|
Unlisted chemotherapy px
|
$150.00 |
$150.00 |
$150.00 |
$149.15
|
|
Unlisted fluoroscopic px
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$305.76
|
|
Unlisted mr procedure
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,165.00
|
|
Unlisted procedure microbiology
|
$555.00 |
$555.00 |
$555.00 |
$530.00
|
|
Unlisted px abdomen muscskel
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,956.50
|
|
Unlisted px biliary tract
|
$2,855.00 |
$2,855.00 |
$2,855.00 |
$3,055.00
|
|
Unlisted px small intestine
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$2,118.35
|
|
Unlisted reprod med lab proc
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Unlisted transfusion med px
|
$147.50 |
$147.50 |
$147.50 |
$147.50
|
|
Unlisted ultrasound procedure
|
$605.00 |
$605.00 |
$605.00 |
$332.16
|
|
Unsched dialysis esrd pt hos
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,292.33
|
|
Upgrade pm system
|
$6,090.00 |
$6,090.00 |
$6,090.00 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$355.00 |
$355.00 |
$355.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,610.00 |
$1,610.00 |
$1,610.00 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$252.50 |
$252.50 |
$252.50 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$252.50 |
$252.50 |
$252.50 |
$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
|
$3,665.00 |
$3,665.00 |
$3,665.00 |
$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
|
|
Urography inf drip &/or bolus
|
$615.00 |
$615.00 |
$615.00 |
$642.50
|
|
Vaccine Administration (one shot)
|
$50.00 |
$50.00 |
$50.00 |
$67.70
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$119.36 |
$119.36 |
$119.36 |
$75.39
|
|
Vaccine mmr live subcutaneous
|
$304.37 |
$304.37 |
$304.37 |
$213.00
|
|
Vaccine rabies im
|
$1,046.18 |
$1,046.18 |
$1,046.18 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$163.54 |
$163.54 |
$163.54 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$90.00 |
$90.00 |
$90.00 |
$115.00
|
|
Valvuloplasty aortic
|
$6,810.00 |
$6,810.00 |
$6,810.00 |
$7,944.16
|
|
Vancomycin hcl injection
|
$223.95 |
$223.95 |
$223.95 |
$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 kidney
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,870.00
|
|
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 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
|
$3,915.00 |
$3,915.00 |
$3,915.00 |
$5,094.75
|
|
Venous sampling s&i
|
$2,775.00 |
$2,775.00 |
$2,775.00 |
$4,200.00
|
|
Ventilator each subsequent day
|
$645.00 |
$645.00 |
$645.00 |
$1,184.00
|
|
Ventilator Management (first day)
|
$860.00 |
$860.00 |
$860.00 |
$1,434.60
|
|
Version cephalic external
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$175.00 |
$175.00 |
$175.00 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$385.00 |
$385.00 |
$385.00 |
$524.50
|
|
Vital capacity test
|
$165.00 |
$165.00 |
$165.00 |
$173.18
|
|
Vitamin b-12
|
$92.50 |
$92.50 |
$92.50 |
$100.28
|
|
Vitamin D Test
|
$222.50 |
$222.50 |
$222.50 |
$132.00
|
|
Vol reduction of blood/prod
|
$302.50 |
$302.50 |
$302.50 |
$172.78
|
|
Volume measurement urine timed
|
$12.50 |
$12.50 |
$12.50 |
$21.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$12.84 |
$12.84 |
$12.84 |
$165.81
|
|
Vsrctv std tcd icr art compl
|
$670.00 |
$670.00 |
$670.00 |
$434.85
|
|
Walking (Gait) Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$87.50
|
|
Warde 1003990 aldosterone
|
$205.00 |
$205.00 |
$205.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$65.00 |
$65.00 |
$65.00 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$72.50 |
$72.50 |
$72.50 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$137.50 |
$137.50 |
$137.50 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$95.00 |
$95.00 |
$95.00 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$55.00 |
$55.00 |
$55.00 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$125.00 |
$125.00 |
$125.00 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$92.50 |
$92.50 |
$92.50 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$92.50 |
$92.50 |
$92.50 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$80.00 |
$80.00 |
$80.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$70.00 |
$70.00 |
$70.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$102.50 |
$102.50 |
$102.50 |
$73.60
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$210.00 |
$210.00 |
$210.00 |
$219.13
|
|
Warde 3400852 arsenic
|
$70.00 |
$70.00 |
$70.00 |
$101.00
|
|
Warde 3708165 mercury urine
|
$82.50 |
$82.50 |
$82.50 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$67.50 |
$67.50 |
$67.50 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$70.00 |
$70.00 |
$70.00 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$75.00 |
$75.00 |
$75.00 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$195.00 |
$195.00 |
$195.00 |
$156.40
|
