|
Ultrasound elastography parenchyma
|
$584.00 |
$584.00 |
$584.00 |
$313.95
|
|
Ultrasound encephalogram
|
$606.00 |
$606.00 |
$606.00 |
$494.92
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$606.00 |
$606.00 |
$606.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$388.08
|
|
Ultrasound guide tissue ablation
|
$397.00 |
$397.00 |
$397.00 |
$560.00
|
|
Ultrasound hips infant dynamic
|
$475.00 |
$475.00 |
$475.00 |
$403.88
|
|
Ultrasound ob >=14wks ea addl gest
|
$717.00 |
$717.00 |
$717.00 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$717.00 |
$717.00 |
$717.00 |
$334.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$606.00 |
$606.00 |
$606.00 |
$425.60
|
|
Ultrasound spinal canal and contents
|
$606.00 |
$606.00 |
$606.00 |
$463.00
|
|
Unlisted fluoroscopic px
|
$317.00 |
$317.00 |
$317.00 |
$305.76
|
|
Unlisted hematology&coagj px
|
$41.00 |
$41.00 |
$41.00 |
$39.52
|
|
Unlisted procedure microbiology
|
$23.00 |
$23.00 |
$23.00 |
$530.00
|
|
Unlisted procedure rectum
|
$3,363.00 |
$3,363.00 |
$3,363.00 |
$1,223.20
|
|
Unlisted px tongue flr mouth
|
$937.00 |
$937.00 |
$937.00 |
$282.50
|
|
Unlisted ultrasound procedure
|
$475.00 |
$475.00 |
$475.00 |
$332.16
|
|
Unsched dialysis esrd pt hos
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$1,292.33
|
|
Upgrade pm system
|
$37,644.00 |
$37,644.00 |
$37,644.00 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$440.00 |
$440.00 |
$440.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$566.00 |
$566.00 |
$566.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$566.00 |
$566.00 |
$566.00 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$5,700.00 |
$5,700.00 |
$5,700.00 |
$1,824.75
|
|
Upper GI Barium X-ray (barium and gas)
|
$938.00 |
$938.00 |
$938.00 |
$660.40
|
|
Urea nitrogen
|
$20.00 |
$20.00 |
$20.00 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$52.00
|
|
Urea nitrogen clearance
|
$33.00 |
$33.00 |
$33.00 |
$38.35
|
|
Ureteral reflux study
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$952.50
|
|
Urethrocystography void s&i
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$631.40
|
|
Uric acid blood
|
$23.00 |
$23.00 |
$23.00 |
$49.44
|
|
Uric acid urine
|
$23.00 |
$23.00 |
$23.00 |
$45.36
|
|
Urinalysis (with microscopy)
|
$15.00 |
$15.00 |
$15.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$12.00 |
$12.00 |
$12.00 |
$36.00
|
|
Urine Culture Test
|
$37.00 |
$37.00 |
$37.00 |
$83.00
|
|
Urine pregnancy test
|
$40.00 |
$40.00 |
$40.00 |
$68.78
|
|
Urography, antegrade
|
$1,934.00 |
$1,934.00 |
$1,934.00 |
$622.35
|
|
Use 1st target lesion
|
$584.00 |
$584.00 |
$584.00 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$7,506.88 |
$7,506.88 |
$7,506.88 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$98,325.04 |
$98,325.04 |
$98,325.04 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$221.00 |
$221.00 |
$221.00 |
$67.70
|
|
Vaccine dtap < 7 years im
|
$122.71 |
$122.71 |
$122.71 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$432.57 |
$432.57 |
$432.57 |
$164.63
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$131.67 |
$131.67 |
$131.67 |
$70.53
|
|
Vaccine hepatitis a (hepa) adult im
|
$361.31 |
$361.31 |
$361.31 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$555.17 |
$555.17 |
$555.17 |
$231.56
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$257.20 |
$257.20 |
$257.20 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$1,308.30 |
$1,308.30 |
$1,308.30 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$122.33 |
$122.33 |
$122.33 |
$75.39
|
|
Vaccine influenza inactivated adjuvant im
|
$307.58 |
$307.58 |
$307.58 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$82.36 |
$82.36 |
$82.36 |
$48.59
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$135.77 |
$135.77 |
$135.77 |
$82.71
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$699.83 |
$699.83 |
$699.83 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$409.99 |
$409.99 |
$409.99 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$491.74 |
$491.74 |
$491.74 |
$252.87
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$187.35 |
$187.35 |
$187.35 |
$90.70
|
|
Vaccine rabies im
|
$1,591.98 |
$1,591.98 |
$1,591.98 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,334.72 |
$1,334.72 |
$1,334.72 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,031.86
|
|
Vaccine tdap >=7 years im
|
$203.18 |
$203.18 |
$203.18 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$176.40 |
$176.40 |
$176.40 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$62.00 |
$62.00 |
$62.00 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$912.38 |
$912.38 |
$912.38 |
$259.05
|
|
Vancomycin 750 mg intravenous solution
|
$898.84 |
$898.84 |
$898.84 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$62.00 |
$62.00 |
$62.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$787.50 |
$787.50 |
$787.50 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$32,135.69 |
$32,135.69 |
$32,135.69 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,751.00 |
$1,751.00 |
$1,751.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$3,277.00 |
$3,277.00 |
$3,277.00 |
$3,225.60
|
|
Vein x-ray kidney
|
$10,857.00 |
$10,857.00 |
$10,857.00 |
$2,870.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$39.00 |
$39.00 |
$39.00 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$38.00 |
$38.00 |
$38.00 |
$67.00
|
|
Venogram ext bil s&i
|
$5,423.00 |
$5,423.00 |
$5,423.00 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$5,423.00 |
$5,423.00 |
$5,423.00 |
$1,382.58
|
|
Venous sampling s&i
|
$18,732.00 |
$18,732.00 |
$18,732.00 |
$4,200.00
|
|
Ventilator each subsequent day
|
$2,052.00 |
$2,052.00 |
$2,052.00 |
$1,184.00
|
|
Ventilator Management (first day)
|
$2,052.00 |
$2,052.00 |
$2,052.00 |
$1,434.60
|
|
Version cephalic external
|
$8,581.00 |
$8,581.00 |
$8,581.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$91.00 |
$91.00 |
$91.00 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$938.00 |
$938.00 |
$938.00 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$225.79 |
$225.79 |
$225.79 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$126.42 |
$126.42 |
$126.42 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$378.00 |
$378.00 |
$378.00 |
$223.55
|
|
Visit established high 40-54 minutes/level 5
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$240.50
|
|
Vitamin b-12
|
$69.00 |
$69.00 |
$69.00 |
$100.28
|
|
Vitamin D Test
|
$136.00 |
$136.00 |
$136.00 |
$132.00
|
|
Vonvendi inj 1 iu vwf:rco
|
$6,188.00 |
$6,188.00 |
$6,188.00 |
$5.42
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$471.47 |
$471.47 |
$471.47 |
$165.81
|
|
Warde 1003990 aldosterone
|
$187.00 |
$187.00 |
$187.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$128.00 |
$128.00 |
$128.00 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$60.00 |
$60.00 |
$60.00 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$116.00 |
$116.00 |
$116.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$71.00 |
$71.00 |
$71.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$79.00 |
$79.00 |
$79.00 |
$65.20
|
