|
Ultrasound guidance for vascular access
|
$211.65 |
$211.65 |
$211.65 |
$300.00
|
|
Ultrasound guided needle placement supervision & interpretation
|
$228.23 |
$228.23 |
$228.23 |
$629.64
|
|
Ultrasound infant hips ltd without stress
|
$120.57 |
$120.57 |
$120.57 |
$311.25
|
|
Ultrasound joint complete left
|
$287.31 |
$287.31 |
$287.31 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$261.99 |
$261.99 |
$261.99 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$156.15 |
$156.15 |
$156.15 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$190.31 |
$190.31 |
$190.31 |
$304.80
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$322.76 |
$322.76 |
$322.76 |
$680.71
|
|
Ultrasound pregnant uterus follow up per fetus
|
$201.17 |
$201.17 |
$201.17 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$82.56 |
$82.56 |
$82.56 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$354.47 |
$354.47 |
$354.47 |
$477.10
|
|
Ultrasound prostate/transrectal
|
$181.01 |
$181.01 |
$181.01 |
$515.63
|
|
Ultrasound retroperitoneal limited
|
$252.51 |
$252.51 |
$252.51 |
$469.58
|
|
Ultrasound scrotum and contents
|
$317.94 |
$317.94 |
$317.94 |
$558.03
|
|
Ultrasound spinal canal and contents
|
$335.93 |
$335.93 |
$335.93 |
$415.00
|
|
Ultrasound transabd ea addl gest
|
$199.88 |
$199.88 |
$199.88 |
$424.80
|
|
Ultrasound transvaginal non obstetric
|
$352.61 |
$352.61 |
$352.61 |
$523.20
|
|
Unlisted mr procedure
|
$736.64 |
$736.64 |
$736.64 |
$1,249.50
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,318.01 |
$1,318.01 |
$1,318.01 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,152.21 |
$1,152.21 |
$1,152.21 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$930.30 |
$930.30 |
$930.30 |
$1,794.00
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,760.00
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,760.00
|
|
Uppr gi scope w/submuc inj
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
$1,247.13
|
|
Urea nitrogen
|
$37.37 |
$37.37 |
$37.37 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$32.96 |
$32.96 |
$32.96 |
$42.90
|
|
Urethrocystography void s&i
|
$242.43 |
$242.43 |
$242.43 |
$586.50
|
|
Uric acid blood
|
$42.81 |
$42.81 |
$42.81 |
$44.00
|
|
Uric acid urine
|
$57.39 |
$57.39 |
$57.39 |
$43.20
|
|
Urinalysis (with microscopy)
|
$48.14 |
$48.14 |
$48.14 |
$37.39
|
|
Urinalysis (without microscopy)
|
$34.80 |
$34.80 |
$34.80 |
$33.00
|
|
Urine Culture Test
|
$36.56 |
$36.56 |
$36.56 |
$63.84
|
|
Urine pregnancy test
|
$52.53 |
$52.53 |
$52.53 |
$57.00
|
|
Use 1st target lesion
|
$369.77 |
$369.77 |
$369.77 |
$252.00
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$275.10 |
$275.10 |
$275.10 |
$233.60
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$275.10 |
$275.10 |
$275.10 |
$240.91
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$247.16 |
$247.16 |
$247.16 |
$255.20
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$165.50 |
$165.50 |
$165.50 |
$171.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$370.74 |
$370.74 |
$370.74 |
$109.60
|
|
Vaccine dtap < 7 years im
|
$61.08 |
$61.08 |
$61.08 |
$66.69
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$317.28 |
$317.28 |
$317.28 |
$310.70
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$59.81 |
$59.81 |
$59.81 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$157.41 |
$157.41 |
$157.41 |
$130.67
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$44.18 |
$44.18 |
$44.18 |
$47.38
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$337.91 |
$337.91 |
$337.91 |
$321.80
|
|
Vaccine mmr live subcutaneous
|
$203.79 |
$203.79 |
$203.79 |
$222.36
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$251.64 |
$251.64 |
$251.64 |
$195.69
|
|
Vaccine rabies im
|
$889.58 |
$889.58 |
$889.58 |
$800.00
|
|
Vaccine tdap >=7 years im
|
$101.06 |
$101.06 |
$101.06 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$79.20 |
$79.20 |
$79.20 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$82.74 |
$82.74 |
$82.74 |
$100.80
|
|
Vancomycin peak therapeutic drug level
|
$85.62 |
$85.62 |
$85.62 |
$116.00
|
|
Varicella zoster antibody igg
|
$75.56 |
$75.56 |
$75.56 |
$90.35
|
|
Vasopressin 20 unit/ml intravenous solution
|
$8.70 |
$8.70 |
$8.70 |
$330.41
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,417.76 |
$1,417.76 |
$1,417.76 |
$123.00
|
|
Venogram ext bil s&i
|
$1,338.96 |
$1,338.96 |
$1,338.96 |
$1,697.72
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,338.96 |
$1,338.96 |
$1,338.96 |
$1,270.23
|
|
Ventilator each subsequent day
|
$451.82 |
$451.82 |
$451.82 |
$1,138.50
|
|
Ventilator initial day
|
$485.18 |
$485.18 |
$485.18 |
$1,331.00
|
|
Version cephalic external
|
$1,622.55 |
$1,622.55 |
$1,622.55 |
$2,361.75
|
|
Virus isolation addl studies ea
|
$39.20 |
$39.20 |
$39.20 |
$90.35
|
|
Vitamin b-12
|
$50.55 |
$50.55 |
$50.55 |
$89.70
|
|
Vitamin D Test
|
$81.87 |
$81.87 |
$81.87 |
$132.60
|
|
Warde 1003990 aldosterone
|
$118.79 |
$118.79 |
$118.79 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$83.09 |
$83.09 |
$83.09 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$81.84 |
$81.84 |
$81.84 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$111.60 |
$111.60 |
$111.60 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$83.06 |
$83.06 |
$83.06 |
$83.06
|
|
Warde 1015200 kappa light chain free
|
$26.82 |
$26.82 |
$26.82 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$44.82 |
$44.82 |
$44.82 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$241.85 |
$241.85 |
$241.85 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$88.73 |
$88.73 |
$88.73 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$88.73 |
$88.73 |
$88.73 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$76.70 |
$76.70 |
$76.70 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$63.83 |
$63.83 |
$63.83 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$60.92 |
$60.92 |
$60.92 |
$79.30
|
|
Warde 3400852 arsenic
|
$86.81 |
$86.81 |
$86.81 |
$107.38
|
|
Warde 3708165 mercury urine
|
$75.62 |
$75.62 |
$75.62 |
$82.20
|
|
Warde actin (smooth muscle) antibody each
|
$30.24 |
$30.24 |
$30.24 |
$52.80
|
|
Warde adenosine deaminase pleural fluid
|
$86.81 |
$86.81 |
$86.81 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$96.72 |
$96.72 |
$96.72 |
$147.55
|
|
Warde aldolase
|
$66.95 |
$66.95 |
$66.95 |
$60.00
|
|
Warde amino acids 6 or more quantitative each specimen
|
$273.50 |
$273.50 |
$273.50 |
$177.60
|
|
Warde analysis gene hfe common variants
|
$221.43 |
$221.43 |
$221.43 |
$284.70
|
|
Warde apolipoprotein b
|
$86.85 |
$86.85 |
$86.85 |
$80.60
|
|
Warde cadmium blood
|
$87.98 |
$87.98 |
$87.98 |
$79.20
|
|
Warde calcitonin
|
$109.16 |
$109.16 |
$109.16 |
$120.25
|
|
Warde calculus (stone) infrared
|
$87.57 |
$87.57 |
$87.57 |
$67.50
|
|
Warde clozapine therapeutic drug level
|
$9.62 |
$9.62 |
$9.62 |
$71.20
|
|
Warde cobalt heavy metal quantitative each nes
|
$103.26 |
$103.26 |
$103.26 |
$126.08
|
|
Warde collagen cross links c-telopeptide
|
$234.45 |
$234.45 |
$234.45 |
$94.80
|
|
Warde complement total hemolytic
|
$81.65 |
$81.65 |
$81.65 |
$108.55
|
|
Warde copper
|
$71.87 |
$71.87 |
$71.87 |
$88.20
|
|
Warde cryoglobulin
|
$64.44 |
$64.44 |
$64.44 |
$52.45
|
|
Warde erythropoietin
|
$86.81 |
$86.81 |
$86.81 |
$92.50
|
|
Warde fluorescent antibody screen endomysial iga
|
$30.24 |
$30.24 |
$30.24 |
$66.95
|
|
Warde folic acid rbc
|
$104.04 |
$104.04 |
$104.04 |
$91.85
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$86.97 |
$86.97 |
$86.97 |
$65.00
|
|
Warde gastrin
|
$83.67 |
$83.67 |
$83.67 |
$94.68
|
|
Warde growth hormone (hgh)
|
$81.24 |
$81.24 |
$81.24 |
$81.24
|
