|
Urethrcystgrphy rtrgrde s&i
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$584.23
|
|
Urethrocystography void s&i
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$637.80
|
|
Uric acid blood
|
$69.55 |
$69.55 |
$69.55 |
$48.96
|
|
Uric acid urine
|
$37.05 |
$37.05 |
$37.05 |
$44.35
|
|
Urinalysis microscopic only
|
$16.25 |
$16.25 |
$16.25 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$22.75 |
$22.75 |
$22.75 |
$25.72
|
|
Urinalysis (with microscopy)
|
$36.40 |
$36.40 |
$36.40 |
$54.60
|
|
Urinalysis (without microscopy)
|
$36.40 |
$36.40 |
$36.40 |
$35.75
|
|
Urine Culture Test
|
$92.30 |
$92.30 |
$92.30 |
$81.27
|
|
Urine pregnancy test
|
$70.85 |
$70.85 |
$70.85 |
$67.80
|
|
Urography, antegrade
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$622.35
|
|
Urography inf drip &/or bolus
|
$140.40 |
$140.40 |
$140.40 |
$642.50
|
|
Use 1st target lesion
|
$153.40 |
$153.40 |
$153.40 |
$336.50
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$190.77 |
$190.77 |
$190.77 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$68,214.47 |
$68,214.47 |
$68,214.47 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$174.20 |
$174.20 |
$174.20 |
$67.74
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$1,207.44 |
$1,207.44 |
$1,207.44 |
$211.89
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$1,324.79 |
$1,324.79 |
$1,324.79 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$180.70 |
$180.70 |
$180.70 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$91.00 |
$91.00 |
$91.00 |
$80.15
|
|
Vaccine dtap < 7 years im
|
$136.99 |
$136.99 |
$136.99 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$502.91 |
$502.91 |
$502.91 |
$165.26
|
|
Vaccine dtap-ipv 4-6 years im
|
$291.15 |
$291.15 |
$291.15 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$762.18 |
$762.18 |
$762.18 |
$174.72
|
|
Vaccine dtap-ipv/hib im
|
$303.99 |
$303.99 |
$303.99 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$143.79 |
$143.79 |
$143.79 |
$72.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$30.79 |
$30.79 |
$30.79 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$207.83 |
$207.83 |
$207.83 |
$168.95
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$327.83 |
$327.83 |
$327.83 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$185.00 |
$185.00 |
$185.00 |
$80.28
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$173.98 |
$173.98 |
$173.98 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$728.91 |
$728.91 |
$728.91 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$137.40 |
$137.40 |
$137.40 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,536.64 |
$1,536.64 |
$1,536.64 |
$570.87
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$287.30 |
$287.30 |
$287.30 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$264.24 |
$264.24 |
$264.24 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$158.60 |
$158.60 |
$158.60 |
$106.60
|
|
Vaccine influenza nos 0.5ml dose im
|
$45.31 |
$45.31 |
$45.31 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$97.11 |
$97.11 |
$97.11 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$43.55 |
$43.55 |
$43.55 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$45.50 |
$45.50 |
$45.50 |
$33.21
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$151.45 |
$151.45 |
$151.45 |
$72.00
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$15.60 |
$15.60 |
$15.60 |
$23.20
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,172.61 |
$1,172.61 |
$1,172.61 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,053.74 |
$1,053.74 |
$1,053.74 |
$406.05
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$825.36 |
$825.36 |
$825.36 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$411.74 |
$411.74 |
$411.74 |
$323.39
|
|
Vaccine mmr live subcutaneous
|
$224.04 |
$224.04 |
$224.04 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$669.63 |
$669.63 |
$669.63 |
$466.88
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$547.93 |
$547.93 |
$547.93 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,089.31 |
$1,089.31 |
$1,089.31 |
$393.25
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,440.87 |
$1,440.87 |
$1,440.87 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$220.25 |
$220.25 |
$220.25 |
$90.70
|
|
Vaccine rabies im
|
$1,016.98 |
$1,016.98 |
$1,016.98 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$746.62 |
$746.62 |
$746.62 |
$521.74
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,784.89 |
$2,784.89 |
$2,784.89 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$980.10
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$261.30 |
$261.30 |
$261.30 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$200.85 |
$200.85 |
$200.85 |
$126.50
|
|
Vaccine tdap >=7 years im
|
$228.52 |
$228.52 |
$228.52 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$207.85 |
$207.85 |
$207.85 |
$110.19
|
|
Vaccine typhoid vicps im
|
$756.29 |
$756.29 |
$756.29 |
$253.50
|
|
Vaccine varicella live subcutaneous
|
$447.80 |
$447.80 |
$447.80 |
$364.16
|
|
Vaccine yellow fever live subcutaneous
|
$421.20 |
$421.20 |
$421.20 |
$418.46
|
|
Vag hyst including t/o
|
$4,144.40 |
$4,144.40 |
$4,144.40 |
$5,110.00
|
|
Vaginal bx
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$471.12
|
|
Vaginal delivery after cesarean delivery 59612
|
$4,183.40 |
$4,183.40 |
$4,183.40 |
$3,866.47
|
|
Vaginal Delivery (full care)
|
$9,620.00 |
$9,620.00 |
$9,620.00 |
$4,184.00
|
|
Vaginal hysterectomy
|
$3,679.00 |
$3,679.00 |
$3,679.00 |
$5,766.00
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$3.28 |
$3.28 |
$3.28 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$115.70 |
$115.70 |
$115.70 |
$115.00
|
|
Valrubicin injection
|
$1,154.56 |
$1,154.56 |
$1,154.56 |
$2,813.49
|
|
Valvuloplasty aortic
|
$17,029.35 |
$17,029.35 |
$17,029.35 |
$8,052.60
|
|
Valvuloplasty aortic valve
|
$8,190.65 |
$8,190.65 |
$8,190.65 |
$5,068.00
|
|
Valvuloplasty mitral
|
$29,262.35 |
$29,262.35 |
$29,262.35 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$4,750.20 |
$4,750.20 |
$4,750.20 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$14,840.80 |
$14,840.80 |
$14,840.80 |
$7,556.80
|
|
Valvuloplasty/tv w/ring insertion 33464
|
$11,601.20 |
$11,601.20 |
$11,601.20 |
$5,965.60
|
|
Vancomycin 1,000 mg intravenous injection
|
$936.00 |
$936.00 |
$936.00 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$100.15 |
$100.15 |
$100.15 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$118.30 |
$118.30 |
$118.30 |
$135.00
|
|
Varicella zoster antibody igg
|
$26.00 |
$26.00 |
$26.00 |
$86.80
|
|
Vasectomy
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$30.19 |
$30.19 |
$30.19 |
$325.80
|
|
Vbac delivery 59610
|
$10,064.60 |
$10,064.60 |
$10,064.60 |
$4,492.00
|
|
Vedolizumab 300 mg intravenous solution
|
$23,654.36 |
$23,654.36 |
$23,654.36 |
$18,732.33
|
|
Veeg intrmnt 2-12 hrs
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$983.38
|
|
Veeg unmon 12-26 hrs
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,794.68
|
|
Vein x-ray adrenal gland
|
$296.40 |
$296.40 |
$296.40 |
$2,870.00
|
|
Vein x-ray eye socket
|
$200.20 |
$200.20 |
$200.20 |
$1,438.32
|
|
Vein x-ray kidney
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$2,990.58
|
|
Vein x-ray liver
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,328.80
|
|
Vein x-ray liver w/hemodynam
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,635.28
|
|
Vein x-ray liver w/hemodynam
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,694.50
|
|
Vein x-ray liver without hemodyn
|
$374.40 |
$374.40 |
$374.40 |
$2,482.90
|
|
Vein x-ray skull
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$3,466.45 |
$3,466.45 |
$3,466.45 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,434.00
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$3,521.72 |
$3,521.72 |
$3,521.72 |
$2,632.35
|
|
Ven-artl shunt det mbubb njx
|
$605.15 |
$605.15 |
$605.15 |
$484.25
|
