|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$100.94 |
$100.94 |
$100.94 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$84.95 |
$84.95 |
$84.95 |
$501.60
|
|
Trauma partial team response w/critical care services level 4
|
$729.56 |
$729.56 |
$729.56 |
$4,471.50
|
|
Tray bonemarrw oncontrol 102mm
|
$92.66 |
$92.66 |
$92.66 |
$940.80
|
|
Treatment radiation delivery level 2
|
$205.90 |
$205.90 |
$205.90 |
$830.70
|
|
Treponema pallidum antibody
|
$13.54 |
$13.54 |
$13.54 |
$72.05
|
|
Trg gene rearrangement anal
|
$220.42 |
$220.42 |
$220.42 |
$455.70
|
|
Trichinella antibody
|
$12.63 |
$12.63 |
$12.63 |
$70.65
|
|
#tricyclicantidprssnt
|
$13.89 |
$13.89 |
$13.89 |
$50.54
|
|
Triglycerides
|
$23.86 |
$23.86 |
$23.86 |
$58.05
|
|
Trim nondyst nails
|
$42.20 |
$42.20 |
$42.20 |
$114.48
|
|
Trnscath plc vas stent w/s&i ea addl artery
|
$2,548.69 |
$2,548.69 |
$2,548.69 |
$8,372.00
|
|
Trnscath plc vas stent w/s&i ea addl vein
|
$2,123.86 |
$2,123.86 |
$2,123.86 |
$8,790.54
|
|
Trnscath plc vas stent w/s&i ini vein
|
$3,185.94 |
$3,185.94 |
$3,185.94 |
$14,558.70
|
|
Trnscath retrv pq vasc fb w/guide
|
$1,594.70 |
$1,594.70 |
$1,594.70 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$777.99 |
$777.99 |
$777.99 |
$4,350.00
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$671.64 |
$671.64 |
$671.64 |
$4,379.34
|
|
Trnscath tx thromblytc vein ini day
|
$1,138.08 |
$1,138.08 |
$1,138.08 |
$3,866.70
|
|
Troponin quantitative
|
$49.98 |
$49.98 |
$49.98 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$592.22 |
$592.22 |
$592.22 |
$2,075.90
|
|
Tte w or without fol w/con,stres
|
$478.53 |
$478.53 |
$478.53 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$493.94 |
$493.94 |
$493.94 |
$1,254.50
|
|
Tte w or without fol w/cont, f/u
|
$262.28 |
$262.28 |
$262.28 |
$1,178.00
|
|
Tx atrial fib pulm vein isol
|
$32,208.35 |
$32,208.35 |
$32,208.35 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$4,629.22 |
$4,629.22 |
$4,629.22 |
$6,986.85
|
|
Ugt1a1 gene analy common variants
|
$256.06 |
$256.06 |
$256.06 |
$438.75
|
|
Ultrasound breast complete
|
$93.24 |
$93.24 |
$93.24 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$71.78 |
$71.78 |
$71.78 |
$452.40
|
|
Ultrasound elastography ea l target les
|
$27.38 |
$27.38 |
$27.38 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$58.16 |
$58.16 |
$58.16 |
$313.95
|
|
Ultrasound encephalogram
|
$109.82 |
$109.82 |
$109.82 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$82.58 |
$82.58 |
$82.58 |
$575.40
|
|
Ultrasound Guidance for a Needle Procedure
|
$115.44 |
$115.44 |
$115.44 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$90.58 |
$90.58 |
$90.58 |
$388.08
|
|
Ultrasound infant hips ltd without stress
|
$60.83 |
$60.83 |
$60.83 |
$311.25
|
|
Ultrasound joint complete left
|
$69.26 |
$69.26 |
$69.26 |
$557.99
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$51.50 |
$51.50 |
$51.50 |
$335.00
|
|
Ultrasound pregnant uterus follow up per fetus
|
$75.18 |
$75.18 |
$75.18 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$80.22 |
$80.22 |
$80.22 |
$557.40
|
|
Ultrasound transabd ea addl gest
|
$108.48 |
$108.48 |
$108.48 |
$421.00
|
|
Unlisted hematology&coagj px
|
$10.54 |
$10.54 |
$10.54 |
$39.52
|
|
Unlisted transfusion med px
|
$43.15 |
$43.15 |
$43.15 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$405.90 |
$405.90 |
$405.90 |
$1,296.00
|
|
Upgrade pm system
|
$3,693.13 |
$3,693.13 |
$3,693.13 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$85.89 |
$85.89 |
$85.89 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$522.95 |
$522.95 |
$522.95 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$418.33 |
$418.33 |
$418.33 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$418.30 |
$418.30 |
$418.30 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$348.58 |
$348.58 |
$348.58 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$278.86 |
$278.86 |
$278.86 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$79.54 |
$79.54 |
$79.54 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$91.74 |
$91.74 |
$91.74 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$150.06 |
$150.06 |
$150.06 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$147.86 |
$147.86 |
$147.86 |
$607.20
|
|
Urea nitrogen
|
$20.38 |
$20.38 |
$20.38 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$7.85 |
$7.85 |
$7.85 |
$51.84
|
|
Urethrcystgrphy rtrgrde s&i
|
$259.13 |
$259.13 |
$259.13 |
$584.00
|
|
Urethrocystography void s&i
|
$167.87 |
$167.87 |
$167.87 |
$634.50
|
|
Uric acid blood
|
$21.14 |
$21.14 |
$21.14 |
$49.32
|
|
Uric acid urine
|
$10.87 |
$10.87 |
$10.87 |
$44.52
|
|
Urinalysis microscopic only
|
$2.19 |
$2.19 |
$2.19 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.53 |
$1.53 |
$1.53 |
$25.72
|
|
Urinalysis (with microscopy)
|
$26.50 |
$26.50 |
$26.50 |
$55.20
|
|
Urinalysis (without microscopy)
|
$23.43 |
$23.43 |
$23.43 |
$35.91
|
|
Urine Culture Test
|
$48.59 |
$48.59 |
$48.59 |
$82.32
|
|
Urine pregnancy test
|
$42.92 |
$42.92 |
$42.92 |
$68.21
|
|
Urography, antegrade
|
$330.13 |
$330.13 |
$330.13 |
$622.35
|
|
Urography inf drip &/or bolus
|
$570.72 |
$570.72 |
$570.72 |
$642.50
|
|
Use 1st target lesion
|
$48.40 |
$48.40 |
$48.40 |
$332.00
|
|
Vaccine Administration (one shot)
|
$22.43 |
$22.43 |
$22.43 |
$67.74
|
|
Valproic acid total therapeutic drug level
|
$8.00 |
$8.00 |
$8.00 |
$115.00
|
|
Valvuloplasty aortic
|
$3,110.80 |
$3,110.80 |
$3,110.80 |
$7,944.16
|
|
Valvuloplasty mitral
|
$3,138.25 |
$3,138.25 |
$3,138.25 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$3,162.53 |
$3,162.53 |
$3,162.53 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$30.50 |
$30.50 |
$30.50 |
$135.60
|
|
Varicella zoster antibody igg
|
$9.70 |
$9.70 |
$9.70 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$4,701.74 |
$4,701.74 |
$4,701.74 |
$21,009.00
|
|
Veeg cont 2-12 hrs
|
$256.01 |
$256.01 |
$256.01 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$358.50 |
$358.50 |
$358.50 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$235.86 |
$235.86 |
$235.86 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$307.26 |
$307.26 |
$307.26 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$204.76 |
$204.76 |
$204.76 |
$826.15
|
|
Vein x-ray adrenal glands
|
$1,059.69 |
$1,059.69 |
$1,059.69 |
$3,480.10
|
|
Vein x-ray kidney
|
$893.04 |
$893.04 |
$893.04 |
$2,870.00
|
|
Vein x-ray liver w/hemodynam
|
$1,201.21 |
$1,201.21 |
$1,201.21 |
$3,683.90
|
|
Vein x-ray liver without hemodyn
|
$714.19 |
$714.19 |
$714.19 |
$2,452.80
|
|
Venogram ext bil s&i
|
$556.81 |
$556.81 |
$556.81 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$475.80 |
$475.80 |
$475.80 |
$1,382.58
|
|
Venous mech thrombectomy
|
$3,493.72 |
$3,493.72 |
$3,493.72 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$2,480.49 |
$2,480.49 |
$2,480.49 |
$5,110.00
|
|
Venous sampling s&i
|
$1,136.55 |
$1,136.55 |
$1,136.55 |
$4,200.00
|
|
Ventilator each subsequent day
|
$624.80 |
$624.80 |
$624.80 |
$1,178.74
|
|
Ventilator Management (first day)
|
$780.53 |
$780.53 |
$780.53 |
$1,434.60
|
|
Very long chain fatty acids
|
$30.95 |
$30.95 |
$30.95 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$151.04 |
$151.04 |
$151.04 |
$524.50
|
|
Virus isolation addl studies ea
|
$11.83 |
$11.83 |
$11.83 |
$77.60
|
|
Vital capacity test
|
$57.54 |
$57.54 |
$57.54 |
$173.18
|
|
Vitamin b-12
|
$24.76 |
$24.76 |
$24.76 |
$100.20
|
|
Vitamin D Test
|
$13.44 |
$13.44 |
$13.44 |
$132.60
|
