|
Ultrasound guided needle placement supervision & interpretation
|
$574.28 |
$574.28 |
$574.28 |
$701.35
|
|
Ultrasound guide intraoperative
|
$178.36 |
$178.36 |
$178.36 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$341.83 |
$341.83 |
$341.83 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$441.40 |
$441.40 |
$441.40 |
$403.00
|
|
Ultrasound ob >=14wks ea addl gest
|
$952.96 |
$952.96 |
$952.96 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$326.15 |
$326.15 |
$326.15 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,045.08 |
$1,045.08 |
$1,045.08 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$389.65 |
$389.65 |
$389.65 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$514.70 |
$514.70 |
$514.70 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$668.76 |
$668.76 |
$668.76 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$472.76 |
$472.76 |
$472.76 |
$498.00
|
|
Ultrasound scrotum and contents
|
$734.61 |
$734.61 |
$734.61 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$434.34 |
$434.34 |
$434.34 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$484.12 |
$484.12 |
$484.12 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$595.06 |
$595.06 |
$595.06 |
$567.44
|
|
Unlisted CT procedure
|
$391.22 |
$391.22 |
$391.22 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$133.68 |
$133.68 |
$133.68 |
$324.85
|
|
Unlisted misc path test
|
$3.23 |
$3.23 |
$3.23 |
$89.40
|
|
Unlisted muscskel px head
|
$261.86 |
$261.86 |
$261.86 |
$274.80
|
|
Unlisted procedure microbiology
|
$152.82 |
$152.82 |
$152.82 |
$487.50
|
|
Unlisted transfusion med px
|
$108.91 |
$108.91 |
$108.91 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$1,469.76
|
|
Upgrade pm system
|
$12,600.84 |
$12,600.84 |
$12,600.84 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,875.32 |
$2,875.32 |
$2,875.32 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,214.41 |
$2,214.41 |
$2,214.41 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,751.85 |
$1,751.85 |
$1,751.85 |
$2,013.08
|
|
Upper ext fx orthosis rad/ul
|
$672.28 |
$672.28 |
$672.28 |
$619.49
|
|
Urea nitrogen
|
$90.56 |
$90.56 |
$90.56 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$109.37 |
$109.37 |
$109.37 |
$50.00
|
|
Urea nitrogen clearance
|
$4.62 |
$4.62 |
$4.62 |
$33.57
|
|
Ureteral embolization/occl
|
$1,116.42 |
$1,116.42 |
$1,116.42 |
$3,041.22
|
|
Urethrcystgrphy rtrgrde s&i
|
$711.09 |
$711.09 |
$711.09 |
$574.40
|
|
Urethrocystography void s&i
|
$1,303.80 |
$1,303.80 |
$1,303.80 |
$634.50
|
|
Uric acid blood
|
$167.39 |
$167.39 |
$167.39 |
$46.64
|
|
Uric acid urine
|
$3.58 |
$3.58 |
$3.58 |
$46.75
|
|
Urinalysis microscopic only
|
$72.13 |
$72.13 |
$72.13 |
$26.35
|
|
Urinalysis (with microscopy)
|
$160.33 |
$160.33 |
$160.33 |
$48.14
|
|
Urinalysis (without microscopy)
|
$92.12 |
$92.12 |
$92.12 |
$38.99
|
|
Urine Culture Test
|
$12.12 |
$12.12 |
$12.12 |
$84.81
|
|
Urine pregnancy test
|
$104.67 |
$104.67 |
$104.67 |
$66.40
|
|
Urography inf drip &/or bolus
|
$378.68 |
$378.68 |
$378.68 |
$641.69
|
|
Vaccine dtap < 7 years im
|
$125.44 |
$125.44 |
$125.44 |
$87.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$82.72 |
$82.72 |
$82.72 |
$45.33
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$243.04 |
$243.04 |
$243.04 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$123.48 |
$123.48 |
$123.48 |
$79.04
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$92.52 |
$92.52 |
$92.52 |
$48.29
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$695.02 |
$695.02 |
$695.02 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$368.48 |
$368.48 |
$368.48 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$550.76 |
$550.76 |
$550.76 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,061.93 |
$1,061.93 |
$1,061.93 |
$397.18
|
|
Vaccine rabies im
|
$1,783.21 |
$1,783.21 |
$1,783.21 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$209.33 |
$209.33 |
$209.33 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$168.96 |
$168.96 |
$168.96 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$820.07 |
$820.07 |
$820.07 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$191.69 |
$191.69 |
$191.69 |
$115.00
|
|
Valrubicin injection
|
$4,480.56 |
$4,480.56 |
$4,480.56 |
$2,813.49
|
|
Valvuloplasty aortic
|
$8,794.92 |
$8,794.92 |
$8,794.92 |
$7,324.85
|
|
Vancomycin hcl injection
|
$336.34 |
$336.34 |
$336.34 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$197.18 |
$197.18 |
$197.18 |
$126.79
|
|
Varicella zoster antibody igg
|
$32.15 |
$32.15 |
$32.15 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$362.93
|
|
Vein x-ray adrenal glands
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$3,999.60
|
|
Vein x-ray liver
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$2,825.93 |
$2,825.93 |
$2,825.93 |
$2,489.25
|
|
Vein x-ray skull
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$3,450.30
|
|
Ven blood coll snf/hha
|
$34.89 |
$34.89 |
$34.89 |
$11.91
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$269.70 |
$269.70 |
$269.70 |
$188.65
|
|
Venogram ext bil s&i
|
$3,871.40 |
$3,871.40 |
$3,871.40 |
$1,838.28
|
|
Venous mech thrombectomy
|
$6,163.03 |
$6,163.03 |
$6,163.03 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$5,987.02 |
$5,987.02 |
$5,987.02 |
$5,352.00
|
|
Venous sampling s&i
|
$4,711.06 |
$4,711.06 |
$4,711.06 |
$4,416.78
|
|
Ventilator each subsequent day
|
$2,171.68 |
$2,171.68 |
$2,171.68 |
$1,305.92
|
|
Ventilator initial day
|
$1,614.65 |
$1,614.65 |
$1,614.65 |
$1,540.80
|
|
Version cephalic external
|
$2,623.66 |
$2,623.66 |
$2,623.66 |
$2,598.57
|
|
Very long chain fatty acids
|
$41.82 |
$41.82 |
$41.82 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$156.02 |
$156.02 |
$156.02 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$61.16 |
$61.16 |
$61.16 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$117.60 |
$117.60 |
$117.60 |
$226.75
|
|
Virus isolation addl studies ea
|
$12.94 |
$12.94 |
$12.94 |
$90.35
|
|
Visc & infraren abd 1 prosth
|
$6,751.03 |
$6,751.03 |
$6,751.03 |
$11,467.68
|
|
Vital capacity test
|
$76.44 |
$76.44 |
$76.44 |
$173.33
|
|
Vitamin b-12
|
$100.36 |
$100.36 |
$100.36 |
$94.90
|
|
Vitamin D Test
|
$105.45 |
$105.45 |
$105.45 |
$132.00
|
|
Vkorc1 gene
|
$26.14 |
$26.14 |
$26.14 |
$176.80
|
|
Volume measurement urine timed
|
$7.45 |
$7.45 |
$7.45 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$702.08 |
$702.08 |
$702.08 |
$215.60
|
|
Warde 1003990 aldosterone
|
$7.84 |
$7.84 |
$7.84 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$4.50 |
$4.50 |
$4.50 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$83.42 |
$83.42 |
$83.42 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$10.98 |
$10.98 |
$10.98 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$5.88 |
$5.88 |
$5.88 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$4.90 |
$4.90 |
$4.90 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$8.46 |
$8.46 |
$8.46 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$20.78 |
$20.78 |
$20.78 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$7.06 |
$7.06 |
$7.06 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$6.86 |
$6.86 |
$6.86 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$65.01 |
$65.01 |
$65.01 |
$55.25
|
