|
Urethrcystgrphy rtrgrde s&i
|
$641.90 |
$641.90 |
$641.90 |
$574.40
|
|
Urethrocystography void s&i
|
$687.05 |
$687.05 |
$687.05 |
$634.50
|
|
Uric acid blood
|
$64.75 |
$64.75 |
$64.75 |
$46.64
|
|
Uric acid urine
|
$263.90 |
$263.90 |
$263.90 |
$46.75
|
|
Urinalysis microscopic only
|
$180.95 |
$180.95 |
$180.95 |
$26.35
|
|
Urinalysis (with microscopy)
|
$180.95 |
$180.95 |
$180.95 |
$48.14
|
|
Urinalysis (without microscopy)
|
$128.45 |
$128.45 |
$128.45 |
$38.99
|
|
Urine Culture Test
|
$103.95 |
$103.95 |
$103.95 |
$84.81
|
|
Urine pregnancy test
|
$64.75 |
$64.75 |
$64.75 |
$66.40
|
|
Urography, antegrade
|
$703.15 |
$703.15 |
$703.15 |
$593.37
|
|
Vaccine dtap < 7 years im
|
$93.61 |
$93.61 |
$93.61 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$333.06 |
$333.06 |
$333.06 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$283.30 |
$283.30 |
$283.30 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$89.49 |
$89.49 |
$89.49 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$271.85 |
$271.85 |
$271.85 |
$178.07
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$79.04 |
$79.04 |
$79.04 |
$79.04
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$99.80 |
$99.80 |
$99.80 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$627.39 |
$627.39 |
$627.39 |
$499.00
|
|
Vaccine mmr live subcutaneous
|
$350.71 |
$350.71 |
$350.71 |
$224.04
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$766.03 |
$766.03 |
$766.03 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$834.65 |
$834.65 |
$834.65 |
$715.41
|
|
Vaccine rabies im
|
$1,116.66 |
$1,116.66 |
$1,116.66 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,830.15 |
$1,830.15 |
$1,830.15 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$157.41 |
$157.41 |
$157.41 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$159.09 |
$159.09 |
$159.09 |
$131.77
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,008.32 |
$1,008.32 |
$1,008.32 |
$1,683.99
|
|
Vad univ batt charger hm 1440
|
$11,376.29 |
$11,376.29 |
$11,376.29 |
$14,893.34
|
|
Vaginal bx
|
$157.15 |
$157.15 |
$157.15 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$2,422.70 |
$2,422.70 |
$2,422.70 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$208.95 |
$208.95 |
$208.95 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$626.22 |
$626.22 |
$626.22 |
$246.70
|
|
Vancomycin peak therapeutic drug level
|
$208.95 |
$208.95 |
$208.95 |
$126.79
|
|
Varicella zoster antibody igg
|
$42.70 |
$42.70 |
$42.70 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$86.61 |
$86.61 |
$86.61 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$36,507.39 |
$36,507.39 |
$36,507.39 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$3,017.00 |
$3,017.00 |
$3,017.00 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$747.95 |
$747.95 |
$747.95 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$465.85 |
$465.85 |
$465.85 |
$704.79
|
|
Vein x-ray kidney
|
$1,538.95 |
$1,538.95 |
$1,538.95 |
$2,716.20
|
|
Vein x-ray liver
|
$2,594.55 |
$2,594.55 |
$2,594.55 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$6,839.70 |
$6,839.70 |
$6,839.70 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$6,050.80 |
$6,050.80 |
$6,050.80 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$6,167.35 |
$6,167.35 |
$6,167.35 |
$2,489.25
|
|
Vein x-ray skull
|
$1,909.25 |
$1,909.25 |
$1,909.25 |
$2,301.09
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$707.35 |
$707.35 |
$707.35 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$96.60 |
$96.60 |
$96.60 |
$82.11
|
|
Venogram ext bil s&i
|
$899.15 |
$899.15 |
$899.15 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$575.40 |
$575.40 |
$575.40 |
$1,326.00
|
|
Venous mech thrombectomy
|
$3,660.30 |
$3,660.30 |
$3,660.30 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$5,352.00
|
|
Venous sampling s&i
|
$4,402.30 |
$4,402.30 |
$4,402.30 |
$4,416.78
|
|
Ventilator each subsequent day
|
$1,643.95 |
$1,643.95 |
$1,643.95 |
$1,305.92
|
|
Ventilator initial day
|
$1,643.95 |
$1,643.95 |
$1,643.95 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,395.10 |
$1,395.10 |
$1,395.10 |
$1,081.00
|
|
Version cephalic external
|
$1,857.10 |
$1,857.10 |
$1,857.10 |
$2,598.57
|
|
Vest large holster
|
$731.62 |
$731.62 |
$731.62 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$230.69 |
$230.69 |
$230.69 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$101.37 |
$101.37 |
$101.37 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$321.19 |
$321.19 |
$321.19 |
$226.75
|
|
Visit established high 40-54 minutes/level 5
|
$1,278.20 |
$1,278.20 |
$1,278.20 |
$287.73
|
|
Vital capacity test
|
$128.80 |
$128.80 |
$128.80 |
$173.33
|
|
Vitamin b-12
|
$173.60 |
$173.60 |
$173.60 |
$94.90
|
|
Vitamin D Test
|
$91.70 |
$91.70 |
$91.70 |
$132.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$215.60 |
$215.60 |
$215.60 |
$215.60
|
|
Warde 3008005 oligoclonal bands
|
$20.13 |
$20.13 |
$20.13 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$103.60 |
$103.60 |
$103.60 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$137.90 |
$137.90 |
$137.90 |
$78.57
|
|
Warde adenosine deaminase pleural fluid
|
$105.00 |
$105.00 |
$105.00 |
$91.76
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$61.25 |
$61.25 |
$61.25 |
$381.50
|
|
Warde calculus (stone) infrared
|
$24.19 |
$24.19 |
$24.19 |
$61.73
|
|
Warde immunofixation electrophoresis urine
|
$315.00 |
$315.00 |
$315.00 |
$155.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$47.75 |
$47.75 |
$47.75 |
$127.20
|
|
Warde vitamin b-1 (thiamine)
|
$50.63 |
$50.63 |
$50.63 |
$78.65
|
|
Wbc automated
|
$121.10 |
$121.10 |
$121.10 |
$32.80
|
|
Wedging of cast
|
$233.45 |
$233.45 |
$233.45 |
$309.54
|
|
Whfo w/joint(s) custom fab
|
$175.00 |
$175.00 |
$175.00 |
$436.49
|
|
Whole blood for transfusion
|
$815.15 |
$815.15 |
$815.15 |
$479.50
|
|
Wnd prep f/n/hf/g addl cm
|
$210.00 |
$210.00 |
$210.00 |
$865.80
|
|
Wound closure by adhesive
|
$54.95 |
$54.95 |
$54.95 |
$170.95
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$639.10 |
$639.10 |
$639.10 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$641.90 |
$641.90 |
$641.90 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$164.50 |
$164.50 |
$164.50 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$641.90 |
$641.90 |
$641.90 |
$436.15
|
|
Wrist X-ray
|
$441.00 |
$441.00 |
$441.00 |
$343.70
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$1,904.35 |
$1,904.35 |
$1,904.35 |
$2,623.24
|
|
X-ray abdomen 1 view
|
$357.00 |
$357.00 |
$357.00 |
$255.00
|
|
X-ray abdomen 2 views
|
$407.75 |
$407.75 |
$407.75 |
$312.36
|
|
X-ray abdomen >=3 views
|
$440.30 |
$440.30 |
$440.30 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$680.40 |
$680.40 |
$680.40 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$399.00 |
$399.00 |
$399.00 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$247.10 |
$247.10 |
$247.10 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$647.15 |
$647.15 |
$647.15 |
$768.30
|
|
X-ray bone age studies
|
$297.85 |
$297.85 |
$297.85 |
$246.75
|
|
X-ray bone length studies
|
$586.25 |
$586.25 |
$586.25 |
$287.25
|
|
X-ray bone survey complete
|
$739.20 |
$739.20 |
$739.20 |
$666.60
|
|
X-ray bone survey infant
|
$526.75 |
$526.75 |
$526.75 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$294.35 |
$294.35 |
$294.35 |
$326.04
|
