|
Unlisted px casting/strpg
|
$96.09 |
$96.09 |
$96.09 |
$224.93
|
|
Unlisted px external ear
|
$175.40 |
$175.40 |
$175.40 |
$354.00
|
|
Unlisted px forearm/wrist
|
$183.28 |
$183.28 |
$183.28 |
$3,521.60
|
|
Unlisted px hands/fingers
|
$229.55 |
$229.55 |
$229.55 |
$379.44
|
|
Unlisted px leg/ankle
|
$229.55 |
$229.55 |
$229.55 |
$811.00
|
|
Unlisted px male genital sys
|
$103.21 |
$103.21 |
$103.21 |
$897.95
|
|
Unlisted px med radj physics
|
$68.13 |
$68.13 |
$68.13 |
$376.03
|
|
Unlisted px salivry glnd/dux
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
$486.72
|
|
Unlisted px small intestine
|
$2,129.18 |
$2,129.18 |
$2,129.18 |
$2,118.35
|
|
Unlisted px tongue flr mouth
|
$175.40 |
$175.40 |
$175.40 |
$274.80
|
|
Unlisted ultrasound procedure
|
$99.91 |
$99.91 |
$99.91 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,386.92 |
$1,386.92 |
$1,386.92 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,012.48 |
$1,012.48 |
$1,012.48 |
$2,013.08
|
|
Upper Endoscopy (EGD, with biopsy)
|
$687.87 |
$687.87 |
$687.87 |
$1,656.60
|
|
Urea nitrogen
|
$18.56 |
$18.56 |
$18.56 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$18.56 |
$18.56 |
$18.56 |
$50.00
|
|
Ureteral reflux study
|
$346.48 |
$346.48 |
$346.48 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$133.46 |
$133.46 |
$133.46 |
$574.40
|
|
Urethrocystography void s&i
|
$190.65 |
$190.65 |
$190.65 |
$634.50
|
|
Uric acid blood
|
$21.87 |
$21.87 |
$21.87 |
$46.64
|
|
Uric acid urine
|
$16.02 |
$16.02 |
$16.02 |
$46.75
|
|
Urinalysis microscopic only
|
$15.77 |
$15.77 |
$15.77 |
$26.35
|
|
Urinalysis (with microscopy)
|
$14.49 |
$14.49 |
$14.49 |
$48.14
|
|
Urinalysis (without microscopy)
|
$11.44 |
$11.44 |
$11.44 |
$38.99
|
|
Urine Culture Test
|
$27.97 |
$27.97 |
$27.97 |
$84.81
|
|
Urine pregnancy test
|
$26.95 |
$26.95 |
$26.95 |
$66.40
|
|
Urography, antegrade
|
$166.76 |
$166.76 |
$166.76 |
$593.37
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$26,005.08 |
$26,005.08 |
$26,005.08 |
$56,553.85
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$224.16 |
$224.16 |
$224.16 |
$239.85
|
|
Vaginal bx
|
$113.12 |
$113.12 |
$113.12 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,337.35 |
$1,337.35 |
$1,337.35 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$43.47 |
$43.47 |
$43.47 |
$115.00
|
|
Valvuloplasty aortic
|
$2,954.57 |
$2,954.57 |
$2,954.57 |
$7,324.85
|
|
Valvuloplasty mitral
|
$3,312.99 |
$3,312.99 |
$3,312.99 |
$10,435.39
|
|
Valvuloplasty pulmonary
|
$3,312.99 |
$3,312.99 |
$3,312.99 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$41.87 |
$41.87 |
$41.87 |
$246.70
|
|
Vancomycin peak therapeutic drug level
|
$63.30 |
$63.30 |
$63.30 |
$126.79
|
|
Varicella zoster antibody igg
|
$41.95 |
$41.95 |
$41.95 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$52.27 |
$52.27 |
$52.27 |
$362.93
|
|
Veeg cont 2-12 hrs
|
$384.86 |
$384.86 |
$384.86 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$727.27 |
$727.27 |
$727.27 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$204.13 |
$204.13 |
$204.13 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$384.86 |
$384.86 |
$384.86 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$204.13 |
$204.13 |
$204.13 |
$704.79
|
|
Vein x-ray adrenal gland
|
$857.42 |
$857.42 |
$857.42 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$1,183.05 |
$1,183.05 |
$1,183.05 |
$3,999.60
|
|
Vein x-ray kidney
|
$857.42 |
$857.42 |
$857.42 |
$2,716.20
|
|
Vein x-ray liver
|
$857.42 |
$857.42 |
$857.42 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$857.42 |
$857.42 |
$857.42 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$857.42 |
$857.42 |
$857.42 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$689.40 |
$689.40 |
$689.40 |
$2,489.25
|
|
Vein x-ray skull
|
$739.73 |
$739.73 |
$739.73 |
$2,301.09
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$4.58 |
$4.58 |
$4.58 |
$188.65
|
|
Venogram ext bil s&i
|
$453.50 |
$453.50 |
$453.50 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$394.27 |
$394.27 |
$394.27 |
$1,326.00
|
|
Venous mech thrombectomy
|
$3,703.70 |
$3,703.70 |
$3,703.70 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$3,703.70 |
$3,703.70 |
$3,703.70 |
$5,352.00
|
|
Venous sampling s&i
|
$2,433.72 |
$2,433.72 |
$2,433.72 |
$4,416.78
|
|
Ventilator each subsequent day
|
$245.31 |
$245.31 |
$245.31 |
$1,305.92
|
|
Ventilator initial day
|
$421.98 |
$421.98 |
$421.98 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$630.68 |
$630.68 |
$630.68 |
$1,081.00
|
|
Virus isolation addl studies ea
|
$66.61 |
$66.61 |
$66.61 |
$90.35
|
|
Visit established high 40-54 minutes/level 5
|
$93.80 |
$93.80 |
$93.80 |
$287.73
|
|
Vitamin b-12
|
$62.03 |
$62.03 |
$62.03 |
$94.90
|
|
Vitamin D Test
|
$117.45 |
$117.45 |
$117.45 |
$132.00
|
|
Volume measurement urine timed
|
$10.17 |
$10.17 |
$10.17 |
$21.45
|
|
Warde 1003990 aldosterone
|
$225.23 |
$225.23 |
$225.23 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$109.06 |
$109.06 |
$109.06 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$42.20 |
$42.20 |
$42.20 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$83.13 |
$83.13 |
$83.13 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$51.35 |
$51.35 |
$51.35 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$30.51 |
$30.51 |
$30.51 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$28.73 |
$28.73 |
$28.73 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$64.06 |
$64.06 |
$64.06 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$55.93 |
$55.93 |
$55.93 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$47.54 |
$47.54 |
$47.54 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$40.68 |
$40.68 |
$40.68 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$35.59 |
$35.59 |
$35.59 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$71.18 |
$71.18 |
$71.18 |
$78.57
|
|
Warde 3400852 arsenic
|
$62.79 |
$62.79 |
$62.79 |
$105.12
|
|
Warde 3708165 mercury urine
|
$53.64 |
$53.64 |
$53.64 |
$72.80
|
|
Warde actin (smooth muscle) antibody each
|
$4.58 |
$4.58 |
$4.58 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$26.44 |
$26.44 |
$26.44 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$73.21 |
$73.21 |
$73.21 |
$129.75
|
|
Warde aldolase
|
$4.58 |
$4.58 |
$4.58 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$55.93 |
$55.93 |
$55.93 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$12.46 |
$12.46 |
$12.46 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$226.50 |
$226.50 |
$226.50 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$186.08 |
$186.08 |
$186.08 |
$381.50
|
|
Warde apolipoprotein b
|
$51.35 |
$51.35 |
$51.35 |
$64.28
|
|
Warde cadmium blood
|
$76.26 |
$76.26 |
$76.26 |
$77.00
|
|
Warde calcitonin
|
$88.47 |
$88.47 |
$88.47 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$61.52 |
$61.52 |
$61.52 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$32.29 |
$32.29 |
$32.29 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$62.03 |
$62.03 |
$62.03 |
$90.40
|
|
Warde complement total hemolytic
|
$67.37 |
$67.37 |
$67.37 |
$105.00
|
|
Warde copper
|
$4.58 |
$4.58 |
$4.58 |
$80.00
|
|
Warde cryoglobulin
|
$20.34 |
$20.34 |
$20.34 |
$43.45
|
|
Warde erythropoietin
|
$62.28 |
$62.28 |
$62.28 |
$90.35
|
