|
Tomosynthesis breast diagnostic left
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$63.70
|
|
Tomosynthesis breast screen bilateral
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$73.45
|
|
Toxoplasma antibody igg
|
$178.00 |
$178.00 |
$178.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$188.00 |
$188.00 |
$188.00 |
$83.20
|
|
Transcatheter bx s&i
|
$7,003.00 |
$7,003.00 |
$7,003.00 |
$1,875.96
|
|
Transferrin
|
$144.00 |
$144.00 |
$144.00 |
$87.30
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$241.15
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$149.00
|
|
Trg gene rearrangement anal
|
$635.00 |
$635.00 |
$635.00 |
$455.70
|
|
Trichinella antibody
|
$594.00 |
$594.00 |
$594.00 |
$70.65
|
|
Trimethobenzamide hcl inj
|
$215.00 |
$215.00 |
$215.00 |
$154.09
|
|
Tx atrial fib pulm vein isol
|
$93,512.00 |
$93,512.00 |
$93,512.00 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$31,364.00 |
$31,364.00 |
$31,364.00 |
$7,717.80
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$403.26
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$340.14
|
|
Ultrasound encephalogram
|
$5,660.00 |
$5,660.00 |
$5,660.00 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$477.88
|
|
Ultrasound guide intraoperative
|
$4,175.00 |
$4,175.00 |
$4,175.00 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$4,094.00 |
$4,094.00 |
$4,094.00 |
$403.00
|
|
Ultrasound ob >=14wks ea addl gest
|
$704.00 |
$704.00 |
$704.00 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$704.00 |
$704.00 |
$704.00 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$5,330.00 |
$5,330.00 |
$5,330.00 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$2,477.00 |
$2,477.00 |
$2,477.00 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$2,743.00 |
$2,743.00 |
$2,743.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$6,103.00 |
$6,103.00 |
$6,103.00 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$5,306.00 |
$5,306.00 |
$5,306.00 |
$498.00
|
|
Ultrasound scrotum and contents
|
$5,306.00 |
$5,306.00 |
$5,306.00 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$6,622.00 |
$6,622.00 |
$6,622.00 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$6,103.00 |
$6,103.00 |
$6,103.00 |
$567.44
|
|
Unlisted gi px dx nuc med
|
$4,376.00 |
$4,376.00 |
$4,376.00 |
$549.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$19,019.00 |
$19,019.00 |
$19,019.00 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$14,260.00 |
$14,260.00 |
$14,260.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$11,264.00 |
$11,264.00 |
$11,264.00 |
$2,013.08
|
|
Urea nitrogen
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$73.00 |
$73.00 |
$73.00 |
$50.00
|
|
Ureteral reflux study
|
$5,895.00 |
$5,895.00 |
$5,895.00 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$3,353.00 |
$3,353.00 |
$3,353.00 |
$574.40
|
|
Urethrocystography void s&i
|
$6,332.00 |
$6,332.00 |
$6,332.00 |
$634.50
|
|
Uric acid blood
|
$73.00 |
$73.00 |
$73.00 |
$46.64
|
|
Urinalysis qual/semiquant excpt ia
|
$333.00 |
$333.00 |
$333.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$48.14
|
|
Urinalysis (without microscopy)
|
$974.00 |
$974.00 |
$974.00 |
$38.99
|
|
Urine Culture Test
|
$215.00 |
$215.00 |
$215.00 |
$84.81
|
|
Urine pregnancy test
|
$188.00 |
$188.00 |
$188.00 |
$66.40
|
|
Urography, antegrade
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$593.37
|
|
Urography inf drip &/or bolus
|
$4,062.00 |
$4,062.00 |
$4,062.00 |
$641.69
|
|
Vaccine dtap < 7 years im
|
$30.00 |
$30.00 |
$30.00 |
$87.80
|
|
Vaccine dtap-ipv/hib im
|
$778.00 |
$778.00 |
$778.00 |
$248.80
|
|
Vaccine hepatitis a (hepa) adult im
|
$731.00 |
$731.00 |
$731.00 |
$178.07
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$218.00 |
$218.00 |
$218.00 |
$84.38
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$370.80 |
$370.80 |
$370.80 |
$79.04
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$89.00 |
$89.00 |
$89.00 |
$26.40
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$89.00 |
$89.00 |
$89.00 |
$40.01
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$210.00 |
$210.00 |
$210.00 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,478.70 |
$1,478.70 |
$1,478.70 |
$426.80
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$839.00 |
$839.00 |
$839.00 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$734.00 |
$734.00 |
$734.00 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$648.00 |
$648.00 |
$648.00 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$567.00 |
$567.00 |
$567.00 |
$397.18
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$385.45
|
|
Vaccine rabies im
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$945.46
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$1,258.65 |
$1,258.65 |
$1,258.65 |
$624.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$16,389.45 |
$16,389.45 |
$16,389.45 |
$1,196.00
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$1,267.73 |
$1,267.73 |
$1,267.73 |
$440.40
|
|
Vaccine tdap >=7 years im
|
$419.00 |
$419.00 |
$419.00 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$156.00 |
$156.00 |
$156.00 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$1,367.00 |
$1,367.00 |
$1,367.00 |
$126.79
|
|
Vasopressin 20 unit/ml intravenous solution
|
$193.00 |
$193.00 |
$193.00 |
$394.13
|
|
Vein x-ray adrenal glands
|
$12,293.00 |
$12,293.00 |
$12,293.00 |
$3,999.60
|
|
Vein x-ray liver
|
$5,195.00 |
$5,195.00 |
$5,195.00 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$6,877.00 |
$6,877.00 |
$6,877.00 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$7,866.00 |
$7,866.00 |
$7,866.00 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$5,941.00 |
$5,941.00 |
$5,941.00 |
$2,489.25
|
|
Venogram ext bil s&i
|
$6,425.00 |
$6,425.00 |
$6,425.00 |
$1,838.28
|
|
Venous sampling s&i
|
$12,293.00 |
$12,293.00 |
$12,293.00 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$7,604.00 |
$7,604.00 |
$7,604.00 |
$779.56
|
|
Ventilator each subsequent day
|
$5,695.00 |
$5,695.00 |
$5,695.00 |
$1,305.92
|
|
Very long chain fatty acids
|
$626.00 |
$626.00 |
$626.00 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$36.00 |
$36.00 |
$36.00 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$463.00 |
$463.00 |
$463.00 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$322.00 |
$322.00 |
$322.00 |
$245.36
|
|
Virus isolation addl studies ea
|
$592.00 |
$592.00 |
$592.00 |
$90.35
|
|
Vital capacity test
|
$678.00 |
$678.00 |
$678.00 |
$173.33
|
|
Vitamin b-12
|
$186.00 |
$186.00 |
$186.00 |
$94.90
|
|
Volume measurement urine timed
|
$51.00 |
$51.00 |
$51.00 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$325.00 |
$325.00 |
$325.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$156.00 |
$156.00 |
$156.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$187.00 |
$187.00 |
$187.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$622.00 |
$622.00 |
$622.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$219.00 |
$219.00 |
$219.00 |
$102.60
|
|
Warde 3016000 west nile virus antibody igg
|
$206.00 |
$206.00 |
$206.00 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$63.05
|
|
Warde 3400852 arsenic
|
$329.00 |
$329.00 |
$329.00 |
$105.12
|
|
Warde adrenocorticotropic hormone (acth)
|
$671.00 |
$671.00 |
$671.00 |
$129.75
|
|
Warde aldolase
|
$144.00 |
$144.00 |
$144.00 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$758.00 |
$758.00 |
$758.00 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$320.00 |
$320.00 |
$320.00 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$779.00 |
$779.00 |
$779.00 |
$260.94
|
