|
Ultrasound doppler velocimetry fetal umbilical artery
|
$90.72 |
$90.72 |
$90.72 |
$340.03
|
|
Ultrasound elastography ea l target les
|
$73.36 |
$73.36 |
$73.36 |
$136.11
|
|
Ultrasound elastography parenchyma
|
$142.80 |
$142.80 |
$142.80 |
$275.98
|
|
Ultrasound encephalogram
|
$417.76 |
$417.76 |
$417.76 |
$463.50
|
|
Ultrasound exam k transpl w/doppler
|
$224.00 |
$224.00 |
$224.00 |
$494.00
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$228.48 |
$228.48 |
$228.48 |
$428.68
|
|
Ultrasound guidance for vascular access
|
$39.20 |
$39.20 |
$39.20 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$595.28 |
$595.28 |
$595.28 |
$629.64
|
|
Ultrasound hips infant dynamic
|
$239.68 |
$239.68 |
$239.68 |
$395.20
|
|
Ultrasound joint complete left
|
$866.32 |
$866.32 |
$866.32 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$718.48 |
$718.48 |
$718.48 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$171.92 |
$171.92 |
$171.92 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$90.72 |
$90.72 |
$90.72 |
$304.80
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$214.48 |
$214.48 |
$214.48 |
$680.71
|
|
Ultrasound pregnant uterus follow up per fetus
|
$157.36 |
$157.36 |
$157.36 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$190.96 |
$190.96 |
$190.96 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$216.72 |
$216.72 |
$216.72 |
$477.10
|
|
Ultrasound prostate/transrectal
|
$371.28 |
$371.28 |
$371.28 |
$515.63
|
|
Ultrasound retroperitoneal limited
|
$216.72 |
$216.72 |
$216.72 |
$469.58
|
|
Ultrasound scrotum and contents
|
$269.92 |
$269.92 |
$269.92 |
$558.03
|
|
Ultrasound spinal canal and contents
|
$93.52 |
$93.52 |
$93.52 |
$415.00
|
|
Ultrasound transabd ea addl gest
|
$155.68 |
$155.68 |
$155.68 |
$424.80
|
|
Ultrasound transvaginal non obstetric
|
$337.68 |
$337.68 |
$337.68 |
$523.20
|
|
Unlisted mr procedure
|
$412.72 |
$412.72 |
$412.72 |
$1,249.50
|
|
Unsched dialysis esrd pt hos
|
$1,233.12 |
$1,233.12 |
$1,233.12 |
$980.20
|
|
Upgrade pm system
|
$15,307.60 |
$15,307.60 |
$15,307.60 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,283.68 |
$2,283.68 |
$2,283.68 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,639.12 |
$1,639.12 |
$1,639.12 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,347.36 |
$1,347.36 |
$1,347.36 |
$1,794.00
|
|
Urea nitrogen
|
$8.40 |
$8.40 |
$8.40 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$11.76 |
$11.76 |
$11.76 |
$42.90
|
|
Urethrocystography void s&i
|
$224.00 |
$224.00 |
$224.00 |
$586.50
|
|
Uric acid blood
|
$8.40 |
$8.40 |
$8.40 |
$44.00
|
|
Uric acid urine
|
$8.40 |
$8.40 |
$8.40 |
$43.20
|
|
Urinalysis microscopic only
|
$8.96 |
$8.96 |
$8.96 |
$25.72
|
|
Urinalysis (with microscopy)
|
$12.32 |
$12.32 |
$12.32 |
$37.39
|
|
Urinalysis (without microscopy)
|
$8.40 |
$8.40 |
$8.40 |
$33.00
|
|
Urine Culture Test
|
$46.48 |
$46.48 |
$46.48 |
$63.84
|
|
Urine pregnancy test
|
$9.52 |
$9.52 |
$9.52 |
$57.00
|
|
Use 1st target lesion
|
$146.16 |
$146.16 |
$146.16 |
$252.00
|
|
Valproic acid total therapeutic drug level
|
$39.20 |
$39.20 |
$39.20 |
$100.80
|
|
Valvuloplasty aortic
|
$7,944.16 |
$7,944.16 |
$7,944.16 |
$7,826.12
|
|
Valvuloplasty mitral
|
$10,540.32 |
$10,540.32 |
$10,540.32 |
$10,435.39
|
|
Vancomycin peak therapeutic drug level
|
$64.96 |
$64.96 |
$64.96 |
$116.00
|
|
Varicella zoster antibody igg
|
$33.60 |
$33.60 |
$33.60 |
$90.35
|
|
Veeg cont 2-12 hrs
|
$716.24 |
$716.24 |
$716.24 |
$1,303.97
|
|
Veeg unmon 12-26 hrs
|
$1,481.76 |
$1,481.76 |
$1,481.76 |
$1,251.07
|
|
Veeg unmon 2-12 hrs
|
$422.24 |
$422.24 |
$422.24 |
$778.80
|
|
Vein x-ray kidney
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,600.00
|
|
Vein x-ray liver w/hemodynam
|
$3,112.48 |
$3,112.48 |
$3,112.48 |
$2,669.10
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$59.36 |
$59.36 |
$59.36 |
$123.00
|
|
Venogram ext bil s&i
|
$658.00 |
$658.00 |
$658.00 |
$1,697.72
|
|
Venogram extremity supervision & interpretation unilateral
|
$583.52 |
$583.52 |
$583.52 |
$1,270.23
|
|
Venous mech thrombectomy
|
$5,106.64 |
$5,106.64 |
$5,106.64 |
$9,059.31
|
|
Venous m-thrombectomy add-on
|
$5,106.64 |
$5,106.64 |
$5,106.64 |
$5,452.00
|
|
Venous sampling s&i
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$3,800.23
|
|
Ventilator each subsequent day
|
$1,882.72 |
$1,882.72 |
$1,882.72 |
$1,138.50
|
|
Ventilator initial day
|
$2,228.80 |
$2,228.80 |
$2,228.80 |
$1,331.00
|
|
Version cephalic external
|
$351.68 |
$351.68 |
$351.68 |
$2,361.75
|
|
Visit established high 40-54 minutes/level 5
|
$279.44 |
$279.44 |
$279.44 |
$186.60
|
|
Visual audiometry (vra)
|
$86.24 |
$86.24 |
$86.24 |
$202.50
|
|
Vital capacity test
|
$72.24 |
$72.24 |
$72.24 |
$170.00
|
|
Vitamin b-12
|
$39.76 |
$39.76 |
$39.76 |
$89.70
|
|
Vitamin D Test
|
$72.80 |
$72.80 |
$72.80 |
$132.60
|
|
Volume measurement urine timed
|
$4.48 |
$4.48 |
$4.48 |
$17.40
|
|
Warde 1003990 aldosterone
|
$52.64 |
$52.64 |
$52.64 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$15.12 |
$15.12 |
$15.12 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$16.80 |
$16.80 |
$16.80 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$33.04 |
$33.04 |
$33.04 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$20.16 |
$20.16 |
$20.16 |
$83.06
|
|
Warde 1015200 kappa light chain free
|
$20.72 |
$20.72 |
$20.72 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$55.44 |
$55.44 |
$55.44 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$75.04 |
$75.04 |
$75.04 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$21.84 |
$21.84 |
$21.84 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$18.48 |
$18.48 |
$18.48 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$16.24 |
$16.24 |
$16.24 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$71.68 |
$71.68 |
$71.68 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$78.96 |
$78.96 |
$78.96 |
$79.30
|
|
Warde 3400852 arsenic
|
$25.76 |
$25.76 |
$25.76 |
$107.38
|
|
Warde 3708165 mercury urine
|
$21.84 |
$21.84 |
$21.84 |
$82.20
|
|
Warde actin (smooth muscle) antibody each
|
$26.88 |
$26.88 |
$26.88 |
$52.80
|
|
Warde adenosine deaminase pleural fluid
|
$85.68 |
$85.68 |
$85.68 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$73.36 |
$73.36 |
$73.36 |
$147.55
|
|
Warde aldolase
|
$7.95 |
$7.95 |
$7.95 |
$60.00
|
|
Warde amino acids 6 or more quantitative each specimen
|
$89.60 |
$89.60 |
$89.60 |
$177.60
|
|
Warde analysis gene hfe common variants
|
$70.00 |
$70.00 |
$70.00 |
$284.70
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$183.68 |
$183.68 |
$183.68 |
$403.20
|
|
Warde apolipoprotein b
|
$27.44 |
$27.44 |
$27.44 |
$80.60
|
|
Warde bile acids
|
$12.32 |
$12.32 |
$12.32 |
$76.70
|
|
Warde cadmium blood
|
$28.00 |
$28.00 |
$28.00 |
$79.20
|
|
Warde calcitonin
|
$13.59 |
$13.59 |
$13.59 |
$120.25
|
|
Warde calculus (stone) infrared
|
$5.04 |
$5.04 |
$5.04 |
$67.50
|
|
Warde clozapine therapeutic drug level
|
$11.20 |
$11.20 |
$11.20 |
$71.20
|
|
Warde cobalt heavy metal quantitative each nes
|
$25.76 |
$25.76 |
$25.76 |
$126.08
|
|
Warde complement total hemolytic
|
$128.80 |
$128.80 |
$128.80 |
$108.55
|
|
Warde copper
|
$16.24 |
$16.24 |
$16.24 |
$88.20
|
|
Warde cryoglobulin
|
$14.56 |
$14.56 |
$14.56 |
$52.45
|
|
Warde erythropoietin
|
$11.76 |
$11.76 |
$11.76 |
$92.50
|
|
Warde folic acid rbc
|
$37.52 |
$37.52 |
$37.52 |
$91.85
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$7.84 |
$7.84 |
$7.84 |
$65.00
|
