|
Hcg qualitative
|
$60.04 |
$60.04 |
$60.04 |
$89.60
|
|
Hcg quantitative
|
$59.02 |
$59.02 |
$59.02 |
$137.70
|
|
Hc i-131 sodium iodide cap dx per mci
|
$171.47 |
$171.47 |
$171.47 |
$103.86
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$976.80 |
$976.80 |
$976.80 |
$1,254.01
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$488.64 |
$488.64 |
$488.64 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$976.80 |
$976.80 |
$976.80 |
$1,221.65
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$244.32 |
$244.32 |
$244.32 |
$701.76
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$488.64 |
$488.64 |
$488.64 |
$845.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,409.28 |
$1,409.28 |
$1,409.28 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,484.32 |
$3,484.32 |
$3,484.32 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,455.36 |
$1,455.36 |
$1,455.36 |
$3,706.29
|
|
Head CT scan (with and without contrast)
|
$1,341.12 |
$1,341.12 |
$1,341.12 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,019.04 |
$1,019.04 |
$1,019.04 |
$1,267.56
|
|
Heart infarct image
|
$1,011.36 |
$1,011.36 |
$1,011.36 |
$959.50
|
|
Helicobacter pylori antibody igm
|
$129.74 |
$129.74 |
$129.74 |
$92.66
|
|
Hematocrit
|
$19.33 |
$19.33 |
$19.33 |
$33.57
|
|
Hemoglobin
|
$19.33 |
$19.33 |
$19.33 |
$32.50
|
|
Hemoglobin f (fetal) chemical
|
$21.11 |
$21.11 |
$21.11 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$48.84 |
$48.84 |
$48.84 |
$53.60
|
|
Hemoglobin-oxygen affinity
|
$46.30 |
$46.30 |
$46.30 |
$84.76
|
|
Hemoglobin plasma
|
$13.94 |
$13.94 |
$13.94 |
$41.16
|
|
Hemophilus influenza antibdy
|
$30.22 |
$30.22 |
$30.22 |
$57.32
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,451.04 |
$1,451.04 |
$1,451.04 |
$1,170.54
|
|
Heparin assay
|
$104.30 |
$104.30 |
$104.30 |
$137.10
|
|
Heparin bolus from bag
|
$61.69 |
$61.69 |
$61.69 |
$67.74
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$52.40 |
$52.40 |
$52.40 |
$11.77
|
|
Hepatitis a antibody igm
|
$53.93 |
$53.93 |
$53.93 |
$87.75
|
|
Hepatitis b core antibody igm
|
$55.97 |
$55.97 |
$55.97 |
$87.98
|
|
Hepatitis b core antibody total
|
$50.88 |
$50.88 |
$50.88 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,810.39 |
$1,810.39 |
$1,810.39 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$59.02 |
$59.02 |
$59.02 |
$81.12
|
|
Hepatitis c antibody
|
$81.92 |
$81.92 |
$81.92 |
$107.10
|
|
Hepatobiliary system imaging
|
$1,059.36 |
$1,059.36 |
$1,059.36 |
$1,446.00
|
|
Hernia Repair (Inguinal)
|
$804.96 |
$804.96 |
$804.96 |
$6,707.58
|
|
Herpes simplex type 1 antibody igg
|
$44.77 |
$44.77 |
$44.77 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$54.44 |
$54.44 |
$54.44 |
$87.10
|
|
Herpes simplex virus isolation
|
$77.85 |
$77.85 |
$77.85 |
$106.21
|
|
Heterophile antibodies screening
|
$35.62 |
$35.62 |
$35.62 |
$72.00
|
|
Hib-hepb vaccine im
|
$72.96 |
$72.96 |
$72.96 |
$85.80
|
|
High inten beh couns std 30m
|
$34.08 |
$34.08 |
$34.08 |
$108.93
|
|
Hip arthr0 w/debridement
|
$1,258.56 |
$1,258.56 |
$1,258.56 |
$7,181.65
|
|
Hip arthr0 w/synovectomy
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$4,499.12
|
|
Hip arthro acetabuloplasty
|
$1,563.84 |
$1,563.84 |
$1,563.84 |
$5,043.20
|
|
Hip arthro w/femoroplasty
|
$1,525.44 |
$1,525.44 |
$1,525.44 |
$6,223.52
|
|
Hip arthro w/labral repair
|
$1,557.12 |
$1,557.12 |
$1,557.12 |
$6,920.22
|
|
Hip X-ray
|
$218.78 |
$218.78 |
$218.78 |
$294.75
|
|
Histamine
|
$42.23 |
$42.23 |
$42.23 |
$114.84
|
|
Histochemical stains add-on
|
$82.43 |
$82.43 |
$82.43 |
$152.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$4,425.29 |
$4,425.29 |
$4,425.29 |
$31.80
|
|
Hla class i high defin qual
|
$636.48 |
$636.48 |
$636.48 |
$574.86
|
|
Hla class ii high defin qual
|
$621.60 |
$621.60 |
$621.60 |
$568.50
|
|
Hla i typing high res 1 allele grp ea
|
$118.04 |
$118.04 |
$118.04 |
$293.15
|
|
Hla i typing low res one locus ea
|
$250.56 |
$250.56 |
$250.56 |
$321.60
|
|
Hlth bhv assmt/reassessment
|
$151.20 |
$151.20 |
$151.20 |
$185.90
|
|
Hlth bhv ivntj fam 1st 30
|
$108.00 |
$108.00 |
$108.00 |
$147.16
|
|
Hlth bhv ivntj fam wo pt 1st
|
$118.08 |
$118.08 |
$118.08 |
$183.68
|
|
Hlth bhv ivntj indiv 1st 30
|
$102.72 |
$102.72 |
$102.72 |
$200.00
|
|
Hocm 200-249mg/ml iodine,1ml
|
$2.18 |
$2.18 |
$2.18 |
$236.25
|
|
Hocm 250-299mg/ml iodine,1ml
|
$33.24 |
$33.24 |
$33.24 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$171.17 |
$171.17 |
$171.17 |
$79.78
|
|
Home/res vst est high mdm 60
|
$236.16 |
$236.16 |
$236.16 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$162.24 |
$162.24 |
$162.24 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$58.08 |
$58.08 |
$58.08 |
$97.32
|
|
Home/res vst new high mdm 75
|
$256.80 |
$256.80 |
$256.80 |
$398.40
|
|
Home/res vst new low mdm 30
|
$99.84 |
$99.84 |
$99.84 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$180.96 |
$180.96 |
$180.96 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$62.88 |
$62.88 |
$62.88 |
$98.40
|
|
Home sleep test/type 3 porta
|
$55.68 |
$55.68 |
$55.68 |
$608.40
|
|
Home visit est patient 99348
|
$97.44 |
$97.44 |
$97.44 |
$148.41
|
|
Homocysteine
|
$85.48 |
$85.48 |
$85.48 |
$121.92
|
|
Hpv combo assay ca screen
|
$79.88 |
$79.88 |
$79.88 |
$70.40
|
|
Hpv types 16 & 18 only
|
$62.58 |
$62.58 |
$62.58 |
$113.42
|
|
H pylori (c-13) breath
|
$122.11 |
$122.11 |
$122.11 |
$212.25
|
|
H pylori drug admin
|
$15.77 |
$15.77 |
$15.77 |
$28.56
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$137.76 |
$137.76 |
$137.76 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$39.84 |
$39.84 |
$39.84 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$106.34 |
$106.34 |
$106.34 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$327.36 |
$327.36 |
$327.36 |
$385.16
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$98.61 |
$98.61 |
$98.61 |
$138.70
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$57.64 |
$57.64 |
$57.64 |
$121.31
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$196.80 |
$196.80 |
$196.80 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$77.93 |
$77.93 |
$77.93 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$123.84 |
$123.84 |
$123.84 |
$1.28
|
|
Hysterosalpingography s&i
|
$414.24 |
$414.24 |
$414.24 |
$651.85
|
|
Hysteroscopy ablation
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$5,841.60
|
|
Hysteroscopy biopsy
|
$2,012.64 |
$2,012.64 |
$2,012.64 |
$5,110.50
|
|
Hysteroscopy dx sep proc
|
$552.00 |
$552.00 |
$552.00 |
$3,997.50
|
|
Hysteroscopy lysis
|
$432.00 |
$432.00 |
$432.00 |
$5,468.70
|
|
Hysteroscopy remove fb
|
$659.52 |
$659.52 |
$659.52 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$544.80 |
$544.80 |
$544.80 |
$4,881.00
|
|
Hysteroscopy resect septum
|
$476.16 |
$476.16 |
$476.16 |
$5,463.96
|
|
I-123 sod iodide diag per 100 uci
|
$126.18 |
$126.18 |
$126.18 |
$141.90
|
|
I131 iodide cap, rx
|
$33.07 |
$33.07 |
$33.07 |
$71.70
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,284.11 |
$1,284.11 |
$1,284.11 |
$980.94
|
|
I&d/bursa/foot 28001
|
$261.12 |
$261.12 |
$261.12 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,068.48 |
$1,068.48 |
$1,068.48 |
$3,839.54
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$552.00 |
$552.00 |
$552.00 |
$3,355.20
|
|
I&d vag hemtma obst/postpart
|
$278.88 |
$278.88 |
$278.88 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$159.46 |
$159.46 |
$159.46 |
$246.95
|