|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$239.00 |
$239.00 |
$239.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$331.00 |
$331.00 |
$331.00 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$866.79 |
$866.79 |
$866.79 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$866.79 |
$866.79 |
$866.79 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$330.00 |
$330.00 |
$330.00 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$533.00 |
$533.00 |
$533.00 |
$607.20
|
|
Urea nitrogen
|
$17.00 |
$17.00 |
$17.00 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$18.00 |
$18.00 |
$18.00 |
$52.00
|
|
Urea nitrogen clearance
|
$22.00 |
$22.00 |
$22.00 |
$38.35
|
|
Ureteral embolization/occl
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$2,079.31
|
|
Urethrcystgrphy rtrgrde s&i
|
$445.00 |
$445.00 |
$445.00 |
$584.00
|
|
Urethrocystography void s&i
|
$804.00 |
$804.00 |
$804.00 |
$631.40
|
|
Uric acid blood
|
$18.00 |
$18.00 |
$18.00 |
$49.44
|
|
Uric acid urine
|
$19.00 |
$19.00 |
$19.00 |
$45.36
|
|
Urinalysis (with microscopy)
|
$22.00 |
$22.00 |
$22.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$15.00 |
$15.00 |
$15.00 |
$36.00
|
|
Urinary reflex study
|
$152.00 |
$152.00 |
$152.00 |
$216.05
|
|
Urine Culture Test
|
$55.00 |
$55.00 |
$55.00 |
$83.00
|
|
Urine pregnancy test
|
$23.00 |
$23.00 |
$23.00 |
$68.78
|
|
Urography, antegrade
|
$546.00 |
$546.00 |
$546.00 |
$622.35
|
|
Vaccine Administration (one shot)
|
$148.00 |
$148.00 |
$148.00 |
$67.70
|
|
Vaginal bx
|
$6,833.00 |
$6,833.00 |
$6,833.00 |
$455.94
|
|
Valproic acid total therapeutic drug level
|
$115.00 |
$115.00 |
$115.00 |
$115.00
|
|
Valvuloplasty aortic
|
$9,823.00 |
$9,823.00 |
$9,823.00 |
$7,944.16
|
|
Valvuloplasty pulmonary
|
$8,087.00 |
$8,087.00 |
$8,087.00 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$115.00 |
$115.00 |
$115.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$137.00 |
$137.00 |
$137.00 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$4,433.00 |
$4,433.00 |
$4,433.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,894.00 |
$1,894.00 |
$1,894.00 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$966.00 |
$966.00 |
$966.00 |
$826.15
|
|
Vein x-ray kidney
|
$5,673.00 |
$5,673.00 |
$5,673.00 |
$2,870.00
|
|
Vein x-ray liver
|
$4,566.00 |
$4,566.00 |
$4,566.00 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$4,566.00 |
$4,566.00 |
$4,566.00 |
$3,610.20
|
|
Vein x-ray liver w/hemodynam
|
$4,566.00 |
$4,566.00 |
$4,566.00 |
$3,662.50
|
|
Vein x-ray skull
|
$4,566.00 |
$4,566.00 |
$4,566.00 |
$2,236.50
|
|
Vemp test i&r cervical
|
$678.00 |
$678.00 |
$678.00 |
$343.72
|
|
Vemp tst i&r cervical&ocular
|
$860.00 |
$860.00 |
$860.00 |
$591.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$24.00 |
$24.00 |
$24.00 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$33.00 |
$33.00 |
$33.00 |
$67.00
|
|
Venogram ext bil s&i
|
$4,484.00 |
$4,484.00 |
$4,484.00 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$19,948.00 |
$19,948.00 |
$19,948.00 |
$8,184.00
|
|
Venous sampling s&i
|
$7,795.00 |
$7,795.00 |
$7,795.00 |
$4,200.00
|
|
Ventilator each subsequent day
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$1,184.00
|
|
Ventilator Management (first day)
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$1,434.60
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,081.00 |
$1,081.00 |
$1,081.00 |
$1,314.30
|
|
Version cephalic external
|
$4,513.00 |
$4,513.00 |
$4,513.00 |
$2,361.75
|
|
Video Swallow Study (Modified Barium Swallow)
|
$463.00 |
$463.00 |
$463.00 |
$524.50
|
|
Visit established high 40-54 minutes/level 5
|
$594.00 |
$594.00 |
$594.00 |
$240.50
|
|
Visual audiometry (vra)
|
$466.00 |
$466.00 |
$466.00 |
$223.00
|
|
Vital capacity test
|
$170.00 |
$170.00 |
$170.00 |
$173.18
|
|
Vitamin b-12
|
$61.00 |
$61.00 |
$61.00 |
$100.28
|
|
Vitamin D Test
|
$120.00 |
$120.00 |
$120.00 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$538.00 |
$538.00 |
$538.00 |
$433.20
|
|
Vol reduction of blood/prod
|
$35.76 |
$35.76 |
$35.76 |
$172.78
|
|
Volume deplete of harvest
|
$3,446.00 |
$3,446.00 |
$3,446.00 |
$1,443.33
|
|
Walking (Gait) Training (each 15 minutes)
|
$90.00 |
$90.00 |
$90.00 |
$87.50
|
|
Warde 1003990 aldosterone
|
$94.00 |
$94.00 |
$94.00 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$48.00 |
$48.00 |
$48.00 |
$64.08
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$57.00 |
$57.00 |
$57.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$85.00 |
$85.00 |
$85.00 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$20.00 |
$20.00 |
$20.00 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$76.00 |
$76.00 |
$76.00 |
$108.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$59.00 |
$59.00 |
$59.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$112.00 |
$112.00 |
$112.00 |
$73.60
|
|
Warde adrenocorticotropic hormone (acth)
|
$92.00 |
$92.00 |
$92.00 |
$156.40
|
|
Warde analysis gene hfe common variants
|
$346.00 |
$346.00 |
$346.00 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$315.00 |
$315.00 |
$315.00 |
$368.00
|
|
Warde clozapine therapeutic drug level
|
$101.00 |
$101.00 |
$101.00 |
$66.43
|
|
Warde collagen cross links c-telopeptide
|
$90.00 |
$90.00 |
$90.00 |
$96.85
|
|
Warde complement total hemolytic
|
$53.00 |
$53.00 |
$53.00 |
$105.00
|
|
Warde copper
|
$39.00 |
$39.00 |
$39.00 |
$80.00
|
|
Warde cryoglobulin
|
$54.00 |
$54.00 |
$54.00 |
$50.96
|
|
Warde erythropoietin
|
$49.00 |
$49.00 |
$49.00 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$145.00 |
$145.00 |
$145.00 |
$42.56
|
|
Warde growth hormone (hgh)
|
$65.00 |
$65.00 |
$65.00 |
$77.55
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$59.00 |
$59.00 |
$59.00 |
$83.79
|
|
Warde hepatitis a antibody
|
$91.00 |
$91.00 |
$91.00 |
$85.15
|
|
Warde immunofixation electrophoresis urine
|
$256.00 |
$256.00 |
$256.00 |
$161.28
|
|
Warde lipoprotein (a)
|
$50.00 |
$50.00 |
$50.00 |
$64.68
|
|
Warde mitochondrial antibody each
|
$145.00 |
$145.00 |
$145.00 |
$60.80
|
|
Warde pancreatic elastase fecal quantitative
|
$72.00 |
$72.00 |
$72.00 |
$96.00
|
|
Warde sex hormone binding globulin
|
$70.00 |
$70.00 |
$70.00 |
$83.85
|
|
Warde somatomedin
|
$48.00 |
$48.00 |
$48.00 |
$115.82
|
|
Warde thyroid stimulating immunoglobulins
|
$132.00 |
$132.00 |
$132.00 |
$180.01
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$158.00 |
$158.00 |
$158.00 |
$129.60
|
|
Warde viscosity
|
$55.00 |
$55.00 |
$55.00 |
$50.10
|
|
Warde vitamin a
|
$41.00 |
$41.00 |
$41.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$64.00 |
$64.00 |
$64.00 |
$83.99
|
|
Warde vitamin d (1 25 dihydroxy)
|
$99.00 |
$99.00 |
$99.00 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$50.00 |
$50.00 |
$50.00 |
$61.15
|
|
Warde zinc
|
$42.00 |
$42.00 |
$42.00 |
$62.70
|
|
Wash harvest stem cells
|
$2,516.00 |
$2,516.00 |
$2,516.00 |
$1,263.60
|
|
Wbc automated
|
$13.00 |
$13.00 |
$13.00 |
$32.80
|
|
Whole blood for transfusion
|
$1,549.00 |
$1,549.00 |
$1,549.00 |
$504.00
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$1,570.65
|
|
Whole Skeleton X-ray Survey
|
$461.00 |
$461.00 |
$461.00 |
$639.93
|
