|
Treatment of thigh fracture
|
$1,274.07 |
$1,274.07 |
$1,274.07 |
$1,790.00
|
|
Treat midfoot fracture each
|
$320.46 |
$320.46 |
$320.46 |
$1,884.74
|
|
Treat thigh fracture
|
$887.72 |
$887.72 |
$887.72 |
$661.00
|
|
Treat thigh fx growth plate
|
$897.30 |
$897.30 |
$897.30 |
$478.40
|
|
Treat ulnar fracture
|
$778.10 |
$778.10 |
$778.10 |
$1,677.20
|
|
Treponema pallidum antibody
|
$87.54 |
$87.54 |
$87.54 |
$72.05
|
|
Trg gene rearrangement anal
|
$435.00 |
$435.00 |
$435.00 |
$455.70
|
|
Trichinella antibody
|
$81.63 |
$81.63 |
$81.63 |
$70.65
|
|
Triglycerides
|
$34.67 |
$34.67 |
$34.67 |
$58.50
|
|
Troponin quantitative
|
$88.60 |
$88.60 |
$88.60 |
$127.60
|
|
Tx closed hip disl traumatic without anes
|
$346.22 |
$346.22 |
$346.22 |
$586.40
|
|
Tx closed tib shaft fx without manip
|
$595.41 |
$595.41 |
$595.41 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$236.60 |
$236.60 |
$236.60 |
$419.04
|
|
Ugt1a1 gene analy common variants
|
$504.74 |
$504.74 |
$504.74 |
$438.75
|
|
Ultrasound breast complete
|
$957.92 |
$957.92 |
$957.92 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$786.54 |
$786.54 |
$786.54 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$269.70 |
$269.70 |
$269.70 |
$338.00
|
|
Ultrasound elastography ea l target les
|
$130.79 |
$130.79 |
$130.79 |
$180.00
|
|
Ultrasound elastography parenchyma
|
$272.40 |
$272.40 |
$272.40 |
$313.95
|
|
Ultrasound encephalogram
|
$468.14 |
$468.14 |
$468.14 |
$494.92
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$704.46 |
$704.46 |
$704.46 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$512.34 |
$512.34 |
$512.34 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$271.50 |
$271.50 |
$271.50 |
$388.08
|
|
Ultrasound infant hips ltd without stress
|
$259.78 |
$259.78 |
$259.78 |
$311.25
|
|
Ultrasound joint complete left
|
$819.92 |
$819.92 |
$819.92 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$371.62 |
$371.62 |
$371.62 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$254.36 |
$254.36 |
$254.36 |
$334.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$489.79 |
$489.79 |
$489.79 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$542.10 |
$542.10 |
$542.10 |
$557.40
|
|
Ultrasound spinal canal and contents
|
$367.11 |
$367.11 |
$367.11 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$629.60 |
$629.60 |
$629.60 |
$419.50
|
|
Unlisted CT procedure
|
$3,239.64 |
$3,239.64 |
$3,239.64 |
$732.70
|
|
Unlisted hematology&coagj px
|
$36.31 |
$36.31 |
$36.31 |
$39.52
|
|
Unlisted transfusion med px
|
$178.76 |
$178.76 |
$178.76 |
$147.50
|
|
Upper Arm (Humerus) X-ray (left side)
|
$327.85 |
$327.85 |
$327.85 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,595.14 |
$2,595.14 |
$2,595.14 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$2,075.85 |
$2,075.85 |
$2,075.85 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,736.87 |
$1,736.87 |
$1,736.87 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,447.39 |
$1,447.39 |
$1,447.39 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,157.91 |
$1,157.91 |
$1,157.91 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$377.64 |
$377.64 |
$377.64 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$391.43 |
$391.43 |
$391.43 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$677.14 |
$677.14 |
$677.14 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$510.16 |
$510.16 |
$510.16 |
$607.20
|
|
Urea nitrogen
|
$27.61 |
$27.61 |
$27.61 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$33.38 |
$33.38 |
$33.38 |
$52.00
|
|
Ureteral reflux study
|
$616.23 |
$616.23 |
$616.23 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$544.63 |
$544.63 |
$544.63 |
$584.00
|
|
Urethrocystography void s&i
|
$616.63 |
$616.63 |
$616.63 |
$631.40
|
|
Uric acid blood
|
$8.99 |
$8.99 |
$8.99 |
$49.44
|
|
Uric acid urine
|
$46.22 |
$46.22 |
$46.22 |
$45.36
|
|
Urinalysis microscopic only
|
$6.35 |
$6.35 |
$6.35 |
$26.46
|
|
Urinalysis (with microscopy)
|
$34.92 |
$34.92 |
$34.92 |
$55.20
|
|
Urinalysis (without microscopy)
|
$4.44 |
$4.44 |
$4.44 |
$36.00
|
|
Urine Culture Test
|
$17.70 |
$17.70 |
$17.70 |
$83.00
|
|
Urine pregnancy test
|
$36.83 |
$36.83 |
$36.83 |
$68.78
|
|
Use 1st target lesion
|
$234.52 |
$234.52 |
$234.52 |
$332.00
|
|
Vaccine Administration (one shot)
|
$27.11 |
$27.11 |
$27.11 |
$67.70
|
|
Valproic acid total therapeutic drug level
|
$34.03 |
$34.03 |
$34.03 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$26.32 |
$26.32 |
$26.32 |
$136.13
|
|
Varicella zoster antibody igg
|
$46.14 |
$46.14 |
$46.14 |
$86.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$29.80 |
$29.80 |
$29.80 |
$188.83
|
|
Venogram extremity supervision & interpretation unilateral
|
$517.05 |
$517.05 |
$517.05 |
$1,382.58
|
|
Ventilator each subsequent day
|
$564.65 |
$564.65 |
$564.65 |
$1,184.00
|
|
Ventilator Management (first day)
|
$699.78 |
$699.78 |
$699.78 |
$1,434.60
|
|
Version cephalic external
|
$630.08 |
$630.08 |
$630.08 |
$2,361.75
|
|
Very long chain fatty acids
|
$131.61 |
$131.61 |
$131.61 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$471.09 |
$471.09 |
$471.09 |
$524.50
|
|
Virus isolation addl studies ea
|
$46.02 |
$46.02 |
$46.02 |
$79.34
|
|
Vitamin b-12
|
$34.67 |
$34.67 |
$34.67 |
$100.28
|
|
Vitamin D Test
|
$103.36 |
$103.36 |
$103.36 |
$132.00
|
|
Vkorc1 gene
|
$190.54 |
$190.54 |
$190.54 |
$182.79
|
|
Walking (Gait) Training (each 15 minutes)
|
$65.94 |
$65.94 |
$65.94 |
$87.50
|
|
Warde 1003990 aldosterone
|
$173.34 |
$173.34 |
$173.34 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$111.71 |
$111.71 |
$111.71 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$39.16 |
$39.16 |
$39.16 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$48.79 |
$48.79 |
$48.79 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$52.64 |
$52.64 |
$52.64 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$44.30 |
$44.30 |
$44.30 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$37.88 |
$37.88 |
$37.88 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$53.29 |
$53.29 |
$53.29 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$85.18 |
$85.18 |
$85.18 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$85.18 |
$85.18 |
$85.18 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$65.06 |
$65.06 |
$65.06 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$19.12 |
$19.12 |
$19.12 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$50.27 |
$50.27 |
$50.27 |
$73.60
|
|
Warde 3400852 arsenic
|
$60.99 |
$60.99 |
$60.99 |
$101.00
|
|
Warde 3708165 mercury urine
|
$56.50 |
$56.50 |
$56.50 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$117.12 |
$117.12 |
$117.12 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$70.98 |
$70.98 |
$70.98 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$100.79 |
$100.79 |
$100.79 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$74.47 |
$74.47 |
$74.47 |
$156.40
|
|
Warde aldolase
|
$34.03 |
$34.03 |
$34.03 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$90.52 |
$90.52 |
$90.52 |
$200.16
|
|
Warde amiodarone therapeutic drug level
|
$57.78 |
$57.78 |
$57.78 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$141.64 |
$141.64 |
$141.64 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$353.75 |
$353.75 |
$353.75 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$112.99 |
$112.99 |
$112.99 |
$126.43
|
|
Warde anti-mullerian hormone
|
$74.47 |
$74.47 |
$74.47 |
$82.50
|
|
Warde apolipoprotein b
|
$49.43 |
$49.43 |
$49.43 |
$61.82
|