|
Ultrasound encephalogram
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$1,470.50 |
$1,470.50 |
$1,470.50 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,816.00 |
$1,816.00 |
$1,816.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$2,232.50 |
$2,232.50 |
$2,232.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,980.50 |
$1,980.50 |
$1,980.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$761.00 |
$761.00 |
$761.00 |
$403.88
|
|
Ultrasound joint complete left
|
$2,285.50 |
$2,285.50 |
$2,285.50 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$2,166.00 |
$2,166.00 |
$2,166.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$1,229.00 |
$1,229.00 |
$1,229.00 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,387.00 |
$1,387.00 |
$1,387.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$2,349.50 |
$2,349.50 |
$2,349.50 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$1,550.50 |
$1,550.50 |
$1,550.50 |
$486.50
|
|
Ultrasound scrotum and contents
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$2,727.50 |
$2,727.50 |
$2,727.50 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$2,046.50 |
$2,046.50 |
$2,046.50 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$206.64
|
|
Unit mobile power mpu
|
$26,049.50 |
$26,049.50 |
$26,049.50 |
$14,612.80
|
|
Unlistd noninvas vasc dx std
|
$157.00 |
$157.00 |
$157.00 |
$528.80
|
|
Unlisted cytopathology px
|
$65.00 |
$65.00 |
$65.00 |
$132.08
|
|
Unlisted fluoroscopic px
|
$517.00 |
$517.00 |
$517.00 |
$305.76
|
|
Unlisted mr procedure
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$1,163.00
|
|
Unlisted procedure microbiology
|
$350.00 |
$350.00 |
$350.00 |
$523.50
|
|
Unlisted procedure pancreas
|
$3,174.50 |
$3,174.50 |
$3,174.50 |
$3,986.00
|
|
Unlisted procedure spine
|
$10,779.00 |
$10,779.00 |
$10,779.00 |
$4,659.85
|
|
Unlisted px foot/toes
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$1,225.50
|
|
Unlisted px med radj physics
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$462.35
|
|
Unlisted px small intestine
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$2,102.10
|
|
Unsched dialysis esrd pt hos
|
$2,406.50 |
$2,406.50 |
$2,406.50 |
$1,268.17
|
|
Upgrade pm system
|
$12,860.00 |
$12,860.00 |
$12,860.00 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,144.50 |
$1,144.50 |
$1,144.50 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$946.50 |
$946.50 |
$946.50 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$658.00 |
$658.00 |
$658.00 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$591.50 |
$591.50 |
$591.50 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$596.00 |
$596.00 |
$596.00 |
$1,872.00
|
|
Urea nitrogen
|
$211.50 |
$211.50 |
$211.50 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$149.00 |
$149.00 |
$149.00 |
$51.75
|
|
Urea nitrogen semi-quant
|
$30.00 |
$30.00 |
$30.00 |
$10.40
|
|
Ureteral embolization/occl
|
$3,967.00 |
$3,967.00 |
$3,967.00 |
$2,181.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$579.73
|
|
Urethrocystography void s&i
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$622.35
|
|
Uric acid blood
|
$290.50 |
$290.50 |
$290.50 |
$48.75
|
|
Uric acid urine
|
$100.50 |
$100.50 |
$100.50 |
$44.33
|
|
Urinalysis microscopic only
|
$134.00 |
$134.00 |
$134.00 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$123.50 |
$123.50 |
$123.50 |
$25.72
|
|
Urinalysis (with microscopy)
|
$273.00 |
$273.00 |
$273.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$193.00 |
$193.00 |
$193.00 |
$35.75
|
|
Urine pregnancy test
|
$190.00 |
$190.00 |
$190.00 |
$67.20
|
|
Urography, antegrade
|
$984.50 |
$984.50 |
$984.50 |
$622.35
|
|
Use 1st target lesion
|
$768.00 |
$768.00 |
$768.00 |
$332.00
|
|
U/s trtmt, not leiomyomata
|
$32,401.00 |
$32,401.00 |
$32,401.00 |
$17,653.66
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$2,002.00
|
|
Vad cable power module dc input
|
$6,030.00 |
$6,030.00 |
$6,030.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$23,444.50 |
$23,444.50 |
$23,444.50 |
$14,827.28
|
|
Valproic acid total therapeutic drug level
|
$240.50 |
$240.50 |
$240.50 |
$114.72
|
|
Valvuloplasty aortic
|
$12,231.50 |
$12,231.50 |
$12,231.50 |
$7,830.80
|
|
Vancomycin peak therapeutic drug level
|
$288.00 |
$288.00 |
$288.00 |
$136.13
|
|
Vanomycin dna amp probe
|
$14.50 |
$14.50 |
$14.50 |
$78.40
|
|
Varicella zoster antibody igg
|
$105.00 |
$105.00 |
$105.00 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$4,884.00 |
$4,884.00 |
$4,884.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$9,768.00 |
$9,768.00 |
$9,768.00 |
$3,225.60
|
|
Veeg unmon 12-26 hrs
|
$8,160.00 |
$8,160.00 |
$8,160.00 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$4,079.50 |
$4,079.50 |
$4,079.50 |
$826.15
|
|
Vein x-ray eye socket
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$1,438.32
|
|
Vein x-ray kidney
|
$5,113.00 |
$5,113.00 |
$5,113.00 |
$2,766.73
|
|
Vein x-ray liver
|
$4,227.50 |
$4,227.50 |
$4,227.50 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$6,919.00 |
$6,919.00 |
$6,919.00 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$4,730.00 |
$4,730.00 |
$4,730.00 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$2,243.00 |
$2,243.00 |
$2,243.00 |
$2,452.80
|
|
Vein x-ray skull
|
$1,325.50 |
$1,325.50 |
$1,325.50 |
$2,141.00
|
|
Vein x-ray spleen/liver
|
$3,434.00 |
$3,434.00 |
$3,434.00 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$277.00 |
$277.00 |
$277.00 |
$202.80
|
|
Venogram ext bil s&i
|
$1,852.00 |
$1,852.00 |
$1,852.00 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,697.50 |
$1,697.50 |
$1,697.50 |
$1,366.20
|
|
Venous mech thrombectomy
|
$25,463.50 |
$25,463.50 |
$25,463.50 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$15,931.00 |
$15,931.00 |
$15,931.00 |
$5,094.75
|
|
Venous sampling s&i
|
$4,068.50 |
$4,068.50 |
$4,068.50 |
$4,193.20
|
|
Ventilator each subsequent day
|
$2,249.50 |
$2,249.50 |
$2,249.50 |
$1,204.00
|
|
Ventilator initial day
|
$3,604.50 |
$3,604.50 |
$3,604.50 |
$1,431.43
|
|
Version cephalic external
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$121.00 |
$121.00 |
$121.00 |
$139.88
|
|
Vest large holster
|
$1,364.50 |
$1,364.50 |
$1,364.50 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$44.00 |
$44.00 |
$44.00 |
$77.50
|
|
Vital capacity test
|
$162.00 |
$162.00 |
$162.00 |
$170.00
|
|
Vitamin b-12
|
$304.00 |
$304.00 |
$304.00 |
$100.00
|
|
Vitamin D Test
|
$308.00 |
$308.00 |
$308.00 |
$132.00
|
|
Vkorc1 gene
|
$200.00 |
$200.00 |
$200.00 |
$176.80
|
|
Vsrctv std tcd icr art compl
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$409.37
|
|
Warde 1003990 aldosterone
|
$17.00 |
$17.00 |
$17.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$128.00 |
$128.00 |
$128.00 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$17.00 |
$17.00 |
$17.00 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$113.10
|
