|
Unlisted transfusion med px
|
$73.70 |
$73.70 |
$73.70 |
$141.35
|
|
Unlisted ultrasound procedure
|
$400.95 |
$400.95 |
$400.95 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$680.90 |
$680.90 |
$680.90 |
$1,505.29
|
|
Upgrade pm system
|
$3,135.55 |
$3,135.55 |
$3,135.55 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,419.45 |
$2,419.45 |
$2,419.45 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,303.95 |
$2,303.95 |
$2,303.95 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,194.50 |
$2,194.50 |
$2,194.50 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$361.35 |
$361.35 |
$361.35 |
$1,588.59
|
|
Urea nitrogen
|
$47.85 |
$47.85 |
$47.85 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$46.75 |
$46.75 |
$46.75 |
$50.00
|
|
Ureteral reflux study
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$457.60 |
$457.60 |
$457.60 |
$574.40
|
|
Urethrocystography void s&i
|
$457.60 |
$457.60 |
$457.60 |
$634.50
|
|
Uric acid blood
|
$40.15 |
$40.15 |
$40.15 |
$46.64
|
|
Uric acid urine
|
$46.75 |
$46.75 |
$46.75 |
$46.75
|
|
Urinalysis microscopic only
|
$25.85 |
$25.85 |
$25.85 |
$26.35
|
|
Urinalysis (with microscopy)
|
$57.75 |
$57.75 |
$57.75 |
$48.14
|
|
Urinalysis (without microscopy)
|
$24.75 |
$24.75 |
$24.75 |
$38.99
|
|
Urine Culture Test
|
$88.00 |
$88.00 |
$88.00 |
$84.81
|
|
Urine pregnancy test
|
$58.30 |
$58.30 |
$58.30 |
$66.40
|
|
Urography, antegrade
|
$366.30 |
$366.30 |
$366.30 |
$593.37
|
|
Use 1st target lesion
|
$207.35 |
$207.35 |
$207.35 |
$245.30
|
|
Valproic acid total therapeutic drug level
|
$119.90 |
$119.90 |
$119.90 |
$115.00
|
|
Valvuloplasty aortic
|
$6,168.25 |
$6,168.25 |
$6,168.25 |
$7,324.85
|
|
Valvuloplasty mitral
|
$10,877.90 |
$10,877.90 |
$10,877.90 |
$10,435.39
|
|
Vancomycin peak therapeutic drug level
|
$123.20 |
$123.20 |
$123.20 |
$126.79
|
|
Varicella zoster antibody igg
|
$185.35 |
$185.35 |
$185.35 |
$82.55
|
|
Vein gft fem a/p tib/pero/dis art 35566
|
$12,057.10 |
$12,057.10 |
$12,057.10 |
$8,152.00
|
|
Vein x-ray kidney
|
$1,946.45 |
$1,946.45 |
$1,946.45 |
$2,716.20
|
|
Vein x-ray liver
|
$3,305.50 |
$3,305.50 |
$3,305.50 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$7,461.85 |
$7,461.85 |
$7,461.85 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,719.10 |
$3,719.10 |
$3,719.10 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$3,963.30 |
$3,963.30 |
$3,963.30 |
$2,489.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$188.65 |
$188.65 |
$188.65 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$94.05 |
$94.05 |
$94.05 |
$82.11
|
|
Venogram ext bil s&i
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,326.00
|
|
Venous mech thrombectomy
|
$3,479.30 |
$3,479.30 |
$3,479.30 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$2,620.20 |
$2,620.20 |
$2,620.20 |
$5,352.00
|
|
Ventilator each subsequent day
|
$849.75 |
$849.75 |
$849.75 |
$1,305.92
|
|
Ventilator initial day
|
$849.75 |
$849.75 |
$849.75 |
$1,540.80
|
|
Version cephalic external
|
$442.75 |
$442.75 |
$442.75 |
$2,598.57
|
|
Virus isolation addl studies ea
|
$95.70 |
$95.70 |
$95.70 |
$90.35
|
|
Visc & infraren abd 2 prosth
|
$8,957.30 |
$8,957.30 |
$8,957.30 |
$14,123.24
|
|
Visit established high 40-54 minutes/level 5
|
$173.25 |
$173.25 |
$173.25 |
$279.44
|
|
Vital capacity test
|
$93.50 |
$93.50 |
$93.50 |
$173.33
|
|
Vitamin b-12
|
$91.30 |
$91.30 |
$91.30 |
$94.90
|
|
Vitamin D Test
|
$252.45 |
$252.45 |
$252.45 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$401.94 |
$401.94 |
$401.94 |
$463.40
|
|
Volume measurement urine timed
|
$25.85 |
$25.85 |
$25.85 |
$21.45
|
|
Warde 1003990 aldosterone
|
$367.40 |
$367.40 |
$367.40 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$50.05 |
$50.05 |
$50.05 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$112.75 |
$112.75 |
$112.75 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$188.65 |
$188.65 |
$188.65 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$31.35 |
$31.35 |
$31.35 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$81.40 |
$81.40 |
$81.40 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$124.85 |
$124.85 |
$124.85 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$47.85 |
$47.85 |
$47.85 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$74.80 |
$74.80 |
$74.80 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$41.80 |
$41.80 |
$41.80 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$90.75 |
$90.75 |
$90.75 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$160.60 |
$160.60 |
$160.60 |
$78.57
|
|
Warde 3400852 arsenic
|
$169.95 |
$169.95 |
$169.95 |
$105.12
|
|
Warde 3708165 mercury urine
|
$146.30 |
$146.30 |
$146.30 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$49.50 |
$49.50 |
$49.50 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$19.25 |
$19.25 |
$19.25 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$63.80 |
$63.80 |
$63.80 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$325.60 |
$325.60 |
$325.60 |
$129.75
|
|
Warde aldolase
|
$84.70 |
$84.70 |
$84.70 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$127.05 |
$127.05 |
$127.05 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$30.80 |
$30.80 |
$30.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$530.20 |
$530.20 |
$530.20 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$541.20 |
$541.20 |
$541.20 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$156.20 |
$156.20 |
$156.20 |
$142.65
|
|
Warde apolipoprotein b
|
$64.35 |
$64.35 |
$64.35 |
$64.28
|
|
Warde bile acids
|
$73.15 |
$73.15 |
$73.15 |
$64.28
|
|
Warde cadmium blood
|
$207.35 |
$207.35 |
$207.35 |
$77.00
|
|
Warde calcitonin
|
$230.45 |
$230.45 |
$230.45 |
$89.40
|
|
Warde calculus (stone) infrared
|
$24.20 |
$24.20 |
$24.20 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$81.40 |
$81.40 |
$81.40 |
$63.00
|
|
Warde collagen cross links c-telopeptide
|
$90.75 |
$90.75 |
$90.75 |
$90.40
|
|
Warde complement total hemolytic
|
$142.45 |
$142.45 |
$142.45 |
$105.00
|
|
Warde copper
|
$89.65 |
$89.65 |
$89.65 |
$80.00
|
|
Warde cryoglobulin
|
$50.05 |
$50.05 |
$50.05 |
$43.45
|
|
Warde erythropoietin
|
$158.40 |
$158.40 |
$158.40 |
$90.35
|
|
Warde estrogen fractionated
|
$58.30 |
$58.30 |
$58.30 |
$112.18
|
|
Warde fluorescent antibody screen endomysial iga
|
$19.80 |
$19.80 |
$19.80 |
$48.57
|
|
Warde folic acid rbc
|
$97.35 |
$97.35 |
$97.35 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$84.15 |
$84.15 |
$84.15 |
$43.55
|
|
Warde gastrin
|
$151.80 |
$151.80 |
$151.80 |
$75.25
|
|
Warde growth hormone (hgh)
|
$123.75 |
$123.75 |
$123.75 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$77.55 |
$77.55 |
$77.55 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$64.35 |
$64.35 |
$64.35 |
$96.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$27.50 |
$27.50 |
$27.50 |
$68.64
|
|
Warde hepatitis a antibody
|
$20.90 |
$20.90 |
$20.90 |
$83.70
|
|
Warde hepatitis be antibody
|
$94.05 |
$94.05 |
$94.05 |
$50.00
|
|
Warde immunofixation electrophoresis urine
|
$186.45 |
$186.45 |
$186.45 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$26.40 |
$26.40 |
$26.40 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$2,859.45 |
$2,859.45 |
$2,859.45 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$105.05 |
$105.05 |
$105.05 |
$137.55
|
