|
Ultrasound transvaginal non obstetric
|
$639.80 |
$639.80 |
$639.80 |
$567.44
|
|
Umbilical artery cath newborn 36660
|
$655.90 |
$655.90 |
$655.90 |
$265.85
|
|
Unlisted chemotherapy px
|
$99.05 |
$99.05 |
$99.05 |
$153.85
|
|
Unlisted mr procedure
|
$99.40 |
$99.40 |
$99.40 |
$1,032.20
|
|
Unlisted procedure liver
|
$782.25 |
$782.25 |
$782.25 |
$2,694.00
|
|
Unlisted procedure rectum
|
$830.55 |
$830.55 |
$830.55 |
$1,278.72
|
|
Unlisted px hands/fingers
|
$501.55 |
$501.55 |
$501.55 |
$379.44
|
|
Unlisted px salivry glnd/dux
|
$347.90 |
$347.90 |
$347.90 |
$486.72
|
|
Unlisted px small intestine
|
$797.65 |
$797.65 |
$797.65 |
$2,118.35
|
|
Unlisted ultrasound procedure
|
$127.75 |
$127.75 |
$127.75 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$1,469.76
|
|
Upgrade pm system
|
$7,386.40 |
$7,386.40 |
$7,386.40 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,950.50 |
$2,950.50 |
$2,950.50 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,268.70 |
$2,268.70 |
$2,268.70 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,194.15 |
$2,194.15 |
$2,194.15 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$586.60 |
$586.60 |
$586.60 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$586.60 |
$586.60 |
$586.60 |
$1,656.60
|
|
Upper ext fx orthosis rad/ul
|
$872.75 |
$872.75 |
$872.75 |
$619.49
|
|
Urea nitrogen
|
$52.15 |
$52.15 |
$52.15 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$74.20 |
$74.20 |
$74.20 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$415.10 |
$415.10 |
$415.10 |
$574.40
|
|
Urethrocystography void s&i
|
$631.75 |
$631.75 |
$631.75 |
$634.50
|
|
Uric acid blood
|
$100.10 |
$100.10 |
$100.10 |
$46.64
|
|
Uric acid urine
|
$111.65 |
$111.65 |
$111.65 |
$46.75
|
|
Urinalysis (with microscopy)
|
$101.85 |
$101.85 |
$101.85 |
$48.14
|
|
Urinalysis (without microscopy)
|
$67.20 |
$67.20 |
$67.20 |
$38.99
|
|
Urinary bldr retent nuc study
|
$443.45 |
$443.45 |
$443.45 |
$309.22
|
|
Urine Culture Test
|
$137.55 |
$137.55 |
$137.55 |
$84.81
|
|
Urine pregnancy test
|
$137.90 |
$137.90 |
$137.90 |
$66.40
|
|
Urography, antegrade
|
$576.10 |
$576.10 |
$576.10 |
$593.37
|
|
Urography inf drip &/or bolus
|
$759.85 |
$759.85 |
$759.85 |
$641.69
|
|
Vaccine dtap < 7 years im
|
$71.72 |
$71.72 |
$71.72 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$333.06 |
$333.06 |
$333.06 |
$193.83
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$49.68 |
$49.68 |
$49.68 |
$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
|
$50.57 |
$50.57 |
$50.57 |
$79.04
|
|
Vaccine influenza inactivated adjuvant im
|
$249.17 |
$249.17 |
$249.17 |
$110.25
|
|
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
|
$722.41 |
$722.41 |
$722.41 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$408.70 |
$408.70 |
$408.70 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$350.71 |
$350.71 |
$350.71 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$439.44 |
$439.44 |
$439.44 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$834.65 |
$834.65 |
$834.65 |
$715.41
|
|
Vaccine rabies im
|
$1,587.72 |
$1,587.72 |
$1,587.72 |
$945.46
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$1,059.79 |
$1,059.79 |
$1,059.79 |
$624.00
|
|
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
|
$169.43 |
$169.43 |
$169.43 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$35.25 |
$35.25 |
$35.25 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$649.32 |
$649.32 |
$649.32 |
$447.80
|
|
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
|
$137.55 |
$137.55 |
$137.55 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$2,732.10 |
$2,732.10 |
$2,732.10 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$280.00 |
$280.00 |
$280.00 |
$115.00
|
|
Valvuloplasty aortic
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$7,324.85
|
|
Vancomycin 1,000 mg intravenous injection
|
$765.34 |
$765.34 |
$765.34 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$73.03 |
$73.03 |
$73.03 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$280.00 |
$280.00 |
$280.00 |
$126.79
|
|
Vasopressin 20 unit/ml intravenous solution
|
$522.39 |
$522.39 |
$522.39 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$36,507.39 |
$36,507.39 |
$36,507.39 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$579.60 |
$579.60 |
$579.60 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$1,873.55 |
$1,873.55 |
$1,873.55 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$437.15 |
$437.15 |
$437.15 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$957.95 |
$957.95 |
$957.95 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$399.35 |
$399.35 |
$399.35 |
$704.79
|
|
Vein x-ray adrenal gland
|
$1,325.45 |
$1,325.45 |
$1,325.45 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$3,629.50 |
$3,629.50 |
$3,629.50 |
$3,999.60
|
|
Vein x-ray eye socket
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$1,128.41
|
|
Vein x-ray kidney
|
$1,338.75 |
$1,338.75 |
$1,338.75 |
$2,716.20
|
|
Vein x-ray liver
|
$1,325.45 |
$1,325.45 |
$1,325.45 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$2,489.25
|
|
Vein x-ray skull
|
$892.50 |
$892.50 |
$892.50 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$892.50 |
$892.50 |
$892.50 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$1,325.45 |
$1,325.45 |
$1,325.45 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,757.70 |
$1,757.70 |
$1,757.70 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$141.05 |
$141.05 |
$141.05 |
$82.11
|
|
Venogram ext bil s&i
|
$1,119.65 |
$1,119.65 |
$1,119.65 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,326.00
|
|
Venous mech thrombectomy
|
$9,958.90 |
$9,958.90 |
$9,958.90 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$5,352.00
|
|
Venous sampling s&i
|
$3,629.50 |
$3,629.50 |
$3,629.50 |
$4,416.78
|
|
Ventilator each subsequent day
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$1,305.92
|
|
Ventilator initial day
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$989.80 |
$989.80 |
$989.80 |
$1,081.00
|
|
Version cephalic external
|
$2,434.60 |
$2,434.60 |
$2,434.60 |
$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
|
$1,692.25 |
$1,692.25 |
$1,692.25 |
$287.73
|
|
Vital capacity test
|
$78.75 |
$78.75 |
$78.75 |
$173.33
|
|
Vitamin b-12
|
$181.30 |
$181.30 |
$181.30 |
$94.90
|
|
Vitamin D Test
|
$88.55 |
$88.55 |
$88.55 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$632.45 |
$632.45 |
$632.45 |
$463.40
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$62.41 |
$62.41 |
$62.41 |
$215.60
|
|
Vulvectomy simple partial
|
$5,973.80 |
$5,973.80 |
$5,973.80 |
$3,762.53
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$137.90 |
$137.90 |
$137.90 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$35.35 |
$35.35 |
$35.35 |
$78.57
|
