|
Head CT scan (with contrast)
|
$1,294.50 |
$1,294.50 |
$1,294.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$926.50 |
$926.50 |
$926.50 |
$1,268.90
|
|
Heart infarct image
|
$754.50 |
$754.50 |
$754.50 |
$942.29
|
|
Heart infarct image (ef)
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$865.98
|
|
Heinz bodies direct
|
$63.50 |
$63.50 |
$63.50 |
$43.15
|
|
Heinz bodies induced
|
$127.00 |
$127.00 |
$127.00 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$74.00 |
$74.00 |
$74.00 |
$92.23
|
|
Hematocrit
|
$17.50 |
$17.50 |
$17.50 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$1,338.00
|
|
Hemoglobin
|
$57.50 |
$57.50 |
$57.50 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$128.13 |
$128.13 |
$128.13 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$44.00 |
$44.00 |
$44.00 |
$89.13
|
|
Hemoglobin plasma
|
$41.50 |
$41.50 |
$41.50 |
$41.25
|
|
Hemolysins and agglutinins incubated
|
$67.50 |
$67.50 |
$67.50 |
$59.80
|
|
Hemophilus influenza antibdy
|
$27.00 |
$27.00 |
$27.00 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,438.50 |
$2,438.50 |
$2,438.50 |
$1,170.54
|
|
Hemorrhoidopexy stapling 46947
|
$3,813.50 |
$3,813.50 |
$3,813.50 |
$3,786.00
|
|
Heparin assay
|
$293.50 |
$293.50 |
$293.50 |
$138.84
|
|
Heparin bolus from bag
|
$60.00 |
$60.00 |
$60.00 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.56 |
$1.56 |
$1.56 |
$12.91
|
|
Hepatitis a antibody igm
|
$73.50 |
$73.50 |
$73.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$76.50 |
$76.50 |
$76.50 |
$88.80
|
|
Hepatitis b core antibody total
|
$72.50 |
$72.50 |
$72.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$373.50 |
$373.50 |
$373.50 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$43.00 |
$43.00 |
$43.00 |
$81.12
|
|
Hepatitis c antibody
|
$111.50 |
$111.50 |
$111.50 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$1,438.99
|
|
Hernia Repair (Inguinal)
|
$18,666.00 |
$18,666.00 |
$18,666.00 |
$6,739.98
|
|
Herpes simplex 1 ag if
|
$30.00 |
$30.00 |
$30.00 |
$38.58
|
|
Herpes simplex 2 ag if
|
$59.00 |
$59.00 |
$59.00 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$97.50 |
$97.50 |
$97.50 |
$87.10
|
|
Herpes simplex virus isolation
|
$30.00 |
$30.00 |
$30.00 |
$106.21
|
|
Heterophile antibodies screening
|
$35.50 |
$35.50 |
$35.50 |
$72.00
|
|
Hfo nontorsion jnts pre cst
|
$119.00 |
$119.00 |
$119.00 |
$110.88
|
|
Hhv-6 dna quant
|
$200.00 |
$200.00 |
$200.00 |
$250.80
|
|
Hip joint adjustable flexion
|
$697.50 |
$697.50 |
$697.50 |
$752.89
|
|
Hip X-ray
|
$160.50 |
$160.50 |
$160.50 |
$296.05
|
|
Histamine
|
$106.50 |
$106.50 |
$106.50 |
$114.84
|
|
Histochemical stains add-on
|
$93.50 |
$93.50 |
$93.50 |
$152.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$3.80 |
$3.80 |
$3.80 |
$31.80
|
|
HIV prep, inj, cabotegravir
|
$8,835.87 |
$8,835.87 |
$8,835.87 |
$7,320.13
|
|
Hla class i high defin qual
|
$429.50 |
$429.50 |
$429.50 |
$625.00
|
|
Hla class ii high defin qual
|
$431.50 |
$431.50 |
$431.50 |
$569.25
|
|
Hla class i&ii antibody qual
|
$135.00 |
$135.00 |
$135.00 |
$254.33
|
|
Hla class ii phenotype qual
|
$128.00 |
$128.00 |
$128.00 |
$288.60
|
|
Hla class i phenotype qual
|
$150.00 |
$150.00 |
$150.00 |
$367.50
|
|
Hla i & ii typing hr
|
$804.00 |
$804.00 |
$804.00 |
$871.65
|
|
Hla ii typing 1 loc hr
|
$276.00 |
$276.00 |
$276.00 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$100.00 |
$100.00 |
$100.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$125.00 |
$125.00 |
$125.00 |
$304.20
|
|
Hla i typing low res one locus ea
|
$165.50 |
$165.50 |
$165.50 |
$340.00
|
|
Hlth bhv assmt/reassessment
|
$181.00 |
$181.00 |
$181.00 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$56.50 |
$56.50 |
$56.50 |
$147.16
|
|
Hlth bhv ivntj fam without pt ea
|
$125.00 |
$125.00 |
$125.00 |
$87.00
|
|
Hlth bhv ivntj fam wo pt 1st
|
$69.00 |
$69.00 |
$69.00 |
$183.68
|
|
Hlth bhv ivntj grp 1st 30
|
$56.50 |
$56.50 |
$56.50 |
$78.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$197.50 |
$197.50 |
$197.50 |
$195.60
|
|
Hocm 200-249mg/ml iodine,1ml
|
$91.51 |
$91.51 |
$91.51 |
$236.25
|
|
Hocm 250-299mg/ml iodine,1ml
|
$18.63 |
$18.63 |
$18.63 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$18.77 |
$18.77 |
$18.77 |
$79.78
|
|
Home sleep test/type 2 porta
|
$513.50 |
$513.50 |
$513.50 |
$503.13
|
|
Home sleep test/type 3 porta
|
$701.50 |
$701.50 |
$701.50 |
$570.00
|
|
Homocysteine
|
$99.50 |
$99.50 |
$99.50 |
$125.00
|
|
Homogenization tissue
|
$34.00 |
$34.00 |
$34.00 |
$41.00
|
|
Homovanillic acid (hva)
|
$85.00 |
$85.00 |
$85.00 |
$59.95
|
|
Hpv combo assay ca screen
|
$183.50 |
$183.50 |
$183.50 |
$70.40
|
|
Hpv low-risk types
|
$207.00 |
$207.00 |
$207.00 |
$77.60
|
|
Hpv types 16 & 18 only
|
$65.50 |
$65.50 |
$65.50 |
$110.06
|
|
H pylori (c-13) breath
|
$60.00 |
$60.00 |
$60.00 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$218.00 |
$218.00 |
$218.00 |
$247.83
|
|
Human epididymis protein 4 (he4)
|
$256.00 |
$256.00 |
$256.00 |
$156.65
|
|
Hyaluronidase 200 units/ml inj
|
$1.50 |
$1.50 |
$1.50 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$83.56 |
$83.56 |
$83.56 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$7.24 |
$7.24 |
$7.24 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$913.00 |
$913.00 |
$913.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$429.00 |
$429.00 |
$429.00 |
$385.20
|
|
Hydrocolld drg filler paste
|
$157.00 |
$157.00 |
$157.00 |
$45.92
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$70.65 |
$70.65 |
$70.65 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$31.88 |
$31.88 |
$31.88 |
$120.72
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$155.25 |
$155.25 |
$155.25 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$2.00 |
$2.00 |
$2.00 |
$1.28
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$111.50 |
$111.50 |
$111.50 |
$73.45
|
|
Hyperbaric oxygen therapy
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$940.09
|
|
Hysterosalpingography s&i
|
$923.00 |
$923.00 |
$923.00 |
$663.50
|
|
Hysteroscopy ablation
|
$4,626.00 |
$4,626.00 |
$4,626.00 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$5,117.50
|
|
Hysteroscopy dx sep proc
|
$2,188.50 |
$2,188.50 |
$2,188.50 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$1,666.07 |
$1,666.07 |
$1,666.07 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$2,688.50 |
$2,688.50 |
$2,688.50 |
$5,417.29
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$174.50 |
$174.50 |
$174.50 |
$352.24
|
|
I-123 iobenguane diag
|
$6,368.00 |
$6,368.00 |
$6,368.00 |
$5,170.70
|
|
I-123 ioflupane diag
|
$5,607.50 |
$5,607.50 |
$5,607.50 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$175.00 |
$175.00 |
$175.00 |
$144.24
|
|
I131 iodide cap, rx
|
$3,850.00 |
$3,850.00 |
$3,850.00 |
$71.70
|
|
I131 max 100uci
|
$5.00 |
$5.00 |
$5.00 |
$53.39
|
|
Iadna legionella pneumophila amplified probe tq
|
$32.50 |
$32.50 |
$32.50 |
$109.00
|
|
Icd cobalt xt dr MRI is1 df1
|
$20,858.50 |
$20,858.50 |
$20,858.50 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$29,987.00 |
$29,987.00 |
$29,987.00 |
$41,418.00
|
