|
Unlisted px hands/fingers
|
$452.64 |
$452.64 |
$452.64 |
$379.44
|
|
Unlisted px salivry glnd/dux
|
$371.52 |
$371.52 |
$371.52 |
$486.72
|
|
Unlisted px small intestine
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$2,118.35
|
|
Unlisted transfusion med px
|
$108.00 |
$108.00 |
$108.00 |
$141.35
|
|
Unlisted ultrasound procedure
|
$894.72 |
$894.72 |
$894.72 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,807.68 |
$1,807.68 |
$1,807.68 |
$1,469.76
|
|
Upgrade pm system
|
$10,996.80 |
$10,996.80 |
$10,996.80 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,630.40 |
$5,630.40 |
$5,630.40 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,735.20 |
$4,735.20 |
$4,735.20 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$4,400.16 |
$4,400.16 |
$4,400.16 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,222.56 |
$1,222.56 |
$1,222.56 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,222.56 |
$1,222.56 |
$1,222.56 |
$1,656.60
|
|
Urea nitrogen
|
$47.52 |
$47.52 |
$47.52 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$44.16 |
$44.16 |
$44.16 |
$50.00
|
|
Ureteral embolization/occl
|
$1,936.32 |
$1,936.32 |
$1,936.32 |
$3,041.22
|
|
Urethrcystgrphy rtrgrde s&i
|
$683.04 |
$683.04 |
$683.04 |
$574.40
|
|
Urethrocystography void s&i
|
$725.28 |
$725.28 |
$725.28 |
$634.50
|
|
Uric acid blood
|
$24.00 |
$24.00 |
$24.00 |
$46.64
|
|
Uric acid urine
|
$24.00 |
$24.00 |
$24.00 |
$46.75
|
|
Urinalysis (with microscopy)
|
$117.12 |
$117.12 |
$117.12 |
$48.14
|
|
Urinalysis (without microscopy)
|
$67.20 |
$67.20 |
$67.20 |
$38.99
|
|
Urine Culture Test
|
$159.36 |
$159.36 |
$159.36 |
$84.81
|
|
Urine pregnancy test
|
$122.40 |
$122.40 |
$122.40 |
$66.40
|
|
Urography, antegrade
|
$631.68 |
$631.68 |
$631.68 |
$593.37
|
|
Use 1st target lesion
|
$239.52 |
$239.52 |
$239.52 |
$245.30
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$49.50 |
$49.50 |
$49.50 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$222.32 |
$222.32 |
$222.32 |
$178.07
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$227.22 |
$227.22 |
$227.22 |
$173.98
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$424.64 |
$424.64 |
$424.64 |
$306.24
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$77.46 |
$77.46 |
$77.46 |
$79.04
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$103.88 |
$103.88 |
$103.88 |
$103.88
|
|
Vaccine mmr live subcutaneous
|
$287.76 |
$287.76 |
$287.76 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$715.41 |
$715.41 |
$715.41 |
$715.41
|
|
Vaccine rabies im
|
$916.24 |
$916.24 |
$916.24 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$163.84 |
$163.84 |
$163.84 |
$150.76
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,061.42 |
$2,061.42 |
$2,061.42 |
$1,683.99
|
|
Vad univ batt charger hm 1440
|
$13,287.63 |
$13,287.63 |
$13,287.63 |
$14,893.34
|
|
Vaginal bx
|
$399.84 |
$399.84 |
$399.84 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$4,177.44 |
$4,177.44 |
$4,177.44 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$114.72 |
$114.72 |
$114.72 |
$115.00
|
|
Valvuloplasty aortic
|
$3,609.60 |
$3,609.60 |
$3,609.60 |
$7,324.85
|
|
Valvuloplasty mitral
|
$5,650.08 |
$5,650.08 |
$5,650.08 |
$10,435.39
|
|
Valvuloplasty pulmonary
|
$10,446.24 |
$10,446.24 |
$10,446.24 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$669.08 |
$669.08 |
$669.08 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$44.76 |
$44.76 |
$44.76 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$142.08 |
$142.08 |
$142.08 |
$126.79
|
|
Varicella zoster antibody igg
|
$47.06 |
$47.06 |
$47.06 |
$82.55
|
|
Vasc emb/occ w/prs cath
|
$27,379.20 |
$27,379.20 |
$27,379.20 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$44.76 |
$44.76 |
$44.76 |
$362.93
|
|
Veeg cont 2-12 hrs
|
$864.00 |
$864.00 |
$864.00 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$1,685.76 |
$1,685.76 |
$1,685.76 |
$3,332.45
|
|
Veeg unmon 12-26 hrs
|
$690.24 |
$690.24 |
$690.24 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$339.84 |
$339.84 |
$339.84 |
$704.79
|
|
Vein x-ray adrenal glands
|
$4,544.16 |
$4,544.16 |
$4,544.16 |
$3,999.60
|
|
Vein x-ray kidney
|
$2,770.08 |
$2,770.08 |
$2,770.08 |
$2,716.20
|
|
Vein x-ray liver
|
$4,658.40 |
$4,658.40 |
$4,658.40 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$3,981.12 |
$3,981.12 |
$3,981.12 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$4,658.40 |
$4,658.40 |
$4,658.40 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$2,844.48 |
$2,844.48 |
$2,844.48 |
$2,489.25
|
|
Vein x-ray skull
|
$1,420.32 |
$1,420.32 |
$1,420.32 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$3,531.84 |
$3,531.84 |
$3,531.84 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$129.60 |
$129.60 |
$129.60 |
$82.11
|
|
Venogram ext bil s&i
|
$2,213.76 |
$2,213.76 |
$2,213.76 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,916.16 |
$1,916.16 |
$1,916.16 |
$1,326.00
|
|
Venous mech thrombectomy
|
$7,989.60 |
$7,989.60 |
$7,989.60 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$7,989.60 |
$7,989.60 |
$7,989.60 |
$5,352.00
|
|
Venous sampling s&i
|
$4,544.16 |
$4,544.16 |
$4,544.16 |
$4,416.78
|
|
Ventilator each subsequent day
|
$3,110.88 |
$3,110.88 |
$3,110.88 |
$1,305.92
|
|
Ventilator initial day
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,357.44 |
$1,357.44 |
$1,357.44 |
$1,081.00
|
|
Version cephalic external
|
$1,860.48 |
$1,860.48 |
$1,860.48 |
$2,598.57
|
|
Vest large holster
|
$1,525.52 |
$1,525.52 |
$1,525.52 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$219.84 |
$219.84 |
$219.84 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$129.42 |
$129.42 |
$129.42 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$171.48 |
$171.48 |
$171.48 |
$226.75
|
|
Visc & infraren abd 1 prosth
|
$4,839.84 |
$4,839.84 |
$4,839.84 |
$11,467.68
|
|
Visc & infraren abd 2 prosth
|
$5,802.24 |
$5,802.24 |
$5,802.24 |
$14,123.24
|
|
Visit established high 40-54 minutes/level 5
|
$1,986.72 |
$1,986.72 |
$1,986.72 |
$287.73
|
|
Vital capacity test
|
$132.00 |
$132.00 |
$132.00 |
$173.33
|
|
Vitamin b-12
|
$64.80 |
$64.80 |
$64.80 |
$94.90
|
|
Vitamin D Test
|
$79.56 |
$79.56 |
$79.56 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$206.40 |
$206.40 |
$206.40 |
$463.40
|
|
Volume measurement urine timed
|
$22.08 |
$22.08 |
$22.08 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$83.84 |
$83.84 |
$83.84 |
$215.60
|
|
Warde 1003990 aldosterone
|
$51.41 |
$51.41 |
$51.41 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$16.80 |
$16.80 |
$16.80 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$2.88 |
$2.88 |
$2.88 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$93.24 |
$93.24 |
$93.24 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$10.67 |
$10.67 |
$10.67 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$57.60 |
$57.60 |
$57.60 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$32.82 |
$32.82 |
$32.82 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$52.90 |
$52.90 |
$52.90 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$41.19 |
$41.19 |
$41.19 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$41.19 |
$41.19 |
$41.19 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$48.00 |
$48.00 |
$48.00 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$30.00 |
$30.00 |
$30.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$30.00 |
$30.00 |
$30.00 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$97.92 |
$97.92 |
$97.92 |
$219.13
|
|
Warde 3400852 arsenic
|
$62.88 |
$62.88 |
$62.88 |
$105.12
|
