|
Uric acid blood
|
$57.85 |
$57.85 |
$57.85 |
$49.44
|
|
Uric acid urine
|
$66.30 |
$66.30 |
$66.30 |
$45.36
|
|
Urinalysis microscopic only
|
$31.85 |
$31.85 |
$31.85 |
$26.46
|
|
Urinalysis (with microscopy)
|
$341.25 |
$341.25 |
$341.25 |
$55.20
|
|
Urinalysis (without microscopy)
|
$39.65 |
$39.65 |
$39.65 |
$36.00
|
|
Urine Culture Test
|
$58.50 |
$58.50 |
$58.50 |
$83.00
|
|
Urine pregnancy test
|
$42.25 |
$42.25 |
$42.25 |
$68.78
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$6,677.00 |
$6,677.00 |
$6,677.00 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$45,913.60 |
$45,913.60 |
$45,913.60 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$95.55 |
$95.55 |
$95.55 |
$67.70
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$273.00 |
$273.00 |
$273.00 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$533.00 |
$533.00 |
$533.00 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$341.00 |
$341.00 |
$341.00 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$65.65 |
$65.65 |
$65.65 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$49.40 |
$49.40 |
$49.40 |
$80.15
|
|
Vaccine dtap < 7 years im
|
$67.00 |
$67.00 |
$67.00 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$228.00 |
$228.00 |
$228.00 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$142.00 |
$142.00 |
$142.00 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$128.70 |
$128.70 |
$128.70 |
$174.72
|
|
Vaccine dtap-ipv/hib im
|
$98.15 |
$98.15 |
$98.15 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$37.05 |
$37.05 |
$37.05 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$35.10 |
$35.10 |
$35.10 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$157.00 |
$157.00 |
$157.00 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$281.00 |
$281.00 |
$281.00 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$87.00 |
$87.00 |
$87.00 |
$78.25
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$45.50 |
$45.50 |
$45.50 |
$57.20
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$54.60 |
$54.60 |
$54.60 |
$90.35
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$345.70 |
$345.70 |
$345.70 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$310.70 |
$310.70 |
$310.70 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$138.80 |
$138.80 |
$138.80 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$686.00 |
$686.00 |
$686.00 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$215.15 |
$215.15 |
$215.15 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$142.35 |
$142.35 |
$142.35 |
$149.21
|
|
Vaccine influenza inactivated adjuvant im
|
$303.40 |
$303.40 |
$303.40 |
$110.25
|
|
Vaccine influenza nos 0.5ml dose im
|
$20.15 |
$20.15 |
$20.15 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$1,149.20 |
$1,149.20 |
$1,149.20 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$40.95 |
$40.95 |
$40.95 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$150.15 |
$150.15 |
$150.15 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$19.50 |
$19.50 |
$19.50 |
$28.77
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$43.55 |
$43.55 |
$43.55 |
$33.60
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$20.80 |
$20.80 |
$20.80 |
$20.80
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$53.95 |
$53.95 |
$53.95 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$142.35 |
$142.35 |
$142.35 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$499.85 |
$499.85 |
$499.85 |
$82.71
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$31.20 |
$31.20 |
$31.20 |
$27.45
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$499.00 |
$499.00 |
$499.00 |
$394.26
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$161.20 |
$161.20 |
$161.20 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$142.35 |
$142.35 |
$142.35 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$382.20 |
$382.20 |
$382.20 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$213.00 |
$213.00 |
$213.00 |
$213.00
|
|
Vaccine mmrv live subcutaneous
|
$621.00 |
$621.00 |
$621.00 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$556.15 |
$556.15 |
$556.15 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$499.85 |
$499.85 |
$499.85 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$477.10 |
$477.10 |
$477.10 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$652.00 |
$652.00 |
$652.00 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$100.00 |
$100.00 |
$100.00 |
$90.70
|
|
Vaccine rabies im
|
$1,083.55 |
$1,083.55 |
$1,083.55 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$658.00 |
$658.00 |
$658.00 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$1,031.86
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$239.20 |
$239.20 |
$239.20 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$309.00 |
$309.00 |
$309.00 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$97.50 |
$97.50 |
$97.50 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$231.55 |
$231.55 |
$231.55 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$211.80 |
$211.80 |
$211.80 |
$112.10
|
|
Vaccine typhoid vicps im
|
$113.75 |
$113.75 |
$113.75 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$408.00 |
$408.00 |
$408.00 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$130.65 |
$130.65 |
$130.65 |
$418.46
|
|
Vad univ batt charger hm 1440
|
$6,069.41 |
$6,069.41 |
$6,069.41 |
$14,814.14
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$32.20 |
$32.20 |
$32.20 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$131.95 |
$131.95 |
$131.95 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$25.80 |
$25.80 |
$25.80 |
$259.05
|
|
Vancomycin peak therapeutic drug level
|
$159.90 |
$159.90 |
$159.90 |
$136.13
|
|
Varicella zoster antibody igg
|
$90.35 |
$90.35 |
$90.35 |
$86.80
|
|
Varicella-zoster immue globin im
|
$1,916.20 |
$1,916.20 |
$1,916.20 |
$3,816.19
|
|
Vedolizumab 300 mg intravenous solution
|
$30,326.10 |
$30,326.10 |
$30,326.10 |
$18,732.33
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$7,637.95 |
$7,637.95 |
$7,637.95 |
$2,632.35
|
|
Ventilator Management (first day)
|
$2,653.95 |
$2,653.95 |
$2,653.95 |
$1,434.60
|
|
Verify external neurostimulato
|
$910.00 |
$910.00 |
$910.00 |
$176.40
|
|
Vest large holster
|
$970.51 |
$970.51 |
$970.51 |
$1,073.50
|
|
Vest wrp airway ther disp lg slot 1use
|
$140.14 |
$140.14 |
$140.14 |
$134.93
|
|
Video Swallow Study (Modified Barium Swallow)
|
$454.35 |
$454.35 |
$454.35 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$244.80 |
$244.80 |
$244.80 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$87.15 |
$87.15 |
$87.15 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$223.55 |
$223.55 |
$223.55 |
$223.55
|
|
Visit established high 40-54 minutes/level 5
|
$619.45 |
$619.45 |
$619.45 |
$240.50
|
|
Vitamin b-12
|
$94.90 |
$94.90 |
$94.90 |
$100.28
|
|
Vitamin D Test
|
$174.85 |
$174.85 |
$174.85 |
$132.00
|
|
Volume measurement urine timed
|
$21.45 |
$21.45 |
$21.45 |
$21.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$561.40 |
$561.40 |
$561.40 |
$165.81
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$272,036.50 |
$272,036.50 |
$272,036.50 |
$177,291.55
|
|
Walking (Gait) Training (each 15 minutes)
|
$92.30 |
$92.30 |
$92.30 |
$87.50
|
|
Warde 1003990 aldosterone
|
$287.30 |
$287.30 |
$287.30 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$80.60 |
$80.60 |
$80.60 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$128.05 |
$128.05 |
$128.05 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$126.10 |
$126.10 |
$126.10 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$64.35 |
$64.35 |
$64.35 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$120.90 |
$120.90 |
$120.90 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$79.30 |
$79.30 |
$79.30 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$87.75 |
$87.75 |
$87.75 |
$70.74
|