|
Treat elbow fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,919.13
|
|
Treat finger fracture each
|
$597.90 |
$597.90 |
$597.90 |
$1,536.00
|
|
Treat foot dislocation
|
$86.40 |
$86.40 |
$86.40 |
$527.28
|
|
Treat foot dislocation
|
$86.40 |
$86.40 |
$86.40 |
$445.80
|
|
Treat fracture of radius
|
$597.90 |
$597.90 |
$597.90 |
$1,790.00
|
|
Treat fracture of ulna
|
$343.50 |
$343.50 |
$343.50 |
$726.05
|
|
Treat humerus fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,771.43
|
|
Treat humerus fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,771.43
|
|
Treat kneecap dislocation
|
$86.40 |
$86.40 |
$86.40 |
$1,068.90
|
|
Treatment incomplete abortion completed surgically any trimester
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$136.80 |
$136.80 |
$136.80 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$119.10 |
$119.10 |
$119.10 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$140.10 |
$140.10 |
$140.10 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$3,982.44
|
|
Treatment of thigh fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,748.40
|
|
Treatment of thigh fracture
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$1,772.97
|
|
Treat thigh fracture
|
$343.50 |
$343.50 |
$343.50 |
$618.80
|
|
Treat ulnar fracture
|
$597.90 |
$597.90 |
$597.90 |
$1,662.00
|
|
Treat wrist dislocation
|
$86.40 |
$86.40 |
$86.40 |
$656.25
|
|
Treponema pallidum antibody
|
$153.00 |
$153.00 |
$153.00 |
$70.40
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$115.52 |
$115.52 |
$115.52 |
$43.21
|
|
Trichomonas assay w/optic
|
$26.40 |
$26.40 |
$26.40 |
$55.50
|
|
Triglycerides
|
$11.10 |
$11.10 |
$11.10 |
$58.05
|
|
Trnscath tx thromblytc vein ini day
|
$1,241.70 |
$1,241.70 |
$1,241.70 |
$3,866.70
|
|
Troponin quantitative
|
$92.10 |
$92.10 |
$92.10 |
$127.20
|
|
Tube trach disp innr can 5 xlt
|
$452.49 |
$452.49 |
$452.49 |
$445.99
|
|
Tx closed hip disl traumatic without anes
|
$86.40 |
$86.40 |
$86.40 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$3,977.49
|
|
Ultrasound abdomen aorta screening study aaa
|
$750.30 |
$750.30 |
$750.30 |
$394.20
|
|
Ultrasound breast complete
|
$627.00 |
$627.00 |
$627.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$627.00 |
$627.00 |
$627.00 |
$449.35
|
|
Ultrasound chest
|
$313.20 |
$313.20 |
$313.20 |
$460.85
|
|
Ultrasound guidance for vascular access
|
$318.90 |
$318.90 |
$318.90 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$488.40 |
$488.40 |
$488.40 |
$720.15
|
|
Ultrasound joint/nonvascular extremity limited left
|
$372.90 |
$372.90 |
$372.90 |
$425.45
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$2,347.50 |
$2,347.50 |
$2,347.50 |
$707.20
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$1,334.40 |
$1,334.40 |
$1,334.40 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$886.80 |
$886.80 |
$886.80 |
$497.12
|
|
Ultrasound scrotum and contents
|
$1,334.40 |
$1,334.40 |
$1,334.40 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$482.10 |
$482.10 |
$482.10 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$886.80 |
$886.80 |
$886.80 |
$558.35
|
|
Unlisted maaa
|
$70.80 |
$70.80 |
$70.80 |
$235.20
|
|
Unlisted px hands/fingers
|
$238.20 |
$238.20 |
$238.20 |
$354.20
|
|
Unlisted px small intestine
|
$857.10 |
$857.10 |
$857.10 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$87.00 |
$87.00 |
$87.00 |
$282.50
|
|
Unlisted px vestibule mouth
|
$230.70 |
$230.70 |
$230.70 |
$456.96
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$880.20 |
$880.20 |
$880.20 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$5,499.90 |
$5,499.90 |
$5,499.90 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$6,229.11 |
$6,229.11 |
$6,229.11 |
$1,768.00
|
|
Urea nitrogen
|
$159.60 |
$159.60 |
$159.60 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$29.10 |
$29.10 |
$29.10 |
$51.75
|
|
Uric acid blood
|
$159.60 |
$159.60 |
$159.60 |
$48.75
|
|
Uric acid urine
|
$90.30 |
$90.30 |
$90.30 |
$44.33
|
|
Urinalysis microscopic only
|
$6.30 |
$6.30 |
$6.30 |
$26.35
|
|
Urinalysis (with microscopy)
|
$172.80 |
$172.80 |
$172.80 |
$55.00
|
|
Urinalysis (without microscopy)
|
$35.70 |
$35.70 |
$35.70 |
$35.75
|
|
Urine Culture Test
|
$78.00 |
$78.00 |
$78.00 |
$81.50
|
|
Urine pregnancy test
|
$208.80 |
$208.80 |
$208.80 |
$67.20
|
|
Vaccine dtap-ipv 4-6 years im
|
$226.16 |
$226.16 |
$226.16 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$109.42 |
$109.42 |
$109.42 |
$174.72
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$48.26 |
$48.26 |
$48.26 |
$43.12
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$560.70 |
$560.70 |
$560.70 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$94.81 |
$94.81 |
$94.81 |
$75.39
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$58.78 |
$58.78 |
$58.78 |
$76.50
|
|
Vaccine mmr live subcutaneous
|
$352.76 |
$352.76 |
$352.76 |
$211.68
|
|
Vaccine rabies im
|
$1,564.60 |
$1,564.60 |
$1,564.60 |
$858.95
|
|
Vaccine td preservative free >= 7 years im
|
$152.09 |
$152.09 |
$152.09 |
$112.10
|
|
Vad univ batt charger hm 1440
|
$16,241.25 |
$16,241.25 |
$16,241.25 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$217.80 |
$217.80 |
$217.80 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$2,887.88 |
$2,887.88 |
$2,887.88 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$327.79 |
$327.79 |
$327.79 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$371.10 |
$371.10 |
$371.10 |
$136.13
|
|
Varicella zoster antibody igg
|
$115.80 |
$115.80 |
$115.80 |
$86.80
|
|
Varus/valgus strap padded/li
|
$115.53 |
$115.53 |
$115.53 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$56.89 |
$56.89 |
$56.89 |
$325.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$68.70 |
$68.70 |
$68.70 |
$202.80
|
|
Ventilator initial day
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$1,431.43
|
|
Vest large holster
|
$1,198.12 |
$1,198.12 |
$1,198.12 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$241.92 |
$241.92 |
$241.92 |
$165.00
|
|
Vitamin b-12
|
$734.70 |
$734.70 |
$734.70 |
$100.00
|
|
Volume measurement urine timed
|
$19.20 |
$19.20 |
$19.20 |
$21.45
|
|
Warde 1003990 aldosterone
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$49.20 |
$49.20 |
$49.20 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$57.60 |
$57.60 |
$57.60 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$30.30 |
$30.30 |
$30.30 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$26.40 |
$26.40 |
$26.40 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$75.30 |
$75.30 |
$75.30 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$43.80 |
$43.80 |
$43.80 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$43.80 |
$43.80 |
$43.80 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$22.80 |
$22.80 |
$22.80 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$83.10 |
$83.10 |
$83.10 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$11.70 |
$11.70 |
$11.70 |
$72.50
|
|
Warde 3400852 arsenic
|
$272.70 |
$272.70 |
$272.70 |
$100.88
|
|
Warde 3708165 mercury urine
|
$267.30 |
$267.30 |
$267.30 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$109.20 |
$109.20 |
$109.20 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$20.10 |
$20.10 |
$20.10 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$462.30 |
$462.30 |
$462.30 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,051.80 |
$1,051.80 |
$1,051.80 |
$151.20
|
|
Warde aldolase
|
$153.60 |
$153.60 |
$153.60 |
$53.30
|