|
Unlisted resp px dx nuc med
|
$822.90 |
$822.90 |
$822.90 |
$670.60
|
|
Upgrade pm system
|
$290.62 |
$290.62 |
$290.62 |
$12,087.24
|
|
Upper Arm (Humerus) X-ray (left side)
|
$283.14 |
$283.14 |
$283.14 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,510.08 |
$1,510.08 |
$1,510.08 |
$1,652.95
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$902.46 |
$902.46 |
$902.46 |
$1,422.05
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,507.70 |
$2,507.70 |
$2,507.70 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$342.42 |
$342.42 |
$342.42 |
$320.45
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$427.44 |
$427.44 |
$427.44 |
$380.82
|
|
Upper Endoscopy (EGD, diagnostic)
|
$75.02 |
$75.02 |
$75.02 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$84.26 |
$84.26 |
$84.26 |
$1,768.00
|
|
Upper ext harvest for cabg1 seg 35600
|
$112.42 |
$112.42 |
$112.42 |
$627.20
|
|
Upper GI Barium X-ray (barium and gas)
|
$572.52 |
$572.52 |
$572.52 |
$657.77
|
|
Upper GI Barium X-ray (barium only)
|
$572.52 |
$572.52 |
$572.52 |
$603.20
|
|
Uppr gi scope w/submuc inj
|
$84.26 |
$84.26 |
$84.26 |
$1,872.00
|
|
Urachal cyst/sinus excision 51500
|
$395.12 |
$395.12 |
$395.12 |
$6,082.67
|
|
Urea nitrogen
|
$21.06 |
$21.06 |
$21.06 |
$42.00
|
|
Urea nitrogen 24 hour urine
|
$29.64 |
$29.64 |
$29.64 |
$51.77
|
|
Urea nitrogen clearance
|
$4.84 |
$4.84 |
$4.84 |
$34.02
|
|
Urea nitrogen semi-quant
|
$3.52 |
$3.52 |
$3.52 |
$10.40
|
|
Ureteral embolization/occl
|
$109.12 |
$109.12 |
$109.12 |
$2,079.31
|
|
Ureteral reflux study
|
$16.50 |
$16.50 |
$16.50 |
$952.50
|
|
Ureter endoscopy
|
$226.60 |
$226.60 |
$226.60 |
$3,326.40
|
|
Ureter endoscopy & biopsy
|
$215.60 |
$215.60 |
$215.60 |
$5,696.72
|
|
Ureter endoscopy & biopsy
|
$288.86 |
$288.86 |
$288.86 |
$5,986.78
|
|
Ureter endoscopy & catheter
|
$218.90 |
$218.90 |
$218.90 |
$3,326.40
|
|
Ureter endoscopy & treatment
|
$216.70 |
$216.70 |
$216.70 |
$6,015.75
|
|
Ureter endoscopy & treatment
|
$192.94 |
$192.94 |
$192.94 |
$5,631.74
|
|
Ureter endoscopy & treatment
|
$285.12 |
$285.12 |
$285.12 |
$5,986.78
|
|
Ureter endoscopy & treatment
|
$217.36 |
$217.36 |
$217.36 |
$5,631.74
|
|
Ureteroneocystostomy 50780
|
$686.62 |
$686.62 |
$686.62 |
$4,457.05
|
|
Ureteroureterostomy 50760
|
$695.64 |
$695.64 |
$695.64 |
$2,773.01
|
|
Urethrcystgrphy rtrgrde s&i
|
$9.46 |
$9.46 |
$9.46 |
$592.80
|
|
Urethrlys transvag with scope
|
$462.22 |
$462.22 |
$462.22 |
$4,081.37
|
|
Urethrocystography void s&i
|
$777.66 |
$777.66 |
$777.66 |
$631.75
|
|
Uric acid blood
|
$24.18 |
$24.18 |
$24.18 |
$48.96
|
|
Uric acid urine
|
$27.30 |
$27.30 |
$27.30 |
$44.14
|
|
Urinalysis glass test
|
$3.08 |
$3.08 |
$3.08 |
$11.20
|
|
Urinalysis microscopic only
|
$2.20 |
$2.20 |
$2.20 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.32 |
$1.32 |
$1.32 |
$25.72
|
|
Urinalysis (with microscopy)
|
$17.16 |
$17.16 |
$17.16 |
$54.60
|
|
Urinalysis (without microscopy)
|
$11.70 |
$11.70 |
$11.70 |
$35.15
|
|
Urinary bldr retent nuc study
|
$4.62 |
$4.62 |
$4.62 |
$350.66
|
|
Urinary reflex study
|
$34.54 |
$34.54 |
$34.54 |
$216.05
|
|
Urine Culture Test
|
$42.90 |
$42.90 |
$42.90 |
$81.00
|
|
Urine flow measurement 51736
|
$5.06 |
$5.06 |
$5.06 |
$210.00
|
|
Urine pregnancy test
|
$45.24 |
$45.24 |
$45.24 |
$66.87
|
|
Urine screen for bacteria
|
$19.80 |
$19.80 |
$19.80 |
$55.64
|
|
Urine shunt to intestine
|
$754.60 |
$754.60 |
$754.60 |
$1,588.56
|
|
Urine specimen collect mult
|
$6.16 |
$6.16 |
$6.16 |
$16.80
|
|
Urography, antegrade
|
$1,148.94 |
$1,148.94 |
$1,148.94 |
$622.35
|
|
Urography inf drip &/or bolus
|
$572.52 |
$572.52 |
$572.52 |
$642.50
|
|
Use 1st target lesion
|
$17.38 |
$17.38 |
$17.38 |
$332.00
|
|
Vaccine Administration (one shot)
|
$145.86 |
$145.86 |
$145.86 |
$67.74
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$31.46 |
$31.46 |
$31.46 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$68.53 |
$68.53 |
$68.53 |
$274.93
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$77.22 |
$77.22 |
$77.22 |
$77.22
|
|
Vaccine mmr live subcutaneous
|
$40.90 |
$40.90 |
$40.90 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$51.52 |
$51.52 |
$51.52 |
$251.64
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$124.28 |
$124.28 |
$124.28 |
$563.36
|
|
Vaccine rabies im
|
$191.23 |
$191.23 |
$191.23 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$134.99 |
$134.99 |
$134.99 |
$521.74
|
|
Vaccine tdap >=7 years im
|
$20.66 |
$20.66 |
$20.66 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$17.93 |
$17.93 |
$17.93 |
$110.19
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$615.12 |
$615.12 |
$615.12 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$767.58 |
$767.58 |
$767.58 |
$5,813.46
|
|
Vag hyst including t/o
|
$573.10 |
$573.10 |
$573.10 |
$5,110.00
|
|
Vag hyst t/o & repair compl
|
$808.50 |
$808.50 |
$808.50 |
$8,081.64
|
|
Vag hyst w/enterocele compl 58294
|
$751.30 |
$751.30 |
$751.30 |
$5,468.70
|
|
Vag hyst w/enterocele repair
|
$552.64 |
$552.64 |
$552.64 |
$5,463.96
|
|
Vaginal bx
|
$471.12 |
$471.12 |
$471.12 |
$471.12
|
|
Vaginal delivery after cesarean delivery 59612
|
$558.80 |
$558.80 |
$558.80 |
$3,866.47
|
|
Vaginal Delivery (full care)
|
$1,488.96 |
$1,488.96 |
$1,488.96 |
$4,184.00
|
|
Vaginal hysterectomy
|
$518.32 |
$518.32 |
$518.32 |
$5,766.00
|
|
Vaginectomy partial w/nodes
|
$1,071.84 |
$1,071.84 |
$1,071.84 |
$4,252.00
|
|
Vagnc compl rmvl paravag tis
|
$1,071.84 |
$1,071.84 |
$1,071.84 |
$2,421.98
|
|
Vagnc compl rmvl vag wall
|
$557.48 |
$557.48 |
$557.48 |
$1,171.72
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$69.08 |
$69.08 |
$69.08 |
$535.60
|
|
Vagotomy & pylorus repair
|
$746.46 |
$746.46 |
$746.46 |
$2,948.00
|
|
Vagotomy & pylorus repair 43640
|
$738.32 |
$738.32 |
$738.32 |
$2,215.20
|
|
Valproic acid total therapeutic drug level
|
$71.76 |
$71.76 |
$71.76 |
$114.48
|
|
Valvuloplasty aortic
|
$802.78 |
$802.78 |
$802.78 |
$7,830.80
|
|
Valvuloplasty aortic valve
|
$1,169.96 |
$1,169.96 |
$1,169.96 |
$5,068.00
|
|
Valvuloplasty aortic valve
|
$1,386.44 |
$1,386.44 |
$1,386.44 |
$6,624.80
|
|
Valvuloplasty mitral
|
$827.86 |
$827.86 |
$827.86 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$662.42 |
$662.42 |
$662.42 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$1,865.60 |
$1,865.60 |
$1,865.60 |
$7,556.80
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$1,479.72 |
$1,479.72 |
$1,479.72 |
$5,965.60
|
|
Vancomycin 1,000 mg intravenous injection
|
$12.54 |
$12.54 |
$12.54 |
$246.70
|
|
Vancomycin hcl injection
|
$6.19 |
$6.19 |
$6.19 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$71.76 |
$71.76 |
$71.76 |
$129.14
|
|
Vanomycin dna amp probe
|
$23.32 |
$23.32 |
$23.32 |
$78.40
|
|
Varicella zoster antibody igg
|
$67.86 |
$67.86 |
$67.86 |
$86.80
|
|
Vasc graft into carpal bone
|
$458.48 |
$458.48 |
$458.48 |
$4,350.00
|
|
Vasectomy
|
$142.78 |
$142.78 |
$142.78 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$163.55 |
$163.55 |
$163.55 |
$325.80
|
|
Vbac delivery 59610
|
$1,559.58 |
$1,559.58 |
$1,559.58 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$721.82 |
$721.82 |
$721.82 |
$2,285.60
|
|
Veeg cont 2-12 hrs
|
$1,086.54 |
$1,086.54 |
$1,086.54 |
$1,540.00
|
