|
Ultrasound fetal biophysical profile without non-stress testing
|
$263.30 |
$263.30 |
$263.30 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$322.92 |
$322.92 |
$322.92 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$253.37 |
$253.37 |
$253.37 |
$388.08
|
|
Ultrasound guide intraoperative
|
$281.11 |
$281.11 |
$281.11 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$201.20 |
$201.20 |
$201.20 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$232.67 |
$232.67 |
$232.67 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$170.15 |
$170.15 |
$170.15 |
$311.25
|
|
Ultrasound joint complete left
|
$193.75 |
$193.75 |
$193.75 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$219.01 |
$219.01 |
$219.01 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$144.07 |
$144.07 |
$144.07 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$361.42 |
$361.42 |
$361.42 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$210.31 |
$210.31 |
$210.31 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$224.39 |
$224.39 |
$224.39 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$324.58 |
$324.58 |
$324.58 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$303.46 |
$303.46 |
$303.46 |
$419.50
|
|
Unlisted fluoroscopic px
|
$689.66 |
$689.66 |
$689.66 |
$305.76
|
|
Unlisted hematology&coagj px
|
$10.49 |
$10.49 |
$10.49 |
$39.52
|
|
Unlisted transfusion med px
|
$56.01 |
$56.01 |
$56.01 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$366.30 |
$366.30 |
$366.30 |
$1,292.33
|
|
Upgrade pm system
|
$3,935.93 |
$3,935.93 |
$3,935.93 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$90.11 |
$90.11 |
$90.11 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$634.78 |
$634.78 |
$634.78 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$507.78 |
$507.78 |
$507.78 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$627.44 |
$627.44 |
$627.44 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$522.87 |
$522.87 |
$522.87 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$418.30 |
$418.30 |
$418.30 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$83.46 |
$83.46 |
$83.46 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$96.26 |
$96.26 |
$96.26 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$157.44 |
$157.44 |
$157.44 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$155.14 |
$155.14 |
$155.14 |
$607.20
|
|
Urea nitrogen
|
$21.33 |
$21.33 |
$21.33 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$8.22 |
$8.22 |
$8.22 |
$52.00
|
|
Ureteral embolization/occl
|
$1,085.39 |
$1,085.39 |
$1,085.39 |
$2,079.31
|
|
Ureteral reflux study
|
$404.00 |
$404.00 |
$404.00 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$271.87 |
$271.87 |
$271.87 |
$584.00
|
|
Urethrocystography void s&i
|
$176.13 |
$176.13 |
$176.13 |
$631.40
|
|
Uric acid blood
|
$22.12 |
$22.12 |
$22.12 |
$49.44
|
|
Uric acid urine
|
$11.38 |
$11.38 |
$11.38 |
$45.36
|
|
Urinalysis microscopic only
|
$2.79 |
$2.79 |
$2.79 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$1.95 |
$1.95 |
$1.95 |
$25.72
|
|
Urinalysis (with microscopy)
|
$33.76 |
$33.76 |
$33.76 |
$55.20
|
|
Urinalysis (without microscopy)
|
$29.85 |
$29.85 |
$29.85 |
$36.00
|
|
Urinary bldr retent nuc study
|
$139.90 |
$139.90 |
$139.90 |
$350.66
|
|
Urine Culture Test
|
$67.55 |
$67.55 |
$67.55 |
$83.00
|
|
Urine pregnancy test
|
$54.68 |
$54.68 |
$54.68 |
$68.78
|
|
Urography, antegrade
|
$346.37 |
$346.37 |
$346.37 |
$622.35
|
|
Urography inf drip &/or bolus
|
$598.78 |
$598.78 |
$598.78 |
$642.50
|
|
Use 1st target lesion
|
$135.38 |
$135.38 |
$135.38 |
$332.00
|
|
Vaccine Administration (one shot)
|
$23.56 |
$23.56 |
$23.56 |
$67.70
|
|
Vaccine rabies im
|
$82.99 |
$82.99 |
$82.99 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$69.60 |
$69.60 |
$69.60 |
$538.84
|
|
Valproic acid total therapeutic drug level
|
$8.37 |
$8.37 |
$8.37 |
$115.00
|
|
Valvuloplasty aortic
|
$3,315.31 |
$3,315.31 |
$3,315.31 |
$7,944.16
|
|
Valvuloplasty mitral
|
$3,344.57 |
$3,344.57 |
$3,344.57 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$3,370.44 |
$3,370.44 |
$3,370.44 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$31.92 |
$31.92 |
$31.92 |
$136.13
|
|
Varicella zoster antibody igg
|
$7.90 |
$7.90 |
$7.90 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$944.55 |
$944.55 |
$944.55 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,322.70 |
$1,322.70 |
$1,322.70 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$870.22 |
$870.22 |
$870.22 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,133.62 |
$1,133.62 |
$1,133.62 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$755.48 |
$755.48 |
$755.48 |
$826.15
|
|
Vein x-ray adrenal gland
|
$911.36 |
$911.36 |
$911.36 |
$2,833.34
|
|
Vein x-ray adrenal glands
|
$1,111.81 |
$1,111.81 |
$1,111.81 |
$3,456.00
|
|
Vein x-ray eye socket
|
$591.36 |
$591.36 |
$591.36 |
$1,438.32
|
|
Vein x-ray kidney
|
$936.96 |
$936.96 |
$936.96 |
$2,870.00
|
|
Vein x-ray liver
|
$1,271.81 |
$1,271.81 |
$1,271.81 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$1,260.29 |
$1,260.29 |
$1,260.29 |
$3,610.20
|
|
Vein x-ray liver w/hemodynam
|
$1,260.29 |
$1,260.29 |
$1,260.29 |
$3,662.50
|
|
Vein x-ray liver without hemodyn
|
$749.31 |
$749.31 |
$749.31 |
$2,452.80
|
|
Vein x-ray skull
|
$1,260.29 |
$1,260.29 |
$1,260.29 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$705.54 |
$705.54 |
$705.54 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$690.69 |
$690.69 |
$690.69 |
$3,434.00
|
|
Venipuncture <3 yrs other vein
|
$15.40 |
$15.40 |
$15.40 |
$67.00
|
|
Venogram ext bil s&i
|
$584.19 |
$584.19 |
$584.19 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$499.20 |
$499.20 |
$499.20 |
$1,382.58
|
|
Venous mech thrombectomy
|
$3,723.41 |
$3,723.41 |
$3,723.41 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$2,643.56 |
$2,643.56 |
$2,643.56 |
$5,094.75
|
|
Venous sampling s&i
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$4,200.00
|
|
Venous thrombosis imaging
|
$421.64 |
$421.64 |
$421.64 |
$697.20
|
|
Ven thrombosis images bilat
|
$493.18 |
$493.18 |
$493.18 |
$796.50
|
|
Ventilator each subsequent day
|
$812.84 |
$812.84 |
$812.84 |
$1,184.00
|
|
Ventilator Management (first day)
|
$1,015.45 |
$1,015.45 |
$1,015.45 |
$1,434.60
|
|
Version cephalic external
|
$1,554.06 |
$1,554.06 |
$1,554.06 |
$2,361.75
|
|
Very long chain fatty acids
|
$32.39 |
$32.39 |
$32.39 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$158.46 |
$158.46 |
$158.46 |
$524.50
|
|
Virus isolation addl studies ea
|
$16.44 |
$16.44 |
$16.44 |
$79.34
|
|
Vital capacity test
|
$8.12 |
$8.12 |
$8.12 |
$173.18
|
|
Vitamin b-12
|
$25.91 |
$25.91 |
$25.91 |
$100.28
|
|
Vitamin D Test
|
$14.06 |
$14.06 |
$14.06 |
$132.00
|
|
Vkorc1 gene
|
$57.51 |
$57.51 |
$57.51 |
$182.79
|
|
Volume measurement urine timed
|
$3.07 |
$3.07 |
$3.07 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$20.23 |
$20.23 |
$20.23 |
$87.50
|
|
Warde 1003990 aldosterone
|
$42.66 |
$42.66 |
$42.66 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$27.49 |
$27.49 |
$27.49 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$9.64 |
$9.64 |
$9.64 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$12.01 |
$12.01 |
$12.01 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$12.96 |
$12.96 |
$12.96 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$10.90 |
$10.90 |
$10.90 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$9.32 |
$9.32 |
$9.32 |
$39.36
|