|
Ultrasound guide intraoperative
|
$1,108.35 |
$1,108.35 |
$1,108.35 |
$632.90
|
|
Ultrasound guide tissue ablation
|
$1,007.55 |
$1,007.55 |
$1,007.55 |
$498.40
|
|
Ultrasound hips infant dynamic
|
$1,014.75 |
$1,014.75 |
$1,014.75 |
$403.00
|
|
Ultrasound ob >=14wks ea addl gest
|
$650.70 |
$650.70 |
$650.70 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$447.75 |
$447.75 |
$447.75 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,172.70 |
$1,172.70 |
$1,172.70 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$958.05 |
$958.05 |
$958.05 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$741.60 |
$741.60 |
$741.60 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$833.40 |
$833.40 |
$833.40 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$310.05 |
$310.05 |
$310.05 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,483.65 |
$1,483.65 |
$1,483.65 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$886.50 |
$886.50 |
$886.50 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$281.25 |
$281.25 |
$281.25 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$1,048.95 |
$1,048.95 |
$1,048.95 |
$567.44
|
|
Unlisted chemotherapy px
|
$489.15 |
$489.15 |
$489.15 |
$153.85
|
|
Unlisted px abdomen muscskel
|
$3,892.95 |
$3,892.95 |
$3,892.95 |
$2,633.80
|
|
Unlisted px small intestine
|
$3,488.85 |
$3,488.85 |
$3,488.85 |
$2,118.35
|
|
Unlisted transfusion med px
|
$156.29 |
$156.29 |
$156.29 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$1,376.10 |
$1,376.10 |
$1,376.10 |
$1,480.70
|
|
Upgrade pm system
|
$13,373.10 |
$13,373.10 |
$13,373.10 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,755.70 |
$3,755.70 |
$3,755.70 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,868.20 |
$3,868.20 |
$3,868.20 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,441.25 |
$2,441.25 |
$2,441.25 |
$2,013.08
|
|
Urea nitrogen
|
$363.15 |
$363.15 |
$363.15 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$3.19 |
$3.19 |
$3.19 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$530.55 |
$530.55 |
$530.55 |
$574.40
|
|
Urethrocystography void s&i
|
$530.55 |
$530.55 |
$530.55 |
$634.50
|
|
Uric acid blood
|
$304.65 |
$304.65 |
$304.65 |
$46.64
|
|
Uric acid urine
|
$235.80 |
$235.80 |
$235.80 |
$46.75
|
|
Urinalysis (with microscopy)
|
$197.55 |
$197.55 |
$197.55 |
$48.14
|
|
Urinalysis (without microscopy)
|
$131.85 |
$131.85 |
$131.85 |
$38.99
|
|
Urine Culture Test
|
$234.00 |
$234.00 |
$234.00 |
$84.81
|
|
Urine pregnancy test
|
$22.05 |
$22.05 |
$22.05 |
$66.40
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$5,521.54
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$15,580.92 |
$15,580.92 |
$15,580.92 |
$56,553.85
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$590.76 |
$590.76 |
$590.76 |
$239.85
|
|
Vaccine dtap < 7 years im
|
$115.16 |
$115.16 |
$115.16 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$386.30 |
$386.30 |
$386.30 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$518.67 |
$518.67 |
$518.67 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$75.63 |
$75.63 |
$75.63 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$318.07 |
$318.07 |
$318.07 |
$178.07
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$150.00 |
$150.00 |
$150.00 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$297.27 |
$297.27 |
$297.27 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$113.23 |
$113.23 |
$113.23 |
$79.04
|
|
Vaccine influenza inactivated adjuvant im
|
$316.39 |
$316.39 |
$316.39 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$84.70 |
$84.70 |
$84.70 |
$48.29
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$139.64 |
$139.64 |
$139.64 |
$103.88
|
|
Vaccine mmr live subcutaneous
|
$338.27 |
$338.27 |
$338.27 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$505.80 |
$505.80 |
$505.80 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$974.95 |
$974.95 |
$974.95 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,075.14 |
$1,075.14 |
$1,075.14 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$158.81 |
$158.81 |
$158.81 |
$119.17
|
|
Vaccine rabies im
|
$1,637.46 |
$1,637.46 |
$1,637.46 |
$945.46
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$624.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,138.40 |
$2,138.40 |
$2,138.40 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$191.92 |
$191.92 |
$191.92 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$117.38 |
$117.38 |
$117.38 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$753.08 |
$753.08 |
$753.08 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$399.15 |
$399.15 |
$399.15 |
$115.00
|
|
Valvuloplasty aortic
|
$7,543.35 |
$7,543.35 |
$7,543.35 |
$7,324.85
|
|
Valvuloplasty mitral
|
$15,990.75 |
$15,990.75 |
$15,990.75 |
$10,435.39
|
|
Vancomycin 1,000 mg intravenous injection
|
$180.00 |
$180.00 |
$180.00 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$184.91 |
$184.91 |
$184.91 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$526.05 |
$526.05 |
$526.05 |
$126.79
|
|
Varicella zoster antibody igg
|
$4.05 |
$4.05 |
$4.05 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$917.47 |
$917.47 |
$917.47 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$9,082.35 |
$9,082.35 |
$9,082.35 |
$20,730.98
|
|
Vein x-ray liver w/hemodynam
|
$5,105.25 |
$5,105.25 |
$5,105.25 |
$3,439.84
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,658.25 |
$1,658.25 |
$1,658.25 |
$188.65
|
|
Venogram ext bil s&i
|
$1,086.30 |
$1,086.30 |
$1,086.30 |
$1,838.28
|
|
Venous mech thrombectomy
|
$7,361.55 |
$7,361.55 |
$7,361.55 |
$8,869.50
|
|
Venous sampling s&i
|
$4,922.55 |
$4,922.55 |
$4,922.55 |
$4,416.78
|
|
Ventilator each subsequent day
|
$4,253.40 |
$4,253.40 |
$4,253.40 |
$1,305.92
|
|
Ventilator initial day
|
$4,466.25 |
$4,466.25 |
$4,466.25 |
$1,540.80
|
|
Version cephalic external
|
$1,560.60 |
$1,560.60 |
$1,560.60 |
$2,598.57
|
|
Vinblastine 1 mg/ml intravenous solution
|
$143.55 |
$143.55 |
$143.55 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$29.70 |
$29.70 |
$29.70 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$108.00 |
$108.00 |
$108.00 |
$226.75
|
|
Virus isolation addl studies ea
|
$14.85 |
$14.85 |
$14.85 |
$90.35
|
|
Vital capacity test
|
$102.60 |
$102.60 |
$102.60 |
$173.33
|
|
Vitamin b-12
|
$119.25 |
$119.25 |
$119.25 |
$94.90
|
|
Vitamin D Test
|
$104.40 |
$104.40 |
$104.40 |
$132.00
|
|
Volume measurement urine timed
|
$30.15 |
$30.15 |
$30.15 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$644.51 |
$644.51 |
$644.51 |
$215.60
|
|
Warde 1003990 aldosterone
|
$9.00 |
$9.00 |
$9.00 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$5.17 |
$5.17 |
$5.17 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$7.65 |
$7.65 |
$7.65 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$12.60 |
$12.60 |
$12.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$6.75 |
$6.75 |
$6.75 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$5.63 |
$5.63 |
$5.63 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$4.50 |
$4.50 |
$4.50 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$23.85 |
$23.85 |
$23.85 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$5.40 |
$5.40 |
$5.40 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$6.30 |
$6.30 |
$6.30 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$9.00 |
$9.00 |
$9.00 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$5.40 |
$5.40 |
$5.40 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$5.40 |
$5.40 |
$5.40 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$18.57 |
$18.57 |
$18.57 |
$219.13
|
|
Warde 3400852 arsenic
|
$34.46 |
$34.46 |
$34.46 |
$105.12
|
