|
Hepatitis a antibody igm
|
$63.60 |
$63.60 |
$63.60 |
$89.44
|
|
Hepatitis b core antibody igm
|
$65.40 |
$65.40 |
$65.40 |
$89.60
|
|
Hepatitis b core antibody total
|
$69.60 |
$69.60 |
$69.60 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$105.60 |
$105.60 |
$105.60 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$59.40 |
$59.40 |
$59.40 |
$82.32
|
|
Hepatitis c antibody
|
$108.00 |
$108.00 |
$108.00 |
$108.25
|
|
Herpes simplex 1 ag if
|
$66.60 |
$66.60 |
$66.60 |
$38.58
|
|
Herpes simplex type 1 antibody igg
|
$73.80 |
$73.80 |
$73.80 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$107.40 |
$107.40 |
$107.40 |
$87.36
|
|
Herpes simplex virus isolation
|
$189.00 |
$189.00 |
$189.00 |
$110.00
|
|
Heterophile antibodies screening
|
$29.40 |
$29.40 |
$29.40 |
$73.87
|
|
Hhv-6 dna quant
|
$232.80 |
$232.80 |
$232.80 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$262.80 |
$262.80 |
$262.80 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$262.80 |
$262.80 |
$262.80 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$188.40 |
$188.40 |
$188.40 |
$233.50
|
|
Hip X-ray
|
$188.40 |
$188.40 |
$188.40 |
$294.75
|
|
Histamine
|
$149.40 |
$149.40 |
$149.40 |
$115.00
|
|
Histochemical stains add-on
|
$126.00 |
$126.00 |
$126.00 |
$152.75
|
|
Hiv-1 ag ia
|
$87.00 |
$87.00 |
$87.00 |
$107.90
|
|
Hiv-1 dna dir probe
|
$121.20 |
$121.20 |
$121.20 |
$99.20
|
|
HIV prep, ftc/tdf 200/300mg
|
$36.60 |
$36.60 |
$36.60 |
$31.80
|
|
Hizentra injection
|
$25.80 |
$25.80 |
$25.80 |
$3,912.58
|
|
Hla class i high defin qual
|
$1,800.60 |
$1,800.60 |
$1,800.60 |
$631.15
|
|
Hla class ii high defin qual
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$569.25
|
|
Hla class ii phenotype qual
|
$455.40 |
$455.40 |
$455.40 |
$313.60
|
|
Hla class ii semiquant panel
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$775.20
|
|
Hla class i phenotype qual
|
$531.60 |
$531.60 |
$531.60 |
$397.20
|
|
Hla class i semiquant panel
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$858.00
|
|
Hla i & ii typing hr
|
$749.40 |
$749.40 |
$749.40 |
$804.00
|
|
Hla i & ii typing lr
|
$2,323.80 |
$2,323.80 |
$2,323.80 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$714.60 |
$714.60 |
$714.60 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$797.40 |
$797.40 |
$797.40 |
$475.00
|
|
Hla i typing 1 locus hr
|
$384.00 |
$384.00 |
$384.00 |
$439.20
|
|
Hla i typing complete hr
|
$727.20 |
$727.20 |
$727.20 |
$607.86
|
|
Hla i typing complete lr
|
$2,332.80 |
$2,332.80 |
$2,332.80 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$981.60 |
$981.60 |
$981.60 |
$304.20
|
|
Hla typing a b or c
|
$322.80 |
$322.80 |
$322.80 |
$364.00
|
|
Hla x-match noncytotoxc addl
|
$203.40 |
$203.40 |
$203.40 |
$163.80
|
|
Hla x-math non-cytotoxic
|
$608.40 |
$608.40 |
$608.40 |
$364.80
|
|
Home sleep test/type 2 porta
|
$676.80 |
$676.80 |
$676.80 |
$503.13
|
|
Home sleep test/type 3 porta
|
$984.00 |
$984.00 |
$984.00 |
$570.00
|
|
Home sleep test/type 4 porta
|
$670.80 |
$670.80 |
$670.80 |
$613.60
|
|
Homocysteine
|
$91.20 |
$91.20 |
$91.20 |
$125.40
|
|
Homogenization tissue
|
$12.60 |
$12.60 |
$12.60 |
$41.30
|
|
Homovanillic acid (hva)
|
$81.00 |
$81.00 |
$81.00 |
$59.95
|
|
Hpv types 16 & 18 only
|
$225.00 |
$225.00 |
$225.00 |
$112.00
|
|
H pylori (c-13) breath
|
$340.80 |
$340.80 |
$340.80 |
$212.25
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$33.00 |
$33.00 |
$33.00 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$25.20 |
$25.20 |
$25.20 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$22.20 |
$22.20 |
$22.20 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$22.80 |
$22.80 |
$22.80 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$17.40 |
$17.40 |
$17.40 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$65.40 |
$65.40 |
$65.40 |
$73.45
|
|
Hyperbaric oxygen therapy
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,081.04
|
|
Hysterosalpingography s&i
|
$547.80 |
$547.80 |
$547.80 |
$669.12
|
|
I-123 iobenguane diag
|
$12,202.20 |
$12,202.20 |
$12,202.20 |
$5,170.70
|
|
I-123 ioflupane diag
|
$8,455.20 |
$8,455.20 |
$8,455.20 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$139.20 |
$139.20 |
$139.20 |
$147.46
|
|
I125 iothalamate, dx
|
$518.40 |
$518.40 |
$518.40 |
$634.90
|
|
I-131 iobenguane sulf diag mibg
|
$7,450.80 |
$7,450.80 |
$7,450.80 |
$3,638.48
|
|
I131 iodide cap, rx
|
$184.20 |
$184.20 |
$184.20 |
$71.70
|
|
I131 iodide sol, rx
|
$52.20 |
$52.20 |
$52.20 |
$34.87
|
|
Iaadi respiratory synctial virus
|
$75.00 |
$75.00 |
$75.00 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$195.60 |
$195.60 |
$195.60 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$105.00 |
$105.00 |
$105.00 |
$684.45
|
|
Ibuprofen injection
|
$150.00 |
$150.00 |
$150.00 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$980.94
|
|
Icatibant injection
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$8,695.05
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$3,971.40 |
$3,971.40 |
$3,971.40 |
$3,592.74
|
|
I & d vag hematoma non-ob 57023
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,444.42
|
|
Ifosfamide 1 gram intravenous solution
|
$64.20 |
$64.20 |
$64.20 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$157.20 |
$157.20 |
$157.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$664.80 |
$664.80 |
$664.80 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$337.20 |
$337.20 |
$337.20 |
$277.90
|
|
Iliac/fem angio cath insert
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$8,640.60 |
$8,640.60 |
$8,640.60 |
$6,082.65
|
|
Immune complex assay
|
$88.80 |
$88.80 |
$88.80 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$678.00 |
$678.00 |
$678.00 |
$6,106.32
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$116.40 |
$116.40 |
$116.40 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$116.40 |
$116.40 |
$116.40 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$66.60 |
$66.60 |
$66.60 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$124.80 |
$124.80 |
$124.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$195.60 |
$195.60 |
$195.60 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$664.80 |
$664.80 |
$664.80 |
$234.27
|
|
Immunoglobulin assay
|
$69.60 |
$69.60 |
$69.60 |
$78.00
|
|
Immunology procedure
|
$605.40 |
$605.40 |
$605.40 |
$150.70
|
|
Impl neurostim electr perc
|
$12,736.80 |
$12,736.80 |
$12,736.80 |
$7,672.50
|
|
In-111 autol wbc diag per dose
|
$6,806.40 |
$6,806.40 |
$6,806.40 |
$3,493.75
|
|
In-111 capromab pendet
|
$16,003.80 |
$16,003.80 |
$16,003.80 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$14,202.00 |
$14,202.00 |
$14,202.00 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$6,806.40 |
$6,806.40 |
$6,806.40 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,424.80 |
$3,424.80 |
$3,424.80 |
$2,598.17
|
|
In-111 pentetreotide
|
$18,255.00 |
$18,255.00 |
$18,255.00 |
$5,294.90
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,086.70
|
|
Incision of achilles tendon
|
$4,284.60 |
$4,284.60 |
$4,284.60 |
$3,318.90
|
|
Incision of breast lesion
|
$2,742.00 |
$2,742.00 |
$2,742.00 |
$2,577.85
|
|
Incision of foot fascia
|
$4,272.00 |
$4,272.00 |
$4,272.00 |
$4,599.40
|
|
Incision of hip tendon
|
$4,284.60 |
$4,284.60 |
$4,284.60 |
$3,885.29
|
