|
Hc i-131 sodium iodide cap dx per mci
|
$154.86 |
$154.86 |
$154.86 |
$113.12
|
|
Hc metata joint dislocation anes
|
$436.80 |
$436.80 |
$436.80 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$978.40 |
$978.40 |
$978.40 |
$840.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$192.80 |
$192.80 |
$192.80 |
$562.25
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$935.20 |
$935.20 |
$935.20 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$408.80 |
$408.80 |
$408.80 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$464.80 |
$464.80 |
$464.80 |
$865.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$812.28 |
$812.28 |
$812.28 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,783.57 |
$3,783.57 |
$3,783.57 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$2,155.84 |
$2,155.84 |
$2,155.84 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$629.60 |
$629.60 |
$629.60 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$449.60 |
$449.60 |
$449.60 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$657.60 |
$657.60 |
$657.60 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$1,816.96 |
$1,816.96 |
$1,816.96 |
$1,822.95
|
|
Head CT scan (with contrast)
|
$1,562.24 |
$1,562.24 |
$1,562.24 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,314.73 |
$1,314.73 |
$1,314.73 |
$1,268.90
|
|
Hearing loss dup/del analys
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
$872.10
|
|
Hearing loss sequence analys
|
$3,250.40 |
$3,250.40 |
$3,250.40 |
$2,687.40
|
|
Heart first pass add-on
|
$104.00 |
$104.00 |
$104.00 |
$487.78
|
|
Heart first pass multiple
|
$558.40 |
$558.40 |
$558.40 |
$1,422.05
|
|
Heart image spect
|
$524.80 |
$524.80 |
$524.80 |
$1,135.68
|
|
Heart infarct image
|
$436.00 |
$436.00 |
$436.00 |
$942.29
|
|
Heart infarct image (ef)
|
$427.20 |
$427.20 |
$427.20 |
$865.98
|
|
Heart tmr w/other procedure 33141
|
$322.40 |
$322.40 |
$322.40 |
$322.40
|
|
Heavy metal qual any number
|
$52.80 |
$52.80 |
$52.80 |
$68.88
|
|
Heel (Calcaneus) X-ray (both feet)
|
$258.80 |
$258.80 |
$258.80 |
$276.45
|
|
Heinz bodies direct
|
$31.22 |
$31.22 |
$31.22 |
$43.15
|
|
Heinz bodies induced
|
$31.22 |
$31.22 |
$31.22 |
$49.15
|
|
Helicobacter pylori antibody igm
|
$48.57 |
$48.57 |
$48.57 |
$92.23
|
|
Hemagglutination inhibition
|
$17.60 |
$17.60 |
$17.60 |
$43.20
|
|
Hematocrit
|
$33.57 |
$33.57 |
$33.57 |
$33.60
|
|
Hematopoietic nuclear tx
|
$445.60 |
$445.60 |
$445.60 |
$928.98
|
|
Hemicrt intrclry algrft prtl
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$1,713.60
|
|
Hemiepiphyseal arrest
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
$3,839.54
|
|
Hemodialysis access study
|
$126.40 |
$126.40 |
$126.40 |
$302.40
|
|
Hemodialysis one evaluation
|
$1,129.46 |
$1,129.46 |
$1,129.46 |
$1,364.27
|
|
Hemodialysis repeated eval
|
$235.20 |
$235.20 |
$235.20 |
$1,209.60
|
|
Hemoglobin
|
$33.57 |
$33.57 |
$33.57 |
$33.02
|
|
Hemoglobin copper sulfate
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Hemoglobin fetal qualitative
|
$17.60 |
$17.60 |
$17.60 |
$51.00
|
|
Hemoglobin f (fetal) chemical
|
$33.57 |
$33.57 |
$33.57 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$33.57 |
$33.57 |
$33.57 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$33.57 |
$33.57 |
$33.57 |
$89.13
|
|
Hemoglobin plasma
|
$33.57 |
$33.57 |
$33.57 |
$41.40
|
|
Hemoglobin thermolabile
|
$18.40 |
$18.40 |
$18.40 |
$18.40
|
|
Hemoglobin urine
|
$33.57 |
$33.57 |
$33.57 |
$17.50
|
|
Hemolysin acid
|
$22.40 |
$22.40 |
$22.40 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$57.14 |
$57.14 |
$57.14 |
$61.95
|
|
Hemolysins and agglutinins incubated
|
$57.14 |
$57.14 |
$57.14 |
$61.79
|
|
Hemoperfusion
|
$202.40 |
$202.40 |
$202.40 |
$202.40
|
|
Hemophilus influenza antibdy
|
$48.57 |
$48.57 |
$48.57 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$675.20 |
$675.20 |
$675.20 |
$1,178.02
|
|
Hemorrhoidopexy stapling 46947
|
$947.20 |
$947.20 |
$947.20 |
$3,816.64
|
|
Heparin assay
|
$32.85 |
$32.85 |
$32.85 |
$138.84
|
|
Heparin bolus from bag
|
$75.45 |
$75.45 |
$75.45 |
$65.92
|
|
Heparin neutralization
|
$32.85 |
$32.85 |
$32.85 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$70.34 |
$70.34 |
$70.34 |
$11.77
|
|
Heparin-protamine tolerance
|
$32.85 |
$32.85 |
$32.85 |
$37.75
|
|
Hepatectomy removal of liver 47120
|
$5,722.40 |
$5,722.40 |
$5,722.40 |
$4,363.20
|
|
Hepatitis a antibody igm
|
$48.57 |
$48.57 |
$48.57 |
$89.10
|
|
Hepatitis b core antibody igm
|
$48.57 |
$48.57 |
$48.57 |
$88.83
|
|
Hepatitis b core antibody total
|
$48.57 |
$48.57 |
$48.57 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$468.80 |
$468.80 |
$468.80 |
$1,116.61
|
|
Hepatitis b surface ag quan
|
$38.58 |
$38.58 |
$38.58 |
$54.88
|
|
Hepatitis b surface antibody
|
$48.57 |
$48.57 |
$48.57 |
$82.05
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$210.40 |
$210.40 |
$210.40 |
$210.40
|
|
Hepatitis c antibody
|
$48.57 |
$48.57 |
$48.57 |
$108.00
|
|
Hepatitis c rna dir probe
|
$63.20 |
$63.20 |
$63.20 |
$63.20
|
|
Hepatitis d quantification
|
$86.40 |
$86.40 |
$86.40 |
$91.28
|
|
Hepatitis g dna amp probe
|
$99.20 |
$99.20 |
$99.20 |
$54.18
|
|
Hepatitis g dna dir probe
|
$60.00 |
$60.00 |
$60.00 |
$40.17
|
|
Hepatitis g dna quant
|
$104.80 |
$104.80 |
$104.80 |
$57.63
|
|
Hepb vacc 3 dose immunsup im
|
$193.60 |
$193.60 |
$193.60 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,799.45
|
|
Hered neuroend tum-rlt do 5+
|
$421.38 |
$421.38 |
$421.38 |
$870.60
|
|
Hered rta do gen seq 15
|
$957.60 |
$957.60 |
$957.60 |
$657.70
|
|
Hernia Repair (Inguinal)
|
$2,555.20 |
$2,555.20 |
$2,555.20 |
$6,906.90
|
|
Herpes simplex 1 ag if
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Herpes simplex 2 ag if
|
$38.58 |
$38.58 |
$38.58 |
$41.41
|
|
Herpes simplex type 1 antibody igg
|
$48.57 |
$48.57 |
$48.57 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$48.57 |
$48.57 |
$48.57 |
$87.36
|
|
Herpes simplex virus isolation
|
$85.60 |
$85.60 |
$85.60 |
$110.40
|
|
Heterophile antibodies screening
|
$48.57 |
$48.57 |
$48.57 |
$73.25
|
|
Heterophile antibodies titer
|
$16.80 |
$16.80 |
$16.80 |
$28.80
|
|
Heterophile antibody absrbj
|
$19.20 |
$19.20 |
$19.20 |
$32.50
|
|
Hexa gene
|
$127.86 |
$127.86 |
$127.86 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$222.40 |
$222.40 |
$222.40 |
$110.88
|
|
Hgb methemoglobin qual
|
$14.40 |
$14.40 |
$14.40 |
$15.21
|
|
Hhv-6 dna dir probe
|
$116.00 |
$116.00 |
$116.00 |
$116.00
|
|
Hhv-6 dna quant
|
$104.80 |
$104.80 |
$104.80 |
$253.55
|
|
Hib-hepb vaccine im
|
$60.80 |
$60.80 |
$60.80 |
$85.80
|
|
Hib-mency vacc 6wk-18m0 im
|
$32.00 |
$32.00 |
$32.00 |
$201.60
|
|
Hi enrgy eswt plantar fascia
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$3,455.06
|
|
High inten beh couns std 30m
|
$61.60 |
$61.60 |
$61.60 |
$103.50
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$307.93 |
$307.93 |
$307.93 |
$374.40
|
