|
Hc i-131 sodium iodide cap dx per mci
|
$35.70 |
$35.70 |
$35.70 |
$113.12
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$728.70 |
$728.70 |
$728.70 |
$1,070.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,285.22 |
$2,285.22 |
$2,285.22 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,376.78 |
$2,376.78 |
$2,376.78 |
$3,706.29
|
|
Head CT scan (with and without contrast)
|
$973.98 |
$973.98 |
$973.98 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$811.86 |
$811.86 |
$811.86 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$649.32 |
$649.32 |
$649.32 |
$1,268.90
|
|
Heart infarct image
|
$452.34 |
$452.34 |
$452.34 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$72.24 |
$72.24 |
$72.24 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$32.76 |
$32.76 |
$32.76 |
$92.00
|
|
Hematocrit
|
$28.98 |
$28.98 |
$28.98 |
$33.80
|
|
Hematopoietic nuclear tx
|
$567.00 |
$567.00 |
$567.00 |
$928.98
|
|
Hemodialysis one evaluation
|
$930.30 |
$930.30 |
$930.30 |
$1,364.27
|
|
Hemoglobin
|
$25.20 |
$25.20 |
$25.20 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$175.14 |
$175.14 |
$175.14 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$24.78 |
$24.78 |
$24.78 |
$52.32
|
|
Hemoglobin plasma
|
$24.78 |
$24.78 |
$24.78 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$205.80 |
$205.80 |
$205.80 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$57.54 |
$57.54 |
$57.54 |
$61.79
|
|
Hemophilus influenza antibdy
|
$26.04 |
$26.04 |
$26.04 |
$62.70
|
|
Heparin assay
|
$27.30 |
$27.30 |
$27.30 |
$139.15
|
|
Heparin bolus from bag
|
$26.25 |
$26.25 |
$26.25 |
$66.06
|
|
Heparin neutralization
|
$15.12 |
$15.12 |
$15.12 |
$37.10
|
|
Heparin-protamine tolerance
|
$16.80 |
$16.80 |
$16.80 |
$37.75
|
|
Hepatitis a antibody igm
|
$23.10 |
$23.10 |
$23.10 |
$89.44
|
|
Hepatitis b core antibody igm
|
$23.10 |
$23.10 |
$23.10 |
$89.60
|
|
Hepatitis b core antibody total
|
$23.10 |
$23.10 |
$23.10 |
$77.50
|
|
Hepatitis b surface antibody
|
$23.10 |
$23.10 |
$23.10 |
$82.32
|
|
Hepatitis c antibody
|
$107.10 |
$107.10 |
$107.10 |
$108.25
|
|
Hepatitis d quantification
|
$289.80 |
$289.80 |
$289.80 |
$91.28
|
|
Herpes simplex 1 ag if
|
$25.20 |
$25.20 |
$25.20 |
$38.58
|
|
Herpes simplex 2 ag if
|
$25.20 |
$25.20 |
$25.20 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$22.26 |
$22.26 |
$22.26 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$24.78 |
$24.78 |
$24.78 |
$87.36
|
|
Herpes simplex virus isolation
|
$42.84 |
$42.84 |
$42.84 |
$110.00
|
|
Heterophile antibodies screening
|
$6.72 |
$6.72 |
$6.72 |
$73.87
|
|
Hhv-6 dna quant
|
$52.92 |
$52.92 |
$52.92 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$112.98 |
$112.98 |
$112.98 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$150.78 |
$150.78 |
$150.78 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$102.90 |
$102.90 |
$102.90 |
$233.50
|
|
Hip X-ray
|
$111.30 |
$111.30 |
$111.30 |
$294.75
|
|
Histamine
|
$37.38 |
$37.38 |
$37.38 |
$115.00
|
|
Histochemical stains add-on
|
$315.00 |
$315.00 |
$315.00 |
$152.75
|
|
Hla class i high defin qual
|
$408.24 |
$408.24 |
$408.24 |
$631.15
|
|
Hla class ii high defin qual
|
$410.76 |
$410.76 |
$410.76 |
$569.25
|
|
Hla class i&ii antibody qual
|
$138.60 |
$138.60 |
$138.60 |
$255.00
|
|
Hla class ii phenotype qual
|
$103.32 |
$103.32 |
$103.32 |
$313.60
|
|
Hla class i phenotype qual
|
$120.54 |
$120.54 |
$120.54 |
$397.20
|
|
Hla i & ii type verify lr
|
$509.88 |
$509.88 |
$509.88 |
$742.50
|
|
Hla i & ii typing hr
|
$435.54 |
$435.54 |
$435.54 |
$804.00
|
|
Hla i & ii typing lr
|
$506.94 |
$506.94 |
$506.94 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$156.24 |
$156.24 |
$156.24 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$93.66 |
$93.66 |
$93.66 |
$164.00
|
|
Hla i typing 1 locus hr
|
$223.44 |
$223.44 |
$223.44 |
$439.20
|
|
Hla i typing complete hr
|
$422.94 |
$422.94 |
$422.94 |
$607.86
|
|
Hla i typing complete lr
|
$508.62 |
$508.62 |
$508.62 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$214.20 |
$214.20 |
$214.20 |
$304.20
|
|
Hla i typing low res one locus ea
|
$160.86 |
$160.86 |
$160.86 |
$340.00
|
|
Hla x-math non-cytotoxic
|
$138.18 |
$138.18 |
$138.18 |
$364.80
|
|
Homocysteine
|
$24.36 |
$24.36 |
$24.36 |
$125.40
|
|
Homogenization tissue
|
$21.84 |
$21.84 |
$21.84 |
$41.30
|
|
Homovanillic acid (hva)
|
$28.56 |
$28.56 |
$28.56 |
$59.95
|
|
Hpv types 16 & 18 only
|
$51.24 |
$51.24 |
$51.24 |
$112.00
|
|
H pylori (c-13) breath
|
$85.26 |
$85.26 |
$85.26 |
$212.25
|
|
Htt gene detc abnor alleles
|
$172.62 |
$172.62 |
$172.62 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$40.74 |
$40.74 |
$40.74 |
$157.32
|
|
Hysterosalpingography s&i
|
$290.22 |
$290.22 |
$290.22 |
$669.12
|
|
I-123 iobenguane diag
|
$2,607.36 |
$2,607.36 |
$2,607.36 |
$5,170.70
|
|
I-123 sod iodide diag per 100 uci
|
$160.02 |
$160.02 |
$160.02 |
$147.46
|
|
I131 iodide cap, rx
|
$67.20 |
$67.20 |
$67.20 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$25.20 |
$25.20 |
$25.20 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$44.52 |
$44.52 |
$44.52 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$57.12 |
$57.12 |
$57.12 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$55,189.68 |
$55,189.68 |
$55,189.68 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$51,510.48 |
$51,510.48 |
$51,510.48 |
$39,070.50
|
|
Icd crtp serena MRI
|
$18,397.68 |
$18,397.68 |
$18,397.68 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$13,798.68 |
$13,798.68 |
$13,798.68 |
$9,264.83
|
|
Ifnl3 gene
|
$92.82 |
$92.82 |
$92.82 |
$147.20
|
|
Igh@/bcl2 translocation alys
|
$261.24 |
$261.24 |
$261.24 |
$284.46
|
|
Igh gene rearrange amp meth
|
$249.48 |
$249.48 |
$249.48 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$371.28 |
$371.28 |
$371.28 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$217.98 |
$217.98 |
$217.98 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$57.54 |
$57.54 |
$57.54 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$300.30 |
$300.30 |
$300.30 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$143.64 |
$143.64 |
$143.64 |
$277.90
|
|
Iliac/fem angio cath insert
|
$2,172.66 |
$2,172.66 |
$2,172.66 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$5,448.24 |
$5,448.24 |
$5,448.24 |
$6,082.65
|
|
Immune complex assay
|
$31.08 |
$31.08 |
$31.08 |
$101.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$26.46 |
$26.46 |
$26.46 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$26.46 |
$26.46 |
$26.46 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$23.52 |
$23.52 |
$23.52 |
$48.57
|
|
Immunodiffusion nes
|
$23.10 |
$23.10 |
$23.10 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$28.56 |
$28.56 |
$28.56 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$79.38 |
$79.38 |
$79.38 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$143.64 |
$143.64 |
$143.64 |
$234.27
|
|
Immunoglobulin assay
|
$99.12 |
$99.12 |
$99.12 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$312,732.00 |
$312,732.00 |
$312,732.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$3,891.30 |
$3,891.30 |
$3,891.30 |
$16,195.55
|
|
Implant spine infusion pump
|
$3,221.40 |
$3,221.40 |
$3,221.40 |
$17,270.40
|
