|
Tympanostomy/ven tube/loc/top anes 69433
|
$911.43 |
$911.43 |
$911.43 |
$911.43
|
|
Ua w/micro/comp poc
|
$8.58 |
$8.58 |
$8.58 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$406.38 |
$406.38 |
$406.38 |
$438.75
|
|
Ultrasound breast complete
|
$382.20 |
$382.20 |
$382.20 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$382.20 |
$382.20 |
$382.20 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$463.32 |
$463.32 |
$463.32 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$145.08 |
$145.08 |
$145.08 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$136.11 |
$136.11 |
$136.11 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$136.11 |
$136.11 |
$136.11 |
$313.95
|
|
Ultrasound encephalogram
|
$693.03 |
$693.03 |
$693.03 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$307.32 |
$307.32 |
$307.32 |
$575.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$505.44 |
$505.44 |
$505.44 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$670.02 |
$670.02 |
$670.02 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$290.16 |
$290.16 |
$290.16 |
$388.08
|
|
Ultrasound guide intraoperative
|
$819.00 |
$819.00 |
$819.00 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$590.85 |
$590.85 |
$590.85 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$556.14 |
$556.14 |
$556.14 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$556.14 |
$556.14 |
$556.14 |
$311.25
|
|
Ultrasound joint complete left
|
$556.14 |
$556.14 |
$556.14 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$276.90 |
$276.90 |
$276.90 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$239.46 |
$239.46 |
$239.46 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$539.37 |
$539.37 |
$539.37 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$323.70 |
$323.70 |
$323.70 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$595.53 |
$595.53 |
$595.53 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$524.55 |
$524.55 |
$524.55 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$203.19 |
$203.19 |
$203.19 |
$421.00
|
|
Umbilical artery cath newborn 36660
|
$359.97 |
$359.97 |
$359.97 |
$223.80
|
|
Unit mobile power mpu
|
$14,010.69 |
$14,010.69 |
$14,010.69 |
$14,359.52
|
|
Unlistd noninvas vasc dx std
|
$608.01 |
$608.01 |
$608.01 |
$564.60
|
|
Unlisted cytopathology px
|
$195.78 |
$195.78 |
$195.78 |
$132.08
|
|
Unlisted endocrine px dx nuc
|
$346.71 |
$346.71 |
$346.71 |
$653.31
|
|
Unlisted fluoroscopic px
|
$139.23 |
$139.23 |
$139.23 |
$305.76
|
|
Unlisted hematology&coagj px
|
$92.43 |
$92.43 |
$92.43 |
$39.52
|
|
Unlisted maaa
|
$421.20 |
$421.20 |
$421.20 |
$235.20
|
|
Unlisted misc path test
|
$119.34 |
$119.34 |
$119.34 |
$89.40
|
|
Unlisted mr procedure
|
$1,316.25 |
$1,316.25 |
$1,316.25 |
$1,163.00
|
|
Unlisted procedure larynx
|
$511.68 |
$511.68 |
$511.68 |
$924.00
|
|
Unlisted procedure rectum
|
$1,397.37 |
$1,397.37 |
$1,397.37 |
$1,223.20
|
|
Unlisted procedure spine
|
$308.10 |
$308.10 |
$308.10 |
$4,659.85
|
|
Unlisted psychiatric service/proc 90899
|
$418.08 |
$418.08 |
$418.08 |
$277.76
|
|
Unlisted px abdomen muscskel
|
$5,500.95 |
$5,500.95 |
$5,500.95 |
$1,956.50
|
|
Unlisted px casting/strpg
|
$586.56 |
$586.56 |
$586.56 |
$222.00
|
|
Unlisted px male genital sys
|
$1,925.04 |
$1,925.04 |
$1,925.04 |
$387.84
|
|
Unlisted px tongue flr mouth
|
$1,553.76 |
$1,553.76 |
$1,553.76 |
$282.50
|
|
Unlisted resp px dx nuc med
|
$545.61 |
$545.61 |
$545.61 |
$670.60
|
|
Unlisted spec derm svc/px
|
$173.55 |
$173.55 |
$173.55 |
$223.08
|
|
Unlisted surgical path px
|
$439.92 |
$439.92 |
$439.92 |
$217.75
|
|
Unlisted transfusion med px
|
$698.10 |
$698.10 |
$698.10 |
$147.50
|
|
Unlisted ultrasound procedure
|
$291.33 |
$291.33 |
$291.33 |
$335.00
|
|
Unlisted urinalysis px
|
$29.64 |
$29.64 |
$29.64 |
$25.72
|
|
Unsched dialysis esrd pt hos
|
$4,701.06 |
$4,701.06 |
$4,701.06 |
$1,296.00
|
|
Upgrade pm system
|
$5,840.64 |
$5,840.64 |
$5,840.64 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$235.17 |
$235.17 |
$235.17 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,748.37 |
$1,748.37 |
$1,748.37 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,577.16 |
$1,577.16 |
$1,577.16 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,429.31 |
$2,429.31 |
$2,429.31 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,001.87 |
$2,001.87 |
$2,001.87 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,762.41 |
$1,762.41 |
$1,762.41 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$324.48 |
$324.48 |
$324.48 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$384.93 |
$384.93 |
$384.93 |
$381.60
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,405.56 |
$1,405.56 |
$1,405.56 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$738.66 |
$738.66 |
$738.66 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$491.01 |
$491.01 |
$491.01 |
$607.20
|
|
Urea nitrogen
|
$58.50 |
$58.50 |
$58.50 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$81.12 |
$81.12 |
$81.12 |
$51.84
|
|
Urea nitrogen clearance
|
$163.80 |
$163.80 |
$163.80 |
$34.02
|
|
Ureteral embolization/occl
|
$3,041.22 |
$3,041.22 |
$3,041.22 |
$2,079.31
|
|
Ureteral reflux study
|
$694.20 |
$694.20 |
$694.20 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$253.50 |
$253.50 |
$253.50 |
$584.00
|
|
Urethrocystography void s&i
|
$390.39 |
$390.39 |
$390.39 |
$634.50
|
|
Uric acid blood
|
$74.49 |
$74.49 |
$74.49 |
$49.32
|
|
Uric acid urine
|
$93.60 |
$93.60 |
$93.60 |
$44.52
|
|
Urinalysis microscopic only
|
$49.14 |
$49.14 |
$49.14 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$46.80 |
$46.80 |
$46.80 |
$25.72
|
|
Urinalysis (with microscopy)
|
$62.40 |
$62.40 |
$62.40 |
$55.20
|
|
Urinalysis (without microscopy)
|
$74.88 |
$74.88 |
$74.88 |
$35.91
|
|
Urine Culture Test
|
$202.80 |
$202.80 |
$202.80 |
$82.32
|
|
Urine flow measurement 51736
|
$274.17 |
$274.17 |
$274.17 |
$210.00
|
|
Urine pregnancy test
|
$98.67 |
$98.67 |
$98.67 |
$68.21
|
|
Urography, antegrade
|
$489.45 |
$489.45 |
$489.45 |
$622.35
|
|
Urography inf drip &/or bolus
|
$599.82 |
$599.82 |
$599.82 |
$642.50
|
|
Use 1st target lesion
|
$136.11 |
$136.11 |
$136.11 |
$332.00
|
|
Vaccine Administration (one shot)
|
$62.79 |
$62.79 |
$62.79 |
$67.74
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,159.43 |
$1,159.43 |
$1,159.43 |
$1,932.00
|
|
Vad cable power module dc input
|
$731.74 |
$731.74 |
$731.74 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$14,170.94 |
$14,170.94 |
$14,170.94 |
$14,814.14
|
|
Vaginal bx
|
$4,428.06 |
$4,428.06 |
$4,428.06 |
$459.42
|
|
Valproic acid total therapeutic drug level
|
$121.68 |
$121.68 |
$121.68 |
$115.00
|
|
Valvuloplasty aortic
|
$4,057.56 |
$4,057.56 |
$4,057.56 |
$7,944.16
|
|
Valvuloplasty mitral
|
$5,573.10 |
$5,573.10 |
$5,573.10 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$7,809.36 |
$7,809.36 |
$7,809.36 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$246.87 |
$246.87 |
$246.87 |
$135.60
|
|
Varicella zoster antibody igg
|
$128.70 |
$128.70 |
$128.70 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$21,172.71 |
$21,172.71 |
$21,172.71 |
$21,009.00
|
|
Vasectomy
|
$2,256.54 |
$2,256.54 |
$2,256.54 |
$2,424.12
|
|
Veeg cont 2-12 hrs
|
$841.23 |
$841.23 |
$841.23 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,530.67 |
$3,530.67 |
$3,530.67 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$645.06 |
$645.06 |
$645.06 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$822.90 |
$822.90 |
$822.90 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$441.09 |
$441.09 |
$441.09 |
$826.15
|
