|
Ultrasound breast complete
|
$857.22 |
$857.22 |
$857.22 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$759.88 |
$759.88 |
$759.88 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$255.12 |
$255.12 |
$255.12 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$252.77 |
$252.77 |
$252.77 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$418.41 |
$418.41 |
$418.41 |
$313.95
|
|
Ultrasound encephalogram
|
$506.33 |
$506.33 |
$506.33 |
$494.92
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$423.90 |
$423.90 |
$423.90 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$442.74 |
$442.74 |
$442.74 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$219.02 |
$219.02 |
$219.02 |
$388.08
|
|
Ultrasound guide intraoperative
|
$244.92 |
$244.92 |
$244.92 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$304.58 |
$304.58 |
$304.58 |
$403.88
|
|
Ultrasound joint complete left
|
$483.56 |
$483.56 |
$483.56 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$555.00 |
$555.00 |
$555.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$304.58 |
$304.58 |
$304.58 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$649.98 |
$649.98 |
$649.98 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$569.12 |
$569.12 |
$569.12 |
$425.60
|
|
Ultrasound spinal canal and contents
|
$313.22 |
$313.22 |
$313.22 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$752.82 |
$752.82 |
$752.82 |
$419.50
|
|
Unlisted transfusion med px
|
$208.29 |
$208.29 |
$208.29 |
$147.50
|
|
Upper Arm (Humerus) X-ray (left side)
|
$222.38 |
$222.38 |
$222.38 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,495.90 |
$1,495.90 |
$1,495.90 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,196.61 |
$1,196.61 |
$1,196.61 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,597.78 |
$1,597.78 |
$1,597.78 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$385.07 |
$385.07 |
$385.07 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$487.41 |
$487.41 |
$487.41 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$787.20 |
$787.20 |
$787.20 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$737.34 |
$737.34 |
$737.34 |
$607.20
|
|
Urea nitrogen
|
$26.92 |
$26.92 |
$26.92 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$3.76 |
$3.76 |
$3.76 |
$52.00
|
|
Ureteral reflux study
|
$555.59 |
$555.59 |
$555.59 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$495.28 |
$495.28 |
$495.28 |
$584.00
|
|
Urethrocystography void s&i
|
$733.41 |
$733.41 |
$733.41 |
$631.40
|
|
Uric acid blood
|
$8.76 |
$8.76 |
$8.76 |
$49.44
|
|
Uric acid urine
|
$13.77 |
$13.77 |
$13.77 |
$45.36
|
|
Urinalysis microscopic only
|
$5.89 |
$5.89 |
$5.89 |
$26.46
|
|
Urinalysis (with microscopy)
|
$5.89 |
$5.89 |
$5.89 |
$55.20
|
|
Urinalysis (without microscopy)
|
$4.12 |
$4.12 |
$4.12 |
$36.00
|
|
Urine Culture Test
|
$13.95 |
$13.95 |
$13.95 |
$83.00
|
|
Urine pregnancy test
|
$34.16 |
$34.16 |
$34.16 |
$68.78
|
|
Urography, antegrade
|
$579.25 |
$579.25 |
$579.25 |
$622.35
|
|
Use 1st target lesion
|
$388.58 |
$388.58 |
$388.58 |
$332.00
|
|
Vaccine Administration (one shot)
|
$47.04 |
$47.04 |
$47.04 |
$67.70
|
|
Valproic acid total therapeutic drug level
|
$33.18 |
$33.18 |
$33.18 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$25.67 |
$25.67 |
$25.67 |
$136.13
|
|
Varicella zoster antibody igg
|
$28.03 |
$28.03 |
$28.03 |
$86.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$23.82 |
$23.82 |
$23.82 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$22.16 |
$22.16 |
$22.16 |
$67.00
|
|
Venogram ext bil s&i
|
$635.66 |
$635.66 |
$635.66 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$514.96 |
$514.96 |
$514.96 |
$1,382.58
|
|
Ventilator each subsequent day
|
$691.12 |
$691.12 |
$691.12 |
$1,184.00
|
|
Ventilator Management (first day)
|
$967.09 |
$967.09 |
$967.09 |
$1,434.60
|
|
Version cephalic external
|
$841.85 |
$841.85 |
$841.85 |
$2,361.75
|
|
Very long chain fatty acids
|
$97.03 |
$97.03 |
$97.03 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$237.47 |
$237.47 |
$237.47 |
$524.50
|
|
Vital capacity test
|
$53.86 |
$53.86 |
$53.86 |
$173.18
|
|
Vitamin b-12
|
$11.89 |
$11.89 |
$11.89 |
$100.28
|
|
Vitamin D Test
|
$55.71 |
$55.71 |
$55.71 |
$132.00
|
|
Volume measurement urine timed
|
$6.48 |
$6.48 |
$6.48 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$60.01 |
$60.01 |
$60.01 |
$87.50
|
|
Warde 1003990 aldosterone
|
$21.28 |
$21.28 |
$21.28 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$77.62 |
$77.62 |
$77.62 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$6.89 |
$6.89 |
$6.89 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$5.63 |
$5.63 |
$5.63 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$20.03 |
$20.03 |
$20.03 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$11.89 |
$11.89 |
$11.89 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$5.01 |
$5.01 |
$5.01 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$7.51 |
$7.51 |
$7.51 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$14.01 |
$14.01 |
$14.01 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$14.01 |
$14.01 |
$14.01 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$3.18 |
$3.18 |
$3.18 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$4.46 |
$4.46 |
$4.46 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$6.70 |
$6.70 |
$6.70 |
$73.60
|
|
Warde 3400852 arsenic
|
$23.16 |
$23.16 |
$23.16 |
$101.00
|
|
Warde 3708165 mercury urine
|
$23.79 |
$23.79 |
$23.79 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$31.21 |
$31.21 |
$31.21 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$3.82 |
$3.82 |
$3.82 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$66.98 |
$66.98 |
$66.98 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$8.76 |
$8.76 |
$8.76 |
$156.40
|
|
Warde aldolase
|
$3.13 |
$3.13 |
$3.13 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$74.49 |
$74.49 |
$74.49 |
$200.16
|
|
Warde amiodarone therapeutic drug level
|
$25.04 |
$25.04 |
$25.04 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$8.98 |
$8.98 |
$8.98 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$49.37 |
$49.37 |
$49.37 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$78.88 |
$78.88 |
$78.88 |
$126.43
|
|
Warde anti-mullerian hormone
|
$21.28 |
$21.28 |
$21.28 |
$82.50
|
|
Warde apolipoprotein b
|
$40.06 |
$40.06 |
$40.06 |
$61.82
|
|
Warde bile acids
|
$8.14 |
$8.14 |
$8.14 |
$64.28
|
|
Warde cadmium blood
|
$8.14 |
$8.14 |
$8.14 |
$76.70
|
|
Warde calcitonin
|
$19.41 |
$19.41 |
$19.41 |
$101.40
|
|
Warde calculus (stone) infrared
|
$15.02 |
$15.02 |
$15.02 |
$59.52
|
|
Warde clozapine therapeutic drug level
|
$11.27 |
$11.27 |
$11.27 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$35.06 |
$35.06 |
$35.06 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$39.44 |
$39.44 |
$39.44 |
$96.85
|
|
Warde complement total hemolytic
|
$5.10 |
$5.10 |
$5.10 |
$105.00
|
|
Warde copper
|
$100.79 |
$100.79 |
$100.79 |
$80.00
|
|
Warde cryoglobulin
|
$8.14 |
$8.14 |
$8.14 |
$50.96
|
|
Warde erythropoietin
|
$5.01 |
$5.01 |
$5.01 |
$90.36
|
|
Warde estrogen fractionated
|
$30.05 |
$30.05 |
$30.05 |
$98.15
|