|
Urinalysis qual/semiquant excpt ia
|
$9.75 |
$9.75 |
$9.75 |
$25.72
|
|
Urinalysis (with microscopy)
|
$14.30 |
$14.30 |
$14.30 |
$55.20
|
|
Urinalysis (without microscopy)
|
$10.40 |
$10.40 |
$10.40 |
$36.00
|
|
Urine Culture Test
|
$36.40 |
$36.40 |
$36.40 |
$83.00
|
|
Urine pregnancy test
|
$38.35 |
$38.35 |
$38.35 |
$68.78
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$190.77 |
$190.77 |
$190.77 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$68,214.47 |
$68,214.47 |
$68,214.47 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$139.10 |
$139.10 |
$139.10 |
$67.70
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$1,207.44 |
$1,207.44 |
$1,207.44 |
$209.40
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$1,324.79 |
$1,324.79 |
$1,324.79 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$180.70 |
$180.70 |
$180.70 |
$123.20
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$91.00 |
$91.00 |
$91.00 |
$80.15
|
|
Vaccine dtap < 7 years im
|
$136.99 |
$136.99 |
$136.99 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$502.91 |
$502.91 |
$502.91 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$291.15 |
$291.15 |
$291.15 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$762.18 |
$762.18 |
$762.18 |
$174.72
|
|
Vaccine dtap-ipv/hib im
|
$303.99 |
$303.99 |
$303.99 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$143.79 |
$143.79 |
$143.79 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$30.79 |
$30.79 |
$30.79 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$207.83 |
$207.83 |
$207.83 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$327.83 |
$327.83 |
$327.83 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$185.00 |
$185.00 |
$185.00 |
$78.25
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$173.98 |
$173.98 |
$173.98 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$728.91 |
$728.91 |
$728.91 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$137.40 |
$137.40 |
$137.40 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,536.64 |
$1,536.64 |
$1,536.64 |
$576.48
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$264.24 |
$264.24 |
$264.24 |
$149.21
|
|
Vaccine influenza nos 0.5ml dose im
|
$45.31 |
$45.31 |
$45.31 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$97.11 |
$97.11 |
$97.11 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$43.55 |
$43.55 |
$43.55 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$45.50 |
$45.50 |
$45.50 |
$33.60
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$37.05 |
$37.05 |
$37.05 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$151.45 |
$151.45 |
$151.45 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,172.61 |
$1,172.61 |
$1,172.61 |
$394.26
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,053.74 |
$1,053.74 |
$1,053.74 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$825.36 |
$825.36 |
$825.36 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$411.74 |
$411.74 |
$411.74 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$224.04 |
$224.04 |
$224.04 |
$213.00
|
|
Vaccine mmrv live subcutaneous
|
$669.63 |
$669.63 |
$669.63 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$547.93 |
$547.93 |
$547.93 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,089.31 |
$1,089.31 |
$1,089.31 |
$397.11
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,440.87 |
$1,440.87 |
$1,440.87 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$220.25 |
$220.25 |
$220.25 |
$90.70
|
|
Vaccine rabies im
|
$1,016.98 |
$1,016.98 |
$1,016.98 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$746.62 |
$746.62 |
$746.62 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,784.89 |
$2,784.89 |
$2,784.89 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,392.44 |
$1,392.44 |
$1,392.44 |
$1,031.86
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$200.85 |
$200.85 |
$200.85 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$228.52 |
$228.52 |
$228.52 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$207.85 |
$207.85 |
$207.85 |
$112.10
|
|
Vaccine typhoid vicps im
|
$756.29 |
$756.29 |
$756.29 |
$264.78
|
|
Vaccine varicella live subcutaneous
|
$447.80 |
$447.80 |
$447.80 |
$365.17
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$3.28 |
$3.28 |
$3.28 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$60.45 |
$60.45 |
$60.45 |
$115.00
|
|
Valrubicin injection
|
$1,154.56 |
$1,154.56 |
$1,154.56 |
$2,813.49
|
|
Vancomycin 1,000 mg intravenous injection
|
$936.00 |
$936.00 |
$936.00 |
$259.05
|
|
Vancomycin 750 mg intravenous solution
|
$100.15 |
$100.15 |
$100.15 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$60.45 |
$60.45 |
$60.45 |
$136.13
|
|
Varicella zoster antibody igg
|
$57.85 |
$57.85 |
$57.85 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$30.19 |
$30.19 |
$30.19 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$23,654.36 |
$23,654.36 |
$23,654.36 |
$18,732.33
|
|
Vein x-ray skull
|
$14,116.70 |
$14,116.70 |
$14,116.70 |
$2,236.50
|
|
Velaglucerase alfa 400 unit intravenous solution
|
$3,521.72 |
$3,521.72 |
$3,521.72 |
$2,632.35
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$144.30 |
$144.30 |
$144.30 |
$188.83
|
|
Ventilator each subsequent day
|
$1,976.65 |
$1,976.65 |
$1,976.65 |
$1,184.00
|
|
Ventilator Management (first day)
|
$1,976.65 |
$1,976.65 |
$1,976.65 |
$1,434.60
|
|
Verteporfin injection
|
$5,334.29 |
$5,334.29 |
$5,334.29 |
$3,077.48
|
|
Very long chain fatty acids
|
$88.40 |
$88.40 |
$88.40 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$798.20 |
$798.20 |
$798.20 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$16.77 |
$16.77 |
$16.77 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$58.16 |
$58.16 |
$58.16 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$78.00 |
$78.00 |
$78.00 |
$223.55
|
|
Virus isolation addl studies ea
|
$90.35 |
$90.35 |
$90.35 |
$79.34
|
|
Visit established high 40-54 minutes/level 5
|
$334.75 |
$334.75 |
$334.75 |
$240.50
|
|
Vital capacity test
|
$468.00 |
$468.00 |
$468.00 |
$173.18
|
|
Vitamin b-12
|
$67.60 |
$67.60 |
$67.60 |
$100.28
|
|
Vitamin D Test
|
$132.60 |
$132.60 |
$132.60 |
$132.00
|
|
Vngrph chd anom/persist svc
|
$38,701.65 |
$38,701.65 |
$38,701.65 |
$1,492.75
|
|
Vngrph chd azygs/hemiazygs
|
$38,701.65 |
$38,701.65 |
$38,701.65 |
$201.50
|
|
Vngrph chd coronary sinus
|
$38,701.65 |
$38,701.65 |
$38,701.65 |
$161.60
|
|
Vngrph chd vnvn cltrl at/abv
|
$38,701.65 |
$38,701.65 |
$38,701.65 |
$1,118.00
|
|
Vngrph chd vnvn cltrl below
|
$38,701.65 |
$38,701.65 |
$38,701.65 |
$1,118.00
|
|
Voiding pressure study/intra-abd 51797
|
$737.75 |
$737.75 |
$737.75 |
$433.20
|
|
Volume measurement urine timed
|
$16.25 |
$16.25 |
$16.25 |
$21.64
|
|
Vonvendi inj 1 iu vwf:rco
|
$4.64 |
$4.64 |
$4.64 |
$5.42
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$141.10 |
$141.10 |
$141.10 |
$165.81
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$558,562.68 |
$558,562.68 |
$558,562.68 |
$177,291.55
|
|
Walking (Gait) Training (each 15 minutes)
|
$148.20 |
$148.20 |
$148.20 |
$87.50
|
|
Warde 1003990 aldosterone
|
$182.65 |
$182.65 |
$182.65 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$124.80 |
$124.80 |
$124.80 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$57.85 |
$57.85 |
$57.85 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$113.10 |
$113.10 |
$113.10 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$69.55 |
$69.55 |
$69.55 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$77.35 |
$77.35 |
$77.35 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$35.75 |
$35.75 |
$35.75 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$122.85 |
$122.85 |
$122.85 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$75.40 |
$75.40 |
$75.40 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$55.25 |
$55.25 |
$55.25 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$39.65 |
$39.65 |
$39.65 |
$62.50
|
