|
Ultrasound joint/nonvascular extremity limited left
|
$1,011.43 |
$1,011.43 |
$1,011.43 |
$448.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$331.61 |
$331.61 |
$331.61 |
$326.54
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$1,845.32 |
$1,845.32 |
$1,845.32 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,166.93 |
$1,166.93 |
$1,166.93 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,599.79 |
$1,599.79 |
$1,599.79 |
$617.28
|
|
Ultrasound transvaginal non obstetric
|
$1,161.88 |
$1,161.88 |
$1,161.88 |
$567.44
|
|
Unlisted transfusion med px
|
$179.19 |
$179.19 |
$179.19 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,251.17 |
$2,251.17 |
$2,251.17 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$8,885.90 |
$8,885.90 |
$8,885.90 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$7,773.65 |
$7,773.65 |
$7,773.65 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$7,224.72 |
$7,224.72 |
$7,224.72 |
$2,013.08
|
|
Urea nitrogen
|
$140.51 |
$140.51 |
$140.51 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$153.37 |
$153.37 |
$153.37 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$633.23 |
$633.23 |
$633.23 |
$574.40
|
|
Uric acid blood
|
$107.87 |
$107.87 |
$107.87 |
$46.64
|
|
Uric acid urine
|
$10.88 |
$10.88 |
$10.88 |
$46.75
|
|
Urinalysis (with microscopy)
|
$177.86 |
$177.86 |
$177.86 |
$48.14
|
|
Urinalysis (without microscopy)
|
$155.21 |
$155.21 |
$155.21 |
$38.99
|
|
Urine Culture Test
|
$276.43 |
$276.43 |
$276.43 |
$84.81
|
|
Urine pregnancy test
|
$188.91 |
$188.91 |
$188.91 |
$66.40
|
|
Urography, antegrade
|
$899.48 |
$899.48 |
$899.48 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$19,849.48 |
$19,849.48 |
$19,849.48 |
$6,892.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$143.61 |
$143.61 |
$143.61 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$391.14 |
$391.14 |
$391.14 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$206.17 |
$206.17 |
$206.17 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$686.67 |
$686.67 |
$686.67 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$275.46 |
$275.46 |
$275.46 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$128.62 |
$128.62 |
$128.62 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$88.72 |
$88.72 |
$88.72 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$76.73 |
$76.73 |
$76.73 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$140.56 |
$140.56 |
$140.56 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$395.24 |
$395.24 |
$395.24 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$381.89 |
$381.89 |
$381.89 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$272.37 |
$272.37 |
$272.37 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$553.36 |
$553.36 |
$553.36 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$194.61 |
$194.61 |
$194.61 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$162.26 |
$162.26 |
$162.26 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$257.38 |
$257.38 |
$257.38 |
$115.00
|
|
Vancomycin hcl injection
|
$379.66 |
$379.66 |
$379.66 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$244.72 |
$244.72 |
$244.72 |
$126.79
|
|
Varicella zoster antibody igg
|
$44.00 |
$44.00 |
$44.00 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$485.33 |
$485.33 |
$485.33 |
$394.13
|
|
Vein x-ray kidney
|
$5,769.14 |
$5,769.14 |
$5,769.14 |
$2,716.20
|
|
Vein x-ray liver
|
$4,122.17 |
$4,122.17 |
$4,122.17 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$5,592.91 |
$5,592.91 |
$5,592.91 |
$3,439.84
|
|
Venogram ext bil s&i
|
$3,783.16 |
$3,783.16 |
$3,783.16 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,819.51 |
$2,819.51 |
$2,819.51 |
$1,326.00
|
|
Venous mech thrombectomy
|
$12,475.40 |
$12,475.40 |
$12,475.40 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$14,983.98 |
$14,983.98 |
$14,983.98 |
$5,352.00
|
|
Ventilator each subsequent day
|
$2,337.59 |
$2,337.59 |
$2,337.59 |
$1,305.92
|
|
Ventilator initial day
|
$2,653.36 |
$2,653.36 |
$2,653.36 |
$1,540.80
|
|
Very long chain fatty acids
|
$190.59 |
$190.59 |
$190.59 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$387.83 |
$387.83 |
$387.83 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$132.36 |
$132.36 |
$132.36 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$202.59 |
$202.59 |
$202.59 |
$245.36
|
|
Virus isolation addl studies ea
|
$40.34 |
$40.34 |
$40.34 |
$90.35
|
|
Vitamin b-12
|
$189.36 |
$189.36 |
$189.36 |
$94.90
|
|
Vitamin D Test
|
$316.45 |
$316.45 |
$316.45 |
$132.00
|
|
Warde 1003990 aldosterone
|
$434.13 |
$434.13 |
$434.13 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$191.64 |
$191.64 |
$191.64 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$44.80 |
$44.80 |
$44.80 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$155.21 |
$155.21 |
$155.21 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$80.36 |
$80.36 |
$80.36 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$49.99 |
$49.99 |
$49.99 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$27.93 |
$27.93 |
$27.93 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$51.20 |
$51.20 |
$51.20 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$87.77 |
$87.77 |
$87.77 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$27.93 |
$27.93 |
$27.93 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$54.45 |
$54.45 |
$54.45 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$220.99 |
$220.99 |
$220.99 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$108.18 |
$108.18 |
$108.18 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$446.18 |
$446.18 |
$446.18 |
$219.13
|
|
Warde 3400852 arsenic
|
$334.50 |
$334.50 |
$334.50 |
$105.12
|
|
Warde 3708165 mercury urine
|
$15.21 |
$15.21 |
$15.21 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$129.08 |
$129.08 |
$129.08 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$40.05 |
$40.05 |
$40.05 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$28.14 |
$28.14 |
$28.14 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$434.13 |
$434.13 |
$434.13 |
$129.75
|
|
Warde aldolase
|
$434.13 |
$434.13 |
$434.13 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$325.80 |
$325.80 |
$325.80 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$53.95 |
$53.95 |
$53.95 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$255.98 |
$255.98 |
$255.98 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$830.75 |
$830.75 |
$830.75 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$319.07 |
$319.07 |
$319.07 |
$142.65
|
|
Warde anti-mullerian hormone
|
$152.04 |
$152.04 |
$152.04 |
$93.28
|
|
Warde apolipoprotein b
|
$325.80 |
$325.80 |
$325.80 |
$64.28
|
|
Warde bile acids
|
$198.01 |
$198.01 |
$198.01 |
$64.28
|
|
Warde cadmium blood
|
$237.69 |
$237.69 |
$237.69 |
$77.00
|
|
Warde calcitonin
|
$272.98 |
$272.98 |
$272.98 |
$89.40
|
|
Warde calculus (stone) infrared
|
$143.54 |
$143.54 |
$143.54 |
$61.73
|
|
Warde cobalt heavy metal quantitative each nes
|
$100.16 |
$100.16 |
$100.16 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$121.62 |
$121.62 |
$121.62 |
$90.40
|
|
Warde complement total hemolytic
|
$58.81 |
$58.81 |
$58.81 |
$105.00
|
|
Warde copper
|
$37.72 |
$37.72 |
$37.72 |
$80.00
|
|
Warde cryoglobulin
|
$13.03 |
$13.03 |
$13.03 |
$43.45
|
|
Warde erythropoietin
|
$24.45 |
$24.45 |
$24.45 |
$90.35
|
|
Warde estrogen fractionated
|
$98.15 |
$98.15 |
$98.15 |
$112.18
|
|
Warde fluorescent antibody screen endomysial iga
|
$35.00 |
$35.00 |
$35.00 |
$48.57
|
|
Warde folic acid rbc
|
$51.09 |
$51.09 |
$51.09 |
$81.60
|