|
Tyms gene com variants
|
$120.52 |
$120.52 |
$120.52 |
$192.29
|
|
Ua w/micro/comp poc
|
$2.76 |
$2.76 |
$2.76 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$684.53 |
$684.53 |
$684.53 |
$438.75
|
|
Ultrasound bone density measure
|
$1.84 |
$1.84 |
$1.84 |
$143.75
|
|
Ultrasound breast complete
|
$583.66 |
$583.66 |
$583.66 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$482.79 |
$482.79 |
$482.79 |
$452.00
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$15.18 |
$15.18 |
$15.18 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$583.66 |
$583.66 |
$583.66 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$14.95 |
$14.95 |
$14.95 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$583.66 |
$583.66 |
$583.66 |
$307.00
|
|
Ultrasound encephalogram
|
$583.66 |
$583.66 |
$583.66 |
$485.48
|
|
Ultrasound exam k transpl w/doppler
|
$583.66 |
$583.66 |
$583.66 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$583.66 |
$583.66 |
$583.66 |
$477.10
|
|
Ultrasound Guidance for a Needle Procedure
|
$1,186.57 |
$1,186.57 |
$1,186.57 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$236.39 |
$236.39 |
$236.39 |
$388.08
|
|
Ultrasound guide intraoperative
|
$41.40 |
$41.40 |
$41.40 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$64.86 |
$64.86 |
$64.86 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$482.79 |
$482.79 |
$482.79 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$482.79 |
$482.79 |
$482.79 |
$304.00
|
|
Ultrasound joint complete left
|
$583.66 |
$583.66 |
$583.66 |
$560.92
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$37.26 |
$37.26 |
$37.26 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$437.36 |
$437.36 |
$437.36 |
$406.44
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$437.36 |
$437.36 |
$437.36 |
$333.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,325.94 |
$1,325.94 |
$1,325.94 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$583.66 |
$583.66 |
$583.66 |
$428.25
|
|
Ultrasound prostate/transrectal
|
$20.70 |
$20.70 |
$20.70 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$583.66 |
$583.66 |
$583.66 |
$459.00
|
|
Ultrasound transabd ea addl gest
|
$994.84 |
$994.84 |
$994.84 |
$417.15
|
|
Ultrasound trgt dyn mbubb 1st les
|
$49.45 |
$49.45 |
$49.45 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$25.99 |
$25.99 |
$25.99 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$43.47 |
$43.47 |
$43.47 |
$223.80
|
|
Umbilical cord occlud w/us
|
$335.34 |
$335.34 |
$335.34 |
$754.00
|
|
Umbilicoplasty 15847
|
$304.98 |
$304.98 |
$304.98 |
$4,172.97
|
|
Unlistd noninvas vasc dx std
|
$23.00 |
$23.00 |
$23.00 |
$564.60
|
|
Unlisted chemotherapy px
|
$20.47 |
$20.47 |
$20.47 |
$149.15
|
|
Unlisted endocrine px dx nuc
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$653.31
|
|
Unlisted fluoroscopic px
|
$25.30 |
$25.30 |
$25.30 |
$305.76
|
|
Unlisted hematology&coagj px
|
$95.48 |
$95.48 |
$95.48 |
$39.52
|
|
Unlisted laparoscopic procedure 49659
|
$274.62 |
$274.62 |
$274.62 |
$6,838.32
|
|
Unlisted misc path test
|
$351.89 |
$351.89 |
$351.89 |
$89.40
|
|
Unlisted mr procedure
|
$36.11 |
$36.11 |
$36.11 |
$1,165.00
|
|
Unlisted procedure eyelids
|
$407.10 |
$407.10 |
$407.10 |
$2,174.90
|
|
Unlisted procedure urinary 58750
|
$587.42 |
$587.42 |
$587.42 |
$926.40
|
|
Unlisted px ant segment eye
|
$325.91 |
$325.91 |
$325.91 |
$2,698.92
|
|
Unlisted resp px dx nuc med
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$670.60
|
|
Unlisted transfusion med px
|
$160.93 |
$160.93 |
$160.93 |
$147.50
|
|
Unlisted ultrasound procedure
|
$482.79 |
$482.79 |
$482.79 |
$335.00
|
|
Unsched dialysis esrd pt hos
|
$2,047.43 |
$2,047.43 |
$2,047.43 |
$1,316.90
|
|
Upgrade pm system
|
$303.83 |
$303.83 |
$303.83 |
$12,087.24
|
|
Upper Arm (Humerus) X-ray (left side)
|
$354.20 |
$354.20 |
$354.20 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,888.04 |
$1,888.04 |
$1,888.04 |
$1,652.95
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$1,422.05
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,918.53 |
$3,918.53 |
$3,918.53 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,135.44 |
$3,135.44 |
$3,135.44 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$428.12 |
$428.12 |
$428.12 |
$320.45
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$534.38 |
$534.38 |
$534.38 |
$380.82
|
|
Upper Endoscopy (EGD, diagnostic)
|
$78.43 |
$78.43 |
$78.43 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$88.09 |
$88.09 |
$88.09 |
$1,768.00
|
|
Upper ext harvest for cabg1 seg 35600
|
$117.53 |
$117.53 |
$117.53 |
$627.20
|
|
Upper GI Barium X-ray (barium and gas)
|
$716.10 |
$716.10 |
$716.10 |
$657.77
|
|
Upper GI Barium X-ray (barium only)
|
$716.10 |
$716.10 |
$716.10 |
$603.20
|
|
Uppr gi scope w/submuc inj
|
$88.09 |
$88.09 |
$88.09 |
$1,872.00
|
|
Urachal cyst/sinus excision 51500
|
$413.08 |
$413.08 |
$413.08 |
$6,082.67
|
|
Urea nitrogen
|
$26.18 |
$26.18 |
$26.18 |
$42.00
|
|
Urea nitrogen 24 hour urine
|
$36.96 |
$36.96 |
$36.96 |
$51.77
|
|
Urea nitrogen clearance
|
$5.06 |
$5.06 |
$5.06 |
$34.02
|
|
Urea nitrogen semi-quant
|
$3.68 |
$3.68 |
$3.68 |
$10.40
|
|
Ureteral embolization/occl
|
$114.08 |
$114.08 |
$114.08 |
$2,079.31
|
|
Ureteral reflux study
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$952.50
|
|
Ureter endoscopy
|
$236.90 |
$236.90 |
$236.90 |
$3,326.40
|
|
Ureter endoscopy & biopsy
|
$225.40 |
$225.40 |
$225.40 |
$5,696.72
|
|
Ureter endoscopy & biopsy
|
$301.99 |
$301.99 |
$301.99 |
$5,986.78
|
|
Ureter endoscopy & catheter
|
$228.85 |
$228.85 |
$228.85 |
$3,326.40
|
|
Ureter endoscopy & treatment
|
$226.55 |
$226.55 |
$226.55 |
$6,015.75
|
|
Ureter endoscopy & treatment
|
$201.71 |
$201.71 |
$201.71 |
$5,631.74
|
|
Ureter endoscopy & treatment
|
$298.08 |
$298.08 |
$298.08 |
$5,986.78
|
|
Ureter endoscopy & treatment
|
$227.24 |
$227.24 |
$227.24 |
$5,631.74
|
|
Ureteroneocystostomy 50780
|
$717.83 |
$717.83 |
$717.83 |
$4,457.05
|
|
Ureteroureterostomy 50760
|
$727.26 |
$727.26 |
$727.26 |
$2,773.01
|
|
Urethrcystgrphy rtrgrde s&i
|
$972.51 |
$972.51 |
$972.51 |
$592.80
|
|
Urethrlys transvag with scope
|
$483.23 |
$483.23 |
$483.23 |
$4,081.37
|
|
Urethrocystography void s&i
|
$972.51 |
$972.51 |
$972.51 |
$631.75
|
|
Uric acid blood
|
$30.03 |
$30.03 |
$30.03 |
$48.96
|
|
Uric acid urine
|
$33.88 |
$33.88 |
$33.88 |
$44.14
|
|
Urinalysis glass test
|
$3.22 |
$3.22 |
$3.22 |
$11.20
|
|
Urinalysis microscopic only
|
$20.02 |
$20.02 |
$20.02 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.38 |
$1.38 |
$1.38 |
$25.72
|
|
Urinalysis (with microscopy)
|
$21.56 |
$21.56 |
$21.56 |
$54.60
|
|
Urinalysis (without microscopy)
|
$14.63 |
$14.63 |
$14.63 |
$35.15
|
|
Urinary bldr retent nuc study
|
$4.83 |
$4.83 |
$4.83 |
$350.66
|
|
Urinary reflex study
|
$36.11 |
$36.11 |
$36.11 |
$216.05
|
|
Urine Culture Test
|
$53.13 |
$53.13 |
$53.13 |
$81.00
|
|
Urine flow measurement 51736
|
$5.29 |
$5.29 |
$5.29 |
$210.00
|
|
Urine pregnancy test
|
$56.21 |
$56.21 |
$56.21 |
$66.87
|
|
Urine screen for bacteria
|
$20.70 |
$20.70 |
$20.70 |
$55.64
|
|
Urine shunt to intestine
|
$788.90 |
$788.90 |
$788.90 |
$1,588.56
|
|
Urine specimen collect mult
|
$6.44 |
$6.44 |
$6.44 |
$16.80
|
|
Urography, antegrade
|
$1,436.82 |
$1,436.82 |
$1,436.82 |
$622.35
|
|
Urography inf drip &/or bolus
|
$716.10 |
$716.10 |
$716.10 |
$642.50
|
