|
Ultrasound breast unilateral limited (both sides)
|
$975.00 |
$975.00 |
$975.00 |
$449.35
|
|
Ultrasound chest
|
$352.50 |
$352.50 |
$352.50 |
$460.85
|
|
Ultrasound elastography ea l target les
|
$180.00 |
$180.00 |
$180.00 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$362.50 |
$362.50 |
$362.50 |
$307.00
|
|
Ultrasound exam k transpl w/doppler
|
$670.00 |
$670.00 |
$670.00 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$585.00 |
$585.00 |
$585.00 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$555.00 |
$555.00 |
$555.00 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$720.00 |
$720.00 |
$720.00 |
$720.15
|
|
Ultrasound joint complete left
|
$750.00 |
$750.00 |
$750.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$565.00 |
$565.00 |
$565.00 |
$425.45
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$355.00 |
$355.00 |
$355.00 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$330.00 |
$330.00 |
$330.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$267.50 |
$267.50 |
$267.50 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$535.00 |
$535.00 |
$535.00 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$387.50 |
$387.50 |
$387.50 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$387.50 |
$387.50 |
$387.50 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$452.50 |
$452.50 |
$452.50 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$790.00 |
$790.00 |
$790.00 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$387.50 |
$387.50 |
$387.50 |
$486.50
|
|
Ultrasound scrotum and contents
|
$595.00 |
$595.00 |
$595.00 |
$608.90
|
|
Ultrasound transabd ea addl gest
|
$267.50 |
$267.50 |
$267.50 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$497.50 |
$497.50 |
$497.50 |
$558.35
|
|
Ultrasound trgt dyn mbubb 1st les
|
$685.00 |
$685.00 |
$685.00 |
$568.32
|
|
Ultrasound trgt dyn mbubb ea addl
|
$342.50 |
$342.50 |
$342.50 |
$348.00
|
|
Unlistd noninvas vasc dx std
|
$427.50 |
$427.50 |
$427.50 |
$528.80
|
|
Unlisted CT procedure
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$732.70
|
|
Unlisted fluoroscopic px
|
$460.00 |
$460.00 |
$460.00 |
$305.76
|
|
Unlisted procedure microbiology
|
$530.00 |
$530.00 |
$530.00 |
$523.50
|
|
Unlisted procedure spine
|
$3,010.00 |
$3,010.00 |
$3,010.00 |
$4,659.85
|
|
Unlisted px pelvis/hip joint
|
$10,395.00 |
$10,395.00 |
$10,395.00 |
$3,118.44
|
|
Unlisted reprod med lab proc
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Unsched dialysis esrd pt hos
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,034.41
|
|
Urea nitrogen
|
$27.50 |
$27.50 |
$27.50 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$57.50 |
$57.50 |
$57.50 |
$51.75
|
|
Urea nitrogen clearance
|
$72.50 |
$72.50 |
$72.50 |
$42.25
|
|
Ureteral embolization/occl
|
$3,545.00 |
$3,545.00 |
$3,545.00 |
$2,181.40
|
|
Urethrcystgrphy rtrgrde s&i
|
$515.00 |
$515.00 |
$515.00 |
$579.73
|
|
Urethrocystography void s&i
|
$690.00 |
$690.00 |
$690.00 |
$622.35
|
|
Uric acid blood
|
$57.50 |
$57.50 |
$57.50 |
$48.75
|
|
Uric acid urine
|
$52.50 |
$52.50 |
$52.50 |
$44.33
|
|
Urinalysis microscopic only
|
$20.00 |
$20.00 |
$20.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$57.50 |
$57.50 |
$57.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$25.00 |
$25.00 |
$25.00 |
$35.75
|
|
Urine Culture Test
|
$80.00 |
$80.00 |
$80.00 |
$81.50
|
|
Urine pregnancy test
|
$77.50 |
$77.50 |
$77.50 |
$67.20
|
|
Urography, antegrade
|
$560.00 |
$560.00 |
$560.00 |
$622.35
|
|
Use 1st target lesion
|
$360.00 |
$360.00 |
$360.00 |
$332.00
|
|
Vaccine tdap >=7 years im
|
$144.97 |
$144.97 |
$144.97 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$122.50 |
$122.50 |
$122.50 |
$114.72
|
|
Vancomycin hcl injection
|
$25.19 |
$25.19 |
$25.19 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$142.50 |
$142.50 |
$142.50 |
$136.13
|
|
Varicella zoster antibody igg
|
$85.00 |
$85.00 |
$85.00 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$20,240.00 |
$20,240.00 |
$20,240.00 |
$21,009.00
|
|
Veeg cont 2-12 hrs
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$1,540.00
|
|
Vein x-ray adrenal glands
|
$3,935.00 |
$3,935.00 |
$3,935.00 |
$3,935.00
|
|
Vein x-ray kidney
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$2,766.73
|
|
Vein x-ray liver
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$2,515.00 |
$2,515.00 |
$2,515.00 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$2,452.80
|
|
Ven-artl shunt det mbubb njx
|
$630.00 |
$630.00 |
$630.00 |
$484.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$70.00 |
$70.00 |
$70.00 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$70.00 |
$70.00 |
$70.00 |
$67.00
|
|
Venogram ext bil s&i
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,366.20
|
|
Venous mech thrombectomy
|
$4,870.00 |
$4,870.00 |
$4,870.00 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$4,870.00 |
$4,870.00 |
$4,870.00 |
$5,094.75
|
|
Venous sampling s&i
|
$3,085.00 |
$3,085.00 |
$3,085.00 |
$4,193.20
|
|
Ventilator each subsequent day
|
$950.00 |
$950.00 |
$950.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$1,431.43
|
|
Version cephalic external
|
$770.00 |
$770.00 |
$770.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$177.50 |
$177.50 |
$177.50 |
$139.88
|
|
Vital capacity test
|
$55.00 |
$55.00 |
$55.00 |
$170.00
|
|
Vitamin b-12
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Vitamin D Test
|
$150.00 |
$150.00 |
$150.00 |
$132.00
|
|
Volume measurement urine timed
|
$12.50 |
$12.50 |
$12.50 |
$21.45
|
|
Vsrctv std tcd icr art compl
|
$560.00 |
$560.00 |
$560.00 |
$409.37
|
|
Warde 1003990 aldosterone
|
$142.50 |
$142.50 |
$142.50 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$82.50 |
$82.50 |
$82.50 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$165.00 |
$165.00 |
$165.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$97.50 |
$97.50 |
$97.50 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$47.50 |
$47.50 |
$47.50 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$25.00 |
$25.00 |
$25.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$92.50 |
$92.50 |
$92.50 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$60.00 |
$60.00 |
$60.00 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$82.50 |
$82.50 |
$82.50 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$77.50 |
$77.50 |
$77.50 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$62.50 |
$62.50 |
$62.50 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$55.00 |
$55.00 |
$55.00 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$200.00 |
$200.00 |
$200.00 |
$218.40
|
|
Warde 3400852 arsenic
|
$70.00 |
$70.00 |
$70.00 |
$100.88
|
|
Warde 3708165 mercury urine
|
$82.50 |
$82.50 |
$82.50 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$100.00 |
$100.00 |
$100.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$62.50 |
$62.50 |
$62.50 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$212.50 |
$212.50 |
$212.50 |
$151.20
|
|
Warde aldolase
|
$65.00 |
$65.00 |
$65.00 |
$53.30
|
