|
Treat humerus fracture
|
$1,085.01 |
$1,085.01 |
$1,085.01 |
$1,790.00
|
|
Treat knee dislocation
|
$1,203.93 |
$1,203.93 |
$1,203.93 |
$2,220.89
|
|
Treatment of thigh fracture
|
$1,303.85 |
$1,303.85 |
$1,303.85 |
$1,790.00
|
|
Treponema pallidum antibody
|
$55.94 |
$55.94 |
$55.94 |
$72.05
|
|
Trg gene rearrangement anal
|
$364.82 |
$364.82 |
$364.82 |
$455.70
|
|
Trichinella antibody
|
$52.16 |
$52.16 |
$52.16 |
$70.65
|
|
Triglycerides
|
$35.91 |
$35.91 |
$35.91 |
$58.50
|
|
Troponin quantitative
|
$91.77 |
$91.77 |
$91.77 |
$127.60
|
|
Tte w or without contr, cont ecg
|
$1,363.21 |
$1,363.21 |
$1,363.21 |
$2,067.00
|
|
Tx closed hip disl traumatic without anes
|
$354.31 |
$354.31 |
$354.31 |
$586.40
|
|
Ugt1a1 gene analy common variants
|
$423.31 |
$423.31 |
$423.31 |
$438.75
|
|
Ultrasound breast complete
|
$915.44 |
$915.44 |
$915.44 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$751.66 |
$751.66 |
$751.66 |
$452.40
|
|
Ultrasound encephalogram
|
$447.38 |
$447.38 |
$447.38 |
$494.92
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$673.22 |
$673.22 |
$673.22 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$489.62 |
$489.62 |
$489.62 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$259.46 |
$259.46 |
$259.46 |
$388.08
|
|
Ultrasound infant hips ltd without stress
|
$248.26 |
$248.26 |
$248.26 |
$311.25
|
|
Ultrasound joint complete left
|
$783.56 |
$783.56 |
$783.56 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$355.14 |
$355.14 |
$355.14 |
$407.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$468.07 |
$468.07 |
$468.07 |
$425.60
|
|
Unlisted hematology&coagj px
|
$39.16 |
$39.16 |
$39.16 |
$39.52
|
|
Unlisted transfusion med px
|
$175.00 |
$175.00 |
$175.00 |
$147.50
|
|
Upper Arm (Humerus) X-ray (left side)
|
$324.00 |
$324.00 |
$324.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,705.41 |
$2,705.41 |
$2,705.41 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$2,164.05 |
$2,164.05 |
$2,164.05 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,762.91 |
$1,762.91 |
$1,762.91 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,469.09 |
$1,469.09 |
$1,469.09 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,175.27 |
$1,175.27 |
$1,175.27 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$373.20 |
$373.20 |
$373.20 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$386.83 |
$386.83 |
$386.83 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$669.19 |
$669.19 |
$669.19 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$504.16 |
$504.16 |
$504.16 |
$607.20
|
|
Urea nitrogen
|
$28.60 |
$28.60 |
$28.60 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$34.58 |
$34.58 |
$34.58 |
$52.00
|
|
Urethrocystography void s&i
|
$609.38 |
$609.38 |
$609.38 |
$631.40
|
|
Uric acid blood
|
$9.31 |
$9.31 |
$9.31 |
$49.44
|
|
Uric acid urine
|
$47.88 |
$47.88 |
$47.88 |
$45.36
|
|
Urinalysis microscopic only
|
$6.64 |
$6.64 |
$6.64 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$4.65 |
$4.65 |
$4.65 |
$25.72
|
|
Urinalysis (with microscopy)
|
$36.52 |
$36.52 |
$36.52 |
$55.20
|
|
Urinalysis (without microscopy)
|
$4.65 |
$4.65 |
$4.65 |
$36.00
|
|
Urine Culture Test
|
$17.55 |
$17.55 |
$17.55 |
$83.00
|
|
Urine pregnancy test
|
$38.51 |
$38.51 |
$38.51 |
$68.78
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$39.96 |
$39.96 |
$39.96 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$44.93 |
$44.93 |
$44.93 |
$67.70
|
|
Valproic acid total therapeutic drug level
|
$43.89 |
$43.89 |
$43.89 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$27.26 |
$27.26 |
$27.26 |
$136.13
|
|
Varicella zoster antibody igg
|
$40.07 |
$40.07 |
$40.07 |
$86.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$33.50 |
$33.50 |
$33.50 |
$188.83
|
|
Venogram ext bil s&i
|
$597.27 |
$597.27 |
$597.27 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$510.98 |
$510.98 |
$510.98 |
$1,382.58
|
|
Ventilator each subsequent day
|
$579.38 |
$579.38 |
$579.38 |
$1,184.00
|
|
Ventilator Management (first day)
|
$718.03 |
$718.03 |
$718.03 |
$1,434.60
|
|
Version cephalic external
|
$665.88 |
$665.88 |
$665.88 |
$2,361.75
|
|
Very long chain fatty acids
|
$136.33 |
$136.33 |
$136.33 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$465.56 |
$465.56 |
$465.56 |
$524.50
|
|
Virus isolation addl studies ea
|
$45.63 |
$45.63 |
$45.63 |
$79.34
|
|
Vitamin b-12
|
$35.91 |
$35.91 |
$35.91 |
$100.28
|
|
Vitamin D Test
|
$107.07 |
$107.07 |
$107.07 |
$132.00
|
|
Vkorc1 gene
|
$159.79 |
$159.79 |
$159.79 |
$182.79
|
|
Walking (Gait) Training (each 15 minutes)
|
$60.48 |
$60.48 |
$60.48 |
$87.50
|
|
Warde 1003990 aldosterone
|
$179.55 |
$179.55 |
$179.55 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$115.71 |
$115.71 |
$115.71 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$40.57 |
$40.57 |
$40.57 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$50.54 |
$50.54 |
$50.54 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$54.53 |
$54.53 |
$54.53 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$45.89 |
$45.89 |
$45.89 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$39.24 |
$39.24 |
$39.24 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$55.20 |
$55.20 |
$55.20 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$54.43 |
$54.43 |
$54.43 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$54.43 |
$54.43 |
$54.43 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$41.58 |
$41.58 |
$41.58 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$18.95 |
$18.95 |
$18.95 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$49.84 |
$49.84 |
$49.84 |
$73.60
|
|
Warde 3400852 arsenic
|
$63.18 |
$63.18 |
$63.18 |
$101.00
|
|
Warde 3708165 mercury urine
|
$58.52 |
$58.52 |
$58.52 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$74.84 |
$74.84 |
$74.84 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$45.36 |
$45.36 |
$45.36 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$104.40 |
$104.40 |
$104.40 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$77.14 |
$77.14 |
$77.14 |
$156.40
|
|
Warde aldolase
|
$35.25 |
$35.25 |
$35.25 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$93.76 |
$93.76 |
$93.76 |
$200.16
|
|
Warde amiodarone therapeutic drug level
|
$59.85 |
$59.85 |
$59.85 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$118.79 |
$118.79 |
$118.79 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$296.68 |
$296.68 |
$296.68 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$117.04 |
$117.04 |
$117.04 |
$126.43
|
|
Warde anti-mullerian hormone
|
$77.14 |
$77.14 |
$77.14 |
$82.50
|
|
Warde apolipoprotein b
|
$51.21 |
$51.21 |
$51.21 |
$61.82
|
|
Warde bile acids
|
$41.90 |
$41.90 |
$41.90 |
$64.28
|
|
Warde cadmium blood
|
$47.22 |
$47.22 |
$47.22 |
$76.70
|
|
Warde calcitonin
|
$53.87 |
$53.87 |
$53.87 |
$101.40
|
|
Warde calculus (stone) infrared
|
$49.21 |
$49.21 |
$49.21 |
$59.52
|
|
Warde clozapine therapeutic drug level
|
$45.22 |
$45.22 |
$45.22 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$191.52 |
$191.52 |
$191.52 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$75.15 |
$75.15 |
$75.15 |
$96.85
|
|
Warde complement total hemolytic
|
$46.12 |
$46.12 |
$46.12 |
$105.00
|
|
Warde copper
|
$140.32 |
$140.32 |
$140.32 |
$80.00
|
|
Warde cryoglobulin
|
$41.90 |
$41.90 |
$41.90 |
$50.96
|
|
Warde erythropoietin
|
$37.91 |
$37.91 |
$37.91 |
$90.36
|