|
Troponin quantitative
|
$89.60 |
$89.60 |
$89.60 |
$127.20
|
|
Tx closed hip disl traumatic without anes
|
$803.20 |
$803.20 |
$803.20 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$4,392.96 |
$4,392.96 |
$4,392.96 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$604.80 |
$604.80 |
$604.80 |
$535.60
|
|
Tx open dstl phlngl fx f/t internal fixation ea
|
$800.80 |
$800.80 |
$800.80 |
$4,468.55
|
|
Tx phalangeal shaft fx open prox/middle ea
|
$992.00 |
$992.00 |
$992.00 |
$4,499.12
|
|
Ua w/micro/comp poc
|
$8.32 |
$8.32 |
$8.32 |
$23.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$211.84 |
$211.84 |
$211.84 |
$394.20
|
|
Ultrasound breast complete
|
$148.48 |
$148.48 |
$148.48 |
$528.41
|
|
Ultrasound breast unilateral limited (both sides)
|
$148.48 |
$148.48 |
$148.48 |
$449.35
|
|
Ultrasound chest
|
$184.96 |
$184.96 |
$184.96 |
$460.85
|
|
Ultrasound exam k transpl w/doppler
|
$177.28 |
$177.28 |
$177.28 |
$573.54
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$184.96 |
$184.96 |
$184.96 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$42.40 |
$42.40 |
$42.40 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$145.92 |
$145.92 |
$145.92 |
$720.15
|
|
Ultrasound infant hips ltd without stress
|
$266.88 |
$266.88 |
$266.88 |
$311.25
|
|
Ultrasound joint/nonvascular extremity limited left
|
$160.00 |
$160.00 |
$160.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$200.96 |
$200.96 |
$200.96 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$192.32 |
$192.32 |
$192.32 |
$331.50
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$211.20 |
$211.20 |
$211.20 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$266.88 |
$266.88 |
$266.88 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$193.60 |
$193.60 |
$193.60 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$190.72 |
$190.72 |
$190.72 |
$486.50
|
|
Ultrasound scrotum and contents
|
$266.88 |
$266.88 |
$266.88 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$184.32 |
$184.32 |
$184.32 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$266.88 |
$266.88 |
$266.88 |
$558.35
|
|
Unlisted laparoscopic liver biopy 47379
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$5,419.00
|
|
Unlisted px male genital sys
|
$387.84 |
$387.84 |
$387.84 |
$343.55
|
|
Unlisted px pelvis/hip joint
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$3,118.44
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,093.76 |
$1,093.76 |
$1,093.76 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$846.72 |
$846.72 |
$846.72 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$836.48 |
$836.48 |
$836.48 |
$2,034.41
|
|
Upper Endoscopy (EGD, with biopsy)
|
$501.12 |
$501.12 |
$501.12 |
$1,768.00
|
|
Urea nitrogen
|
$24.32 |
$24.32 |
$24.32 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$16.64 |
$16.64 |
$16.64 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$297.28 |
$297.28 |
$297.28 |
$579.73
|
|
Urethrocystography void s&i
|
$297.28 |
$297.28 |
$297.28 |
$622.35
|
|
Uric acid blood
|
$24.32 |
$24.32 |
$24.32 |
$48.75
|
|
Uric acid urine
|
$23.68 |
$23.68 |
$23.68 |
$44.33
|
|
Urinalysis (with microscopy)
|
$35.20 |
$35.20 |
$35.20 |
$55.00
|
|
Urinalysis (without microscopy)
|
$20.16 |
$20.16 |
$20.16 |
$35.75
|
|
Urine Culture Test
|
$48.00 |
$48.00 |
$48.00 |
$81.50
|
|
Urine pregnancy test
|
$11.20 |
$11.20 |
$11.20 |
$67.20
|
|
Urography, antegrade
|
$297.60 |
$297.60 |
$297.60 |
$622.35
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$465.45 |
$465.45 |
$465.45 |
$224.25
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$491.51 |
$491.51 |
$491.51 |
$236.50
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$261.06 |
$261.06 |
$261.06 |
$155.16
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$98.90 |
$98.90 |
$98.90 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$24.32 |
$24.32 |
$24.32 |
$143.20
|
|
Vaccine influenza nos 0.5ml dose im
|
$277.89 |
$277.89 |
$277.89 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$77.01 |
$77.01 |
$77.01 |
$47.88
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$574.10 |
$574.10 |
$574.10 |
$310.93
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$427.14 |
$427.14 |
$427.14 |
$251.64
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$939.84 |
$939.84 |
$939.84 |
$563.36
|
|
Vaccine rabies im
|
$1,296.96 |
$1,296.96 |
$1,296.96 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,588.69 |
$1,588.69 |
$1,588.69 |
$1,104.47
|
|
Vaccine varicella live subcutaneous
|
$629.64 |
$629.64 |
$629.64 |
$365.17
|
|
Vaginal Delivery (full care)
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$4,263.60
|
|
Valproic acid total therapeutic drug level
|
$67.20 |
$67.20 |
$67.20 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$57.60 |
$57.60 |
$57.60 |
$136.13
|
|
Varicella zoster antibody igg
|
$26.88 |
$26.88 |
$26.88 |
$86.80
|
|
Vedolizumab 300 mg intravenous solution
|
$21,631.78 |
$21,631.78 |
$21,631.78 |
$18,732.33
|
|
Venogram ext bil s&i
|
$691.71 |
$691.71 |
$691.71 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$691.71 |
$691.71 |
$691.71 |
$1,366.20
|
|
Ventilator each subsequent day
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$1,431.43
|
|
Vital capacity test
|
$101.12 |
$101.12 |
$101.12 |
$170.00
|
|
Vitamin b-12
|
$40.32 |
$40.32 |
$40.32 |
$100.00
|
|
Vitamin D Test
|
$129.92 |
$129.92 |
$129.92 |
$132.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$457.00 |
$457.00 |
$457.00 |
$165.81
|
|
Warde 1003990 aldosterone
|
$112.00 |
$112.00 |
$112.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$236.80 |
$236.80 |
$236.80 |
$97.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$83.20 |
$83.20 |
$83.20 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$33.28 |
$33.28 |
$33.28 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$184.83 |
$184.83 |
$184.83 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$56.00 |
$56.00 |
$56.00 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$72.00 |
$72.00 |
$72.00 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$72.00 |
$72.00 |
$72.00 |
$69.12
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$38.40 |
$38.40 |
$38.40 |
$62.50
|
|
Warde 3400852 arsenic
|
$60.48 |
$60.48 |
$60.48 |
$100.88
|
|
Warde 3708165 mercury urine
|
$60.48 |
$60.48 |
$60.48 |
$71.50
|
|
Warde adrenocorticotropic hormone (acth)
|
$184.83 |
$184.83 |
$184.83 |
$151.20
|
|
Warde aldolase
|
$60.48 |
$60.48 |
$60.48 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$35.84 |
$35.84 |
$35.84 |
$53.95
|
|
Warde apolipoprotein b
|
$20.83 |
$20.83 |
$20.83 |
$61.75
|
|
Warde cadmium blood
|
$54.40 |
$54.40 |
$54.40 |
$76.50
|
|
Warde calcitonin
|
$72.38 |
$72.38 |
$72.38 |
$96.97
|
|
Warde calculus (stone) infrared
|
$33.28 |
$33.28 |
$33.28 |
$59.50
|
|
Warde cobalt heavy metal quantitative each nes
|
$104.96 |
$104.96 |
$104.96 |
$113.09
|
|
Warde copper
|
$76.80 |
$76.80 |
$76.80 |
$80.00
|
|
Warde cryoglobulin
|
$52.74 |
$52.74 |
$52.74 |
$50.35
|
|
Warde erythropoietin
|
$102.40 |
$102.40 |
$102.40 |
$90.36
|
|
Warde estrogen fractionated
|
$62.53 |
$62.53 |
$62.53 |
$98.15
|
|
Warde gastrin
|
$52.48 |
$52.48 |
$52.48 |
$73.60
|
|
Warde growth hormone (hgh)
|
$30.72 |
$30.72 |
$30.72 |
$77.55
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$105.60 |
$105.60 |
$105.60 |
$80.16
|
|
Warde hepatitis a antibody
|
$48.00 |
$48.00 |
$48.00 |
$83.40
|
|
Warde immunofixation electrophoresis urine
|
$38.40 |
$38.40 |
$38.40 |
$161.28
|
|
Warde lipoprotein (a)
|
$27.20 |
$27.20 |
$27.20 |
$67.00
|
|
Warde mitochondrial antibody each
|
$32.00 |
$32.00 |
$32.00 |
$59.28
|
