|
Unlisted px hands/fingers
|
$379.44 |
$379.44 |
$379.44 |
$379.44
|
|
Unlisted px salivry glnd/dux
|
$5,355.51 |
$5,355.51 |
$5,355.51 |
$486.72
|
|
Unlisted px small intestine
|
$3,447.60 |
$3,447.60 |
$3,447.60 |
$2,118.35
|
|
Unlisted ultrasound procedure
|
$996.03 |
$996.03 |
$996.03 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,988.49 |
$1,988.49 |
$1,988.49 |
$1,480.70
|
|
Upgrade pm system
|
$16,780.02 |
$16,780.02 |
$16,780.02 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$7,859.10 |
$7,859.10 |
$7,859.10 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,563.48 |
$4,563.48 |
$4,563.48 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$4,427.82 |
$4,427.82 |
$4,427.82 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,268.37 |
$1,268.37 |
$1,268.37 |
$1,656.60
|
|
Urea nitrogen
|
$64.26 |
$64.26 |
$64.26 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$69.87 |
$69.87 |
$69.87 |
$50.00
|
|
Urea nitrogen clearance
|
$83.64 |
$83.64 |
$83.64 |
$33.57
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,252.05 |
$1,252.05 |
$1,252.05 |
$574.40
|
|
Urethrocystography void s&i
|
$2,017.56 |
$2,017.56 |
$2,017.56 |
$634.50
|
|
Uric acid blood
|
$70.89 |
$70.89 |
$70.89 |
$46.64
|
|
Uric acid urine
|
$17.85 |
$17.85 |
$17.85 |
$46.75
|
|
Urinalysis microscopic only
|
$81.60 |
$81.60 |
$81.60 |
$26.35
|
|
Urinalysis (with microscopy)
|
$113.73 |
$113.73 |
$113.73 |
$48.14
|
|
Urinalysis (without microscopy)
|
$154.02 |
$154.02 |
$154.02 |
$38.99
|
|
Urine Culture Test
|
$240.72 |
$240.72 |
$240.72 |
$84.81
|
|
Urine pregnancy test
|
$137.19 |
$137.19 |
$137.19 |
$66.40
|
|
Urography, antegrade
|
$745.62 |
$745.62 |
$745.62 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$5,151.04 |
$5,151.04 |
$5,151.04 |
$5,521.54
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$148.84 |
$148.84 |
$148.84 |
$223.08
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$148.84 |
$148.84 |
$148.84 |
$218.88
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$133.72 |
$133.72 |
$133.72 |
$239.85
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$89.54 |
$89.54 |
$89.54 |
$131.67
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$66.67 |
$66.67 |
$66.67 |
$91.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$89.77 |
$89.77 |
$89.77 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$252.73 |
$252.73 |
$252.73 |
$178.07
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$116.86 |
$116.86 |
$116.86 |
$79.04
|
|
Vaccine influenza inactivated adjuvant im
|
$244.43 |
$244.43 |
$244.43 |
$110.25
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$142.45 |
$142.45 |
$142.45 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$629.24 |
$629.24 |
$629.24 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$509.67 |
$509.67 |
$509.67 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$314.81 |
$314.81 |
$314.81 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$383.88 |
$383.88 |
$383.88 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$656.72 |
$656.72 |
$656.72 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$720.50 |
$720.50 |
$720.50 |
$715.41
|
|
Vaccine rabies im
|
$950.54 |
$950.54 |
$950.54 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,529.98 |
$1,529.98 |
$1,529.98 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$200.54 |
$200.54 |
$200.54 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$195.37 |
$195.37 |
$195.37 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$569.81 |
$569.81 |
$569.81 |
$447.80
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,741.91 |
$1,741.91 |
$1,741.91 |
$1,683.99
|
|
Vad univ batt charger hm 1440
|
$9,438.51 |
$9,438.51 |
$9,438.51 |
$14,893.34
|
|
Vaginal bx
|
$5,521.77 |
$5,521.77 |
$5,521.77 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$5,564.61 |
$5,564.61 |
$5,564.61 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$165.24 |
$165.24 |
$165.24 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$170.87 |
$170.87 |
$170.87 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$130.18 |
$130.18 |
$130.18 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$252.96 |
$252.96 |
$252.96 |
$126.79
|
|
Varicella zoster antibody igg
|
$220.83 |
$220.83 |
$220.83 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$593.54 |
$593.54 |
$593.54 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$20,227.98 |
$20,227.98 |
$20,227.98 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$1,929.84 |
$1,929.84 |
$1,929.84 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$3,860.19 |
$3,860.19 |
$3,860.19 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$926.16 |
$926.16 |
$926.16 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$1,638.63 |
$1,638.63 |
$1,638.63 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$926.16 |
$926.16 |
$926.16 |
$704.79
|
|
Vein x-ray kidney
|
$4,283.49 |
$4,283.49 |
$4,283.49 |
$2,716.20
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$5,381.01 |
$5,381.01 |
$5,381.01 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$110.16 |
$110.16 |
$110.16 |
$82.11
|
|
Venogram ext bil s&i
|
$2,611.20 |
$2,611.20 |
$2,611.20 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,188.92 |
$2,188.92 |
$2,188.92 |
$1,326.00
|
|
Venous mech thrombectomy
|
$12,187.98 |
$12,187.98 |
$12,187.98 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$4,631.82 |
$4,631.82 |
$4,631.82 |
$5,352.00
|
|
Venous sampling s&i
|
$9,955.20 |
$9,955.20 |
$9,955.20 |
$4,416.78
|
|
Ventilator each subsequent day
|
$4,399.26 |
$4,399.26 |
$4,399.26 |
$1,305.92
|
|
Ventilator initial day
|
$5,599.29 |
$5,599.29 |
$5,599.29 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,451.97 |
$1,451.97 |
$1,451.97 |
$1,081.00
|
|
Version cephalic external
|
$3,183.93 |
$3,183.93 |
$3,183.93 |
$2,598.57
|
|
Vest large holster
|
$1,522.96 |
$1,522.96 |
$1,522.96 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$361.68 |
$361.68 |
$361.68 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$185.97 |
$185.97 |
$185.97 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$260.07 |
$260.07 |
$260.07 |
$226.75
|
|
Visit established high 40-54 minutes/level 5
|
$1,983.90 |
$1,983.90 |
$1,983.90 |
$287.73
|
|
Vital capacity test
|
$164.22 |
$164.22 |
$164.22 |
$173.33
|
|
Vitamin b-12
|
$143.82 |
$143.82 |
$143.82 |
$94.90
|
|
Vitamin D Test
|
$245.82 |
$245.82 |
$245.82 |
$132.00
|
|
Volume measurement urine timed
|
$6.63 |
$6.63 |
$6.63 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$259.21 |
$259.21 |
$259.21 |
$215.60
|
|
Warde 1003990 aldosterone
|
$54.62 |
$54.62 |
$54.62 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$17.85 |
$17.85 |
$17.85 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$3.06 |
$3.06 |
$3.06 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$99.07 |
$99.07 |
$99.07 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$11.33 |
$11.33 |
$11.33 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$61.20 |
$61.20 |
$61.20 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$34.87 |
$34.87 |
$34.87 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$56.20 |
$56.20 |
$56.20 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$43.76 |
$43.76 |
$43.76 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$43.76 |
$43.76 |
$43.76 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$51.00 |
$51.00 |
$51.00 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$31.88 |
$31.88 |
$31.88 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$31.88 |
$31.88 |
$31.88 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$104.04 |
$104.04 |
$104.04 |
$219.13
|
|
Warde 3400852 arsenic
|
$66.81 |
$66.81 |
$66.81 |
$105.12
|
|
Warde 3708165 mercury urine
|
$56.10 |
$56.10 |
$56.10 |
$72.80
|