|
Tx atrial fib pulm vein isol
|
$10,926.93 |
$10,926.93 |
$10,926.93 |
$29,030.54
|
|
Tx l/r atrial fib addl
|
$2,298.48 |
$2,298.48 |
$2,298.48 |
$6,986.85
|
|
Ugt1a1 gene analy common variants
|
$97.58 |
$97.58 |
$97.58 |
$438.75
|
|
Ultrasound breast complete
|
$379.46 |
$379.46 |
$379.46 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$294.98 |
$294.98 |
$294.98 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$180.93 |
$180.93 |
$180.93 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$137.28 |
$137.28 |
$137.28 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$282.30 |
$282.30 |
$282.30 |
$313.95
|
|
Ultrasound encephalogram
|
$244.29 |
$244.29 |
$244.29 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$317.50 |
$317.50 |
$317.50 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$350.59 |
$350.59 |
$350.59 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$283.71 |
$283.71 |
$283.71 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$242.18 |
$242.18 |
$242.18 |
$388.08
|
|
Ultrasound guide intraoperative
|
$369.60 |
$369.60 |
$369.60 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$252.03 |
$252.03 |
$252.03 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$178.82 |
$178.82 |
$178.82 |
$311.25
|
|
Ultrasound joint complete left
|
$350.59 |
$350.59 |
$350.59 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$212.61 |
$212.61 |
$212.61 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$145.73 |
$145.73 |
$145.73 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$720.19 |
$720.19 |
$720.19 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$259.07 |
$259.07 |
$259.07 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$626.56 |
$626.56 |
$626.56 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$377.34 |
$377.34 |
$377.34 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$497.02 |
$497.02 |
$497.02 |
$421.00
|
|
Unlisted hematology&coagj px
|
$5.81 |
$5.81 |
$5.81 |
$39.52
|
|
Unlisted procedure microbiology
|
$124.12 |
$124.12 |
$124.12 |
$530.00
|
|
Unlisted transfusion med px
|
$103.45 |
$103.45 |
$103.45 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$882.31 |
$882.31 |
$882.31 |
$1,296.00
|
|
Upgrade pm system
|
$7,764.56 |
$7,764.56 |
$7,764.56 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$88.57 |
$88.57 |
$88.57 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$555.10 |
$555.10 |
$555.10 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$443.85 |
$443.85 |
$443.85 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$490.46 |
$490.46 |
$490.46 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$408.87 |
$408.87 |
$408.87 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$326.97 |
$326.97 |
$326.97 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$83.88 |
$83.88 |
$83.88 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$103.16 |
$103.16 |
$103.16 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$215.69 |
$215.69 |
$215.69 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$188.60 |
$188.60 |
$188.60 |
$607.20
|
|
Urea nitrogen
|
$2.72 |
$2.72 |
$2.72 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$11.80 |
$11.80 |
$11.80 |
$51.84
|
|
Ureteral reflux study
|
$433.82 |
$433.82 |
$433.82 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$338.13 |
$338.13 |
$338.13 |
$584.00
|
|
Urethrocystography void s&i
|
$270.40 |
$270.40 |
$270.40 |
$634.50
|
|
Uric acid blood
|
$3.18 |
$3.18 |
$3.18 |
$49.32
|
|
Uric acid urine
|
$16.34 |
$16.34 |
$16.34 |
$44.52
|
|
Urinalysis microscopic only
|
$1.28 |
$1.28 |
$1.28 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$0.90 |
$0.90 |
$0.90 |
$25.72
|
|
Urinalysis (with microscopy)
|
$1.28 |
$1.28 |
$1.28 |
$55.20
|
|
Urinalysis (without microscopy)
|
$6.78 |
$6.78 |
$6.78 |
$35.91
|
|
Urine Culture Test
|
$3.62 |
$3.62 |
$3.62 |
$82.32
|
|
Urine pregnancy test
|
$7.42 |
$7.42 |
$7.42 |
$68.21
|
|
Urography, antegrade
|
$466.82 |
$466.82 |
$466.82 |
$622.35
|
|
Use 1st target lesion
|
$242.18 |
$242.18 |
$242.18 |
$332.00
|
|
Vaccine Administration (one shot)
|
$16.40 |
$16.40 |
$16.40 |
$67.74
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$44.18 |
$44.18 |
$44.18 |
$1,105.21
|
|
Vaccine varicella live subcutaneous
|
$45.30 |
$45.30 |
$45.30 |
$365.17
|
|
Valproic acid total therapeutic drug level
|
$12.03 |
$12.03 |
$12.03 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$9.31 |
$9.31 |
$9.31 |
$135.60
|
|
Varicella zoster antibody igg
|
$7.22 |
$7.22 |
$7.22 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$1,303.97 |
$1,303.97 |
$1,303.97 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,825.67 |
$1,825.67 |
$1,825.67 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,199.63 |
$1,199.63 |
$1,199.63 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,564.54 |
$1,564.54 |
$1,564.54 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$1,042.84 |
$1,042.84 |
$1,042.84 |
$826.15
|
|
Vein x-ray kidney
|
$2,689.92 |
$2,689.92 |
$2,689.92 |
$2,870.00
|
|
Venipuncture <3 yrs other vein
|
$19.31 |
$19.31 |
$19.31 |
$62.40
|
|
Venogram ext bil s&i
|
$1,942.29 |
$1,942.29 |
$1,942.29 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,007.09 |
$1,007.09 |
$1,007.09 |
$1,382.58
|
|
Venous mech thrombectomy
|
$4,267.81 |
$4,267.81 |
$4,267.81 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$2,891.57 |
$2,891.57 |
$2,891.57 |
$5,110.00
|
|
Venous sampling s&i
|
$3,559.99 |
$3,559.99 |
$3,559.99 |
$4,200.00
|
|
Ven thrombosis images bilat
|
$720.49 |
$720.49 |
$720.49 |
$796.50
|
|
Ventilator each subsequent day
|
$1,089.99 |
$1,089.99 |
$1,089.99 |
$1,178.74
|
|
Ventilator Management (first day)
|
$1,188.44 |
$1,188.44 |
$1,188.44 |
$1,434.60
|
|
Version cephalic external
|
$285.75 |
$285.75 |
$285.75 |
$2,361.75
|
|
Very long chain fatty acids
|
$46.54 |
$46.54 |
$46.54 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$188.60 |
$188.60 |
$188.60 |
$524.50
|
|
Virus isolation addl studies ea
|
$9.42 |
$9.42 |
$9.42 |
$77.60
|
|
Vital capacity test
|
$56.70 |
$56.70 |
$56.70 |
$173.18
|
|
Vitamin b-12
|
$12.26 |
$12.26 |
$12.26 |
$100.20
|
|
Vitamin D Test
|
$20.20 |
$20.20 |
$20.20 |
$132.60
|
|
Vkorc1 gene
|
$36.84 |
$36.84 |
$36.84 |
$182.79
|
|
Volume measurement urine timed
|
$1.41 |
$1.41 |
$1.41 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$15.18 |
$15.18 |
$15.18 |
$87.50
|
|
Warde 1003990 aldosterone
|
$61.29 |
$61.29 |
$61.29 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$39.50 |
$39.50 |
$39.50 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$13.85 |
$13.85 |
$13.85 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$17.25 |
$17.25 |
$17.25 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$18.61 |
$18.61 |
$18.61 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$15.66 |
$15.66 |
$15.66 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$13.39 |
$13.39 |
$13.39 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$18.84 |
$18.84 |
$18.84 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$13.32 |
$13.32 |
$13.32 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$13.32 |
$13.32 |
$13.32 |
$70.85
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$10.18 |
$10.18 |
$10.18 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$3.91 |
$3.91 |
$3.91 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$10.30 |
$10.30 |
$10.30 |
$74.16
|
|
Warde 3400852 arsenic
|
$21.57 |
$21.57 |
$21.57 |
$101.00
|
|
Warde 3708165 mercury urine
|
$19.98 |
$19.98 |
$19.98 |
$71.76
|