|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$509.00 |
$509.00 |
$509.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$181.50 |
$181.50 |
$181.50 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$163.50 |
$163.50 |
$163.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$87.50 |
$87.50 |
$87.50 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$244.25 |
$244.25 |
$244.25 |
$486.50
|
|
Ultrasound scrotum and contents
|
$163.00 |
$163.00 |
$163.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$129.25 |
$129.25 |
$129.25 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$148.75 |
$148.75 |
$148.75 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$157.75 |
$157.75 |
$157.75 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$213.75 |
$213.75 |
$213.75 |
$206.64
|
|
Unlisted chemotherapy px
|
$156.25 |
$156.25 |
$156.25 |
$150.00
|
|
Unlisted maaa
|
$198.75 |
$198.75 |
$198.75 |
$235.20
|
|
Unlisted mr procedure
|
$414.25 |
$414.25 |
$414.25 |
$1,163.00
|
|
Unlisted muscskel px dx nuc
|
$2,686.25 |
$2,686.25 |
$2,686.25 |
$1,279.98
|
|
Unlisted procedure colon
|
$575.75 |
$575.75 |
$575.75 |
$1,702.50
|
|
Unlisted procedure esophagus
|
$428.75 |
$428.75 |
$428.75 |
$1,998.88
|
|
Unlisted procedure rectum
|
$289.00 |
$289.00 |
$289.00 |
$1,220.35
|
|
Unlisted px ant segment eye
|
$761.25 |
$761.25 |
$761.25 |
$2,698.92
|
|
Unlisted px casting/strpg
|
$52.00 |
$52.00 |
$52.00 |
$219.70
|
|
Unlisted px male genital sys
|
$90.00 |
$90.00 |
$90.00 |
$343.55
|
|
Unlisted px palate uvula
|
$183.00 |
$183.00 |
$183.00 |
$274.80
|
|
Unlisted px salivry glnd/dux
|
$715.50 |
$715.50 |
$715.50 |
$1,265.16
|
|
Unlisted px small intestine
|
$1,479.50 |
$1,479.50 |
$1,479.50 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$72.00 |
$72.00 |
$72.00 |
$282.50
|
|
Unsched dialysis esrd pt hos
|
$315.50 |
$315.50 |
$315.50 |
$1,268.17
|
|
Upgrade pm system
|
$9,526.50 |
$9,526.50 |
$9,526.50 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,637.25 |
$1,637.25 |
$1,637.25 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,505.25 |
$1,505.25 |
$1,505.25 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$2,034.41
|
|
Urea nitrogen
|
$38.25 |
$38.25 |
$38.25 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$62.50 |
$62.50 |
$62.50 |
$51.75
|
|
Ureteral embolization/occl
|
$468.75 |
$468.75 |
$468.75 |
$2,181.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$236.25 |
$236.25 |
$236.25 |
$579.73
|
|
Urethrocystography void s&i
|
$245.25 |
$245.25 |
$245.25 |
$622.35
|
|
Uric acid blood
|
$41.25 |
$41.25 |
$41.25 |
$48.75
|
|
Uric acid urine
|
$71.75 |
$71.75 |
$71.75 |
$44.33
|
|
Urinalysis qual/semiquant excpt ia
|
$2.00 |
$2.00 |
$2.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$2.50 |
$2.50 |
$2.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$39.75 |
$39.75 |
$39.75 |
$35.75
|
|
Urine Culture Test
|
$75.00 |
$75.00 |
$75.00 |
$81.50
|
|
Urine pregnancy test
|
$65.50 |
$65.50 |
$65.50 |
$67.20
|
|
Urography, antegrade
|
$438.25 |
$438.25 |
$438.25 |
$622.35
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$17.68 |
$17.68 |
$17.68 |
$143.20
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$4.58 |
$4.58 |
$4.58 |
$33.60
|
|
Vaginal bx
|
$48.00 |
$48.00 |
$48.00 |
$455.94
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$3,843.60
|
|
Valproic acid total therapeutic drug level
|
$129.25 |
$129.25 |
$129.25 |
$114.72
|
|
Valrubicin injection
|
$1,021.91 |
$1,021.91 |
$1,021.91 |
$2,813.49
|
|
Vancomycin hcl injection
|
$376.71 |
$376.71 |
$376.71 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$129.25 |
$129.25 |
$129.25 |
$136.13
|
|
Varicella zoster antibody igg
|
$121.50 |
$121.50 |
$121.50 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,194.24 |
$1,194.24 |
$1,194.24 |
$325.80
|
|
Vein x-ray adrenal gland
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$2,845.80
|
|
Vein x-ray adrenal glands
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,935.00
|
|
Vein x-ray kidney
|
$1,637.25 |
$1,637.25 |
$1,637.25 |
$2,766.73
|
|
Vein x-ray liver
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$846.50 |
$846.50 |
$846.50 |
$2,452.80
|
|
Vein x-ray skull
|
$684.75 |
$684.75 |
$684.75 |
$2,141.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$205.25 |
$205.25 |
$205.25 |
$202.80
|
|
Venogram ext bil s&i
|
$663.25 |
$663.25 |
$663.25 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$663.25 |
$663.25 |
$663.25 |
$1,366.20
|
|
Venous mech thrombectomy
|
$3,667.75 |
$3,667.75 |
$3,667.75 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$3,667.75 |
$3,667.75 |
$3,667.75 |
$5,094.75
|
|
Venous sampling s&i
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$4,193.20
|
|
Ventilator each subsequent day
|
$747.50 |
$747.50 |
$747.50 |
$1,204.00
|
|
Ventilator initial day
|
$888.75 |
$888.75 |
$888.75 |
$1,431.43
|
|
Vinblastine 1 mg/ml intravenous solution
|
$36.92 |
$36.92 |
$36.92 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$7.39 |
$7.39 |
$7.39 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$264.88 |
$264.88 |
$264.88 |
$223.55
|
|
Visit established high 40-54 minutes/level 5
|
$52.50 |
$52.50 |
$52.50 |
$227.50
|
|
Vitamin b-12
|
$143.00 |
$143.00 |
$143.00 |
$100.00
|
|
Vitamin D Test
|
$305.00 |
$305.00 |
$305.00 |
$132.00
|
|
Volume measurement urine timed
|
$29.50 |
$29.50 |
$29.50 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$60.71 |
$60.71 |
$60.71 |
$165.81
|
|
Warde 1003990 aldosterone
|
$381.00 |
$381.00 |
$381.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$40.75 |
$40.75 |
$40.75 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$122.25 |
$122.25 |
$122.25 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$154.00 |
$154.00 |
$154.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$128.50 |
$128.50 |
$128.50 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$31.25 |
$31.25 |
$31.25 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$275.25 |
$275.25 |
$275.25 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$49.25 |
$49.25 |
$49.25 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$63.50 |
$63.50 |
$63.50 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$63.50 |
$63.50 |
$63.50 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$33.75 |
$33.75 |
$33.75 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$108.25 |
$108.25 |
$108.25 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$32.50 |
$32.50 |
$32.50 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$120.50 |
$120.50 |
$120.50 |
$218.40
|
|
Warde 3400852 arsenic
|
$118.50 |
$118.50 |
$118.50 |
$100.88
|
|
Warde 3708165 mercury urine
|
$150.00 |
$150.00 |
$150.00 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$14.25 |
$14.25 |
$14.25 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$9.50 |
$9.50 |
$9.50 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$105.75 |
$105.75 |
$105.75 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$350.75 |
$350.75 |
$350.75 |
$151.20
|
|
Warde aldolase
|
$92.50 |
$92.50 |
$92.50 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$222.00 |
$222.00 |
$222.00 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$19.25 |
$19.25 |
$19.25 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$361.50 |
$361.50 |
$361.50 |
$267.28
|
