|
Hc i-131 sodium iodide cap dx per mci
|
$85.42 |
$85.42 |
$155.32 |
$117.00
|
|
Head CT scan (with and without contrast)
|
$581.68 |
$581.68 |
$1,057.60 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$440.44 |
$440.44 |
$800.80 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$272.58 |
$272.58 |
$495.60 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$0.44 |
$0.44 |
$0.80 |
$91.98
|
|
Hematocrit
|
$9.46 |
$9.46 |
$17.20 |
$33.57
|
|
Hemodialysis one evaluation
|
$387.20 |
$387.20 |
$704.00 |
$1,319.44
|
|
Hemoglobin
|
$9.02 |
$9.02 |
$16.40 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$24.20 |
$24.20 |
$44.00 |
$53.60
|
|
Hemophilus influenza antibdy
|
$16.94 |
$16.94 |
$30.80 |
$62.70
|
|
Heparin assay
|
$178.64 |
$178.64 |
$324.80 |
$140.10
|
|
Heparin bolus from bag
|
$76.33 |
$76.33 |
$138.78 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$22.00 |
$22.00 |
$40.00 |
$10.61
|
|
Hepatitis a antibody igm
|
$41.36 |
$41.36 |
$75.20 |
$87.75
|
|
Hepatitis b core antibody igm
|
$30.80 |
$30.80 |
$56.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$37.62 |
$37.62 |
$68.40 |
$77.50
|
|
Hepatitis b surface ag quan
|
$10.78 |
$10.78 |
$19.60 |
$54.88
|
|
Hepatitis b surface antibody
|
$29.70 |
$29.70 |
$54.00 |
$82.05
|
|
Hepatitis c antibody
|
$33.00 |
$33.00 |
$60.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$219.34 |
$219.34 |
$398.80 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$12.98 |
$12.98 |
$23.60 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$14.52 |
$14.52 |
$26.40 |
$87.10
|
|
Heterophile antibodies screening
|
$3.08 |
$3.08 |
$5.60 |
$74.00
|
|
Hip X-ray
|
$78.76 |
$78.76 |
$143.20 |
$292.05
|
|
Histochemical stains add-on
|
$30.58 |
$30.58 |
$55.60 |
$153.29
|
|
Hla i low res one antigen equiv ea
|
$61.82 |
$61.82 |
$112.40 |
$161.70
|
|
Hla typing dr/dq
|
$28.82 |
$28.82 |
$52.40 |
$198.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$73.85 |
$73.85 |
$134.28 |
$79.78
|
|
Homocysteine
|
$17.60 |
$17.60 |
$32.00 |
$121.92
|
|
Homovanillic acid (hva)
|
$28.38 |
$28.38 |
$51.60 |
$59.95
|
|
Hpv types 16 & 18 only
|
$30.14 |
$30.14 |
$54.80 |
$110.70
|
|
Hydralazine 20 mg/ml injection solution
|
$36.65 |
$36.65 |
$66.64 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$18.70 |
$18.70 |
$34.00 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$129.80 |
$129.80 |
$236.00 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$46.27 |
$46.27 |
$84.12 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$622.87 |
$622.87 |
$1,132.50 |
$131.47
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$71.44 |
$71.44 |
$129.89 |
$72.65
|
|
Hyoscyamine sulfate inj
|
$274.76 |
$274.76 |
$499.56 |
$123.83
|
|
Hysterosalpingography s&i
|
$176.88 |
$176.88 |
$321.60 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$58.07 |
$58.07 |
$105.57 |
$139.20
|
|
I131 max 100uci
|
$58.73 |
$58.73 |
$106.78 |
$53.39
|
|
I131 serum albumin, dx
|
$254.10 |
$254.10 |
$462.00 |
$847.84
|
|
Iadna legionella pneumophila amplified probe tq
|
$24.20 |
$24.20 |
$44.00 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$305.42 |
$305.42 |
$555.31 |
$635.44
|
|
Ibuprofen injection
|
$839.53 |
$839.53 |
$1,526.42 |
$350.58
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$910.67 |
$910.67 |
$1,655.76 |
$980.94
|
|
Icatibant injection
|
$4,920.99 |
$4,920.99 |
$8,947.25 |
$8,695.05
|
|
Idarubicin hcl injection
|
$170.83 |
$170.83 |
$310.61 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$118.40 |
$118.40 |
$215.28 |
$243.78
|
|
Ihc/icc per specimen each additional single antibody stain
|
$24.20 |
$24.20 |
$44.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$115.06 |
$115.06 |
$209.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$133.54 |
$133.54 |
$242.80 |
$274.86
|
|
Immune complex assay
|
$26.18 |
$26.18 |
$47.60 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,076.86 |
$1,076.86 |
$1,957.92 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$47.08 |
$47.08 |
$85.60 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$45.98 |
$45.98 |
$83.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$38.50 |
$38.50 |
$70.00 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$45.32 |
$45.32 |
$82.40 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$27.72 |
$27.72 |
$50.40 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$133.54 |
$133.54 |
$242.80 |
$232.05
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,252.42 |
$1,252.42 |
$2,277.12 |
$2,568.98
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$457.38 |
$457.38 |
$831.60 |
$2,080.80
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$46.42 |
$46.42 |
$84.40 |
$131.20
|
|
Infect ag genotype na cytomegalovirus
|
$183.70 |
$183.70 |
$334.00 |
$636.35
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$660.22 |
$660.22 |
$1,200.40 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$7.48 |
$7.48 |
$13.60 |
$72.93
|
|
Infect ag na hpv high-risk types
|
$38.50 |
$38.50 |
$70.00 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$38.06 |
$38.06 |
$69.20 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$198.66 |
$198.66 |
$361.20 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$28.60 |
$28.60 |
$52.00 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$21.78 |
$21.78 |
$39.60 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$14.30 |
$14.30 |
$26.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$69.52 |
$69.52 |
$126.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$47.52 |
$47.52 |
$86.40 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.44 |
$22.44 |
$40.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$96.36 |
$96.36 |
$175.20 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$57.64 |
$57.64 |
$104.80 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$15.40 |
$15.40 |
$28.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$60.72 |
$60.72 |
$110.40 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$58.08 |
$58.08 |
$105.60 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$36.74 |
$36.74 |
$66.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$113.74 |
$113.74 |
$206.80 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$47.52 |
$47.52 |
$86.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$67.98 |
$67.98 |
$123.60 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$104.94 |
$104.94 |
$190.80 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$23.98 |
$23.98 |
$43.60 |
$100.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$21.56 |
$21.56 |
$39.20 |
$94.53
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$33.44 |
$33.44 |
$60.80 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$50.60 |
$50.60 |
$92.00 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$186.78 |
$186.78 |
$339.60 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$313.50 |
$313.50 |
$570.00 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$57.42 |
$57.42 |
$104.40 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$108.90 |
$108.90 |
$198.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$85.36 |
$85.36 |
$155.20 |
$374.50
|
|
Infliximab 100 mg intravenous solution
|
$579.74 |
$579.74 |
$1,054.08 |
$2,080.86
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$73.92 |
$73.92 |
$134.40 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$131.56 |
$131.56 |
$239.20 |
$576.00
|
|
Init pm e/m new pat 65+ yrs
|
$80.74 |
$80.74 |
$146.80 |
$180.77
|
|
Inj, acetaminophen (b braun)
|
$22.00 |
$22.00 |
$40.00 |
$32.79
|
|
Inj acetaminophen -fresenius
|
$22.00 |
$22.00 |
$40.00 |
$38.87
|