|
Ua w/micro/comp poc
|
$8.40 |
$8.40 |
$8.40 |
$23.00
|
|
Ugt1a1 gene analy common variants
|
$619.20 |
$619.20 |
$619.20 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$789.60 |
$789.60 |
$789.60 |
$394.20
|
|
Ultrasound breast complete
|
$379.20 |
$379.20 |
$379.20 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$379.20 |
$379.20 |
$379.20 |
$449.35
|
|
Ultrasound chest
|
$679.80 |
$679.80 |
$679.80 |
$460.85
|
|
Ultrasound guided needle placement supervision & interpretation
|
$921.60 |
$921.60 |
$921.60 |
$720.15
|
|
Ultrasound joint complete left
|
$642.60 |
$642.60 |
$642.60 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$455.40 |
$455.40 |
$455.40 |
$425.45
|
|
Ultrasound pregnant uterus follow up per fetus
|
$706.20 |
$706.20 |
$706.20 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$681.60 |
$681.60 |
$681.60 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$672.00 |
$672.00 |
$672.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$817.20 |
$817.20 |
$817.20 |
$486.50
|
|
Ultrasound scrotum and contents
|
$693.00 |
$693.00 |
$693.00 |
$608.90
|
|
Ultrasound transvaginal non obstetric
|
$910.80 |
$910.80 |
$910.80 |
$558.35
|
|
Unlisted misc path test
|
$40.20 |
$40.20 |
$40.20 |
$89.40
|
|
Unlisted procedure microbiology
|
$2,976.60 |
$2,976.60 |
$2,976.60 |
$523.50
|
|
Unlisted px hands/fingers
|
$378.00 |
$378.00 |
$378.00 |
$354.20
|
|
Unlisted px small intestine
|
$1,433.40 |
$1,433.40 |
$1,433.40 |
$2,102.10
|
|
Unlisted px tongue flr mouth
|
$408.60 |
$408.60 |
$408.60 |
$282.50
|
|
Unlisted transfusion med px
|
$152.40 |
$152.40 |
$152.40 |
$147.50
|
|
Unlisted ultrasound procedure
|
$468.00 |
$468.00 |
$468.00 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,850.40 |
$1,850.40 |
$1,850.40 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,039.60 |
$3,039.60 |
$3,039.60 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$6,033.36 |
$6,033.36 |
$6,033.36 |
$1,768.00
|
|
Urea nitrogen
|
$75.00 |
$75.00 |
$75.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$30.00 |
$30.00 |
$30.00 |
$51.75
|
|
Urea nitrogen clearance
|
$16.80 |
$16.80 |
$16.80 |
$42.25
|
|
Ureteral reflux study
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$952.50
|
|
Urethrocystography void s&i
|
$1,049.40 |
$1,049.40 |
$1,049.40 |
$622.35
|
|
Uric acid blood
|
$52.80 |
$52.80 |
$52.80 |
$48.75
|
|
Uric acid urine
|
$52.80 |
$52.80 |
$52.80 |
$44.33
|
|
Urinalysis microscopic only
|
$18.00 |
$18.00 |
$18.00 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$12.00 |
$12.00 |
$12.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$37.20 |
$37.20 |
$37.20 |
$55.00
|
|
Urinalysis (without microscopy)
|
$30.60 |
$30.60 |
$30.60 |
$35.75
|
|
Urine Culture Test
|
$71.40 |
$71.40 |
$71.40 |
$81.50
|
|
Urine pregnancy test
|
$51.60 |
$51.60 |
$51.60 |
$67.20
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$18,313.80 |
$18,313.80 |
$18,313.80 |
$5,184.34
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$62,967.24 |
$62,967.24 |
$62,967.24 |
$51,633.07
|
|
Vaccine dtap < 7 years im
|
$62.88 |
$62.88 |
$62.88 |
$68.19
|
|
Vaccine dtap-ipv 4-6 years im
|
$133.44 |
$133.44 |
$133.44 |
$105.95
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$330.84 |
$330.84 |
$330.84 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$0.06 |
$0.06 |
$0.06 |
$75.39
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$503.70 |
$503.70 |
$503.70 |
$400.03
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$354.18 |
$354.18 |
$354.18 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$208.14 |
$208.14 |
$208.14 |
$211.68
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$583.26 |
$583.26 |
$583.26 |
$563.36
|
|
Vaccine tdap >=7 years im
|
$103.56 |
$103.56 |
$103.56 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$89.76 |
$89.76 |
$89.76 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$408.06 |
$408.06 |
$408.06 |
$365.17
|
|
Vad univ batt charger hm 1440
|
$16,007.74 |
$16,007.74 |
$16,007.74 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$31.62 |
$31.62 |
$31.62 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$67.80 |
$67.80 |
$67.80 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$958.80 |
$958.80 |
$958.80 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$90.72 |
$90.72 |
$90.72 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$120.00 |
$120.00 |
$120.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$34.20 |
$34.20 |
$34.20 |
$86.80
|
|
Varus/valgus strap padded/li
|
$113.86 |
$113.86 |
$113.86 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$22.56 |
$22.56 |
$22.56 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$40,434.84 |
$40,434.84 |
$40,434.84 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,925.40 |
$1,925.40 |
$1,925.40 |
$202.80
|
|
Ventilator each subsequent day
|
$566.40 |
$566.40 |
$566.40 |
$1,204.00
|
|
Ventilator initial day
|
$639.00 |
$639.00 |
$639.00 |
$1,431.43
|
|
Very long chain fatty acids
|
$126.00 |
$126.00 |
$126.00 |
$139.88
|
|
Vest large holster
|
$1,180.90 |
$1,180.90 |
$1,180.90 |
$1,078.25
|
|
Virus isolation addl studies ea
|
$58.80 |
$58.80 |
$58.80 |
$77.50
|
|
Vital capacity test
|
$121.20 |
$121.20 |
$121.20 |
$170.00
|
|
Vitamin b-12
|
$77.40 |
$77.40 |
$77.40 |
$100.00
|
|
Vitamin D Test
|
$190.20 |
$190.20 |
$190.20 |
$132.00
|
|
Vkorc1 gene
|
$233.40 |
$233.40 |
$233.40 |
$176.80
|
|
Volume measurement urine timed
|
$27.60 |
$27.60 |
$27.60 |
$21.45
|
|
Warde 1003990 aldosterone
|
$197.40 |
$197.40 |
$197.40 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$53.40 |
$53.40 |
$53.40 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$98.40 |
$98.40 |
$98.40 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$45.00 |
$45.00 |
$45.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$30.60 |
$30.60 |
$30.60 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$47.40 |
$47.40 |
$47.40 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$290.40 |
$290.40 |
$290.40 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$71.40 |
$71.40 |
$71.40 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$61.80 |
$61.80 |
$61.80 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$75.60 |
$75.60 |
$75.60 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$15.60 |
$15.60 |
$15.60 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$111.60 |
$111.60 |
$111.60 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$229.20 |
$229.20 |
$229.20 |
$218.40
|
|
Warde 3400852 arsenic
|
$137.40 |
$137.40 |
$137.40 |
$100.88
|
|
Warde 3708165 mercury urine
|
$31.80 |
$31.80 |
$31.80 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$47.40 |
$47.40 |
$47.40 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$66.00 |
$66.00 |
$66.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$91.80 |
$91.80 |
$91.80 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$150.60 |
$150.60 |
$150.60 |
$151.20
|
|
Warde aldolase
|
$57.00 |
$57.00 |
$57.00 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$99.60 |
$99.60 |
$99.60 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$200.40 |
$200.40 |
$200.40 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$264.00 |
$264.00 |
$264.00 |
$368.00
|
