|
Gonadotropin luteinizing hormone (lh)
|
$480.00 |
$480.00 |
$480.00 |
$123.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$663.00 |
$663.00 |
$663.00 |
$27,279.40
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$178.00 |
$178.00 |
$178.00 |
$36.04
|
|
Haptoglobin quantitative
|
$334.00 |
$334.00 |
$334.00 |
$89.95
|
|
Hc i-131 sodium iodide cap dx per mci
|
$384.00 |
$384.00 |
$384.00 |
$136.50
|
|
Head CT scan (with and without contrast)
|
$5,466.00 |
$5,466.00 |
$5,466.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,362.00 |
$4,362.00 |
$4,362.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$3,316.00 |
$3,316.00 |
$3,316.00 |
$1,268.90
|
|
Hemoglobin
|
$107.00 |
$107.00 |
$107.00 |
$31.75
|
|
Hemoglobin f (fetal) chemical
|
$121.00 |
$121.00 |
$121.00 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$25.00 |
$25.00 |
$25.00 |
$49.40
|
|
Hemoglobin plasma
|
$99.00 |
$99.00 |
$99.00 |
$40.56
|
|
Hemolysins/agglutinins auto
|
$139.00 |
$139.00 |
$139.00 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$36.00 |
$36.00 |
$36.00 |
$67.50
|
|
Hemophilus influenza antibdy
|
$612.00 |
$612.00 |
$612.00 |
$56.80
|
|
Heparin assay
|
$832.00 |
$832.00 |
$832.00 |
$130.20
|
|
Heparin neutralization
|
$133.00 |
$133.00 |
$133.00 |
$47.45
|
|
Hepatitis a antibody igm
|
$206.00 |
$206.00 |
$206.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$206.00 |
$206.00 |
$206.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$294.00 |
$294.00 |
$294.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,968.00 |
$2,968.00 |
$2,968.00 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$294.00 |
$294.00 |
$294.00 |
$83.79
|
|
Hepatitis c antibody
|
$343.00 |
$343.00 |
$343.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$4,053.00 |
$4,053.00 |
$4,053.00 |
$1,521.10
|
|
Heterophile antibodies screening
|
$280.00 |
$280.00 |
$280.00 |
$73.60
|
|
Heterophile antibodies titer
|
$280.00 |
$280.00 |
$280.00 |
$16.80
|
|
Hexa gene
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$179.04
|
|
Histochemical stains add-on
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$169.65
|
|
Hiv-1 ag ia
|
$613.00 |
$613.00 |
$613.00 |
$84.67
|
|
Hla ii typing ag equiv lr
|
$730.00 |
$730.00 |
$730.00 |
$354.24
|
|
Hla i low res one antigen equiv ea
|
$483.00 |
$483.00 |
$483.00 |
$164.00
|
|
Hla i typing complete hr
|
$1,459.00 |
$1,459.00 |
$1,459.00 |
$462.82
|
|
Hla typing dr/dq
|
$518.00 |
$518.00 |
$518.00 |
$135.20
|
|
Hocm 250-299mg/ml iodine,1ml
|
$21.00 |
$21.00 |
$21.00 |
$33.91
|
|
Homocysteine
|
$549.00 |
$549.00 |
$549.00 |
$113.10
|
|
Homogenization tissue
|
$119.00 |
$119.00 |
$119.00 |
$39.00
|
|
Homovanillic acid (hva)
|
$256.00 |
$256.00 |
$256.00 |
$56.00
|
|
Htt gene detc abnor alleles
|
$616.00 |
$616.00 |
$616.00 |
$252.45
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$5,860.00 |
$5,860.00 |
$5,860.00 |
$4,190.44
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$180.00 |
$180.00 |
$180.00 |
$176.15
|
|
Hydralazine 20 mg/ml injection solution
|
$206.00 |
$206.00 |
$206.00 |
$63.91
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$119.00 |
$119.00 |
$119.00 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$400.00 |
$400.00 |
$400.00 |
$76.13
|
|
Hysterosalpingography s&i
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$629.46
|
|
I-123 sod iodide diag per 100 uci
|
$457.00 |
$457.00 |
$457.00 |
$158.05
|
|
I131 iodide cap, rx
|
$279.00 |
$279.00 |
$279.00 |
$91.83
|
|
Ia nfct ab sarscov2 covid19
|
$68.00 |
$68.00 |
$68.00 |
$49.81
|
|
Ifnl3 gene
|
$217.00 |
$217.00 |
$217.00 |
$90.53
|
|
Igh gene rearrange amp meth
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,271.00 |
$1,271.00 |
$1,271.00 |
$660.80
|
|
Immune complex assay
|
$246.00 |
$246.00 |
$246.00 |
$88.80
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$351.00 |
$351.00 |
$351.00 |
$2,854.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$15,777.00 |
$15,777.00 |
$15,777.00 |
$5,089.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$783.00 |
$783.00 |
$783.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$408.00 |
$408.00 |
$408.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$330.00 |
$330.00 |
$330.00 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$429.00 |
$429.00 |
$429.00 |
$250.00
|
|
Immunoglobulin assay
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$74.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$2,135.29
|
|
In-111 pentetreotide
|
$10,560.00 |
$10,560.00 |
$10,560.00 |
$6,617.05
|
|
Infect ag drug suscept pheno predict
|
$391.00 |
$391.00 |
$391.00 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$1,324.00 |
$1,324.00 |
$1,324.00 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,312.00 |
$3,312.00 |
$3,312.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$98.00 |
$98.00 |
$98.00 |
$95.55
|
|
Infect ag if hep delta agent
|
$552.00 |
$552.00 |
$552.00 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$166.00 |
$166.00 |
$166.00 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$36.00 |
$36.00 |
$36.00 |
$62.29
|
|
Infect ag na hep b amp
|
$573.00 |
$573.00 |
$573.00 |
$108.44
|
|
Infect ag na hpv high-risk types
|
$494.00 |
$494.00 |
$494.00 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$904.00 |
$904.00 |
$904.00 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$442.00 |
$442.00 |
$442.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$114.00 |
$114.00 |
$114.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,706.00 |
$1,706.00 |
$1,706.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$408.00 |
$408.00 |
$408.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$420.00 |
$420.00 |
$420.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$206.00 |
$206.00 |
$206.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$849.00 |
$849.00 |
$849.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$261.00 |
$261.00 |
$261.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$76.00 |
$76.00 |
$76.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$193.00 |
$193.00 |
$193.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$291.00 |
$291.00 |
$291.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$521.00 |
$521.00 |
$521.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$494.00 |
$494.00 |
$494.00 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$456.00 |
$456.00 |
$456.00 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$521.00 |
$521.00 |
$521.00 |
$136.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$105.00 |
$105.00 |
$105.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$211.00 |
$211.00 |
$211.00 |
$282.10
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$230.00 |
$230.00 |
$230.00 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$681.00 |
$681.00 |
$681.00 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$278.78
|
|
Inj, biorphen, 20 micrograms
|
$15.00 |
$15.00 |
$15.00 |
$20.40
|
|
Inj cefazolin sodium, hikma
|
$26.33 |
$26.33 |
$26.33 |
$34.59
|
|
Inj cefazolin (wg crit care)
|
$150.00 |
$150.00 |
$150.00 |
$25.00
|
|
Inj crotalidae im f(ab')2 eq
|
$5,579.00 |
$5,579.00 |
$5,579.00 |
$2,735.85
|
|
Inj hydroxocobalamin IV 25mg
|
$4,256.00 |
$4,256.00 |
$4,256.00 |
$2,452.32
|
|
Inj levocarnitine per 1 gm
|
$178.00 |
$178.00 |
$178.00 |
$136.62
|
