|
Treat humerus fracture
|
$948.72 |
$948.72 |
$948.72 |
$1,790.00
|
|
Treat knuckle dislocation
|
$426.66 |
$426.66 |
$426.66 |
$1,726.01
|
|
Treponema pallidum antibody
|
$51.50 |
$51.50 |
$51.50 |
$72.05
|
|
Trg gene rearrangement anal
|
$649.77 |
$649.77 |
$649.77 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$3.00 |
$3.00 |
$3.00 |
$43.09
|
|
Trichinella antibody
|
$48.02 |
$48.02 |
$48.02 |
$70.65
|
|
Triglycerides
|
$33.21 |
$33.21 |
$33.21 |
$58.50
|
|
Troponin quantitative
|
$84.87 |
$84.87 |
$84.87 |
$127.60
|
|
Tte w or without contr, cont ecg
|
$1,283.49 |
$1,283.49 |
$1,283.49 |
$2,067.00
|
|
Tx closed hip disl traumatic without anes
|
$309.81 |
$309.81 |
$309.81 |
$586.40
|
|
Ugt1a1 gene analy common variants
|
$753.95 |
$753.95 |
$753.95 |
$438.75
|
|
Ultrasound breast complete
|
$888.89 |
$888.89 |
$888.89 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$729.86 |
$729.86 |
$729.86 |
$452.40
|
|
Ultrasound elastography ea l target les
|
$121.36 |
$121.36 |
$121.36 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$252.77 |
$252.77 |
$252.77 |
$313.95
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$653.70 |
$653.70 |
$653.70 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$475.42 |
$475.42 |
$475.42 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$251.94 |
$251.94 |
$251.94 |
$388.08
|
|
Ultrasound joint complete left
|
$760.83 |
$760.83 |
$760.83 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$344.84 |
$344.84 |
$344.84 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$236.03 |
$236.03 |
$236.03 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$522.29 |
$522.29 |
$522.29 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$454.49 |
$454.49 |
$454.49 |
$425.60
|
|
Ultrasound transabd ea addl gest
|
$584.23 |
$584.23 |
$584.23 |
$419.50
|
|
Unlisted hematology&coagj px
|
$36.25 |
$36.25 |
$36.25 |
$39.52
|
|
Unlisted transfusion med px
|
$205.82 |
$205.82 |
$205.82 |
$147.50
|
|
Upper Arm (Humerus) X-ray (left side)
|
$301.31 |
$301.31 |
$301.31 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,362.80 |
$2,362.80 |
$2,362.80 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,841.03 |
$1,841.03 |
$1,841.03 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,534.19 |
$1,534.19 |
$1,534.19 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,227.35 |
$1,227.35 |
$1,227.35 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$347.07 |
$347.07 |
$347.07 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$359.74 |
$359.74 |
$359.74 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$622.34 |
$622.34 |
$622.34 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$468.86 |
$468.86 |
$468.86 |
$607.20
|
|
Urea nitrogen
|
$26.44 |
$26.44 |
$26.44 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$31.98 |
$31.98 |
$31.98 |
$52.00
|
|
Ureteral reflux study
|
$535.31 |
$535.31 |
$535.31 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$500.54 |
$500.54 |
$500.54 |
$584.00
|
|
Urethrocystography void s&i
|
$566.72 |
$566.72 |
$566.72 |
$631.40
|
|
Uric acid blood
|
$8.61 |
$8.61 |
$8.61 |
$49.44
|
|
Uric acid urine
|
$44.28 |
$44.28 |
$44.28 |
$45.36
|
|
Urinalysis microscopic only
|
$5.93 |
$5.93 |
$5.93 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$4.15 |
$4.15 |
$4.15 |
$25.72
|
|
Urinalysis (with microscopy)
|
$32.61 |
$32.61 |
$32.61 |
$55.20
|
|
Urinalysis (without microscopy)
|
$4.15 |
$4.15 |
$4.15 |
$36.00
|
|
Urine Culture Test
|
$15.72 |
$15.72 |
$15.72 |
$83.00
|
|
Urine pregnancy test
|
$34.39 |
$34.39 |
$34.39 |
$68.78
|
|
Urography, antegrade
|
$499.14 |
$499.14 |
$499.14 |
$622.35
|
|
Use 1st target lesion
|
$217.62 |
$217.62 |
$217.62 |
$332.00
|
|
Vaccine Administration (one shot)
|
$48.49 |
$48.49 |
$48.49 |
$67.70
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$38.21 |
$38.21 |
$38.21 |
$329.24
|
|
Valproic acid total therapeutic drug level
|
$32.59 |
$32.59 |
$32.59 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$25.22 |
$25.22 |
$25.22 |
$136.13
|
|
Varicella zoster antibody igg
|
$27.14 |
$27.14 |
$27.14 |
$86.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$25.97 |
$25.97 |
$25.97 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$24.16 |
$24.16 |
$24.16 |
$67.00
|
|
Venogram ext bil s&i
|
$555.46 |
$555.46 |
$555.46 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$475.20 |
$475.20 |
$475.20 |
$1,382.58
|
|
Ventilator each subsequent day
|
$563.67 |
$563.67 |
$563.67 |
$1,184.00
|
|
Ventilator Management (first day)
|
$698.56 |
$698.56 |
$698.56 |
$1,434.60
|
|
Version cephalic external
|
$559.77 |
$559.77 |
$559.77 |
$2,361.75
|
|
Very long chain fatty acids
|
$126.08 |
$126.08 |
$126.08 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$432.96 |
$432.96 |
$432.96 |
$524.50
|
|
Virus isolation addl studies ea
|
$40.88 |
$40.88 |
$40.88 |
$79.34
|
|
Vital capacity test
|
$56.55 |
$56.55 |
$56.55 |
$173.18
|
|
Vitamin b-12
|
$33.21 |
$33.21 |
$33.21 |
$100.28
|
|
Vitamin D Test
|
$99.02 |
$99.02 |
$99.02 |
$132.00
|
|
Vkorc1 gene
|
$284.61 |
$284.61 |
$284.61 |
$182.79
|
|
Walking (Gait) Training (each 15 minutes)
|
$59.05 |
$59.05 |
$59.05 |
$87.50
|
|
Warde 1003990 aldosterone
|
$166.05 |
$166.05 |
$166.05 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$107.01 |
$107.01 |
$107.01 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$37.52 |
$37.52 |
$37.52 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$46.74 |
$46.74 |
$46.74 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$50.43 |
$50.43 |
$50.43 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$42.44 |
$42.44 |
$42.44 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$36.28 |
$36.28 |
$36.28 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$51.05 |
$51.05 |
$51.05 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$50.11 |
$50.11 |
$50.11 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$50.11 |
$50.11 |
$50.11 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$38.28 |
$38.28 |
$38.28 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$16.98 |
$16.98 |
$16.98 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$44.66 |
$44.66 |
$44.66 |
$73.60
|
|
Warde 3400852 arsenic
|
$58.42 |
$58.42 |
$58.42 |
$101.00
|
|
Warde 3708165 mercury urine
|
$54.12 |
$54.12 |
$54.12 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$68.90 |
$68.90 |
$68.90 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$41.76 |
$41.76 |
$41.76 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$96.55 |
$96.55 |
$96.55 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$71.34 |
$71.34 |
$71.34 |
$156.40
|
|
Warde aldolase
|
$32.59 |
$32.59 |
$32.59 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$86.72 |
$86.72 |
$86.72 |
$200.16
|
|
Warde amiodarone therapeutic drug level
|
$55.35 |
$55.35 |
$55.35 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$211.58 |
$211.58 |
$211.58 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$528.41 |
$528.41 |
$528.41 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$108.24 |
$108.24 |
$108.24 |
$126.43
|
|
Warde anti-mullerian hormone
|
$71.34 |
$71.34 |
$71.34 |
$82.50
|
|
Warde apolipoprotein b
|
$47.35 |
$47.35 |
$47.35 |
$61.82
|
|
Warde bile acids
|
$38.74 |
$38.74 |
$38.74 |
$64.28
|
|
Warde cadmium blood
|
$43.66 |
$43.66 |
$43.66 |
$76.70
|