|
Transvaginal Pregnancy Ultrasound
|
$102.17 |
$102.17 |
$102.17 |
$499.20
|
|
Tray bonemarrw oncontrol 102mm
|
$126.63 |
$126.63 |
$126.63 |
$940.80
|
|
Treat spinal cord lesion
|
$254.22 |
$254.22 |
$254.22 |
$1,142.50
|
|
Treat spinal cord lesion
|
$256.31 |
$256.31 |
$256.31 |
$1,337.00
|
|
Treponema pallidum antibody
|
$22.27 |
$22.27 |
$22.27 |
$72.05
|
|
Trichinella antibody
|
$20.77 |
$20.77 |
$20.77 |
$70.65
|
|
#tricyclicantidprssnt
|
$17.48 |
$17.48 |
$17.48 |
$50.54
|
|
Triglycerides
|
$30.02 |
$30.02 |
$30.02 |
$58.50
|
|
Troponin quantitative
|
$62.89 |
$62.89 |
$62.89 |
$127.60
|
|
Tte w or without fol w/con,stres
|
$446.63 |
$446.63 |
$446.63 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$461.01 |
$461.01 |
$461.01 |
$1,220.31
|
|
Tte w or without fol w/cont, f/u
|
$244.79 |
$244.79 |
$244.79 |
$1,178.00
|
|
Ugt1a1 gene analy common variants
|
$149.65 |
$149.65 |
$149.65 |
$438.75
|
|
Ultrasound breast complete
|
$112.14 |
$112.14 |
$112.14 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$86.33 |
$86.33 |
$86.33 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$69.42 |
$69.42 |
$69.42 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$65.86 |
$65.86 |
$65.86 |
$296.80
|
|
Ultrasound encephalogram
|
$132.08 |
$132.08 |
$132.08 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$99.32 |
$99.32 |
$99.32 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$113.21 |
$113.21 |
$113.21 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$138.84 |
$138.84 |
$138.84 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$108.94 |
$108.94 |
$108.94 |
$388.08
|
|
Ultrasound guide intraoperative
|
$120.86 |
$120.86 |
$120.86 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$86.51 |
$86.51 |
$86.51 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$100.04 |
$100.04 |
$100.04 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$73.16 |
$73.16 |
$73.16 |
$311.25
|
|
Ultrasound joint complete left
|
$83.30 |
$83.30 |
$83.30 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$94.16 |
$94.16 |
$94.16 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$61.94 |
$61.94 |
$61.94 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$155.39 |
$155.39 |
$155.39 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$90.42 |
$90.42 |
$90.42 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$96.48 |
$96.48 |
$96.48 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$139.55 |
$139.55 |
$139.55 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$130.47 |
$130.47 |
$130.47 |
$419.50
|
|
Unlisted hematology&coagj px
|
$11.91 |
$11.91 |
$11.91 |
$39.52
|
|
Unlisted transfusion med px
|
$49.31 |
$49.31 |
$49.31 |
$147.50
|
|
Upper Arm (Humerus) X-ray (left side)
|
$66.88 |
$66.88 |
$66.88 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$582.15 |
$582.15 |
$582.15 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$465.69 |
$465.69 |
$465.69 |
$1,425.85
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$61.94 |
$61.94 |
$61.94 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$71.44 |
$71.44 |
$71.44 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$116.85 |
$116.85 |
$116.85 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$115.14 |
$115.14 |
$115.14 |
$607.20
|
|
Urea nitrogen
|
$25.65 |
$25.65 |
$25.65 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$9.88 |
$9.88 |
$9.88 |
$52.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$201.78 |
$201.78 |
$201.78 |
$584.00
|
|
Urethrocystography void s&i
|
$130.72 |
$130.72 |
$130.72 |
$631.40
|
|
Uric acid blood
|
$26.60 |
$26.60 |
$26.60 |
$49.44
|
|
Uric acid urine
|
$13.68 |
$13.68 |
$13.68 |
$45.36
|
|
Urinalysis microscopic only
|
$2.36 |
$2.36 |
$2.36 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$1.65 |
$1.65 |
$1.65 |
$25.72
|
|
Urinalysis (with microscopy)
|
$28.56 |
$28.56 |
$28.56 |
$55.20
|
|
Urinalysis (without microscopy)
|
$25.25 |
$25.25 |
$25.25 |
$36.00
|
|
Urine Culture Test
|
$49.13 |
$49.13 |
$49.13 |
$83.00
|
|
Urine pregnancy test
|
$46.26 |
$46.26 |
$46.26 |
$68.78
|
|
Urography, antegrade
|
$257.07 |
$257.07 |
$257.07 |
$622.35
|
|
Urography inf drip &/or bolus
|
$444.41 |
$444.41 |
$444.41 |
$642.50
|
|
Vaccine Administration (one shot)
|
$16.63 |
$16.63 |
$16.63 |
$67.70
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$3.53 |
$3.53 |
$3.53 |
$78.25
|
|
Vaccine tdap >=7 years im
|
$6.19 |
$6.19 |
$6.19 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$10.07 |
$10.07 |
$10.07 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$38.38 |
$38.38 |
$38.38 |
$136.13
|
|
Varicella zoster antibody igg
|
$15.95 |
$15.95 |
$15.95 |
$86.80
|
|
Venogram ext bil s&i
|
$433.58 |
$433.58 |
$433.58 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$370.50 |
$370.50 |
$370.50 |
$1,382.58
|
|
Ventilator each subsequent day
|
$727.92 |
$727.92 |
$727.92 |
$1,184.00
|
|
Ventilator Management (first day)
|
$909.36 |
$909.36 |
$909.36 |
$1,434.60
|
|
Very long chain fatty acids
|
$38.95 |
$38.95 |
$38.95 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$117.61 |
$117.61 |
$117.61 |
$524.50
|
|
Virus isolation addl studies ea
|
$11.96 |
$11.96 |
$11.96 |
$79.34
|
|
Vital capacity test
|
$5.57 |
$5.57 |
$5.57 |
$173.18
|
|
Vitamin b-12
|
$31.16 |
$31.16 |
$31.16 |
$100.28
|
|
Vitamin D Test
|
$16.91 |
$16.91 |
$16.91 |
$132.00
|
|
Vkorc1 gene
|
$56.49 |
$56.49 |
$56.49 |
$182.79
|
|
Volume measurement urine timed
|
$2.60 |
$2.60 |
$2.60 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$27.20 |
$27.20 |
$27.20 |
$87.50
|
|
Warde 1003990 aldosterone
|
$51.30 |
$51.30 |
$51.30 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$33.06 |
$33.06 |
$33.06 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$11.59 |
$11.59 |
$11.59 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$14.44 |
$14.44 |
$14.44 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$15.58 |
$15.58 |
$15.58 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$13.11 |
$13.11 |
$13.11 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$11.21 |
$11.21 |
$11.21 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$15.77 |
$15.77 |
$15.77 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$21.67 |
$21.67 |
$21.67 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$21.67 |
$21.67 |
$21.67 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$16.56 |
$16.56 |
$16.56 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$4.97 |
$4.97 |
$4.97 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$13.06 |
$13.06 |
$13.06 |
$73.60
|
|
Warde 3400852 arsenic
|
$18.05 |
$18.05 |
$18.05 |
$101.00
|
|
Warde 3708165 mercury urine
|
$16.72 |
$16.72 |
$16.72 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$29.80 |
$29.80 |
$29.80 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$18.06 |
$18.06 |
$18.06 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$29.83 |
$29.83 |
$29.83 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$22.04 |
$22.04 |
$22.04 |
$156.40
|
|
Warde aldolase
|
$10.07 |
$10.07 |
$10.07 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$26.79 |
$26.79 |
$26.79 |
$200.16
|
|
Warde amiodarone therapeutic drug level
|
$17.10 |
$17.10 |
$17.10 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$67.15 |
$67.15 |
$67.15 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$168.41 |
$168.41 |
$168.41 |
$368.00
|
