|
Hdr rdncl skn surf brachytx
|
$446.50 |
$446.50 |
$446.50 |
$755.25
|
|
Hdr rdncl skn surf brachytx
|
$992.50 |
$992.50 |
$992.50 |
$886.00
|
|
Head CT scan (with and without contrast)
|
$1,513.00 |
$1,513.00 |
$1,541.92 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,208.42 |
$1,208.42 |
$1,261.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$934.00 |
$934.00 |
$951.74 |
$1,267.56
|
|
Helicobacter pylori antibody igm
|
$45.00 |
$45.00 |
$46.92 |
$92.27
|
|
Hematocrit
|
$29.44 |
$29.44 |
$29.50 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$5,032.63 |
$5,032.63 |
$5,470.25 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$626.06 |
$626.06 |
$626.06 |
$1,329.90
|
|
Hemoglobin
|
$15.64 |
$15.64 |
$35.00 |
$31.98
|
|
Hemoglobin methemoglobin quantitative
|
$65.50 |
$65.50 |
$69.46 |
$53.60
|
|
Hemoglobin plasma
|
$26.68 |
$26.68 |
$72.00 |
$41.16
|
|
Hemolysin acid
|
$99.82 |
$99.82 |
$99.82 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$105.00 |
$105.00 |
$105.00 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$105.00 |
$105.00 |
$105.00 |
$57.14
|
|
Heparin assay
|
$75.90 |
$75.90 |
$231.50 |
$137.10
|
|
Heparin bolus from bag
|
$2.17 |
$2.17 |
$2.36 |
$67.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$20.96 |
$20.96 |
$22.78 |
$11.77
|
|
Hepatitis a antibody igm
|
$43.70 |
$43.70 |
$117.00 |
$87.75
|
|
Hepatitis b core antibody igm
|
$71.00 |
$71.00 |
$132.48 |
$87.98
|
|
Hepatitis b core antibody total
|
$30.82 |
$30.82 |
$93.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$76.31 |
$76.31 |
$82.94 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$55.66 |
$55.66 |
$104.00 |
$81.12
|
|
Hepatitis c antibody
|
$44.16 |
$44.16 |
$105.00 |
$107.10
|
|
Hepatobiliary system imaging
|
$343.16 |
$343.16 |
$965.50 |
$1,438.99
|
|
Hepb vacc 3 dose immunsup im
|
$50.31 |
$50.31 |
$54.68 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$161.00 |
$161.00 |
$161.00 |
$69.50
|
|
Herpes simplex type 2 antibody igg
|
$161.50 |
$161.50 |
$161.50 |
$87.10
|
|
Heterophile antibodies screening
|
$68.54 |
$68.54 |
$74.50 |
$72.00
|
|
Hhv-6 dna quant
|
$124.00 |
$124.00 |
$124.00 |
$246.35
|
|
Hip X-ray
|
$63.48 |
$63.48 |
$116.00 |
$294.75
|
|
Histochemical stains add-on
|
$82.00 |
$82.00 |
$82.00 |
$152.75
|
|
Hiv-1 ag ia
|
$617.00 |
$617.00 |
$617.00 |
$108.80
|
|
HIV prep, inj, cabotegravir
|
$593.25 |
$593.25 |
$644.84 |
$7,211.48
|
|
Hizentra injection
|
$10.18 |
$10.18 |
$11.06 |
$3,912.58
|
|
Hla ii typing 1 loc hr
|
$241.50 |
$241.50 |
$241.50 |
$290.94
|
|
Hocm 250-299mg/ml iodine,1ml
|
$0.11 |
$0.11 |
$0.12 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$0.19 |
$0.19 |
$0.20 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$49.17 |
$49.17 |
$53.45 |
$173.60
|
|
Homocysteine
|
$43.70 |
$43.70 |
$160.50 |
$121.92
|
|
Homogenization tissue
|
$37.26 |
$37.26 |
$38.50 |
$39.00
|
|
Homovanillic acid (hva)
|
$205.00 |
$205.00 |
$205.00 |
$59.95
|
|
Ho post-op hip abduction
|
$709.81 |
$709.81 |
$771.53 |
$1,897.50
|
|
Hpv types 16 & 18 only
|
$295.00 |
$295.00 |
$295.00 |
$113.42
|
|
Hyaluronidase 150 unit/ml injection solution
|
$14.44 |
$14.44 |
$15.70 |
$120.76
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$23.51 |
$23.51 |
$25.55 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$5.05 |
$5.05 |
$5.48 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$31.74 |
$31.74 |
$95.00 |
$132.26
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$158.70 |
$158.70 |
$164.50 |
$383.72
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$69.95 |
$69.95 |
$76.03 |
$138.41
|
|
Hydroxocobalamin im 10mcg
|
$0.34 |
$0.34 |
$0.37 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$9.20 |
$9.20 |
$10.00 |
$72.00
|
|
Hyoscyamine sulfate inj
|
$20.21 |
$20.21 |
$21.96 |
$123.83
|
|
Hyqvia 100mg immuneglobulin
|
$6.77 |
$6.77 |
$7.36 |
$13,494.15
|
|
Hysterosalpingography s&i
|
$668.00 |
$668.00 |
$668.00 |
$651.35
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$84.19 |
$84.19 |
$91.51 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$62.00 |
$62.00 |
$62.00 |
$141.90
|
|
I131 iodide cap, rx
|
$31.50 |
$31.50 |
$31.50 |
$71.70
|
|
Iadna legionella pneumophila amplified probe tq
|
$127.50 |
$127.50 |
$331.66 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$33.66 |
$33.66 |
$36.59 |
$684.45
|
|
Ibuprofen injection
|
$309.65 |
$309.65 |
$336.58 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$12.56 |
$12.56 |
$13.65 |
$980.94
|
|
Icatibant injection
|
$153.25 |
$153.25 |
$166.58 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$37,039.20 |
$37,039.20 |
$40,260.00 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$29,463.00 |
$29,463.00 |
$32,025.00 |
$38,711.25
|
|
Icd crtp serena MRI
|
$10,062.50 |
$10,062.50 |
$10,937.50 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$9,259.80 |
$9,259.80 |
$10,065.00 |
$9,267.72
|
|
Idarubicin hcl injection
|
$3.05 |
$3.05 |
$3.32 |
$447.02
|
|
Idursulfase injection
|
$480.83 |
$480.83 |
$522.64 |
$5,583.80
|
|
Ifosfamide 1 gram intravenous solution
|
$44.02 |
$44.02 |
$47.85 |
$246.95
|
|
Igh gene rearrange amp meth
|
$261.50 |
$261.50 |
$261.50 |
$464.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$47.00 |
$47.00 |
$82.34 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$110.00 |
$110.00 |
$127.88 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$88.78 |
$88.78 |
$113.00 |
$272.30
|
|
Iliac/fem angio cath insert
|
$548.00 |
$548.00 |
$548.00 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$3,806.50 |
$3,806.50 |
$12,214.84 |
$6,082.65
|
|
Imetelstat 188 mg intravenous solution
|
$4,683.04 |
$4,683.04 |
$5,090.26 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$77.00 |
$77.00 |
$83.69 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$21.28 |
$21.28 |
$23.13 |
$115.00
|
|
Immobilizer shldr sling med
|
$49.95 |
$49.95 |
$54.29 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4.31 |
$4.31 |
$4.68 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$605.52 |
$605.52 |
$658.17 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3.45 |
$3.45 |
$3.75 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$84.18 |
$84.18 |
$119.00 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$77.74 |
$77.74 |
$256.50 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$17.00 |
$17.00 |
$17.02 |
$48.36
|
|
Immunodiffusion nes
|
$31.74 |
$31.74 |
$34.50 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$63.48 |
$63.48 |
$188.00 |
$140.49
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$97.00 |
$97.00 |
$97.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$155.50 |
$155.50 |
$155.50 |
$234.27
|
|
Immunoglobulin assay
|
$195.50 |
$195.50 |
$195.50 |
$74.15
|
|
Implant biventricular device 33976
|
$2,435.70 |
$2,435.70 |
$2,647.50 |
$5,053.23
|
|
Implant cartilage 10mm synthetic
|
$3,384.45 |
$3,384.45 |
$3,678.75 |
$9,248.00
|
|
Implant cochlear osia osi300
|
$1,440.46 |
$1,440.46 |
$1,565.71 |
$17,415.79
|
|
Implant pulse generator remede el
|
$20,527.50 |
$20,527.50 |
$20,527.50 |
$46,034.74
|
|
Implant ureth bulk agent
|
$1,054.67 |
$1,054.67 |
$1,146.38 |
$2,141.57
|
|
In-111 autol wbc diag per dose
|
$2,220.00 |
$2,220.00 |
$2,220.00 |
$3,567.60
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,687.50 |
$1,687.50 |
$1,687.50 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,686.50 |
$1,686.50 |
$1,686.50 |
$2,598.17
|
|
In-111 pentetreotide
|
$2,192.50 |
$2,192.50 |
$2,192.50 |
$4,994.01
|
