|
Ultrasound guide intraoperative
|
$261.15 |
$261.15 |
$261.15 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$123.30 |
$123.30 |
$123.30 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$88.80 |
$88.80 |
$88.80 |
$311.25
|
|
Ultrasound joint complete left
|
$144.60 |
$144.60 |
$144.60 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$84.30 |
$84.30 |
$84.30 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$46.80 |
$46.80 |
$46.80 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$52.50 |
$52.50 |
$52.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$52.50 |
$52.50 |
$52.50 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$305.40 |
$305.40 |
$305.40 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$112.80 |
$112.80 |
$112.80 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$149.10 |
$149.10 |
$149.10 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$117.90 |
$117.90 |
$117.90 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$156.90 |
$156.90 |
$156.90 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$162.30 |
$162.30 |
$162.30 |
$486.50
|
|
Ultrasound scrotum and contents
|
$131.70 |
$131.70 |
$131.70 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$77.55 |
$77.55 |
$77.55 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$89.25 |
$89.25 |
$89.25 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$123.45 |
$123.45 |
$123.45 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$71.25 |
$71.25 |
$71.25 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$35.70 |
$35.70 |
$35.70 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$134.25 |
$134.25 |
$134.25 |
$206.64
|
|
Unit mobile power mpu
|
$3,462.45 |
$3,462.45 |
$3,462.45 |
$14,612.80
|
|
Unlisted CT procedure
|
$178.65 |
$178.65 |
$178.65 |
$732.70
|
|
Unlisted fluoroscopic px
|
$53.10 |
$53.10 |
$53.10 |
$305.76
|
|
Unlisted mr procedure
|
$336.60 |
$336.60 |
$336.60 |
$1,163.00
|
|
Unlisted muscskel px dx nuc
|
$1,611.75 |
$1,611.75 |
$1,611.75 |
$1,279.98
|
|
Unlisted orl service/px
|
$12.15 |
$12.15 |
$12.15 |
$132.60
|
|
Unlisted procedure liver
|
$1,561.50 |
$1,561.50 |
$1,561.50 |
$2,287.20
|
|
Unlisted procedure orbit
|
$429.30 |
$429.30 |
$429.30 |
$436.44
|
|
Unlisted procedure rectum
|
$176.70 |
$176.70 |
$176.70 |
$1,220.35
|
|
Unlisted px ant segment eye
|
$480.75 |
$480.75 |
$480.75 |
$2,698.92
|
|
Unlisted px biliary tract
|
$749.55 |
$749.55 |
$749.55 |
$2,718.10
|
|
Unlisted px casting/strpg
|
$28.05 |
$28.05 |
$28.05 |
$219.70
|
|
Unlisted px external ear
|
$98.25 |
$98.25 |
$98.25 |
$325.68
|
|
Unlisted px leg/ankle
|
$53.10 |
$53.10 |
$53.10 |
$811.00
|
|
Unlisted px male genital sys
|
$57.30 |
$57.30 |
$57.30 |
$343.55
|
|
Unlisted px med radj physics
|
$86.85 |
$86.85 |
$86.85 |
$462.35
|
|
Unlisted px palate uvula
|
$97.80 |
$97.80 |
$97.80 |
$274.80
|
|
Unlisted px salivry glnd/dux
|
$429.30 |
$429.30 |
$429.30 |
$1,265.16
|
|
Unlisted px small intestine
|
$744.00 |
$744.00 |
$744.00 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$429.30 |
$429.30 |
$429.30 |
$282.50
|
|
Unsched dialysis esrd pt hos
|
$220.05 |
$220.05 |
$220.05 |
$1,268.17
|
|
Upgrade pm system
|
$7,359.00 |
$7,359.00 |
$7,359.00 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$905.70 |
$905.70 |
$905.70 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$643.80 |
$643.80 |
$643.80 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$561.60 |
$561.60 |
$561.60 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$188.10 |
$188.10 |
$188.10 |
$1,768.00
|
|
Urea nitrogen
|
$25.95 |
$25.95 |
$25.95 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$24.45 |
$24.45 |
$24.45 |
$51.75
|
|
Urea nitrogen clearance
|
$24.30 |
$24.30 |
$24.30 |
$42.25
|
|
Ureteral embolization/occl
|
$281.25 |
$281.25 |
$281.25 |
$2,181.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$141.75 |
$141.75 |
$141.75 |
$579.73
|
|
Urethrocystography void s&i
|
$93.60 |
$93.60 |
$93.60 |
$622.35
|
|
Uric acid blood
|
$36.45 |
$36.45 |
$36.45 |
$48.75
|
|
Uric acid urine
|
$35.10 |
$35.10 |
$35.10 |
$44.33
|
|
Urinalysis microscopic only
|
$1.05 |
$1.05 |
$1.05 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.20 |
$1.20 |
$1.20 |
$25.72
|
|
Urinalysis (with microscopy)
|
$28.65 |
$28.65 |
$28.65 |
$55.00
|
|
Urinalysis (without microscopy)
|
$6.60 |
$6.60 |
$6.60 |
$35.75
|
|
Urine Culture Test
|
$63.75 |
$63.75 |
$63.75 |
$81.50
|
|
Urine flow measurement 51736
|
$60.30 |
$60.30 |
$60.30 |
$210.00
|
|
Urine pregnancy test
|
$62.70 |
$62.70 |
$62.70 |
$67.20
|
|
Urography, antegrade
|
$262.95 |
$262.95 |
$262.95 |
$622.35
|
|
Use 1st target lesion
|
$58.95 |
$58.95 |
$58.95 |
$332.00
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$10.61 |
$10.61 |
$10.61 |
$143.20
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$2.75 |
$2.75 |
$2.75 |
$33.60
|
|
Vad battery clip set hmii 14-v li-ion
|
$403.20 |
$403.20 |
$403.20 |
$2,002.00
|
|
Vad cable power module dc input
|
$411.00 |
$411.00 |
$411.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$3,116.10 |
$3,116.10 |
$3,116.10 |
$14,827.28
|
|
Vaginal bx
|
$40.20 |
$40.20 |
$40.20 |
$455.94
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,210.05 |
$1,210.05 |
$1,210.05 |
$3,843.60
|
|
Valproic acid total therapeutic drug level
|
$60.75 |
$60.75 |
$60.75 |
$114.72
|
|
Valrubicin injection
|
$613.15 |
$613.15 |
$613.15 |
$2,813.49
|
|
Valvuloplasty aortic
|
$3,395.40 |
$3,395.40 |
$3,395.40 |
$7,830.80
|
|
Valvuloplasty mitral
|
$1,944.75 |
$1,944.75 |
$1,944.75 |
$10,877.90
|
|
Vancomycin hcl injection
|
$226.03 |
$226.03 |
$226.03 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$83.25 |
$83.25 |
$83.25 |
$136.13
|
|
Varicella zoster antibody igg
|
$60.75 |
$60.75 |
$60.75 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$716.55 |
$716.55 |
$716.55 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$244.65 |
$244.65 |
$244.65 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$457.80 |
$457.80 |
$457.80 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$127.50 |
$127.50 |
$127.50 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$244.65 |
$244.65 |
$244.65 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$127.50 |
$127.50 |
$127.50 |
$826.15
|
|
Vein x-ray eye socket
|
$935.85 |
$935.85 |
$935.85 |
$1,438.32
|
|
Vein x-ray kidney
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$2,766.73
|
|
Vein x-ray liver
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$1,169.70 |
$1,169.70 |
$1,169.70 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$2,452.80
|
|
Vein x-ray skull
|
$410.85 |
$410.85 |
$410.85 |
$2,141.00
|
|
Vemp test i&r cervical
|
$67.05 |
$67.05 |
$67.05 |
$313.00
|
|
Vemp test i&r ocular
|
$67.05 |
$67.05 |
$67.05 |
$266.00
|
|
Vemp tst i&r cervical&ocular
|
$127.20 |
$127.20 |
$127.20 |
$591.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$123.15 |
$123.15 |
$123.15 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$5.25 |
$5.25 |
$5.25 |
$67.00
|
|
Venogram ext bil s&i
|
$378.90 |
$378.90 |
$378.90 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$378.90 |
$378.90 |
$378.90 |
$1,366.20
|
|
Venous mech thrombectomy
|
$2,095.80 |
$2,095.80 |
$2,095.80 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$1,996.35 |
$1,996.35 |
$1,996.35 |
$5,094.75
|
