|
Ultrasound transabd ea addl gest
|
$1,306.52 |
$1,306.52 |
$1,320.76 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$545.00 |
$545.00 |
$550.94 |
$567.44
|
|
Unlistd noninvas vasc dx std
|
$107.17 |
$107.17 |
$108.34 |
$819.65
|
|
Unlisted fluoroscopic px
|
$65.70 |
$65.70 |
$66.41 |
$324.85
|
|
Unlisted muscskel px head
|
$266.01 |
$266.01 |
$266.01 |
$274.80
|
|
Unlisted surgical path px
|
$148.64 |
$148.64 |
$150.26 |
$71.65
|
|
Unsched dialysis esrd pt hos
|
$794.56 |
$794.56 |
$803.22 |
$1,469.76
|
|
Upgrade pm system
|
$14,426.77 |
$14,426.77 |
$14,426.77 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,610.48 |
$2,610.48 |
$2,638.93 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,271.00 |
$2,271.00 |
$2,295.75 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,566.36 |
$1,566.36 |
$1,583.43 |
$2,013.08
|
|
Urea nitrogen
|
$98.73 |
$98.73 |
$99.80 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$142.03 |
$142.03 |
$143.58 |
$50.00
|
|
Ureteral embolization/occl
|
$1,134.15 |
$1,134.15 |
$1,134.15 |
$3,041.22
|
|
Ureteral reflux study
|
$360.77 |
$360.77 |
$364.70 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$407.01 |
$407.01 |
$411.44 |
$574.40
|
|
Urethrocystography void s&i
|
$452.15 |
$452.15 |
$457.08 |
$634.50
|
|
Uric acid blood
|
$139.46 |
$139.46 |
$140.98 |
$46.64
|
|
Uric acid urine
|
$155.25 |
$155.25 |
$156.94 |
$46.75
|
|
Urinalysis microscopic only
|
$50.28 |
$50.28 |
$50.83 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$27.16 |
$27.16 |
$27.46 |
$25.72
|
|
Urinalysis (with microscopy)
|
$139.46 |
$139.46 |
$140.98 |
$48.14
|
|
Urinalysis (without microscopy)
|
$60.93 |
$60.93 |
$61.59 |
$38.99
|
|
Urine Culture Test
|
$162.59 |
$162.59 |
$164.36 |
$84.81
|
|
Urine pregnancy test
|
$138.36 |
$138.36 |
$139.87 |
$66.40
|
|
Urography inf drip &/or bolus
|
$1,339.55 |
$1,339.55 |
$1,354.15 |
$641.69
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$2,804.62 |
$2,804.62 |
$2,804.62 |
$5,521.54
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$38,569.87 |
$38,569.87 |
$38,569.87 |
$56,553.85
|
|
Vaccine dtap < 7 years im
|
$46.98 |
$46.98 |
$47.49 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$313.79 |
$313.79 |
$317.21 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$212.96 |
$212.96 |
$212.96 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$22.64 |
$22.64 |
$45.88 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$129.19 |
$129.19 |
$130.60 |
$178.07
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$60.56 |
$60.56 |
$61.59 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$108.64 |
$108.64 |
$109.82 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$44.41 |
$44.41 |
$44.90 |
$79.04
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$279.66 |
$279.66 |
$279.66 |
$226.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$35.97 |
$35.97 |
$35.97 |
$48.29
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$57.51 |
$57.51 |
$57.51 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$336.18 |
$336.18 |
$339.84 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$224.98 |
$224.98 |
$261.93 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$144.24 |
$144.24 |
$145.81 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$205.52 |
$205.52 |
$207.76 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$399.94 |
$399.94 |
$399.94 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$472.70 |
$472.70 |
$477.85 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$61.66 |
$61.66 |
$62.33 |
$119.17
|
|
Vaccine rabies im
|
$671.89 |
$671.89 |
$745.75 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$867.96 |
$867.96 |
$867.96 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$867.96 |
$867.96 |
$867.96 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$78.18 |
$78.18 |
$79.03 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$66.06 |
$66.06 |
$66.78 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$305.72 |
$305.72 |
$305.72 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$246.26 |
$246.26 |
$248.95 |
$115.00
|
|
Valvuloplasty aortic
|
$5,219.85 |
$5,219.85 |
$5,219.85 |
$7,324.85
|
|
Vancomycin hcl injection
|
$52.85 |
$52.85 |
$427.77 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$164.05 |
$164.05 |
$165.84 |
$126.79
|
|
Varicella zoster antibody igg
|
$26.80 |
$26.80 |
$27.09 |
$82.55
|
|
Varicella-zoster immue globin im
|
$949.43 |
$949.43 |
$949.43 |
$2,372.84
|
|
Vasopressin 20 unit/ml intravenous solution
|
$2,425.87 |
$2,425.87 |
$2,452.31 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$11,008.54 |
$11,008.54 |
$11,128.52 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$663.17 |
$663.17 |
$670.40 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$1,251.84 |
$1,251.84 |
$1,265.49 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$350.49 |
$350.49 |
$354.31 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$663.17 |
$663.17 |
$670.40 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$350.49 |
$350.49 |
$354.31 |
$704.79
|
|
Vein x-ray adrenal glands
|
$3,450.30 |
$3,450.30 |
$5,120.39 |
$3,999.60
|
|
Vein x-ray eye socket
|
$3,413.10 |
$3,413.10 |
$3,450.30 |
$1,128.41
|
|
Vein x-ray liver
|
$3,413.10 |
$3,413.10 |
$3,709.26 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$3,413.10 |
$3,413.10 |
$3,450.30 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,074.00 |
$3,074.00 |
$3,107.50 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$899.15 |
$899.15 |
$908.95 |
$2,489.25
|
|
Vein x-ray skull
|
$1,397.54 |
$1,397.54 |
$1,412.77 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$741.34 |
$741.34 |
$749.42 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$3,413.10 |
$3,413.10 |
$3,450.30 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,129.26 |
$1,129.26 |
$1,141.57 |
$188.65
|
|
Venogram ext bil s&i
|
$1,563.06 |
$1,563.06 |
$1,580.09 |
$1,838.28
|
|
Venous mech thrombectomy
|
$6,489.67 |
$6,489.67 |
$18,729.20 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$3,170.52 |
$3,170.52 |
$3,205.07 |
$5,352.00
|
|
Venous sampling s&i
|
$3,413.10 |
$3,413.10 |
$3,450.30 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$360.77 |
$360.77 |
$364.70 |
$779.56
|
|
Ventilator each subsequent day
|
$4,285.10 |
$4,285.10 |
$4,331.80 |
$1,305.92
|
|
Ventilator initial day
|
$4,885.14 |
$4,885.14 |
$4,938.39 |
$1,540.80
|
|
Version cephalic external
|
$1,681.60 |
$1,681.60 |
$1,699.93 |
$2,598.57
|
|
Vinblastine 1 mg/ml intravenous solution
|
$5.88 |
$5.88 |
$76.43 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$52.85 |
$52.85 |
$53.43 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$422.79 |
$422.79 |
$427.40 |
$226.75
|
|
Virus isolation addl studies ea
|
$48.82 |
$48.82 |
$49.35 |
$90.35
|
|
Vital capacity test
|
$121.48 |
$121.48 |
$122.81 |
$173.33
|
|
Vitamin b-12
|
$103.87 |
$103.87 |
$105.00 |
$94.90
|
|
Vitamin D Test
|
$40.01 |
$40.01 |
$40.44 |
$132.00
|
|
Volume measurement urine timed
|
$27.16 |
$27.16 |
$33.77 |
$21.45
|
|
Vonvendi inj 1 iu vwf:rco
|
$3.67 |
$3.67 |
$3.67 |
$4.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$261.68 |
$261.68 |
$264.53 |
$215.60
|
|
Vsrctv std tcd icr art compl
|
$213.97 |
$213.97 |
$216.30 |
$454.20
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$203,104.78 |
$203,104.78 |
$203,104.78 |
$238,702.00
|
|
Warde 1003990 aldosterone
|
$11.99 |
$11.99 |
$12.12 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$4.21 |
$4.21 |
$4.26 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$6.24 |
$6.24 |
$6.31 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$10.28 |
$10.28 |
$10.39 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$5.51 |
$5.51 |
$5.57 |
$69.55
|
