|
Ultrasound exam k transpl w/doppler
|
$825.00 |
$825.00 |
$825.00 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$464.00 |
$464.00 |
$464.00 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$681.00 |
$681.00 |
$681.00 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$822.00 |
$822.00 |
$822.00 |
$701.35
|
|
Ultrasound guide intraoperative
|
$984.00 |
$984.00 |
$984.00 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$372.00 |
$372.00 |
$372.00 |
$498.40
|
|
Ultrasound infant hips ltd without stress
|
$425.00 |
$425.00 |
$425.00 |
$321.35
|
|
Ultrasound ob >=14wks ea addl gest
|
$327.00 |
$327.00 |
$327.00 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$223.00 |
$223.00 |
$223.00 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$683.00 |
$683.00 |
$683.00 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$505.00 |
$505.00 |
$505.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$574.00 |
$574.00 |
$574.00 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$490.00 |
$490.00 |
$490.00 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$376.00 |
$376.00 |
$376.00 |
$498.00
|
|
Ultrasound scrotum and contents
|
$752.00 |
$752.00 |
$752.00 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$307.00 |
$307.00 |
$307.00 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$523.00 |
$523.00 |
$523.00 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$840.00 |
$840.00 |
$840.00 |
$567.44
|
|
Umbilical artery cath newborn 36660
|
$2,645.00 |
$2,645.00 |
$2,645.00 |
$265.85
|
|
Unlisted hematology&coagj px
|
$57.00 |
$57.00 |
$57.00 |
$35.51
|
|
Unlisted maaa
|
$77.00 |
$77.00 |
$77.00 |
$158.13
|
|
Unlisted px neck/thorax
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$2,680.22
|
|
Unlisted ultrasound procedure
|
$447.00 |
$447.00 |
$447.00 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$2,126.00 |
$2,126.00 |
$2,126.00 |
$1,469.76
|
|
Upgrade pm system
|
$13,960.00 |
$13,960.00 |
$13,960.00 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,847.00 |
$5,847.00 |
$5,847.00 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,970.00 |
$4,970.00 |
$4,970.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,471.00 |
$2,471.00 |
$2,471.00 |
$1,588.59
|
|
Urea nitrogen
|
$71.00 |
$71.00 |
$71.00 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$70.00 |
$70.00 |
$70.00 |
$50.00
|
|
Ureteral embolization/occl
|
$657.00 |
$657.00 |
$657.00 |
$3,041.22
|
|
Ureteral reflux study
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$472.00 |
$472.00 |
$472.00 |
$574.40
|
|
Urethrocystography void s&i
|
$679.00 |
$679.00 |
$679.00 |
$634.50
|
|
Uric acid blood
|
$83.00 |
$83.00 |
$83.00 |
$46.64
|
|
Uric acid urine
|
$62.00 |
$62.00 |
$62.00 |
$46.75
|
|
Urinalysis microscopic only
|
$68.00 |
$68.00 |
$68.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$53.00 |
$53.00 |
$53.00 |
$48.14
|
|
Urinalysis (without microscopy)
|
$42.00 |
$42.00 |
$42.00 |
$38.99
|
|
Urine Culture Test
|
$113.00 |
$113.00 |
$113.00 |
$84.81
|
|
Urine pregnancy test
|
$113.00 |
$113.00 |
$113.00 |
$66.40
|
|
Urography, antegrade
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$593.37
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$83.75 |
$83.75 |
$83.75 |
$45.33
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$188.25 |
$188.25 |
$188.25 |
$79.04
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$125.50 |
$125.50 |
$125.50 |
$48.29
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,560.25 |
$1,560.25 |
$1,560.25 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,095.75 |
$1,095.75 |
$1,095.75 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$613.50 |
$613.50 |
$613.50 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,864.25 |
$1,864.25 |
$1,864.25 |
$715.41
|
|
Vaccine rabies im
|
$1,778.25 |
$1,778.25 |
$1,778.25 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$307.00 |
$307.00 |
$307.00 |
$150.76
|
|
Valproic acid total therapeutic drug level
|
$155.00 |
$155.00 |
$155.00 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$132.75 |
$132.75 |
$132.75 |
$100.15
|
|
Vancomycin hcl injection
|
$39.75 |
$39.75 |
$39.75 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$176.00 |
$176.00 |
$176.00 |
$126.79
|
|
Varicella zoster antibody igg
|
$143.00 |
$143.00 |
$143.00 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$348.00 |
$348.00 |
$348.00 |
$362.93
|
|
Vein x-ray adrenal glands
|
$4,389.00 |
$4,389.00 |
$4,389.00 |
$3,999.60
|
|
Vein x-ray liver
|
$2,557.00 |
$2,557.00 |
$2,557.00 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$3,182.00 |
$3,182.00 |
$3,182.00 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,182.00 |
$3,182.00 |
$3,182.00 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$2,557.00 |
$2,557.00 |
$2,557.00 |
$2,489.25
|
|
Vein x-ray skull
|
$2,557.00 |
$2,557.00 |
$2,557.00 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$3,229.00 |
$3,229.00 |
$3,229.00 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$3,229.00 |
$3,229.00 |
$3,229.00 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$68.00 |
$68.00 |
$68.00 |
$188.65
|
|
Venogram ext bil s&i
|
$2,389.00 |
$2,389.00 |
$2,389.00 |
$1,838.28
|
|
Venous mech thrombectomy
|
$12,926.00 |
$12,926.00 |
$12,926.00 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$9,178.00 |
$9,178.00 |
$9,178.00 |
$5,352.00
|
|
Venous sampling s&i
|
$3,182.00 |
$3,182.00 |
$3,182.00 |
$4,416.78
|
|
Ventilator each subsequent day
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$1,305.92
|
|
Ventilator initial day
|
$1,631.00 |
$1,631.00 |
$1,631.00 |
$1,540.80
|
|
Version cephalic external
|
$3,101.00 |
$3,101.00 |
$3,101.00 |
$2,598.57
|
|
Very long chain fatty acids
|
$232.00 |
$232.00 |
$232.00 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$231.00 |
$231.00 |
$231.00 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$66.25 |
$66.25 |
$66.25 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$107.50 |
$107.50 |
$107.50 |
$226.75
|
|
Visc & infraren abd 1 prosth
|
$3,299.00 |
$3,299.00 |
$3,299.00 |
$11,467.68
|
|
Visc & infraren abd 2 prosth
|
$4,949.00 |
$4,949.00 |
$4,949.00 |
$14,123.24
|
|
Visc & infraren abd 3 prosth
|
$7,424.00 |
$7,424.00 |
$7,424.00 |
$16,560.51
|
|
Visc & infraren abd 4+ prost
|
$11,137.00 |
$11,137.00 |
$11,137.00 |
$13,023.85
|
|
Vital capacity test
|
$161.00 |
$161.00 |
$161.00 |
$173.33
|
|
Vitamin b-12
|
$216.00 |
$216.00 |
$216.00 |
$94.90
|
|
Vitamin D Test
|
$399.00 |
$399.00 |
$399.00 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$356.00 |
$356.00 |
$356.00 |
$463.40
|
|
Volume measurement urine timed
|
$36.00 |
$36.00 |
$36.00 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$805.75 |
$805.75 |
$805.75 |
$215.60
|
|
Warde 1003990 aldosterone
|
$548.00 |
$548.00 |
$548.00 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$357.00 |
$357.00 |
$357.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$158.00 |
$158.00 |
$158.00 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$329.00 |
$329.00 |
$329.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$198.00 |
$198.00 |
$198.00 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$175.00 |
$175.00 |
$175.00 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$134.00 |
$134.00 |
$134.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$234.00 |
$234.00 |
$234.00 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$207.00 |
$207.00 |
$207.00 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$177.00 |
$177.00 |
$177.00 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$144.00 |
$144.00 |
$144.00 |
$55.25
|
