|
Ultrasound pregnant uterus transvaginal
|
$165.06 |
$165.06 |
$165.06 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$219.66 |
$219.66 |
$219.66 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$227.22 |
$227.22 |
$227.22 |
$486.50
|
|
Ultrasound scrotum and contents
|
$184.38 |
$184.38 |
$184.38 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$108.57 |
$108.57 |
$108.57 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$124.95 |
$124.95 |
$124.95 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$172.83 |
$172.83 |
$172.83 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$99.75 |
$99.75 |
$99.75 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$49.98 |
$49.98 |
$49.98 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$187.95 |
$187.95 |
$187.95 |
$206.64
|
|
Unit mobile power mpu
|
$4,847.43 |
$4,847.43 |
$4,847.43 |
$14,612.80
|
|
Unlisted CT procedure
|
$250.11 |
$250.11 |
$250.11 |
$732.70
|
|
Unlisted fluoroscopic px
|
$74.34 |
$74.34 |
$74.34 |
$305.76
|
|
Unlisted mr procedure
|
$471.24 |
$471.24 |
$471.24 |
$1,163.00
|
|
Unlisted muscskel px dx nuc
|
$2,256.45 |
$2,256.45 |
$2,256.45 |
$1,279.98
|
|
Unlisted orl service/px
|
$17.01 |
$17.01 |
$17.01 |
$132.60
|
|
Unlisted procedure liver
|
$2,186.10 |
$2,186.10 |
$2,186.10 |
$2,287.20
|
|
Unlisted procedure orbit
|
$601.02 |
$601.02 |
$601.02 |
$436.44
|
|
Unlisted procedure rectum
|
$247.38 |
$247.38 |
$247.38 |
$1,220.35
|
|
Unlisted px ant segment eye
|
$673.05 |
$673.05 |
$673.05 |
$2,698.92
|
|
Unlisted px biliary tract
|
$1,049.37 |
$1,049.37 |
$1,049.37 |
$2,718.10
|
|
Unlisted px casting/strpg
|
$39.27 |
$39.27 |
$39.27 |
$219.70
|
|
Unlisted px external ear
|
$137.55 |
$137.55 |
$137.55 |
$325.68
|
|
Unlisted px leg/ankle
|
$74.34 |
$74.34 |
$74.34 |
$811.00
|
|
Unlisted px male genital sys
|
$80.22 |
$80.22 |
$80.22 |
$343.55
|
|
Unlisted px med radj physics
|
$121.59 |
$121.59 |
$121.59 |
$462.35
|
|
Unlisted px palate uvula
|
$136.92 |
$136.92 |
$136.92 |
$274.80
|
|
Unlisted px salivry glnd/dux
|
$601.02 |
$601.02 |
$601.02 |
$1,265.16
|
|
Unlisted px small intestine
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$601.02 |
$601.02 |
$601.02 |
$282.50
|
|
Unsched dialysis esrd pt hos
|
$308.07 |
$308.07 |
$308.07 |
$1,268.17
|
|
Upgrade pm system
|
$10,302.60 |
$10,302.60 |
$10,302.60 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,267.98 |
$1,267.98 |
$1,267.98 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$901.32 |
$901.32 |
$901.32 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$786.24 |
$786.24 |
$786.24 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$263.34 |
$263.34 |
$263.34 |
$1,768.00
|
|
Urea nitrogen
|
$36.33 |
$36.33 |
$36.33 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$34.23 |
$34.23 |
$34.23 |
$51.75
|
|
Urea nitrogen clearance
|
$34.02 |
$34.02 |
$34.02 |
$42.25
|
|
Ureteral embolization/occl
|
$393.75 |
$393.75 |
$393.75 |
$2,181.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$198.45 |
$198.45 |
$198.45 |
$579.73
|
|
Urethrocystography void s&i
|
$131.04 |
$131.04 |
$131.04 |
$622.35
|
|
Uric acid blood
|
$51.03 |
$51.03 |
$51.03 |
$48.75
|
|
Uric acid urine
|
$49.14 |
$49.14 |
$49.14 |
$44.33
|
|
Urinalysis microscopic only
|
$1.47 |
$1.47 |
$1.47 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.68 |
$1.68 |
$1.68 |
$25.72
|
|
Urinalysis (with microscopy)
|
$40.11 |
$40.11 |
$40.11 |
$55.00
|
|
Urinalysis (without microscopy)
|
$9.24 |
$9.24 |
$9.24 |
$35.75
|
|
Urine Culture Test
|
$89.25 |
$89.25 |
$89.25 |
$81.50
|
|
Urine flow measurement 51736
|
$84.42 |
$84.42 |
$84.42 |
$210.00
|
|
Urine pregnancy test
|
$87.78 |
$87.78 |
$87.78 |
$67.20
|
|
Urography, antegrade
|
$368.13 |
$368.13 |
$368.13 |
$622.35
|
|
Use 1st target lesion
|
$82.53 |
$82.53 |
$82.53 |
$332.00
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$14.85 |
$14.85 |
$14.85 |
$143.20
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$3.85 |
$3.85 |
$3.85 |
$33.60
|
|
Vad battery clip set hmii 14-v li-ion
|
$564.48 |
$564.48 |
$564.48 |
$2,002.00
|
|
Vad cable power module dc input
|
$575.40 |
$575.40 |
$575.40 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$4,362.54 |
$4,362.54 |
$4,362.54 |
$14,827.28
|
|
Vaginal bx
|
$56.28 |
$56.28 |
$56.28 |
$455.94
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,694.07 |
$1,694.07 |
$1,694.07 |
$3,843.60
|
|
Valproic acid total therapeutic drug level
|
$85.05 |
$85.05 |
$85.05 |
$114.72
|
|
Valrubicin injection
|
$858.41 |
$858.41 |
$858.41 |
$2,813.49
|
|
Valvuloplasty aortic
|
$4,753.56 |
$4,753.56 |
$4,753.56 |
$7,830.80
|
|
Valvuloplasty mitral
|
$2,722.65 |
$2,722.65 |
$2,722.65 |
$10,877.90
|
|
Vancomycin hcl injection
|
$316.44 |
$316.44 |
$316.44 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$116.55 |
$116.55 |
$116.55 |
$136.13
|
|
Varicella zoster antibody igg
|
$85.05 |
$85.05 |
$85.05 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,003.16 |
$1,003.16 |
$1,003.16 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$342.51 |
$342.51 |
$342.51 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$640.92 |
$640.92 |
$640.92 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$178.50 |
$178.50 |
$178.50 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$342.51 |
$342.51 |
$342.51 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$178.50 |
$178.50 |
$178.50 |
$826.15
|
|
Vein x-ray eye socket
|
$1,310.19 |
$1,310.19 |
$1,310.19 |
$1,438.32
|
|
Vein x-ray kidney
|
$1,719.48 |
$1,719.48 |
$1,719.48 |
$2,766.73
|
|
Vein x-ray liver
|
$1,719.48 |
$1,719.48 |
$1,719.48 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$1,637.58 |
$1,637.58 |
$1,637.58 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$1,719.48 |
$1,719.48 |
$1,719.48 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$1,719.48 |
$1,719.48 |
$1,719.48 |
$2,452.80
|
|
Vein x-ray skull
|
$575.19 |
$575.19 |
$575.19 |
$2,141.00
|
|
Vemp test i&r cervical
|
$93.87 |
$93.87 |
$93.87 |
$313.00
|
|
Vemp test i&r ocular
|
$93.87 |
$93.87 |
$93.87 |
$266.00
|
|
Vemp tst i&r cervical&ocular
|
$178.08 |
$178.08 |
$178.08 |
$591.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$172.41 |
$172.41 |
$172.41 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$7.35 |
$7.35 |
$7.35 |
$67.00
|
|
Venogram ext bil s&i
|
$530.46 |
$530.46 |
$530.46 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$530.46 |
$530.46 |
$530.46 |
$1,366.20
|
|
Venous mech thrombectomy
|
$2,934.12 |
$2,934.12 |
$2,934.12 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$2,794.89 |
$2,794.89 |
$2,794.89 |
$5,094.75
|
|
Venous sampling s&i
|
$1,719.48 |
$1,719.48 |
$1,719.48 |
$4,193.20
|
|
Ventilator each subsequent day
|
$330.75 |
$330.75 |
$330.75 |
$1,204.00
|
|
Ventilator initial day
|
$492.66 |
$492.66 |
$492.66 |
$1,431.43
|
|
Ventricular puncture prev burr hole without inj 61020
|
$522.48 |
$522.48 |
$522.48 |
$1,314.30
|
|
Version cephalic external
|
$996.87 |
$996.87 |
$996.87 |
$2,361.75
|
|
Very long chain fatty acids
|
$253.47 |
$253.47 |
$253.47 |
$139.88
|
|
Vest large holster
|
$241.29 |
$241.29 |
$241.29 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$31.01 |
$31.01 |
$31.01 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$6.21 |
$6.21 |
$6.21 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$222.50 |
$222.50 |
$222.50 |
$223.55
|
|
Visit established high 40-54 minutes/level 5
|
$44.10 |
$44.10 |
$44.10 |
$227.50
|
