|
Ultrasound ob >=14wks ea addl gest
|
$516.11 |
$516.11 |
$516.11 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$283.24 |
$283.24 |
$283.24 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$604.44 |
$604.44 |
$604.44 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$529.25 |
$529.25 |
$529.25 |
$425.60
|
|
Ultrasound spinal canal and contents
|
$291.27 |
$291.27 |
$291.27 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$700.07 |
$700.07 |
$700.07 |
$419.50
|
|
Unlisted hematology&coagj px
|
$31.24 |
$31.24 |
$31.24 |
$39.52
|
|
Unlisted transfusion med px
|
$163.21 |
$163.21 |
$163.21 |
$147.50
|
|
Upper Arm (Humerus) X-ray (left side)
|
$218.32 |
$218.32 |
$218.32 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,522.19 |
$1,522.19 |
$1,522.19 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,217.64 |
$1,217.64 |
$1,217.64 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,112.75 |
$2,112.75 |
$2,112.75 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,760.94 |
$1,760.94 |
$1,760.94 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,408.50 |
$1,408.50 |
$1,408.50 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$378.03 |
$378.03 |
$378.03 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$463.04 |
$463.04 |
$463.04 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$150.72 |
$150.72 |
$150.72 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$169.56 |
$169.56 |
$169.56 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$772.80 |
$772.80 |
$772.80 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$723.86 |
$723.86 |
$723.86 |
$607.20
|
|
Uppr gi scope w/submuc inj
|
$169.56 |
$169.56 |
$169.56 |
$1,872.00
|
|
Urea nitrogen
|
$24.12 |
$24.12 |
$24.12 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$29.17 |
$29.17 |
$29.17 |
$52.00
|
|
Ureteroureterostomy 50760
|
$746.73 |
$746.73 |
$746.73 |
$2,999.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$486.22 |
$486.22 |
$486.22 |
$584.00
|
|
Urethrocystography void s&i
|
$719.99 |
$719.99 |
$719.99 |
$631.40
|
|
Uric acid blood
|
$7.85 |
$7.85 |
$7.85 |
$49.44
|
|
Uric acid urine
|
$40.39 |
$40.39 |
$40.39 |
$45.36
|
|
Urinalysis microscopic only
|
$5.74 |
$5.74 |
$5.74 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$4.02 |
$4.02 |
$4.02 |
$25.72
|
|
Urinalysis (with microscopy)
|
$5.74 |
$5.74 |
$5.74 |
$55.20
|
|
Urinalysis (without microscopy)
|
$30.42 |
$30.42 |
$30.42 |
$36.00
|
|
Urine Culture Test
|
$14.00 |
$14.00 |
$14.00 |
$83.00
|
|
Urine pregnancy test
|
$33.29 |
$33.29 |
$33.29 |
$68.78
|
|
Vaccine Administration (one shot)
|
$67.20 |
$67.20 |
$67.20 |
$67.70
|
|
Vag hyst including t/o
|
$1,142.17 |
$1,142.17 |
$1,142.17 |
$5,394.95
|
|
Vaginal hysterectomy
|
$1,028.66 |
$1,028.66 |
$1,028.66 |
$5,766.00
|
|
Valproic acid total therapeutic drug level
|
$29.73 |
$29.73 |
$29.73 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$23.00 |
$23.00 |
$23.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$28.09 |
$28.09 |
$28.09 |
$86.80
|
|
Vasectomy
|
$357.68 |
$357.68 |
$357.68 |
$2,424.12
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$16.88 |
$16.88 |
$16.88 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$15.53 |
$15.53 |
$15.53 |
$67.00
|
|
Venogram extremity supervision & interpretation unilateral
|
$505.54 |
$505.54 |
$505.54 |
$1,382.58
|
|
Ventilator each subsequent day
|
$944.78 |
$944.78 |
$944.78 |
$1,184.00
|
|
Ventilator Management (first day)
|
$1,322.02 |
$1,322.02 |
$1,322.02 |
$1,434.60
|
|
Version cephalic external
|
$502.99 |
$502.99 |
$502.99 |
$2,361.75
|
|
Very long chain fatty acids
|
$115.01 |
$115.01 |
$115.01 |
$139.88
|
|
Virus isolation addl studies ea
|
$36.40 |
$36.40 |
$36.40 |
$79.34
|
|
Vital capacity test
|
$57.52 |
$57.52 |
$57.52 |
$173.18
|
|
Vitamin b-12
|
$30.29 |
$30.29 |
$30.29 |
$100.28
|
|
Vitamin D Test
|
$49.93 |
$49.93 |
$49.93 |
$132.00
|
|
Vkorc1 gene
|
$307.14 |
$307.14 |
$307.14 |
$182.79
|
|
Volume measurement urine timed
|
$6.31 |
$6.31 |
$6.31 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$47.56 |
$47.56 |
$47.56 |
$87.50
|
|
Warde 1003990 aldosterone
|
$151.47 |
$151.47 |
$151.47 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$97.61 |
$97.61 |
$97.61 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$34.22 |
$34.22 |
$34.22 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$42.64 |
$42.64 |
$42.64 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$46.00 |
$46.00 |
$46.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$38.71 |
$38.71 |
$38.71 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$33.10 |
$33.10 |
$33.10 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$46.56 |
$46.56 |
$46.56 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$38.16 |
$38.16 |
$38.16 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$38.16 |
$38.16 |
$38.16 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$29.15 |
$29.15 |
$29.15 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$15.12 |
$15.12 |
$15.12 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$39.76 |
$39.76 |
$39.76 |
$73.60
|
|
Warde 3400852 arsenic
|
$53.30 |
$53.30 |
$53.30 |
$101.00
|
|
Warde 3708165 mercury urine
|
$49.37 |
$49.37 |
$49.37 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$52.47 |
$52.47 |
$52.47 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$31.80 |
$31.80 |
$31.80 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$88.08 |
$88.08 |
$88.08 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$65.08 |
$65.08 |
$65.08 |
$156.40
|
|
Warde aldolase
|
$29.73 |
$29.73 |
$29.73 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$79.10 |
$79.10 |
$79.10 |
$200.16
|
|
Warde amiodarone therapeutic drug level
|
$50.49 |
$50.49 |
$50.49 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$228.32 |
$228.32 |
$228.32 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$570.23 |
$570.23 |
$570.23 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$98.74 |
$98.74 |
$98.74 |
$126.43
|
|
Warde anti-mullerian hormone
|
$65.08 |
$65.08 |
$65.08 |
$82.50
|
|
Warde apolipoprotein b
|
$98.18 |
$98.18 |
$98.18 |
$61.82
|
|
Warde bile acids
|
$35.34 |
$35.34 |
$35.34 |
$64.28
|
|
Warde cadmium blood
|
$39.83 |
$39.83 |
$39.83 |
$76.70
|
|
Warde calcitonin
|
$45.44 |
$45.44 |
$45.44 |
$101.40
|
|
Warde calculus (stone) infrared
|
$41.51 |
$41.51 |
$41.51 |
$59.52
|
|
Warde clozapine therapeutic drug level
|
$38.15 |
$38.15 |
$38.15 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$161.57 |
$161.57 |
$161.57 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$63.39 |
$63.39 |
$63.39 |
$96.85
|
|
Warde complement total hemolytic
|
$32.33 |
$32.33 |
$32.33 |
$105.00
|
|
Warde copper
|
$118.37 |
$118.37 |
$118.37 |
$80.00
|
|
Warde cryoglobulin
|
$35.34 |
$35.34 |
$35.34 |
$50.96
|
|
Warde erythropoietin
|
$31.98 |
$31.98 |
$31.98 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$32.33 |
$32.33 |
$32.33 |
$42.56
|
|
Warde folic acid rbc
|
$30.86 |
$30.86 |
$30.86 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$31.42 |
$31.42 |
$31.42 |
$43.55
|
|
Warde gastrin
|
$32.54 |
$32.54 |
$32.54 |
$75.25
|
|
Warde growth hormone (hgh)
|
$28.61 |
$28.61 |
$28.61 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$55.54 |
$55.54 |
$55.54 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$37.63 |
$37.63 |
$37.63 |
$100.92
|