|
Ultrasound ob >=14wks ea addl gest
|
$202.80 |
$202.80 |
$202.80 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$282.75 |
$282.75 |
$282.75 |
$304.80
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$803.40 |
$803.40 |
$803.40 |
$680.71
|
|
Ultrasound pregnant uterus follow up per fetus
|
$256.10 |
$256.10 |
$256.10 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$265.85 |
$265.85 |
$265.85 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$397.15 |
$397.15 |
$397.15 |
$477.10
|
|
Ultrasound prostate/transrectal
|
$525.85 |
$525.85 |
$525.85 |
$515.63
|
|
Ultrasound retroperitoneal limited
|
$424.45 |
$424.45 |
$424.45 |
$469.58
|
|
Ultrasound scrotum and contents
|
$481.00 |
$481.00 |
$481.00 |
$558.03
|
|
Ultrasound transabd ea addl gest
|
$443.95 |
$443.95 |
$443.95 |
$424.80
|
|
Ultrasound transvaginal non obstetric
|
$367.25 |
$367.25 |
$367.25 |
$523.20
|
|
Unlisted laparoscopic liver biopy 47379
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$6,307.38
|
|
Unlisted laparoscopic reduction intestine 44238
|
$2,303.60 |
$2,303.60 |
$2,303.60 |
$4,981.62
|
|
Unlisted laps px appendix
|
$1,652.30 |
$1,652.30 |
$1,652.30 |
$3,617.40
|
|
Unlisted px casting/strpg
|
$111.80 |
$111.80 |
$111.80 |
$223.45
|
|
Unlisted transfusion med px
|
$158.60 |
$158.60 |
$158.60 |
$113.36
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,583.10 |
$2,583.10 |
$2,583.10 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$1,794.00
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,895.10 |
$2,895.10 |
$2,895.10 |
$1,760.00
|
|
Upper Endoscopy (EGD, with biopsy)
|
$3,549.81 |
$3,549.81 |
$3,549.81 |
$1,760.00
|
|
Uppr gi scope w/submuc inj
|
$4,312.59 |
$4,312.59 |
$4,312.59 |
$1,247.13
|
|
Urea nitrogen
|
$33.80 |
$33.80 |
$33.80 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$74.75 |
$74.75 |
$74.75 |
$42.90
|
|
Urethrocystography void s&i
|
$601.25 |
$601.25 |
$601.25 |
$586.50
|
|
Uric acid blood
|
$41.60 |
$41.60 |
$41.60 |
$44.00
|
|
Uric acid urine
|
$92.95 |
$92.95 |
$92.95 |
$43.20
|
|
Urinalysis microscopic only
|
$37.05 |
$37.05 |
$37.05 |
$25.72
|
|
Urinalysis (with microscopy)
|
$53.95 |
$53.95 |
$53.95 |
$37.39
|
|
Urinalysis (without microscopy)
|
$35.10 |
$35.10 |
$35.10 |
$33.00
|
|
Urine Culture Test
|
$50.05 |
$50.05 |
$50.05 |
$63.84
|
|
Urine pregnancy test
|
$103.35 |
$103.35 |
$103.35 |
$57.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$9,179.72 |
$9,179.72 |
$9,179.72 |
$8,225.22
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$63,077.71 |
$63,077.71 |
$63,077.71 |
$89,537.92
|
|
Vaccine dtap < 7 years im
|
$123.67 |
$123.67 |
$123.67 |
$66.69
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$314.13 |
$314.13 |
$314.13 |
$162.07
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$124.04 |
$124.04 |
$124.04 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$361.15 |
$361.15 |
$361.15 |
$130.67
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$83.40 |
$83.40 |
$83.40 |
$47.38
|
|
Vaccine mmr live subcutaneous
|
$404.50 |
$404.50 |
$404.50 |
$222.36
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$494.67 |
$494.67 |
$494.67 |
$195.69
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,261.16 |
$1,261.16 |
$1,261.16 |
$579.50
|
|
Vaccine rabies im
|
$1,067.46 |
$1,067.46 |
$1,067.46 |
$800.00
|
|
Vaccine tdap >=7 years im
|
$206.30 |
$206.30 |
$206.30 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$187.65 |
$187.65 |
$187.65 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$808.52 |
$808.52 |
$808.52 |
$434.73
|
|
Valproic acid total therapeutic drug level
|
$189.15 |
$189.15 |
$189.15 |
$100.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$101.91 |
$101.91 |
$101.91 |
$112.14
|
|
Vancomycin 750 mg intravenous solution
|
$180.84 |
$180.84 |
$180.84 |
$187.24
|
|
Vancomycin peak therapeutic drug level
|
$102.70 |
$102.70 |
$102.70 |
$116.00
|
|
Varicella zoster antibody igg
|
$126.10 |
$126.10 |
$126.10 |
$90.35
|
|
Vasopressin 20 unit/ml intravenous solution
|
$444.07 |
$444.07 |
$444.07 |
$330.41
|
|
Vedolizumab 300 mg intravenous solution
|
$20,836.78 |
$20,836.78 |
$20,836.78 |
$22,019.50
|
|
Veeg intrmnt 2-12 hrs
|
$1,841.45 |
$1,841.45 |
$1,841.45 |
$870.22
|
|
Veeg unmon 2-12 hrs
|
$865.80 |
$865.80 |
$865.80 |
$778.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$39.65 |
$39.65 |
$39.65 |
$123.00
|
|
Ventilator each subsequent day
|
$906.75 |
$906.75 |
$906.75 |
$1,138.50
|
|
Ventilator initial day
|
$724.75 |
$724.75 |
$724.75 |
$1,331.00
|
|
Very long chain fatty acids
|
$141.05 |
$141.05 |
$141.05 |
$157.30
|
|
Virus isolation addl studies ea
|
$55.25 |
$55.25 |
$55.25 |
$90.35
|
|
Vitamin b-12
|
$52.65 |
$52.65 |
$52.65 |
$89.70
|
|
Vitamin D Test
|
$109.85 |
$109.85 |
$109.85 |
$132.60
|
|
Voiding pressure study/intra-abd 51797
|
$363.35 |
$363.35 |
$363.35 |
$510.25
|
|
Volume measurement urine timed
|
$14.30 |
$14.30 |
$14.30 |
$17.40
|
|
Vonvendi inj 1 iu vwf:rco
|
$5,855.85 |
$5,855.85 |
$5,855.85 |
$1.85
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$309.44 |
$309.44 |
$309.44 |
$59.11
|
|
Warde 1003990 aldosterone
|
$253.50 |
$253.50 |
$253.50 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$218.40 |
$218.40 |
$218.40 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$102.70 |
$102.70 |
$102.70 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$216.45 |
$216.45 |
$216.45 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$113.75 |
$113.75 |
$113.75 |
$83.06
|
|
Warde 1015200 kappa light chain free
|
$105.30 |
$105.30 |
$105.30 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$67.60 |
$67.60 |
$67.60 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$131.30 |
$131.30 |
$131.30 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$81.25 |
$81.25 |
$81.25 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$82.55 |
$82.55 |
$82.55 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$106.60 |
$106.60 |
$106.60 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$83.20 |
$83.20 |
$83.20 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$50.05 |
$50.05 |
$50.05 |
$79.30
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$284.70 |
$284.70 |
$284.70 |
$250.90
|
|
Warde 3400852 arsenic
|
$170.30 |
$170.30 |
$170.30 |
$107.38
|
|
Warde 3708165 mercury urine
|
$108.55 |
$108.55 |
$108.55 |
$82.20
|
|
Warde acetylcholine receptor blocking antibody
|
$180.70 |
$180.70 |
$180.70 |
$82.55
|
|
Warde actin (smooth muscle) antibody each
|
$94.25 |
$94.25 |
$94.25 |
$52.80
|
|
Warde adenosine deaminase pleural fluid
|
$122.20 |
$122.20 |
$122.20 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$232.70 |
$232.70 |
$232.70 |
$147.55
|
|
Warde aldolase
|
$101.40 |
$101.40 |
$101.40 |
$60.00
|
|
Warde amino acids 6 or more quantitative each specimen
|
$289.90 |
$289.90 |
$289.90 |
$177.60
|
|
Warde amiodarone therapeutic drug level
|
$159.90 |
$159.90 |
$159.90 |
$83.85
|
|
Warde analysis gene hfe common variants
|
$332.15 |
$332.15 |
$332.15 |
$284.70
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$527.80 |
$527.80 |
$527.80 |
$403.20
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$120.90 |
$120.90 |
$120.90 |
$126.43
|
|
Warde anti-mullerian hormone
|
$90.35 |
$90.35 |
$90.35 |
$94.40
|
|
Warde apolipoprotein b
|
$130.65 |
$130.65 |
$130.65 |
$80.60
|
|
Warde bile acids
|
$66.95 |
$66.95 |
$66.95 |
$76.70
|
|
Warde cadmium blood
|
$95.55 |
$95.55 |
$95.55 |
$79.20
|
|
Warde calcitonin
|
$195.65 |
$195.65 |
$195.65 |
$120.25
|
|
Warde calculus (stone) infrared
|
$78.65 |
$78.65 |
$78.65 |
$67.50
|
|
Warde clozapine therapeutic drug level
|
$87.10 |
$87.10 |
$87.10 |
$71.20
|
|
Warde cobalt heavy metal quantitative each nes
|
$117.65 |
$117.65 |
$117.65 |
$126.08
|
|
Warde collagen cross links c-telopeptide
|
$139.75 |
$139.75 |
$139.75 |
$94.80
|