|
Hand X-ray (2 views, both hands)
|
$424.20 |
$424.20 |
$424.20 |
$294.90
|
|
Haptoglobin quantitative
|
$94.80 |
$94.80 |
$94.80 |
$92.80
|
|
Hbot, full body chamber, 30m
|
$872.40 |
$872.40 |
$872.40 |
$526.90
|
|
Hcg qualitative
|
$66.60 |
$66.60 |
$66.60 |
$90.10
|
|
Hcg quantitative
|
$201.00 |
$201.00 |
$201.00 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,268.90
|
|
Heart image spect
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$1,135.68
|
|
Heel (Calcaneus) X-ray (both feet)
|
$424.20 |
$424.20 |
$424.20 |
$276.00
|
|
Hematocrit
|
$74.40 |
$74.40 |
$74.40 |
$33.80
|
|
Hemodialysis one evaluation
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$1,364.27
|
|
Hemoglobin
|
$44.40 |
$44.40 |
$44.40 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$61.80 |
$61.80 |
$61.80 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$48.60 |
$48.60 |
$48.60 |
$52.32
|
|
Hemolysins and agglutinins incubated
|
$112.20 |
$112.20 |
$112.20 |
$61.79
|
|
Heparin assay
|
$76.80 |
$76.80 |
$76.80 |
$139.15
|
|
Heparin bolus from bag
|
$7.00 |
$7.00 |
$7.00 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$6.60 |
$6.60 |
$6.60 |
$12.00
|
|
Hepatitis a antibody igm
|
$128.40 |
$128.40 |
$128.40 |
$89.44
|
|
Hepatitis b core antibody igm
|
$124.20 |
$124.20 |
$124.20 |
$89.60
|
|
Hepatitis b core antibody total
|
$125.40 |
$125.40 |
$125.40 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$3,113.40 |
$3,113.40 |
$3,113.40 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$137.40 |
$137.40 |
$137.40 |
$82.32
|
|
Hepatitis c antibody
|
$178.20 |
$178.20 |
$178.20 |
$108.25
|
|
Hepatitis d quantification
|
$67.80 |
$67.80 |
$67.80 |
$91.28
|
|
Hereditary colon ca dsordrs
|
$3,394.80 |
$3,394.80 |
$3,394.80 |
$1,901.23
|
|
Herpes simplex type 1 antibody igg
|
$108.60 |
$108.60 |
$108.60 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$223.20 |
$223.20 |
$223.20 |
$87.36
|
|
Herpes simplex virus isolation
|
$319.20 |
$319.20 |
$319.20 |
$110.00
|
|
Heterophile antibodies screening
|
$119.40 |
$119.40 |
$119.40 |
$73.87
|
|
Hhv-6 dna quant
|
$484.80 |
$484.80 |
$484.80 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$419.40 |
$419.40 |
$419.40 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$419.40 |
$419.40 |
$419.40 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$424.20 |
$424.20 |
$424.20 |
$233.50
|
|
Hip X-ray
|
$424.20 |
$424.20 |
$424.20 |
$294.75
|
|
Histamine
|
$320.40 |
$320.40 |
$320.40 |
$115.00
|
|
Histochemical stains add-on
|
$67.80 |
$67.80 |
$67.80 |
$152.75
|
|
Hiv-1 ag ia
|
$171.60 |
$171.60 |
$171.60 |
$107.90
|
|
Hla class i high defin qual
|
$411.60 |
$411.60 |
$411.60 |
$631.15
|
|
Hla class ii high defin qual
|
$411.60 |
$411.60 |
$411.60 |
$569.25
|
|
Hla class ii phenotype qual
|
$273.00 |
$273.00 |
$273.00 |
$313.60
|
|
Hla class i phenotype qual
|
$171.00 |
$171.00 |
$171.00 |
$397.20
|
|
Hla ii typing 1 loc hr
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$837.60 |
$837.60 |
$837.60 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$549.60 |
$549.60 |
$549.60 |
$304.20
|
|
Hla typing a b or c
|
$487.20 |
$487.20 |
$487.20 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.20 |
$1.20 |
$1.20 |
$79.78
|
|
Home sleep test/type 3 porta
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$570.00
|
|
Homocysteine
|
$340.20 |
$340.20 |
$340.20 |
$125.40
|
|
Homogenization tissue
|
$63.60 |
$63.60 |
$63.60 |
$41.30
|
|
Homovanillic acid (hva)
|
$102.00 |
$102.00 |
$102.00 |
$59.95
|
|
Hpv types 16 & 18 only
|
$316.20 |
$316.20 |
$316.20 |
$112.00
|
|
H pylori (c-13) breath
|
$496.80 |
$496.80 |
$496.80 |
$212.25
|
|
Hrdtry brst ca-rlatd do 5+
|
$3,795.60 |
$3,795.60 |
$3,795.60 |
$1,702.08
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$316.80 |
$316.80 |
$316.80 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$107.20 |
$107.20 |
$107.20 |
$48.00
|
|
Hydrocolld drg <=16 without bdr
|
$3.00 |
$3.00 |
$3.00 |
$7.76
|
|
Hydrocortisone acetate inj
|
$8.40 |
$8.40 |
$8.40 |
$78.81
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$35.00 |
$35.00 |
$35.00 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$8.00 |
$8.00 |
$8.00 |
$112.66
|
|
I-123 sod iodide diag per 100 uci
|
$356.40 |
$356.40 |
$356.40 |
$147.46
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$684.45
|
|
Icatibant injection
|
$25,465.20 |
$25,465.20 |
$25,465.20 |
$8,695.05
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,651.80 |
$4,651.80 |
$4,651.80 |
$3,592.74
|
|
Ifosfamide 1 gram intravenous solution
|
$604.20 |
$604.20 |
$604.20 |
$246.95
|
|
Igh gene rearrange amp meth
|
$606.00 |
$606.00 |
$606.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$2,251.80 |
$2,251.80 |
$2,251.80 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$975.00 |
$975.00 |
$975.00 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$158.40 |
$158.40 |
$158.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$158.40 |
$158.40 |
$158.40 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$158.40 |
$158.40 |
$158.40 |
$277.90
|
|
Iliac/fem angio cath insert
|
$8,445.60 |
$8,445.60 |
$8,445.60 |
$1,856.01
|
|
Immobilizer shldr cntor adlt
|
$437.40 |
$437.40 |
$437.40 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$697.80 |
$697.80 |
$697.80 |
$118.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$568.80 |
$568.80 |
$568.80 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$6,676.20 |
$6,676.20 |
$6,676.20 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$288.60 |
$288.60 |
$288.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$223.20 |
$223.20 |
$223.20 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$56.40 |
$56.40 |
$56.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$189.00 |
$189.00 |
$189.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$89.40 |
$89.40 |
$89.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$89.40 |
$89.40 |
$89.40 |
$234.27
|
|
Implant cartilage 10mm synthetic
|
$6,955.80 |
$6,955.80 |
$6,955.80 |
$8,332.51
|
|
Implant ureth bulk agent
|
$495.60 |
$495.60 |
$495.60 |
$2,168.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$2,753.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,684.20 |
$1,684.20 |
$1,684.20 |
$2,086.70
|
|
Incision of breast lesion
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$2,577.85
|
|
Incisn windpipe
|
$2,258.40 |
$2,258.40 |
$2,258.40 |
$3,819.23
|
|
Induction of vomiting
|
$532.80 |
$532.80 |
$532.80 |
$126.72
|
|
Infect ag drug suscept pheno predict
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$603.83
|
|
Infect ag na herpes simplex quant
|
$468.60 |
$468.60 |
$468.60 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$335.40 |
$335.40 |
$335.40 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$520.20 |
$520.20 |
$520.20 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$2,801.40 |
$2,801.40 |
$2,801.40 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$128.40 |
$128.40 |
$128.40 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$70.80 |
$70.80 |
$70.80 |
$76.00
|
