|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,608.90 |
$3,608.90 |
$3,608.90 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,778.58 |
$2,778.58 |
$2,778.58 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,201.21 |
$2,201.21 |
$2,201.21 |
$2,013.08
|
|
Upper ext fx orthosis rad/ul
|
$734.02 |
$734.02 |
$734.02 |
$619.49
|
|
Urea nitrogen
|
$98.87 |
$98.87 |
$98.87 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$119.42 |
$119.42 |
$119.42 |
$50.00
|
|
Urea nitrogen clearance
|
$5.04 |
$5.04 |
$5.04 |
$33.57
|
|
Ureteral embolization/occl
|
$1,218.95 |
$1,218.95 |
$1,218.95 |
$3,041.22
|
|
Urethrcystgrphy rtrgrde s&i
|
$889.82 |
$889.82 |
$889.82 |
$574.40
|
|
Urethrocystography void s&i
|
$1,617.84 |
$1,617.84 |
$1,617.84 |
$634.50
|
|
Uric acid blood
|
$182.76 |
$182.76 |
$182.76 |
$46.64
|
|
Uric acid urine
|
$3.90 |
$3.90 |
$3.90 |
$46.75
|
|
Urinalysis microscopic only
|
$78.76 |
$78.76 |
$78.76 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$0.82 |
$0.82 |
$0.82 |
$25.72
|
|
Urinalysis (with microscopy)
|
$175.06 |
$175.06 |
$175.06 |
$48.14
|
|
Urinalysis (without microscopy)
|
$100.58 |
$100.58 |
$100.58 |
$38.99
|
|
Urine Culture Test
|
$13.23 |
$13.23 |
$13.23 |
$84.81
|
|
Urine pregnancy test
|
$114.28 |
$114.28 |
$114.28 |
$66.40
|
|
Urography inf drip &/or bolus
|
$796.94 |
$796.94 |
$796.94 |
$641.69
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$8,217.18 |
$8,217.18 |
$8,217.18 |
$5,521.54
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$17,783.40 |
$17,783.40 |
$17,783.40 |
$56,553.85
|
|
Vaccine dtap < 7 years im
|
$136.96 |
$136.96 |
$136.96 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$459.68 |
$459.68 |
$459.68 |
$193.83
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$116.42 |
$116.42 |
$116.42 |
$85.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$59.07 |
$59.07 |
$59.07 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$378.36 |
$378.36 |
$378.36 |
$178.07
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$177.20 |
$177.20 |
$177.20 |
$84.38
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$134.82 |
$134.82 |
$134.82 |
$79.04
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$101.01 |
$101.01 |
$101.01 |
$48.29
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,317.82 |
$1,317.82 |
$1,317.82 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$402.32 |
$402.32 |
$402.32 |
$224.04
|
|
Vaccine polio (ipv) subcutaneous/im
|
$189.18 |
$189.18 |
$189.18 |
$119.17
|
|
Vaccine rabies im
|
$2,185.37 |
$2,185.37 |
$2,185.37 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,542.32 |
$2,542.32 |
$2,542.32 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,542.32 |
$2,542.32 |
$2,542.32 |
$1,159.00
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$451.12 |
$451.12 |
$451.12 |
$108.00
|
|
Vaccine tdap >=7 years im
|
$228.56 |
$228.56 |
$228.56 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$184.47 |
$184.47 |
$184.47 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$895.38 |
$895.38 |
$895.38 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$209.30 |
$209.30 |
$209.30 |
$115.00
|
|
Valvuloplasty aortic
|
$9,602.61 |
$9,602.61 |
$9,602.61 |
$7,324.85
|
|
Vancomycin 1,000 mg intravenous injection
|
$733.17 |
$733.17 |
$733.17 |
$246.70
|
|
Vancomycin peak therapeutic drug level
|
$215.29 |
$215.29 |
$215.29 |
$126.79
|
|
Varicella zoster antibody igg
|
$35.10 |
$35.10 |
$35.10 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,090.98 |
$1,090.98 |
$1,090.98 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$630.88 |
$630.88 |
$630.88 |
$1,485.05
|
|
Veeg intrmnt 2-12 hrs
|
$328.28 |
$328.28 |
$328.28 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$630.88 |
$630.88 |
$630.88 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$328.28 |
$328.28 |
$328.28 |
$704.79
|
|
Vein x-ray adrenal glands
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$3,999.60
|
|
Vein x-ray liver
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$7,790.03 |
$7,790.03 |
$7,790.03 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$3,085.46 |
$3,085.46 |
$3,085.46 |
$2,489.25
|
|
Vein x-ray skull
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$3,450.30
|
|
Ven blood coll snf/hha
|
$38.10 |
$38.10 |
$38.10 |
$11.91
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$294.47 |
$294.47 |
$294.47 |
$188.65
|
|
Venogram ext bil s&i
|
$4,226.93 |
$4,226.93 |
$4,226.93 |
$1,838.28
|
|
Venous mech thrombectomy
|
$6,600.62 |
$6,600.62 |
$6,600.62 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$6,600.62 |
$6,600.62 |
$6,600.62 |
$5,352.00
|
|
Venous sampling s&i
|
$5,143.71 |
$5,143.71 |
$5,143.71 |
$4,416.78
|
|
Ventilator each subsequent day
|
$2,492.68 |
$2,492.68 |
$2,492.68 |
$1,305.92
|
|
Ventilator initial day
|
$2,492.68 |
$2,492.68 |
$2,492.68 |
$1,540.80
|
|
Version cephalic external
|
$3,393.19 |
$3,393.19 |
$3,393.19 |
$2,598.57
|
|
Very long chain fatty acids
|
$45.66 |
$45.66 |
$45.66 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$170.35 |
$170.35 |
$170.35 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$66.77 |
$66.77 |
$66.77 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$462.24 |
$462.24 |
$462.24 |
$226.75
|
|
Virus isolation addl studies ea
|
$14.13 |
$14.13 |
$14.13 |
$90.35
|
|
Visc & infraren abd 1 prosth
|
$7,371.02 |
$7,371.02 |
$7,371.02 |
$11,467.68
|
|
Vital capacity test
|
$85.60 |
$85.60 |
$85.60 |
$173.33
|
|
Vitamin b-12
|
$109.57 |
$109.57 |
$109.57 |
$94.90
|
|
Vitamin D Test
|
$115.14 |
$115.14 |
$115.14 |
$132.00
|
|
Vkorc1 gene
|
$28.54 |
$28.54 |
$28.54 |
$176.80
|
|
Volume measurement urine timed
|
$8.14 |
$8.14 |
$8.14 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$766.55 |
$766.55 |
$766.55 |
$215.60
|
|
Warde 1003990 aldosterone
|
$8.56 |
$8.56 |
$8.56 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$4.91 |
$4.91 |
$4.91 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$91.08 |
$91.08 |
$91.08 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$11.99 |
$11.99 |
$11.99 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$6.42 |
$6.42 |
$6.42 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$5.35 |
$5.35 |
$5.35 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$9.23 |
$9.23 |
$9.23 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$22.69 |
$22.69 |
$22.69 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$7.71 |
$7.71 |
$7.71 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$7.49 |
$7.49 |
$7.49 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$70.98 |
$70.98 |
$70.98 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$12.58 |
$12.58 |
$12.58 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$12.58 |
$12.58 |
$12.58 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$17.66 |
$17.66 |
$17.66 |
$219.13
|
|
Warde 3400852 arsenic
|
$32.77 |
$32.77 |
$32.77 |
$105.12
|
|
Warde 3708165 mercury urine
|
$5.06 |
$5.06 |
$5.06 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$42.54 |
$42.54 |
$42.54 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$23.92 |
$23.92 |
$23.92 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$51.36 |
$51.36 |
$51.36 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$132.68 |
$132.68 |
$132.68 |
$129.75
|
|
Warde aldolase
|
$2.57 |
$2.57 |
$2.57 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$47.13 |
$47.13 |
$47.13 |
$176.20
|
