|
Ultrasound transvaginal non obstetric
|
$364.21 |
$364.21 |
$364.21 |
$567.44
|
|
Unlisted procedure microbiology
|
$855.70 |
$855.70 |
$855.70 |
$487.50
|
|
Unlisted surgical path px
|
$148.35 |
$148.35 |
$148.35 |
$71.65
|
|
Unlisted transfusion med px
|
$113.78 |
$113.78 |
$113.78 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,210.02 |
$1,210.02 |
$1,210.02 |
$1,480.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,555.92 |
$2,555.92 |
$2,555.92 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,223.96 |
$2,223.96 |
$2,223.96 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,533.81 |
$1,533.81 |
$1,533.81 |
$2,013.08
|
|
Urea nitrogen
|
$82.99 |
$82.99 |
$82.99 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$81.27 |
$81.27 |
$81.27 |
$50.00
|
|
Urea nitrogen clearance
|
$85.14 |
$85.14 |
$85.14 |
$33.57
|
|
Ureteral reflux study
|
$958.47 |
$958.47 |
$958.47 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$387.43 |
$387.43 |
$387.43 |
$574.40
|
|
Urethrocystography void s&i
|
$387.43 |
$387.43 |
$387.43 |
$634.50
|
|
Uric acid blood
|
$50.31 |
$50.31 |
$50.31 |
$46.64
|
|
Uric acid urine
|
$61.49 |
$61.49 |
$61.49 |
$46.75
|
|
Urinalysis microscopic only
|
$9.03 |
$9.03 |
$9.03 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$3.01 |
$3.01 |
$3.01 |
$25.72
|
|
Urinalysis (with microscopy)
|
$44.72 |
$44.72 |
$44.72 |
$48.14
|
|
Urinalysis (without microscopy)
|
$47.73 |
$47.73 |
$47.73 |
$38.99
|
|
Urine Culture Test
|
$97.61 |
$97.61 |
$97.61 |
$84.81
|
|
Urine pregnancy test
|
$104.06 |
$104.06 |
$104.06 |
$66.40
|
|
Use 1st target lesion
|
$193.07 |
$193.07 |
$193.07 |
$245.30
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$696.17 |
$696.17 |
$696.17 |
$239.85
|
|
Vaccine dtap < 7 years im
|
$239.51 |
$239.51 |
$239.51 |
$87.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$58.48 |
$58.48 |
$58.48 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$374.96 |
$374.96 |
$374.96 |
$178.07
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$350.45 |
$350.45 |
$350.45 |
$173.98
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$99.76 |
$99.76 |
$99.76 |
$48.29
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,206.58 |
$1,206.58 |
$1,206.58 |
$499.00
|
|
Vaccine mmr live subcutaneous
|
$398.61 |
$398.61 |
$398.61 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,266.35 |
$1,266.35 |
$1,266.35 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$187.05 |
$187.05 |
$187.05 |
$119.17
|
|
Vaccine rabies im
|
$1,928.55 |
$1,928.55 |
$1,928.55 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,518.51 |
$2,518.51 |
$2,518.51 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,518.51 |
$2,518.51 |
$2,518.51 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$226.18 |
$226.18 |
$226.18 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$182.75 |
$182.75 |
$182.75 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$887.09 |
$887.09 |
$887.09 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$138.89 |
$138.89 |
$138.89 |
$115.00
|
|
Valvuloplasty aortic
|
$6,009.68 |
$6,009.68 |
$6,009.68 |
$7,324.85
|
|
Valvuloplasty mitral
|
$10,851.48 |
$10,851.48 |
$10,851.48 |
$10,435.39
|
|
Vancomycin 1,000 mg intravenous injection
|
$211.99 |
$211.99 |
$211.99 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$122.98 |
$122.98 |
$122.98 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$129.00 |
$129.00 |
$129.00 |
$126.79
|
|
Varicella zoster antibody igg
|
$15.48 |
$15.48 |
$15.48 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,080.59 |
$1,080.59 |
$1,080.59 |
$362.93
|
|
Veeg cont 2-12 hrs
|
$543.09 |
$543.09 |
$543.09 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$1,429.75 |
$1,429.75 |
$1,429.75 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$285.95 |
$285.95 |
$285.95 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$543.09 |
$543.09 |
$543.09 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$285.95 |
$285.95 |
$285.95 |
$704.79
|
|
Vein x-ray adrenal glands
|
$3,762.07 |
$3,762.07 |
$3,762.07 |
$3,999.60
|
|
Vein x-ray eye socket
|
$848.82 |
$848.82 |
$848.82 |
$1,128.41
|
|
Vein x-ray liver
|
$3,866.99 |
$3,866.99 |
$3,866.99 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$3,866.99 |
$3,866.99 |
$3,866.99 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$3,866.99 |
$3,866.99 |
$3,866.99 |
$3,439.84
|
|
Vein x-ray skull
|
$3,766.80 |
$3,766.80 |
$3,766.80 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$848.82 |
$848.82 |
$848.82 |
$1,344.60
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$568.46 |
$568.46 |
$568.46 |
$188.65
|
|
Venogram ext bil s&i
|
$1,990.90 |
$1,990.90 |
$1,990.90 |
$1,838.28
|
|
Venous sampling s&i
|
$3,837.32 |
$3,837.32 |
$3,837.32 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$825.17 |
$825.17 |
$825.17 |
$779.56
|
|
Ventilator each subsequent day
|
$1,093.06 |
$1,093.06 |
$1,093.06 |
$1,305.92
|
|
Ventilator initial day
|
$1,256.89 |
$1,256.89 |
$1,256.89 |
$1,540.80
|
|
Very long chain fatty acids
|
$45.87 |
$45.87 |
$45.87 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$168.99 |
$168.99 |
$168.99 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$34.83 |
$34.83 |
$34.83 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$127.28 |
$127.28 |
$127.28 |
$226.75
|
|
Virus isolation addl studies ea
|
$14.19 |
$14.19 |
$14.19 |
$90.35
|
|
Vital capacity test
|
$74.39 |
$74.39 |
$74.39 |
$173.33
|
|
Vitamin b-12
|
$111.80 |
$111.80 |
$111.80 |
$94.90
|
|
Vitamin D Test
|
$107.50 |
$107.50 |
$107.50 |
$132.00
|
|
Volume measurement urine timed
|
$18.92 |
$18.92 |
$18.92 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$759.38 |
$759.38 |
$759.38 |
$215.60
|
|
Warde 1003990 aldosterone
|
$8.60 |
$8.60 |
$8.60 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$4.94 |
$4.94 |
$4.94 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$91.51 |
$91.51 |
$91.51 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$12.04 |
$12.04 |
$12.04 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$6.45 |
$6.45 |
$6.45 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$5.38 |
$5.38 |
$5.38 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$4.30 |
$4.30 |
$4.30 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$22.79 |
$22.79 |
$22.79 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$7.74 |
$7.74 |
$7.74 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$7.53 |
$7.53 |
$7.53 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$8.60 |
$8.60 |
$8.60 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$50.74 |
$50.74 |
$50.74 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$22.36 |
$22.36 |
$22.36 |
$78.57
|
|
Warde 3400852 arsenic
|
$102.77 |
$102.77 |
$102.77 |
$105.12
|
|
Warde 3708165 mercury urine
|
$4.96 |
$4.96 |
$4.96 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$42.73 |
$42.73 |
$42.73 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$24.03 |
$24.03 |
$24.03 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$13.91 |
$13.91 |
$13.91 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$4.30 |
$4.30 |
$4.30 |
$129.75
|
|
Warde aldolase
|
$2.58 |
$2.58 |
$2.58 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$47.35 |
$47.35 |
$47.35 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$6.96 |
$6.96 |
$6.96 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$27.95 |
$27.95 |
$27.95 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$165.12 |
$165.12 |
$165.12 |
$381.50
|
|
Warde anti-mullerian hormone
|
$17.20 |
$17.20 |
$17.20 |
$93.28
|
