|
Ultrasound transvaginal non obstetric
|
$1,552.49 |
$1,552.49 |
$1,552.49 |
$567.44
|
|
Unlisted fluoroscopic px
|
$165.39 |
$165.39 |
$165.39 |
$324.85
|
|
Unlisted procedure esophagus
|
$1,185.83 |
$1,185.83 |
$1,185.83 |
$1,215.50
|
|
Unlisted px small intestine
|
$3,044.83 |
$3,044.83 |
$3,044.83 |
$2,118.35
|
|
Unlisted surgical path px
|
$211.46 |
$211.46 |
$211.46 |
$71.65
|
|
Unlisted transfusion med px
|
$81.97 |
$81.97 |
$81.97 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,480.70
|
|
Upgrade pm system
|
$15,764.44 |
$15,764.44 |
$15,764.44 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,854.30 |
$3,854.30 |
$3,854.30 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,346.50 |
$3,346.50 |
$3,346.50 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,308.12 |
$2,308.12 |
$2,308.12 |
$2,013.08
|
|
Urea nitrogen
|
$68.87 |
$68.87 |
$68.87 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$73.24 |
$73.24 |
$73.24 |
$50.00
|
|
Ureteral reflux study
|
$280.33 |
$280.33 |
$280.33 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$830.32 |
$830.32 |
$830.32 |
$574.40
|
|
Urethrocystography void s&i
|
$830.32 |
$830.32 |
$830.32 |
$634.50
|
|
Uric acid blood
|
$81.48 |
$81.48 |
$81.48 |
$46.64
|
|
Uric acid urine
|
$7.76 |
$7.76 |
$7.76 |
$46.75
|
|
Urinalysis qual/semiquant excpt ia
|
$81.00 |
$81.00 |
$81.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$144.05 |
$144.05 |
$144.05 |
$48.14
|
|
Urinalysis (without microscopy)
|
$16.98 |
$16.98 |
$16.98 |
$38.99
|
|
Urine Culture Test
|
$193.03 |
$193.03 |
$193.03 |
$84.81
|
|
Urine pregnancy test
|
$106.22 |
$106.22 |
$106.22 |
$66.40
|
|
Vaccine dtap < 7 years im
|
$85.36 |
$85.36 |
$85.36 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$285.67 |
$285.67 |
$285.67 |
$193.83
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$36.86 |
$36.86 |
$36.86 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$215.83 |
$215.83 |
$215.83 |
$178.07
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$110.10 |
$110.10 |
$110.10 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$164.90 |
$164.90 |
$164.90 |
$173.98
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$62.57 |
$62.57 |
$62.57 |
$48.29
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$756.60 |
$756.60 |
$756.60 |
$499.00
|
|
Vaccine mmr live subcutaneous
|
$249.78 |
$249.78 |
$249.78 |
$224.04
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$720.23 |
$720.23 |
$720.23 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$793.95 |
$793.95 |
$793.95 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$117.37 |
$117.37 |
$117.37 |
$119.17
|
|
Vaccine rabies im
|
$1,209.11 |
$1,209.11 |
$1,209.11 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,579.16 |
$1,579.16 |
$1,579.16 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$142.11 |
$142.11 |
$142.11 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$114.46 |
$114.46 |
$114.46 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$217.77 |
$217.77 |
$217.77 |
$115.00
|
|
Vancomycin hcl injection
|
$132.89 |
$132.89 |
$132.89 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$217.77 |
$217.77 |
$217.77 |
$126.79
|
|
Varicella zoster antibody igg
|
$7.41 |
$7.41 |
$7.41 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$863.79 |
$863.79 |
$863.79 |
$362.93
|
|
Vein x-ray adrenal glands
|
$3,250.96 |
$3,250.96 |
$3,250.96 |
$3,999.60
|
|
Vein x-ray liver
|
$2,275.62 |
$2,275.62 |
$2,275.62 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$2,275.62 |
$2,275.62 |
$2,275.62 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$2,275.62 |
$2,275.62 |
$2,275.62 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$2,948.80 |
$2,948.80 |
$2,948.80 |
$2,489.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$528.17 |
$528.17 |
$528.17 |
$188.65
|
|
Venogram ext bil s&i
|
$1,694.59 |
$1,694.59 |
$1,694.59 |
$1,838.28
|
|
Venous mech thrombectomy
|
$10,177.73 |
$10,177.73 |
$10,177.73 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$7,397.71 |
$7,397.71 |
$7,397.71 |
$5,352.00
|
|
Venous sampling s&i
|
$4,875.22 |
$4,875.22 |
$4,875.22 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$485.00 |
$485.00 |
$485.00 |
$779.56
|
|
Ventilator each subsequent day
|
$2,769.35 |
$2,769.35 |
$2,769.35 |
$1,305.92
|
|
Ventilator initial day
|
$3,225.74 |
$3,225.74 |
$3,225.74 |
$1,540.80
|
|
Version cephalic external
|
$2,227.61 |
$2,227.61 |
$2,227.61 |
$2,598.57
|
|
Virus isolation addl studies ea
|
$7.76 |
$7.76 |
$7.76 |
$90.35
|
|
Visc & infraren abd 1 prosth
|
$4,778.22 |
$4,778.22 |
$4,778.22 |
$11,467.68
|
|
Visc & infraren abd 2 prosth
|
$5,256.92 |
$5,256.92 |
$5,256.92 |
$14,123.24
|
|
Vital capacity test
|
$79.06 |
$79.06 |
$79.06 |
$173.33
|
|
Vitamin b-12
|
$30.07 |
$30.07 |
$30.07 |
$94.90
|
|
Vitamin D Test
|
$43.17 |
$43.17 |
$43.17 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$148.90 |
$148.90 |
$148.90 |
$463.40
|
|
Volume measurement urine timed
|
$41.71 |
$41.71 |
$41.71 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$476.27 |
$476.27 |
$476.27 |
$215.60
|
|
Warde 1003990 aldosterone
|
$9.70 |
$9.70 |
$9.70 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$5.57 |
$5.57 |
$5.57 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$103.21 |
$103.21 |
$103.21 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$13.58 |
$13.58 |
$13.58 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$6.07 |
$6.07 |
$6.07 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$4.85 |
$4.85 |
$4.85 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$5.82 |
$5.82 |
$5.82 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$8.73 |
$8.73 |
$8.73 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$8.25 |
$8.25 |
$8.25 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$9.70 |
$9.70 |
$9.70 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$172.18 |
$172.18 |
$172.18 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$78.57 |
$78.57 |
$78.57 |
$78.57
|
|
Warde 3400852 arsenic
|
$37.14 |
$37.14 |
$37.14 |
$105.12
|
|
Warde 3708165 mercury urine
|
$5.34 |
$5.34 |
$5.34 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$12.13 |
$12.13 |
$12.13 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$27.11 |
$27.11 |
$27.11 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$15.69 |
$15.69 |
$15.69 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$4.85 |
$4.85 |
$4.85 |
$129.75
|
|
Warde aldolase
|
$2.91 |
$2.91 |
$2.91 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$44.23 |
$44.23 |
$44.23 |
$176.20
|
|
Warde analysis gene hfe common variants
|
$31.53 |
$31.53 |
$31.53 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$20.21 |
$20.21 |
$20.21 |
$381.50
|
|
Warde apolipoprotein b
|
$5.34 |
$5.34 |
$5.34 |
$64.28
|
|
Warde bile acids
|
$3.88 |
$3.88 |
$3.88 |
$64.28
|
|
Warde cadmium blood
|
$6.28 |
$6.28 |
$6.28 |
$77.00
|
|
Warde calcitonin
|
$9.70 |
$9.70 |
$9.70 |
$89.40
|
|
Warde calculus (stone) infrared
|
$5.34 |
$5.34 |
$5.34 |
$61.73
|
|
Warde complement total hemolytic
|
$7.28 |
$7.28 |
$7.28 |
$105.00
|
|
Warde copper
|
$2.91 |
$2.91 |
$2.91 |
$80.00
|
|
Warde cryoglobulin
|
$9.70 |
$9.70 |
$9.70 |
$43.45
|
|
Warde erythropoietin
|
$3.40 |
$3.40 |
$3.40 |
$90.35
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$8.25 |
$8.25 |
$8.25 |
$43.55
|
|
Warde gastrin
|
$6.29 |
$6.29 |
$6.29 |
$75.25
|
