|
Ultrasound chest
|
$1,081.71 |
$1,081.71 |
$1,081.71 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$956.25 |
$956.25 |
$956.25 |
$340.14
|
|
Ultrasound encephalogram
|
$1,563.15 |
$1,563.15 |
$1,563.15 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,298.97 |
$1,298.97 |
$1,298.97 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,422.90 |
$1,422.90 |
$1,422.90 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$968.49 |
$968.49 |
$968.49 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,397.91 |
$1,397.91 |
$1,397.91 |
$701.35
|
|
Ultrasound guide intraoperative
|
$789.99 |
$789.99 |
$789.99 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$1,471.86 |
$1,471.86 |
$1,471.86 |
$403.00
|
|
Ultrasound infant hips ltd without stress
|
$1,471.86 |
$1,471.86 |
$1,471.86 |
$321.35
|
|
Ultrasound joint complete left
|
$1,100.58 |
$1,100.58 |
$1,100.58 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$484.50 |
$484.50 |
$484.50 |
$448.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$1,850.79 |
$1,850.79 |
$1,850.79 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$451.35 |
$451.35 |
$451.35 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,422.90 |
$1,422.90 |
$1,422.90 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,245.42 |
$1,245.42 |
$1,245.42 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$966.96 |
$966.96 |
$966.96 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$544.17 |
$544.17 |
$544.17 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$985.83 |
$985.83 |
$985.83 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,263.27 |
$1,263.27 |
$1,263.27 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$812.94 |
$812.94 |
$812.94 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$518.16 |
$518.16 |
$518.16 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$918.00 |
$918.00 |
$918.00 |
$567.44
|
|
Umbilical artery cath newborn 36660
|
$591.09 |
$591.09 |
$591.09 |
$265.85
|
|
Unlisted chemotherapy px
|
$44.37 |
$44.37 |
$44.37 |
$153.85
|
|
Unlisted fluoroscopic px
|
$135.15 |
$135.15 |
$135.15 |
$324.85
|
|
Unlisted misc path test
|
$185.64 |
$185.64 |
$185.64 |
$89.40
|
|
Unlisted mr procedure
|
$275.40 |
$275.40 |
$275.40 |
$1,032.20
|
|
Unlisted procedure microbiology
|
$544.68 |
$544.68 |
$544.68 |
$487.50
|
|
Unlisted procedure rectum
|
$1,901.28 |
$1,901.28 |
$1,901.28 |
$1,278.72
|
|
Unlisted px hands/fingers
|
$5,523.81 |
$5,523.81 |
$5,523.81 |
$379.44
|
|
Unlisted px salivry glnd/dux
|
$4,027.47 |
$4,027.47 |
$4,027.47 |
$486.72
|
|
Unlisted px small intestine
|
$1,652.40 |
$1,652.40 |
$1,652.40 |
$2,118.35
|
|
Unlisted ultrasound procedure
|
$491.13 |
$491.13 |
$491.13 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$8,272.71 |
$8,272.71 |
$8,272.71 |
$1,469.76
|
|
Upgrade pm system
|
$15,456.57 |
$15,456.57 |
$15,456.57 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$8,458.35 |
$8,458.35 |
$8,458.35 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,764.53 |
$5,764.53 |
$5,764.53 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$5,238.72 |
$5,238.72 |
$5,238.72 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,601.91 |
$1,601.91 |
$1,601.91 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,601.91 |
$1,601.91 |
$1,601.91 |
$1,656.60
|
|
Urea nitrogen
|
$142.29 |
$142.29 |
$142.29 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$170.85 |
$170.85 |
$170.85 |
$50.00
|
|
Urea nitrogen clearance
|
$346.80 |
$346.80 |
$346.80 |
$33.57
|
|
Urethrcystgrphy rtrgrde s&i
|
$800.70 |
$800.70 |
$800.70 |
$574.40
|
|
Urethrocystography void s&i
|
$2,983.50 |
$2,983.50 |
$2,983.50 |
$634.50
|
|
Uric acid blood
|
$143.31 |
$143.31 |
$143.31 |
$46.64
|
|
Uric acid urine
|
$17.85 |
$17.85 |
$17.85 |
$46.75
|
|
Urinalysis microscopic only
|
$100.47 |
$100.47 |
$100.47 |
$26.35
|
|
Urinalysis (with microscopy)
|
$138.21 |
$138.21 |
$138.21 |
$48.14
|
|
Urinalysis (without microscopy)
|
$73.44 |
$73.44 |
$73.44 |
$38.99
|
|
Urine Culture Test
|
$304.98 |
$304.98 |
$304.98 |
$84.81
|
|
Urine pregnancy test
|
$139.74 |
$139.74 |
$139.74 |
$66.40
|
|
Urography, antegrade
|
$663.51 |
$663.51 |
$663.51 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$5,151.04 |
$5,151.04 |
$5,151.04 |
$5,521.54
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$148.84 |
$148.84 |
$148.84 |
$223.08
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$148.84 |
$148.84 |
$148.84 |
$218.88
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$133.72 |
$133.72 |
$133.72 |
$239.85
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$89.54 |
$89.54 |
$89.54 |
$131.67
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$66.67 |
$66.67 |
$66.67 |
$91.00
|
|
Vaccine dtap < 7 years im
|
$111.05 |
$111.05 |
$111.05 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$301.07 |
$301.07 |
$301.07 |
$193.83
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$89.77 |
$89.77 |
$89.77 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$255.21 |
$255.21 |
$255.21 |
$178.07
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$165.95 |
$165.95 |
$165.95 |
$48.10
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$261.94 |
$261.94 |
$261.94 |
$173.98
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$444.65 |
$444.65 |
$444.65 |
$306.24
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$116.86 |
$116.86 |
$116.86 |
$79.04
|
|
Vaccine influenza inactivated adjuvant im
|
$244.43 |
$244.43 |
$244.43 |
$110.25
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$84.15 |
$84.15 |
$84.15 |
$40.01
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$142.45 |
$142.45 |
$142.45 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$629.24 |
$629.24 |
$629.24 |
$499.00
|
|
Vaccine mmr live subcutaneous
|
$314.81 |
$314.81 |
$314.81 |
$224.04
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$720.50 |
$720.50 |
$720.50 |
$715.41
|
|
Vaccine polio (ipv) subcutaneous/im
|
$203.56 |
$203.56 |
$203.56 |
$119.17
|
|
Vaccine rabies im
|
$911.02 |
$911.02 |
$911.02 |
$945.46
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$866.76 |
$866.76 |
$866.76 |
$624.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,529.98 |
$1,529.98 |
$1,529.98 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,289.51 |
$1,289.51 |
$1,289.51 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$212.65 |
$212.65 |
$212.65 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$195.37 |
$195.37 |
$195.37 |
$131.77
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,917.61 |
$1,917.61 |
$1,917.61 |
$1,683.99
|
|
Vad univ batt charger hm 1440
|
$24,032.51 |
$24,032.51 |
$24,032.51 |
$14,893.34
|
|
Vaginal bx
|
$4,806.75 |
$4,806.75 |
$4,806.75 |
$441.75
|
|
Vaginal delivery after cesarean delivery 59612
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$4,109.28
|
|
Valproic acid total therapeutic drug level
|
$427.38 |
$427.38 |
$427.38 |
$115.00
|
|
Valvuloplasty aortic
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$7,324.85
|
|
Vancomycin 1,000 mg intravenous injection
|
$676.55 |
$676.55 |
$676.55 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$130.18 |
$130.18 |
$130.18 |
$100.15
|
|
Vancomycin peak therapeutic drug level
|
$415.14 |
$415.14 |
$415.14 |
$126.79
|
|
Varicella zoster antibody igg
|
$184.11 |
$184.11 |
$184.11 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$593.54 |
$593.54 |
$593.54 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$20,227.98 |
$20,227.98 |
$20,227.98 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$2,564.28 |
$2,564.28 |
$2,564.28 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$5,128.56 |
$5,128.56 |
$5,128.56 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$1,230.63 |
$1,230.63 |
$1,230.63 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$2,564.28 |
$2,564.28 |
$2,564.28 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$1,230.63 |
$1,230.63 |
$1,230.63 |
$704.79
|
|
Vein x-ray kidney
|
$3,191.58 |
$3,191.58 |
$3,191.58 |
$2,716.20
|
|
Vein x-ray liver w/hemodynam
|
$4,627.74 |
$4,627.74 |
$4,627.74 |
$3,413.25
|