|
Ultrasound guide tissue ablation
|
$579.60 |
$579.60 |
$579.60 |
$560.00
|
|
Ultrasound infant hips ltd without stress
|
$516.60 |
$516.60 |
$516.60 |
$311.25
|
|
Ultrasound joint complete left
|
$841.20 |
$841.20 |
$841.20 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$736.20 |
$736.20 |
$736.20 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$929.40 |
$929.40 |
$929.40 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$519.00 |
$519.00 |
$519.00 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$198.00 |
$198.00 |
$198.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$604.80 |
$604.80 |
$604.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$929.40 |
$929.40 |
$929.40 |
$486.50
|
|
Ultrasound scrotum and contents
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$969.60 |
$969.60 |
$969.60 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$798.60 |
$798.60 |
$798.60 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$969.60 |
$969.60 |
$969.60 |
$558.35
|
|
Unlisted misc path test
|
$38.40 |
$38.40 |
$38.40 |
$89.40
|
|
Unlisted procedure microbiology
|
$206.40 |
$206.40 |
$206.40 |
$523.50
|
|
Unlisted px hands/fingers
|
$360.00 |
$360.00 |
$360.00 |
$354.20
|
|
Unlisted px small intestine
|
$1,434.60 |
$1,434.60 |
$1,434.60 |
$2,102.10
|
|
Unlisted px vestibule mouth
|
$366.00 |
$366.00 |
$366.00 |
$456.96
|
|
Unlisted ultrasound procedure
|
$382.80 |
$382.80 |
$382.80 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,259.20 |
$3,259.20 |
$3,259.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,566.80 |
$2,566.80 |
$2,566.80 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$4,842.60 |
$4,842.60 |
$4,842.60 |
$1,768.00
|
|
Urea nitrogen
|
$40.80 |
$40.80 |
$40.80 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$75.00 |
$75.00 |
$75.00 |
$51.75
|
|
Urea nitrogen clearance
|
$16.20 |
$16.20 |
$16.20 |
$42.25
|
|
Ureteral reflux study
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$865.80 |
$865.80 |
$865.80 |
$579.73
|
|
Urethrocystography void s&i
|
$1,410.60 |
$1,410.60 |
$1,410.60 |
$622.35
|
|
Uric acid blood
|
$64.20 |
$64.20 |
$64.20 |
$48.75
|
|
Uric acid urine
|
$76.80 |
$76.80 |
$76.80 |
$44.33
|
|
Urinalysis microscopic only
|
$13.80 |
$13.80 |
$13.80 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$60.00 |
$60.00 |
$60.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$54.60 |
$54.60 |
$54.60 |
$55.00
|
|
Urinalysis (without microscopy)
|
$39.60 |
$39.60 |
$39.60 |
$35.75
|
|
Urine Culture Test
|
$120.60 |
$120.60 |
$120.60 |
$81.50
|
|
Urine pregnancy test
|
$105.60 |
$105.60 |
$105.60 |
$67.20
|
|
Urography, antegrade
|
$986.40 |
$986.40 |
$986.40 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$15,948.30 |
$15,948.30 |
$15,948.30 |
$5,184.34
|
|
Vaccine dtap < 7 years im
|
$62.16 |
$62.16 |
$62.16 |
$68.19
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$0.06 |
$0.06 |
$0.06 |
$75.39
|
|
Vaccine mmr live subcutaneous
|
$205.80 |
$205.80 |
$205.80 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$245.88 |
$245.88 |
$245.88 |
$251.64
|
|
Vaccine tdap >=7 years im
|
$102.42 |
$102.42 |
$102.42 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$88.74 |
$88.74 |
$88.74 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$403.50 |
$403.50 |
$403.50 |
$365.17
|
|
Vad univ batt charger hm 1440
|
$16,007.74 |
$16,007.74 |
$16,007.74 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$28.32 |
$28.32 |
$28.32 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$151.20 |
$151.20 |
$151.20 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$117.48 |
$117.48 |
$117.48 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$87.48 |
$87.48 |
$87.48 |
$90.33
|
|
Vancomycin hcl injection
|
$4.80 |
$4.80 |
$4.80 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$80.40 |
$80.40 |
$80.40 |
$136.13
|
|
Varicella zoster antibody igg
|
$140.40 |
$140.40 |
$140.40 |
$86.80
|
|
Varus/valgus strap padded/li
|
$113.86 |
$113.86 |
$113.86 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$21.78 |
$21.78 |
$21.78 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$35,212.02 |
$35,212.02 |
$35,212.02 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$202.80
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,460.60 |
$2,460.60 |
$2,460.60 |
$1,366.20
|
|
Ventilator each subsequent day
|
$399.00 |
$399.00 |
$399.00 |
$1,204.00
|
|
Ventilator initial day
|
$523.80 |
$523.80 |
$523.80 |
$1,431.43
|
|
Very long chain fatty acids
|
$126.00 |
$126.00 |
$126.00 |
$139.88
|
|
Vest large holster
|
$1,180.90 |
$1,180.90 |
$1,180.90 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$200.04 |
$200.04 |
$200.04 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$75.00 |
$75.00 |
$75.00 |
$87.15
|
|
Virus isolation addl studies ea
|
$68.40 |
$68.40 |
$68.40 |
$77.50
|
|
Vital capacity test
|
$122.40 |
$122.40 |
$122.40 |
$170.00
|
|
Vitamin b-12
|
$156.60 |
$156.60 |
$156.60 |
$100.00
|
|
Vitamin D Test
|
$364.80 |
$364.80 |
$364.80 |
$132.00
|
|
Vkorc1 gene
|
$233.40 |
$233.40 |
$233.40 |
$176.80
|
|
Volume measurement urine timed
|
$12.60 |
$12.60 |
$12.60 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$80.58 |
$80.58 |
$80.58 |
$165.81
|
|
Warde 1003990 aldosterone
|
$391.80 |
$391.80 |
$391.80 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$261.00 |
$261.00 |
$261.00 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$113.40 |
$113.40 |
$113.40 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$198.60 |
$198.60 |
$198.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$129.00 |
$129.00 |
$129.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$27.00 |
$27.00 |
$27.00 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$129.00 |
$129.00 |
$129.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$147.60 |
$147.60 |
$147.60 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$75.60 |
$75.60 |
$75.60 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$45.00 |
$45.00 |
$45.00 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$438.00 |
$438.00 |
$438.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$121.80 |
$121.80 |
$121.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$106.20 |
$106.20 |
$106.20 |
$72.50
|
|
Warde 3400852 arsenic
|
$172.20 |
$172.20 |
$172.20 |
$100.88
|
|
Warde 3708165 mercury urine
|
$111.00 |
$111.00 |
$111.00 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$47.40 |
$47.40 |
$47.40 |
$75.00
|
|
Warde adenosine deaminase pleural fluid
|
$118.80 |
$118.80 |
$118.80 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$387.00 |
$387.00 |
$387.00 |
$151.20
|
|
Warde aldolase
|
$84.60 |
$84.60 |
$84.60 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$161.40 |
$161.40 |
$161.40 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$315.00 |
$315.00 |
$315.00 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$437.40 |
$437.40 |
$437.40 |
$368.00
|
|
Warde anti-mullerian hormone
|
$78.60 |
$78.60 |
$78.60 |
$80.08
|
