|
Tray bonemarrw oncontrol 102mm
|
$535.50 |
$535.50 |
$535.50 |
$940.80
|
|
Treat ankle fracture
|
$5,632.00 |
$5,632.00 |
$5,632.00 |
$5,488.00
|
|
Treat elbow dislocation
|
$2,396.00 |
$2,396.00 |
$2,396.00 |
$2,223.20
|
|
Treat finger fracture each
|
$734.50 |
$734.50 |
$734.50 |
$1,536.00
|
|
Treat fracture of radius
|
$785.50 |
$785.50 |
$785.50 |
$1,790.00
|
|
Treat fracture of radius
|
$777.50 |
$777.50 |
$777.50 |
$1,849.00
|
|
Treat fracture of ulna
|
$486.00 |
$486.00 |
$486.00 |
$726.05
|
|
Treat hip dislocation
|
$2,477.00 |
$2,477.00 |
$2,477.00 |
$2,192.80
|
|
Treat hip dislocation
|
$2,396.00 |
$2,396.00 |
$2,396.00 |
$2,641.60
|
|
Treat humerus fracture
|
$813.50 |
$813.50 |
$813.50 |
$1,771.43
|
|
Treat humerus fracture
|
$734.50 |
$734.50 |
$734.50 |
$1,771.43
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$262.00 |
$262.00 |
$262.00 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$218.50 |
$218.50 |
$218.50 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$110.00 |
$110.00 |
$110.00 |
$203.35
|
|
Treatment of thigh fracture
|
$774.50 |
$774.50 |
$774.50 |
$1,772.97
|
|
Treat ulnar fracture
|
$734.50 |
$734.50 |
$734.50 |
$1,662.00
|
|
Treponema pallidum antibody
|
$88.50 |
$88.50 |
$88.50 |
$70.40
|
|
Triglycerides
|
$63.00 |
$63.00 |
$63.00 |
$58.05
|
|
Trnscath plc stent crv crtd w/prtct
|
$8,644.50 |
$8,644.50 |
$8,644.50 |
$9,767.25
|
|
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<
|
$2,427.50 |
$2,427.50 |
$2,427.50 |
$2,986.34
|
|
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm
|
$2,564.50 |
$2,564.50 |
$2,564.50 |
$3,078.00
|
|
Troponin quantitative
|
$187.00 |
$187.00 |
$187.00 |
$127.20
|
|
Tube trach fen sz 6 uncuffed
|
$70.00 |
$70.00 |
$70.00 |
$155.98
|
|
Tx closed hip disl traumatic without anes
|
$370.00 |
$370.00 |
$370.00 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,882.00 |
$2,882.00 |
$2,882.00 |
$3,977.49
|
|
Tx open iphlngl jt disl internal fixation sngl
|
$4,049.00 |
$4,049.00 |
$4,049.00 |
$4,421.00
|
|
Ugt1a1 gene analy common variants
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$452.50 |
$452.50 |
$452.50 |
$394.20
|
|
Ultrasound breast complete
|
$367.50 |
$367.50 |
$367.50 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$276.50 |
$276.50 |
$276.50 |
$449.35
|
|
Ultrasound chest
|
$422.50 |
$422.50 |
$422.50 |
$460.85
|
|
Ultrasound encephalogram
|
$178.00 |
$178.00 |
$178.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$202.50 |
$202.50 |
$202.50 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$418.50 |
$418.50 |
$418.50 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$459.50 |
$459.50 |
$459.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$687.50 |
$687.50 |
$687.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$539.00 |
$539.00 |
$539.00 |
$632.85
|
|
Ultrasound infant hips ltd without stress
|
$224.50 |
$224.50 |
$224.50 |
$311.25
|
|
Ultrasound joint complete left
|
$110.00 |
$110.00 |
$110.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$417.00 |
$417.00 |
$417.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$374.00 |
$374.00 |
$374.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$187.00 |
$187.00 |
$187.00 |
$331.50
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$391.00 |
$391.00 |
$391.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$486.00 |
$486.00 |
$486.00 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$545.00 |
$545.00 |
$545.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$549.00 |
$549.00 |
$549.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$337.50 |
$337.50 |
$337.50 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$533.00 |
$533.00 |
$533.00 |
$558.35
|
|
Unit mobile power mpu
|
$10,557.00 |
$10,557.00 |
$10,557.00 |
$14,612.80
|
|
Unlisted chemotherapy px
|
$72.00 |
$72.00 |
$72.00 |
$150.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,442.50 |
$2,442.50 |
$2,442.50 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,074.00 |
$2,074.00 |
$2,074.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,946.00 |
$1,946.00 |
$1,946.00 |
$2,034.41
|
|
Urea nitrogen
|
$63.00 |
$63.00 |
$63.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$30.00 |
$30.00 |
$30.00 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$524.50 |
$524.50 |
$524.50 |
$579.73
|
|
Urethrocystography void s&i
|
$531.00 |
$531.00 |
$531.00 |
$622.35
|
|
Uric acid blood
|
$63.00 |
$63.00 |
$63.00 |
$48.75
|
|
Uric acid urine
|
$58.00 |
$58.00 |
$58.00 |
$44.33
|
|
Urinalysis microscopic only
|
$52.00 |
$52.00 |
$52.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$65.50 |
$65.50 |
$65.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$52.00 |
$52.00 |
$52.00 |
$35.75
|
|
Urine Culture Test
|
$119.00 |
$119.00 |
$119.00 |
$81.50
|
|
Urine pregnancy test
|
$82.50 |
$82.50 |
$82.50 |
$67.20
|
|
Urography, antegrade
|
$508.00 |
$508.00 |
$508.00 |
$622.35
|
|
Vacuum drain bottle/tube kit
|
$646.50 |
$646.50 |
$646.50 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,451.50 |
$1,451.50 |
$1,451.50 |
$2,002.00
|
|
Vad cable power module dc input
|
$2,639.50 |
$2,639.50 |
$2,639.50 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$9,501.00 |
$9,501.00 |
$9,501.00 |
$14,827.28
|
|
Valproic acid total therapeutic drug level
|
$149.50 |
$149.50 |
$149.50 |
$114.72
|
|
Valvuloplasty aortic
|
$3,801.50 |
$3,801.50 |
$3,801.50 |
$7,830.80
|
|
Vancomycin peak therapeutic drug level
|
$170.50 |
$170.50 |
$170.50 |
$136.13
|
|
Vanomycin dna amp probe
|
$86.00 |
$86.00 |
$86.00 |
$78.40
|
|
Varicella zoster antibody igg
|
$119.50 |
$119.50 |
$119.50 |
$86.80
|
|
Vein x-ray adrenal gland
|
$4,409.50 |
$4,409.50 |
$4,409.50 |
$2,845.80
|
|
Vein x-ray adrenal glands
|
$4,409.50 |
$4,409.50 |
$4,409.50 |
$3,935.00
|
|
Vein x-ray kidney
|
$4,409.50 |
$4,409.50 |
$4,409.50 |
$2,766.73
|
|
Vein x-ray spleen/liver
|
$4,409.50 |
$4,409.50 |
$4,409.50 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$222.00 |
$222.00 |
$222.00 |
$202.80
|
|
Venogram ext bil s&i
|
$1,744.50 |
$1,744.50 |
$1,744.50 |
$1,797.50
|
|
Ventilator each subsequent day
|
$600.50 |
$600.50 |
$600.50 |
$1,204.00
|
|
Ventilator initial day
|
$738.00 |
$738.00 |
$738.00 |
$1,431.43
|
|
Version cephalic external
|
$3,311.00 |
$3,311.00 |
$3,311.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$259.50 |
$259.50 |
$259.50 |
$139.88
|
|
Vest large holster
|
$561.00 |
$561.00 |
$561.00 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$84.50 |
$84.50 |
$84.50 |
$77.50
|
|
Vital capacity test
|
$156.00 |
$156.00 |
$156.00 |
$170.00
|
|
Vitamin b-12
|
$111.00 |
$111.00 |
$111.00 |
$100.00
|
|
Vitamin D Test
|
$160.50 |
$160.50 |
$160.50 |
$132.00
|
|
Volume measurement urine timed
|
$8.50 |
$8.50 |
$8.50 |
$21.45
|
|
Warde 1003990 aldosterone
|
$194.50 |
$194.50 |
$194.50 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$44.00 |
$44.00 |
$44.00 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$144.50 |
$144.50 |
$144.50 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$203.00 |
$203.00 |
$203.00 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$77.50 |
$77.50 |
$77.50 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$93.00 |
$93.00 |
$93.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$143.50 |
$143.50 |
$143.50 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$105.00 |
$105.00 |
$105.00 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$105.00 |
$105.00 |
$105.00 |
$69.12
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$134.00 |
$134.00 |
$134.00 |
$62.50
|
