|
Head CT scan (with contrast)
|
$506.88 |
$506.88 |
$506.88 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$417.45 |
$417.45 |
$417.45 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$136.29 |
$136.29 |
$136.29 |
$91.00
|
|
Hematocrit
|
$49.17 |
$49.17 |
$49.17 |
$33.48
|
|
Hemoglobin
|
$49.17 |
$49.17 |
$49.17 |
$31.20
|
|
Hemoglobin fetal qualitative
|
$74.58 |
$74.58 |
$74.58 |
$47.46
|
|
Hemoglobin methemoglobin quantitative
|
$55.11 |
$55.11 |
$55.11 |
$51.10
|
|
Hemoglobin plasma
|
$52.47 |
$52.47 |
$52.47 |
$40.80
|
|
Heparin assay
|
$102.63 |
$102.63 |
$102.63 |
$138.84
|
|
Heparin bolus from bag
|
$130.27 |
$130.27 |
$130.27 |
$65.42
|
|
Heparin neutralization
|
$26.73 |
$26.73 |
$26.73 |
$38.69
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$30,224.98 |
$30,224.98 |
$30,224.98 |
$11.77
|
|
Hepatitis a antibody igm
|
$142.89 |
$142.89 |
$142.89 |
$84.00
|
|
Hepatitis b core antibody igm
|
$179.19 |
$179.19 |
$179.19 |
$84.60
|
|
Hepatitis b core antibody total
|
$89.43 |
$89.43 |
$89.43 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$389.14 |
$389.14 |
$389.14 |
$1,109.60
|
|
Hepatitis b surface antibody
|
$179.19 |
$179.19 |
$179.19 |
$81.12
|
|
Hepatitis c antibody
|
$165.99 |
$165.99 |
$165.99 |
$106.50
|
|
Hepatobiliary system imaging
|
$2,304.06 |
$2,304.06 |
$2,304.06 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$63.69 |
$63.69 |
$63.69 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$94.38 |
$94.38 |
$94.38 |
$85.80
|
|
Herpes simplex virus isolation
|
$183.15 |
$183.15 |
$183.15 |
$103.11
|
|
Heterophile antibodies screening
|
$97.35 |
$97.35 |
$97.35 |
$71.52
|
|
Hhv-6 dna quant
|
$93.72 |
$93.72 |
$93.72 |
$228.00
|
|
Hip X-ray
|
$1,705.77 |
$1,705.77 |
$1,705.77 |
$289.90
|
|
Histamine
|
$69.63 |
$69.63 |
$69.63 |
$109.20
|
|
Histochemical stains add-on
|
$68.64 |
$68.64 |
$68.64 |
$152.75
|
|
Hla ii typing 1 loc hr
|
$277.53 |
$277.53 |
$277.53 |
$290.94
|
|
Hocm 350-399mg/ml iodine,1ml
|
$613.30 |
$613.30 |
$613.30 |
$79.78
|
|
Homocysteine
|
$125.40 |
$125.40 |
$125.40 |
$120.25
|
|
Homovanillic acid (hva)
|
$94.38 |
$94.38 |
$94.38 |
$59.80
|
|
Hpv types 16 & 18 only
|
$91.08 |
$91.08 |
$91.08 |
$102.00
|
|
Hrdtry cardmypy gene panel
|
$1,051.05 |
$1,051.05 |
$1,051.05 |
$1,276.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$27,717.23 |
$27,717.23 |
$27,717.23 |
$5,836.20
|
|
Hydralazine 20 mg/ml injection solution
|
$129.29 |
$129.29 |
$129.29 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$141.24 |
$141.24 |
$141.24 |
$126.50
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$409.20 |
$409.20 |
$409.20 |
$372.07
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$311.82 |
$311.82 |
$311.82 |
$138.70
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$109.56 |
$109.56 |
$109.56 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$138.59 |
$138.59 |
$138.59 |
$294.92
|
|
Hydromorphone injection
|
$80.38 |
$80.38 |
$80.38 |
$85.79
|
|
Hydroxyurea 500 mg
|
$13.02 |
$13.02 |
$13.02 |
$13.02
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$148.31 |
$148.31 |
$148.31 |
$72.00
|
|
Hyoscyamine sulfate inj
|
$237.58 |
$237.58 |
$237.58 |
$124.89
|
|
Hysterosalpingography s&i
|
$815.10 |
$815.10 |
$815.10 |
$636.00
|
|
I-123 ioflupane diag
|
$4,478.10 |
$4,478.10 |
$4,478.10 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$325.71 |
$325.71 |
$325.71 |
$136.66
|
|
I131 iodide cap, rx
|
$183.15 |
$183.15 |
$183.15 |
$75.00
|
|
Ia nfct ab sarscov2 covid19
|
$68.64 |
$68.64 |
$68.64 |
$50.44
|
|
Igh gene rearrange amp meth
|
$444.51 |
$444.51 |
$444.51 |
$444.80
|
|
Igk rearrangeabn clonal pop
|
$387.75 |
$387.75 |
$387.75 |
$370.20
|
|
Ihc/icc per specimen each additional single antibody stain
|
$102.96 |
$102.96 |
$102.96 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$635.91 |
$635.91 |
$635.91 |
$318.75
|
|
Ihc/icc per specimen initial single antibody stain
|
$322.08 |
$322.08 |
$322.08 |
$266.76
|
|
Iliac/fem angio cath insert
|
$789.03 |
$789.03 |
$789.03 |
$1,793.00
|
|
Iliac revasc add-on 37222
|
$1,020.36 |
$1,020.36 |
$1,020.36 |
$6,082.65
|
|
Immune complex assay
|
$93.06 |
$93.06 |
$93.06 |
$108.00
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$51,276.87 |
$51,276.87 |
$51,276.87 |
$4,389.57
|
|
Immunoassay tumor antigen quantitative ca 125
|
$248.82 |
$248.82 |
$248.82 |
$126.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$128.37 |
$128.37 |
$128.37 |
$110.00
|
|
Immunodiff gel qual ea antigen/ab
|
$28.38 |
$28.38 |
$28.38 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$312.18 |
$312.18 |
$312.18 |
$135.07
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$12.21 |
$12.21 |
$12.21 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$87.12 |
$87.12 |
$87.12 |
$231.40
|
|
Immunoglobulin assay
|
$48.84 |
$48.84 |
$48.84 |
$69.60
|
|
In-111 autol wbc diag per dose
|
$4,341.48 |
$4,341.48 |
$4,341.48 |
$3,513.76
|
|
In-111 ibritumomab tiux dx
|
$8,877.00 |
$8,877.00 |
$8,877.00 |
$3,641.40
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,112.66 |
$2,112.66 |
$2,112.66 |
$2,441.34
|
|
In-111 pentetate dtpa / 0.5 mci
|
$8,061.57 |
$8,061.57 |
$8,061.57 |
$2,330.46
|
|
In-111 pentetreotide
|
$14,970.12 |
$14,970.12 |
$14,970.12 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,426.29 |
$4,426.29 |
$4,426.29 |
$2,056.93
|
|
Incision of achilles tendon
|
$1,485.99 |
$1,485.99 |
$1,485.99 |
$2,854.00
|
|
Incision of eardrum
|
$975.15 |
$975.15 |
$975.15 |
$479.96
|
|
Incision of toe tendons 28011
|
$861.63 |
$861.63 |
$861.63 |
$2,068.30
|
|
Incision of tongue fold
|
$1,589.94 |
$1,589.94 |
$1,589.94 |
$1,792.50
|
|
Incisn of toe tndn
|
$2,493.15 |
$2,493.15 |
$2,493.15 |
$2,298.99
|
|
Incisn windpipe
|
$2,912.91 |
$2,912.91 |
$2,912.91 |
$3,810.50
|
|
Infect ag drug suscept pheno predict
|
$148.50 |
$148.50 |
$148.50 |
$320.00
|
|
Infect ag genotype na dna hepatitis b
|
$444.84 |
$444.84 |
$444.84 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$148.50 |
$148.50 |
$148.50 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$665.28 |
$665.28 |
$665.28 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$83.82 |
$83.82 |
$83.82 |
$70.40
|
|
Infect ag if legionella pneumophila
|
$128.04 |
$128.04 |
$128.04 |
$73.45
|
|
Infect ag if pneumocystis carinii
|
$96.69 |
$96.69 |
$96.69 |
$66.00
|
|
Infect ag na hpv high-risk types
|
$70.95 |
$70.95 |
$70.95 |
$137.65
|
|
Infect ag na influenza r/amp 1st 2 types
|
$149.16 |
$149.16 |
$149.16 |
$219.70
|
|
Infect ag na resp virus 12-25 targets
|
$247.50 |
$247.50 |
$247.50 |
$845.40
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$32.34 |
$32.34 |
$32.34 |
$81.40
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$124.74 |
$124.74 |
$124.74 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$76.23 |
$76.23 |
$76.23 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$141.24 |
$141.24 |
$141.24 |
$89.05
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$241.23 |
$241.23 |
$241.23 |
$80.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$24.42 |
$24.42 |
$24.42 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$56.76 |
$56.76 |
$56.76 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$73.26 |
$73.26 |
$73.26 |
$124.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$240.24 |
$240.24 |
$240.24 |
$93.60
|
|
Infectious agent nucleic acid amplified probe
|
$629.31 |
$629.31 |
$629.31 |
$270.80
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$265.32 |
$265.32 |
$265.32 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$83.82 |
$83.82 |
$83.82 |
$165.57
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$523.38 |
$523.38 |
$523.38 |
$855.45
|