|
Haloperidol lactate 5 mg/ml injection solution
|
$12.59 |
$12.59 |
$12.59 |
$23.06
|
|
Hand X-ray
|
$131.40 |
$131.40 |
$131.40 |
$356.00
|
|
Haptoglobin quantitative
|
$38.10 |
$38.10 |
$38.10 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$214.20 |
$214.20 |
$214.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$233.40 |
$233.40 |
$233.40 |
$404.80
|
|
Hbb full gene sequence
|
$214.20 |
$214.20 |
$214.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$210.00 |
$210.00 |
$210.00 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$106.20 |
$106.20 |
$106.20 |
$526.90
|
|
Hcg qualitative
|
$22.80 |
$22.80 |
$22.80 |
$89.70
|
|
Hcg quantitative
|
$45.60 |
$45.60 |
$45.60 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$19.55 |
$19.55 |
$19.55 |
$117.00
|
|
Hc nm fusion spect CT unlisted
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$203.70 |
$203.70 |
$203.70 |
$822.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$902.40 |
$902.40 |
$902.40 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$913.20 |
$913.20 |
$913.20 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$913.20 |
$913.20 |
$913.20 |
$3,727.65
|
|
Hdr rdncl skn surf brachytx
|
$899.40 |
$899.40 |
$899.40 |
$598.20
|
|
Hdr rdncl skn surf brachytx
|
$899.40 |
$899.40 |
$899.40 |
$758.32
|
|
Head CT scan (with and without contrast)
|
$578.10 |
$578.10 |
$578.10 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$373.50 |
$373.50 |
$373.50 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$373.50 |
$373.50 |
$373.50 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$43.80 |
$43.80 |
$43.80 |
$91.98
|
|
Hematocrit
|
$7.20 |
$7.20 |
$7.20 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$11,442.84 |
$11,442.84 |
$11,442.84 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$595.20 |
$595.20 |
$595.20 |
$1,319.44
|
|
Hemoglobin
|
$7.20 |
$7.20 |
$7.20 |
$31.80
|
|
Hepagam b im injection
|
$207.91 |
$207.91 |
$207.91 |
$1,008.44
|
|
Heparin assay
|
$39.60 |
$39.60 |
$39.60 |
$140.10
|
|
Heparin bolus from bag
|
$15.98 |
$15.98 |
$15.98 |
$66.47
|
|
Hepatitis a antibody igm
|
$33.00 |
$33.00 |
$33.00 |
$87.75
|
|
Hepatitis b core antibody igm
|
$35.70 |
$35.70 |
$35.70 |
$87.98
|
|
Hepatitis b core antibody total
|
$10.20 |
$10.20 |
$10.20 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$674.63 |
$674.63 |
$674.63 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$32.40 |
$32.40 |
$32.40 |
$82.05
|
|
Hepatitis c antibody
|
$43.20 |
$43.20 |
$43.20 |
$108.00
|
|
Hepatobiliary system imaging
|
$200.10 |
$200.10 |
$200.10 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$40.80 |
$40.80 |
$40.80 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$40.80 |
$40.80 |
$40.80 |
$87.10
|
|
Herpes simplex virus isolation
|
$39.90 |
$39.90 |
$39.90 |
$104.10
|
|
Heterophile antibodies screening
|
$15.60 |
$15.60 |
$15.60 |
$74.00
|
|
Hip X-ray
|
$135.90 |
$135.90 |
$135.90 |
$292.05
|
|
Histamine
|
$78.00 |
$78.00 |
$78.00 |
$115.00
|
|
HIV prep, ftc/taf 200/25mg
|
$26.43 |
$26.43 |
$26.43 |
$88.39
|
|
HIV prep, ftc/tdf 200/300mg
|
$22.11 |
$22.11 |
$22.11 |
$31.80
|
|
Hla ii typing 1 loc hr
|
$74.10 |
$74.10 |
$74.10 |
$290.94
|
|
Hocm 250-299mg/ml iodine,1ml
|
$32.19 |
$32.19 |
$32.19 |
$36.41
|
|
Hocm 350-399mg/ml iodine,1ml
|
$146.51 |
$146.51 |
$146.51 |
$79.78
|
|
Homocysteine
|
$12.00 |
$12.00 |
$12.00 |
$121.92
|
|
Homogenization tissue
|
$10.80 |
$10.80 |
$10.80 |
$39.20
|
|
Ho post-op hip abduction
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,690.58
|
|
Human epididymis protein 4 (he4)
|
$37.80 |
$37.80 |
$37.80 |
$157.32
|
|
Hyaluronidase 150 unit/ml injection solution
|
$97.23 |
$97.23 |
$97.23 |
$116.13
|
|
Hyaluronidase 200 units/ml inj
|
$123.53 |
$123.53 |
$123.53 |
$260.99
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$97.23 |
$97.23 |
$97.23 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$29.69 |
$29.69 |
$29.69 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$21.60 |
$21.60 |
$21.60 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$97.80 |
$97.80 |
$97.80 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$178.75 |
$178.75 |
$178.75 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$136.01 |
$136.01 |
$136.01 |
$131.47
|
|
Hydroxocobalamin im 10mcg
|
$1.09 |
$1.09 |
$1.09 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$53.27 |
$53.27 |
$53.27 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.17 |
$0.17 |
$0.17 |
$1.00
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$68.40 |
$68.40 |
$68.40 |
$76.13
|
|
Hysterosalpingography s&i
|
$109.80 |
$109.80 |
$109.80 |
$651.85
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$248.10 |
$248.10 |
$248.10 |
$352.24
|
|
I-123 iobenguane diag
|
$2,644.64 |
$2,644.64 |
$2,644.64 |
$5,256.50
|
|
I-123 sod iodide diag per 100 uci
|
$49.80 |
$49.80 |
$49.80 |
$139.20
|
|
I131 iodide cap, rx
|
$19.55 |
$19.55 |
$19.55 |
$78.75
|
|
Iaadi respiratory synctial virus
|
$6.60 |
$6.60 |
$6.60 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$28.80 |
$28.80 |
$28.80 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$255.60 |
$255.60 |
$255.60 |
$635.44
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$975.45 |
$975.45 |
$975.45 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$23,134.50 |
$23,134.50 |
$23,134.50 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$28,540.50 |
$28,540.50 |
$28,540.50 |
$37,789.50
|
|
Icd crtp serena MRI
|
$10,492.50 |
$10,492.50 |
$10,492.50 |
$14,346.00
|
|
Icd reliance df4 ib 64cm
|
$5,992.50 |
$5,992.50 |
$5,992.50 |
$9,259.80
|
|
Idarubicin hcl injection
|
$187.80 |
$187.80 |
$187.80 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$109.95 |
$109.95 |
$109.95 |
$243.78
|
|
Igh@ var region somatic mutation analy
|
$264.00 |
$264.00 |
$264.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$63.00 |
$63.00 |
$63.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$125.40 |
$125.40 |
$125.40 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$66.60 |
$66.60 |
$66.60 |
$274.86
|
|
Iliac/fem angio cath insert
|
$543.00 |
$543.00 |
$543.00 |
$1,827.35
|
|
Imetelstat 188 mg intravenous solution
|
$10,642.76 |
$10,642.76 |
$10,642.76 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$156.06 |
$156.06 |
$156.06 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$364.50 |
$364.50 |
$364.50 |
$102.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,127.22 |
$9,127.22 |
$9,127.22 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,292.83 |
$2,292.83 |
$2,292.83 |
$3,593.90
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,335.81 |
$3,335.81 |
$3,335.81 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$63.90 |
$63.90 |
$63.90 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$63.90 |
$63.90 |
$63.90 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$108.60 |
$108.60 |
$108.60 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$60.00 |
$60.00 |
$60.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$106.20 |
$106.20 |
$106.20 |
$232.05
|
|
Implant cartilage 10mm synthetic
|
$478.49 |
$478.49 |
$478.49 |
$10,050.00
|
|
Implant ureth bulk agent
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$2,139.62
|
|
In-111 autol wbc diag per dose
|
$1,434.20 |
$1,434.20 |
$1,434.20 |
$3,567.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,670.72 |
$1,670.72 |
$1,670.72 |
$2,550.60
|
|
In-111 pentetreotide
|
$3,307.62 |
$3,307.62 |
$3,307.62 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$451.20 |
$451.20 |
$451.20 |
$2,080.80
|
