|
Upper Arm (Humerus) X-ray (left side)
|
$104.54 |
$104.54 |
$104.54 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$430.86 |
$430.86 |
$1,339.47 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$344.66 |
$344.66 |
$1,097.90 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$584.17 |
$584.17 |
$2,193.34 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$486.81 |
$486.81 |
$1,162.35 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$389.45 |
$389.45 |
$833.45 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$96.82 |
$96.82 |
$212.30 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$111.67 |
$111.67 |
$238.38 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$182.66 |
$182.66 |
$352.28 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$179.98 |
$179.98 |
$261.50 |
$607.20
|
|
Urea nitrogen
|
$22.41 |
$22.41 |
$83.64 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$8.63 |
$8.63 |
$35.92 |
$51.84
|
|
Ureteral reflux study
|
$476.56 |
$476.56 |
$476.56 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$241.08 |
$241.08 |
$315.41 |
$584.00
|
|
Urethrocystography void s&i
|
$204.34 |
$204.34 |
$231.49 |
$634.50
|
|
Uric acid blood
|
$23.24 |
$23.24 |
$67.65 |
$49.32
|
|
Uric acid urine
|
$5.00 |
$5.00 |
$11.95 |
$44.52
|
|
Urinalysis microscopic only
|
$2.29 |
$2.29 |
$16.98 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.60 |
$1.60 |
$308.73 |
$25.72
|
|
Urinalysis (with microscopy)
|
$27.71 |
$27.71 |
$78.48 |
$55.20
|
|
Urinalysis (without microscopy)
|
$23.87 |
$23.87 |
$24.50 |
$35.91
|
|
Urine Culture Test
|
$43.52 |
$43.52 |
$245.51 |
$82.32
|
|
Urine pregnancy test
|
$44.88 |
$44.88 |
$115.38 |
$68.21
|
|
Urography, antegrade
|
$401.84 |
$401.84 |
$401.84 |
$622.35
|
|
Urography inf drip &/or bolus
|
$694.68 |
$694.68 |
$694.68 |
$642.50
|
|
Use 1st target lesion
|
$113.14 |
$113.14 |
$113.14 |
$332.00
|
|
Vaccine Administration (one shot)
|
$23.31 |
$23.31 |
$56.58 |
$67.74
|
|
Vaccine dtap < 7 years im
|
$66.92 |
$66.92 |
$66.92 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$448.95 |
$448.95 |
$448.95 |
$164.63
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$68.64 |
$68.64 |
$68.64 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$42.81 |
$42.81 |
$42.81 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$184.75 |
$184.75 |
$184.75 |
$166.62
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$63.47 |
$63.47 |
$63.47 |
$75.39
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$49.20 |
$49.20 |
$49.20 |
$48.59
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$27.32 |
$27.32 |
$27.32 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$351.05 |
$351.05 |
$351.05 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$206.15 |
$206.15 |
$206.15 |
$213.00
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$624.60 |
$624.60 |
$624.60 |
$563.36
|
|
Vaccine rabies im
|
$951.29 |
$951.29 |
$951.29 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$111.69 |
$111.69 |
$111.69 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$6.89 |
$6.89 |
$6.89 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$8.80 |
$8.80 |
$122.76 |
$115.00
|
|
Valvuloplasty aortic
|
$4,066.14 |
$4,066.14 |
$4,066.14 |
$7,944.16
|
|
Vancomycin hcl injection
|
$0.31 |
$0.31 |
$86.10 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$33.53 |
$33.53 |
$108.00 |
$135.60
|
|
Varicella zoster antibody igg
|
$7.79 |
$7.79 |
$84.38 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$4,994.58 |
$4,994.58 |
$12,342.81 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$533.09 |
$533.09 |
$533.09 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$446.00 |
$446.00 |
$547.09 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$766.12 |
$766.12 |
$766.12 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$231.98 |
$231.98 |
$504.04 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$446.00 |
$446.00 |
$656.60 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$231.98 |
$231.98 |
$437.58 |
$826.15
|
|
Vein x-ray adrenal gland
|
$1,057.32 |
$1,057.32 |
$1,057.32 |
$2,833.34
|
|
Vein x-ray adrenal glands
|
$1,289.87 |
$1,289.87 |
$4,490.49 |
$3,480.10
|
|
Vein x-ray eye socket
|
$686.07 |
$686.07 |
$686.07 |
$1,438.32
|
|
Vein x-ray kidney
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$2,870.00
|
|
Vein x-ray liver
|
$1,475.50 |
$1,475.50 |
$2,331.10 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$1,462.13 |
$1,462.13 |
$2,331.10 |
$3,619.84
|
|
Vein x-ray liver w/hemodynam
|
$1,462.13 |
$1,462.13 |
$2,331.10 |
$3,683.90
|
|
Vein x-ray liver without hemodyn
|
$669.12 |
$669.12 |
$869.32 |
$2,452.80
|
|
Vein x-ray skull
|
$840.09 |
$840.09 |
$1,462.13 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$734.56 |
$734.56 |
$818.53 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$801.31 |
$801.31 |
$2,764.55 |
$3,434.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$48.47 |
$48.47 |
$48.47 |
$197.04
|
|
Venipuncture <3 yrs other vein
|
$15.35 |
$15.35 |
$15.35 |
$62.40
|
|
Venogram ext bil s&i
|
$677.75 |
$677.75 |
$2,050.41 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$579.15 |
$579.15 |
$579.15 |
$1,382.58
|
|
Venous mech thrombectomy
|
$3,711.32 |
$3,711.32 |
$3,711.32 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$2,634.98 |
$2,634.98 |
$4,121.00 |
$5,110.00
|
|
Venous sampling s&i
|
$1,383.43 |
$1,383.43 |
$3,277.71 |
$4,200.00
|
|
Venous thrombosis imaging
|
$497.37 |
$497.37 |
$497.37 |
$697.20
|
|
Ven thrombosis images bilat
|
$581.76 |
$581.76 |
$581.76 |
$796.50
|
|
Ventilator each subsequent day
|
$567.17 |
$567.17 |
$766.05 |
$1,178.74
|
|
Ventilator Management (first day)
|
$708.54 |
$708.54 |
$972.93 |
$1,434.60
|
|
Version cephalic external
|
$724.72 |
$724.72 |
$1,571.56 |
$2,361.75
|
|
Very long chain fatty acids
|
$34.03 |
$34.03 |
$104.96 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$183.84 |
$183.84 |
$372.69 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$108.24 |
$108.24 |
$108.24 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$27.06 |
$27.06 |
$27.06 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$225.83 |
$225.83 |
$225.83 |
$223.55
|
|
Virus isolation addl studies ea
|
$10.60 |
$10.60 |
$19.88 |
$77.60
|
|
Vital capacity test
|
$62.64 |
$62.64 |
$97.17 |
$173.18
|
|
Vitamin b-12
|
$27.22 |
$27.22 |
$73.31 |
$100.20
|
|
Vitamin D Test
|
$14.77 |
$14.77 |
$38.38 |
$132.60
|
|
Vkorc1 gene
|
$46.90 |
$46.90 |
$46.90 |
$182.79
|
|
Volume deplete of harvest
|
$289.60 |
$289.60 |
$289.60 |
$1,443.33
|
|
Volume measurement urine timed
|
$2.52 |
$2.52 |
$5.91 |
$21.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$374.42 |
$374.42 |
$374.42 |
$165.81
|
|
Walking (Gait) Training (each 15 minutes)
|
$38.99 |
$38.99 |
$38.99 |
$87.50
|
|
Warde 1003990 aldosterone
|
$40.10 |
$40.10 |
$44.82 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$27.36 |
$27.36 |
$28.88 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$10.13 |
$10.13 |
$209.40 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$12.62 |
$12.62 |
$24.85 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$13.61 |
$13.61 |
$15.26 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$11.45 |
$11.45 |
$244.04 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$9.79 |
$9.79 |
$39.36 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$13.78 |
$13.78 |
$195.57 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$10.58 |
$10.58 |
$16.59 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$10.58 |
$10.58 |
$14.16 |
$70.85
|