|
Ultrasound fetal biophysical profile without non-stress testing
|
$658.80 |
$658.80 |
$658.80 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$758.40 |
$758.40 |
$758.40 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,321.80 |
$1,321.80 |
$1,321.80 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$619.20 |
$619.20 |
$619.20 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$597.60 |
$597.60 |
$597.60 |
$311.25
|
|
Ultrasound joint complete left
|
$834.00 |
$834.00 |
$834.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$796.20 |
$796.20 |
$796.20 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$412.80 |
$412.80 |
$412.80 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$450.60 |
$450.60 |
$450.60 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$856.20 |
$856.20 |
$856.20 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$429.00 |
$429.00 |
$429.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$547.80 |
$547.80 |
$547.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$586.80 |
$586.80 |
$586.80 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$997.20 |
$997.20 |
$997.20 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$964.20 |
$964.20 |
$964.20 |
$486.50
|
|
Ultrasound scrotum and contents
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$684.00 |
$684.00 |
$684.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$607.80 |
$607.80 |
$607.80 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$996.60 |
$996.60 |
$996.60 |
$558.35
|
|
Ultraviolet therapy
|
$27.60 |
$27.60 |
$27.60 |
$39.76
|
|
Umbilical artery cath newborn 36660
|
$315.60 |
$315.60 |
$315.60 |
$206.64
|
|
Unlisted chemotherapy px
|
$249.60 |
$249.60 |
$249.60 |
$150.00
|
|
Unlisted CT procedure
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$732.70
|
|
Unlisted cytogenetic study
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$160.18
|
|
Unlisted fluoroscopic px
|
$253.80 |
$253.80 |
$253.80 |
$305.76
|
|
Unlisted maaa
|
$323.40 |
$323.40 |
$323.40 |
$235.20
|
|
Unlisted mr procedure
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$1,163.00
|
|
Unlisted procedure microbiology
|
$1,692.60 |
$1,692.60 |
$1,692.60 |
$523.50
|
|
Unlisted px casting/strpg
|
$406.20 |
$406.20 |
$406.20 |
$219.70
|
|
Unlisted px small intestine
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$2,102.10
|
|
Unlisted ultrasound procedure
|
$430.20 |
$430.20 |
$430.20 |
$321.20
|
|
Upgrade pm system
|
$11,430.60 |
$11,430.60 |
$11,430.60 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,751.66
|
|
Urea nitrogen
|
$91.80 |
$91.80 |
$91.80 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$61.80 |
$61.80 |
$61.80 |
$51.75
|
|
Ureteral reflux study
|
$824.40 |
$824.40 |
$824.40 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$733.20 |
$733.20 |
$733.20 |
$579.73
|
|
Urethrocystography void s&i
|
$637.80 |
$637.80 |
$637.80 |
$622.35
|
|
Uric acid blood
|
$88.20 |
$88.20 |
$88.20 |
$48.75
|
|
Uric acid urine
|
$144.00 |
$144.00 |
$144.00 |
$44.33
|
|
Urinalysis microscopic only
|
$63.60 |
$63.60 |
$63.60 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$29.40 |
$29.40 |
$29.40 |
$25.72
|
|
Urinalysis (with microscopy)
|
$99.00 |
$99.00 |
$99.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$58.20 |
$58.20 |
$58.20 |
$35.75
|
|
Urine Culture Test
|
$70.20 |
$70.20 |
$70.20 |
$81.50
|
|
Urine pregnancy test
|
$120.60 |
$120.60 |
$120.60 |
$67.20
|
|
Urography, antegrade
|
$1,251.00 |
$1,251.00 |
$1,251.00 |
$622.35
|
|
Use 1st target lesion
|
$366.60 |
$366.60 |
$366.60 |
$332.00
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,481.20 |
$3,481.20 |
$3,481.20 |
$2,002.00
|
|
Valproic acid total therapeutic drug level
|
$228.60 |
$228.60 |
$228.60 |
$114.72
|
|
Valvuloplasty aortic
|
$8,960.40 |
$8,960.40 |
$8,960.40 |
$7,830.80
|
|
Vancomycin peak therapeutic drug level
|
$216.00 |
$216.00 |
$216.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$267.00 |
$267.00 |
$267.00 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,358.20 |
$3,358.20 |
$3,358.20 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$3,358.20 |
$3,358.20 |
$3,358.20 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$826.15
|
|
Vein x-ray kidney
|
$3,473.40 |
$3,473.40 |
$3,473.40 |
$2,766.73
|
|
Vein x-ray liver w/hemodynam
|
$2,220.60 |
$2,220.60 |
$2,220.60 |
$3,486.86
|
|
Vein x-ray liver without hemodyn
|
$2,220.60 |
$2,220.60 |
$2,220.60 |
$2,452.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$84.60 |
$84.60 |
$84.60 |
$202.80
|
|
Venogram ext bil s&i
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$1,366.20
|
|
Venous mech thrombectomy
|
$10,588.80 |
$10,588.80 |
$10,588.80 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$13,236.60 |
$13,236.60 |
$13,236.60 |
$5,094.75
|
|
Venous sampling s&i
|
$5,668.20 |
$5,668.20 |
$5,668.20 |
$4,193.20
|
|
Ventilator each subsequent day
|
$765.00 |
$765.00 |
$765.00 |
$1,204.00
|
|
Ventilator initial day
|
$943.20 |
$943.20 |
$943.20 |
$1,431.43
|
|
Version cephalic external
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$2,361.75
|
|
Very long chain fatty acids
|
$645.60 |
$645.60 |
$645.60 |
$139.88
|
|
Vest large holster
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$106.20 |
$106.20 |
$106.20 |
$77.50
|
|
Vital capacity test
|
$111.60 |
$111.60 |
$111.60 |
$170.00
|
|
Vitamin b-12
|
$105.00 |
$105.00 |
$105.00 |
$100.00
|
|
Vitamin D Test
|
$130.20 |
$130.20 |
$130.20 |
$132.00
|
|
Volume measurement urine timed
|
$48.60 |
$48.60 |
$48.60 |
$21.45
|
|
Warde 1003990 aldosterone
|
$416.40 |
$416.40 |
$416.40 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$299.40 |
$299.40 |
$299.40 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$195.60 |
$195.60 |
$195.60 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$258.00 |
$258.00 |
$258.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$163.80 |
$163.80 |
$163.80 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$110.40 |
$110.40 |
$110.40 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$273.00 |
$273.00 |
$273.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$200.40 |
$200.40 |
$200.40 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$459.60 |
$459.60 |
$459.60 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$392.40 |
$392.40 |
$392.40 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$239.40 |
$239.40 |
$239.40 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$94.80 |
$94.80 |
$94.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$120.00 |
$120.00 |
$120.00 |
$72.50
|
|
Warde 3400852 arsenic
|
$595.20 |
$595.20 |
$595.20 |
$100.88
|
|
Warde 3708165 mercury urine
|
$235.20 |
$235.20 |
$235.20 |
$71.50
|
|
Warde adenosine deaminase pleural fluid
|
$101.40 |
$101.40 |
$101.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$319.20 |
$319.20 |
$319.20 |
$151.20
|
|
Warde aldolase
|
$123.00 |
$123.00 |
$123.00 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$959.40 |
$959.40 |
$959.40 |
$193.80
|
