|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$42.55 |
$42.55 |
$42.55 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$38.87 |
$38.87 |
$38.87 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$96.60 |
$96.60 |
$96.60 |
$203.35
|
|
Treatment of ankle fracture
|
$3,023.58 |
$3,023.58 |
$3,023.58 |
$8,453.60
|
|
Treatment of ankle fracture 27786
|
$236.90 |
$236.90 |
$236.90 |
$520.80
|
|
Treatment of fibula fracture 27780
|
$217.35 |
$217.35 |
$217.35 |
$491.50
|
|
Treatment of thigh fracture
|
$617.55 |
$617.55 |
$617.55 |
$1,748.40
|
|
Treatment of toe fracture 28510
|
$62.10 |
$62.10 |
$62.10 |
$369.70
|
|
Treat midfoot fracture each
|
$74.52 |
$74.52 |
$74.52 |
$1,851.78
|
|
Treat thigh fx growth plate
|
$94.99 |
$94.99 |
$94.99 |
$475.68
|
|
Treat ulnar fracture
|
$207.92 |
$207.92 |
$207.92 |
$1,662.00
|
|
Treat wrist bone fracture
|
$207.92 |
$207.92 |
$207.92 |
$1,548.40
|
|
Treat wrist dislocation
|
$207.92 |
$207.92 |
$207.92 |
$656.25
|
|
Treponema pallidum antibody
|
$23.00 |
$23.00 |
$23.00 |
$70.40
|
|
Trg gene rearrangement anal
|
$346.38 |
$346.38 |
$346.38 |
$455.70
|
|
Trh stimulation panel
|
$115.69 |
$115.69 |
$115.69 |
$117.75
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$21.53 |
$21.53 |
$21.53 |
$43.21
|
|
#tricyclicantidprssnt
|
$29.21 |
$29.21 |
$29.21 |
$50.86
|
|
Triglycerides
|
$9.89 |
$9.89 |
$9.89 |
$58.05
|
|
Trim nail(s)
|
$11.73 |
$11.73 |
$11.73 |
$79.00
|
|
Trim nondyst nails
|
$11.73 |
$11.73 |
$11.73 |
$113.40
|
|
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm
|
$1,203.59 |
$1,203.59 |
$1,203.59 |
$4,713.66
|
|
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<
|
$94.30 |
$94.30 |
$94.30 |
$2,357.04
|
|
Troponin quantitative
|
$17.02 |
$17.02 |
$17.02 |
$127.20
|
|
Tx closed hip disl traumatic without anes
|
$241.50 |
$241.50 |
$241.50 |
$581.07
|
|
Tx closed tib shaft fx without manip
|
$187.45 |
$187.45 |
$187.45 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$62.10 |
$62.10 |
$62.10 |
$416.16
|
|
U2af1 gene common variants
|
$243.34 |
$243.34 |
$243.34 |
$243.34
|
|
Ua w/micro/comp poc
|
$3.45 |
$3.45 |
$3.45 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$155.02 |
$155.02 |
$155.02 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$99.82 |
$99.82 |
$99.82 |
$394.20
|
|
Ultrasound breast complete
|
$94.99 |
$94.99 |
$94.99 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$90.16 |
$90.16 |
$90.16 |
$449.35
|
|
Ultrasound chest
|
$99.82 |
$99.82 |
$99.82 |
$460.85
|
|
Ultrasound exam k transpl w/doppler
|
$99.82 |
$99.82 |
$99.82 |
$573.54
|
|
Ultrasound guide intraoperative
|
$99.82 |
$99.82 |
$99.82 |
$632.85
|
|
Ultrasound joint complete left
|
$99.82 |
$99.82 |
$99.82 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$99.82 |
$99.82 |
$99.82 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$99.82 |
$99.82 |
$99.82 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$49.68 |
$49.68 |
$49.68 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$49.68 |
$49.68 |
$49.68 |
$331.50
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$99.82 |
$99.82 |
$99.82 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$99.82 |
$99.82 |
$99.82 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$94.76 |
$94.76 |
$94.76 |
$486.50
|
|
Ultrasound scrotum and contents
|
$99.82 |
$99.82 |
$99.82 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$99.82 |
$99.82 |
$99.82 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$99.82 |
$99.82 |
$99.82 |
$558.35
|
|
Unlisted procedure microbiology
|
$50.83 |
$50.83 |
$50.83 |
$523.50
|
|
Unlisted px casting/strpg
|
$53.59 |
$53.59 |
$53.59 |
$219.70
|
|
Unlisted px small intestine
|
$1,080.31 |
$1,080.31 |
$1,080.31 |
$2,102.10
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$624.68 |
$624.68 |
$624.68 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$593.63 |
$593.63 |
$593.63 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$418.83 |
$418.83 |
$418.83 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$377.43 |
$377.43 |
$377.43 |
$1,768.00
|
|
Urea nitrogen
|
$6.67 |
$6.67 |
$6.67 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$8.05 |
$8.05 |
$8.05 |
$51.75
|
|
Ureteral reflux study
|
$179.17 |
$179.17 |
$179.17 |
$952.50
|
|
Uric acid blood
|
$8.05 |
$8.05 |
$8.05 |
$48.75
|
|
Uric acid urine
|
$8.28 |
$8.28 |
$8.28 |
$44.33
|
|
Urinalysis microscopic only
|
$5.06 |
$5.06 |
$5.06 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$3.91 |
$3.91 |
$3.91 |
$25.72
|
|
Urinalysis (with microscopy)
|
$5.52 |
$5.52 |
$5.52 |
$55.00
|
|
Urinalysis (without microscopy)
|
$3.91 |
$3.91 |
$3.91 |
$35.75
|
|
Urine Culture Test
|
$13.80 |
$13.80 |
$13.80 |
$81.50
|
|
Urine flow measurement 51736
|
$53.82 |
$53.82 |
$53.82 |
$210.00
|
|
Urine pregnancy test
|
$10.81 |
$10.81 |
$10.81 |
$67.20
|
|
Vaccine dtap < 7 years im
|
$52.84 |
$52.84 |
$52.84 |
$68.19
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$113.93 |
$113.93 |
$113.93 |
$84.75
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$51.49 |
$51.49 |
$51.49 |
$75.39
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$35.45 |
$35.45 |
$35.45 |
$33.60
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$314.98 |
$314.98 |
$314.98 |
$563.36
|
|
Vaccine rabies im
|
$479.49 |
$479.49 |
$479.49 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$72.13 |
$72.13 |
$72.13 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$61.05 |
$61.05 |
$61.05 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$23.46 |
$23.46 |
$23.46 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$274.80 |
$274.80 |
$274.80 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$55.48 |
$55.48 |
$55.48 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$23.46 |
$23.46 |
$23.46 |
$136.13
|
|
Varicella zoster antibody igg
|
$22.08 |
$22.08 |
$22.08 |
$86.80
|
|
Ventilator each subsequent day
|
$397.67 |
$397.67 |
$397.67 |
$1,204.00
|
|
Ventilator initial day
|
$195.27 |
$195.27 |
$195.27 |
$1,431.43
|
|
Viper venom prothrombin time
|
$16.33 |
$16.33 |
$16.33 |
$85.80
|
|
Virus isolation addl studies ea
|
$33.58 |
$33.58 |
$33.58 |
$77.50
|
|
Visit established high 40-54 minutes/level 5
|
$50.14 |
$50.14 |
$50.14 |
$227.50
|
|
Vitamin b-12
|
$25.76 |
$25.76 |
$25.76 |
$100.00
|
|
Vitamin D Test
|
$51.06 |
$51.06 |
$51.06 |
$132.00
|
|
Vkorc1 gene
|
$113.16 |
$113.16 |
$113.16 |
$176.80
|
|
Volume measurement urine timed
|
$5.06 |
$5.06 |
$5.06 |
$21.45
|
|
Warde 1003990 aldosterone
|
$67.39 |
$67.39 |
$67.39 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$47.61 |
$47.61 |
$47.61 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$22.31 |
$22.31 |
$22.31 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$43.47 |
$43.47 |
$43.47 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$26.68 |
$26.68 |
$26.68 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$37.49 |
$37.49 |
$37.49 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$13.80 |
$13.80 |
$13.80 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$34.50 |
$34.50 |
$34.50 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$25.53 |
$25.53 |
$25.53 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$11.27 |
$11.27 |
$11.27 |
$60.50
|