|
Urethrocystography void s&i
|
$1,558.31 |
$1,558.31 |
$7,001.97 |
$634.50
|
|
Uric acid blood
|
$275.38 |
$275.38 |
$1,247.73 |
$46.64
|
|
Uric acid urine
|
$223.85 |
$223.85 |
$223.85 |
$46.75
|
|
Urinalysis microscopic only
|
$54.14 |
$54.14 |
$371.17 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$109.28 |
$109.28 |
$232.63 |
$25.72
|
|
Urinalysis (with microscopy)
|
$324.92 |
$324.92 |
$947.30 |
$48.14
|
|
Urinalysis (without microscopy)
|
$87.69 |
$217.41 |
$217.41 |
$38.99
|
|
Urinary pouch w/barrier
|
$7.65 |
$7.65 |
$7.65 |
$11.83
|
|
Urine Culture Test
|
$169.52 |
$169.52 |
$1,510.80 |
$84.81
|
|
Urine pregnancy test
|
$435.68 |
$435.68 |
$1,436.04 |
$66.40
|
|
Urography, antegrade
|
$1,700.88 |
$1,700.88 |
$10,200.39 |
$593.37
|
|
Urography inf drip &/or bolus
|
$1,646.31 |
$1,646.31 |
$6,344.64 |
$641.69
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$67,286.64 |
$67,286.64 |
$74,807.02 |
$5,521.54
|
|
Vaccine dtap < 7 years im
|
$369.00 |
$369.00 |
$369.00 |
$87.80
|
|
Vaccine dtap-ipv/hib im
|
$223.00 |
$223.00 |
$223.00 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$87.21 |
$87.21 |
$87.21 |
$85.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$226.92 |
$226.92 |
$226.92 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$418.78 |
$418.78 |
$460.41 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$564.00 |
$1,196.28 |
$1,318.33 |
$218.40
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$186.00 |
$186.00 |
$186.00 |
$84.38
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$352.57 |
$352.57 |
$352.57 |
$48.10
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$148.57 |
$148.57 |
$148.57 |
$61.50
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$148.57 |
$615.29 |
$677.24 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$188.32 |
$188.32 |
$188.32 |
$79.04
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$2,292.76 |
$2,292.76 |
$2,547.24 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$832.91 |
$832.91 |
$917.38 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$371.69 |
$371.69 |
$408.44 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$246.36 |
$270.15 |
$575.36 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$208.70 |
$208.70 |
$228.59 |
$42.90
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$103.00 |
$103.00 |
$103.00 |
$26.40
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$155.99 |
$155.99 |
$155.99 |
$40.01
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$435.46 |
$435.46 |
$435.46 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$409.21 |
$409.21 |
$449.84 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$447.00 |
$1,304.33 |
$1,448.30 |
$499.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$352.00 |
$352.00 |
$352.00 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$802.35 |
$802.35 |
$802.35 |
$349.15
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$595.14 |
$1,256.00 |
$1,397.98 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$258.16 |
$258.16 |
$505.00 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$887.58 |
$921.64 |
$984.97 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$762.00 |
$762.00 |
$790.90 |
$397.18
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,002.00 |
$1,002.00 |
$1,538.17 |
$385.45
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,840.61 |
$1,840.61 |
$2,044.55 |
$715.41
|
|
Vaccine rabies im
|
$1,143.50 |
$1,143.50 |
$1,233.00 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,559.25 |
$1,559.25 |
$1,559.25 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$230.40 |
$369.00 |
$637.15 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$91.00 |
$149.90 |
$525.05 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$4,054.00 |
$4,054.00 |
$4,054.00 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$531.65 |
$531.65 |
$2,968.39 |
$115.00
|
|
Valvuloplasty aortic
|
$16,776.71 |
$16,776.71 |
$16,776.71 |
$7,324.85
|
|
Valvuloplasty mitral
|
$70,590.18 |
$70,590.18 |
$70,590.18 |
$10,435.39
|
|
Valvuloplasty pulmonary
|
$70,590.18 |
$70,590.18 |
$70,590.18 |
$11,945.20
|
|
Vancomycin hcl injection
|
$716.67 |
$716.67 |
$829.38 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$366.56 |
$366.56 |
$366.56 |
$126.79
|
|
Vanomycin dna amp probe
|
$257.01 |
$257.01 |
$257.01 |
$87.20
|
|
Varicella zoster antibody igg
|
$94.38 |
$94.38 |
$94.38 |
$82.55
|
|
Varicella-zoster immue globin im
|
$6,547.71 |
$6,547.71 |
$6,547.71 |
$2,372.84
|
|
Vasc emb/occ w/prs cath
|
$28,913.36 |
$28,913.36 |
$28,913.36 |
$21,009.00
|
|
Vasectomy
|
$20,445.77 |
$20,445.77 |
$20,445.77 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$382.25 |
$919.87 |
$1,065.29 |
$362.93
|
|
Veeg cont 2-12 hrs
|
$2,065.92 |
$2,065.92 |
$2,065.92 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$11,837.51 |
$11,837.51 |
$11,837.51 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$994.91 |
$994.91 |
$1,036.17 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$5,546.51 |
$5,546.51 |
$5,546.51 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$704.79
|
|
Vein x-ray adrenal gland
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$4,581.17 |
$14,326.71 |
$46,619.20 |
$3,999.60
|
|
Vein x-ray eye socket
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$1,128.41
|
|
Vein x-ray kidney
|
$13,692.26 |
$26,854.65 |
$26,854.65 |
$2,716.20
|
|
Vein x-ray liver
|
$8,023.82 |
$8,023.82 |
$14,546.62 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$14,546.62 |
$26,854.65 |
$26,854.65 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$8,023.82 |
$8,333.83 |
$17,339.33 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$14,546.62 |
$26,854.65 |
$26,854.65 |
$2,489.25
|
|
Vein x-ray skull
|
$11,555.20 |
$26,854.65 |
$26,854.65 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$13,174.79 |
$13,174.79 |
$26,854.65 |
$3,450.30
|
|
Vemp test i&r cervical
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$205.09
|
|
Vemp tst i&r cervical&ocular
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$368.50
|
|
Venogram ext bil s&i
|
$5,745.12 |
$6,080.06 |
$6,080.06 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$4,342.90 |
$4,342.90 |
$4,342.90 |
$1,326.00
|
|
Venous mech thrombectomy
|
$23,236.73 |
$23,236.73 |
$23,236.73 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$29,196.03 |
$29,196.03 |
$29,196.03 |
$5,352.00
|
|
Venous sampling s&i
|
$46,619.20 |
$46,619.20 |
$67,881.00 |
$4,416.78
|
|
Ventilator each subsequent day
|
$4,715.84 |
$4,715.84 |
$4,715.87 |
$1,305.92
|
|
Ventilator initial day
|
$5,010.47 |
$5,010.47 |
$5,951.57 |
$1,540.80
|
|
Version cephalic external
|
$10,573.78 |
$10,573.78 |
$10,573.78 |
$2,598.57
|
|
Very long chain fatty acids
|
$134.07 |
$134.07 |
$304.85 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$63.00 |
$1,120.75 |
$1,168.43 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$339.82 |
$353.00 |
$2,684.38 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$552.55 |
$574.86 |
$680.00 |
$226.75
|
|
Virus isolation addl studies ea
|
$9.59 |
$311.79 |
$311.79 |
$90.35
|
|
Visual audiometry (vra)
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$202.50
|
|
Vital capacity test
|
$360.58 |
$500.01 |
$526.91 |
$173.33
|
|
Vitamin b-12
|
$6.05 |
$302.07 |
$302.07 |
$94.90
|
|
Vitamin D Test
|
$117.74 |
$117.74 |
$117.74 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$681.35 |
$681.35 |
$681.35 |
$463.40
|
|
Vol reduction of blood/prod
|
$1,666.44 |
$1,666.44 |
$1,666.44 |
$131.25
|
|
Volume deplete of harvest
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$1,443.33
|
|
Volume measurement urine timed
|
$64.62 |
$107.69 |
$116.44 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$739.26 |
$739.26 |
$747.00 |
$215.60
|
|
Warde 1003990 aldosterone
|
$628.98 |
$628.98 |
$628.98 |
$145.60
|
