|
Upper Endoscopy (EGD, diagnostic)
|
$4,284.96 |
$4,284.96 |
$4,284.96 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$9,418.92 |
$9,418.92 |
$9,418.92 |
$1,768.00
|
|
Uppr gi scope w/submuc inj
|
$7,966.44 |
$7,966.44 |
$7,966.44 |
$1,872.00
|
|
Urea nitrogen
|
$27.60 |
$27.60 |
$27.60 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$54.00 |
$54.00 |
$54.00 |
$51.75
|
|
Urea nitrogen clearance
|
$16.80 |
$16.80 |
$16.80 |
$42.25
|
|
Urethrcystgrphy rtrgrde s&i
|
$592.80 |
$592.80 |
$592.80 |
$579.34
|
|
Urethrocystography void s&i
|
$652.80 |
$652.80 |
$652.80 |
$622.35
|
|
Uric acid blood
|
$27.60 |
$27.60 |
$27.60 |
$48.75
|
|
Uric acid urine
|
$81.00 |
$81.00 |
$81.00 |
$44.22
|
|
Urinalysis microscopic only
|
$28.20 |
$28.20 |
$28.20 |
$26.00
|
|
Urinalysis (with microscopy)
|
$42.60 |
$42.60 |
$42.60 |
$53.00
|
|
Urinalysis (without microscopy)
|
$79.20 |
$79.20 |
$79.20 |
$35.75
|
|
Urine Culture Test
|
$81.00 |
$81.00 |
$81.00 |
$81.00
|
|
Urine pregnancy test
|
$83.40 |
$83.40 |
$83.40 |
$66.60
|
|
Urography, antegrade
|
$241.80 |
$241.80 |
$241.80 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$16,406.10 |
$16,406.10 |
$16,406.10 |
$5,151.04
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$56,408.16 |
$56,408.16 |
$56,408.16 |
$51,633.07
|
|
Vaccine dtap < 7 years im
|
$17.76 |
$17.76 |
$17.76 |
$68.19
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$8.10 |
$8.10 |
$8.10 |
$43.12
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$79.50 |
$79.50 |
$79.50 |
$218.40
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$43.38 |
$43.38 |
$43.38 |
$84.75
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$438.78 |
$438.78 |
$438.78 |
$75.39
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$100.08 |
$100.08 |
$100.08 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$58.80 |
$58.80 |
$58.80 |
$211.68
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$164.82 |
$164.82 |
$164.82 |
$563.36
|
|
Vaccine tdap >=7 years im
|
$29.52 |
$29.52 |
$29.52 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$25.38 |
$25.38 |
$25.38 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$115.32 |
$115.32 |
$115.32 |
$365.17
|
|
Vad univ batt charger hm 1440
|
$21,563.99 |
$21,563.99 |
$21,563.99 |
$14,827.28
|
|
Vaginal hysterectomy
|
$28,108.56 |
$28,108.56 |
$28,108.56 |
$5,766.00
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$78.42 |
$78.42 |
$78.42 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$102.60 |
$102.60 |
$102.60 |
$114.48
|
|
Valrubicin injection
|
$29,530.02 |
$29,530.02 |
$29,530.02 |
$2,550.44
|
|
Vancomycin 1,000 mg intravenous injection
|
$2,486.28 |
$2,486.28 |
$2,486.28 |
$251.86
|
|
Vancomycin hcl injection
|
$13.98 |
$13.98 |
$13.98 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$100.80 |
$100.80 |
$100.80 |
$135.60
|
|
Vanomycin dna amp probe
|
$163.80 |
$163.80 |
$163.80 |
$78.40
|
|
Varicella zoster antibody igg
|
$87.00 |
$87.00 |
$87.00 |
$86.80
|
|
Varus/valgus strap padded/li
|
$444.98 |
$444.98 |
$444.98 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$58.50 |
$58.50 |
$58.50 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$36,222.90 |
$36,222.90 |
$36,222.90 |
$18,719.82
|
|
Vein x-ray kidney
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$2,766.73
|
|
Vein x-ray liver
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$3,169.80
|
|
Vein x-ray liver without hemodyn
|
$2,524.20 |
$2,524.20 |
$2,524.20 |
$2,452.80
|
|
Vein x-ray skull
|
$5,330.40 |
$5,330.40 |
$5,330.40 |
$2,141.00
|
|
Vein x-ray spleen/liver
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$3,358.00
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$2,179.80 |
$2,179.80 |
$2,179.80 |
$202.80
|
|
Venogram ext bil s&i
|
$2,113.20 |
$2,113.20 |
$2,113.20 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$1,366.20
|
|
Venous mech thrombectomy
|
$10,260.60 |
$10,260.60 |
$10,260.60 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$10,260.60 |
$10,260.60 |
$10,260.60 |
$5,094.75
|
|
Venous sampling s&i
|
$5,755.20 |
$5,755.20 |
$5,755.20 |
$4,193.20
|
|
Version cephalic external
|
$9,119.70 |
$9,119.70 |
$9,119.70 |
$2,361.75
|
|
Very long chain fatty acids
|
$547.20 |
$547.20 |
$547.20 |
$139.88
|
|
Vest large holster
|
$4,347.73 |
$4,347.73 |
$4,347.73 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$214.56 |
$214.56 |
$214.56 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$141.66 |
$141.66 |
$141.66 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$359.10 |
$359.10 |
$359.10 |
$223.55
|
|
Virus isolation addl studies ea
|
$241.80 |
$241.80 |
$241.80 |
$77.50
|
|
Visc & infraren abd 1 prosth
|
$3,399.60 |
$3,399.60 |
$3,399.60 |
$9,715.02
|
|
Visc & infraren abd 2 prosth
|
$3,568.80 |
$3,568.80 |
$3,568.80 |
$10,796.94
|
|
Visc & infraren abd 3 prosth
|
$3,747.60 |
$3,747.60 |
$3,747.60 |
$11,878.86
|
|
Visc & infraren abd 4+ prost
|
$3,934.80 |
$3,934.80 |
$3,934.80 |
$10,660.00
|
|
Visit established high 40-54 minutes/level 5
|
$36,090.06 |
$36,090.06 |
$36,090.06 |
$227.50
|
|
Vitamin b-12
|
$105.60 |
$105.60 |
$105.60 |
$100.00
|
|
Vitamin D Test
|
$241.20 |
$241.20 |
$241.20 |
$132.00
|
|
Vkorc1 gene
|
$233.40 |
$233.40 |
$233.40 |
$176.80
|
|
Volume measurement urine timed
|
$39.00 |
$39.00 |
$39.00 |
$21.24
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$216.72 |
$216.72 |
$216.72 |
$165.81
|
|
Vulvectomy simple partial
|
$16,078.44 |
$16,078.44 |
$16,078.44 |
$3,986.00
|
|
Warde 1003990 aldosterone
|
$189.60 |
$189.60 |
$189.60 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$111.60 |
$111.60 |
$111.60 |
$95.55
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$74.40 |
$74.40 |
$74.40 |
$62.58
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$160.20 |
$160.20 |
$160.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$80.40 |
$80.40 |
$80.40 |
$70.40
|
|
Warde 1015200 kappa light chain free
|
$28.20 |
$28.20 |
$28.20 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$239.40 |
$239.40 |
$239.40 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$35.40 |
$35.40 |
$35.40 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$148.80 |
$148.80 |
$148.80 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$148.80 |
$148.80 |
$148.80 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$80.40 |
$80.40 |
$80.40 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$88.80 |
$88.80 |
$88.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$24.00 |
$24.00 |
$24.00 |
$72.40
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$218.40 |
$218.40 |
$218.40 |
$218.40
|
|
Warde 3400852 arsenic
|
$64.80 |
$64.80 |
$64.80 |
$100.88
|
|
Warde 3708165 mercury urine
|
$60.00 |
$60.00 |
$60.00 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$47.40 |
$47.40 |
$47.40 |
$73.60
|
|
Warde actin (smooth muscle) antibody each
|
$63.00 |
$63.00 |
$63.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$26.40 |
$26.40 |
$26.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$187.80 |
$187.80 |
$187.80 |
$151.20
|
|
Warde aldolase
|
$58.20 |
$58.20 |
$58.20 |
$53.25
|
|
Warde amino acids 6 or more quantitative each specimen
|
$529.80 |
$529.80 |
$529.80 |
$196.50
|
|
Warde amiodarone therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$267.17
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$602.40 |
$602.40 |
$602.40 |
$368.00
|
|
Warde anti-mullerian hormone
|
$78.60 |
$78.60 |
$78.60 |
$80.08
|
|
Warde apolipoprotein b
|
$91.80 |
$91.80 |
$91.80 |
$61.75
|
|
Warde bile acids
|
$35.40 |
$35.40 |
$35.40 |
$63.70
|
|
Warde cadmium blood
|
$41.40 |
$41.40 |
$41.40 |
$76.50
|
