|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$247.20 |
$247.20 |
$247.20 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$106.80 |
$106.80 |
$106.80 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$124.80 |
$124.80 |
$124.80 |
$381.60
|
|
Upper GI Barium X-ray (barium and gas)
|
$464.40 |
$464.40 |
$464.40 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$393.00 |
$393.00 |
$393.00 |
$607.20
|
|
Urea nitrogen
|
$3.00 |
$3.00 |
$3.00 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$16.20 |
$16.20 |
$16.20 |
$51.84
|
|
Urea nitrogen clearance
|
$19.20 |
$19.20 |
$19.20 |
$34.02
|
|
Urethrcystgrphy rtrgrde s&i
|
$0.60 |
$0.60 |
$0.60 |
$584.00
|
|
Urethrocystography void s&i
|
$0.60 |
$0.60 |
$0.60 |
$634.50
|
|
Uric acid blood
|
$3.00 |
$3.00 |
$3.00 |
$49.32
|
|
Uric acid urine
|
$16.20 |
$16.20 |
$16.20 |
$44.52
|
|
Urinalysis microscopic only
|
$7.80 |
$7.80 |
$7.80 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$14.40 |
$14.40 |
$14.40 |
$25.72
|
|
Urinalysis (with microscopy)
|
$14.40 |
$14.40 |
$14.40 |
$55.20
|
|
Urinalysis (without microscopy)
|
$6.00 |
$6.00 |
$6.00 |
$35.91
|
|
Urine Culture Test
|
$32.40 |
$32.40 |
$32.40 |
$82.32
|
|
Urine pregnancy test
|
$16.20 |
$16.20 |
$16.20 |
$68.21
|
|
Urography, antegrade
|
$0.60 |
$0.60 |
$0.60 |
$622.35
|
|
Use 1st target lesion
|
$321.60 |
$321.60 |
$321.60 |
$332.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$246.60 |
$246.60 |
$246.60 |
$51,633.07
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$115.80 |
$115.80 |
$115.80 |
$224.25
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$11.40 |
$11.40 |
$11.40 |
$43.12
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$297.00 |
$297.00 |
$297.00 |
$576.48
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$98.40 |
$98.40 |
$98.40 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$25.20 |
$25.20 |
$25.20 |
$82.71
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$156.60 |
$156.60 |
$156.60 |
$394.26
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$127.80 |
$127.80 |
$127.80 |
$327.37
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$270.60 |
$270.60 |
$270.60 |
$563.36
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$327.00 |
$327.00 |
$327.00 |
$538.84
|
|
Vaccine varicella live subcutaneous
|
$162.00 |
$162.00 |
$162.00 |
$365.17
|
|
Vaginal Delivery (full care)
|
$4,624.20 |
$4,624.20 |
$4,624.20 |
$4,184.00
|
|
Valproic acid total therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$115.00
|
|
Valvuloplasty aortic
|
$0.60 |
$0.60 |
$0.60 |
$7,944.16
|
|
Valvuloplasty mitral
|
$0.60 |
$0.60 |
$0.60 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$0.60 |
$0.60 |
$0.60 |
$11,945.20
|
|
Vancomycin hcl injection
|
$33.60 |
$33.60 |
$33.60 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$135.60
|
|
Varicella zoster antibody igg
|
$32.40 |
$32.40 |
$32.40 |
$86.80
|
|
Varicella-zoster immue globin im
|
$1,567.20 |
$1,567.20 |
$1,567.20 |
$3,816.19
|
|
Vein x-ray adrenal gland
|
$0.60 |
$0.60 |
$0.60 |
$2,833.34
|
|
Vein x-ray adrenal glands
|
$0.60 |
$0.60 |
$0.60 |
$3,480.10
|
|
Vein x-ray eye socket
|
$0.60 |
$0.60 |
$0.60 |
$1,438.32
|
|
Vein x-ray kidney
|
$0.60 |
$0.60 |
$0.60 |
$2,870.00
|
|
Vein x-ray liver
|
$0.60 |
$0.60 |
$0.60 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$0.60 |
$0.60 |
$0.60 |
$3,619.84
|
|
Vein x-ray liver w/hemodynam
|
$0.60 |
$0.60 |
$0.60 |
$3,683.90
|
|
Vein x-ray skull
|
$0.60 |
$0.60 |
$0.60 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$0.60 |
$0.60 |
$0.60 |
$1,596.00
|
|
Venogram ext bil s&i
|
$0.60 |
$0.60 |
$0.60 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$0.60 |
$0.60 |
$0.60 |
$1,382.58
|
|
Venous mech thrombectomy
|
$0.60 |
$0.60 |
$0.60 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$0.60 |
$0.60 |
$0.60 |
$5,110.00
|
|
Venous sampling s&i
|
$0.60 |
$0.60 |
$0.60 |
$4,200.00
|
|
Ventilator each subsequent day
|
$478.20 |
$478.20 |
$478.20 |
$1,178.74
|
|
Ventilator Management (first day)
|
$478.20 |
$478.20 |
$478.20 |
$1,434.60
|
|
Version cephalic external
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$2,361.75
|
|
Very long chain fatty acids
|
$194.40 |
$194.40 |
$194.40 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$500.40 |
$500.40 |
$500.40 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$3.60 |
$3.60 |
$3.60 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$10.80 |
$10.80 |
$10.80 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$9.60 |
$9.60 |
$9.60 |
$223.55
|
|
Virus isolation addl studies ea
|
$40.20 |
$40.20 |
$40.20 |
$77.60
|
|
Visc & infraren abd 1 prosth
|
$0.60 |
$0.60 |
$0.60 |
$7,571.20
|
|
Visc & infraren abd 2 prosth
|
$0.60 |
$0.60 |
$0.60 |
$8,957.30
|
|
Vital capacity test
|
$28.20 |
$28.20 |
$28.20 |
$173.18
|
|
Vitamin b-12
|
$24.00 |
$24.00 |
$24.00 |
$100.20
|
|
Vitamin D Test
|
$24.00 |
$24.00 |
$24.00 |
$132.60
|
|
Vol reduction of blood/prod
|
$32.40 |
$32.40 |
$32.40 |
$172.78
|
|
Volume measurement urine timed
|
$3.00 |
$3.00 |
$3.00 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$45.60 |
$45.60 |
$45.60 |
$87.50
|
|
Warde 1003990 aldosterone
|
$40.20 |
$40.20 |
$40.20 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$48.60 |
$48.60 |
$48.60 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$145.80 |
$145.80 |
$145.80 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$48.60 |
$48.60 |
$48.60 |
$70.85
|
|
Warde 3004000 immunoglobulin subclass 1
|
$24.00 |
$24.00 |
$24.00 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$40.20 |
$40.20 |
$40.20 |
$108.50
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$24.00 |
$24.00 |
$24.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$64.80 |
$64.80 |
$64.80 |
$62.50
|
|
Warde 3400852 arsenic
|
$64.80 |
$64.80 |
$64.80 |
$101.00
|
|
Warde 3708165 mercury urine
|
$40.20 |
$40.20 |
$40.20 |
$71.76
|
|
Warde actin (smooth muscle) antibody each
|
$24.00 |
$24.00 |
$24.00 |
$42.18
|
|
Warde adenosine deaminase pleural fluid
|
$40.20 |
$40.20 |
$40.20 |
$88.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$48.60 |
$48.60 |
$48.60 |
$160.59
|
|
Warde aldolase
|
$24.00 |
$24.00 |
$24.00 |
$54.12
|
|
Warde amino acids 6 or more quantitative each specimen
|
$243.60 |
$243.60 |
$243.60 |
$196.60
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$194.40 |
$194.40 |
$194.40 |
$368.00
|
|
Warde apolipoprotein b
|
$24.00 |
$24.00 |
$24.00 |
$62.00
|
|
Warde bile acids
|
$40.20 |
$40.20 |
$40.20 |
$64.28
|
|
Warde cadmium blood
|
$64.80 |
$64.80 |
$64.80 |
$76.70
|
|
Warde calcitonin
|
$48.60 |
$48.60 |
$48.60 |
$101.40
|
|
Warde calculus (stone) infrared
|
$64.80 |
$64.80 |
$64.80 |
$60.00
|
|
Warde clozapine therapeutic drug level
|
$48.60 |
$48.60 |
$48.60 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$48.60 |
$48.60 |
$48.60 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$40.20 |
$40.20 |
$40.20 |
$96.85
|
|
Warde complement total hemolytic
|
$40.20 |
$40.20 |
$40.20 |
$105.00
|
|
Warde copper
|
$40.20 |
$40.20 |
$40.20 |
$80.00
|
|
Warde cryoglobulin
|
$22.20 |
$22.20 |
$22.20 |
$50.70
|
|
Warde erythropoietin
|
$24.00 |
$24.00 |
$24.00 |
$91.80
|
