|
Unsched dialysis esrd pt hos
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,296.00
|
|
Upgrade pm system
|
$5,875.00 |
$5,875.00 |
$5,875.00 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$215.00 |
$215.00 |
$215.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$780.00 |
$780.00 |
$780.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$395.00 |
$395.00 |
$395.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$395.00 |
$395.00 |
$395.00 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$387.50 |
$387.50 |
$387.50 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$387.50 |
$387.50 |
$387.50 |
$607.20
|
|
Urea nitrogen
|
$37.50 |
$37.50 |
$37.50 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$37.50 |
$37.50 |
$37.50 |
$51.84
|
|
Urea nitrogen clearance
|
$65.00 |
$65.00 |
$65.00 |
$34.02
|
|
Ureteral embolization/occl
|
$3,340.00 |
$3,340.00 |
$3,340.00 |
$2,079.31
|
|
Ureteral reflux study
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$510.00 |
$510.00 |
$510.00 |
$584.00
|
|
Urethrocystography void s&i
|
$695.00 |
$695.00 |
$695.00 |
$634.50
|
|
Uric acid blood
|
$45.00 |
$45.00 |
$45.00 |
$49.32
|
|
Uric acid urine
|
$62.50 |
$62.50 |
$62.50 |
$44.52
|
|
Urinalysis microscopic only
|
$37.50 |
$37.50 |
$37.50 |
$26.35
|
|
Urinalysis (with microscopy)
|
$35.00 |
$35.00 |
$35.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$32.50 |
$32.50 |
$32.50 |
$35.91
|
|
Urine Culture Test
|
$57.50 |
$57.50 |
$57.50 |
$82.32
|
|
Urine pregnancy test
|
$57.50 |
$57.50 |
$57.50 |
$68.21
|
|
Urography, antegrade
|
$965.00 |
$965.00 |
$965.00 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$38.14 |
$38.14 |
$38.14 |
$5,205.00
|
|
Vaccine Administration (one shot)
|
$50.00 |
$50.00 |
$50.00 |
$67.74
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$119.36 |
$119.36 |
$119.36 |
$75.39
|
|
Vaccine rabies im
|
$1,047.02 |
$1,047.02 |
$1,047.02 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$163.25 |
$163.25 |
$163.25 |
$131.34
|
|
Vaccine varicella live subcutaneous
|
$579.97 |
$579.97 |
$579.97 |
$365.17
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,070.45 |
$2,070.45 |
$2,070.45 |
$1,932.00
|
|
Vad cable power module dc input
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$11,726.59 |
$11,726.59 |
$11,726.59 |
$14,814.14
|
|
Valproic acid total therapeutic drug level
|
$90.00 |
$90.00 |
$90.00 |
$115.00
|
|
Valvuloplasty aortic
|
$5,170.00 |
$5,170.00 |
$5,170.00 |
$7,944.16
|
|
Valvuloplasty mitral
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$11,945.20
|
|
Vancomycin hcl injection
|
$175.50 |
$175.50 |
$175.50 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$112.50 |
$112.50 |
$112.50 |
$135.60
|
|
Varicella zoster antibody igg
|
$72.50 |
$72.50 |
$72.50 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$20,240.00 |
$20,240.00 |
$20,240.00 |
$21,009.00
|
|
Vedolizumab 300 mg intravenous solution
|
$75.23 |
$75.23 |
$75.23 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$885.00 |
$885.00 |
$885.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$442.50 |
$442.50 |
$442.50 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$885.00 |
$885.00 |
$885.00 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$442.50 |
$442.50 |
$442.50 |
$826.15
|
|
Vein x-ray adrenal gland
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$2,833.34
|
|
Vein x-ray kidney
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,870.00
|
|
Vein x-ray liver
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$3,940.00 |
$3,940.00 |
$3,940.00 |
$3,619.84
|
|
Vein x-ray liver w/hemodynam
|
$3,040.00 |
$3,040.00 |
$3,040.00 |
$3,683.90
|
|
Vein x-ray liver without hemodyn
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$2,452.80
|
|
Vein x-ray spleen/liver
|
$2,645.00 |
$2,645.00 |
$2,645.00 |
$3,434.00
|
|
Vemp test i&r cervical
|
$257.50 |
$257.50 |
$257.50 |
$343.72
|
|
Vemp test i&r ocular
|
$257.50 |
$257.50 |
$257.50 |
$257.50
|
|
Vemp tst i&r cervical&ocular
|
$510.00 |
$510.00 |
$510.00 |
$591.50
|
|
Ven-artl shunt det mbubb njx
|
$760.00 |
$760.00 |
$760.00 |
$484.25
|
|
Venogram ext bil s&i
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$6,325.00 |
$6,325.00 |
$6,325.00 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$3,795.00 |
$3,795.00 |
$3,795.00 |
$5,110.00
|
|
Venous sampling s&i
|
$2,775.00 |
$2,775.00 |
$2,775.00 |
$4,200.00
|
|
Ventilator each subsequent day
|
$645.00 |
$645.00 |
$645.00 |
$1,178.74
|
|
Ventilator Management (first day)
|
$855.00 |
$855.00 |
$855.00 |
$1,434.60
|
|
Version cephalic external
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$175.00 |
$175.00 |
$175.00 |
$139.88
|
|
Vest large holster
|
$744.96 |
$744.96 |
$744.96 |
$1,073.50
|
|
Video Swallow Study (Modified Barium Swallow)
|
$385.00 |
$385.00 |
$385.00 |
$524.50
|
|
Vincristine 1 mg/ml intravenous solution
|
$142.09 |
$142.09 |
$142.09 |
$87.15
|
|
Visual audiometry (vra)
|
$207.50 |
$207.50 |
$207.50 |
$220.60
|
|
Vital capacity test
|
$165.00 |
$165.00 |
$165.00 |
$173.18
|
|
Vitamin b-12
|
$92.50 |
$92.50 |
$92.50 |
$100.20
|
|
Vitamin D Test
|
$222.50 |
$222.50 |
$222.50 |
$132.60
|
|
Vngrph chd anom/persist svc
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$1,492.75
|
|
Vngrph chd azygs/hemiazygs
|
$675.00 |
$675.00 |
$675.00 |
$201.50
|
|
Vngrph chd coronary sinus
|
$675.00 |
$675.00 |
$675.00 |
$161.60
|
|
Vngrph chd vnvn cltrl at/abv
|
$675.00 |
$675.00 |
$675.00 |
$1,118.00
|
|
Vngrph chd vnvn cltrl below
|
$650.00 |
$650.00 |
$650.00 |
$1,118.00
|
|
Vol reduction of blood/prod
|
$302.50 |
$302.50 |
$302.50 |
$172.78
|
|
Volume measurement urine timed
|
$12.50 |
$12.50 |
$12.50 |
$21.64
|
|
Vsrctv std tcd icr art compl
|
$670.00 |
$670.00 |
$670.00 |
$434.85
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$7,996.52 |
$7,996.52 |
$7,996.52 |
$177,291.55
|
|
Walking (Gait) Training (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$87.50
|
|
Warde 1003990 aldosterone
|
$205.00 |
$205.00 |
$205.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$65.00 |
$65.00 |
$65.00 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$72.50 |
$72.50 |
$72.50 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$137.50 |
$137.50 |
$137.50 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$95.00 |
$95.00 |
$95.00 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$55.00 |
$55.00 |
$55.00 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$125.00 |
$125.00 |
$125.00 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$92.50 |
$92.50 |
$92.50 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$92.50 |
$92.50 |
$92.50 |
$70.85
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$80.00 |
$80.00 |
$80.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$70.00 |
$70.00 |
$70.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$102.50 |
$102.50 |
$102.50 |
$74.16
|
