|
Urethrlys transvag with scope
|
$1,883.20 |
$14,962.42 |
$15,475.00 |
|
|
Urethrocystography void s&i
|
$300.00 |
$720.00 |
$1,329.12 |
|
|
Uric acid blood
|
$20.00 |
$79.10 |
$131.20 |
|
|
Uric acid urine
|
$13.86 |
$62.50 |
$235.20 |
|
|
Urinalysis glass test
|
$11.20 |
$11.20 |
$11.20 |
|
|
Urinalysis microscopic only
|
$2.75 |
$38.88 |
$120.00 |
|
|
Urinalysis qual/semiquant excpt ia
|
$25.20 |
$39.60 |
$113.40 |
|
|
Urinalysis (with microscopy)
|
$25.72 |
$75.60 |
$140.00 |
|
|
Urinalysis (without microscopy)
|
$19.14 |
$49.80 |
$171.00 |
|
|
Urinary bldr retent nuc study
|
$173.60 |
$292.20 |
$1,216.80 |
|
|
Urinary reflex study
|
$605.60 |
$605.60 |
$605.60 |
|
|
Urine Culture Test
|
$29.37 |
$77.60 |
$192.50 |
|
|
Urine flow measurement 51736
|
$34.40 |
$90.00 |
$267.50 |
|
|
Urine pregnancy test
|
$17.50 |
$117.36 |
$208.00 |
|
|
Urine screen for bacteria
|
$60.00 |
$60.00 |
$60.00 |
|
|
Urine specimen collect mult
|
$18.40 |
$18.40 |
$18.40 |
|
|
Urography, antegrade
|
$197.34 |
$965.00 |
$2,260.20 |
|
|
Urography inf drip &/or bolus
|
$264.80 |
$615.00 |
$1,442.16 |
|
|
Urokinase 250,000 iu inj
|
$522.40 |
$522.40 |
$522.40 |
|
|
Use 1st target lesion
|
$167.20 |
$396.60 |
$744.10 |
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$24.21 |
$10,013.32 |
$37,584.40 |
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$253.60 |
$49,433.12 |
$83,005.30 |
|
|
Vaccine Administration (one shot)
|
$28.75 |
$62.40 |
$138.96 |
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$85.08 |
$233.60 |
$263.57 |
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$69.30 |
$69.30 |
$240.91 |
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$137.90 |
$137.90 |
$305.74 |
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$92.40 |
$92.40 |
$171.20 |
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$114.26 |
$126.88 |
$128.00 |
|
|
Vaccine dtap < 7 years im
|
$66.25 |
$125.11 |
$463.40 |
|
|
Vaccine dtap-hep b-ipv im
|
$92.00 |
$95.52 |
$444.96 |
|
|
Vaccine dtap-ipv 4-6 years im
|
$89.60 |
$126.79 |
$126.79 |
|
|
Vaccine dtap-ipv-hib-hepb im
|
$152.00 |
$288.65 |
$611.53 |
|
|
Vaccine dtap-ipv/hib im
|
$176.39 |
$176.39 |
$1,039.32 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$65.04 |
$118.96 |
$123.84 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$32.80 |
$63.25 |
$221.55 |
|
|
Vaccine hepatitis a (hepa) adult im
|
$77.60 |
$143.75 |
$1,339.62 |
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$116.72 |
$326.90 |
$709.97 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$40.00 |
$121.44 |
$168.52 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$42.40 |
$42.40 |
$42.40 |
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$105.60 |
$105.60 |
$105.60 |
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$84.00 |
$140.37 |
$1,123.50 |
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$162.40 |
$440.30 |
$1,093.92 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$64.23 |
$119.32 |
$459.72 |
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$278.40 |
$1,245.82 |
$2,585.45 |
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$230.40 |
$347.20 |
$347.20 |
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$78.40 |
$152.43 |
$302.40 |
|
|
Vaccine influenza inactivated adjuvant im
|
$76.00 |
$89.97 |
$142.36 |
|
|
Vaccine influenza nos 0.5ml dose im
|
$18.40 |
$18.40 |
$18.40 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$23.20 |
$71.75 |
$219.67 |
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$20.00 |
$75.89 |
$75.89 |
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$72.80 |
$94.63 |
$94.63 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$26.40 |
$154.41 |
$154.41 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$21.60 |
$33.60 |
$102.98 |
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$16.00 |
$16.00 |
$16.00 |
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$28.00 |
$174.72 |
$174.72 |
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$72.00 |
$90.55 |
$90.55 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$30.40 |
$105.98 |
$105.98 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$33.60 |
$33.60 |
$33.60 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$237.39 |
$432.42 |
$1,788.15 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$177.60 |
$226.48 |
$354.77 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$156.00 |
$317.02 |
$1,484.87 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$200.72 |
$513.94 |
$1,310.40 |
|
|
Vaccine mmr live subcutaneous
|
$181.04 |
$337.39 |
$1,535.45 |
|
|
Vaccine mmrv live subcutaneous
|
$194.78 |
$194.78 |
$505.10 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$128.80 |
$219.79 |
$1,237.60 |
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$248.00 |
$275.80 |
$977.65 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$236.80 |
$291.48 |
$291.48 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$255.00 |
$581.91 |
$1,842.40 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$40.00 |
$171.17 |
$1,598.12 |
|
|
Vaccine rabies im
|
$306.56 |
$1,048.00 |
$4,599.90 |
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$184.20 |
$555.82 |
$1,048.25 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$304.20 |
$1,922.00 |
$3,794.35 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$304.20 |
$1,922.00 |
$3,794.35 |
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$358.40 |
$555.02 |
$555.02 |
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$129.60 |
$263.04 |
$263.04 |
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$90.16 |
$90.16 |
$108.00 |
|
|
Vaccine tdap >=7 years im
|
$77.04 |
$167.18 |
$775.42 |
|
|
Vaccine td preservative free >= 7 years im
|
$35.20 |
$160.25 |
$665.17 |
|
|
Vaccine typhoid vicps im
|
$126.40 |
$188.36 |
$188.36 |
|
|
Vaccine varicella live subcutaneous
|
$135.38 |
$165.60 |
$580.50 |
|
|
Vaccine yellow fever live subcutaneous
|
$186.40 |
$186.40 |
$565.46 |
|
|
Vacuum drain bottle/tube kit
|
$129.44 |
$129.44 |
$129.44 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,070.45 |
$3,481.20 |
$4,641.60 |
|
|
Vad cable power module dc input
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
|
|
Vad univ batt charger hm 1440
|
$11,726.59 |
$11,726.59 |
$19,338.60 |
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$1,993.20 |
$1,993.20 |
$63,151.35 |
|
|
Vag hyst incl t/o complex
|
$2,430.60 |
$3,129.60 |
$90,643.58 |
|
|
Vag hyst including t/o
|
$1,797.60 |
$34,232.03 |
$60,877.16 |
|
|
Vag hyst t/o & repair compl
|
$2,566.80 |
$2,566.80 |
$66,211.27 |
|
|
Vag hyst w/enterocele compl 58294
|
$2,378.40 |
$2,378.40 |
$3,056.00 |
|
|
Vag hyst w/enterocele repair
|
$1,717.80 |
$1,717.80 |
$39,597.17 |
|
|
Vag hyst w/uro repair compl 58293
|
$2,667.60 |
$2,667.60 |
$2,667.60 |
|
|
Vaginal bx
|
$132.30 |
$631.20 |
$31,864.34 |
|
|
Vaginal delivery after cesarean delivery 59612
|
$1,134.60 |
$1,881.00 |
$6,433.92 |
|
|
Vaginal Delivery (full care)
|
$4,263.60 |
$4,263.60 |
$4,552.00 |
|
|
Vaginal hysterectomy
|
$1,610.40 |
$30,655.39 |
$56,155.70 |
|
|
Vaginectomy partial w/nodes
|
$4,252.00 |
$4,252.00 |
$4,252.00 |
|
|
Vagotomy pfrmd w/prtl dstl gstrct 43635
|
$212.40 |
$212.40 |
$616.00 |
|
|
Vagotomy & pylorus repair
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
|
|
Vagotomy & pylorus repair 43640
|
$2,215.20 |
$2,215.20 |
$2,892.00 |
|
