|
Harvest cultured skin graft 15040
|
$636.80 |
$636.80 |
$636.80 |
$2,164.64
|
|
Harvest eye tissue alograft
|
$2,044.80 |
$2,044.80 |
$2,044.80 |
$2,760.73
|
|
Harvest femoropopliteal vein 35572
|
$844.00 |
$844.00 |
$844.00 |
$844.00
|
|
Harvest vein for bypass 35500
|
$780.00 |
$780.00 |
$780.00 |
$780.00
|
|
Hast w/i&r phys/qhp
|
$113.60 |
$113.60 |
$113.60 |
$301.95
|
|
Hast w/oxygen titrate
|
$156.00 |
$156.00 |
$156.00 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$404.80 |
$404.80 |
$404.80 |
$403.25
|
|
Hba1/hba2 gene fam vrnt
|
$751.20 |
$751.20 |
$751.20 |
$568.65
|
|
Hbb full gene sequence
|
$649.60 |
$649.60 |
$649.60 |
$633.25
|
|
Hbb gene com variants
|
$350.40 |
$350.40 |
$350.40 |
$345.95
|
|
Hbb gene dup/del variants
|
$404.80 |
$404.80 |
$404.80 |
$404.80
|
|
Hbb gene known fam variant
|
$751.20 |
$751.20 |
$751.20 |
$751.20
|
|
Hb glycosylated a1c home dev
|
$33.57 |
$33.57 |
$33.57 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$413.89 |
$413.89 |
$413.89 |
$526.90
|
|
Hc ea ha check monaural
|
$45.60 |
$45.60 |
$45.60 |
$57.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$913.60 |
$913.60 |
$913.60 |
$726.00
|
|
Hcg free betachain test
|
$64.28 |
$64.28 |
$64.28 |
$64.74
|
|
Hcg qualitative
|
$33.57 |
$33.57 |
$33.57 |
$89.60
|
|
Hcg quantitative
|
$55.00 |
$55.00 |
$55.00 |
$137.70
|
|
Hc hearing aid chck binaurl
|
$78.40 |
$78.40 |
$78.40 |
$78.40
|
|
Hc hearing aid chck monarl
|
$48.00 |
$48.00 |
$48.00 |
$48.75
|
|
Hc hearing aid exam both ears
|
$175.20 |
$175.20 |
$175.20 |
$175.20
|
|
Hc hearing aid exam one ear
|
$175.20 |
$175.20 |
$175.20 |
$150.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$131.50 |
$131.50 |
$131.50 |
$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
|
$1,034.93 |
$1,034.93 |
$1,034.93 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$741.70 |
$741.70 |
$741.70 |
$865.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,354.12 |
$2,354.12 |
$2,354.12 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,528.80 |
$2,528.80 |
$2,528.80 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$332.00 |
$332.00 |
$332.00 |
$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)
|
$2,542.60 |
$2,542.60 |
$2,542.60 |
$1,822.95
|
|
Head CT scan (with contrast)
|
$2,542.60 |
$2,542.60 |
$2,542.60 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,521.39 |
$1,521.39 |
$1,521.39 |
$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)
|
$224.98 |
$224.98 |
$224.98 |
$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
|
$956.12 |
$956.12 |
$956.12 |
$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
|
$75.60 |
$75.60 |
$75.60 |
$65.92
|
|
Heparin neutralization
|
$32.85 |
$32.85 |
$32.85 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$14.13 |
$14.13 |
$14.13 |
$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
|