|
Ua w/micro/comp poc
|
$91.75 |
$91.75 |
$91.75 |
$24.45
|
|
Ultrasound abdomen aorta screening study aaa
|
$1,106.97 |
$1,106.97 |
$1,106.97 |
$403.26
|
|
Ultrasound breast unilateral limited (both sides)
|
$531.98 |
$531.98 |
$531.98 |
$449.35
|
|
Ultrasound chest
|
$569.05 |
$569.05 |
$569.05 |
$459.55
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$978.05 |
$978.05 |
$978.05 |
$340.14
|
|
Ultrasound encephalogram
|
$569.05 |
$569.05 |
$569.05 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,106.97 |
$1,106.97 |
$1,106.97 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,025.04 |
$1,025.04 |
$1,025.04 |
$477.88
|
|
Ultrasound guidance for vascular access
|
$1,300.58 |
$1,300.58 |
$1,300.58 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,300.58 |
$1,300.58 |
$1,300.58 |
$701.35
|
|
Ultrasound hips infant dynamic
|
$654.34 |
$654.34 |
$654.34 |
$403.00
|
|
Ultrasound joint complete left
|
$1,106.97 |
$1,106.97 |
$1,106.97 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$489.35 |
$489.35 |
$489.35 |
$448.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$403.88 |
$403.88 |
$403.88 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,106.97 |
$1,106.97 |
$1,106.97 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$635.80 |
$635.80 |
$635.80 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$667.31 |
$667.31 |
$667.31 |
$485.48
|
|
Ultrasound prostate/transrectal
|
$1,452.09 |
$1,452.09 |
$1,452.09 |
$545.16
|
|
Ultrasound retroperitoneal limited
|
$863.77 |
$863.77 |
$863.77 |
$498.00
|
|
Ultrasound scrotum and contents
|
$891.59 |
$891.59 |
$891.59 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$654.34 |
$654.34 |
$654.34 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$667.31 |
$667.31 |
$667.31 |
$567.44
|
|
Umbilical artery cath newborn 36660
|
$961.38 |
$961.38 |
$961.38 |
$265.85
|
|
Unlisted procedure microbiology
|
$495.54 |
$495.54 |
$495.54 |
$487.50
|
|
Unlisted transfusion med px
|
$232.64 |
$232.64 |
$232.64 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,214.32 |
$2,214.32 |
$2,214.32 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,537.16 |
$5,537.16 |
$5,537.16 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,853.18 |
$2,853.18 |
$2,853.18 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,651.92 |
$2,651.92 |
$2,651.92 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$5,945.48 |
$5,945.48 |
$5,945.48 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$5,945.48 |
$5,945.48 |
$5,945.48 |
$1,656.60
|
|
Urea nitrogen
|
$414.35 |
$414.35 |
$414.35 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$31.19 |
$31.19 |
$31.19 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$708.45 |
$708.45 |
$708.45 |
$574.40
|
|
Uric acid blood
|
$488.04 |
$488.04 |
$488.04 |
$46.64
|
|
Uric acid urine
|
$100.81 |
$100.81 |
$100.81 |
$46.75
|
|
Urinalysis (with microscopy)
|
$777.85 |
$777.85 |
$777.85 |
$48.14
|
|
Urinalysis (without microscopy)
|
$262.80 |
$262.80 |
$262.80 |
$38.99
|
|
Urine Culture Test
|
$499.43 |
$499.43 |
$499.43 |
$84.81
|
|
Urine pregnancy test
|
$196.50 |
$196.50 |
$196.50 |
$66.40
|
|
Urography, antegrade
|
$2,605.25 |
$2,605.25 |
$2,605.25 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$199,353.63 |
$199,353.63 |
$199,353.63 |
$6,892.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$1,148.97 |
$1,148.97 |
$1,148.97 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$3,326.20 |
$3,326.20 |
$3,326.20 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$1,699.24 |
$1,699.24 |
$1,699.24 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$6,767.34 |
$6,767.34 |
$6,767.34 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$2,308.67 |
$2,308.67 |
$2,308.67 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$1,017.10 |
$1,017.10 |
$1,017.10 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$666.13 |
$666.13 |
$666.13 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$560.68 |
$560.68 |
$560.68 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$1,122.16 |
$1,122.16 |
$1,122.16 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$3,838.47 |
$3,838.47 |
$3,838.47 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$3,704.34 |
$3,704.34 |
$3,704.34 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$2,603.60 |
$2,603.60 |
$2,603.60 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$5,427.57 |
$5,427.57 |
$5,427.57 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$1,597.52 |
$1,597.52 |
$1,597.52 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$1,313.03 |
$1,313.03 |
$1,313.03 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$688.25 |
$688.25 |
$688.25 |
$115.00
|
|
Valvuloplasty aortic
|
$30,140.41 |
$30,140.41 |
$30,140.41 |
$7,324.85
|
|
Vancomycin hcl injection
|
$1,374.80 |
$1,374.80 |
$1,374.80 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$562.79 |
$562.79 |
$562.79 |
$126.79
|
|
Varicella zoster antibody igg
|
$66.41 |
$66.41 |
$66.41 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,596.22 |
$1,596.22 |
$1,596.22 |
$394.13
|
|
Veeg cont 2-12 hrs
|
$1,676.38 |
$1,676.38 |
$1,676.38 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$3,855.42 |
$3,855.42 |
$3,855.42 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$902.95 |
$902.95 |
$902.95 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$4,033.83 |
$4,033.83 |
$4,033.83 |
$1,411.20
|
|
Vein x-ray kidney
|
$19,530.65 |
$19,530.65 |
$19,530.65 |
$2,716.20
|
|
Vein x-ray liver
|
$11,813.72 |
$11,813.72 |
$11,813.72 |
$3,320.80
|
|
Venogram ext bil s&i
|
$9,436.88 |
$9,436.88 |
$9,436.88 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$4,178.25 |
$4,178.25 |
$4,178.25 |
$1,326.00
|
|
Venous mech thrombectomy
|
$20,124.47 |
$20,124.47 |
$20,124.47 |
$8,869.50
|
|
Ventilator each subsequent day
|
$3,461.79 |
$3,461.79 |
$3,461.79 |
$1,305.92
|
|
Ventilator initial day
|
$3,643.98 |
$3,643.98 |
$3,643.98 |
$1,540.80
|
|
Version cephalic external
|
$10,400.27 |
$10,400.27 |
$10,400.27 |
$2,598.57
|
|
Vinblastine 1 mg/ml intravenous solution
|
$1,350.56 |
$1,350.56 |
$1,350.56 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$407.50 |
$407.50 |
$407.50 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$659.05 |
$659.05 |
$659.05 |
$245.36
|
|
Virus isolation addl studies ea
|
$400.87 |
$400.87 |
$400.87 |
$90.35
|
|
Vital capacity test
|
$459.16 |
$459.16 |
$459.16 |
$173.33
|
|
Vitamin b-12
|
$268.72 |
$268.72 |
$268.72 |
$94.90
|
|
Vitamin D Test
|
$580.82 |
$580.82 |
$580.82 |
$132.00
|
|
Warde 1003990 aldosterone
|
$808.69 |
$808.69 |
$808.69 |
$145.60
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$256.00 |
$256.00 |
$256.00 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$100.44 |
$100.44 |
$100.44 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$307.60 |
$307.60 |
$307.60 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$86.05 |
$86.05 |
$86.05 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$159.16 |
$159.16 |
$159.16 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$543.55 |
$543.55 |
$543.55 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$334.39 |
$334.39 |
$334.39 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$285.57 |
$285.57 |
$285.57 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$243.11 |
$243.11 |
$243.11 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$176.62 |
$176.62 |
$176.62 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$356.81 |
$356.81 |
$356.81 |
$78.57
|
|
Warde 3400852 arsenic
|
$376.46 |
$376.46 |
$376.46 |
$105.12
|
|
Warde 3708165 mercury urine
|
$106.81 |
$106.81 |
$106.81 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$228.82 |
$228.82 |
$228.82 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$197.51 |
$197.51 |
$197.51 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$163.96 |
$163.96 |
$163.96 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$117.79 |
$117.79 |
$117.79 |
$129.75
|