|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$581.40 |
$935.20 |
$935.20 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$408.80 |
$408.80 |
$1,317.85 |
|
|
Hc nm fusion spect CT unlisted
|
$167.40 |
$1,020.36 |
$1,066.00 |
|
|
Hc nm kidney imaging with flow
|
$260.82 |
$636.60 |
$1,316.88 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$509.60 |
$828.82 |
$2,354.12 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$1,604.16 |
$2,528.80 |
$4,268.55 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$202.80 |
$332.00 |
$3,780.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$629.60 |
$629.60 |
$5,638.44 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,099.20 |
$1,099.20 |
$6,084.16 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,640.80 |
$1,640.80 |
$6,305.36 |
|
|
Hdr rdncl skn surf brachytx
|
$449.60 |
$449.60 |
$460.40 |
|
|
Hdr rdncl skn surf brachytx
|
$657.60 |
$657.60 |
$758.32 |
|
|
Head CT scan (with and without contrast)
|
$842.90 |
$1,868.86 |
$3,602.00 |
|
|
Head CT scan (with contrast)
|
$758.16 |
$1,563.90 |
$3,708.00 |
|
|
Head CT scan (without contrast)
|
$673.68 |
$1,521.39 |
$40,312.09 |
|
|
Hearing loss dup/del analys
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
|
|
Hearing loss sequence analys
|
$3,250.40 |
$3,250.40 |
$3,250.40 |
|
|
Heart first pass add-on
|
$104.00 |
$104.00 |
$104.00 |
|
|
Heart first pass multiple
|
$558.40 |
$558.40 |
$1,592.50 |
|
|
Heart image spect
|
$343.20 |
$524.80 |
$2,382.90 |
|
|
Heart infarct image
|
$436.00 |
$486.60 |
$1,615.63 |
|
|
Heart infarct image (ef)
|
$427.20 |
$427.20 |
$427.20 |
|
|
Heart revascularize (tmr)
|
$4,129.86 |
$4,129.86 |
$4,129.86 |
|
|
Heart tmr w/other procedure 33141
|
$322.40 |
$322.40 |
$362.40 |
|
|
Heavy metal qual any number
|
$52.80 |
$52.80 |
$52.80 |
|
|
Heel (Calcaneus) X-ray (both feet)
|
$100.92 |
$248.95 |
$690.00 |
|
|
Heinz bodies direct
|
$31.22 |
$31.22 |
$141.54 |
|
|
Heinz bodies induced
|
$31.22 |
$31.22 |
$31.22 |
|
|
Helicobacter pylori antibody igm
|
$48.57 |
$79.95 |
$194.40 |
|
|
Hemagglutination inhibition
|
$17.60 |
$17.60 |
$17.60 |
|
|
Hematocrit
|
$19.20 |
$33.57 |
$33,846.55 |
|
|
Hematopoietic nuclear tx
|
$445.60 |
$445.60 |
$1,598.31 |
|
|
Hemicrt intrclry algrft prtl
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
|
|
Hemiepiphyseal arrest
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
|
|
Hemin 350 mg intravenous powder for solution
|
$50.30 |
$34,281.50 |
$34,281.50 |
|
|
Hemodialysis access study
|
$126.40 |
$126.40 |
$126.40 |
|
|
Hemodialysis one evaluation
|
$164.00 |
$1,319.44 |
$2,657.00 |
|
|
Hemodialysis repeated eval
|
$235.20 |
$235.20 |
$3,039.00 |
|
|
Hemoglobin
|
$20.80 |
$33.57 |
$33,111.77 |
|
|
Hemoglobin copper sulfate
|
$8.80 |
$8.80 |
$8.80 |
|
|
Hemoglobin fetal qualitative
|
$17.60 |
$35.04 |
$305.00 |
|
|
Hemoglobin f (fetal) chemical
|
$33.57 |
$33.57 |
$36.54 |
|
|
Hemoglobin methemoglobin quantitative
|
$33.57 |
$74.75 |
$256.10 |
|
|
Hemoglobin-oxygen affinity
|
$33.57 |
$33.57 |
$19,256.81 |
|
|
Hemoglobin plasma
|
$27.00 |
$59.80 |
$131.00 |
|
|
Hemoglobin thermolabile
|
$18.40 |
$18.40 |
$18.40 |
|
|
Hemoglobin urine
|
$33.57 |
$33.57 |
$33.57 |
|
|
Hemolysin acid
|
$22.40 |
$22.40 |
$91.14 |
|
|
Hemolysins/agglutinins auto
|
$42.72 |
$57.14 |
$57.14 |
|
|
Hemolysins and agglutinins incubated
|
$39.90 |
$57.14 |
$115.80 |
|
|
Hemoperfusion
|
$202.40 |
$202.40 |
$202.40 |
|
|
Hemophilus influenza antibdy
|
$34.45 |
$48.57 |
$48.57 |
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$685.20 |
$719.40 |
$719.40 |
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$388.80 |
$675.20 |
$2,719.00 |
|
|
Hemorrhoidopexy stapling 46947
|
$684.60 |
$947.20 |
$947.20 |
|
|
Hepagam b im injection
|
$232.68 |
$232.68 |
$232.68 |
|
|
Heparin assay
|
$32.85 |
$53.95 |
$28,401.14 |
|
|
Heparin bolus from bag
|
$15.44 |
$77.20 |
$38,322.59 |
|
|
Heparin neutralization
|
$32.85 |
$47.45 |
$120.00 |
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.63 |
$3.35 |
$557.97 |
|
|
Heparin-protamine tolerance
|
$32.85 |
$32.85 |
$32.85 |
|
|
Hepatectomy removal of liver 47120
|
$4,155.60 |
$5,722.40 |
$8,322.00 |
|
|
Hepatitis a antibody igm
|
$14.40 |
$68.90 |
$208.00 |
|
|
Hepatitis b core antibody igm
|
$42.60 |
$65.94 |
$244.00 |
|
|
Hepatitis b core antibody total
|
$45.50 |
$92.95 |
$240.50 |
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$387.75 |
$1,209.28 |
$3,148.75 |
|
|
Hepatitis b surface ag quan
|
$38.58 |
$38.58 |
$38.58 |
|
|
Hepatitis b surface antibody
|
$46.80 |
$93.12 |
$240.50 |
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$210.40 |
$210.40 |
$343.26 |
|
|
Hepatitis c antibody
|
$48.57 |
$118.95 |
$243.00 |
|
|
Hepatitis c rna dir probe
|
$63.20 |
$63.20 |
$63.20 |
|
|
Hepatitis d quantification
|
$86.40 |
$86.40 |
$86.40 |
|
|
Hepatitis g dna amp probe
|
$99.20 |
$99.20 |
$99.20 |
|
|
Hepatitis g dna dir probe
|
$60.00 |
$60.00 |
$60.00 |
|
|
Hepatitis g dna quant
|
$104.80 |
$104.80 |
$104.80 |
|
|
Hepb vacc 3 dose immunsup im
|
$193.60 |
$193.60 |
$565.15 |
|
|
Hereditary colon ca dsordrs
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
|
|
Hered neuroend tum-rlt do 5+
|
$421.38 |
$421.38 |
$421.38 |
|
|
Hered rta do gen seq 15
|
$957.60 |
$957.60 |
$957.60 |
|
|
Hernia Repair (Inguinal)
|
$678.72 |
$2,555.20 |
$41,941.94 |
|
|
Herpes simplex 1 ag if
|
$38.58 |
$38.58 |
$38.58 |
|
|
Herpes simplex 2 ag if
|
$38.58 |
$38.58 |
$38.58 |
|
|
Herpes simplex type 1 antibody igg
|
$40.95 |
$80.60 |
$194.40 |
|
|
Herpes simplex type 2 antibody igg
|
$48.57 |
$57.85 |
$140.70 |
|
|
Herpes simplex virus isolation
|
$85.60 |
$85.60 |
$120.00 |
|
|
Heterophile antibodies screening
|
$28.20 |
$49.60 |
$146.00 |
|
|
Heterophile antibodies titer
|
$16.80 |
$16.80 |
$33.00 |
|
|
Heterophile antibody absrbj
|
$19.20 |
$19.20 |
$19.20 |
|
|
Hexa gene
|
$127.86 |
$127.86 |
$127.86 |
|
|
Hfo nontorsion jnts pre cst
|
$4.88 |
$222.40 |
$428.39 |
|
|
Hfo nontorsion jnts pre ots
|
$23.40 |
$24.60 |
$24.60 |
|
|
Hgb methemoglobin qual
|
$14.40 |
$14.40 |
$14.40 |
|
|
Hhv-6 dna dir probe
|
$116.00 |
$116.00 |
$116.00 |
|
|
Hhv-6 dna quant
|
$104.80 |
$104.80 |
$367.92 |
|
|
Hib-hepb vaccine im
|
$60.80 |
$60.80 |
$60.80 |
|
|
Hib-mency vacc 6wk-18m0 im
|
$32.00 |
$32.00 |
$32.00 |
|
|
Hi enrgy eswt plantar fascia
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
|
|
High inten beh couns std 30m
|
$61.60 |
$61.60 |
$61.60 |
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$108.78 |
$312.65 |
$557.00 |
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$108.78 |
$306.80 |
$606.02 |
|