|
Trnscath tx thromblytc vein ini day
|
$4,098.00 |
$4,098.00 |
$4,098.00 |
$3,866.70
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$6,021.00 |
$6,021.00 |
$6,021.00 |
$2,986.34
|
|
Troponin quantitative
|
$45.00 |
$45.00 |
$45.00 |
$127.60
|
|
Tte w or without fol w/con,stres
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$1,632.80
|
|
Tte w or without fol w/cont, com
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$1,220.31
|
|
Tx atrial fib pulm vein isol
|
$72,263.00 |
$72,263.00 |
$72,263.00 |
$29,030.54
|
|
Tx closed distal humerus fx
|
$786.00 |
$786.00 |
$786.00 |
$594.88
|
|
Tx closed hip disl traumatic without anes
|
$1,055.00 |
$1,055.00 |
$1,055.00 |
$586.40
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$11,322.00 |
$11,322.00 |
$11,322.00 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$893.00 |
$893.00 |
$893.00 |
$535.60
|
|
Tx l/r atrial fib addl
|
$43,127.00 |
$43,127.00 |
$43,127.00 |
$6,986.85
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$10,842.00 |
$10,842.00 |
$10,842.00 |
$4,499.12
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$11,705.00 |
$11,705.00 |
$11,705.00 |
$4,637.36
|
|
Tx tarsal bone fx without manip 28450
|
$599.00 |
$599.00 |
$599.00 |
$419.04
|
|
Ua w/micro/comp poc
|
$15.00 |
$15.00 |
$15.00 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$238.32 |
$238.32 |
$238.32 |
$438.75
|
|
Ultrasound breast complete
|
$458.72 |
$458.72 |
$458.72 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$341.67 |
$341.67 |
$341.67 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$782.00 |
$782.00 |
$782.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$470.00 |
$470.00 |
$470.00 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$453.00 |
$453.00 |
$453.00 |
$313.95
|
|
Ultrasound encephalogram
|
$608.00 |
$608.00 |
$608.00 |
$494.92
|
|
Ultrasound exam k transpl w/doppler
|
$774.00 |
$774.00 |
$774.00 |
$578.40
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$814.00 |
$814.00 |
$814.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$930.00 |
$930.00 |
$930.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$457.00 |
$457.00 |
$457.00 |
$388.08
|
|
Ultrasound guide intraoperative
|
$851.00 |
$851.00 |
$851.00 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$468.00 |
$468.00 |
$468.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$662.00 |
$662.00 |
$662.00 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$285.00 |
$285.00 |
$285.00 |
$311.25
|
|
Ultrasound joint complete left
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$557.99
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$363.00 |
$363.00 |
$363.00 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$930.00 |
$930.00 |
$930.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$662.00 |
$662.00 |
$662.00 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$567.00 |
$567.00 |
$567.00 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$852.00 |
$852.00 |
$852.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$800.00 |
$800.00 |
$800.00 |
$419.50
|
|
Unlisted chemotherapy px
|
$292.00 |
$292.00 |
$292.00 |
$149.15
|
|
Unlisted CT procedure
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$732.70
|
|
Unlisted fluoroscopic px
|
$317.00 |
$317.00 |
$317.00 |
$305.76
|
|
Unlisted mr procedure
|
$4,440.00 |
$4,440.00 |
$4,440.00 |
$1,165.00
|
|
Unlisted procedure pancreas
|
$17,503.00 |
$17,503.00 |
$17,503.00 |
$4,810.00
|
|
Unlisted procedure rectum
|
$2,729.00 |
$2,729.00 |
$2,729.00 |
$1,223.20
|
|
Unlisted px abdomen muscskel
|
$6,564.00 |
$6,564.00 |
$6,564.00 |
$1,956.50
|
|
Unlisted px ant segment eye
|
$7,839.00 |
$7,839.00 |
$7,839.00 |
$2,698.92
|
|
Unlisted px male genital sys
|
$1,238.00 |
$1,238.00 |
$1,238.00 |
$387.84
|
|
Unlisted px small intestine
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$2,118.35
|
|
Unsched dialysis esrd pt hos
|
$3,300.00 |
$3,300.00 |
$3,300.00 |
$1,292.33
|
|
Upper Arm (Humerus) X-ray (left side)
|
$378.00 |
$378.00 |
$378.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,759.00 |
$5,759.00 |
$5,759.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,601.00 |
$3,601.00 |
$3,601.00 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,522.00 |
$3,522.00 |
$3,522.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$393.00 |
$393.00 |
$393.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$461.00 |
$461.00 |
$461.00 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$693.00 |
$693.00 |
$693.00 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$629.00 |
$629.00 |
$629.00 |
$607.20
|
|
Urea nitrogen
|
$19.00 |
$19.00 |
$19.00 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$42.00 |
$42.00 |
$42.00 |
$52.00
|
|
Ureteral reflux study
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$584.00
|
|
Urethrocystography void s&i
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$631.40
|
|
Uric acid blood
|
$20.00 |
$20.00 |
$20.00 |
$49.44
|
|
Uric acid urine
|
$21.00 |
$21.00 |
$21.00 |
$45.36
|
|
Urinalysis (with microscopy)
|
$20.00 |
$20.00 |
$20.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$13.00 |
$13.00 |
$13.00 |
$36.00
|
|
Urine Culture Test
|
$63.00 |
$63.00 |
$63.00 |
$83.00
|
|
Urine pregnancy test
|
$21.00 |
$21.00 |
$21.00 |
$68.78
|
|
Urography, antegrade
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$622.35
|
|
Vaccine Administration (one shot)
|
$131.00 |
$131.00 |
$131.00 |
$67.70
|
|
Vaginal bx
|
$22,420.00 |
$22,420.00 |
$22,420.00 |
$455.94
|
|
Valproic acid total therapeutic drug level
|
$104.00 |
$104.00 |
$104.00 |
$115.00
|
|
Valvuloplasty aortic
|
$18,549.00 |
$18,549.00 |
$18,549.00 |
$7,944.16
|
|
Valvuloplasty mitral
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$10,877.90
|
|
Vancomycin peak therapeutic drug level
|
$116.00 |
$116.00 |
$116.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$124.00 |
$124.00 |
$124.00 |
$86.80
|
|
Vasectomy
|
$8,014.00 |
$8,014.00 |
$8,014.00 |
$2,424.12
|
|
Veeg cont 2-12 hrs
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,447.00 |
$3,447.00 |
$3,447.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$961.00 |
$961.00 |
$961.00 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$961.00 |
$961.00 |
$961.00 |
$826.15
|
|
Vein x-ray kidney
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$2,870.00
|
|
Vein x-ray liver
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$5,493.00 |
$5,493.00 |
$5,493.00 |
$3,610.20
|
|
Vein x-ray liver w/hemodynam
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$3,662.50
|
|
Vein x-ray liver without hemodyn
|
$5,493.00 |
$5,493.00 |
$5,493.00 |
$2,452.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$67.00 |
$67.00 |
$67.00 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$67.00 |
$67.00 |
$67.00 |
$67.00
|
|
Venogram ext bil s&i
|
$5,493.00 |
$5,493.00 |
$5,493.00 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$4,511.00 |
$4,511.00 |
$4,511.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$20,453.00 |
$20,453.00 |
$20,453.00 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$18,690.00 |
$18,690.00 |
$18,690.00 |
$5,094.75
|
|
Venous sampling s&i
|
$15,621.00 |
$15,621.00 |
$15,621.00 |
$4,200.00
|
|
Ventilator each subsequent day
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,184.00
|
|
Ventilator Management (first day)
|
$2,524.00 |
$2,524.00 |
$2,524.00 |
$1,434.60
|
|
Version cephalic external
|
$3,736.00 |
$3,736.00 |
$3,736.00 |
$2,361.75
|
