$36.00 |
$73.87
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$327.20 |
$327.20 |
$327.20 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$167.20 |
$167.20 |
$167.20 |
$233.50
|
|
Hip X-ray
|
$248.00 |
$248.00 |
$248.00 |
$294.75
|
|
Hla i low res one antigen equiv ea
|
$191.20 |
$191.20 |
$191.20 |
$164.00
|
|
Home sleep test/type 3 porta
|
$453.60 |
$453.60 |
$453.60 |
$570.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homovanillic acid (hva)
|
$68.80 |
$68.80 |
$68.80 |
$59.95
|
|
H pylori (c-13) breath
|
$296.00 |
$296.00 |
$296.00 |
$212.25
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$98.15 |
$98.15 |
$98.15 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$62.85 |
$62.85 |
$62.85 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$76.19 |
$76.19 |
$76.19 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$60.38 |
$60.38 |
$60.38 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$270.78 |
$270.78 |
$270.78 |
$294.92
|
|
Hysterosalpingography s&i
|
$539.20 |
$539.20 |
$539.20 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
$147.46
|
|
Iaadi respiratory synctial virus
|
$49.60 |
$49.60 |
$49.60 |
$54.58
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$768.24 |
$768.24 |
$768.24 |
$684.45
|
|
Ihc/icc per specimen each additional single antibody stain
|
$160.00 |
$160.00 |
$160.00 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$172.80 |
$172.80 |
$172.80 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$50.40 |
$50.40 |
$50.40 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$59.20 |
$59.20 |
$59.20 |
$118.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,359.52 |
$3,359.52 |
$3,359.52 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$50.40 |
$50.40 |
$50.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$120.80 |
$120.80 |
$120.80 |
$142.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$2,086.70
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$115.20 |
$115.20 |
$115.20 |
$140.80
|
|
Infect ag eia influenza a or b ea
|
$64.00 |
$64.00 |
$64.00 |
$71.20
|
|
Infect ag ia optc obs influenza
|
$56.00 |
$56.00 |
$56.00 |
$72.93
|
|
Infect ag if influenza a
|
$52.80 |
$52.80 |
$52.80 |
$41.30
|
|
Infect ag if influenza b
|
$49.60 |
$49.60 |
$49.60 |
$37.95
|
|
Infect ag if nos ea
|
$71.20 |
$71.20 |
$71.20 |
$74.88
|
|
Infect ag na hpv high-risk types
|
$128.00 |
$128.00 |
$128.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$144.00 |
$144.00 |
$144.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$110.40 |
$110.40 |
$110.40 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$64.80 |
$64.80 |
$64.80 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$69.60 |
$69.60 |
$69.60 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$120.80 |
$120.80 |
$120.80 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$51.20 |
$51.20 |
$51.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.20 |
$67.20 |
$67.20 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$78.40 |
$78.40 |
$78.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$92.80 |
$92.80 |
$92.80 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$64.80 |
$64.80 |
$64.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$158.40 |
$158.40 |
$158.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$188.80 |
$188.80 |
$188.80 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$142.40 |
$142.40 |
$142.40 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$177.60 |
$177.60 |
$177.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$151.20 |
$151.20 |
$151.20 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$124.80 |
$124.80 |
$124.80 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$349.60 |
$349.60 |
$349.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$460.80 |
$460.80 |
$460.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$105.60 |
$105.60 |
$105.60 |
$96.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$340.00 |
$340.00 |
$340.00 |
$217.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$744.80 |
$744.80 |
$744.80 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$103.20 |
$103.20 |
$103.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$100.00 |
$100.00 |
$100.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$125.60 |
$125.60 |
$125.60 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$434.40 |
$434.40 |
$434.40 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$348.00 |
$348.00 |
$348.00 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,552.96 |
$1,552.96 |
$1,552.96 |
$2,047.13
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$233.60 |
$233.60 |
$233.60 |
$296.00
|
|
Inj, abilify maintena, 1 mg
|
$2,507.03 |
$2,507.03 |
$2,507.03 |
$5,355.30
|
|
Inj, acetaminophen (b braun)
|
$128.40 |
$128.40 |
$128.40 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$154.16 |
$154.16 |
$154.16 |
$36.60
|
|
Inj., benralizumab, 1 mg
|
$8,055.65 |
$8,055.65 |
$8,055.65 |
$11,310.00
|
|
Inj, bupivacaine liposome
|
$60.00 |
$60.00 |
$60.00 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$63.96 |
$63.96 |
$63.96 |
$27.38
|
|
Inj, cefepime hcl (b braun)
|
$214.77 |
$214.77 |
$214.77 |
$69.85
|
|
Inj, daptomycin (hospira)
|
$86.81 |
$86.81 |
$86.81 |
$128.08
|
|
Injection, daratumumab 10 mg
|
$3,653.26 |
$3,653.26 |
$3,653.26 |
$5,324.34
|