|
Unlisted mr procedure
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$1,163.00
|
|
Unlisted muscskel px head
|
$2,902.00 |
$2,902.00 |
$2,902.00 |
$478.46
|
|
Unlisted procedure colon
|
$1,452.50 |
$1,452.50 |
$1,452.50 |
$1,702.50
|
|
Unlisted procedure microbiology
|
$317.50 |
$317.50 |
$317.50 |
$523.50
|
|
Unlisted procedure orbit
|
$380.00 |
$380.00 |
$380.00 |
$436.44
|
|
Unlisted procedure rectum
|
$427.00 |
$427.00 |
$427.00 |
$1,220.35
|
|
Unlisted procedure spine
|
$3,601.50 |
$3,601.50 |
$3,601.50 |
$4,659.85
|
|
Unlisted px abdomen muscskel
|
$409.50 |
$409.50 |
$409.50 |
$1,848.60
|
|
Unlisted px ant segment eye
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$2,698.92
|
|
Unlisted px biliary tract
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$2,718.10
|
|
Unlisted px external ear
|
$292.50 |
$292.50 |
$292.50 |
$325.68
|
|
Unlisted px foot/toes
|
$1,143.50 |
$1,143.50 |
$1,143.50 |
$1,225.50
|
|
Unlisted px forearm/wrist
|
$409.50 |
$409.50 |
$409.50 |
$593.60
|
|
Unlisted px hands/fingers
|
$198.00 |
$198.00 |
$198.00 |
$354.20
|
|
Unlisted px leg/ankle
|
$427.00 |
$427.00 |
$427.00 |
$811.00
|
|
Unlisted px male genital sys
|
$253.00 |
$253.00 |
$253.00 |
$343.55
|
|
Unlisted px middle ear
|
$355.50 |
$355.50 |
$355.50 |
$343.50
|
|
Unlisted px neck/thorax
|
$352.00 |
$352.00 |
$352.00 |
$571.20
|
|
Unlisted px pelvis/hip joint
|
$373.50 |
$373.50 |
$373.50 |
$3,118.44
|
|
Unlisted px salivry glnd/dux
|
$3,047.00 |
$3,047.00 |
$3,047.00 |
$1,265.16
|
|
Unlisted px small intestine
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$292.50 |
$292.50 |
$292.50 |
$282.50
|
|
Unlisted surgical path px
|
$47.38 |
$47.38 |
$47.38 |
$217.75
|
|
Unlisted ultrasound procedure
|
$121.00 |
$121.00 |
$121.00 |
$321.20
|
|
Unlisted urinalysis px
|
$7.50 |
$7.50 |
$7.50 |
$25.72
|
|
Unsched dialysis esrd pt hos
|
$605.00 |
$605.00 |
$605.00 |
$1,268.17
|
|
Upgrade pm system
|
$12,334.00 |
$12,334.00 |
$12,334.00 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,112.00 |
$3,112.00 |
$3,112.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,233.50 |
$2,233.50 |
$2,233.50 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$2,034.41
|
|
Upper ext fx orthosis rad/ul
|
$232.88 |
$232.88 |
$232.88 |
$619.49
|
|
Urea nitrogen
|
$20.00 |
$20.00 |
$20.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$22.50 |
$22.50 |
$22.50 |
$51.75
|
|
Urea nitrogen clearance
|
$19.50 |
$19.50 |
$19.50 |
$42.25
|
|
Ureteral embolization/occl
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$2,181.40
|
|
Ureteral reflux study
|
$341.50 |
$341.50 |
$341.50 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$313.50 |
$313.50 |
$313.50 |
$579.73
|
|
Urethrocystography void s&i
|
$301.00 |
$301.00 |
$301.00 |
$622.35
|
|
Uric acid blood
|
$22.00 |
$22.00 |
$22.00 |
$48.75
|
|
Uric acid urine
|
$22.50 |
$22.50 |
$22.50 |
$44.33
|
|
Urinalysis microscopic only
|
$24.50 |
$24.50 |
$24.50 |
$26.35
|
|
Urinalysis (with microscopy)
|
$40.00 |
$40.00 |
$40.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$25.50 |
$25.50 |
$25.50 |
$35.75
|
|
Urinary pouch w/barrier
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Urine Culture Test
|
$41.00 |
$41.00 |
$41.00 |
$81.50
|
|
Urine pregnancy test
|
$63.50 |
$63.50 |
$63.50 |
$67.20
|
|
Urography, antegrade
|
$375.50 |
$375.50 |
$375.50 |
$622.35
|
|
Urography inf drip &/or bolus
|
$642.50 |
$642.50 |
$642.50 |
$642.50
|
|
Use 1st target lesion
|
$336.50 |
$336.50 |
$336.50 |
$332.00
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$72.96 |
$72.96 |
$72.96 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$72.96 |
$72.96 |
$72.96 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$65.55 |
$65.55 |
$65.55 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$43.89 |
$43.89 |
$43.89 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$32.68 |
$32.68 |
$32.68 |
$80.15
|
|
Valproic acid total therapeutic drug level
|
$77.50 |
$77.50 |
$77.50 |
$114.72
|
|
Valvuloplasty aortic
|
$4,673.50 |
$4,673.50 |
$4,673.50 |
$7,830.80
|
|
Valvuloplasty mitral
|
$5,401.50 |
$5,401.50 |
$5,401.50 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$8,670.50 |
$8,670.50 |
$8,670.50 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$81.00 |
$81.00 |
$81.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$58.00 |
$58.00 |
$58.00 |
$86.80
|
|
Vasectomy
|
$944.50 |
$944.50 |
$944.50 |
$2,424.12
|
|
Veeg cont 2-12 hrs
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$826.15
|
|
Vein x-ray adrenal gland
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$2,845.80
|
|
Vein x-ray adrenal glands
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$3,935.00
|
|
Vein x-ray eye socket
|
$297.50 |
$297.50 |
$297.50 |
$1,438.32
|
|
Vein x-ray kidney
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$2,766.73
|
|
Vein x-ray liver
|
$2,746.50 |
$2,746.50 |
$2,746.50 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$3,421.50 |
$3,421.50 |
$3,421.50 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$1,619.50 |
$1,619.50 |
$1,619.50 |
$2,452.80
|
|
Vein x-ray skull
|
$1,619.50 |
$1,619.50 |
$1,619.50 |
$2,141.00
|
|
Vein x-ray spleen/liver
|
$2,615.50 |
$2,615.50 |
$2,615.50 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$171.50 |
$171.50 |
$171.50 |
$202.80
|
|
Venogram ext bil s&i
|
$765.00 |
$765.00 |
$765.00 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$765.00 |
$765.00 |
$765.00 |
$1,366.20
|
|
Venous mech thrombectomy
|
$7,322.50 |
$7,322.50 |
$7,322.50 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$7,322.50 |
$7,322.50 |
$7,322.50 |
$5,094.75
|
|
Venous sampling s&i
|
$2,643.00 |
$2,643.00 |
$2,643.00 |
$4,193.20
|
|
Venous thrombosis imaging
|
$434.50 |
$434.50 |
$434.50 |
$697.20
|
|
Ven thrombosis images bilat
|
$645.00 |
$645.00 |
$645.00 |
$796.50
|
|
Ventilator each subsequent day
|
$900.00 |
$900.00 |
$900.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,431.43
|
|
Version cephalic external
|
$2,026.00 |
$2,026.00 |
$2,026.00 |
$2,361.75
|
|
Visit established high 40-54 minutes/level 5
|
$240.50 |
$240.50 |
$240.50 |
$227.50
|
|
Vital capacity test
|
$231.00 |
$231.00 |
$231.00 |
$170.00
|
|
Vitamin b-12
|
$82.00 |
$82.00 |
$82.00 |
$100.00
|
|
Vitamin D Test
|
$160.50 |
$160.50 |
$160.50 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$396.00 |
$396.00 |
$396.00 |
$433.20
|
|
Warde 1003990 aldosterone
|
$185.00 |
$185.00 |
$185.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$127.00 |
$127.00 |
$127.00 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$59.50 |
$59.50 |
$59.50 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$115.50 |
$115.50 |
$115.50 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$67.00 |
$67.00 |
$67.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$61.50 |
$61.50 |
$61.50 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$145.00 |
$145.00 |
$145.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$91.00 |
$91.00 |
$91.00 |
$107.97
|
