|
Hemoglobin
|
$28.50 |
$28.50 |
$28.50 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$43.50 |
$43.50 |
$43.50 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$132.75 |
$132.75 |
$132.75 |
$52.32
|
|
Hemoglobin plasma
|
$187.50 |
$187.50 |
$187.50 |
$41.40
|
|
Hepagam b im injection
|
$2,543.59 |
$2,543.59 |
$2,543.59 |
$1,118.05
|
|
Heparin assay
|
$134.25 |
$134.25 |
$134.25 |
$139.15
|
|
Heparin bolus from bag
|
$57.46 |
$57.46 |
$57.46 |
$66.06
|
|
Heparin neutralization
|
$187.50 |
$187.50 |
$187.50 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$6.20 |
$6.20 |
$6.20 |
$12.00
|
|
Hepatitis a antibody igm
|
$82.50 |
$82.50 |
$82.50 |
$89.44
|
|
Hepatitis b core antibody igm
|
$131.25 |
$131.25 |
$131.25 |
$89.60
|
|
Hepatitis b core antibody total
|
$78.75 |
$78.75 |
$78.75 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,890.21 |
$1,890.21 |
$1,890.21 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$81.00 |
$81.00 |
$81.00 |
$82.32
|
|
Hepatitis c antibody
|
$105.75 |
$105.75 |
$105.75 |
$108.25
|
|
Hepatitis d quantification
|
$1,161.75 |
$1,161.75 |
$1,161.75 |
$91.28
|
|
Hepb vacc 3 dose immunsup im
|
$388.58 |
$388.58 |
$388.58 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$102.75 |
$102.75 |
$102.75 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$87.36
|
|
Herpes simplex virus isolation
|
$54.75 |
$54.75 |
$54.75 |
$110.00
|
|
Heterophile antibodies screening
|
$99.75 |
$99.75 |
$99.75 |
$73.87
|
|
Hfo nontorsion jnts pre cst
|
$40.50 |
$40.50 |
$40.50 |
$110.88
|
|
Hhv-6 dna quant
|
$469.50 |
$469.50 |
$469.50 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$445.50 |
$445.50 |
$445.50 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$493.50 |
$493.50 |
$493.50 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$270.75 |
$270.75 |
$270.75 |
$233.50
|
|
Hip X-ray
|
$319.50 |
$319.50 |
$319.50 |
$294.75
|
|
Histamine
|
$140.25 |
$140.25 |
$140.25 |
$115.00
|
|
Hizentra injection
|
$4,991.26 |
$4,991.26 |
$4,991.26 |
$3,912.58
|
|
Hla class i high defin qual
|
$551.25 |
$551.25 |
$551.25 |
$631.15
|
|
Hla class ii high defin qual
|
$471.00 |
$471.00 |
$471.00 |
$569.25
|
|
Hla class i/ii antibody qual
|
$435.00 |
$435.00 |
$435.00 |
$171.92
|
|
Hla class ii semiquant panel
|
$534.00 |
$534.00 |
$534.00 |
$775.20
|
|
Hla class i semiquant panel
|
$502.50 |
$502.50 |
$502.50 |
$858.00
|
|
Hla i & ii type verify lr
|
$365.25 |
$365.25 |
$365.25 |
$742.50
|
|
Hla ii typing 1 loc hr
|
$637.50 |
$637.50 |
$637.50 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$186.75 |
$186.75 |
$186.75 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$197.25 |
$197.25 |
$197.25 |
$164.00
|
|
Hla i typing 1 locus hr
|
$150.00 |
$150.00 |
$150.00 |
$439.20
|
|
Hla i typing complete hr
|
$386.25 |
$386.25 |
$386.25 |
$607.86
|
|
Hla i typing complete lr
|
$488.25 |
$488.25 |
$488.25 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$201.75 |
$201.75 |
$201.75 |
$304.20
|
|
Hla x-match noncytotoxc addl
|
$145.50 |
$145.50 |
$145.50 |
$163.80
|
|
Hla x-math non-cytotoxic
|
$342.75 |
$342.75 |
$342.75 |
$364.80
|
|
Hlth bhv assmt/reassessment
|
$144.75 |
$144.75 |
$144.75 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$115.50 |
$115.50 |
$115.50 |
$147.16
|
|
Hlth bhv ivntj fam without pt ea
|
$87.00 |
$87.00 |
$87.00 |
$87.00
|
|
Hlth bhv ivntj fam wo pt 1st
|
$87.00 |
$87.00 |
$87.00 |
$183.68
|
|
Hlth bhv ivntj grp 1st 30
|
$117.00 |
$117.00 |
$117.00 |
$78.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$115.50 |
$115.50 |
$115.50 |
$200.00
|
|
Hocm 250-299mg/ml iodine,1ml
|
$52.51 |
$52.51 |
$52.51 |
$37.80
|
|
Homocysteine
|
$72.00 |
$72.00 |
$72.00 |
$125.40
|
|
Homovanillic acid (hva)
|
$166.50 |
$166.50 |
$166.50 |
$59.95
|
|
Hpa-15 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$168.66
|
|
Hpa-1 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$202.20
|
|
Hpa-2 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$180.05
|
|
Hpa-3 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$168.66
|
|
Hpa-4 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$200.40
|
|
Hpa-5 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$180.05
|
|
Hpa-6 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$170.00
|
|
Hpa-9 genotyping
|
$165.00 |
$165.00 |
$165.00 |
$170.00
|
|
H pylori (c-13) breath
|
$342.00 |
$342.00 |
$342.00 |
$212.25
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$345.75 |
$345.75 |
$345.75 |
$250.50
|
|
Hyaluronidase 200 units/ml inj
|
$414.18 |
$414.18 |
$414.18 |
$245.00
|
|
Hydralazine 20 mg/ml injection solution
|
$51.42 |
$51.42 |
$51.42 |
$48.00
|
|
Hydrocolld drg >16<=48 w/bdr
|
$25.70 |
$25.70 |
$25.70 |
$25.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$569.91 |
$569.91 |
$569.91 |
$140.54
|
|
Hydrogel drsg gel filler
|
$34.37 |
$34.37 |
$34.37 |
$32.50
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$72.63 |
$72.63 |
$72.63 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$277.32 |
$277.32 |
$277.32 |
$294.92
|
|
Hydroxocobalamin im 10mcg
|
$83.64 |
$83.64 |
$83.64 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$87.60 |
$87.60 |
$87.60 |
$72.65
|
|
Hymovis injection 1 mg
|
$2,459.97 |
$2,459.97 |
$2,459.97 |
$28.00
|
|
Hyoscyamine sulfate inj
|
$308.52 |
$308.52 |
$308.52 |
$123.83
|
|
Hysterosalpingography s&i
|
$682.50 |
$682.50 |
$682.50 |
$669.12
|
|
Hysteroscopy ablation
|
$4,888.50 |
$4,888.50 |
$4,888.50 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$5,110.50 |
$5,110.50 |
$5,110.50 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$3,568.50 |
$3,568.50 |
$3,568.50 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$5,843.25 |
$5,843.25 |
$5,843.25 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$4,302.75 |
$4,302.75 |
$4,302.75 |
$5,463.96
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$650.11 |
$650.11 |
$650.11 |
$352.24
|
|
I-123 iobenguane diag
|
$17,222.25 |
$17,222.25 |
$17,222.25 |
$5,170.70
|
|
I-123 ioflupane diag
|
$9,058.88 |
$9,058.88 |
$9,058.88 |
$4,158.00
|
|
Iadna legionella pneumophila amplified probe tq
|
$236.25 |
$236.25 |
$236.25 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$48.00 |
$48.00 |
$48.00 |
$50.60
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$839.85 |
$839.85 |
$839.85 |
$684.45
|
|
Ibuprofen injection
|
$86.20 |
$86.20 |
$86.20 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,022.55 |
$1,022.55 |
$1,022.55 |
$980.94
|
|
Icatibant injection
|
$3,697.02 |
$3,697.02 |
$3,697.02 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$48,847.50 |
$48,847.50 |
$48,847.50 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$44,003.25 |
$44,003.25 |
$44,003.25 |
$39,070.50
|
|
Icd crtp serena MRI
|
$15,759.00 |
$15,759.00 |
$15,759.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$6,463.81 |
$6,463.81 |
$6,463.81 |
$9,264.83
|
|
Idarubicin hcl injection
|
$249.51 |
$249.51 |
$249.51 |
$447.02
|
|
I&d frarm&/wrst deep absc/hematoma
|
$3,134.25 |
$3,134.25 |
$3,134.25 |
$3,839.54
|
|
I&d lacrimal sac
|
$2,274.75 |
$2,274.75 |
$2,274.75 |
$2,760.73
|
|
Idursulfase injection
|
$11,942.56 |
$11,942.56 |
$11,942.56 |
$5,646.08
|
|
Ifosfamide 1 gram intravenous solution
|
$294.81 |
$294.81 |
$294.81 |
$246.95
|
|
Igh gene rearrange amp meth
|
$305.25 |
$305.25 |
$305.25 |
$464.25
|
