|
Ultrasound guidance for vascular access
|
$711.60 |
$711.60 |
$711.60 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$990.60 |
$990.60 |
$990.60 |
$720.15
|
|
Ultrasound guide tissue ablation
|
$504.60 |
$504.60 |
$504.60 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$719.40 |
$719.40 |
$719.40 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$207.60 |
$207.60 |
$207.60 |
$311.25
|
|
Ultrasound joint complete left
|
$435.00 |
$435.00 |
$435.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$418.80 |
$418.80 |
$418.80 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$682.80 |
$682.80 |
$682.80 |
$407.20
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$899.40 |
$899.40 |
$899.40 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$418.20 |
$418.20 |
$418.20 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$442.80 |
$442.80 |
$442.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$799.20 |
$799.20 |
$799.20 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$678.60 |
$678.60 |
$678.60 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$668.40 |
$668.40 |
$668.40 |
$486.50
|
|
Ultrasound scrotum and contents
|
$754.80 |
$754.80 |
$754.80 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$670.80 |
$670.80 |
$670.80 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$1,602.60 |
$1,602.60 |
$1,602.60 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$728.40 |
$728.40 |
$728.40 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$206.64
|
|
Umbilicoplasty 15847
|
$34,935.96 |
$34,935.96 |
$34,935.96 |
$4,172.97
|
|
Unlisted cranfcl&maxlfcl px
|
$16,395.02 |
$16,395.02 |
$16,395.02 |
$571.20
|
|
Unlisted dx gi procedure
|
$4,893.23 |
$4,893.23 |
$4,893.23 |
$649.22
|
|
Unlisted fluoroscopic px
|
$211.20 |
$211.20 |
$211.20 |
$305.76
|
|
Unlisted hematology&coagj px
|
$96.60 |
$96.60 |
$96.60 |
$39.52
|
|
Unlisted laparoscopic liver biopy 47379
|
$21,491.70 |
$21,491.70 |
$23,400.68 |
$5,419.00
|
|
Unlisted laparoscopic procedure 49659
|
$23,526.02 |
$23,526.02 |
$23,526.02 |
$6,838.32
|
|
Unlisted maaa
|
$135.00 |
$135.00 |
$135.00 |
$235.20
|
|
Unlisted procedure liver
|
$22,887.38 |
$22,887.38 |
$22,887.38 |
$2,287.20
|
|
Unlisted procedure pancreas
|
$10,081.55 |
$10,081.55 |
$10,081.55 |
$3,986.00
|
|
Unlisted px abdomen muscskel
|
$35,628.08 |
$35,628.08 |
$35,628.08 |
$1,848.60
|
|
Unlisted px ant segment eye
|
$21,394.55 |
$21,394.55 |
$21,394.55 |
$2,698.92
|
|
Unlisted px arthroscopy
|
$20,205.53 |
$20,205.53 |
$20,205.53 |
$2,765.60
|
|
Unlisted px foot/toes
|
$133,705.78 |
$133,705.78 |
$133,705.78 |
$1,225.50
|
|
Unlisted px forearm/wrist
|
$34,644.88 |
$34,644.88 |
$34,644.88 |
$593.60
|
|
Unlisted px hands/fingers
|
$576.00 |
$576.00 |
$13,652.31 |
$354.20
|
|
Unlisted px male genital sys
|
$7,027.58 |
$7,027.58 |
$7,027.58 |
$343.55
|
|
Unlisted px pelvis/hip joint
|
$42,185.17 |
$42,185.17 |
$42,185.17 |
$3,118.44
|
|
Unlisted px small intestine
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$544.80 |
$544.80 |
$544.80 |
$282.50
|
|
Unlisted px vestibule mouth
|
$557.40 |
$557.40 |
$557.40 |
$456.96
|
|
Unlisted ultrasound procedure
|
$360.00 |
$360.00 |
$360.00 |
$321.20
|
|
Unlstd laps px sprmatic cord
|
$23,433.52 |
$23,433.52 |
$28,844.00 |
$4,713.11
|
|
Unsched dialysis esrd pt hos
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,560.20 |
$2,560.20 |
$2,560.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$857.40 |
$857.40 |
$857.40 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,673.40 |
$1,673.40 |
$1,673.40 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$5,995.00 |
$5,995.00 |
$12,528.19 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$11,024.86 |
$11,024.86 |
$12,092.82 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$12,872.80 |
$12,872.80 |
$21,584.20 |
$1,872.00
|
|
Urea nitrogen
|
$87.60 |
$87.60 |
$87.60 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$45.00 |
$45.00 |
$45.00 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$580.20 |
$580.20 |
$580.20 |
$579.73
|
|
Urethrocystography void s&i
|
$844.80 |
$844.80 |
$844.80 |
$622.35
|
|
Uric acid blood
|
$88.20 |
$88.20 |
$88.20 |
$48.75
|
|
Uric acid urine
|
$33.00 |
$33.00 |
$33.00 |
$44.33
|
|
Urinalysis microscopic only
|
$42.60 |
$42.60 |
$42.60 |
$26.35
|
|
Urinalysis (with microscopy)
|
$76.20 |
$76.20 |
$12,544.37 |
$55.00
|
|
Urinalysis (without microscopy)
|
$55.20 |
$55.20 |
$55.20 |
$35.75
|
|
Urine Culture Test
|
$114.00 |
$114.00 |
$114.00 |
$81.50
|
|
Urine pregnancy test
|
$108.00 |
$108.00 |
$108.00 |
$67.20
|
|
Urography, antegrade
|
$699.60 |
$699.60 |
$699.60 |
$622.35
|
|
Vaccine dtap < 7 years im
|
$124.28 |
$124.28 |
$142.04 |
$68.19
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$56.31 |
$56.31 |
$64.35 |
$43.12
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$103.33 |
$103.33 |
$118.09 |
$75.39
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$58.78 |
$58.78 |
$58.78 |
$76.50
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$995.93 |
$995.93 |
$1,138.21 |
$400.03
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$700.34 |
$700.34 |
$800.39 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$411.56 |
$411.56 |
$470.35 |
$211.68
|
|
Vaccine tdap >=7 years im
|
$204.74 |
$204.74 |
$233.98 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$177.44 |
$177.44 |
$202.78 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$806.89 |
$806.89 |
$922.15 |
$365.17
|
|
Vad univ batt charger hm 1440
|
$38,247.00 |
$38,247.00 |
$38,247.00 |
$14,827.28
|
|
Vag hyst including t/o
|
$34,215.58 |
$34,215.58 |
$34,215.58 |
$4,827.18
|
|
Vaginal bx
|
$12,915.00 |
$12,915.00 |
$12,915.00 |
$455.94
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$45.00 |
$45.00 |
$45.00 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$95.40 |
$95.40 |
$95.40 |
$114.72
|
|
Valvuloplasty aortic
|
$8,052.60 |
$8,052.60 |
$8,052.60 |
$7,830.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$1,765.88 |
$1,765.88 |
$1,976.25 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$200.44 |
$200.44 |
$224.32 |
$90.33
|
|
Vancomycin hcl injection
|
$3,988.80 |
$3,988.80 |
$4,464.00 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$183.60 |
$183.60 |
$183.60 |
$136.13
|
|
Vanomycin dna amp probe
|
$148.20 |
$148.20 |
$148.20 |
$78.40
|
|
Varus/valgus strap padded/li
|
$272.06 |
$272.06 |
$272.06 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$415.50 |
$415.50 |
$465.00 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$39,311.62 |
$39,311.62 |
$44,927.57 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$3,225.60
|
|
Veeg unmon 12-26 hrs
|
$3,498.60 |
$3,498.60 |
$3,498.60 |
$1,671.09
|
|
Vein x-ray adrenal gland
|
$5,434.20 |
$5,434.20 |
$5,434.20 |
$2,845.80
|
|
Vein x-ray kidney
|
$4,441.80 |
$4,441.80 |
$4,441.80 |
$2,766.73
|
|
Vein x-ray liver
|
$4,669.80 |
$4,669.80 |
$4,669.80 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$4,657.20 |
$4,657.20 |
$4,657.20 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$4,657.20 |
$4,657.20 |
$4,657.20 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$2,401.80 |
$2,401.80 |
$2,401.80 |
$2,452.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$482.40 |
$482.40 |
$482.40 |
$202.80
|
|
Venogram ext bil s&i
|
$1,594.80 |
$1,594.80 |
$1,594.80 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$1,366.20
|
|
Venous mech thrombectomy
|
$6,804.60 |
$6,804.60 |
$6,804.60 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$5,512.80 |
$5,512.80 |
$5,512.80 |
$5,094.75
|
|
Ventilator each subsequent day
|
$1,426.80 |
$1,426.80 |
$1,426.80 |
$1,204.00
|
