|
Ultrasound scrotum and contents
|
$966.24 |
$966.24 |
$966.24 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$851.76 |
$851.76 |
$851.76 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$858.96 |
$858.96 |
$858.96 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$1,019.52 |
$1,019.52 |
$1,019.52 |
$558.35
|
|
Unlisted chemotherapy px
|
$286.56 |
$286.56 |
$286.56 |
$150.00
|
|
Unlisted cytogenetic study
|
$774.00 |
$774.00 |
$774.00 |
$160.18
|
|
Unlisted procedure microbiology
|
$3,198.24 |
$3,198.24 |
$3,198.24 |
$523.50
|
|
Unlisted px male genital sys
|
$525.60 |
$525.60 |
$525.60 |
$343.55
|
|
Unlisted transfusion med px
|
$208.80 |
$208.80 |
$208.80 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$1,599.84 |
$1,599.84 |
$1,599.84 |
$1,268.17
|
|
Upgrade pm system
|
$22,605.12 |
$22,605.12 |
$22,605.12 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$6,492.96 |
$6,492.96 |
$6,492.96 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,287.60 |
$4,287.60 |
$4,287.60 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$4,047.84 |
$4,047.84 |
$4,047.84 |
$2,034.41
|
|
Urea nitrogen
|
$73.44 |
$73.44 |
$73.44 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$70.56 |
$70.56 |
$70.56 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,442.16 |
$1,442.16 |
$1,442.16 |
$579.73
|
|
Urethrocystography void s&i
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$622.35
|
|
Uric acid blood
|
$106.56 |
$106.56 |
$106.56 |
$48.75
|
|
Uric acid urine
|
$105.12 |
$105.12 |
$105.12 |
$44.33
|
|
Urinalysis microscopic only
|
$80.64 |
$80.64 |
$80.64 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$64.08 |
$64.08 |
$64.08 |
$25.72
|
|
Urinalysis (with microscopy)
|
$118.80 |
$118.80 |
$118.80 |
$55.00
|
|
Urinalysis (without microscopy)
|
$73.44 |
$73.44 |
$73.44 |
$35.75
|
|
Urine Culture Test
|
$165.60 |
$165.60 |
$165.60 |
$81.50
|
|
Urine pregnancy test
|
$160.56 |
$160.56 |
$160.56 |
$67.20
|
|
Urography, antegrade
|
$771.12 |
$771.12 |
$771.12 |
$622.35
|
|
Urography inf drip &/or bolus
|
$1,442.16 |
$1,442.16 |
$1,442.16 |
$642.50
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$145.58 |
$145.58 |
$145.58 |
$43.12
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$161.53 |
$161.53 |
$161.53 |
$47.88
|
|
Vaccine rabies im
|
$1,107.97 |
$1,107.97 |
$1,107.97 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$193.86 |
$193.86 |
$193.86 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$501.84 |
$501.84 |
$501.84 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$1.33 |
$1.33 |
$1.33 |
$251.86
|
|
Vancomycin peak therapeutic drug level
|
$310.32 |
$310.32 |
$310.32 |
$136.13
|
|
Varicella zoster antibody igg
|
$133.92 |
$133.92 |
$133.92 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$26.78 |
$26.78 |
$26.78 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$53.91 |
$53.91 |
$53.91 |
$18,732.33
|
|
Veeg intrmnt 2-12 hrs
|
$2,082.24 |
$2,082.24 |
$2,082.24 |
$961.00
|
|
Vein x-ray kidney
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$2,766.73
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$216.72 |
$216.72 |
$216.72 |
$202.80
|
|
Venogram ext bil s&i
|
$3,142.08 |
$3,142.08 |
$3,142.08 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$3,074.40 |
$3,074.40 |
$3,074.40 |
$1,366.20
|
|
Venous mech thrombectomy
|
$21,300.48 |
$21,300.48 |
$21,300.48 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$5,094.75
|
|
Venous thrombosis imaging
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$697.20
|
|
Version cephalic external
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$2,361.75
|
|
Very long chain fatty acids
|
$334.80 |
$334.80 |
$334.80 |
$139.88
|
|
Virus isolation addl studies ea
|
$225.36 |
$225.36 |
$225.36 |
$77.50
|
|
Visc & infraren abd 2 prosth
|
$14,860.08 |
$14,860.08 |
$14,860.08 |
$10,796.94
|
|
Visual audiometry (vra)
|
$337.68 |
$337.68 |
$337.68 |
$215.25
|
|
Vital capacity test
|
$337.68 |
$337.68 |
$337.68 |
$170.00
|
|
Vitamin b-12
|
$217.44 |
$217.44 |
$217.44 |
$100.00
|
|
Vitamin D Test
|
$229.68 |
$229.68 |
$229.68 |
$132.00
|
|
Volume measurement urine timed
|
$79.92 |
$79.92 |
$79.92 |
$21.45
|
|
Warde 1003990 aldosterone
|
$275.76 |
$275.76 |
$275.76 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$40.32 |
$40.32 |
$40.32 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$113.04 |
$113.04 |
$113.04 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$205.20 |
$205.20 |
$205.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$149.76 |
$149.76 |
$149.76 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$148.32 |
$148.32 |
$148.32 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$76.32 |
$76.32 |
$76.32 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$126.72 |
$126.72 |
$126.72 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$99.36 |
$99.36 |
$99.36 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$99.36 |
$99.36 |
$99.36 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$103.68 |
$103.68 |
$103.68 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$81.36 |
$81.36 |
$81.36 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$126.00 |
$126.00 |
$126.00 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$236.16 |
$236.16 |
$236.16 |
$218.40
|
|
Warde 3400852 arsenic
|
$81.36 |
$81.36 |
$81.36 |
$100.88
|
|
Warde 3708165 mercury urine
|
$81.36 |
$81.36 |
$81.36 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$168.48 |
$168.48 |
$168.48 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$92.16 |
$92.16 |
$92.16 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$264.96 |
$264.96 |
$264.96 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$142.56 |
$142.56 |
$142.56 |
$151.20
|
|
Warde aldolase
|
$67.68 |
$67.68 |
$67.68 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$632.16 |
$632.16 |
$632.16 |
$193.80
|
|
Warde analysis gene hfe common variants
|
$920.16 |
$920.16 |
$920.16 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$645.12 |
$645.12 |
$645.12 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$180.00 |
$180.00 |
$180.00 |
$126.43
|
|
Warde anti-mullerian hormone
|
$253.44 |
$253.44 |
$253.44 |
$80.08
|
|
Warde apolipoprotein b
|
$97.92 |
$97.92 |
$97.92 |
$61.75
|
|
Warde bile acids
|
$101.52 |
$101.52 |
$101.52 |
$63.70
|
|
Warde cadmium blood
|
$76.32 |
$76.32 |
$76.32 |
$76.50
|
|
Warde calcitonin
|
$182.88 |
$182.88 |
$182.88 |
$96.97
|
|
Warde calculus (stone) infrared
|
$105.84 |
$105.84 |
$105.84 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$115.20 |
$115.20 |
$115.20 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$180.00 |
$180.00 |
$180.00 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$168.48 |
$168.48 |
$168.48 |
$96.85
|
|
Warde complement total hemolytic
|
$197.28 |
$197.28 |
$197.28 |
$104.82
|
|
Warde copper
|
$100.08 |
$100.08 |
$100.08 |
$80.00
|
|
Warde cryoglobulin
|
$70.56 |
$70.56 |
$70.56 |
$50.35
|
|
Warde erythropoietin
|
$165.60 |
$165.60 |
$165.60 |
$90.36
|
|
Warde estrogen fractionated
|
$208.80 |
$208.80 |
$208.80 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$111.60 |
$111.60 |
$111.60 |
$43.20
|
|
Warde folic acid rbc
|
$195.84 |
$195.84 |
$195.84 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$104.40 |
$104.40 |
$104.40 |
$43.55
|
|
Warde gastrin
|
$141.12 |
$141.12 |
$141.12 |
$73.60
|
|
Warde growth hormone (hgh)
|
$118.08 |
$118.08 |
$118.08 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$231.84 |
$231.84 |
$231.84 |
$100.92
|
