|
Unlisted px small intestine
|
$2,471.15 |
$2,471.15 |
$2,471.15 |
$2,118.35
|
|
Unlisted px tongue flr mouth
|
$183.70 |
$183.70 |
$183.70 |
$274.80
|
|
Unlisted surgical path px
|
$29.70 |
$29.70 |
$29.70 |
$71.65
|
|
Unlisted transfusion med px
|
$141.35 |
$141.35 |
$141.35 |
$141.35
|
|
Unlisted ultrasound procedure
|
$321.20 |
$321.20 |
$321.20 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,872.75 |
$1,872.75 |
$1,872.75 |
$1,480.70
|
|
Upgrade pm system
|
$16,727.15 |
$16,727.15 |
$16,727.15 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,370.05 |
$1,370.05 |
$1,370.05 |
$1,656.60
|
|
Urea nitrogen
|
$45.10 |
$45.10 |
$45.10 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$31.35 |
$31.35 |
$31.35 |
$50.00
|
|
Ureteral embolization/occl
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$3,041.22
|
|
Urethrcystgrphy rtrgrde s&i
|
$570.90 |
$570.90 |
$570.90 |
$574.40
|
|
Urethrocystography void s&i
|
$577.50 |
$577.50 |
$577.50 |
$634.50
|
|
Uric acid blood
|
$32.45 |
$32.45 |
$32.45 |
$46.64
|
|
Uric acid urine
|
$75.90 |
$75.90 |
$75.90 |
$46.75
|
|
Urinalysis microscopic only
|
$40.70 |
$40.70 |
$40.70 |
$26.35
|
|
Urinalysis (with microscopy)
|
$39.05 |
$39.05 |
$39.05 |
$48.14
|
|
Urinalysis (without microscopy)
|
$23.10 |
$23.10 |
$23.10 |
$38.99
|
|
Urine Culture Test
|
$60.50 |
$60.50 |
$60.50 |
$84.81
|
|
Urine flow measurement 51736
|
$26.40 |
$26.40 |
$26.40 |
$152.54
|
|
Urine pregnancy test
|
$72.05 |
$72.05 |
$72.05 |
$66.40
|
|
Urography, antegrade
|
$470.80 |
$470.80 |
$470.80 |
$593.37
|
|
Use 1st target lesion
|
$245.30 |
$245.30 |
$245.30 |
$245.30
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$42.90 |
$42.90 |
$42.90 |
$45.33
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$316.80 |
$316.80 |
$316.80 |
$686.67
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$24.75 |
$24.75 |
$24.75 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$24.20 |
$24.20 |
$24.20 |
$40.01
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$423.72 |
$423.72 |
$423.72 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$80.52 |
$80.52 |
$80.52 |
$150.76
|
|
Vaginal bx
|
$227.15 |
$227.15 |
$227.15 |
$441.75
|
|
Valproic acid total therapeutic drug level
|
$51.70 |
$51.70 |
$51.70 |
$115.00
|
|
Valvuloplasty aortic
|
$5,536.30 |
$5,536.30 |
$5,536.30 |
$7,324.85
|
|
Valvuloplasty mitral
|
$6,930.00 |
$6,930.00 |
$6,930.00 |
$10,435.39
|
|
Vancomycin peak therapeutic drug level
|
$99.55 |
$99.55 |
$99.55 |
$126.79
|
|
Varicella zoster antibody igg
|
$121.55 |
$121.55 |
$121.55 |
$82.55
|
|
Vasc emb/occ w/prs cath
|
$33,075.90 |
$33,075.90 |
$33,075.90 |
$21,249.26
|
|
Vasectomy
|
$485.10 |
$485.10 |
$485.10 |
$2,424.12
|
|
Veeg cont 2-12 hrs
|
$1,666.50 |
$1,666.50 |
$1,666.50 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$3,332.45 |
$3,332.45 |
$3,332.45 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$1,583.45 |
$1,583.45 |
$1,583.45 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$2,333.10 |
$2,333.10 |
$2,333.10 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$1,167.10 |
$1,167.10 |
$1,167.10 |
$704.79
|
|
Vein x-ray adrenal gland
|
$1,999.80 |
$1,999.80 |
$1,999.80 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$3,999.60 |
$3,999.60 |
$3,999.60 |
$3,999.60
|
|
Vein x-ray kidney
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$2,716.20
|
|
Vein x-ray liver
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,048.65 |
$3,048.65 |
$3,048.65 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$1,731.95 |
$1,731.95 |
$1,731.95 |
$2,489.25
|
|
Vein x-ray skull
|
$1,334.85 |
$1,334.85 |
$1,334.85 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,453.10 |
$1,453.10 |
$1,453.10 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$653.40 |
$653.40 |
$653.40 |
$82.11
|
|
Venogram ext bil s&i
|
$2,078.45 |
$2,078.45 |
$2,078.45 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,039.50 |
$1,039.50 |
$1,039.50 |
$1,326.00
|
|
Venous mech thrombectomy
|
$5,286.05 |
$5,286.05 |
$5,286.05 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$3,945.70 |
$3,945.70 |
$3,945.70 |
$5,352.00
|
|
Venous sampling s&i
|
$3,386.90 |
$3,386.90 |
$3,386.90 |
$4,416.78
|
|
Ventilator each subsequent day
|
$823.90 |
$823.90 |
$823.90 |
$1,305.92
|
|
Ventilator initial day
|
$898.15 |
$898.15 |
$898.15 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$2,049.30 |
$2,049.30 |
$2,049.30 |
$1,081.00
|
|
Version cephalic external
|
$2,829.20 |
$2,829.20 |
$2,829.20 |
$2,598.57
|
|
Very long chain fatty acids
|
$31.35 |
$31.35 |
$31.35 |
$140.40
|
|
Virus isolation addl studies ea
|
$62.70 |
$62.70 |
$62.70 |
$90.35
|
|
Visit established high 40-54 minutes/level 5
|
$124.30 |
$124.30 |
$124.30 |
$287.73
|
|
Vital capacity test
|
$231.00 |
$231.00 |
$231.00 |
$173.33
|
|
Vitamin b-12
|
$47.85 |
$47.85 |
$47.85 |
$94.90
|
|
Vitamin D Test
|
$83.60 |
$83.60 |
$83.60 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$386.10 |
$386.10 |
$386.10 |
$463.40
|
|
Vol reduction of blood/prod
|
$90.75 |
$90.75 |
$90.75 |
$131.25
|
|
Volume measurement urine timed
|
$37.95 |
$37.95 |
$37.95 |
$21.45
|
|
Warde 1003990 aldosterone
|
$140.25 |
$140.25 |
$140.25 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$133.65 |
$133.65 |
$133.65 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$99.55 |
$99.55 |
$99.55 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$177.65 |
$177.65 |
$177.65 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$167.20 |
$167.20 |
$167.20 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$83.05 |
$83.05 |
$83.05 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$12.10 |
$12.10 |
$12.10 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$53.90 |
$53.90 |
$53.90 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$43.45 |
$43.45 |
$43.45 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$94.60 |
$94.60 |
$94.60 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$121.55 |
$121.55 |
$121.55 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$56.65 |
$56.65 |
$56.65 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$54.45 |
$54.45 |
$54.45 |
$78.57
|
|
Warde 3400852 arsenic
|
$149.05 |
$149.05 |
$149.05 |
$105.12
|
|
Warde 3708165 mercury urine
|
$44.00 |
$44.00 |
$44.00 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$149.60 |
$149.60 |
$149.60 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$29.70 |
$29.70 |
$29.70 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$185.90 |
$185.90 |
$185.90 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$116.05 |
$116.05 |
$116.05 |
$129.75
|
|
Warde aldolase
|
$42.90 |
$42.90 |
$42.90 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$428.45 |
$428.45 |
$428.45 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$39.60 |
$39.60 |
$39.60 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$425.70 |
$425.70 |
$425.70 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$343.20 |
$343.20 |
$343.20 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$237.60 |
$237.60 |
$237.60 |
$142.65
|
