|
Trnscath retrv pq vasc fb w/guide
|
$1,772.51 |
$1,772.51 |
$1,772.51 |
$4,969.90
|
|
Trnscath tx thromblytc artery non-intracrn ini day
|
$2,198.70 |
$2,198.70 |
$2,198.70 |
$6,156.00
|
|
Trnscath tx thromblytc vein ini day
|
$1,754.87 |
$1,754.87 |
$1,754.87 |
$4,329.36
|
|
Troponin quantitative
|
$71.40 |
$71.40 |
$71.40 |
$123.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$716.45 |
$716.45 |
$716.45 |
$403.26
|
|
Ultrasound breast complete
|
$864.50 |
$864.50 |
$864.50 |
$519.75
|
|
Ultrasound breast unilateral limited (both sides)
|
$700.35 |
$700.35 |
$700.35 |
$449.35
|
|
Ultrasound chest
|
$530.67 |
$530.67 |
$530.67 |
$459.55
|
|
Ultrasound encephalogram
|
$461.79 |
$461.79 |
$461.79 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$189.93 |
$189.93 |
$189.93 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$823.90 |
$823.90 |
$823.90 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$963.90 |
$963.90 |
$963.90 |
$701.35
|
|
Ultrasound guide intraoperative
|
$250.11 |
$250.11 |
$250.11 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$460.53 |
$460.53 |
$460.53 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$301.46 |
$301.46 |
$301.46 |
$321.35
|
|
Ultrasound joint complete left
|
$1,101.10 |
$1,101.10 |
$1,101.10 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$980.00 |
$980.00 |
$980.00 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$779.10 |
$779.10 |
$779.10 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$536.90 |
$536.90 |
$536.90 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$456.75 |
$456.75 |
$456.75 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$337.75 |
$337.75 |
$337.75 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$383.67 |
$383.67 |
$383.67 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$969.85 |
$969.85 |
$969.85 |
$498.00
|
|
Ultrasound scrotum and contents
|
$954.45 |
$954.45 |
$954.45 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$408.70 |
$408.70 |
$408.70 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$741.30 |
$741.30 |
$741.30 |
$567.44
|
|
Unlisted chemotherapy px
|
$233.42 |
$233.42 |
$233.42 |
$153.85
|
|
Unlisted mr procedure
|
$2,516.85 |
$2,516.85 |
$2,516.85 |
$1,032.20
|
|
Unlisted px med radj physics
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$376.03
|
|
Unsched dialysis esrd pt hos
|
$1,465.59 |
$1,465.59 |
$1,465.59 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,615.75 |
$5,615.75 |
$5,615.75 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,785.20 |
$4,785.20 |
$4,785.20 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,322.90 |
$3,322.90 |
$3,322.90 |
$2,013.08
|
|
Urea nitrogen
|
$31.85 |
$31.85 |
$31.85 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$43.47 |
$43.47 |
$43.47 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$567.88 |
$567.88 |
$567.88 |
$574.40
|
|
Urethrocystography void s&i
|
$568.05 |
$568.05 |
$568.05 |
$634.50
|
|
Uric acid blood
|
$29.40 |
$29.40 |
$29.40 |
$46.64
|
|
Uric acid urine
|
$63.58 |
$63.58 |
$63.58 |
$46.75
|
|
Urinalysis microscopic only
|
$12.25 |
$12.25 |
$12.25 |
$26.35
|
|
Urinalysis (with microscopy)
|
$48.65 |
$48.65 |
$48.65 |
$48.14
|
|
Urinalysis (without microscopy)
|
$31.15 |
$31.15 |
$31.15 |
$38.99
|
|
Urine Culture Test
|
$94.85 |
$94.85 |
$94.85 |
$84.81
|
|
Urine pregnancy test
|
$85.05 |
$85.05 |
$85.05 |
$66.40
|
|
Urography, antegrade
|
$415.80 |
$415.80 |
$415.80 |
$593.37
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$36.18 |
$36.18 |
$36.18 |
$79.04
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$5.18 |
$5.18 |
$5.18 |
$48.29
|
|
Vaccine mmr live subcutaneous
|
$76.68 |
$76.68 |
$76.68 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$93.20 |
$93.20 |
$93.20 |
$274.95
|
|
Vaccine rabies im
|
$216.67 |
$216.67 |
$216.67 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$95.57 |
$95.57 |
$95.57 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$62.92 |
$62.92 |
$62.92 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$136.71 |
$136.71 |
$136.71 |
$115.00
|
|
Vancomycin hcl injection
|
$54.39 |
$54.39 |
$54.39 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$51.09 |
$51.09 |
$51.09 |
$126.79
|
|
Varicella zoster antibody igg
|
$65.45 |
$65.45 |
$65.45 |
$82.55
|
|
Venogram ext bil s&i
|
$752.22 |
$752.22 |
$752.22 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$420.53 |
$420.53 |
$420.53 |
$1,326.00
|
|
Venous mech thrombectomy
|
$2,524.73 |
$2,524.73 |
$2,524.73 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$2,524.73 |
$2,524.73 |
$2,524.73 |
$5,352.00
|
|
Venous thrombosis imaging
|
$425.57 |
$425.57 |
$425.57 |
$636.97
|
|
Ven thrombosis images bilat
|
$520.70 |
$520.70 |
$520.70 |
$779.56
|
|
Ventilator each subsequent day
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$1,305.92
|
|
Ventilator initial day
|
$1,471.56 |
$1,471.56 |
$1,471.56 |
$1,540.80
|
|
Very long chain fatty acids
|
$71.75 |
$71.75 |
$71.75 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$58.91 |
$58.91 |
$58.91 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$21.67 |
$21.67 |
$21.67 |
$104.79
|
|
Vitamin b-12
|
$51.09 |
$51.09 |
$51.09 |
$94.90
|
|
Vitamin D Test
|
$77.18 |
$77.18 |
$77.18 |
$132.00
|
|
Volume measurement urine timed
|
$10.15 |
$10.15 |
$10.15 |
$21.45
|
|
Warde 1003990 aldosterone
|
$77.91 |
$77.91 |
$77.91 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$37.80 |
$37.80 |
$37.80 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$83.19 |
$83.19 |
$83.19 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$32.85 |
$32.85 |
$32.85 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$31.17 |
$31.17 |
$31.17 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$135.10 |
$135.10 |
$135.10 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$22.68 |
$22.68 |
$22.68 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$59.85 |
$59.85 |
$59.85 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$47.25 |
$47.25 |
$47.25 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$74.20 |
$74.20 |
$74.20 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$51.45 |
$51.45 |
$51.45 |
$78.57
|
|
Warde 3400852 arsenic
|
$54.30 |
$54.30 |
$54.30 |
$105.12
|
|
Warde 3708165 mercury urine
|
$57.84 |
$57.84 |
$57.84 |
$72.80
|
|
Warde actin (smooth muscle) antibody each
|
$16.39 |
$16.39 |
$16.39 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$46.31 |
$46.31 |
$46.31 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$126.35 |
$126.35 |
$126.35 |
$129.75
|
|
Warde aldolase
|
$22.50 |
$22.50 |
$22.50 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$539.91 |
$539.91 |
$539.91 |
$176.20
|
|
Warde analysis gene hfe common variants
|
$525.87 |
$525.87 |
$525.87 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$253.75 |
$253.75 |
$253.75 |
$381.50
|
|
Warde apolipoprotein b
|
$3.50 |
$3.50 |
$3.50 |
$64.28
|
|
Warde calcitonin
|
$42.74 |
$42.74 |
$42.74 |
$89.40
|
|
Warde collagen cross links c-telopeptide
|
$74.97 |
$74.97 |
$74.97 |
$90.40
|
|
Warde complement total hemolytic
|
$57.65 |
$57.65 |
$57.65 |
$105.00
|
|
Warde copper
|
$32.85 |
$32.85 |
$32.85 |
$80.00
|
|
Warde cryoglobulin
|
$41.65 |
$41.65 |
$41.65 |
$43.45
|
|
Warde erythropoietin
|
$54.25 |
$54.25 |
$54.25 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$9.14 |
$9.14 |
$9.14 |
$48.57
|
|
Warde folic acid rbc
|
$72.80 |
$72.80 |
$72.80 |
$81.60
|
