|
Ultrasound pregnant uterus follow up per fetus
|
$558.61 |
$558.61 |
$558.61 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$500.26 |
$500.26 |
$500.26 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$485.48 |
$485.48 |
$485.48 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$420.90 |
$420.90 |
$420.90 |
$498.00
|
|
Ultrasound scrotum and contents
|
$834.02 |
$834.02 |
$834.02 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$732.10 |
$732.10 |
$732.10 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$586.62 |
$586.62 |
$586.62 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$373.44 |
$373.44 |
$373.44 |
$567.44
|
|
Unlisted transfusion med px
|
$225.62 |
$225.62 |
$225.62 |
$141.35
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,422.93 |
$4,422.93 |
$4,422.93 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,839.43 |
$3,839.43 |
$3,839.43 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,648.32 |
$2,648.32 |
$2,648.32 |
$2,013.08
|
|
Urea nitrogen
|
$127.60 |
$127.60 |
$127.60 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$91.03 |
$91.03 |
$91.03 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$747.66 |
$747.66 |
$747.66 |
$574.40
|
|
Urethrocystography void s&i
|
$408.45 |
$408.45 |
$408.45 |
$634.50
|
|
Uric acid blood
|
$128.37 |
$128.37 |
$128.37 |
$46.64
|
|
Uric acid urine
|
$106.59 |
$106.59 |
$106.59 |
$46.75
|
|
Urinalysis microscopic only
|
$10.12 |
$10.12 |
$10.12 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$25.68 |
$25.68 |
$25.68 |
$25.72
|
|
Urinalysis (with microscopy)
|
$117.48 |
$117.48 |
$117.48 |
$48.14
|
|
Urinalysis (without microscopy)
|
$28.79 |
$28.79 |
$28.79 |
$38.99
|
|
Urinary reflex study
|
$115.93 |
$115.93 |
$115.93 |
$152.00
|
|
Urine Culture Test
|
$126.04 |
$126.04 |
$126.04 |
$84.81
|
|
Urine pregnancy test
|
$23.34 |
$23.34 |
$23.34 |
$66.40
|
|
Urography inf drip &/or bolus
|
$1,457.20 |
$1,457.20 |
$1,457.20 |
$641.69
|
|
Vaccine dtap < 7 years im
|
$174.28 |
$174.28 |
$174.28 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$1,169.34 |
$1,169.34 |
$1,169.34 |
$193.83
|
|
Vaccine dtap-ipv 4-6 years im
|
$361.00 |
$361.00 |
$361.00 |
$126.84
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$178.94 |
$178.94 |
$178.94 |
$85.00
|
|
Vaccine hepatitis a (hepa) adult im
|
$481.59 |
$481.59 |
$481.59 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$540.71 |
$540.71 |
$540.71 |
$218.40
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$227.18 |
$227.18 |
$227.18 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$399.90 |
$399.90 |
$399.90 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$164.94 |
$164.94 |
$164.94 |
$79.04
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$134.60 |
$134.60 |
$134.60 |
$48.29
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$965.50 |
$965.50 |
$965.50 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$536.82 |
$536.82 |
$536.82 |
$224.04
|
|
Vaccine mmrv live subcutaneous
|
$1,539.67 |
$1,539.67 |
$1,539.67 |
$474.24
|
|
Vaccine polio (ipv) subcutaneous/im
|
$229.51 |
$229.51 |
$229.51 |
$119.17
|
|
Vaccine rabies im
|
$2,477.16 |
$2,477.16 |
$2,477.16 |
$945.46
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$586.62 |
$586.62 |
$586.62 |
$108.00
|
|
Vaccine tdap >=7 years im
|
$290.98 |
$290.98 |
$290.98 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$532.16 |
$532.16 |
$532.16 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$224.85 |
$224.85 |
$224.85 |
$115.00
|
|
Vancomycin hcl injection
|
$124.48 |
$124.48 |
$124.48 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$234.18 |
$234.18 |
$234.18 |
$126.79
|
|
Varicella zoster antibody igg
|
$11.88 |
$11.88 |
$11.88 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,387.96 |
$1,387.96 |
$1,387.96 |
$362.93
|
|
Vein x-ray liver w/hemodynam
|
$3,778.75 |
$3,778.75 |
$3,778.75 |
$3,439.84
|
|
Vein x-ray skull
|
$1,341.28 |
$1,341.28 |
$1,341.28 |
$2,301.09
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,103.21 |
$1,103.21 |
$1,103.21 |
$188.65
|
|
Venogram ext bil s&i
|
$1,880.43 |
$1,880.43 |
$1,880.43 |
$1,838.28
|
|
Venous mech thrombectomy
|
$6,174.21 |
$6,174.21 |
$6,174.21 |
$8,869.50
|
|
Ventilator each subsequent day
|
$2,636.65 |
$2,636.65 |
$2,636.65 |
$1,305.92
|
|
Ventilator initial day
|
$3,176.58 |
$3,176.58 |
$3,176.58 |
$1,540.80
|
|
Version cephalic external
|
$2,680.99 |
$2,680.99 |
$2,680.99 |
$2,598.57
|
|
Very long chain fatty acids
|
$82.99 |
$82.99 |
$82.99 |
$140.40
|
|
Virus isolation addl studies ea
|
$25.68 |
$25.68 |
$25.68 |
$90.35
|
|
Vital capacity test
|
$168.83 |
$168.83 |
$168.83 |
$173.33
|
|
Vitamin b-12
|
$122.15 |
$122.15 |
$122.15 |
$94.90
|
|
Vitamin D Test
|
$383.56 |
$383.56 |
$383.56 |
$132.00
|
|
Vkorc1 gene
|
$51.87 |
$51.87 |
$51.87 |
$176.80
|
|
Volume measurement urine timed
|
$22.57 |
$22.57 |
$22.57 |
$21.45
|
|
Warde 1003990 aldosterone
|
$15.56 |
$15.56 |
$15.56 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$8.93 |
$8.93 |
$8.93 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$13.23 |
$13.23 |
$13.23 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$21.79 |
$21.79 |
$21.79 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$11.56 |
$11.56 |
$11.56 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$9.73 |
$9.73 |
$9.73 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$7.78 |
$7.78 |
$7.78 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$41.24 |
$41.24 |
$41.24 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$13.62 |
$13.62 |
$13.62 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$13.62 |
$13.62 |
$13.62 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$15.56 |
$15.56 |
$15.56 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$22.85 |
$22.85 |
$22.85 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$22.85 |
$22.85 |
$22.85 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$73.91 |
$73.91 |
$73.91 |
$219.13
|
|
Warde 3400852 arsenic
|
$185.95 |
$185.95 |
$185.95 |
$105.12
|
|
Warde 3708165 mercury urine
|
$8.97 |
$8.97 |
$8.97 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$23.73 |
$23.73 |
$23.73 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$8.19 |
$8.19 |
$8.19 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$93.36 |
$93.36 |
$93.36 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$7.78 |
$7.78 |
$7.78 |
$129.75
|
|
Warde aldolase
|
$4.67 |
$4.67 |
$4.67 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$70.95 |
$70.95 |
$70.95 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$12.59 |
$12.59 |
$12.59 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$50.57 |
$50.57 |
$50.57 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$189.84 |
$189.84 |
$189.84 |
$381.50
|
|
Warde anti-mullerian hormone
|
$31.12 |
$31.12 |
$31.12 |
$93.28
|
|
Warde apolipoprotein b
|
$58.49 |
$58.49 |
$58.49 |
$64.28
|
|
Warde bile acids
|
$15.56 |
$15.56 |
$15.56 |
$64.28
|
|
Warde cadmium blood
|
$10.07 |
$10.07 |
$10.07 |
$77.00
|
|
Warde calcitonin
|
$15.56 |
$15.56 |
$15.56 |
$89.40
|
|
Warde calculus (stone) infrared
|
$8.56 |
$8.56 |
$8.56 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$15.56 |
$15.56 |
$15.56 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$172.10 |
$172.10 |
$172.10 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$65.05 |
$65.05 |
$65.05 |
$90.40
|
|
Warde complement total hemolytic
|
$11.67 |
$11.67 |
$11.67 |
$105.00
|
|
Warde copper
|
$35.79 |
$35.79 |
$35.79 |
$80.00
|
