|
Ultrasound elastography parenchyma
|
$728.35 |
$728.35 |
$728.35 |
$313.95
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$858.35 |
$858.35 |
$858.35 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$842.20 |
$842.20 |
$842.20 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$308.50 |
$308.50 |
$308.50 |
$388.08
|
|
Ultrasound joint complete left
|
$759.80 |
$759.80 |
$759.80 |
$557.99
|
|
Ultrasound ob >=14wks ea addl gest
|
$858.35 |
$858.35 |
$858.35 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$665.45 |
$665.45 |
$665.45 |
$334.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$1,166.15 |
$1,166.15 |
$1,166.15 |
$698.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$665.45 |
$665.45 |
$665.45 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$858.35 |
$858.35 |
$858.35 |
$557.40
|
|
Ultraviolet therapy
|
$63.45 |
$63.45 |
$63.45 |
$39.76
|
|
Unlisted chemotherapy px
|
$153.85 |
$153.85 |
$153.85 |
$149.15
|
|
Unlisted ultrasound procedure
|
$540.90 |
$540.90 |
$540.90 |
$332.16
|
|
Upper Arm (Humerus) X-ray (left side)
|
$473.75 |
$473.75 |
$473.75 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$3,251.40 |
$3,251.40 |
$3,251.40 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,382.10 |
$1,382.10 |
$1,382.10 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,347.25 |
$3,347.25 |
$3,347.25 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,822.25 |
$2,822.25 |
$2,822.25 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,181.10 |
$2,181.10 |
$2,181.10 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$473.75 |
$473.75 |
$473.75 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$645.15 |
$645.15 |
$645.15 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$1,004.15 |
$1,004.15 |
$1,004.15 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$1,004.15 |
$1,004.15 |
$1,004.15 |
$607.20
|
|
Urea nitrogen
|
$89.10 |
$89.10 |
$89.10 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$94.50 |
$94.50 |
$94.50 |
$52.00
|
|
Urea nitrogen clearance
|
$107.95 |
$107.95 |
$107.95 |
$38.35
|
|
Ureteral reflux study
|
$2,411.90 |
$2,411.90 |
$2,411.90 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$554.70 |
$554.70 |
$554.70 |
$584.00
|
|
Urethrocystography void s&i
|
$584.45 |
$584.45 |
$584.45 |
$631.40
|
|
Uric acid blood
|
$93.15 |
$93.15 |
$93.15 |
$49.44
|
|
Uric acid urine
|
$101.95 |
$101.95 |
$101.95 |
$45.36
|
|
Urinalysis microscopic only
|
$79.25 |
$79.25 |
$79.25 |
$26.46
|
|
Urinalysis (with microscopy)
|
$82.35 |
$82.35 |
$82.35 |
$55.20
|
|
Urinalysis (without microscopy)
|
$75.60 |
$75.60 |
$75.60 |
$36.00
|
|
Urine Culture Test
|
$125.55 |
$125.55 |
$125.55 |
$83.00
|
|
Urine pregnancy test
|
$47.60 |
$47.60 |
$47.60 |
$68.78
|
|
Urography, antegrade
|
$533.10 |
$533.10 |
$533.10 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$5,579.35 |
$5,579.35 |
$5,579.35 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$76,732.48 |
$76,732.48 |
$76,732.48 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$39.10 |
$39.10 |
$39.10 |
$67.70
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$160.00 |
$160.00 |
$160.00 |
$224.25
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$355.38 |
$355.38 |
$355.38 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$148.55 |
$148.55 |
$148.55 |
$149.21
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$39.95 |
$39.95 |
$39.95 |
$48.59
|
|
Vaccine mmr live subcutaneous
|
$192.77 |
$192.77 |
$192.77 |
$213.00
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,003.53 |
$1,003.53 |
$1,003.53 |
$563.36
|
|
Vaccine td preservative free >= 7 years im
|
$489.67 |
$489.67 |
$489.67 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$370.55 |
$370.55 |
$370.55 |
$365.17
|
|
Valproic acid total therapeutic drug level
|
$171.45 |
$171.45 |
$171.45 |
$115.00
|
|
Vancomycin hcl injection
|
$413.06 |
$413.06 |
$413.06 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$171.45 |
$171.45 |
$171.45 |
$136.13
|
|
Varicella zoster antibody igg
|
$156.75 |
$156.75 |
$156.75 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$242.98 |
$242.98 |
$242.98 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$24,637.16 |
$24,637.16 |
$24,637.16 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$41.80 |
$41.80 |
$41.80 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$155.00 |
$155.00 |
$155.00 |
$67.00
|
|
Venogram ext bil s&i
|
$2,993.60 |
$2,993.60 |
$2,993.60 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,442.85 |
$1,442.85 |
$1,442.85 |
$1,382.58
|
|
Ventilator each subsequent day
|
$1,581.85 |
$1,581.85 |
$1,581.85 |
$1,184.00
|
|
Ventilator Management (first day)
|
$2,198.60 |
$2,198.60 |
$2,198.60 |
$1,434.60
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,257.55 |
$1,257.55 |
$1,257.55 |
$1,314.30
|
|
Version cephalic external
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$2,361.75
|
|
Very long chain fatty acids
|
$165.20 |
$165.20 |
$165.20 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$728.85 |
$728.85 |
$728.85 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$190.50 |
$190.50 |
$190.50 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$206.53 |
$206.53 |
$206.53 |
$87.15
|
|
Vital capacity test
|
$224.90 |
$224.90 |
$224.90 |
$173.18
|
|
Vitamin b-12
|
$182.25 |
$182.25 |
$182.25 |
$100.28
|
|
Vitamin D Test
|
$303.35 |
$303.35 |
$303.35 |
$132.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$213.67 |
$213.67 |
$213.67 |
$165.81
|
|
Walking (Gait) Training (each 15 minutes)
|
$125.55 |
$125.55 |
$125.55 |
$87.50
|
|
Warde 1003990 aldosterone
|
$314.95 |
$314.95 |
$314.95 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$223.45 |
$223.45 |
$223.45 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$140.25 |
$140.25 |
$140.25 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$228.20 |
$228.20 |
$228.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$156.90 |
$156.90 |
$156.90 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$123.75 |
$123.75 |
$123.75 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$68.00 |
$68.00 |
$68.00 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$160.60 |
$160.60 |
$160.60 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$135.50 |
$135.50 |
$135.50 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$136.65 |
$136.65 |
$136.65 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$112.90 |
$112.90 |
$112.90 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$160.60 |
$160.60 |
$160.60 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$180.85 |
$180.85 |
$180.85 |
$73.60
|
|
Warde 3400852 arsenic
|
$176.25 |
$176.25 |
$176.25 |
$101.00
|
|
Warde 3708165 mercury urine
|
$156.40 |
$156.40 |
$156.40 |
$71.60
|
|
Warde actin (smooth muscle) antibody each
|
$134.25 |
$134.25 |
$134.25 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$116.05 |
$116.05 |
$116.05 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$321.60 |
$321.60 |
$321.60 |
$156.40
|
|
Warde aldolase
|
$115.30 |
$115.30 |
$115.30 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$122.40 |
$122.40 |
$122.40 |
$200.16
|
|
Warde analysis gene hfe common variants
|
$1,052.75 |
$1,052.75 |
$1,052.75 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$746.40 |
$746.40 |
$746.40 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$326.80 |
$326.80 |
$326.80 |
$126.43
|
|
Warde anti-mullerian hormone
|
$256.70 |
$256.70 |
$256.70 |
$82.50
|
|
Warde apolipoprotein b
|
$155.65 |
$155.65 |
$155.65 |
$61.82
|
|
Warde bile acids
|
$168.80 |
$168.80 |
$168.80 |
$64.28
|
|
Warde cadmium blood
|
$198.50 |
$198.50 |
$198.50 |
$76.70
|
|
Warde calcitonin
|
$237.70 |
$237.70 |
$237.70 |
$101.40
|
|
Warde calculus (stone) infrared
|
$140.25 |
$140.25 |
$140.25 |
$59.52
|