|
Head CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,268.90
|
|
Heavy metal qual any number
|
$32.85 |
$32.85 |
$32.85 |
$68.88
|
|
Helicobacter pylori antibody igm
|
$25.50 |
$25.50 |
$25.50 |
$91.98
|
|
Hematocrit
|
$4.05 |
$4.05 |
$4.05 |
$33.57
|
|
Hemodialysis one evaluation
|
$301.05 |
$301.05 |
$301.05 |
$1,319.44
|
|
Hemoglobin
|
$4.05 |
$4.05 |
$4.05 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$10.35 |
$10.35 |
$10.35 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$12.30 |
$12.30 |
$12.30 |
$53.60
|
|
Hemoglobin-oxygen affinity
|
$17.55 |
$17.55 |
$17.55 |
$84.76
|
|
Hemoglobin plasma
|
$12.75 |
$12.75 |
$12.75 |
$41.25
|
|
Hemolysins and agglutinins incubated
|
$20.55 |
$20.55 |
$20.55 |
$57.14
|
|
Hemophilus influenza antibdy
|
$26.85 |
$26.85 |
$26.85 |
$62.70
|
|
Heparin assay
|
$22.95 |
$22.95 |
$22.95 |
$140.10
|
|
Heparin bolus from bag
|
$9.88 |
$9.88 |
$9.88 |
$66.47
|
|
Heparin neutralization
|
$20.70 |
$20.70 |
$20.70 |
$42.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$2.93 |
$2.93 |
$2.93 |
$10.61
|
|
Hepatitis a antibody igm
|
$19.65 |
$19.65 |
$19.65 |
$87.75
|
|
Hepatitis b core antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$87.98
|
|
Hepatitis b core antibody total
|
$21.15 |
$21.15 |
$21.15 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,023.30 |
$1,023.30 |
$1,023.30 |
$1,116.61
|
|
Hepatitis b surface ag quan
|
$61.50 |
$61.50 |
$61.50 |
$54.88
|
|
Hepatitis b surface antibody
|
$18.90 |
$18.90 |
$18.90 |
$82.05
|
|
Hepatitis c antibody
|
$25.05 |
$25.05 |
$25.05 |
$108.00
|
|
Hepatitis d quantification
|
$75.15 |
$75.15 |
$75.15 |
$91.28
|
|
Hepatobiliary system imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$1,022.55 |
$1,022.55 |
$1,022.55 |
$1,799.45
|
|
Herpes simplex 1 ag if
|
$20.10 |
$20.10 |
$20.10 |
$38.58
|
|
Herpes simplex 2 ag if
|
$20.10 |
$20.10 |
$20.10 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$23.10 |
$23.10 |
$23.10 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$17.55 |
$17.55 |
$17.55 |
$87.10
|
|
Herpes simplex virus isolation
|
$30.75 |
$30.75 |
$30.75 |
$104.10
|
|
Heterophile antibodies screening
|
$9.15 |
$9.15 |
$9.15 |
$74.00
|
|
Hfo nontorsion jnts pre cst
|
$17.70 |
$17.70 |
$17.70 |
$110.88
|
|
Hhv-6 dna quant
|
$44.85 |
$44.85 |
$44.85 |
$246.35
|
|
Hinge extension/flex wrist/f
|
$329.55 |
$329.55 |
$329.55 |
$1,638.00
|
|
Hinge ext/flex wrist finger
|
$762.00 |
$762.00 |
$762.00 |
$3,102.31
|
|
Hip X-ray
|
$69.30 |
$69.30 |
$69.30 |
$292.05
|
|
Histamine
|
$51.75 |
$51.75 |
$51.75 |
$115.00
|
|
Histochemical stains add-on
|
$63.30 |
$63.30 |
$63.30 |
$153.29
|
|
Hla i & ii typing hr
|
$370.50 |
$370.50 |
$370.50 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$216.45 |
$216.45 |
$216.45 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$152.10 |
$152.10 |
$152.10 |
$161.70
|
|
Hla i typing complete hr
|
$359.55 |
$359.55 |
$359.55 |
$557.40
|
|
Hla i typing high res 1 allele grp ea
|
$165.60 |
$165.60 |
$165.60 |
$293.15
|
|
Hla i typing low res one locus ea
|
$195.00 |
$195.00 |
$195.00 |
$320.70
|
|
Hocm 250-299mg/ml iodine,1ml
|
$13.64 |
$13.64 |
$13.64 |
$36.41
|
|
Hocm 350-399mg/ml iodine,1ml
|
$2.03 |
$2.03 |
$2.03 |
$79.78
|
|
Home health care supervision
|
$49.05 |
$49.05 |
$49.05 |
$101.60
|
|
Home sleep test/type 2 porta
|
$161.70 |
$161.70 |
$161.70 |
$503.13
|
|
Home sleep test/type 3 porta
|
$161.70 |
$161.70 |
$161.70 |
$579.26
|
|
Home sleep test/type 4 porta
|
$161.70 |
$161.70 |
$161.70 |
$613.60
|
|
Homocysteine
|
$29.55 |
$29.55 |
$29.55 |
$121.92
|
|
Homovanillic acid (hva)
|
$33.90 |
$33.90 |
$33.90 |
$59.95
|
|
Hopd mntl hlt, 15-29 min
|
$12.60 |
$12.60 |
$12.60 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$32.10 |
$32.10 |
$32.10 |
$139.68
|
|
Hpv types 16 & 18 only
|
$33.90 |
$33.90 |
$33.90 |
$110.70
|
|
H pylori (c-13) breath
|
$117.90 |
$117.90 |
$117.90 |
$213.00
|
|
H pylori drug admin
|
$8.40 |
$8.40 |
$8.40 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$732.00 |
$732.00 |
$732.00 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$511.65 |
$511.65 |
$511.65 |
$1,276.00
|
|
Htt gene detc abnor alleles
|
$175.80 |
$175.80 |
$175.80 |
$250.50
|
|
Hyaluronidase 200 units/ml inj
|
$202.37 |
$202.37 |
$202.37 |
$260.99
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$117.76 |
$117.76 |
$117.76 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$35.02 |
$35.02 |
$35.02 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$27.60 |
$27.60 |
$27.60 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$79.95 |
$79.95 |
$79.95 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$45.27 |
$45.27 |
$45.27 |
$154.78
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$62.63 |
$62.63 |
$62.63 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$30.60 |
$30.60 |
$30.60 |
$76.13
|
|
#hypersens-actinomyces ab
|
$11.55 |
$11.55 |
$11.55 |
$31.74
|
|
Hysterosalpingography s&i
|
$153.90 |
$153.90 |
$153.90 |
$651.85
|
|
I-123 iobenguane diag
|
$1,109.70 |
$1,109.70 |
$1,109.70 |
$5,256.50
|
|
I-123 ioflupane diag
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$48.00 |
$48.00 |
$48.00 |
$139.20
|
|
I131 iodide cap, rx
|
$71.70 |
$71.70 |
$71.70 |
$78.75
|
|
I131 iodide sol, rx
|
$32.40 |
$32.40 |
$32.40 |
$32.40
|
|
Iaadi respiratory synctial virus
|
$20.10 |
$20.10 |
$20.10 |
$49.40
|
|
Iadna legionella pneumophila amplified probe tq
|
$33.15 |
$33.15 |
$33.15 |
$109.80
|
|
Ia infect ag ab qual/semiquant sgl step
|
$22.65 |
$22.65 |
$22.65 |
$50.60
|
|
Ia nfct ab sarscov2 covid19
|
$13.20 |
$13.20 |
$13.20 |
$55.35
|
|
Ibmfs seq alys pnl 30 genes
|
$1,099.35 |
$1,099.35 |
$1,099.35 |
$2,828.00
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,326.15 |
$1,326.15 |
$1,326.15 |
$3,771.20
|
|
Idh1 common variants
|
$167.55 |
$167.55 |
$167.55 |
$406.90
|
|
Idh2 common variants
|
$256.35 |
$256.35 |
$256.35 |
$486.00
|
|
Igh@/bcl2 translocation alys
|
$265.95 |
$265.95 |
$265.95 |
$277.80
|
|
Igh@ var region somatic mutation analy
|
$515.70 |
$515.70 |
$515.70 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$60.45 |
$60.45 |
$60.45 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$52.50 |
$52.50 |
$52.50 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$54.90 |
$54.90 |
$54.90 |
$274.86
|
|
Iliac revasc add-on 37222
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$25.05 |
$25.05 |
$25.05 |
$70.29
|
|
Immobilizer shldr sling med
|
$21.75 |
$21.75 |
$21.75 |
$99.45
|
|
Immune complex assay
|
$42.75 |
$42.75 |
$42.75 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,316.39 |
$9,316.39 |
$9,316.39 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$36.45 |
$36.45 |
$36.45 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$36.45 |
$36.45 |
$36.45 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$21.00 |
$21.00 |
$21.00 |
$48.50
|
|
Immunodiffusion nes
|
$22.80 |
$22.80 |
$22.80 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$39.15 |
$39.15 |
$39.15 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$52.35 |
$52.35 |
$52.35 |
$156.00
|
