|
Ugt1a1 gene analy common variants
|
$855.50 |
$855.50 |
$855.50 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$691.50 |
$691.50 |
$691.50 |
$394.20
|
|
Ultrasound breast complete
|
$561.00 |
$561.00 |
$561.00 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$548.00 |
$548.00 |
$548.00 |
$449.35
|
|
Ultrasound chest
|
$389.00 |
$389.00 |
$389.00 |
$460.85
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$417.00 |
$417.00 |
$417.00 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$337.00 |
$337.00 |
$337.00 |
$296.80
|
|
Ultrasound elastography ea l target les
|
$332.00 |
$332.00 |
$332.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$332.00 |
$332.00 |
$332.00 |
$307.00
|
|
Ultrasound encephalogram
|
$771.50 |
$771.50 |
$771.50 |
$488.80
|
|
Ultrasound exam k transpl w/doppler
|
$595.50 |
$595.50 |
$595.50 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$405.50 |
$405.50 |
$405.50 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$864.50 |
$864.50 |
$864.50 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$827.50 |
$827.50 |
$827.50 |
$720.15
|
|
Ultrasound guide intraoperative
|
$894.50 |
$894.50 |
$894.50 |
$632.85
|
|
Ultrasound guide tissue ablation
|
$560.00 |
$560.00 |
$560.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$269.50 |
$269.50 |
$269.50 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$163.50 |
$163.50 |
$163.50 |
$311.25
|
|
Ultrasound joint complete left
|
$784.00 |
$784.00 |
$784.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$306.50 |
$306.50 |
$306.50 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$392.00 |
$392.00 |
$392.00 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$862.50 |
$862.50 |
$862.50 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$467.00 |
$467.00 |
$467.00 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$710.00 |
$710.00 |
$710.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$223.50 |
$223.50 |
$223.50 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$499.50 |
$499.50 |
$499.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$423.50 |
$423.50 |
$423.50 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$662.00 |
$662.00 |
$662.00 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$559.00 |
$559.00 |
$559.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$708.50 |
$708.50 |
$708.50 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$546.00 |
$546.00 |
$546.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$378.00 |
$378.00 |
$378.00 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$583.50 |
$583.50 |
$583.50 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$677.50 |
$677.50 |
$677.50 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$434.00 |
$434.00 |
$434.00 |
$348.00
|
|
Unit mobile power mpu
|
$5,151.20 |
$5,151.20 |
$5,151.20 |
$14,612.80
|
|
Unlisted chemotherapy px
|
$395.50 |
$395.50 |
$395.50 |
$150.00
|
|
Unlisted dialysis procedure
|
$443.00 |
$443.00 |
$443.00 |
$1,144.00
|
|
Unlisted dx gi procedure
|
$389.50 |
$389.50 |
$389.50 |
$649.22
|
|
Unlisted mr procedure
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$1,163.00
|
|
Unlisted muscskel px head
|
$2,676.50 |
$2,676.50 |
$2,676.50 |
$478.46
|
|
Unlisted procedure colon
|
$1,403.50 |
$1,403.50 |
$1,403.50 |
$1,702.50
|
|
Unlisted procedure microbiology
|
$3,243.50 |
$3,243.50 |
$3,243.50 |
$523.50
|
|
Unlisted procedure orbit
|
$437.00 |
$437.00 |
$437.00 |
$436.44
|
|
Unlisted procedure rectum
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$1,220.35
|
|
Unlisted procedure spine
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$4,659.85
|
|
Unlisted px abdomen muscskel
|
$396.00 |
$396.00 |
$396.00 |
$1,848.60
|
|
Unlisted px ant segment eye
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$2,698.92
|
|
Unlisted px biliary tract
|
$2,307.50 |
$2,307.50 |
$2,307.50 |
$2,718.10
|
|
Unlisted px conjunctiva
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$479.62
|
|
Unlisted px external ear
|
$282.50 |
$282.50 |
$282.50 |
$325.68
|
|
Unlisted px foot/toes
|
$1,225.50 |
$1,225.50 |
$1,225.50 |
$1,225.50
|
|
Unlisted px forearm/wrist
|
$396.00 |
$396.00 |
$396.00 |
$593.60
|
|
Unlisted px hands/fingers
|
$149.50 |
$149.50 |
$149.50 |
$354.20
|
|
Unlisted px lacrimal system
|
$318.00 |
$318.00 |
$318.00 |
$416.50
|
|
Unlisted px leg/ankle
|
$452.50 |
$452.50 |
$452.50 |
$811.00
|
|
Unlisted px male genital sys
|
$244.00 |
$244.00 |
$244.00 |
$343.55
|
|
Unlisted px middle ear
|
$343.50 |
$343.50 |
$343.50 |
$343.50
|
|
Unlisted px neck/thorax
|
$339.50 |
$339.50 |
$339.50 |
$571.20
|
|
Unlisted px pelvis/hip joint
|
$396.00 |
$396.00 |
$396.00 |
$3,118.44
|
|
Unlisted px salivry glnd/dux
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$1,265.16
|
|
Unlisted px small intestine
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$282.50 |
$282.50 |
$282.50 |
$282.50
|
|
Unlisted surgical path px
|
$286.00 |
$286.00 |
$286.00 |
$217.75
|
|
Unlisted ultrasound procedure
|
$119.00 |
$119.00 |
$119.00 |
$321.20
|
|
Unlisted urinalysis px
|
$7.50 |
$7.50 |
$7.50 |
$25.72
|
|
Unsched dialysis esrd pt hos
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,268.17
|
|
Upgrade pm system
|
$13,822.00 |
$13,822.00 |
$13,822.00 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,315.50 |
$3,315.50 |
$3,315.50 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$2,034.41
|
|
Upper ext fx orthosis rad/ul
|
$232.88 |
$232.88 |
$232.88 |
$619.49
|
|
Urea nitrogen
|
$65.00 |
$65.00 |
$65.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$106.00 |
$106.00 |
$106.00 |
$51.75
|
|
Urea nitrogen clearance
|
$106.00 |
$106.00 |
$106.00 |
$42.25
|
|
Ureteral embolization/occl
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
$2,181.40
|
|
Ureteral reflux study
|
$854.00 |
$854.00 |
$854.00 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$513.50 |
$513.50 |
$513.50 |
$579.73
|
|
Urethrocystography void s&i
|
$513.50 |
$513.50 |
$513.50 |
$622.35
|
|
Uric acid blood
|
$79.50 |
$79.50 |
$79.50 |
$48.75
|
|
Uric acid urine
|
$86.00 |
$86.00 |
$86.00 |
$44.33
|
|
Urinalysis microscopic only
|
$22.00 |
$22.00 |
$22.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$89.50 |
$89.50 |
$89.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$53.50 |
$53.50 |
$53.50 |
$35.75
|
|
Urinary pouch w/barrier
|
$5.70 |
$5.70 |
$5.70 |
$5.70
|
|
Urine Culture Test
|
$112.50 |
$112.50 |
$112.50 |
$81.50
|
|
Urine pregnancy test
|
$142.50 |
$142.50 |
$142.50 |
$67.20
|
|
Urography, antegrade
|
$518.00 |
$518.00 |
$518.00 |
$622.35
|
|
Use 1st target lesion
|
$332.00 |
$332.00 |
$332.00 |
$332.00
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$76.61 |
$76.61 |
$76.61 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$76.61 |
$76.61 |
$76.61 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$68.83 |
$68.83 |
$68.83 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$46.08 |
$46.08 |
$46.08 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$34.32 |
$34.32 |
$34.32 |
$80.15
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,270.46 |
$1,270.46 |
$1,270.46 |
$2,002.00
|
|
Vad cable power module dc input
|
$235.98 |
$235.98 |
$235.98 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$8,314.68 |
$8,314.68 |
$8,314.68 |
$14,827.28
|
|
Valproic acid total therapeutic drug level
|
$187.00 |
$187.00 |
$187.00 |
$114.72
|
|
Valvuloplasty aortic
|
$6,018.50 |
$6,018.50 |
$6,018.50 |
$7,830.80
|
|
Valvuloplasty mitral
|
$6,931.50 |
$6,931.50 |
$6,931.50 |
$10,877.90
|
