|
Trnscath tx thromblytc vein ini day
|
$24,154.00 |
$24,154.00 |
$24,154.00 |
$4,329.36
|
|
Troponin quantitative
|
$69.55 |
$69.55 |
$69.55 |
$123.75
|
|
Tte w or without fol w/con,stres
|
$1,529.45 |
$1,529.45 |
$1,529.45 |
$1,573.00
|
|
Tte w or without fol w/cont, com
|
$1,838.85 |
$1,838.85 |
$1,838.85 |
$1,220.31
|
|
Tx atrial fib pulm vein isol
|
$55,396.25 |
$55,396.25 |
$55,396.25 |
$32,426.20
|
|
Tx l/r atrial fib addl
|
$4,657.25 |
$4,657.25 |
$4,657.25 |
$7,717.80
|
|
Ublituximab-xiiy 25 mg/ml intravenous solution
|
$30,008.84 |
$30,008.84 |
$30,008.84 |
$15,137.87
|
|
Ugt1a1 gene analy common variants
|
$456.30 |
$456.30 |
$456.30 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$481.00 |
$481.00 |
$481.00 |
$403.26
|
|
Ultrasound breast complete
|
$1,043.90 |
$1,043.90 |
$1,043.90 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$630.50 |
$630.50 |
$630.50 |
$449.35
|
|
Ultrasound chest
|
$391.30 |
$391.30 |
$391.30 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$397.15 |
$397.15 |
$397.15 |
$340.14
|
|
Ultrasound elastography parenchyma
|
$720.20 |
$720.20 |
$720.20 |
$284.25
|
|
Ultrasound encephalogram
|
$642.20 |
$642.20 |
$642.20 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$497.90 |
$497.90 |
$497.90 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$624.65 |
$624.65 |
$624.65 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$657.80 |
$657.80 |
$657.80 |
$701.35
|
|
Ultrasound guide intraoperative
|
$833.95 |
$833.95 |
$833.95 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$1,023.75 |
$1,023.75 |
$1,023.75 |
$498.40
|
|
Ultrasound joint complete left
|
$663.65 |
$663.65 |
$663.65 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$472.55 |
$472.55 |
$472.55 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$397.15 |
$397.15 |
$397.15 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$316.55 |
$316.55 |
$316.55 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$802.10 |
$802.10 |
$802.10 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$475.80 |
$475.80 |
$475.80 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$417.30 |
$417.30 |
$417.30 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$463.45 |
$463.45 |
$463.45 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$930.80 |
$930.80 |
$930.80 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$506.35 |
$506.35 |
$506.35 |
$498.00
|
|
Ultrasound scrotum and contents
|
$503.75 |
$503.75 |
$503.75 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$639.60 |
$639.60 |
$639.60 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$547.30 |
$547.30 |
$547.30 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$563.55 |
$563.55 |
$563.55 |
$567.44
|
|
Unit mobile power mpu
|
$16,460.01 |
$16,460.01 |
$16,460.01 |
$16,315.20
|
|
Unlisted chemotherapy px
|
$570.70 |
$570.70 |
$570.70 |
$153.85
|
|
Unlisted CT procedure
|
$2,150.20 |
$2,150.20 |
$2,150.20 |
$1,043.00
|
|
Unlisted fluoroscopic px
|
$2,466.10 |
$2,466.10 |
$2,466.10 |
$324.85
|
|
Unlisted mr procedure
|
$442.00 |
$442.00 |
$442.00 |
$1,032.20
|
|
Unlisted procedure colon
|
$529.75 |
$529.75 |
$529.75 |
$1,580.44
|
|
Unlisted procedure microbiology
|
$487.50 |
$487.50 |
$487.50 |
$487.50
|
|
Unlisted procedure pancreas
|
$1,836.90 |
$1,836.90 |
$1,836.90 |
$2,967.75
|
|
Unlisted procedure spine
|
$4,745.00 |
$4,745.00 |
$4,745.00 |
$4,706.35
|
|
Unlisted px biliary tract
|
$1,836.90 |
$1,836.90 |
$1,836.90 |
$2,718.10
|
|
Unlisted px male genital sys
|
$522.60 |
$522.60 |
$522.60 |
$897.95
|
|
Unlisted px pelvis/hip joint
|
$1,693.90 |
$1,693.90 |
$1,693.90 |
$2,108.82
|
|
Unlisted px small intestine
|
$613.60 |
$613.60 |
$613.60 |
$2,118.35
|
|
Unlisted reprod med lab proc
|
$152.10 |
$152.10 |
$152.10 |
$70.00
|
|
Unlisted ultrasound procedure
|
$689.00 |
$689.00 |
$689.00 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$1,480.70
|
|
Upgrade pm system
|
$22,350.25 |
$22,350.25 |
$22,350.25 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,600.35 |
$3,600.35 |
$3,600.35 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,272.75 |
$3,272.75 |
$3,272.75 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,975.70 |
$2,975.70 |
$2,975.70 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,656.60
|
|
Uppr gi scope w/submuc inj
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,773.85
|
|
Urea nitrogen
|
$11.70 |
$11.70 |
$11.70 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$58.50 |
$58.50 |
$58.50 |
$50.00
|
|
Urea nitrogen clearance
|
$38.35 |
$38.35 |
$38.35 |
$33.57
|
|
Ureteral reflux study
|
$2,653.95 |
$2,653.95 |
$2,653.95 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$988.65 |
$988.65 |
$988.65 |
$574.40
|
|
Urethrocystography void s&i
|
$994.50 |
$994.50 |
$994.50 |
$634.50
|
|
Uric acid blood
|
$18.85 |
$18.85 |
$18.85 |
$46.64
|
|
Uric acid urine
|
$110.50 |
$110.50 |
$110.50 |
$46.75
|
|
Urinalysis microscopic only
|
$66.30 |
$66.30 |
$66.30 |
$26.35
|
|
Urinalysis (with microscopy)
|
$9.75 |
$9.75 |
$9.75 |
$48.14
|
|
Urinalysis (without microscopy)
|
$48.10 |
$48.10 |
$48.10 |
$38.99
|
|
Urine Culture Test
|
$104.65 |
$104.65 |
$104.65 |
$84.81
|
|
Urine pregnancy test
|
$98.15 |
$98.15 |
$98.15 |
$66.40
|
|
Urography, antegrade
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$6,892.54 |
$6,892.54 |
$6,892.54 |
$4,495.91
|
|
Vaccine dtap < 7 years im
|
$95.84 |
$95.84 |
$95.84 |
$87.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$60.90 |
$60.90 |
$60.90 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$237.58 |
$237.58 |
$237.58 |
$178.07
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$109.69 |
$109.69 |
$109.69 |
$79.04
|
|
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
|
$80.48 |
$80.48 |
$80.48 |
$40.01
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$705.76 |
$705.76 |
$705.76 |
$499.00
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$411.60 |
$411.60 |
$411.60 |
$349.15
|
|
Vaccine mmr live subcutaneous
|
$300.64 |
$300.64 |
$300.64 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$390.74 |
$390.74 |
$390.74 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$816.15 |
$816.15 |
$816.15 |
$715.41
|
|
Vaccine rabies im
|
$958.06 |
$958.06 |
$958.06 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,496.56 |
$1,496.56 |
$1,496.56 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$148.02 |
$148.02 |
$148.02 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$144.53 |
$144.53 |
$144.53 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$563.48 |
$563.48 |
$563.48 |
$447.80
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,131.41 |
$1,131.41 |
$1,131.41 |
$1,683.99
|
|
Vad cable power module dc input
|
$581.01 |
$581.01 |
$581.01 |
$915.95
|
|
Vad univ batt charger hm 1440
|
$14,814.14 |
$14,814.14 |
$14,814.14 |
$14,893.34
|
|
Vaginal bx
|
$613.60 |
$613.60 |
$613.60 |
$441.75
|
|
Valproic acid total therapeutic drug level
|
$73.45 |
$73.45 |
$73.45 |
$115.00
|
|
Valvuloplasty aortic
|
$17,613.05 |
$17,613.05 |
$17,613.05 |
$7,324.85
|
|
Valvuloplasty mitral
|
$11,278.80 |
$11,278.80 |
$11,278.80 |
$10,435.39
|
|
Valvuloplasty pulmonary
|
$11,278.80 |
$11,278.80 |
$11,278.80 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$103.02 |
$103.02 |
$103.02 |
$180.00
|
|
Vancomycin 750 mg intravenous solution
|
$80.18 |
$80.18 |
$80.18 |
$91.42
|
|
Vancomycin hcl injection
|
$18.90 |
$18.90 |
$18.90 |
$124.48
|
