|
Ultrasound scrotum and contents
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$891.00 |
$891.00 |
$891.00 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$567.44
|
|
Unlisted chemotherapy px
|
$421.00 |
$421.00 |
$421.00 |
$153.85
|
|
Unlisted transfusion med px
|
$350.35 |
$350.35 |
$350.35 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$3,161.00 |
$3,161.00 |
$3,161.00 |
$1,469.76
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$7,374.00 |
$7,374.00 |
$7,374.00 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,863.86 |
$5,863.86 |
$5,863.86 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,994.00 |
$3,994.00 |
$3,994.00 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$1,656.60
|
|
Urea nitrogen
|
$96.00 |
$96.00 |
$96.00 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$85.00 |
$85.00 |
$85.00 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$574.40
|
|
Urethrocystography void s&i
|
$823.00 |
$823.00 |
$823.00 |
$634.50
|
|
Uric acid blood
|
$58.00 |
$58.00 |
$58.00 |
$46.64
|
|
Uric acid urine
|
$100.00 |
$100.00 |
$100.00 |
$46.75
|
|
Urinalysis microscopic only
|
$71.00 |
$71.00 |
$71.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$74.00 |
$74.00 |
$74.00 |
$48.14
|
|
Urinalysis (without microscopy)
|
$162.00 |
$162.00 |
$162.00 |
$38.99
|
|
Urine Culture Test
|
$178.00 |
$178.00 |
$178.00 |
$84.81
|
|
Urine pregnancy test
|
$120.00 |
$120.00 |
$120.00 |
$66.40
|
|
Urography, antegrade
|
$878.00 |
$878.00 |
$878.00 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$24,642.68 |
$24,642.68 |
$24,642.68 |
$5,521.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$135.21 |
$135.21 |
$135.21 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$366.53 |
$366.53 |
$366.53 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$193.68 |
$193.68 |
$193.68 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$848.86 |
$848.86 |
$848.86 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$258.42 |
$258.42 |
$258.42 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$121.20 |
$121.20 |
$121.20 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$83.91 |
$83.91 |
$83.91 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$72.71 |
$72.71 |
$72.71 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$132.36 |
$132.36 |
$132.36 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$487.00 |
$487.00 |
$487.00 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$470.42 |
$470.42 |
$470.42 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$334.43 |
$334.43 |
$334.43 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$683.33 |
$683.33 |
$683.33 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$182.87 |
$182.87 |
$182.87 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$152.64 |
$152.64 |
$152.64 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$188.00 |
$188.00 |
$188.00 |
$115.00
|
|
Vancomycin hcl injection
|
$284.79 |
$284.79 |
$284.79 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$122.00 |
$122.00 |
$122.00 |
$126.79
|
|
Varicella zoster antibody igg
|
$98.00 |
$98.00 |
$98.00 |
$82.55
|
|
Vasectomy
|
$11,342.00 |
$11,342.00 |
$11,342.00 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$362.93 |
$362.93 |
$362.93 |
$362.93
|
|
Veeg intrmnt 2-12 hrs
|
$995.00 |
$995.00 |
$995.00 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$4,444.00 |
$4,444.00 |
$4,444.00 |
$1,411.20
|
|
Ventilator each subsequent day
|
$3,706.00 |
$3,706.00 |
$3,706.00 |
$1,305.92
|
|
Ventilator initial day
|
$4,375.00 |
$4,375.00 |
$4,375.00 |
$1,540.80
|
|
Version cephalic external
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$2,598.57
|
|
Vinblastine 1 mg/ml intravenous solution
|
$816.52 |
$816.52 |
$816.52 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$215.57 |
$215.57 |
$215.57 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$343.47 |
$343.47 |
$343.47 |
$226.75
|
|
Virus isolation addl studies ea
|
$249.00 |
$249.00 |
$249.00 |
$90.35
|
|
Visual audiometry (vra)
|
$874.00 |
$874.00 |
$874.00 |
$202.50
|
|
Vital capacity test
|
$229.00 |
$229.00 |
$229.00 |
$173.33
|
|
Vitamin b-12
|
$123.00 |
$123.00 |
$123.00 |
$94.90
|
|
Vitamin D Test
|
$208.00 |
$208.00 |
$208.00 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$463.40
|
|
Warde 1003990 aldosterone
|
$198.00 |
$198.00 |
$198.00 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$158.00 |
$158.00 |
$158.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$132.00 |
$132.00 |
$132.00 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$210.00 |
$210.00 |
$210.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$166.00 |
$166.00 |
$166.00 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$262.00 |
$262.00 |
$262.00 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$94.00 |
$94.00 |
$94.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$202.00 |
$202.00 |
$202.00 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$180.00 |
$180.00 |
$180.00 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$146.00 |
$146.00 |
$146.00 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$187.00 |
$187.00 |
$187.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$187.00 |
$187.00 |
$187.00 |
$78.57
|
|
Warde 3400852 arsenic
|
$248.00 |
$248.00 |
$248.00 |
$105.12
|
|
Warde 3708165 mercury urine
|
$150.00 |
$150.00 |
$150.00 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$105.00 |
$105.00 |
$105.00 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$206.00 |
$206.00 |
$206.00 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$446.00 |
$446.00 |
$446.00 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$94.00 |
$94.00 |
$94.00 |
$129.75
|
|
Warde aldolase
|
$73.00 |
$73.00 |
$73.00 |
$49.20
|
|
Warde analysis gene hfe common variants
|
$482.00 |
$482.00 |
$482.00 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$114.00 |
$114.00 |
$114.00 |
$142.65
|
|
Warde anti-mullerian hormone
|
$164.00 |
$164.00 |
$164.00 |
$93.28
|
|
Warde apolipoprotein b
|
$235.00 |
$235.00 |
$235.00 |
$64.28
|
|
Warde bile acids
|
$80.00 |
$80.00 |
$80.00 |
$64.28
|
|
Warde cadmium blood
|
$289.00 |
$289.00 |
$289.00 |
$77.00
|
|
Warde calcitonin
|
$146.00 |
$146.00 |
$146.00 |
$89.40
|
|
Warde calculus (stone) infrared
|
$64.00 |
$64.00 |
$64.00 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$45.00 |
$45.00 |
$45.00 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$300.00 |
$300.00 |
$300.00 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$208.00 |
$208.00 |
$208.00 |
$90.40
|
|
Warde complement total hemolytic
|
$168.00 |
$168.00 |
$168.00 |
$105.00
|
|
Warde copper
|
$109.00 |
$109.00 |
$109.00 |
$80.00
|
|
Warde cryoglobulin
|
$123.00 |
$123.00 |
$123.00 |
$43.45
|
|
Warde erythropoietin
|
$97.00 |
$97.00 |
$97.00 |
$90.35
|
|
Warde estrogen fractionated
|
$89.00 |
$89.00 |
$89.00 |
$112.18
|
|
Warde fluorescent antibody screen endomysial iga
|
$105.00 |
$105.00 |
$105.00 |
$48.57
|
|
Warde folic acid rbc
|
$133.00 |
$133.00 |
$133.00 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$66.00 |
$66.00 |
$66.00 |
$43.55
|
|
Warde gastrin
|
$119.00 |
$119.00 |
$119.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$87.00 |
$87.00 |
$87.00 |
$81.24
|
