|
Transcatheter bx s&i
|
$29,057.45 |
$29,057.45 |
$29,057.45 |
$1,915.00
|
|
Transferrin
|
$258.75 |
$258.75 |
$517.70 |
$82.00
|
|
Transfusion blood/blood component(s)
|
$1,564.25 |
$1,564.25 |
$1,564.25 |
$983.00
|
|
Trastuzumab 150 mg intravenous solution
|
$252.53 |
$252.53 |
$252.53 |
$3,141.85
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$681.18 |
$681.18 |
$681.18 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$340.60 |
$340.60 |
$340.60 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$478.82 |
$478.82 |
$478.82 |
$203.35
|
|
Treatment radiation delivery level 2
|
$5,038.70 |
$5,038.70 |
$5,038.70 |
$767.65
|
|
Trg gene rearrangement anal
|
$901.50 |
$901.50 |
$2,127.45 |
$455.70
|
|
Trh stimulation panel
|
$205.00 |
$205.00 |
$404.55 |
$117.75
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$128.53 |
$128.53 |
$128.53 |
$43.21
|
|
Trichinella antibody
|
$864.50 |
$864.50 |
$1,732.94 |
$70.20
|
|
Trimethobenzamide hcl inj
|
$88.50 |
$88.50 |
$94.50 |
$117.49
|
|
Troponin quantitative
|
$484.00 |
$484.00 |
$936.53 |
$127.20
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$1,059.75 |
$1,059.75 |
$1,059.75 |
$469.50
|
|
Ultrasound joint complete left
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$556.14
|
|
Ultrasound prostate/transrectal
|
$1,268.50 |
$1,268.50 |
$1,268.50 |
$557.40
|
|
Ultrasound transvaginal non obstetric
|
$582.00 |
$582.00 |
$582.00 |
$558.35
|
|
Unlisted neurological dx px
|
$762.92 |
$762.92 |
$762.92 |
$242.50
|
|
Upper ext fx orthosis rad/ul
|
$3,608.00 |
$3,608.00 |
$3,608.00 |
$619.49
|
|
Urea nitrogen 24 hour urine
|
$48.25 |
$48.25 |
$254.91 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$617.00 |
$617.00 |
$617.00 |
$579.73
|
|
Uric acid blood
|
$48.25 |
$48.25 |
$407.71 |
$48.75
|
|
Uric acid urine
|
$201.00 |
$201.00 |
$407.71 |
$44.33
|
|
Urinalysis microscopic only
|
$109.50 |
$109.50 |
$215.22 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$58.75 |
$58.75 |
$58.75 |
$25.72
|
|
Urinalysis (with microscopy)
|
$159.50 |
$159.50 |
$431.10 |
$55.00
|
|
Urine Culture Test
|
$168.00 |
$168.00 |
$797.99 |
$81.50
|
|
Urine pregnancy test
|
$69.75 |
$69.75 |
$407.71 |
$67.20
|
|
Vaccine dtap < 7 years im
|
$101.47 |
$101.47 |
$101.47 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$281.25 |
$281.25 |
$281.26 |
$164.63
|
|
Vaccine dtap-ipv/hib im
|
$135.23 |
$135.23 |
$135.23 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$91.15 |
$91.15 |
$91.15 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$136.67 |
$136.67 |
$264.75 |
$166.62
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$108.40 |
$108.40 |
$135.81 |
$79.15
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$116.94 |
$116.94 |
$813.00 |
$155.16
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$101.66 |
$101.66 |
$111.48 |
$75.39
|
|
Vaccine influenza nos 0.5ml dose im
|
$93.50 |
$93.50 |
$94.19 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$93.45 |
$93.45 |
$93.45 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$97.81 |
$97.81 |
$97.81 |
$33.60
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$207.56 |
$207.56 |
$207.56 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$223.29 |
$223.29 |
$223.29 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$180.12 |
$180.12 |
$180.12 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$177.38 |
$177.38 |
$177.38 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$190.40 |
$190.40 |
$190.40 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$127.29 |
$127.29 |
$225.58 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$95.93 |
$95.93 |
$95.93 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$275.55 |
$275.55 |
$275.55 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$314.33 |
$314.33 |
$314.33 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$110.00 |
$110.00 |
$168.00 |
$90.70
|
|
Vaccine rabies im
|
$648.00 |
$648.00 |
$952.18 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,665.09 |
$1,665.09 |
$1,665.09 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,665.09 |
$1,665.09 |
$1,665.09 |
$997.44
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$90.34 |
$90.34 |
$90.34 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$104.39 |
$104.39 |
$111.55 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$319.00 |
$319.00 |
$319.08 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$239.20 |
$239.20 |
$239.20 |
$365.17
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$92.57 |
$92.57 |
$92.57 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$139.50 |
$139.50 |
$714.98 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$310.75 |
$310.75 |
$622.44 |
$136.13
|
|
Vasopressin 20 unit/ml intravenous solution
|
$254.85 |
$254.85 |
$254.85 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$28,616.07 |
$28,616.07 |
$28,616.07 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$5,641.12 |
$5,641.12 |
$5,641.12 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$18,913.66 |
$18,913.66 |
$18,913.66 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$18,913.66 |
$18,913.66 |
$18,913.66 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$18,913.66 |
$18,913.66 |
$18,913.66 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$5,641.12 |
$5,641.12 |
$5,641.12 |
$826.15
|
|
Vein x-ray adrenal glands
|
$28,321.30 |
$28,321.30 |
$28,321.30 |
$3,935.00
|
|
Vein x-ray liver
|
$24,550.83 |
$24,550.83 |
$24,550.83 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$29,600.40 |
$29,600.40 |
$29,600.40 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$28,841.38 |
$28,841.38 |
$28,841.38 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$28,922.65 |
$28,922.65 |
$28,922.65 |
$2,452.80
|
|
Vein x-ray skull
|
$35,729.22 |
$35,729.22 |
$35,729.22 |
$2,141.00
|
|
Vein x-ray skull epidural
|
$35,729.22 |
$35,729.22 |
$35,729.22 |
$1,746.50
|
|
Vein x-ray spleen/liver
|
$29,600.40 |
$29,600.40 |
$29,600.40 |
$3,427.50
|
|
Venogram ext bil s&i
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$1,797.50
|
|
Venous sampling s&i
|
$16,870.22 |
$16,870.22 |
$16,870.22 |
$4,193.20
|
|
Verteporfin injection
|
$6,073.80 |
$6,073.80 |
$6,073.80 |
$3,077.48
|
|
Vinblastine 1 mg/ml intravenous solution
|
$84.31 |
$84.31 |
$84.31 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$91.72 |
$91.72 |
$91.72 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$114.32 |
$114.32 |
$114.32 |
$223.55
|
|
Vital capacity test
|
$440.25 |
$440.25 |
$1,033.48 |
$170.00
|
|
Vitamin b-12
|
$145.25 |
$145.25 |
$362.23 |
$100.00
|
|
Volume measurement urine timed
|
$45.25 |
$45.25 |
$92.03 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$162.76 |
$162.76 |
$162.76 |
$165.81
|
|
Warde 1005020 citrate 24 hour urine
|
$177.00 |
$177.00 |
$359.07 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$860.50 |
$860.50 |
$1,724.48 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$858.75 |
$858.75 |
$858.75 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$687.50 |
$687.50 |
$1,374.41 |
$70.85
|
|
Warde 3008005 oligoclonal bands
|
$599.25 |
$599.25 |
$1,203.60 |
$107.97
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$514.00 |
$514.00 |
$514.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$123.50 |
$123.50 |
$699.11 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$1,025.91 |
$1,025.91 |
$1,025.91 |
$72.50
|
|
Warde acetylcholine receptor blocking antibody
|
$555.50 |
$555.50 |
$555.50 |
$75.00
|
|
Warde adenosine deaminase pleural fluid
|
$612.25 |
$612.25 |
$1,329.88 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$646.22 |
$646.22 |
$1,055.75 |
$151.20
|
|
Warde aldolase
|
$217.50 |
$217.50 |
$435.02 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$707.04 |
$707.04 |
$707.04 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$3,294.00 |
$3,294.00 |
$7,197.82 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$364.50 |
$364.50 |
$1,460.93 |
$368.00
|
