|
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
|
$550.00 |
$550.00 |
$550.00 |
$486.50
|
|
Ultrasound scrotum and contents
|
$595.00 |
$595.00 |
$595.00 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$405.00 |
$405.00 |
$405.00 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$307.50 |
$307.50 |
$307.50 |
$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
|
|
Umbilical artery cath newborn 36660
|
$347.50 |
$347.50 |
$347.50 |
$206.64
|
|
Unlistd noninvas vasc dx std
|
$427.50 |
$427.50 |
$427.50 |
$528.80
|
|
Unlisted dx gi procedure
|
$940.00 |
$940.00 |
$940.00 |
$649.22
|
|
Unlisted fluoroscopic px
|
$460.00 |
$460.00 |
$460.00 |
$305.76
|
|
Unlisted mr procedure
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$1,163.00
|
|
Unlisted procedure liver
|
$2,630.00 |
$2,630.00 |
$2,630.00 |
$2,287.20
|
|
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 biliary tract
|
$3,055.00 |
$3,055.00 |
$3,055.00 |
$2,718.10
|
|
Unlisted px casting/strpg
|
$110.00 |
$110.00 |
$110.00 |
$219.70
|
|
Unlisted reprod med lab proc
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Unlisted transfusion med px
|
$145.00 |
$145.00 |
$145.00 |
$147.50
|
|
Unlisted ultrasound procedure
|
$75.00 |
$75.00 |
$75.00 |
$321.20
|
|
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
|
$4,325.00 |
$4,325.00 |
$4,325.00 |
$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
|
$173.40 |
$173.40 |
$173.40 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$122.50 |
$122.50 |
$122.50 |
$114.72
|
|
Vancomycin hcl injection
|
$34.12 |
$34.12 |
$34.12 |
$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
|
|
Vasopressin 20 unit/ml intravenous solution
|
$51.35 |
$51.35 |
$51.35 |
$325.80
|
|
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
|
|
Ventilator each subsequent day
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,431.43
|
|
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 1005020 citrate 24 hour urine
|
$125.00 |
$125.00 |
$125.00 |
$97.50
|
|
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
|
|
Warde amino acids 6 or more quantitative each specimen
|
$220.00 |
$220.00 |
$220.00 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$457.50 |
$457.50 |
$457.50 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$445.00 |
$445.00 |
$445.00 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$170.00 |
$170.00 |
$170.00 |
$126.43
|
|
Warde anti-mullerian hormone
|
$140.00 |
$140.00 |
$140.00 |
$80.08
|
|
Warde apolipoprotein b
|
$70.00 |
$70.00 |
$70.00 |
$61.75
|
|
Warde bile acids
|
$95.00 |
$95.00 |
$95.00 |
$63.70
|
|
Warde cadmium blood
|
$90.00 |
$90.00 |
$90.00 |
$76.50
|
|
Warde calcitonin
|
$65.00 |
$65.00 |
$65.00 |
$96.97
|
|
Warde calculus (stone) infrared
|
$77.50 |
$77.50 |
$77.50 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$87.50 |
$87.50 |
$87.50 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$122.50 |
$122.50 |
$122.50 |
$113.09
|
