|
Troponin quantitative
|
$93.60 |
$93.60 |
$93.60 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,446.48
|
|
Tte w or without fol w/cont, com
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$1,453.15
|
|
Ugt1a1 gene analy common variants
|
$1,498.90 |
$1,498.90 |
$1,498.90 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$518.05 |
$518.05 |
$518.05 |
$403.26
|
|
Ultrasound breast complete
|
$1,056.25 |
$1,056.25 |
$1,056.25 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$890.50 |
$890.50 |
$890.50 |
$449.35
|
|
Ultrasound chest
|
$581.10 |
$581.10 |
$581.10 |
$459.55
|
|
Ultrasound elastography parenchyma
|
$330.20 |
$330.20 |
$330.20 |
$284.25
|
|
Ultrasound encephalogram
|
$542.10 |
$542.10 |
$542.10 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$670.80 |
$670.80 |
$670.80 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$656.47 |
$656.47 |
$656.47 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$567.45 |
$567.45 |
$567.45 |
$701.35
|
|
Ultrasound guide intraoperative
|
$724.75 |
$724.75 |
$724.75 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$961.35 |
$961.35 |
$961.35 |
$498.40
|
|
Ultrasound joint complete left
|
$771.55 |
$771.55 |
$771.55 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$567.45 |
$567.45 |
$567.45 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$368.55 |
$368.55 |
$368.55 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$333.45 |
$333.45 |
$333.45 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$847.60 |
$847.60 |
$847.60 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$638.30 |
$638.30 |
$638.30 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$655.85 |
$655.85 |
$655.85 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$656.50 |
$656.50 |
$656.50 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$719.55 |
$719.55 |
$719.55 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$750.10 |
$750.10 |
$750.10 |
$498.00
|
|
Ultrasound scrotum and contents
|
$834.60 |
$834.60 |
$834.60 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$625.30 |
$625.30 |
$625.30 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$433.55 |
$433.55 |
$433.55 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$872.95 |
$872.95 |
$872.95 |
$567.44
|
|
Unit mobile power mpu
|
$17,052.34 |
$17,052.34 |
$17,052.34 |
$17,052.34
|
|
Unlisted chemotherapy px
|
$578.50 |
$578.50 |
$578.50 |
$153.85
|
|
Unlisted CT procedure
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$247.65 |
$247.65 |
$247.65 |
$324.85
|
|
Unlisted mr procedure
|
$273.65 |
$273.65 |
$273.65 |
$1,032.20
|
|
Unlisted procedure colon
|
$1,484.60 |
$1,484.60 |
$1,484.60 |
$1,580.44
|
|
Unlisted procedure microbiology
|
$487.50 |
$487.50 |
$487.50 |
$487.50
|
|
Unlisted procedure pancreas
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$2,967.75
|
|
Unlisted px biliary tract
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$2,718.10
|
|
Unlisted px male genital sys
|
$452.40 |
$452.40 |
$452.40 |
$897.95
|
|
Unlisted px pelvis/hip joint
|
$4,206.80 |
$4,206.80 |
$4,206.80 |
$2,108.82
|
|
Unlisted px small intestine
|
$1,484.60 |
$1,484.60 |
$1,484.60 |
$2,118.35
|
|
Unlisted reprod med lab proc
|
$85.15 |
$85.15 |
$85.15 |
$70.00
|
|
Unlisted ultrasound procedure
|
$480.35 |
$480.35 |
$480.35 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,899.00 |
$2,899.00 |
$2,899.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,761.20 |
$2,761.20 |
$2,761.20 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,066.35 |
$2,066.35 |
$2,066.35 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$2,222.35 |
$2,222.35 |
$2,222.35 |
$1,656.60
|
|
Uppr gi scope w/submuc inj
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$1,773.85
|
|
Urea nitrogen
|
$22.10 |
$22.10 |
$22.10 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$37.70 |
$37.70 |
$37.70 |
$50.00
|
|
Urea nitrogen clearance
|
$20.15 |
$20.15 |
$20.15 |
$33.57
|
|
Ureteral embolization/occl
|
$999.05 |
$999.05 |
$999.05 |
$3,041.22
|
|
Ureteral reflux study
|
$1,962.35 |
$1,962.35 |
$1,962.35 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$932.10 |
$932.10 |
$932.10 |
$574.40
|
|
Urethrocystography void s&i
|
$737.10 |
$737.10 |
$737.10 |
$634.50
|
|
Uric acid blood
|
$29.90 |
$29.90 |
$29.90 |
$46.64
|
|
Uric acid urine
|
$41.60 |
$41.60 |
$41.60 |
$46.75
|
|
Urinalysis microscopic only
|
$38.35 |
$38.35 |
$38.35 |
$26.35
|
|
Urinalysis (with microscopy)
|
$43.55 |
$43.55 |
$43.55 |
$48.14
|
|
Urinalysis (without microscopy)
|
$29.90 |
$29.90 |
$29.90 |
$38.99
|
|
Urine Culture Test
|
$35.75 |
$35.75 |
$35.75 |
$84.81
|
|
Urine pregnancy test
|
$56.55 |
$56.55 |
$56.55 |
$66.40
|
|
Urography, antegrade
|
$561.60 |
$561.60 |
$561.60 |
$593.37
|
|
Vaccine dtap < 7 years im
|
$110.37 |
$110.37 |
$110.37 |
$87.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$59.28 |
$59.28 |
$59.28 |
$45.33
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$217.85 |
$217.85 |
$217.85 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$109.69 |
$109.69 |
$109.69 |
$79.04
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$384.64 |
$384.64 |
$384.64 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$303.88 |
$303.88 |
$303.88 |
$157.41
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$89.80 |
$89.80 |
$89.80 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$30.42 |
$30.42 |
$30.42 |
$40.01
|
|
Vaccine mmr live subcutaneous
|
$312.09 |
$312.09 |
$312.09 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$737.88 |
$737.88 |
$737.88 |
$715.41
|
|
Vaccine rabies im
|
$1,173.89 |
$1,173.89 |
$1,173.89 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$167.54 |
$167.54 |
$167.54 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$144.53 |
$144.53 |
$144.53 |
$131.77
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,172.01 |
$1,172.01 |
$1,172.01 |
$1,683.99
|
|
Vad cable power module dc input
|
$601.65 |
$601.65 |
$601.65 |
$601.65
|
|
Vad univ batt charger hm 1440
|
$15,347.90 |
$15,347.90 |
$15,347.90 |
$14,929.92
|
|
Vaginal bx
|
$576.55 |
$576.55 |
$576.55 |
$441.75
|
|
Valproic acid total therapeutic drug level
|
$87.75 |
$87.75 |
$87.75 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$80.80 |
$80.80 |
$80.80 |
$204.01
|
|
Vancomycin 750 mg intravenous solution
|
$149.11 |
$149.11 |
$149.11 |
$129.78
|
|
Vancomycin hcl injection
|
$16.05 |
$16.05 |
$16.05 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$87.75 |
$87.75 |
$87.75 |
$126.79
|
|
Varicella zoster antibody igg
|
$107.90 |
$107.90 |
$107.90 |
$82.55
|
|
Vasectomy
|
$4,267.25 |
$4,267.25 |
$4,267.25 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$111.83 |
$111.83 |
$111.83 |
$394.13
|
|
Vedolizumab 300 mg intravenous solution
|
$30,377.88 |
$30,377.88 |
$30,377.88 |
$23,003.79
|
|
Vein x-ray adrenal gland
|
$1,112.15 |
$1,112.15 |
$1,112.15 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$1,489.80 |
$1,489.80 |
$1,489.80 |
$3,999.60
|
|
Vein x-ray kidney
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$2,716.20
|
|
Vein x-ray liver
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$3,080.35 |
$3,080.35 |
$3,080.35 |
$2,489.25
|
|
Vein x-ray skull
|
$2,307.50 |
$2,307.50 |
$2,307.50 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$1,314.30 |
$1,314.30 |
$1,314.30 |
$1,344.60
|
