|
Umbilical artery cath newborn 36660
|
$146.30 |
$146.30 |
$146.30 |
$265.85
|
|
Unlisted chemotherapy px
|
$67.98 |
$67.98 |
$67.98 |
$153.85
|
|
Unlisted cranfcl&maxlfcl px
|
$392.92 |
$392.92 |
$392.92 |
$3,786.00
|
|
Unlisted gi px dx nuc med
|
$596.64 |
$596.64 |
$596.64 |
$549.70
|
|
Unlisted procedure eyelids
|
$700.15 |
$700.15 |
$700.15 |
$479.62
|
|
Unlisted procedure pancreas
|
$729.41 |
$729.41 |
$729.41 |
$2,967.75
|
|
Unlisted procedure rectum
|
$552.80 |
$552.80 |
$552.80 |
$1,278.72
|
|
Unlisted px abdomen muscskel
|
$395.01 |
$395.01 |
$395.01 |
$2,633.80
|
|
Unlisted px ant segment eye
|
$693.00 |
$693.00 |
$693.00 |
$2,698.92
|
|
Unlisted px casting/strpg
|
$95.04 |
$95.04 |
$95.04 |
$224.93
|
|
Unlisted px male genital sys
|
$216.32 |
$216.32 |
$216.32 |
$897.95
|
|
Unlisted px med radj physics
|
$252.75 |
$252.75 |
$252.75 |
$376.03
|
|
Unlisted px salivry glnd/dux
|
$514.14 |
$514.14 |
$514.14 |
$486.72
|
|
Unlisted px small intestine
|
$2,931.22 |
$2,931.22 |
$2,931.22 |
$2,118.35
|
|
Unlisted px tongue flr mouth
|
$241.92 |
$241.92 |
$241.92 |
$274.80
|
|
Unlisted ultrasound procedure
|
$354.96 |
$354.96 |
$354.96 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,653.96 |
$1,653.96 |
$1,653.96 |
$1,480.70
|
|
Upgrade pm system
|
$12,395.79 |
$12,395.79 |
$12,395.79 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,304.16 |
$1,304.16 |
$1,304.16 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,180.08 |
$1,180.08 |
$1,180.08 |
$2,013.08
|
|
Urea nitrogen
|
$24.20 |
$24.20 |
$24.20 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$33.55 |
$33.55 |
$33.55 |
$50.00
|
|
Ureteral reflux study
|
$349.14 |
$349.14 |
$349.14 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$527.34 |
$527.34 |
$527.34 |
$574.40
|
|
Urethrocystography void s&i
|
$671.22 |
$671.22 |
$671.22 |
$634.50
|
|
Uric acid blood
|
$28.05 |
$28.05 |
$28.05 |
$46.64
|
|
Uric acid urine
|
$78.65 |
$78.65 |
$78.65 |
$46.75
|
|
Urinalysis microscopic only
|
$24.20 |
$24.20 |
$24.20 |
$26.35
|
|
Urinalysis (with microscopy)
|
$39.05 |
$39.05 |
$39.05 |
$48.14
|
|
Urinalysis (without microscopy)
|
$46.20 |
$46.20 |
$46.20 |
$38.99
|
|
Urine Culture Test
|
$40.15 |
$40.15 |
$40.15 |
$84.81
|
|
Urine pregnancy test
|
$47.30 |
$47.30 |
$47.30 |
$66.40
|
|
Urography, antegrade
|
$591.36 |
$591.36 |
$591.36 |
$593.37
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$268.62 |
$268.62 |
$268.62 |
$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
|
$42.90 |
$42.90 |
$42.90 |
$40.01
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$203.28 |
$203.28 |
$203.28 |
$499.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$225.06 |
$225.06 |
$225.06 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$381.48 |
$381.48 |
$381.48 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$63.36 |
$63.36 |
$63.36 |
$150.76
|
|
Vaginal bx
|
$37.62 |
$37.62 |
$37.62 |
$441.75
|
|
Valproic acid total therapeutic drug level
|
$75.90 |
$75.90 |
$75.90 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$123.20 |
$123.20 |
$123.20 |
$126.79
|
|
Varicella zoster antibody igg
|
$117.70 |
$117.70 |
$117.70 |
$82.55
|
|
Veeg cont 2-12 hrs
|
$913.83 |
$913.83 |
$913.83 |
$1,485.05
|
|
Veeg intrmnt 2-12 hrs
|
$499.14 |
$499.14 |
$499.14 |
$904.90
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$289.08 |
$289.08 |
$289.08 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$250.80 |
$250.80 |
$250.80 |
$82.11
|
|
Venogram ext bil s&i
|
$938.52 |
$938.52 |
$938.52 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$469.26 |
$469.26 |
$469.26 |
$1,326.00
|
|
Venous mech thrombectomy
|
$7,072.56 |
$7,072.56 |
$7,072.56 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$6,947.68 |
$6,947.68 |
$6,947.68 |
$5,352.00
|
|
Ventilator each subsequent day
|
$474.43 |
$474.43 |
$474.43 |
$1,305.92
|
|
Ventilator initial day
|
$851.68 |
$851.68 |
$851.68 |
$1,540.80
|
|
Version cephalic external
|
$1,980.28 |
$1,980.28 |
$1,980.28 |
$2,598.57
|
|
Virus isolation addl studies ea
|
$111.10 |
$111.10 |
$111.10 |
$90.35
|
|
Visit established high 40-54 minutes/level 5
|
$61.74 |
$61.74 |
$61.74 |
$287.73
|
|
Vital capacity test
|
$355.27 |
$355.27 |
$355.27 |
$173.33
|
|
Vitamin b-12
|
$78.10 |
$78.10 |
$78.10 |
$94.90
|
|
Vitamin D Test
|
$104.50 |
$104.50 |
$104.50 |
$132.00
|
|
Volume measurement urine timed
|
$19.80 |
$19.80 |
$19.80 |
$21.45
|
|
Warde 1003990 aldosterone
|
$291.50 |
$291.50 |
$291.50 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$419.10 |
$419.10 |
$419.10 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$47.85 |
$47.85 |
$47.85 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$398.20 |
$398.20 |
$398.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$88.55 |
$88.55 |
$88.55 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$43.45 |
$43.45 |
$43.45 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$57.20 |
$57.20 |
$57.20 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$342.10 |
$342.10 |
$342.10 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$43.45 |
$43.45 |
$43.45 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$43.45 |
$43.45 |
$43.45 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$50.05 |
$50.05 |
$50.05 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$95.15 |
$95.15 |
$95.15 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$79.20 |
$79.20 |
$79.20 |
$78.57
|
|
Warde 3400852 arsenic
|
$272.80 |
$272.80 |
$272.80 |
$105.12
|
|
Warde 3708165 mercury urine
|
$221.65 |
$221.65 |
$221.65 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$50.60 |
$50.60 |
$50.60 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$52.80 |
$52.80 |
$52.80 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$141.90 |
$141.90 |
$141.90 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$271.15 |
$271.15 |
$271.15 |
$129.75
|
|
Warde aldolase
|
$79.20 |
$79.20 |
$79.20 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$312.40 |
$312.40 |
$312.40 |
$176.20
|
|
Warde analysis gene hfe common variants
|
$244.20 |
$244.20 |
$244.20 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$848.10 |
$848.10 |
$848.10 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$246.95 |
$246.95 |
$246.95 |
$142.65
|
|
Warde anti-mullerian hormone
|
$42.90 |
$42.90 |
$42.90 |
$93.28
|
|
Warde apolipoprotein b
|
$87.45 |
$87.45 |
$87.45 |
$64.28
|
|
Warde bile acids
|
$49.50 |
$49.50 |
$49.50 |
$64.28
|
|
Warde cadmium blood
|
$167.75 |
$167.75 |
$167.75 |
$77.00
|
|
Warde calcitonin
|
$185.35 |
$185.35 |
$185.35 |
$89.40
|
|
Warde calculus (stone) infrared
|
$156.20 |
$156.20 |
$156.20 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$139.15 |
$139.15 |
$139.15 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$158.40 |
$158.40 |
$158.40 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$134.75 |
$134.75 |
$134.75 |
$90.40
|
|
Warde complement total hemolytic
|
$78.10 |
$78.10 |
$78.10 |
$105.00
|
|
Warde copper
|
$199.10 |
$199.10 |
$199.10 |
$80.00
|
|
Warde cryoglobulin
|
$79.75 |
$79.75 |
$79.75 |
$43.45
|
|
Warde erythropoietin
|
$195.25 |
$195.25 |
$195.25 |
$90.35
|
|
Warde estrogen fractionated
|
$216.70 |
$216.70 |
$216.70 |
$112.18
|
