|
Ultrasound chest
|
$1,945.40 |
$1,945.40 |
$1,945.40 |
$459.55
|
|
Ultrasound guidance for vascular access
|
$3,521.70 |
$3,521.70 |
$3,521.70 |
$340.22
|
|
Ultrasound guided needle placement supervision & interpretation
|
$3,523.59 |
$3,523.59 |
$3,523.59 |
$701.35
|
|
Ultrasound guide intraoperative
|
$1,025.47 |
$1,025.47 |
$1,025.47 |
$632.90
|
|
Ultrasound hips infant dynamic
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$403.00
|
|
Ultrasound joint complete left
|
$4,872.01 |
$4,872.01 |
$4,872.01 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$2,459.56 |
$2,459.56 |
$2,459.56 |
$448.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$385.50 |
$385.50 |
$385.50 |
$326.54
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$2,156.34 |
$2,156.34 |
$2,156.34 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$2,514.16 |
$2,514.16 |
$2,514.16 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$3,145.06 |
$3,145.06 |
$3,145.06 |
$498.00
|
|
Ultrasound scrotum and contents
|
$3,355.97 |
$3,355.97 |
$3,355.97 |
$617.28
|
|
Ultrasound transvaginal non obstetric
|
$3,288.18 |
$3,288.18 |
$3,288.18 |
$567.44
|
|
Unlisted px casting/strpg
|
$2,052.93 |
$2,052.93 |
$2,052.93 |
$224.93
|
|
Unsched dialysis esrd pt hos
|
$2,502.85 |
$2,502.85 |
$2,502.85 |
$1,505.29
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$11,938.03 |
$11,938.03 |
$11,938.03 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$11,676.27 |
$11,676.27 |
$11,676.27 |
$2,013.08
|
|
Urea nitrogen
|
$455.78 |
$455.78 |
$455.78 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$342.26 |
$342.26 |
$342.26 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$3,339.08 |
$3,339.08 |
$3,339.08 |
$574.40
|
|
Urethrocystography void s&i
|
$3,339.08 |
$3,339.08 |
$3,339.08 |
$634.50
|
|
Uric acid blood
|
$668.92 |
$668.92 |
$668.92 |
$46.64
|
|
Uric acid urine
|
$668.92 |
$668.92 |
$668.92 |
$46.75
|
|
Urinalysis (with microscopy)
|
$558.04 |
$558.04 |
$558.04 |
$48.14
|
|
Urinalysis (without microscopy)
|
$120.60 |
$120.60 |
$120.60 |
$38.99
|
|
Urine Culture Test
|
$1,072.73 |
$1,072.73 |
$1,072.73 |
$84.81
|
|
Urography, antegrade
|
$1,699.22 |
$1,699.22 |
$1,699.22 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$138,110.72 |
$138,110.72 |
$138,110.72 |
$6,892.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$847.56 |
$847.56 |
$847.56 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$2,453.05 |
$2,453.05 |
$2,453.05 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$1,253.33 |
$1,253.33 |
$1,253.33 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$4,689.62 |
$4,689.62 |
$4,689.62 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$1,702.72 |
$1,702.72 |
$1,702.72 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$750.32 |
$750.32 |
$750.32 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$491.52 |
$491.52 |
$491.52 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$413.75 |
$413.75 |
$413.75 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$827.79 |
$827.79 |
$827.79 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$2,660.55 |
$2,660.55 |
$2,660.55 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$2,567.62 |
$2,567.62 |
$2,567.62 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,805.04 |
$1,805.04 |
$1,805.04 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$3,761.45 |
$3,761.45 |
$3,761.45 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$1,178.32 |
$1,178.32 |
$1,178.32 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$968.54 |
$968.54 |
$968.54 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$725.69 |
$725.69 |
$725.69 |
$115.00
|
|
Valvuloplasty aortic
|
$48,840.42 |
$48,840.42 |
$48,840.42 |
$7,324.85
|
|
Valvuloplasty mitral
|
$83,190.14 |
$83,190.14 |
$83,190.14 |
$10,435.39
|
|
Vancomycin hcl injection
|
$1,449.84 |
$1,449.84 |
$1,449.84 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$847.44 |
$847.44 |
$847.44 |
$126.79
|
|
Varicella zoster antibody igg
|
$558.04 |
$558.04 |
$558.04 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,865.72 |
$1,865.72 |
$1,865.72 |
$394.13
|
|
Veeg cont 2-12 hrs
|
$5,904.80 |
$5,904.80 |
$5,904.80 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$6,424.36 |
$6,424.36 |
$6,424.36 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$6,536.53 |
$6,536.53 |
$6,536.53 |
$1,411.20
|
|
Ventilator each subsequent day
|
$7,378.63 |
$7,378.63 |
$7,378.63 |
$1,305.92
|
|
Ventilator initial day
|
$8,423.84 |
$8,423.84 |
$8,423.84 |
$1,540.80
|
|
Very long chain fatty acids
|
$1,058.52 |
$1,058.52 |
$1,058.52 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$496.77 |
$496.77 |
$496.77 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$172.95 |
$172.95 |
$172.95 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$269.61 |
$269.61 |
$269.61 |
$245.36
|
|
Virus isolation addl studies ea
|
$1,082.63 |
$1,082.63 |
$1,082.63 |
$90.35
|
|
Vital capacity test
|
$2,012.62 |
$2,012.62 |
$2,012.62 |
$173.33
|
|
Vitamin b-12
|
$545.90 |
$545.90 |
$545.90 |
$94.90
|
|
Vitamin D Test
|
$410.71 |
$410.71 |
$410.71 |
$132.00
|
|
Warde 1003990 aldosterone
|
$1,065.80 |
$1,065.80 |
$1,065.80 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$1,489.96 |
$1,489.96 |
$1,489.96 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$691.39 |
$691.39 |
$691.39 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$2,412.35 |
$2,412.35 |
$2,412.35 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$830.73 |
$830.73 |
$830.73 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$925.60 |
$925.60 |
$925.60 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$1,970.42 |
$1,970.42 |
$1,970.42 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$1,467.98 |
$1,467.98 |
$1,467.98 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$903.10 |
$903.10 |
$903.10 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$373.89 |
$373.89 |
$373.89 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$656.55 |
$656.55 |
$656.55 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$812.79 |
$812.79 |
$812.79 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$963.66 |
$963.66 |
$963.66 |
$78.57
|
|
Warde 3400852 arsenic
|
$1,016.71 |
$1,016.71 |
$1,016.71 |
$105.12
|
|
Warde 3708165 mercury urine
|
$871.47 |
$871.47 |
$871.47 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$617.96 |
$617.96 |
$617.96 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$617.96 |
$617.96 |
$617.96 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$434.12 |
$434.12 |
$434.12 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$863.05 |
$863.05 |
$863.05 |
$129.75
|
|
Warde aldolase
|
$400.33 |
$400.33 |
$400.33 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$999.03 |
$999.03 |
$999.03 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$3,503.01 |
$3,503.01 |
$3,503.01 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$8,787.55 |
$8,787.55 |
$8,787.55 |
$381.50
|
|
Warde anti-mullerian hormone
|
$617.96 |
$617.96 |
$617.96 |
$93.28
|
|
Warde apolipoprotein b
|
$1,130.33 |
$1,130.33 |
$1,130.33 |
$64.28
|
|
Warde cadmium blood
|
$1,267.01 |
$1,267.01 |
$1,267.01 |
$77.00
|
|
Warde calcitonin
|
$1,435.82 |
$1,435.82 |
$1,435.82 |
$89.40
|
|
Warde calculus (stone) infrared
|
$691.39 |
$691.39 |
$691.39 |
$61.73
|
|
Warde cobalt heavy metal quantitative each nes
|
$1,176.96 |
$1,176.96 |
$1,176.96 |
$122.50
|
|
Warde complement total hemolytic
|
$1,795.39 |
$1,795.39 |
$1,795.39 |
$105.00
|
|
Warde copper
|
$289.41 |
$289.41 |
$289.41 |
$80.00
|
|
Warde cryoglobulin
|
$240.89 |
$240.89 |
$240.89 |
$43.45
|
|
Warde erythropoietin
|
$452.31 |
$452.31 |
$452.31 |
$90.35
|
|
Warde estrogen fractionated
|
$1,731.14 |
$1,731.14 |
$1,731.14 |
$112.18
|
|
Warde folic acid rbc
|
$945.97 |
$945.97 |
$945.97 |
$81.60
|