|
Trnscath plc vas stent w/s&i ini vein
|
$15,115.00 |
$15,115.00 |
$15,115.00 |
$14,461.50
|
|
Trnscath retrv pq vasc fb w/guide
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$4,766.40
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$6,345.00 |
$6,345.00 |
$6,345.00 |
$5,139.20
|
|
Trnscath tx thromblytc art/ven sbsq day
|
$4,390.00 |
$4,390.00 |
$4,390.00 |
$4,341.66
|
|
Trnscath tx thromblytc cath rmv sbsq day
|
$3,820.00 |
$3,820.00 |
$3,820.00 |
$4,354.35
|
|
Trnscath tx thromblytc vein ini day
|
$4,685.00 |
$4,685.00 |
$4,685.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$2,551.20
|
|
Troponin quantitative
|
$140.00 |
$140.00 |
$140.00 |
$127.60
|
|
Tx atrial fib pulm vein isol
|
$29,925.00 |
$29,925.00 |
$29,925.00 |
$29,030.54
|
|
Tx closed hip disl traumatic without anes
|
$270.00 |
$270.00 |
$270.00 |
$586.40
|
|
Tx l/r atrial fib addl
|
$5,495.00 |
$5,495.00 |
$5,495.00 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$3,630.00 |
$3,630.00 |
$3,630.00 |
$4,499.12
|
|
Tyms gene com variants
|
$175.00 |
$175.00 |
$175.00 |
$192.29
|
|
Ugt1a1 gene analy common variants
|
$235.00 |
$235.00 |
$235.00 |
$438.75
|
|
Ultrasound breast complete
|
$745.00 |
$745.00 |
$745.00 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$595.00 |
$595.00 |
$595.00 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$355.00 |
$355.00 |
$355.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$150.00 |
$150.00 |
$150.00 |
$296.80
|
|
Ultrasound encephalogram
|
$520.00 |
$520.00 |
$520.00 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$515.00 |
$515.00 |
$515.00 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$392.50 |
$392.50 |
$392.50 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$447.50 |
$447.50 |
$447.50 |
$388.08
|
|
Ultrasound guide intraoperative
|
$497.50 |
$497.50 |
$497.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$590.00 |
$590.00 |
$590.00 |
$560.00
|
|
Ultrasound joint complete left
|
$675.00 |
$675.00 |
$675.00 |
$557.99
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$402.50 |
$402.50 |
$402.50 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$477.50 |
$477.50 |
$477.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$415.00 |
$415.00 |
$415.00 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$362.50 |
$362.50 |
$362.50 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$530.00 |
$530.00 |
$530.00 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$415.00 |
$415.00 |
$415.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$770.00 |
$770.00 |
$770.00 |
$419.50
|
|
Unlisted chemotherapy px
|
$150.00 |
$150.00 |
$150.00 |
$149.15
|
|
Unlisted dialysis procedure
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$1,144.00
|
|
Unlisted mr procedure
|
$72.50 |
$72.50 |
$72.50 |
$1,165.00
|
|
Unlisted procedure microbiology
|
$555.00 |
$555.00 |
$555.00 |
$530.00
|
|
Unlisted procedure spine
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$4,659.85
|
|
Unlisted transfusion med px
|
$147.50 |
$147.50 |
$147.50 |
$147.50
|
|
Unlisted ultrasound procedure
|
$545.00 |
$545.00 |
$545.00 |
$332.16
|
|
Unsched dialysis esrd pt hos
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,292.33
|
|
Upgrade pm system
|
$7,850.00 |
$7,850.00 |
$7,850.00 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$345.00 |
$345.00 |
$345.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$890.00 |
$890.00 |
$890.00 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$785.00 |
$785.00 |
$785.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$470.00 |
$470.00 |
$470.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$510.00 |
$510.00 |
$510.00 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$440.00 |
$440.00 |
$440.00 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$387.50 |
$387.50 |
$387.50 |
$607.20
|
|
Urea nitrogen
|
$37.50 |
$37.50 |
$37.50 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$37.50 |
$37.50 |
$37.50 |
$52.00
|
|
Urea nitrogen clearance
|
$65.00 |
$65.00 |
$65.00 |
$38.35
|
|
Ureteral embolization/occl
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$2,079.31
|
|
Ureteral reflux study
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$510.00 |
$510.00 |
$510.00 |
$584.00
|
|
Urethrocystography void s&i
|
$695.00 |
$695.00 |
$695.00 |
$631.40
|
|
Uric acid blood
|
$45.00 |
$45.00 |
$45.00 |
$49.44
|
|
Uric acid urine
|
$62.50 |
$62.50 |
$62.50 |
$45.36
|
|
Urinalysis microscopic only
|
$37.50 |
$37.50 |
$37.50 |
$26.46
|
|
Urinalysis (with microscopy)
|
$35.00 |
$35.00 |
$35.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$32.50 |
$32.50 |
$32.50 |
$36.00
|
|
Urine Culture Test
|
$57.50 |
$57.50 |
$57.50 |
$83.00
|
|
Urine pregnancy test
|
$57.50 |
$57.50 |
$57.50 |
$68.78
|
|
Urography, antegrade
|
$965.00 |
$965.00 |
$965.00 |
$622.35
|
|
Vaccine Administration (one shot)
|
$50.00 |
$50.00 |
$50.00 |
$67.70
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$119.32 |
$119.32 |
$119.32 |
$75.39
|
|
Vaccine mmr live subcutaneous
|
$305.00 |
$305.00 |
$305.00 |
$213.00
|
|
Vaccine tdap >=7 years im
|
$163.34 |
$163.34 |
$163.34 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$90.00 |
$90.00 |
$90.00 |
$115.00
|
|
Valvuloplasty aortic
|
$6,925.00 |
$6,925.00 |
$6,925.00 |
$7,944.16
|
|
Valvuloplasty mitral
|
$11,775.00 |
$11,775.00 |
$11,775.00 |
$10,877.90
|
|
Vancomycin hcl injection
|
$219.16 |
$219.16 |
$219.16 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$112.50 |
$112.50 |
$112.50 |
$136.13
|
|
Varicella zoster antibody igg
|
$72.50 |
$72.50 |
$72.50 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$20,240.00 |
$20,240.00 |
$20,240.00 |
$21,009.00
|
|
Veeg cont 2-12 hrs
|
$885.00 |
$885.00 |
$885.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$442.50 |
$442.50 |
$442.50 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$885.00 |
$885.00 |
$885.00 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$442.50 |
$442.50 |
$442.50 |
$826.15
|
|
Vein x-ray adrenal gland
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$2,833.34
|
|
Vein x-ray adrenal glands
|
$4,880.00 |
$4,880.00 |
$4,880.00 |
$3,456.00
|
|
Vein x-ray eye socket
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$1,438.32
|
|
Vein x-ray kidney
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,870.00
|
|
Vein x-ray liver
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$3,940.00 |
$3,940.00 |
$3,940.00 |
$3,610.20
|
|
Vein x-ray liver w/hemodynam
|
$3,040.00 |
$3,040.00 |
$3,040.00 |
$3,662.50
|
|
Vein x-ray liver without hemodyn
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$2,452.80
|
|
Vein x-ray skull
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$2,830.00 |
$2,830.00 |
$2,830.00 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$2,645.00 |
$2,645.00 |
$2,645.00 |
$3,434.00
|
|
Ven-artl shunt det mbubb njx
|
$760.00 |
$760.00 |
$760.00 |
$484.25
|
|
Venogram ext bil s&i
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$14,180.00 |
$14,180.00 |
$14,180.00 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$4,685.00 |
$4,685.00 |
$4,685.00 |
$5,094.75
|
