|
Ultrasound fetal biophysical profile without non-stress testing
|
$561.60 |
$561.60 |
$561.60 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$174.00 |
$174.00 |
$174.00 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$843.00 |
$843.00 |
$843.00 |
$720.15
|
|
Ultrasound joint complete left
|
$558.00 |
$558.00 |
$558.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$373.20 |
$373.20 |
$373.20 |
$425.45
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$871.80 |
$871.80 |
$871.80 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$173.40 |
$173.40 |
$173.40 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$511.80 |
$511.80 |
$511.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$465.60 |
$465.60 |
$465.60 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$678.60 |
$678.60 |
$678.60 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$867.00 |
$867.00 |
$867.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$759.00 |
$759.00 |
$759.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$768.00 |
$768.00 |
$768.00 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$658.20 |
$658.20 |
$658.20 |
$558.35
|
|
Unlisted chemotherapy px
|
$516.60 |
$516.60 |
$516.60 |
$150.00
|
|
Unlisted misc path test
|
$44.40 |
$44.40 |
$44.40 |
$89.40
|
|
Unlisted procedure microbiology
|
$211.20 |
$211.20 |
$211.20 |
$523.50
|
|
Unlisted px hands/fingers
|
$378.00 |
$378.00 |
$378.00 |
$354.20
|
|
Unlisted px small intestine
|
$1,433.40 |
$1,433.40 |
$1,433.40 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$408.60 |
$408.60 |
$408.60 |
$282.50
|
|
Unlisted px vestibule mouth
|
$384.60 |
$384.60 |
$384.60 |
$456.96
|
|
Unlisted reprod med lab proc
|
$114.00 |
$114.00 |
$114.00 |
$70.00
|
|
Unlisted surgical path px
|
$267.60 |
$267.60 |
$267.60 |
$217.75
|
|
Unlisted ultrasound procedure
|
$679.80 |
$679.80 |
$679.80 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$7,783.20 |
$7,783.20 |
$7,783.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,350.80 |
$5,350.80 |
$5,350.80 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$5,316.00 |
$5,316.00 |
$5,316.00 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$9,431.88 |
$9,431.88 |
$9,431.88 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$10,848.84 |
$10,848.84 |
$10,848.84 |
$1,768.00
|
|
Urea nitrogen
|
$102.00 |
$102.00 |
$102.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$67.20 |
$67.20 |
$67.20 |
$51.75
|
|
Urea nitrogen clearance
|
$130.80 |
$130.80 |
$130.80 |
$42.25
|
|
Urethrcystgrphy rtrgrde s&i
|
$450.60 |
$450.60 |
$450.60 |
$579.73
|
|
Urethrocystography void s&i
|
$450.60 |
$450.60 |
$450.60 |
$622.35
|
|
Uric acid blood
|
$82.80 |
$82.80 |
$82.80 |
$48.75
|
|
Uric acid urine
|
$93.60 |
$93.60 |
$93.60 |
$44.33
|
|
Urinalysis microscopic only
|
$60.00 |
$60.00 |
$60.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$51.60 |
$51.60 |
$51.60 |
$55.00
|
|
Urinalysis (without microscopy)
|
$20.40 |
$20.40 |
$20.40 |
$35.75
|
|
Urine Culture Test
|
$77.40 |
$77.40 |
$77.40 |
$81.50
|
|
Urine pregnancy test
|
$82.20 |
$82.20 |
$82.20 |
$67.20
|
|
Vaccine dtap-ipv-hib-hepb im
|
$63.84 |
$63.84 |
$63.84 |
$174.72
|
|
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 pneumonococcal conjugate 20 valent (pcv20) im
|
$576.72 |
$576.72 |
$576.72 |
$563.36
|
|
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
|
|
Vad univ batt charger hm 1440
|
$16,131.08 |
$16,131.08 |
$16,131.08 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$25.14 |
$25.14 |
$25.14 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$142.20 |
$142.20 |
$142.20 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$59.64 |
$59.64 |
$59.64 |
$251.86
|
|
Vancomycin hcl injection
|
$5.04 |
$5.04 |
$5.04 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$139.80 |
$139.80 |
$139.80 |
$136.13
|
|
Varicella zoster antibody igg
|
$154.20 |
$154.20 |
$154.20 |
$86.80
|
|
Varus/valgus strap padded/li
|
$217.50 |
$217.50 |
$217.50 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$185.22 |
$185.22 |
$185.22 |
$325.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$768.60 |
$768.60 |
$768.60 |
$202.80
|
|
Venogram extremity supervision & interpretation unilateral
|
$4,051.80 |
$4,051.80 |
$4,051.80 |
$1,366.20
|
|
Ventilator each subsequent day
|
$783.60 |
$783.60 |
$783.60 |
$1,204.00
|
|
Ventilator initial day
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$1,431.43
|
|
Very long chain fatty acids
|
$255.00 |
$255.00 |
$255.00 |
$139.88
|
|
Vest large holster
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$166.80 |
$166.80 |
$166.80 |
$165.00
|
|
Virus isolation addl studies ea
|
$156.00 |
$156.00 |
$156.00 |
$77.50
|
|
Vital capacity test
|
$288.60 |
$288.60 |
$288.60 |
$170.00
|
|
Vitamin b-12
|
$150.60 |
$150.60 |
$150.60 |
$100.00
|
|
Vitamin D Test
|
$366.60 |
$366.60 |
$366.60 |
$132.00
|
|
Vkorc1 gene
|
$115.20 |
$115.20 |
$115.20 |
$176.80
|
|
Volume measurement urine timed
|
$21.60 |
$21.60 |
$21.60 |
$21.45
|
|
Warde 1003990 aldosterone
|
$493.80 |
$493.80 |
$493.80 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$139.80 |
$139.80 |
$139.80 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$181.80 |
$181.80 |
$181.80 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$328.20 |
$328.20 |
$328.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$207.00 |
$207.00 |
$207.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$30.60 |
$30.60 |
$30.60 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$110.40 |
$110.40 |
$110.40 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$152.40 |
$152.40 |
$152.40 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$153.60 |
$153.60 |
$153.60 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$153.60 |
$153.60 |
$153.60 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$115.80 |
$115.80 |
$115.80 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$103.20 |
$103.20 |
$103.20 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$105.00 |
$105.00 |
$105.00 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$218.40 |
$218.40 |
$218.40 |
$218.40
|
|
Warde 3400852 arsenic
|
$216.60 |
$216.60 |
$216.60 |
$100.88
|
|
Warde 3708165 mercury urine
|
$216.60 |
$216.60 |
$216.60 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$47.40 |
$47.40 |
$47.40 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$31.80 |
$31.80 |
$31.80 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$26.40 |
$26.40 |
$26.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$351.00 |
$351.00 |
$351.00 |
$151.20
|
|
Warde aldolase
|
$137.40 |
$137.40 |
$137.40 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$238.20 |
$238.20 |
$238.20 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$418.80 |
$418.80 |
$418.80 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$315.00 |
$315.00 |
$315.00 |
$368.00
|
|
Warde anti-mullerian hormone
|
$78.60 |
$78.60 |
$78.60 |
$80.08
|
|
Warde apolipoprotein b
|
$198.60 |
$198.60 |
$198.60 |
$61.75
|
|
Warde bile acids
|
$63.00 |
$63.00 |
$63.00 |
$63.70
|
|
Warde cadmium blood
|
$216.60 |
$216.60 |
$216.60 |
$76.50
|
|
Warde calcitonin
|
$277.80 |
$277.80 |
$277.80 |
$96.97
|
