|
Urinalysis (without microscopy)
|
$15.75 |
$15.75 |
$15.75 |
$35.75
|
|
Urinary bldr retent nuc study
|
$195.75 |
$195.75 |
$195.75 |
$350.66
|
|
Urinary reflex study
|
$685.50 |
$685.50 |
$685.50 |
$216.05
|
|
Urine Culture Test
|
$60.75 |
$60.75 |
$60.75 |
$81.50
|
|
Urine flow measurement 51736
|
$206.25 |
$206.25 |
$206.25 |
$210.00
|
|
Urine pregnancy test
|
$49.50 |
$49.50 |
$49.50 |
$67.20
|
|
Urine screen for bacteria
|
$111.00 |
$111.00 |
$111.00 |
$55.64
|
|
Urography, antegrade
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$622.35
|
|
Urography inf drip &/or bolus
|
$504.00 |
$504.00 |
$504.00 |
$642.50
|
|
Use 1st target lesion
|
$338.25 |
$338.25 |
$338.25 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$4,963.74 |
$4,963.74 |
$4,963.74 |
$5,184.34
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$62,970.90 |
$62,970.90 |
$62,970.90 |
$51,633.07
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$335.57 |
$335.57 |
$335.57 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$305.61 |
$305.61 |
$305.61 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$401.19 |
$401.19 |
$401.19 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$228.29 |
$228.29 |
$228.29 |
$123.20
|
|
Vaccine dtap-hep b-ipv im
|
$237.45 |
$237.45 |
$237.45 |
$164.63
|
|
Vaccine dtap-ipv/hib im
|
$300.42 |
$300.42 |
$300.42 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$97.77 |
$97.77 |
$97.77 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$44.03 |
$44.03 |
$44.03 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$227.81 |
$227.81 |
$227.81 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$310.13 |
$310.13 |
$310.13 |
$218.40
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$196.71 |
$196.71 |
$196.71 |
$84.75
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$113.13 |
$113.13 |
$113.13 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$368.21 |
$368.21 |
$368.21 |
$274.93
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$772.07 |
$772.07 |
$772.07 |
$576.48
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$203.78 |
$203.78 |
$203.78 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$203.78 |
$203.78 |
$203.78 |
$109.50
|
|
Vaccine influenza nos 0.5ml dose im
|
$32.42 |
$32.42 |
$32.42 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$70.09 |
$70.09 |
$70.09 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$23.25 |
$23.25 |
$23.25 |
$33.60
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$119.29 |
$119.29 |
$119.29 |
$76.50
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$416.43 |
$416.43 |
$416.43 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$392.19 |
$392.19 |
$392.19 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$227.79 |
$227.79 |
$227.79 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$673.39 |
$673.39 |
$673.39 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$277.72 |
$277.72 |
$277.72 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$531.84 |
$531.84 |
$531.84 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$555.08 |
$555.08 |
$555.08 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$724.20 |
$724.20 |
$724.20 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$130.82 |
$130.82 |
$130.82 |
$90.70
|
|
Vaccine rabies im
|
$1,020.74 |
$1,020.74 |
$1,020.74 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$721.67 |
$721.67 |
$721.67 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$997.44
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$720.61 |
$720.61 |
$720.61 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$343.77 |
$343.77 |
$343.77 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$240.16 |
$240.16 |
$240.16 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$69.00 |
$69.00 |
$69.00 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$32.25 |
$32.25 |
$32.25 |
$112.10
|
|
Vaccine typhoid vicps im
|
$381.90 |
$381.90 |
$381.90 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$451.55 |
$451.55 |
$451.55 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$603.56 |
$603.56 |
$603.56 |
$418.46
|
|
Vad battery clip set hmii 14-v li-ion
|
$0.75 |
$0.75 |
$0.75 |
$2,002.00
|
|
Vaginal Delivery (full care)
|
$6,060.00 |
$6,060.00 |
$6,060.00 |
$4,263.60
|
|
Vaginal hysterectomy
|
$3,303.00 |
$3,303.00 |
$3,303.00 |
$5,766.00
|
|
Valproic acid total therapeutic drug level
|
$106.50 |
$106.50 |
$106.50 |
$114.72
|
|
Valvuloplasty aortic
|
$9,663.75 |
$9,663.75 |
$9,663.75 |
$7,830.80
|
|
Valvuloplasty mitral
|
$12,105.75 |
$12,105.75 |
$12,105.75 |
$10,877.90
|
|
Valvuloplasty pulmonary
|
$12,105.75 |
$12,105.75 |
$12,105.75 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$501.00 |
$501.00 |
$501.00 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$119.32 |
$119.32 |
$119.32 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$117.00 |
$117.00 |
$117.00 |
$136.13
|
|
Vanomycin dna amp probe
|
$213.00 |
$213.00 |
$213.00 |
$78.40
|
|
Varicella zoster antibody igg
|
$93.75 |
$93.75 |
$93.75 |
$86.80
|
|
Varicella-zoster immue globin im
|
$5,110.97 |
$5,110.97 |
$5,110.97 |
$3,816.19
|
|
Vasopressin 20 unit/ml intravenous solution
|
$913.71 |
$913.71 |
$913.71 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$20,221.16 |
$20,221.16 |
$20,221.16 |
$18,732.33
|
|
Vein x-ray adrenal gland
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$2,845.80
|
|
Vein x-ray eye socket
|
$1,612.50 |
$1,612.50 |
$1,612.50 |
$1,438.32
|
|
Vein x-ray kidney
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$2,766.73
|
|
Vein x-ray liver
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$2,452.80
|
|
Vein x-ray skull
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$2,141.00
|
|
Vein x-ray skull epidural
|
$1,612.50 |
$1,612.50 |
$1,612.50 |
$1,746.50
|
|
Vein x-ray spleen/liver
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,427.50
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$3,525.48 |
$3,525.48 |
$3,525.48 |
$2,632.35
|
|
Vemp test i&r cervical
|
$417.00 |
$417.00 |
$417.00 |
$313.00
|
|
Vemp test i&r ocular
|
$417.00 |
$417.00 |
$417.00 |
$266.00
|
|
Vemp tst i&r cervical&ocular
|
$830.25 |
$830.25 |
$830.25 |
$591.50
|
|
Ven blood coll snf/hha
|
$30.00 |
$30.00 |
$30.00 |
$15.65
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$45.75 |
$45.75 |
$45.75 |
$202.80
|
|
Venogram ext bil s&i
|
$4,141.50 |
$4,141.50 |
$4,141.50 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$4,146.75 |
$4,146.75 |
$4,146.75 |
$1,366.20
|
|
Venous mech thrombectomy
|
$11,343.75 |
$11,343.75 |
$11,343.75 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$5,975.25 |
$5,975.25 |
$5,975.25 |
$5,094.75
|
|
Venous sampling s&i
|
$14,313.00 |
$14,313.00 |
$14,313.00 |
$4,193.20
|
|
Venous thrombosis imaging
|
$1,600.50 |
$1,600.50 |
$1,600.50 |
$697.20
|
|
Ven thrombosis images bilat
|
$1,893.75 |
$1,893.75 |
$1,893.75 |
$796.50
|
|
Ventilator each subsequent day
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$1,431.43
|
|
Version cephalic external
|
$6,080.25 |
$6,080.25 |
$6,080.25 |
$2,361.75
|
|
Verteporfin injection
|
$4,004.48 |
$4,004.48 |
$4,004.48 |
$3,077.48
|
|
Very long chain fatty acids
|
$113.25 |
$113.25 |
$113.25 |
$139.88
|
|
Vinblastine 1 mg/ml intravenous solution
|
$178.90 |
$178.90 |
$178.90 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$88.07 |
$88.07 |
$88.07 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$244.35 |
$244.35 |
$244.35 |
$223.55
|
|
Viper venom prothrombin time
|
$86.25 |
$86.25 |
$86.25 |
$85.80
|
