|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,697.20 |
$3,697.20 |
$3,697.20 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,385.20 |
$3,385.20 |
$3,385.20 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$663.00 |
$663.00 |
$663.00 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$1,142.05 |
$1,142.05 |
$1,142.05 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$607.20
|
|
Urea nitrogen
|
$73.45 |
$73.45 |
$73.45 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$46.15 |
$46.15 |
$46.15 |
$52.00
|
|
Urea nitrogen clearance
|
$28.60 |
$28.60 |
$28.60 |
$38.35
|
|
Ureteral embolization/occl
|
$4,022.20 |
$4,022.20 |
$4,022.20 |
$2,079.31
|
|
Ureteral reflux study
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$990.60 |
$990.60 |
$990.60 |
$584.00
|
|
Urethrocystography void s&i
|
$938.60 |
$938.60 |
$938.60 |
$631.40
|
|
Uric acid blood
|
$87.10 |
$87.10 |
$87.10 |
$49.44
|
|
Uric acid urine
|
$68.90 |
$68.90 |
$68.90 |
$45.36
|
|
Urinalysis (with microscopy)
|
$99.45 |
$99.45 |
$99.45 |
$55.20
|
|
Urinalysis (without microscopy)
|
$48.75 |
$48.75 |
$48.75 |
$36.00
|
|
Urine Culture Test
|
$71.50 |
$71.50 |
$71.50 |
$83.00
|
|
Urine pregnancy test
|
$107.90 |
$107.90 |
$107.90 |
$68.78
|
|
Urography, antegrade
|
$2,412.15 |
$2,412.15 |
$2,412.15 |
$622.35
|
|
Urography inf drip &/or bolus
|
$705.90 |
$705.90 |
$705.90 |
$642.50
|
|
Use 1st target lesion
|
$362.05 |
$362.05 |
$362.05 |
$332.00
|
|
Vaccine Administration (one shot)
|
$104.65 |
$104.65 |
$104.65 |
$67.70
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$99.39 |
$99.39 |
$99.39 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$247.62 |
$247.62 |
$247.62 |
$166.62
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,038.17 |
$1,038.17 |
$1,038.17 |
$394.26
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,863.27 |
$1,863.27 |
$1,863.27 |
$563.36
|
|
Valproic acid total therapeutic drug level
|
$382.85 |
$382.85 |
$382.85 |
$115.00
|
|
Valvuloplasty aortic
|
$10,247.90 |
$10,247.90 |
$10,247.90 |
$7,944.16
|
|
Valvuloplasty mitral
|
$21,131.50 |
$21,131.50 |
$21,131.50 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$21,131.50 |
$21,131.50 |
$21,131.50 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$84.34 |
$84.34 |
$84.34 |
$259.05
|
|
Vancomycin hcl injection
|
$308.00 |
$308.00 |
$308.00 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$263.25 |
$263.25 |
$263.25 |
$136.13
|
|
Varicella zoster antibody igg
|
$90.35 |
$90.35 |
$90.35 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$826.15
|
|
Vein x-ray adrenal gland
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$2,833.34
|
|
Vein x-ray adrenal glands
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$3,456.00
|
|
Vein x-ray eye socket
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$1,438.32
|
|
Vein x-ray kidney
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$2,870.00
|
|
Vein x-ray liver
|
$5,369.65 |
$5,369.65 |
$5,369.65 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$5,798.00 |
$5,798.00 |
$5,798.00 |
$3,610.20
|
|
Vein x-ray liver w/hemodynam
|
$5,394.35 |
$5,394.35 |
$5,394.35 |
$3,662.50
|
|
Vein x-ray liver without hemodyn
|
$3,467.75 |
$3,467.75 |
$3,467.75 |
$2,452.80
|
|
Vein x-ray skull
|
$1,626.30 |
$1,626.30 |
$1,626.30 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$4,730.05 |
$4,730.05 |
$4,730.05 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$3,434.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$2,961.40 |
$2,961.40 |
$2,961.40 |
$188.83
|
|
Venogram ext bil s&i
|
$3,566.55 |
$3,566.55 |
$3,566.55 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,478.45 |
$2,478.45 |
$2,478.45 |
$1,382.58
|
|
Venous mech thrombectomy
|
$8,212.75 |
$8,212.75 |
$8,212.75 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$7,066.15 |
$7,066.15 |
$7,066.15 |
$5,094.75
|
|
Venous sampling s&i
|
$4,497.35 |
$4,497.35 |
$4,497.35 |
$4,200.00
|
|
Ventilator each subsequent day
|
$3,090.10 |
$3,090.10 |
$3,090.10 |
$1,184.00
|
|
Ventilator Management (first day)
|
$3,090.10 |
$3,090.10 |
$3,090.10 |
$1,434.60
|
|
Ventricular puncture prev burr hole without inj 61020
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$1,314.30
|
|
Version cephalic external
|
$4,050.80 |
$4,050.80 |
$4,050.80 |
$2,361.75
|
|
Very long chain fatty acids
|
$206.05 |
$206.05 |
$206.05 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$786.50 |
$786.50 |
$786.50 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$14.92 |
$14.92 |
$14.92 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$52.12 |
$52.12 |
$52.12 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$86.58 |
$86.58 |
$86.58 |
$223.55
|
|
Virus isolation addl studies ea
|
$237.25 |
$237.25 |
$237.25 |
$79.34
|
|
Vital capacity test
|
$460.85 |
$460.85 |
$460.85 |
$173.18
|
|
Vitamin b-12
|
$139.75 |
$139.75 |
$139.75 |
$100.28
|
|
Vitamin D Test
|
$78.65 |
$78.65 |
$78.65 |
$132.00
|
|
Vol reduction of blood/prod
|
$274.95 |
$274.95 |
$274.95 |
$172.78
|
|
Volume measurement urine timed
|
$114.40 |
$114.40 |
$114.40 |
$21.64
|
|
Vonvendi inj 1 iu vwf:rco
|
$19.50 |
$19.50 |
$19.50 |
$5.42
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$516.67 |
$516.67 |
$516.67 |
$165.81
|
|
Walking (Gait) Training (each 15 minutes)
|
$139.75 |
$139.75 |
$139.75 |
$87.50
|
|
Warde 1003990 aldosterone
|
$125.45 |
$125.45 |
$125.45 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$87.10 |
$87.10 |
$87.10 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$309.40 |
$309.40 |
$309.40 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$73.45 |
$73.45 |
$73.45 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$50.05 |
$50.05 |
$50.05 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$310.05 |
$310.05 |
$310.05 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$96.85 |
$96.85 |
$96.85 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$162.50 |
$162.50 |
$162.50 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$117.65 |
$117.65 |
$117.65 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$102.05 |
$102.05 |
$102.05 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$265.85 |
$265.85 |
$265.85 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$120.90 |
$120.90 |
$120.90 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$44.20 |
$44.20 |
$44.20 |
$73.60
|
|
Warde 3400852 arsenic
|
$200.85 |
$200.85 |
$200.85 |
$101.00
|
|
Warde 3708165 mercury urine
|
$32.50 |
$32.50 |
$32.50 |
$71.60
|
|
Warde adenosine deaminase pleural fluid
|
$210.60 |
$210.60 |
$210.60 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$118.95 |
$118.95 |
$118.95 |
$156.40
|
|
Warde aldolase
|
$45.50 |
$45.50 |
$45.50 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$188.50 |
$188.50 |
$188.50 |
$200.16
|
|
Warde analysis gene hfe common variants
|
$237.90 |
$237.90 |
$237.90 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$687.70 |
$687.70 |
$687.70 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$118.95 |
$118.95 |
$118.95 |
$126.43
|
|
Warde apolipoprotein b
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
$61.82
|
|
Warde bile acids
|
$29.25 |
$29.25 |
$29.25 |
$64.28
|
|
Warde cadmium blood
|
$33.80 |
$33.80 |
$33.80 |
$76.70
|
|
Warde calcitonin
|
$82.55 |
$82.55 |
$82.55 |
$101.40
|
