|
Ultrasound encephalogram
|
$577.50 |
$577.50 |
$577.50 |
$481.60
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$550.55 |
$550.55 |
$550.55 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$695.20 |
$695.20 |
$695.20 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$665.50 |
$665.50 |
$665.50 |
$701.35
|
|
Ultrasound guide intraoperative
|
$498.85 |
$498.85 |
$498.85 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$609.40 |
$609.40 |
$609.40 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$695.20 |
$695.20 |
$695.20 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$595.10 |
$595.10 |
$595.10 |
$321.35
|
|
Ultrasound joint complete left
|
$543.40 |
$543.40 |
$543.40 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$374.00 |
$374.00 |
$374.00 |
$448.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$261.80 |
$261.80 |
$261.80 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$319.00 |
$319.00 |
$319.00 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$454.85 |
$454.85 |
$454.85 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$436.70 |
$436.70 |
$436.70 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$463.10 |
$463.10 |
$463.10 |
$498.00
|
|
Ultrasound scrotum and contents
|
$568.15 |
$568.15 |
$568.15 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$481.25 |
$481.25 |
$481.25 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$388.85 |
$388.85 |
$388.85 |
$567.44
|
|
Unlisted gi px dx nuc med
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$549.70
|
|
Unlisted mr procedure
|
$1,512.50 |
$1,512.50 |
$1,512.50 |
$1,032.20
|
|
Unlisted px abdomen muscskel
|
$969.10 |
$969.10 |
$969.10 |
$2,633.80
|
|
Unlisted px hands/fingers
|
$3,856.60 |
$3,856.60 |
$3,856.60 |
$379.44
|
|
Unlisted px small intestine
|
$281.60 |
$281.60 |
$281.60 |
$2,118.35
|
|
Unlisted transfusion med px
|
$212.30 |
$212.30 |
$212.30 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$872.30 |
$872.30 |
$872.30 |
$1,480.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,719.10 |
$3,719.10 |
$3,719.10 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,234.00 |
$3,234.00 |
$3,234.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,748.90 |
$2,748.90 |
$2,748.90 |
$2,013.08
|
|
Urea nitrogen
|
$35.75 |
$35.75 |
$35.75 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$20.35 |
$20.35 |
$20.35 |
$50.00
|
|
Ureteral reflux study
|
$1,032.35 |
$1,032.35 |
$1,032.35 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$383.35 |
$383.35 |
$383.35 |
$574.40
|
|
Urethrocystography void s&i
|
$361.35 |
$361.35 |
$361.35 |
$634.50
|
|
Uric acid blood
|
$29.15 |
$29.15 |
$29.15 |
$46.64
|
|
Uric acid urine
|
$40.70 |
$40.70 |
$40.70 |
$46.75
|
|
Urinalysis microscopic only
|
$21.45 |
$21.45 |
$21.45 |
$26.35
|
|
Urinalysis (with microscopy)
|
$26.95 |
$26.95 |
$26.95 |
$48.14
|
|
Urinalysis (without microscopy)
|
$51.70 |
$51.70 |
$51.70 |
$38.99
|
|
Urine Culture Test
|
$139.15 |
$139.15 |
$139.15 |
$84.81
|
|
Urine pregnancy test
|
$39.05 |
$39.05 |
$39.05 |
$66.40
|
|
Urography, antegrade
|
$323.40 |
$323.40 |
$323.40 |
$593.37
|
|
Valproic acid total therapeutic drug level
|
$149.60 |
$149.60 |
$149.60 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$143.55 |
$143.55 |
$143.55 |
$126.79
|
|
Varicella zoster antibody igg
|
$14.30 |
$14.30 |
$14.30 |
$82.55
|
|
Vein x-ray kidney
|
$2,584.45 |
$2,584.45 |
$2,584.45 |
$2,716.20
|
|
Vein x-ray liver
|
$1,483.35 |
$1,483.35 |
$1,483.35 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$3,610.20 |
$3,610.20 |
$3,610.20 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,422.65 |
$3,422.65 |
$3,422.65 |
$3,439.84
|
|
Vein x-ray skull
|
$3,181.75 |
$3,181.75 |
$3,181.75 |
$2,301.09
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$261.80 |
$261.80 |
$261.80 |
$82.11
|
|
Venogram ext bil s&i
|
$1,265.55 |
$1,265.55 |
$1,265.55 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$633.05 |
$633.05 |
$633.05 |
$1,326.00
|
|
Venous mech thrombectomy
|
$2,605.35 |
$2,605.35 |
$2,605.35 |
$8,869.50
|
|
Venous sampling s&i
|
$3,616.80 |
$3,616.80 |
$3,616.80 |
$4,416.78
|
|
Ventilator each subsequent day
|
$1,488.30 |
$1,488.30 |
$1,488.30 |
$1,305.92
|
|
Ventilator initial day
|
$1,261.70 |
$1,261.70 |
$1,261.70 |
$1,540.80
|
|
Version cephalic external
|
$2,626.25 |
$2,626.25 |
$2,626.25 |
$2,598.57
|
|
Very long chain fatty acids
|
$212.30 |
$212.30 |
$212.30 |
$140.40
|
|
Virus isolation addl studies ea
|
$124.30 |
$124.30 |
$124.30 |
$90.35
|
|
Visit established high 40-54 minutes/level 5
|
$113.30 |
$113.30 |
$113.30 |
$287.73
|
|
Vital capacity test
|
$122.10 |
$122.10 |
$122.10 |
$173.33
|
|
Vitamin b-12
|
$11.55 |
$11.55 |
$11.55 |
$94.90
|
|
Vitamin D Test
|
$99.55 |
$99.55 |
$99.55 |
$132.00
|
|
Volume measurement urine timed
|
$23.65 |
$23.65 |
$23.65 |
$21.45
|
|
Warde 1003990 aldosterone
|
$187.55 |
$187.55 |
$187.55 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$221.10 |
$221.10 |
$221.10 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$100.65 |
$100.65 |
$100.65 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$190.85 |
$190.85 |
$190.85 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$111.10 |
$111.10 |
$111.10 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$112.20 |
$112.20 |
$112.20 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$207.90 |
$207.90 |
$207.90 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$141.35 |
$141.35 |
$141.35 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$114.40 |
$114.40 |
$114.40 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$111.65 |
$111.65 |
$111.65 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$62.70 |
$62.70 |
$62.70 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$55.00 |
$55.00 |
$55.00 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$673.75 |
$673.75 |
$673.75 |
$219.13
|
|
Warde 3400852 arsenic
|
$114.95 |
$114.95 |
$114.95 |
$105.12
|
|
Warde 3708165 mercury urine
|
$97.90 |
$97.90 |
$97.90 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$47.30 |
$47.30 |
$47.30 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$17.05 |
$17.05 |
$17.05 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$62.70 |
$62.70 |
$62.70 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$203.50 |
$203.50 |
$203.50 |
$129.75
|
|
Warde aldolase
|
$66.55 |
$66.55 |
$66.55 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$240.62 |
$240.62 |
$240.62 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$46.20 |
$46.20 |
$46.20 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$514.25 |
$514.25 |
$514.25 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$543.95 |
$543.95 |
$543.95 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$131.45 |
$131.45 |
$131.45 |
$142.65
|
|
Warde anti-mullerian hormone
|
$57.20 |
$57.20 |
$57.20 |
$93.28
|
|
Warde bile acids
|
$78.10 |
$78.10 |
$78.10 |
$64.28
|
|
Warde cadmium blood
|
$47.85 |
$47.85 |
$47.85 |
$77.00
|
|
Warde calculus (stone) infrared
|
$97.35 |
$97.35 |
$97.35 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$108.90 |
$108.90 |
$108.90 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$74.25 |
$74.25 |
$74.25 |
$122.50
|
|
Warde complement total hemolytic
|
$164.45 |
$164.45 |
$164.45 |
$105.00
|
|
Warde copper
|
$91.30 |
$91.30 |
$91.30 |
$80.00
|
|
Warde cryoglobulin
|
$12.10 |
$12.10 |
$12.10 |
$43.45
|
|
Warde erythropoietin
|
$157.30 |
$157.30 |
$157.30 |
$90.35
|
