|
Uric acid blood
|
$165.00 |
$165.00 |
$165.00 |
$49.44
|
|
Uric acid urine
|
$130.00 |
$130.00 |
$130.00 |
$45.36
|
|
Urinalysis microscopic only
|
$81.00 |
$81.00 |
$81.00 |
$26.46
|
|
Urinalysis (with microscopy)
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$2,139.00 |
$2,139.00 |
$2,139.00 |
$36.00
|
|
Urine Culture Test
|
$2,971.00 |
$2,971.00 |
$2,971.00 |
$83.00
|
|
Urine pregnancy test
|
$153.00 |
$153.00 |
$153.00 |
$68.78
|
|
Urography, antegrade
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
$622.35
|
|
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)
|
$223.00 |
$223.00 |
$223.00 |
$67.70
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$441.00 |
$441.00 |
$441.00 |
$224.25
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$861.00 |
$861.00 |
$861.00 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$159.00 |
$159.00 |
$159.00 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$106.00 |
$106.00 |
$106.00 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$80.00 |
$80.00 |
$80.00 |
$80.15
|
|
Vaccine dtap < 7 years im
|
$142.05 |
$142.05 |
$142.05 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$513.00 |
$513.00 |
$513.00 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$88.00 |
$88.00 |
$88.00 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$208.00 |
$208.00 |
$208.00 |
$174.72
|
|
Vaccine dtap-ipv/hib im
|
$159.00 |
$159.00 |
$159.00 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$60.00 |
$60.00 |
$60.00 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$62.60 |
$62.60 |
$62.60 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$219.00 |
$219.00 |
$219.00 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$192.00 |
$192.00 |
$192.00 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$70.00 |
$70.00 |
$70.00 |
$78.25
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im
|
$74.00 |
$74.00 |
$74.00 |
$57.20
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$88.00 |
$88.00 |
$88.00 |
$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
|
$502.00 |
$502.00 |
$502.00 |
$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
|
$396.00 |
$396.00 |
$396.00 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$348.00 |
$348.00 |
$348.00 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$230.00 |
$230.00 |
$230.00 |
$149.21
|
|
Vaccine influenza inactivated adjuvant im
|
$303.40 |
$303.40 |
$303.40 |
$110.25
|
|
Vaccine influenza nos 0.5ml dose im
|
$33.00 |
$33.00 |
$33.00 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$102.45 |
$102.45 |
$102.45 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$66.00 |
$66.00 |
$66.00 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$243.00 |
$243.00 |
$243.00 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$32.00 |
$32.00 |
$32.00 |
$28.77
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$70.00 |
$70.00 |
$70.00 |
$33.60
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$34.00 |
$34.00 |
$34.00 |
$20.80
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$87.00 |
$87.00 |
$87.00 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$230.00 |
$230.00 |
$230.00 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$807.00 |
$807.00 |
$807.00 |
$82.71
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$50.00 |
$50.00 |
$50.00 |
$27.45
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$292.00 |
$292.00 |
$292.00 |
$394.26
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$260.00 |
$260.00 |
$260.00 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$230.00 |
$230.00 |
$230.00 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$617.00 |
$617.00 |
$617.00 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$466.05 |
$466.05 |
$466.05 |
$213.00
|
|
Vaccine mmrv live subcutaneous
|
$652.00 |
$652.00 |
$652.00 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$556.15 |
$556.15 |
$556.15 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$807.00 |
$807.00 |
$807.00 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$771.00 |
$771.00 |
$771.00 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$903.00 |
$903.00 |
$903.00 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$59.00 |
$59.00 |
$59.00 |
$90.70
|
|
Vaccine rabies im
|
$1,998.80 |
$1,998.80 |
$1,998.80 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$406.00 |
$406.00 |
$406.00 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,736.70 |
$2,736.70 |
$2,736.70 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$2,736.70 |
$2,736.70 |
$2,736.70 |
$1,031.86
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$386.00 |
$386.00 |
$386.00 |
$499.62
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$186.00 |
$186.00 |
$186.00 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$158.00 |
$158.00 |
$158.00 |
$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
|
$184.00 |
$184.00 |
$184.00 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$960.60 |
$960.60 |
$960.60 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$211.00 |
$211.00 |
$211.00 |
$418.46
|
|
Vad univ batt charger hm 1440
|
$9,827.78 |
$9,827.78 |
$9,827.78 |
$14,814.14
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$33,279.68 |
$33,279.68 |
$33,279.68 |
$5,345.59
|
|
Vag hyst including t/o
|
$31,755.58 |
$31,755.58 |
$31,755.58 |
$5,394.95
|
|
Vaginal hysterectomy
|
$33,067.29 |
$33,067.29 |
$33,067.29 |
$5,766.00
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$18.05 |
$18.05 |
$18.05 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$336.00 |
$336.00 |
$336.00 |
$115.00
|
|
Valvuloplasty aortic
|
$9,287.00 |
$9,287.00 |
$9,287.00 |
$7,944.16
|
|
Vancomycin 1,000 mg intravenous injection
|
$160.00 |
$160.00 |
$160.00 |
$259.05
|
|
Vancomycin peak therapeutic drug level
|
$362.00 |
$362.00 |
$362.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$163.00 |
$163.00 |
$163.00 |
$86.80
|
|
Varicella-zoster immue globin im
|
$3,095.00 |
$3,095.00 |
$3,095.00 |
$3,816.19
|
|
Vasopressin 20 unit/ml intravenous solution
|
$726.75 |
$726.75 |
$726.75 |
$325.80
|
|
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
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$845.00 |
$845.00 |
$845.00 |
$188.83
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$25,823.00 |
$25,823.00 |
$25,823.00 |
$8,184.00
|
|
Ventilator each subsequent day
|
$5,154.00 |
$5,154.00 |
$5,154.00 |
$1,184.00
|
|
Ventilator Management (first day)
|
$5,054.00 |
$5,054.00 |
$5,054.00 |
$1,434.60
|
|
Verify external neurostimulato
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$176.40
|
|
Version cephalic external
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$2,361.75
|
|
Vest large holster
|
$1,198.75 |
$1,198.75 |
$1,198.75 |
$1,073.50
|
|
Vest wrp airway ther disp lg slot 1use
|
$207.59 |
$207.59 |
$207.59 |
$134.93
|
|
Video Swallow Study (Modified Barium Swallow)
|
$828.00 |
$828.00 |
$828.00 |
$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
|
$2,339.00 |
$2,339.00 |
$2,339.00 |
$240.50
|
|
Vitamin b-12
|
$385.00 |
$385.00 |
$385.00 |
$100.28
|
|
Vitamin D Test
|
$282.00 |
$282.00 |
$282.00 |
$132.00
|
|
Volume measurement urine timed
|
$35.00 |
$35.00 |
$35.00 |
$21.64
|
