|
Uric acid blood
|
$29.12 |
$29.12 |
$29.12 |
$48.75
|
|
Uric acid urine
|
$42.64 |
$42.64 |
$42.64 |
$44.33
|
|
Urinalysis glass test
|
$31.72 |
$31.72 |
$31.72 |
$11.20
|
|
Urinalysis microscopic only
|
$21.84 |
$21.84 |
$21.84 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$31.72 |
$31.72 |
$31.72 |
$25.72
|
|
Urinalysis (with microscopy)
|
$93.08 |
$93.08 |
$93.08 |
$55.00
|
|
Urinalysis (without microscopy)
|
$59.80 |
$59.80 |
$59.80 |
$35.75
|
|
Urinary reflex study
|
$478.40 |
$478.40 |
$478.40 |
$216.05
|
|
Urine Culture Test
|
$139.36 |
$139.36 |
$139.36 |
$81.50
|
|
Urine flow measurement 51736
|
$432.12 |
$432.12 |
$432.12 |
$210.00
|
|
Urine pregnancy test
|
$117.00 |
$117.00 |
$117.00 |
$67.20
|
|
Urine screen for bacteria
|
$55.64 |
$55.64 |
$55.64 |
$55.64
|
|
Urography, antegrade
|
$852.80 |
$852.80 |
$852.80 |
$622.35
|
|
Urography inf drip &/or bolus
|
$899.60 |
$899.60 |
$899.60 |
$642.50
|
|
Use 1st target lesion
|
$223.60 |
$223.60 |
$223.60 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$3,441.52 |
$3,441.52 |
$3,441.52 |
$5,184.34
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$43,659.82 |
$43,659.82 |
$43,659.82 |
$51,633.07
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$232.66 |
$232.66 |
$232.66 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$211.89 |
$211.89 |
$211.89 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$278.15 |
$278.15 |
$278.15 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$224.64 |
$224.64 |
$224.64 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$79.04 |
$79.04 |
$79.04 |
$80.15
|
|
Vaccine dtap-hep b-ipv im
|
$164.63 |
$164.63 |
$164.63 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$54.08 |
$54.08 |
$54.08 |
$105.95
|
|
Vaccine dtap-ipv/hib im
|
$208.29 |
$208.29 |
$208.29 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$67.78 |
$67.78 |
$67.78 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$30.52 |
$30.52 |
$30.52 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$157.94 |
$157.94 |
$157.94 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$215.02 |
$215.02 |
$215.02 |
$218.40
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$136.38 |
$136.38 |
$136.38 |
$84.75
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$85.28 |
$85.28 |
$85.28 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$255.29 |
$255.29 |
$255.29 |
$274.93
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$535.30 |
$535.30 |
$535.30 |
$576.48
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$141.28 |
$141.28 |
$141.28 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$141.28 |
$141.28 |
$141.28 |
$109.50
|
|
Vaccine influenza nos 0.5ml dose im
|
$22.47 |
$22.47 |
$22.47 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$48.59 |
$48.59 |
$48.59 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$35.88 |
$35.88 |
$35.88 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$15.60 |
$15.60 |
$15.60 |
$33.60
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$82.71 |
$82.71 |
$82.71 |
$76.50
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$288.72 |
$288.72 |
$288.72 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$271.91 |
$271.91 |
$271.91 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$157.93 |
$157.93 |
$157.93 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$466.88 |
$466.88 |
$466.88 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$192.55 |
$192.55 |
$192.55 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$368.74 |
$368.74 |
$368.74 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$384.85 |
$384.85 |
$384.85 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$502.11 |
$502.11 |
$502.11 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$90.70 |
$90.70 |
$90.70 |
$90.70
|
|
Vaccine rabies im
|
$707.71 |
$707.71 |
$707.71 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$500.35 |
$500.35 |
$500.35 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$968.03 |
$968.03 |
$968.03 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$968.03 |
$968.03 |
$968.03 |
$997.44
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$499.62 |
$499.62 |
$499.62 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$238.35 |
$238.35 |
$238.35 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$166.51 |
$166.51 |
$166.51 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$47.84 |
$47.84 |
$47.84 |
$131.34
|
|
Vaccine typhoid vicps im
|
$264.78 |
$264.78 |
$264.78 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$313.07 |
$313.07 |
$313.07 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$418.46 |
$418.46 |
$418.46 |
$418.46
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,002.00
|
|
Vag hyst including t/o
|
$6,728.80 |
$6,728.80 |
$6,728.80 |
$4,827.18
|
|
Vaginal bx
|
$358.80 |
$358.80 |
$358.80 |
$455.94
|
|
Valproic acid total therapeutic drug level
|
$105.04 |
$105.04 |
$105.04 |
$114.72
|
|
Valvuloplasty aortic
|
$9,375.60 |
$9,375.60 |
$9,375.60 |
$7,830.80
|
|
Valvuloplasty mitral
|
$11,377.60 |
$11,377.60 |
$11,377.60 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$10,498.80 |
$10,498.80 |
$10,498.80 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$347.36 |
$347.36 |
$347.36 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$82.73 |
$82.73 |
$82.73 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$182.00 |
$182.00 |
$182.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$91.00 |
$91.00 |
$91.00 |
$86.80
|
|
Varicella-zoster immue globin im
|
$3,543.60 |
$3,543.60 |
$3,543.60 |
$3,816.19
|
|
Vasectomy
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$633.51 |
$633.51 |
$633.51 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$14,020.00 |
$14,020.00 |
$14,020.00 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$6,515.60 |
$6,515.60 |
$6,515.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$4,612.40 |
$4,612.40 |
$4,612.40 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$826.15
|
|
Vein x-ray adrenal gland
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$2,845.80
|
|
Vein x-ray eye socket
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,438.32
|
|
Vein x-ray kidney
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$2,766.73
|
|
Vein x-ray liver
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$2,452.80
|
|
Vein x-ray skull
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$2,141.00
|
|
Vein x-ray skull epidural
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,746.50
|
|
Vein x-ray spleen/liver
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$3,427.50
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$2,444.33 |
$2,444.33 |
$2,444.33 |
$2,632.35
|
|
Vemp test i&r cervical
|
$343.72 |
$343.72 |
$343.72 |
$313.00
|
|
Vemp test i&r ocular
|
$343.72 |
$343.72 |
$343.72 |
$266.00
|
|
Vemp tst i&r cervical&ocular
|
$673.40 |
$673.40 |
$673.40 |
$591.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$202.80 |
$202.80 |
$202.80 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$62.40 |
$62.40 |
$62.40 |
$67.00
|
|
Venogram ext bil s&i
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$1,366.20
|
|
Venous mech thrombectomy
|
$6,879.60 |
$6,879.60 |
$6,879.60 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$5,094.75
|
