|
Head CT scan (with contrast)
|
$690.00 |
$690.00 |
$690.00 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$576.00 |
$576.00 |
$576.00 |
$1,268.90
|
|
Heel leather reinforced
|
$272.30 |
$272.30 |
$272.30 |
$180.55
|
|
Heinz bodies direct
|
$16.80 |
$16.80 |
$16.80 |
$37.44
|
|
Heinz bodies induced
|
$25.20 |
$25.20 |
$25.20 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$57.00 |
$57.00 |
$57.00 |
$91.98
|
|
Hematocrit
|
$9.60 |
$9.60 |
$9.60 |
$33.57
|
|
Hemoglobin
|
$9.60 |
$9.60 |
$9.60 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$28.20 |
$28.20 |
$28.20 |
$53.60
|
|
Hemoglobin plasma
|
$11.40 |
$11.40 |
$11.40 |
$41.25
|
|
Heparin assay
|
$48.60 |
$48.60 |
$48.60 |
$140.10
|
|
Heparin bolus from bag
|
$43.86 |
$43.86 |
$43.86 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.80 |
$4.80 |
$4.80 |
$10.61
|
|
Hepatitis a antibody igm
|
$49.20 |
$49.20 |
$49.20 |
$87.75
|
|
Hepatitis b core antibody igm
|
$46.20 |
$46.20 |
$46.20 |
$87.98
|
|
Hepatitis b core antibody total
|
$47.40 |
$47.40 |
$47.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$31.20 |
$31.20 |
$31.20 |
$82.05
|
|
Hepatitis c antibody
|
$56.40 |
$56.40 |
$56.40 |
$108.00
|
|
Hepatitis d quantification
|
$36.00 |
$36.00 |
$36.00 |
$91.28
|
|
Hepatobiliary system imaging
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$1,438.58
|
|
Hernia Repair (Inguinal)
|
$8,169.99 |
$8,169.99 |
$8,169.99 |
$6,311.00
|
|
Herpes simplex type 1 antibody igg
|
$51.60 |
$51.60 |
$51.60 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$75.60 |
$75.60 |
$75.60 |
$87.10
|
|
Herpes simplex virus isolation
|
$110.40 |
$110.40 |
$110.40 |
$104.10
|
|
Heterophile antibodies screening
|
$21.00 |
$21.00 |
$21.00 |
$74.00
|
|
Hfo nontorsion jnts pre cst
|
$296.60 |
$296.60 |
$296.60 |
$110.88
|
|
Hfo nontorsion jnts pre ots
|
$296.60 |
$296.60 |
$296.60 |
$199.53
|
|
Hinge extension/flex wrist/f
|
$5,261.16 |
$5,261.16 |
$5,261.16 |
$1,638.00
|
|
Hinge ext/flex wrist finger
|
$6,895.02 |
$6,895.02 |
$6,895.02 |
$3,102.31
|
|
Hip adj flex ext abduct cont
|
$1,533.33 |
$1,533.33 |
$1,533.33 |
$837.61
|
|
Hip clevis/thrust bearing fr
|
$761.11 |
$761.11 |
$761.11 |
$531.61
|
|
Hip clevis/thrust bearing lo
|
$841.06 |
$841.06 |
$841.06 |
$603.54
|
|
Hip clevis type 2 posit jnt
|
$1,589.33 |
$1,589.33 |
$1,589.33 |
$1,053.78
|
|
Hip joint adjustable flexion
|
$1,135.52 |
$1,135.52 |
$1,135.52 |
$763.87
|
|
Hip X-ray
|
$120.60 |
$120.60 |
$120.60 |
$292.05
|
|
Hkafo torsion ball bearing j
|
$2,175.18 |
$2,175.18 |
$2,175.18 |
$1,442.22
|
|
Hkafo torsion bil rot straps
|
$721.92 |
$721.92 |
$721.92 |
$478.66
|
|
Hkafo torsion unilat rot str
|
$553.87 |
$553.87 |
$553.87 |
$367.24
|
|
Hkafo unilat torsion ball br
|
$1,774.37 |
$1,774.37 |
$1,774.37 |
$1,176.46
|
|
Hla class i high defin qual
|
$971.40 |
$971.40 |
$971.40 |
$565.40
|
|
Hla class ii phenotype qual
|
$245.40 |
$245.40 |
$245.40 |
$312.00
|
|
Hla i low res one antigen equiv ea
|
$289.80 |
$289.80 |
$289.80 |
$161.70
|
|
Hla i typing complete hr
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$557.40
|
|
Hla i typing high res 1 allele grp ea
|
$562.80 |
$562.80 |
$562.80 |
$293.15
|
|
Hla i typing low res one locus ea
|
$401.40 |
$401.40 |
$401.40 |
$320.70
|
|
Ho abduction hip adjustable
|
$880.04 |
$880.04 |
$880.04 |
$583.49
|
|
Ho abduction static plastic
|
$644.90 |
$644.90 |
$644.90 |
$427.59
|
|
Ho bi thighcuffs w sprdr bar
|
$1,272.11 |
$1,272.11 |
$1,272.11 |
$843.45
|
|
Hocm 350-399mg/ml iodine,1ml
|
$14.75 |
$14.75 |
$14.75 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$459.83 |
$459.83 |
$459.83 |
$173.60
|
|
Ho flex pavlik harns pre cst
|
$1,385.27 |
$1,385.27 |
$1,385.27 |
$223.13
|
|
Ho frejka cov only pre cst
|
$195.32 |
$195.32 |
$195.32 |
$129.50
|
|
Home sleep test/type 2 porta
|
$261.60 |
$261.60 |
$261.60 |
$503.13
|
|
Home sleep test/type 3 porta
|
$261.60 |
$261.60 |
$261.60 |
$579.26
|
|
Home sleep test/type 4 porta
|
$504.00 |
$504.00 |
$504.00 |
$613.60
|
|
Homocysteine
|
$66.00 |
$66.00 |
$66.00 |
$121.92
|
|
Homogenization tissue
|
$23.40 |
$23.40 |
$23.40 |
$39.20
|
|
Hopd mntl hlt, 15-29 min
|
$53.40 |
$53.40 |
$53.40 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$166.80 |
$166.80 |
$166.80 |
$139.68
|
|
Hopd mntl hlt, grp
|
$53.40 |
$53.40 |
$53.40 |
$57.85
|
|
Ho post-op hip abduction
|
$6,023.92 |
$6,023.92 |
$6,023.92 |
$1,690.58
|
|
H pylori (c-13) breath
|
$248.40 |
$248.40 |
$248.40 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$3,912.00 |
$3,912.00 |
$3,912.00 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$453.60 |
$453.60 |
$453.60 |
$250.50
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$5,103.00 |
$5,103.00 |
$5,103.00 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$38.56 |
$38.56 |
$38.56 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$14.28 |
$14.28 |
$14.28 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$66.60 |
$66.60 |
$66.60 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$221.40 |
$221.40 |
$221.40 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$181.69 |
$181.69 |
$181.69 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$65.48 |
$65.48 |
$65.48 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$116.69 |
$116.69 |
$116.69 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$62.36 |
$62.36 |
$62.36 |
$72.65
|
|
#hypersens-actinomyces ab
|
$37.80 |
$37.80 |
$37.80 |
$31.74
|
|
I-123 iobenguane diag
|
$12,260.18 |
$12,260.18 |
$12,260.18 |
$5,256.50
|
|
I-123 ioflupane diag
|
$6,220.80 |
$6,220.80 |
$6,220.80 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$569.23 |
$569.23 |
$569.23 |
$139.20
|
|
Iaadi respiratory synctial virus
|
$45.60 |
$45.60 |
$45.60 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$129.60 |
$129.60 |
$129.60 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$999.61 |
$999.61 |
$999.61 |
$635.44
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,217.06 |
$1,217.06 |
$1,217.06 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$116,243.53 |
$116,243.53 |
$116,243.53 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$112,800.15 |
$112,800.15 |
$112,800.15 |
$37,789.50
|
|
Icd crtp serena MRI
|
$91,031.70 |
$91,031.70 |
$91,031.70 |
$14,346.00
|
|
Icd reliance df4 ib 64cm
|
$107,559.89 |
$107,559.89 |
$107,559.89 |
$9,259.80
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$2,049.00 |
$2,049.00 |
$2,049.00 |
$3,771.20
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$3,322.80
|
|
Ifosfamide 1 gram intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$243.78
|
|
Igh gene rearrange amp meth
|
$727.80 |
$727.80 |
$727.80 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$742.80 |
$742.80 |
$742.80 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$127.80 |
$127.80 |
$127.80 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$874.20 |
$874.20 |
$874.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$283.20 |
$283.20 |
$283.20 |
$274.86
|
|
Imetelstat 188 mg intravenous solution
|
$18,737.24 |
$18,737.24 |
$18,737.24 |
$20,373.55
|
|
Immob elbow child sm
|
$2,430.43 |
$2,430.43 |
$2,430.43 |
$74.20
|
|
Immobilizer shldr cntor adlt
|
$989.48 |
$989.48 |
$989.48 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$1,143.36 |
$1,143.36 |
$1,143.36 |
$102.00
|
|
Immobilizer shldr sling med
|
$1,173.88 |
$1,173.88 |
$1,173.88 |
$99.45
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,687.44 |
$3,687.44 |
$3,687.44 |
$3,593.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$81.60 |
$81.60 |
$81.60 |
$130.00
|
