|
Hcg qualitative
|
$79.20 |
$79.20 |
$79.20 |
$90.10
|
|
Hcg quantitative
|
$229.60 |
$229.60 |
$229.60 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$363.20 |
$363.20 |
$363.20 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$140.00 |
$140.00 |
$140.00 |
$92.00
|
|
Hematocrit
|
$61.60 |
$61.60 |
$61.60 |
$33.80
|
|
Hemoglobin
|
$55.20 |
$55.20 |
$55.20 |
$33.54
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Heparin assay
|
$242.40 |
$242.40 |
$242.40 |
$139.15
|
|
Heparin bolus from bag
|
$141.16 |
$141.16 |
$141.16 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$10.00 |
$10.00 |
$10.00 |
$12.00
|
|
Hepatitis a antibody igm
|
$133.60 |
$133.60 |
$133.60 |
$89.44
|
|
Hepatitis b core antibody igm
|
$212.80 |
$212.80 |
$212.80 |
$89.60
|
|
Hepatitis b core antibody total
|
$128.80 |
$128.80 |
$128.80 |
$77.50
|
|
Hepatitis b surface antibody
|
$127.20 |
$127.20 |
$127.20 |
$82.32
|
|
Hepatitis c antibody
|
$221.60 |
$221.60 |
$221.60 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$88.00 |
$88.00 |
$88.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$128.00 |
$128.00 |
$128.00 |
$87.36
|
|
Heterophile antibodies screening
|
$72.00 |
$72.00 |
$72.00 |
$73.87
|
|
Hip adj flex ext abduct cont
|
$848.00 |
$848.00 |
$848.00 |
$837.61
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$508.80 |
$508.80 |
$508.80 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$628.80 |
$628.80 |
$628.80 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$301.60 |
$301.60 |
$301.60 |
$233.50
|
|
Hip X-ray
|
$374.40 |
$374.40 |
$374.40 |
$294.75
|
|
Hla ii typing 1 loc hr
|
$299.20 |
$299.20 |
$299.20 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$233.60 |
$233.60 |
$233.60 |
$164.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$144.00 |
$144.00 |
$144.00 |
$79.78
|
|
Home sleep test/type 3 porta
|
$529.60 |
$529.60 |
$529.60 |
$570.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homogenization tissue
|
$36.00 |
$36.00 |
$36.00 |
$41.30
|
|
Ho post-op hip abduction
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$1,753.00
|
|
H pylori (c-13) breath
|
$332.00 |
$332.00 |
$332.00 |
$212.25
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$89.74 |
$89.74 |
$89.74 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$62.30 |
$62.30 |
$62.30 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$74.02 |
$74.02 |
$74.02 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$62.49 |
$62.49 |
$62.49 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$189.08 |
$189.08 |
$189.08 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$60.61 |
$60.61 |
$60.61 |
$72.65
|
|
Iaadi respiratory synctial virus
|
$48.00 |
$48.00 |
$48.00 |
$54.58
|
|
Ihc/icc per specimen each additional single antibody stain
|
$188.00 |
$188.00 |
$188.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$403.20 |
$403.20 |
$403.20 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$277.60 |
$277.60 |
$277.60 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$278.40 |
$278.40 |
$278.40 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$105.60 |
$105.60 |
$105.60 |
$118.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,004.16 |
$4,004.16 |
$4,004.16 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$90.40 |
$90.40 |
$90.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$172.00 |
$172.00 |
$172.00 |
$142.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,548.00 |
$3,548.00 |
$3,548.00 |
$2,086.70
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$187.20 |
$187.20 |
$187.20 |
$140.80
|
|
Infect ag eia influenza a or b ea
|
$127.20 |
$127.20 |
$127.20 |
$71.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$817.60 |
$817.60 |
$817.60 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$80.80 |
$80.80 |
$80.80 |
$72.93
|
|
Infect ag if influenza a
|
$55.20 |
$55.20 |
$55.20 |
$41.30
|
|
Infect ag if influenza b
|
$70.40 |
$70.40 |
$70.40 |
$37.95
|
|
Infect ag if nos ea
|
$55.20 |
$55.20 |
$55.20 |
$74.88
|
|
Infect ag na hpv high-risk types
|
$187.20 |
$187.20 |
$187.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$144.00 |
$144.00 |
$144.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$156.00 |
$156.00 |
$156.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$108.00 |
$108.00 |
$108.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$80.80 |
$80.80 |
$80.80 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$222.40 |
$222.40 |
$222.40 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$115.20 |
$115.20 |
$115.20 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.20 |
$67.20 |
$67.20 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$106.40 |
$106.40 |
$106.40 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$164.00 |
$164.00 |
$164.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$151.20 |
$151.20 |
$151.20 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$144.80 |
$144.80 |
$144.80 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$257.60 |
$257.60 |
$257.60 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$167.20 |
$167.20 |
$167.20 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$216.80 |
$216.80 |
$216.80 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$150.40 |
$150.40 |
$150.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$127.20 |
$127.20 |
$127.20 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$201.60 |
$201.60 |
$201.60 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$153.60 |
$153.60 |
$153.60 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$124.80 |
$124.80 |
$124.80 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$349.60 |
$349.60 |
$349.60 |
$206.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$460.80 |
$460.80 |
$460.80 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$114.40 |
$114.40 |
$114.40 |
$96.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$320.80 |
$320.80 |
$320.80 |
$217.60
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$131.20 |
$131.20 |
$131.20 |
$195.60
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$312.80 |
$312.80 |
$312.80 |
$289.91
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$720.00 |
$720.00 |
$720.00 |
$432.63
|
|
Infectious agent nucleic acid quantification bk virus
|
$275.20 |
$275.20 |
$275.20 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$100.00 |
$100.00 |
$100.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$664.00 |
$664.00 |
$664.00 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$517.60 |
$517.60 |
$517.60 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$348.00 |
$348.00 |
$348.00 |
$304.20
|
|
Infliximab 100 mg intravenous solution
|
$1,587.80 |
$1,587.80 |
$1,587.80 |
$2,047.13
|
|
Infliximab-axxq 100 mg intravenous solution
|
$753.01 |
$753.01 |
$753.01 |
$1,062.00
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$801.01 |
$801.01 |
$801.01 |
$1,537.84
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$348.80 |
$348.80 |
$348.80 |
$296.00
|
|
Inj acetaminophen -fresenius
|
$138.04 |
$138.04 |
$138.04 |
$36.60
|
|
Inj, acetaminophen (hikma)
|
$139.40 |
$139.40 |
$139.40 |
$56.70
|