|
Upgrade pm system
|
$9,864.72 |
$9,864.72 |
$9,864.72 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$207.79 |
$207.79 |
$207.79 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$431.81 |
$431.81 |
$431.81 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$912.00 |
$912.00 |
$912.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$729.74 |
$729.74 |
$729.74 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$547.30 |
$547.30 |
$547.30 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$207.79 |
$207.79 |
$207.79 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$138.43 |
$138.43 |
$138.43 |
$381.60
|
|
Upper ext fx orthosis rad/ul
|
$644.11 |
$644.11 |
$644.11 |
$619.49
|
|
Upper GI Barium X-ray (barium and gas)
|
$207.79 |
$207.79 |
$207.79 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$207.98 |
$207.98 |
$207.98 |
$607.20
|
|
Urea nitrogen
|
$88.51 |
$88.51 |
$88.51 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$36.19 |
$36.19 |
$36.19 |
$51.84
|
|
Ureteral embolization/occl
|
$2,079.31 |
$2,079.31 |
$2,079.31 |
$2,079.31
|
|
Ureteral reflux study
|
$597.46 |
$597.46 |
$597.46 |
$952.50
|
|
Urethrocystography void s&i
|
$416.02 |
$416.02 |
$416.02 |
$634.50
|
|
Uric acid blood
|
$25.73 |
$25.73 |
$25.73 |
$49.32
|
|
Uric acid urine
|
$36.19 |
$36.19 |
$36.19 |
$44.52
|
|
Urinalysis microscopic only
|
$37.82 |
$37.82 |
$37.82 |
$26.35
|
|
Urinalysis (with microscopy)
|
$79.78 |
$79.78 |
$79.78 |
$55.20
|
|
Urinalysis (without microscopy)
|
$42.48 |
$42.48 |
$42.48 |
$35.91
|
|
Urinary reflex study
|
$354.14 |
$354.14 |
$354.14 |
$216.05
|
|
Urine Culture Test
|
$35.42 |
$35.42 |
$35.42 |
$82.32
|
|
Urine flow measurement 51736
|
$68.83 |
$68.83 |
$68.83 |
$210.00
|
|
Urine pregnancy test
|
$56.21 |
$56.21 |
$56.21 |
$68.21
|
|
Urography, antegrade
|
$831.70 |
$831.70 |
$831.70 |
$622.35
|
|
Urography inf drip &/or bolus
|
$277.34 |
$277.34 |
$277.34 |
$642.50
|
|
Use 1st target lesion
|
$238.70 |
$238.70 |
$238.70 |
$332.00
|
|
User adjustable heel height
|
$3,274.90 |
$3,274.90 |
$3,274.90 |
$2,004.80
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$5,717.43 |
$5,717.43 |
$5,717.43 |
$5,205.00
|
|
Vaccine Administration (one shot)
|
$34.08 |
$34.08 |
$34.08 |
$67.74
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$290.49 |
$290.49 |
$290.49 |
$224.25
|
|
Vaccine dtap < 7 years im
|
$61.00 |
$61.00 |
$61.00 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$138.56 |
$138.56 |
$138.56 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$92.05 |
$92.05 |
$92.05 |
$105.95
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$71.62 |
$71.62 |
$71.62 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$44.26 |
$44.26 |
$44.26 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$142.82 |
$142.82 |
$142.82 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$199.30 |
$199.30 |
$199.30 |
$231.56
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$216.32 |
$216.32 |
$216.32 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$258.44 |
$258.44 |
$258.44 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$56.76 |
$56.76 |
$56.76 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$379.34 |
$379.34 |
$379.34 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$544.93 |
$544.93 |
$544.93 |
$282.50
|
|
Vaccine influenza inactivated adjuvant im
|
$58.22 |
$58.22 |
$58.22 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$81.63 |
$81.63 |
$81.63 |
$48.59
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$307.09 |
$307.09 |
$307.09 |
$394.26
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$277.19 |
$277.19 |
$277.19 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$185.30 |
$185.30 |
$185.30 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$216.74 |
$216.74 |
$216.74 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$382.87 |
$382.87 |
$382.87 |
$393.25
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$434.66 |
$434.66 |
$434.66 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$98.21 |
$98.21 |
$98.21 |
$90.70
|
|
Vaccine rabies im
|
$551.81 |
$551.81 |
$551.81 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$517.14 |
$517.14 |
$517.14 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$977.19 |
$977.19 |
$977.19 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$977.19 |
$977.19 |
$977.19 |
$997.44
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$193.51 |
$193.51 |
$193.51 |
$200.70
|
|
Vaccine tdap >=7 years im
|
$106.16 |
$106.16 |
$106.16 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$94.26 |
$94.26 |
$94.26 |
$112.10
|
|
Vaccine typhoid vicps im
|
$265.87 |
$265.87 |
$265.87 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$343.37 |
$343.37 |
$343.37 |
$365.17
|
|
Vaccine yellow fever live subcutaneous
|
$142.63 |
$142.63 |
$142.63 |
$418.46
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,932.00
|
|
Vad univ batt charger hm 1440
|
$12,228.48 |
$12,228.48 |
$12,228.48 |
$14,814.14
|
|
Vaginal bx
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$459.42
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$32.56 |
$32.56 |
$32.56 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$32.54 |
$32.54 |
$32.54 |
$115.00
|
|
Valrubicin injection
|
$3,121.85 |
$3,121.85 |
$3,121.85 |
$2,813.49
|
|
Valvuloplasty aortic
|
$9,595.39 |
$9,595.39 |
$9,595.39 |
$7,944.16
|
|
Valvuloplasty mitral
|
$10,966.18 |
$10,966.18 |
$10,966.18 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$10,966.18 |
$10,966.18 |
$10,966.18 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$376.73 |
$376.73 |
$376.73 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$369.91 |
$369.91 |
$369.91 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$40.90 |
$40.90 |
$40.90 |
$135.60
|
|
Varicella zoster antibody igg
|
$212.26 |
$212.26 |
$212.26 |
$86.80
|
|
Varus/valgus strap padded/li
|
$114.24 |
$114.24 |
$114.24 |
$114.24
|
|
Vasopressin 20 unit/ml intravenous solution
|
$233.69 |
$233.69 |
$233.69 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$12,147.88 |
$12,147.88 |
$12,147.88 |
$18,732.33
|
|
Vein x-ray adrenal gland
|
$2,947.68 |
$2,947.68 |
$2,947.68 |
$2,833.34
|
|
Vein x-ray eye socket
|
$364.32 |
$364.32 |
$364.32 |
$1,438.32
|
|
Vein x-ray kidney
|
$862.85 |
$862.85 |
$862.85 |
$2,870.00
|
|
Vein x-ray liver
|
$862.85 |
$862.85 |
$862.85 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$903.41 |
$903.41 |
$903.41 |
$3,619.84
|
|
Vein x-ray liver w/hemodynam
|
$862.85 |
$862.85 |
$862.85 |
$3,683.90
|
|
Vein x-ray liver without hemodyn
|
$862.85 |
$862.85 |
$862.85 |
$2,452.80
|
|
Vein x-ray skull
|
$1,294.22 |
$1,294.22 |
$1,294.22 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$1,219.06 |
$1,219.06 |
$1,219.06 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$1,727.52 |
$1,727.52 |
$1,727.52 |
$3,434.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$357.12 |
$357.12 |
$357.12 |
$197.04
|
|
Venipuncture <3 yrs other vein
|
$69.94 |
$69.94 |
$69.94 |
$62.40
|
|
Venogram ext bil s&i
|
$1,291.92 |
$1,291.92 |
$1,291.92 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$767.62 |
$767.62 |
$767.62 |
$1,382.58
|
|
Venous mech thrombectomy
|
$4,412.74 |
$4,412.74 |
$4,412.74 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$3,222.24 |
$3,222.24 |
$3,222.24 |
$5,110.00
|
|
Venous sampling s&i
|
$861.36 |
$861.36 |
$861.36 |
$4,200.00
|
|
Venous thrombosis imaging
|
$369.55 |
$369.55 |
$369.55 |
$697.20
|
|
Ven thrombosis images bilat
|
$740.21 |
$740.21 |
$740.21 |
$796.50
|
|
Ventilator each subsequent day
|
$1,178.74 |
$1,178.74 |
$1,178.74 |
$1,178.74
|
