|
Ultrasound encephalogram
|
$555.00 |
$555.00 |
$555.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$762.60 |
$762.60 |
$762.60 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$630.00 |
$630.00 |
$630.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$249.60 |
$249.60 |
$249.60 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,026.60 |
$1,026.60 |
$1,026.60 |
$632.85
|
|
Ultrasound joint complete left
|
$844.80 |
$844.80 |
$844.80 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$806.40 |
$806.40 |
$806.40 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$418.20 |
$418.20 |
$418.20 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$418.20 |
$418.20 |
$418.20 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$867.00 |
$867.00 |
$867.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$435.00 |
$435.00 |
$435.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$555.00 |
$555.00 |
$555.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$594.60 |
$594.60 |
$594.60 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$793.80 |
$793.80 |
$793.80 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$976.20 |
$976.20 |
$976.20 |
$486.50
|
|
Ultrasound scrotum and contents
|
$594.60 |
$594.60 |
$594.60 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$693.00 |
$693.00 |
$693.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$615.60 |
$615.60 |
$615.60 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$704.40 |
$704.40 |
$704.40 |
$558.35
|
|
Ultraviolet therapy
|
$27.60 |
$27.60 |
$27.60 |
$39.76
|
|
Umbilical artery cath newborn 36660
|
$190.80 |
$190.80 |
$190.80 |
$206.64
|
|
Unlisted cytogenetic study
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$160.18
|
|
Unlisted maaa
|
$327.60 |
$327.60 |
$327.60 |
$235.20
|
|
Unlisted procedure microbiology
|
$1,692.60 |
$1,692.60 |
$1,692.60 |
$523.50
|
|
Unlisted procedure rectum
|
$574.20 |
$574.20 |
$574.20 |
$1,220.35
|
|
Unlisted px casting/strpg
|
$245.40 |
$245.40 |
$245.40 |
$219.70
|
|
Unlisted ultrasound procedure
|
$410.40 |
$410.40 |
$410.40 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,239.00 |
$4,239.00 |
$4,239.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,531.60 |
$3,531.60 |
$3,531.60 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,982.60 |
$2,982.60 |
$2,982.60 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$796.80 |
$796.80 |
$796.80 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$796.80 |
$796.80 |
$796.80 |
$1,768.00
|
|
Urea nitrogen
|
$125.40 |
$125.40 |
$125.40 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$125.40 |
$125.40 |
$125.40 |
$51.75
|
|
Ureteral reflux study
|
$834.60 |
$834.60 |
$834.60 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$690.60 |
$690.60 |
$690.60 |
$579.73
|
|
Urethrocystography void s&i
|
$710.40 |
$710.40 |
$710.40 |
$622.35
|
|
Uric acid blood
|
$110.40 |
$110.40 |
$110.40 |
$48.75
|
|
Uric acid urine
|
$123.60 |
$123.60 |
$123.60 |
$44.33
|
|
Urinalysis microscopic only
|
$82.20 |
$82.20 |
$82.20 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$85.80 |
$85.80 |
$85.80 |
$25.72
|
|
Urinalysis (with microscopy)
|
$81.00 |
$81.00 |
$81.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$58.20 |
$58.20 |
$58.20 |
$35.75
|
|
Urine Culture Test
|
$68.40 |
$68.40 |
$68.40 |
$81.50
|
|
Urine pregnancy test
|
$114.00 |
$114.00 |
$114.00 |
$67.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,481.20 |
$3,481.20 |
$3,481.20 |
$2,002.00
|
|
Vaginal bx
|
$410.40 |
$410.40 |
$410.40 |
$455.94
|
|
Valproic acid total therapeutic drug level
|
$192.60 |
$192.60 |
$192.60 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$313.80 |
$313.80 |
$313.80 |
$136.13
|
|
Varicella zoster antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$86.80
|
|
Vein x-ray liver w/hemodynam
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$3,486.86
|
|
Vein x-ray liver without hemodyn
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$2,452.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$23.40 |
$23.40 |
$23.40 |
$202.80
|
|
Venogram ext bil s&i
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,631.40 |
$1,631.40 |
$1,631.40 |
$1,366.20
|
|
Venous mech thrombectomy
|
$6,720.00 |
$6,720.00 |
$6,720.00 |
$7,965.00
|
|
Ventilator each subsequent day
|
$765.00 |
$765.00 |
$765.00 |
$1,204.00
|
|
Ventilator initial day
|
$943.80 |
$943.80 |
$943.80 |
$1,431.43
|
|
Version cephalic external
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$2,361.75
|
|
Very long chain fatty acids
|
$570.60 |
$570.60 |
$570.60 |
$139.88
|
|
Vest large holster
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$88.20 |
$88.20 |
$88.20 |
$77.50
|
|
Visit esketamine, > 56m
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$1,716.46
|
|
Visit esketamine 56m or less
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,413.85
|
|
Vital capacity test
|
$98.40 |
$98.40 |
$98.40 |
$170.00
|
|
Vitamin b-12
|
$105.00 |
$105.00 |
$105.00 |
$100.00
|
|
Vitamin D Test
|
$127.80 |
$127.80 |
$127.80 |
$132.00
|
|
Warde 1003990 aldosterone
|
$334.20 |
$334.20 |
$334.20 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$210.60 |
$210.60 |
$210.60 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$163.20 |
$163.20 |
$163.20 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$212.40 |
$212.40 |
$212.40 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$103.80 |
$103.80 |
$103.80 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$109.20 |
$109.20 |
$109.20 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$253.20 |
$253.20 |
$253.20 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$208.20 |
$208.20 |
$208.20 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$385.80 |
$385.80 |
$385.80 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$329.40 |
$329.40 |
$329.40 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$201.00 |
$201.00 |
$201.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$76.80 |
$76.80 |
$76.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$95.40 |
$95.40 |
$95.40 |
$72.50
|
|
Warde 3400852 arsenic
|
$552.60 |
$552.60 |
$552.60 |
$100.88
|
|
Warde 3708165 mercury urine
|
$219.00 |
$219.00 |
$219.00 |
$71.50
|
|
Warde adenosine deaminase pleural fluid
|
$159.00 |
$159.00 |
$159.00 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$73.20 |
$73.20 |
$73.20 |
$151.20
|
|
Warde aldolase
|
$86.40 |
$86.40 |
$86.40 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$891.60 |
$891.60 |
$891.60 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$51.60 |
$51.60 |
$51.60 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$769.80 |
$769.80 |
$769.80 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$910.80 |
$910.80 |
$910.80 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$222.60 |
$222.60 |
$222.60 |
$126.43
|
|
Warde anti-mullerian hormone
|
$94.80 |
$94.80 |
$94.80 |
$80.08
|
|
Warde apolipoprotein b
|
$243.00 |
$243.00 |
$243.00 |
$61.75
|
|
Warde bile acids
|
$117.60 |
$117.60 |
$117.60 |
$63.70
|
|
Warde cadmium blood
|
$399.60 |
$399.60 |
$399.60 |
$76.50
|
|
Warde calcitonin
|
$59.40 |
$59.40 |
$59.40 |
$96.97
|
|
Warde calculus (stone) infrared
|
$115.20 |
$115.20 |
$115.20 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$136.80 |
$136.80 |
$136.80 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$351.60 |
$351.60 |
$351.60 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$341.40 |
$341.40 |
$341.40 |
$96.85
|
