|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,184.84 |
$1,184.84 |
$1,184.84 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$79.23 |
$79.23 |
$79.23 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$88.92 |
$88.92 |
$88.92 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$88.92 |
$88.92 |
$88.92 |
$1,872.00
|
|
Urachal cyst/sinus excision 51500
|
$418.00 |
$418.00 |
$418.00 |
$6,082.67
|
|
Urea nitrogen
|
$36.10 |
$36.10 |
$36.10 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$31.35 |
$31.35 |
$31.35 |
$51.75
|
|
Urea nitrogen clearance
|
$1.12 |
$1.12 |
$1.12 |
$42.25
|
|
Ureteral reflux study
|
$260.87 |
$260.87 |
$260.87 |
$952.50
|
|
Ureter endoscopy & treatment
|
$201.40 |
$201.40 |
$201.40 |
$5,631.74
|
|
Ureteroneocystostomy 50780
|
$717.63 |
$717.63 |
$717.63 |
$4,457.05
|
|
Ureteroureterostomy 50760
|
$725.99 |
$725.99 |
$725.99 |
$2,999.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$372.02 |
$372.02 |
$372.02 |
$579.73
|
|
Urethrlys transvag with scope
|
$485.26 |
$485.26 |
$485.26 |
$4,081.37
|
|
Urethrocystography void s&i
|
$275.50 |
$275.50 |
$275.50 |
$622.35
|
|
Uric acid blood
|
$59.66 |
$59.66 |
$59.66 |
$48.75
|
|
Uric acid urine
|
$59.09 |
$59.09 |
$59.09 |
$44.33
|
|
Urinalysis microscopic only
|
$12.54 |
$12.54 |
$12.54 |
$26.35
|
|
Urinalysis (with microscopy)
|
$83.03 |
$83.03 |
$83.03 |
$55.00
|
|
Urinalysis (without microscopy)
|
$35.15 |
$35.15 |
$35.15 |
$35.75
|
|
Urine Culture Test
|
$109.44 |
$109.44 |
$109.44 |
$81.50
|
|
Urine flow measurement 51736
|
$5.32 |
$5.32 |
$5.32 |
$210.00
|
|
Urine pregnancy test
|
$68.21 |
$68.21 |
$68.21 |
$67.20
|
|
Urography, antegrade
|
$422.18 |
$422.18 |
$422.18 |
$622.35
|
|
Urography inf drip &/or bolus
|
$196.46 |
$196.46 |
$196.46 |
$642.50
|
|
Vaccine influenza inactivated adjuvant im
|
$80.20 |
$80.20 |
$80.20 |
$109.50
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$20.03 |
$20.03 |
$20.03 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$7.79 |
$7.79 |
$7.79 |
$33.60
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$168.58 |
$168.58 |
$168.58 |
$563.36
|
|
Vaccine rabies im
|
$267.54 |
$267.54 |
$267.54 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$434.53 |
$434.53 |
$434.53 |
$1,104.47
|
|
Vaccine tdap >=7 years im
|
$49.46 |
$49.46 |
$49.46 |
$131.34
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$642.01 |
$642.01 |
$642.01 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$798.19 |
$798.19 |
$798.19 |
$5,735.60
|
|
Vag hyst including t/o
|
$599.26 |
$599.26 |
$599.26 |
$4,827.18
|
|
Vaginal bx
|
$98.99 |
$98.99 |
$98.99 |
$455.94
|
|
Vaginal delivery after cesarean delivery 59612
|
$555.94 |
$555.94 |
$555.94 |
$3,843.60
|
|
Vaginal Delivery (full care)
|
$1,533.87 |
$1,533.87 |
$1,533.87 |
$4,263.60
|
|
Vaginal hysterectomy
|
$543.02 |
$543.02 |
$543.02 |
$5,766.00
|
|
Vagotomy & pylorus repair 43640
|
$756.58 |
$756.58 |
$756.58 |
$2,628.12
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$28.32 |
$28.32 |
$28.32 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$82.65 |
$82.65 |
$82.65 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$40.50 |
$40.50 |
$40.50 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$71.24 |
$71.24 |
$71.24 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$109.06 |
$109.06 |
$109.06 |
$136.13
|
|
Varicella zoster antibody igg
|
$43.13 |
$43.13 |
$43.13 |
$86.80
|
|
Vasc graft into carpal bone
|
$490.58 |
$490.58 |
$490.58 |
$3,839.54
|
|
Vasectomy
|
$154.09 |
$154.09 |
$154.09 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$124.83 |
$124.83 |
$124.83 |
$325.80
|
|
Vbac delivery 59610
|
$1,592.96 |
$1,592.96 |
$1,592.96 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$719.91 |
$719.91 |
$719.91 |
$2,285.60
|
|
Vein bypass grft fem-popliteal 35583
|
$867.54 |
$867.54 |
$867.54 |
$3,013.56
|
|
Vein byp fem-tibial peroneal 35585
|
$1,003.01 |
$1,003.01 |
$1,003.01 |
$2,931.20
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$996.93 |
$996.93 |
$996.93 |
$8,152.00
|
|
Vein x-ray kidney
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$2,766.73
|
|
Vein x-ray liver
|
$1,836.35 |
$1,836.35 |
$1,836.35 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$3,483.84
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$277.21 |
$277.21 |
$277.21 |
$202.80
|
|
Venogram ext bil s&i
|
$1,258.56 |
$1,258.56 |
$1,258.56 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$768.74 |
$768.74 |
$768.74 |
$1,366.20
|
|
Venous mech thrombectomy
|
$4,242.32 |
$4,242.32 |
$4,242.32 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$174.23 |
$174.23 |
$174.23 |
$5,094.75
|
|
Venous sampling s&i
|
$18.62 |
$18.62 |
$18.62 |
$4,193.20
|
|
Ven thrombosis images bilat
|
$330.41 |
$330.41 |
$330.41 |
$796.50
|
|
Ventilator each subsequent day
|
$568.10 |
$568.10 |
$568.10 |
$1,204.00
|
|
Ventilator initial day
|
$742.33 |
$742.33 |
$742.33 |
$1,431.43
|
|
Version cephalic external
|
$294.69 |
$294.69 |
$294.69 |
$2,361.75
|
|
Vertebral corpectomy partial/complete 63082
|
$163.97 |
$163.97 |
$163.97 |
$405.88
|
|
Very long chain fatty acids
|
$3.05 |
$3.05 |
$3.05 |
$139.88
|
|
V-exc/lip/w/pri linear closure 40520
|
$240.54 |
$240.54 |
$240.54 |
$3,837.72
|
|
Virus isolation addl studies ea
|
$10.26 |
$10.26 |
$10.26 |
$77.50
|
|
Vital capacity test
|
$69.16 |
$69.16 |
$69.16 |
$170.00
|
|
Vitamin b-12
|
$62.70 |
$62.70 |
$62.70 |
$100.00
|
|
Vitamin D Test
|
$114.95 |
$114.95 |
$114.95 |
$132.00
|
|
Vkorc1 gene
|
$9.50 |
$9.50 |
$9.50 |
$176.80
|
|
Voiding pressure study/intra-abd 51797
|
$25.27 |
$25.27 |
$25.27 |
$433.20
|
|
Volume measurement urine timed
|
$10.83 |
$10.83 |
$10.83 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$70.80 |
$70.80 |
$70.80 |
$165.81
|
|
Vulvectomy simple partial
|
$389.69 |
$389.69 |
$389.69 |
$3,986.00
|
|
Warde 1003990 aldosterone
|
$6.88 |
$6.88 |
$6.88 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$27.17 |
$27.17 |
$27.17 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$40.43 |
$40.43 |
$40.43 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$4.27 |
$4.27 |
$4.27 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$2.62 |
$2.62 |
$2.62 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$3.28 |
$3.28 |
$3.28 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$1.35 |
$1.35 |
$1.35 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$4.16 |
$4.16 |
$4.16 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$2.85 |
$2.85 |
$2.85 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$2.43 |
$2.43 |
$2.43 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$31.16 |
$31.16 |
$31.16 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$66.88 |
$66.88 |
$66.88 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$58.90 |
$58.90 |
$58.90 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$27.10 |
$27.10 |
$27.10 |
$218.40
|
|
Warde 3400852 arsenic
|
$39.90 |
$39.90 |
$39.90 |
$100.88
|
|
Warde 3708165 mercury urine
|
$2.68 |
$2.68 |
$2.68 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$1.63 |
$1.63 |
$1.63 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$2.19 |
$2.19 |
$2.19 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$62.97 |
$62.97 |
$62.97 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$3.80 |
$3.80 |
$3.80 |
$151.20
|
|
Warde aldolase
|
$1.64 |
$1.64 |
$1.64 |
$53.30
|
