|
Uric acid blood
|
$50.25 |
$50.25 |
$50.25 |
$48.96
|
|
Uric acid urine
|
$42.75 |
$42.75 |
$42.75 |
$44.14
|
|
Urinalysis (with microscopy)
|
$93.00 |
$93.00 |
$93.00 |
$54.60
|
|
Urinalysis (without microscopy)
|
$51.00 |
$51.00 |
$51.00 |
$35.15
|
|
Urine Culture Test
|
$126.00 |
$126.00 |
$126.00 |
$81.00
|
|
Urine pregnancy test
|
$65.25 |
$65.25 |
$65.25 |
$66.87
|
|
Urography, antegrade
|
$1,129.50 |
$1,129.50 |
$1,129.50 |
$622.35
|
|
Use 1st target lesion
|
$252.00 |
$252.00 |
$252.00 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$8,225.22 |
$8,225.22 |
$8,225.22 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$109,781.59 |
$109,781.59 |
$109,781.59 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$33.75 |
$33.75 |
$33.75 |
$67.74
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$368.25 |
$368.25 |
$368.25 |
$227.04
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$368.25 |
$368.25 |
$368.25 |
$211.89
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$331.50 |
$331.50 |
$331.50 |
$234.36
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$222.00 |
$222.00 |
$222.00 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$165.00 |
$165.00 |
$165.00 |
$80.15
|
|
Vaccine dtap < 7 years im
|
$62.25 |
$62.25 |
$62.25 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$233.91 |
$233.91 |
$233.91 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$129.00 |
$129.00 |
$129.00 |
$105.95
|
|
Vaccine dtap-ipv/hib im
|
$25.50 |
$25.50 |
$25.50 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$99.92 |
$99.92 |
$99.92 |
$72.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$67.50 |
$67.50 |
$67.50 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$241.96 |
$241.96 |
$241.96 |
$169.35
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$354.74 |
$354.74 |
$354.74 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$135.00 |
$135.00 |
$135.00 |
$80.28
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$54.75 |
$54.75 |
$54.75 |
$90.35
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$162.07 |
$162.07 |
$162.07 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$118.50 |
$118.50 |
$118.50 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$75.39 |
$75.39 |
$75.39 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,044.16 |
$1,044.16 |
$1,044.16 |
$562.20
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$599.25 |
$599.25 |
$599.25 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$52.50 |
$52.50 |
$52.50 |
$143.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$45.75 |
$45.75 |
$45.75 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$25.50 |
$25.50 |
$25.50 |
$28.77
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$46.50 |
$46.50 |
$46.50 |
$33.21
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$38.25 |
$38.25 |
$38.25 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$50.25 |
$50.25 |
$50.25 |
$72.00
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$89.25 |
$89.25 |
$89.25 |
$77.22
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$569.67 |
$569.67 |
$569.67 |
$387.95
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$194.25 |
$194.25 |
$194.25 |
$406.05
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$545.45 |
$545.45 |
$545.45 |
$323.39
|
|
Vaccine mmr live subcutaneous
|
$311.03 |
$311.03 |
$311.03 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$957.30 |
$957.30 |
$957.30 |
$466.88
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$401.34 |
$401.34 |
$401.34 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$793.01 |
$793.01 |
$793.01 |
$393.25
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$239.25 |
$239.25 |
$239.25 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$913.50 |
$913.50 |
$913.50 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$1,529.59 |
$1,529.59 |
$1,529.59 |
$90.70
|
|
Vaccine rabies im
|
$1,514.28 |
$1,514.28 |
$1,514.28 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$907.50 |
$907.50 |
$907.50 |
$521.74
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,568.25 |
$1,568.25 |
$1,568.25 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$980.10
|
|
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im
|
$994.50 |
$994.50 |
$994.50 |
$407.74
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$504.00 |
$504.00 |
$504.00 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$344.25 |
$344.25 |
$344.25 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$131.22 |
$131.22 |
$131.22 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$145.19 |
$145.19 |
$145.19 |
$110.19
|
|
Vaccine varicella live subcutaneous
|
$642.96 |
$642.96 |
$642.96 |
$364.16
|
|
Vaccine yellow fever live subcutaneous
|
$632.19 |
$632.19 |
$632.19 |
$418.46
|
|
Vacuum drain bottle/tube kit
|
$33.75 |
$33.75 |
$33.75 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$1,932.00
|
|
Vad univ batt charger hm 1440
|
$17,650.50 |
$17,650.50 |
$17,650.50 |
$14,814.14
|
|
Vaginal bx
|
$231.00 |
$231.00 |
$231.00 |
$471.12
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$22.29 |
$22.29 |
$22.29 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$153.75 |
$153.75 |
$153.75 |
$114.48
|
|
Valrubicin injection
|
$6,841.31 |
$6,841.31 |
$6,841.31 |
$2,813.49
|
|
Valvuloplasty aortic
|
$9,321.75 |
$9,321.75 |
$9,321.75 |
$7,830.80
|
|
Valvuloplasty mitral
|
$9,472.50 |
$9,472.50 |
$9,472.50 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$14,701.50 |
$14,701.50 |
$14,701.50 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$366.03 |
$366.03 |
$366.03 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$303.13 |
$303.13 |
$303.13 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$147.00 |
$147.00 |
$147.00 |
$129.14
|
|
Varicella zoster antibody igg
|
$177.75 |
$177.75 |
$177.75 |
$86.80
|
|
Varicella-zoster immue globin im
|
$8,070.06 |
$8,070.06 |
$8,070.06 |
$3,816.19
|
|
Vasc emb/occ w/prs cath
|
$21,009.00 |
$21,009.00 |
$21,009.00 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$103.53 |
$103.53 |
$103.53 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$34,608.27 |
$34,608.27 |
$34,608.27 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$4,640.25 |
$4,640.25 |
$4,640.25 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$983.38
|
|
Veeg unmon 12-26 hrs
|
$1,588.50 |
$1,588.50 |
$1,588.50 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$756.75 |
$756.75 |
$756.75 |
$826.15
|
|
Vein x-ray adrenal gland
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,870.00
|
|
Vein x-ray eye socket
|
$1,475.25 |
$1,475.25 |
$1,475.25 |
$1,438.32
|
|
Vein x-ray kidney
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,990.58
|
|
Vein x-ray liver
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$3,328.80
|
|
Vein x-ray liver w/hemodynam
|
$3,413.25 |
$3,413.25 |
$3,413.25 |
$3,635.28
|
|
Vein x-ray liver w/hemodynam
|
$3,020.25 |
$3,020.25 |
$3,020.25 |
$3,694.50
|
|
Vein x-ray liver without hemodyn
|
$1,827.75 |
$1,827.75 |
$1,827.75 |
$2,452.80
|
|
Vein x-ray skull
|
$3,800.25 |
$3,800.25 |
$3,800.25 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$1,424.25 |
$1,424.25 |
$1,424.25 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$3,682.50 |
$3,682.50 |
$3,682.50 |
$3,434.00
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$5,564.78 |
$5,564.78 |
$5,564.78 |
$2,632.35
|
|
Vemp test i&r cervical
|
$867.00 |
$867.00 |
$867.00 |
$343.72
|
|
Vemp test i&r ocular
|
$632.25 |
$632.25 |
$632.25 |
$260.00
|
|
Vemp tst i&r cervical&ocular
|
$1,181.25 |
$1,181.25 |
$1,181.25 |
$591.50
|
|
Ven-artl shunt det mbubb njx
|
$894.75 |
$894.75 |
$894.75 |
$484.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$144.00 |
$144.00 |
$144.00 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$281.25 |
$281.25 |
$281.25 |
$67.00
|
|
Venogram ext bil s&i
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$1,838.28
|
