|
Ultrasound pregnant uterus transvaginal
|
$408.00 |
$408.00 |
$1,015.20 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$462.00 |
$462.00 |
$1,145.40 |
$486.50
|
|
Ultrasound scrotum and contents
|
$481.80 |
$481.80 |
$935.40 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$110.40 |
$110.40 |
$792.60 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$848.40 |
$848.40 |
$848.40 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$415.20 |
$415.20 |
$711.60 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$747.00 |
$747.00 |
$747.00 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$372.60 |
$372.60 |
$372.60 |
$348.00
|
|
Ultraviolet therapy
|
$27.60 |
$27.60 |
$27.60 |
$39.76
|
|
Umbilical artery cath newborn 36660
|
$234.60 |
$234.60 |
$234.60 |
$206.64
|
|
Unit mobile power mpu
|
$20,627.40 |
$20,627.40 |
$20,627.40 |
$14,612.80
|
|
Unlistd noninvas vasc dx std
|
$3,664.20 |
$3,664.20 |
$3,664.20 |
$528.80
|
|
Unlisted CT procedure
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$732.70
|
|
Unlisted cytogenetic study
|
$2,434.80 |
$2,434.80 |
$2,434.80 |
$160.18
|
|
Unlisted endocrine px dx nuc
|
$907.20 |
$907.20 |
$907.20 |
$569.91
|
|
Unlisted gi px dx nuc med
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$995.00
|
|
Unlisted maaa
|
$368.40 |
$368.40 |
$368.40 |
$235.20
|
|
Unlisted mr procedure
|
$3,379.80 |
$3,379.80 |
$3,379.80 |
$1,163.00
|
|
Unlisted orl service/px
|
$193.20 |
$193.20 |
$193.20 |
$132.60
|
|
Unlisted procedure esophagus
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$1,998.88
|
|
Unlisted procedure liver
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$1,725.60 |
$1,725.60 |
$1,725.60 |
$523.50
|
|
Unlisted procedure pancreas
|
$681.00 |
$681.00 |
$681.00 |
$3,986.00
|
|
Unlisted procedure rectum
|
$564.60 |
$564.60 |
$564.60 |
$1,220.35
|
|
Unlisted procedure spine
|
$786.60 |
$786.60 |
$786.60 |
$4,659.85
|
|
Unlisted psychiatric service/proc 90899
|
$1,172.40 |
$1,172.40 |
$1,172.40 |
$277.76
|
|
Unlisted px abdomen muscskel
|
$151.20 |
$151.20 |
$151.20 |
$1,848.60
|
|
Unlisted px ant segment eye
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$2,698.92
|
|
Unlisted px biliary tract
|
$8,730.00 |
$8,730.00 |
$8,730.00 |
$2,718.10
|
|
Unlisted px leg/ankle
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$811.00
|
|
Unlisted px male genital sys
|
$499.80 |
$499.80 |
$499.80 |
$343.55
|
|
Unlisted px neck/thorax
|
$3,130.80 |
$3,130.80 |
$3,130.80 |
$571.20
|
|
Unlisted px salivry glnd/dux
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$1,265.16
|
|
Unlisted px small intestine
|
$2,380.20 |
$2,380.20 |
$2,380.20 |
$2,102.10
|
|
Unlisted resp px dx nuc med
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$670.60
|
|
Unlisted transfusion med px
|
$627.00 |
$627.00 |
$627.00 |
$147.50
|
|
Unlisted ultrasound procedure
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$321.20
|
|
Upgrade pm system
|
$30,379.20 |
$30,379.20 |
$30,379.20 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,665.80 |
$2,665.80 |
$3,613.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,448.00 |
$2,448.00 |
$3,379.80 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,448.00 |
$2,448.00 |
$3,379.80 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,114.80 |
$1,114.80 |
$1,114.80 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,114.80 |
$1,114.80 |
$1,114.80 |
$1,768.00
|
|
Urea nitrogen
|
$13.80 |
$13.80 |
$69.60 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$169.80 |
$169.80 |
$169.80 |
$51.75
|
|
Ureteral embolization/occl
|
$14,064.00 |
$14,064.00 |
$14,064.00 |
$2,181.40
|
|
Ureteral reflux study
|
$861.60 |
$861.60 |
$1,623.60 |
$952.50
|
|
Ureteroneocystostomy 50780
|
$4,479.60 |
$4,479.60 |
$4,479.60 |
$4,457.05
|
|
Urethrcystgrphy rtrgrde s&i
|
$468.00 |
$468.00 |
$963.60 |
$579.73
|
|
Urethrocystography void s&i
|
$555.00 |
$555.00 |
$847.80 |
$622.35
|
|
Uric acid blood
|
$44.40 |
$44.40 |
$79.80 |
$48.75
|
|
Uric acid urine
|
$139.80 |
$139.80 |
$139.80 |
$44.33
|
|
Urinalysis microscopic only
|
$27.00 |
$27.00 |
$87.60 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$83.40 |
$83.40 |
$83.40 |
$25.72
|
|
Urinalysis (with microscopy)
|
$28.20 |
$28.20 |
$96.60 |
$55.00
|
|
Urinalysis (without microscopy)
|
$45.00 |
$45.00 |
$68.40 |
$35.75
|
|
Urinary bldr retent nuc study
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$350.66
|
|
Urine Culture Test
|
$80.40 |
$80.40 |
$80.40 |
$81.50
|
|
Urine pregnancy test
|
$207.00 |
$207.00 |
$207.00 |
$67.20
|
|
Urography, antegrade
|
$2,260.20 |
$2,260.20 |
$2,260.20 |
$622.35
|
|
Use 1st target lesion
|
$396.60 |
$396.60 |
$396.60 |
$332.00
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,481.20 |
$3,481.20 |
$3,481.20 |
$2,002.00
|
|
Vad univ batt charger hm 1440
|
$19,338.60 |
$19,338.60 |
$19,338.60 |
$14,827.28
|
|
Valproic acid total therapeutic drug level
|
$6.60 |
$6.60 |
$194.40 |
$114.72
|
|
Valvuloplasty aortic
|
$8,785.80 |
$8,785.80 |
$8,785.80 |
$7,830.80
|
|
Valvuloplasty mitral
|
$8,785.80 |
$8,785.80 |
$8,785.80 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$9,225.00 |
$9,225.00 |
$9,225.00 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$137.40 |
$137.40 |
$488.40 |
$136.13
|
|
Varicella zoster antibody igg
|
$223.80 |
$223.80 |
$223.80 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$3,056.40 |
$3,056.40 |
$3,056.40 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$5,045.40 |
$5,045.40 |
$5,045.40 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$3,056.40 |
$3,056.40 |
$3,056.40 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$5,045.40 |
$5,045.40 |
$5,045.40 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$3,056.40 |
$3,056.40 |
$3,056.40 |
$826.15
|
|
Vein x-ray adrenal gland
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$2,845.80
|
|
Vein x-ray kidney
|
$3,363.60 |
$3,363.60 |
$3,363.60 |
$2,766.73
|
|
Vein x-ray liver
|
$4,261.20 |
$4,261.20 |
$4,261.20 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$3,756.60 |
$3,756.60 |
$3,756.60 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$2,452.80
|
|
Vein x-ray skull
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,141.00
|
|
Vemp test i&r cervical
|
$401.40 |
$401.40 |
$401.40 |
$313.00
|
|
Vemp test i&r ocular
|
$401.40 |
$401.40 |
$401.40 |
$266.00
|
|
Vemp tst i&r cervical&ocular
|
$762.00 |
$762.00 |
$762.00 |
$591.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$229.20 |
$229.20 |
$448.80 |
$202.80
|
|
Venogram ext bil s&i
|
$1,209.00 |
$1,209.00 |
$4,593.60 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,303.20 |
$1,303.20 |
$3,501.60 |
$1,366.20
|
|
Venous mech thrombectomy
|
$13,239.00 |
$13,239.00 |
$13,239.00 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$13,749.60 |
$13,749.60 |
$13,749.60 |
$5,094.75
|
|
Venous sampling s&i
|
$5,668.20 |
$5,668.20 |
$5,668.20 |
$4,193.20
|
|
Ventilator each subsequent day
|
$900.00 |
$900.00 |
$900.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,431.43
|
|
Ventricular puncture prev burr hole without inj 61020
|
$3,965.40 |
$3,965.40 |
$3,965.40 |
$1,314.30
|
|
Version cephalic external
|
$1,602.60 |
$1,602.60 |
$1,602.60 |
$2,361.75
|
|
Very long chain fatty acids
|
$651.60 |
$651.60 |
$651.60 |
$139.88
|
|
Vest large holster
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$109.20 |
$109.20 |
$109.20 |
$77.50
|
|
Visc & infraren abd 1 prosth
|
$5,734.20 |
$5,734.20 |
$5,734.20 |
$9,715.02
|
|
Visc & infraren abd 2 prosth
|
$4,102.80 |
$4,102.80 |
$4,102.80 |
$10,796.94
|
