|
Ultrasound breast complete
|
$634.00 |
$634.00 |
$634.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$641.50 |
$641.50 |
$641.50 |
$449.35
|
|
Ultrasound chest
|
$359.50 |
$359.50 |
$359.50 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$500.00 |
$500.00 |
$500.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$313.00 |
$313.00 |
$313.00 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$307.00 |
$307.00 |
$307.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$307.00 |
$307.00 |
$307.00 |
$307.00
|
|
Ultrasound encephalogram
|
$713.00 |
$713.00 |
$713.00 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$550.00 |
$550.00 |
$550.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$252.00 |
$252.00 |
$252.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$799.50 |
$799.50 |
$799.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$751.50 |
$751.50 |
$751.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$417.50 |
$417.50 |
$417.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$517.50 |
$517.50 |
$517.50 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$249.50 |
$249.50 |
$249.50 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$151.00 |
$151.00 |
$151.00 |
$311.25
|
|
Ultrasound joint complete left
|
$688.50 |
$688.50 |
$688.50 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$302.50 |
$302.50 |
$302.50 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$377.50 |
$377.50 |
$377.50 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$797.00 |
$797.00 |
$797.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$431.00 |
$431.00 |
$431.00 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$452.50 |
$452.50 |
$452.50 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$180.00 |
$180.00 |
$180.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$264.00 |
$264.00 |
$264.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$330.00 |
$330.00 |
$330.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$581.00 |
$581.00 |
$581.00 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$533.00 |
$533.00 |
$533.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$626.00 |
$626.00 |
$626.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$504.50 |
$504.50 |
$504.50 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$350.00 |
$350.00 |
$350.00 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$512.00 |
$512.00 |
$512.00 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$626.50 |
$626.50 |
$626.50 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$381.00 |
$381.00 |
$381.00 |
$348.00
|
|
Unlisted chemotherapy px
|
$45.00 |
$45.00 |
$45.00 |
$150.00
|
|
Unlisted dialysis procedure
|
$443.00 |
$443.00 |
$443.00 |
$1,144.00
|
|
Unlisted dx gi procedure
|
$274.50 |
$274.50 |
$274.50 |
$649.22
|
|
Unlisted mr procedure
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,163.00
|
|
Unlisted muscskel px head
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
$478.46
|
|
Unlisted procedure colon
|
$1,707.50 |
$1,707.50 |
$1,707.50 |
$1,702.50
|
|
Unlisted procedure microbiology
|
$4,476.00 |
$4,476.00 |
$4,476.00 |
$523.50
|
|
Unlisted procedure orbit
|
$380.00 |
$380.00 |
$380.00 |
$436.44
|
|
Unlisted procedure rectum
|
$1,682.00 |
$1,682.00 |
$1,682.00 |
$1,220.35
|
|
Unlisted procedure spine
|
$4,232.50 |
$4,232.50 |
$4,232.50 |
$4,659.85
|
|
Unlisted px abdomen muscskel
|
$481.00 |
$481.00 |
$481.00 |
$1,848.60
|
|
Unlisted px ant segment eye
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$2,698.92
|
|
Unlisted px biliary tract
|
$2,455.50 |
$2,455.50 |
$2,455.50 |
$2,718.10
|
|
Unlisted px external ear
|
$344.50 |
$344.50 |
$344.50 |
$325.68
|
|
Unlisted px foot/toes
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$1,225.50
|
|
Unlisted px forearm/wrist
|
$416.00 |
$416.00 |
$416.00 |
$593.60
|
|
Unlisted px hands/fingers
|
$179.50 |
$179.50 |
$179.50 |
$354.20
|
|
Unlisted px leg/ankle
|
$502.00 |
$502.00 |
$502.00 |
$811.00
|
|
Unlisted px male genital sys
|
$296.50 |
$296.50 |
$296.50 |
$343.55
|
|
Unlisted px middle ear
|
$418.50 |
$418.50 |
$418.50 |
$343.50
|
|
Unlisted px neck/thorax
|
$412.50 |
$412.50 |
$412.50 |
$571.20
|
|
Unlisted px pelvis/hip joint
|
$481.00 |
$481.00 |
$481.00 |
$3,118.44
|
|
Unlisted px salivry glnd/dux
|
$4,259.50 |
$4,259.50 |
$4,259.50 |
$1,265.16
|
|
Unlisted px small intestine
|
$1,457.00 |
$1,457.00 |
$1,457.00 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$344.50 |
$344.50 |
$344.50 |
$282.50
|
|
Unlisted ultrasound procedure
|
$109.50 |
$109.50 |
$109.50 |
$321.20
|
|
Unlisted urinalysis px
|
$7.50 |
$7.50 |
$7.50 |
$25.72
|
|
Unsched dialysis esrd pt hos
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$1,268.17
|
|
Upgrade pm system
|
$18,453.00 |
$18,453.00 |
$18,453.00 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,450.00 |
$3,450.00 |
$3,450.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,862.00 |
$2,862.00 |
$2,862.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$2,034.41
|
|
Upper ext fx orthosis rad/ul
|
$232.88 |
$232.88 |
$232.88 |
$619.49
|
|
Urea nitrogen
|
$54.00 |
$54.00 |
$54.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$80.50 |
$80.50 |
$80.50 |
$51.75
|
|
Urea nitrogen clearance
|
$80.50 |
$80.50 |
$80.50 |
$42.25
|
|
Ureteral embolization/occl
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$2,181.40
|
|
Ureteral reflux study
|
$913.50 |
$913.50 |
$913.50 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$271.00 |
$271.00 |
$271.00 |
$579.73
|
|
Urethrocystography void s&i
|
$525.00 |
$525.00 |
$525.00 |
$622.35
|
|
Uric acid blood
|
$34.00 |
$34.00 |
$34.00 |
$48.75
|
|
Uric acid urine
|
$24.50 |
$24.50 |
$24.50 |
$44.33
|
|
Urinalysis microscopic only
|
$22.00 |
$22.00 |
$22.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$75.00 |
$75.00 |
$75.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$27.50 |
$27.50 |
$27.50 |
$35.75
|
|
Urinary pouch w/barrier
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Urine Culture Test
|
$83.50 |
$83.50 |
$83.50 |
$81.50
|
|
Urine pregnancy test
|
$108.00 |
$108.00 |
$108.00 |
$67.20
|
|
Urography, antegrade
|
$529.50 |
$529.50 |
$529.50 |
$622.35
|
|
Urography inf drip &/or bolus
|
$361.00 |
$361.00 |
$361.00 |
$642.50
|
|
Use 1st target lesion
|
$307.00 |
$307.00 |
$307.00 |
$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
|
$158.50 |
$158.50 |
$158.50 |
$114.72
|
|
Valvuloplasty pulmonary
|
$10,645.00 |
$10,645.00 |
$10,645.00 |
$11,945.20
|
|
Vancomycin peak therapeutic drug level
|
$242.00 |
$242.00 |
$242.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$207.50 |
$207.50 |
$207.50 |
$86.80
|
|
Veeg cont 2-12 hrs
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$826.15
|
|
Vein x-ray adrenal gland
|
$4,703.00 |
$4,703.00 |
$4,703.00 |
$2,845.80
|
|
Vein x-ray adrenal glands
|
$5,878.00 |
$5,878.00 |
$5,878.00 |
$3,935.00
|
