|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,272.75 |
$3,272.75 |
$3,272.75 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,975.70 |
$2,975.70 |
$2,975.70 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,588.59
|
|
Upper Endoscopy (EGD, with biopsy)
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,656.60
|
|
Uppr gi scope w/submuc inj
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,773.85
|
|
Urea nitrogen
|
$11.70 |
$11.70 |
$11.70 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$58.50 |
$58.50 |
$58.50 |
$50.00
|
|
Urea nitrogen clearance
|
$38.35 |
$38.35 |
$38.35 |
$33.57
|
|
Ureteral reflux study
|
$2,653.95 |
$2,653.95 |
$2,653.95 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$988.65 |
$988.65 |
$988.65 |
$574.40
|
|
Urethrocystography void s&i
|
$994.50 |
$994.50 |
$994.50 |
$634.50
|
|
Uric acid blood
|
$18.85 |
$18.85 |
$18.85 |
$46.64
|
|
Uric acid urine
|
$110.50 |
$110.50 |
$110.50 |
$46.75
|
|
Urinalysis microscopic only
|
$66.30 |
$66.30 |
$66.30 |
$26.35
|
|
Urinalysis (with microscopy)
|
$9.75 |
$9.75 |
$9.75 |
$48.14
|
|
Urinalysis (without microscopy)
|
$48.10 |
$48.10 |
$48.10 |
$38.99
|
|
Urine Culture Test
|
$104.65 |
$104.65 |
$104.65 |
$84.81
|
|
Urine pregnancy test
|
$98.15 |
$98.15 |
$98.15 |
$66.40
|
|
Urography, antegrade
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$6,892.54 |
$6,892.54 |
$6,892.54 |
$5,521.54
|
|
Vaccine dtap < 7 years im
|
$95.84 |
$95.84 |
$95.84 |
$87.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$60.90 |
$60.90 |
$60.90 |
$45.33
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$109.69 |
$109.69 |
$109.69 |
$79.04
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$303.88 |
$303.88 |
$303.88 |
$157.41
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$89.80 |
$89.80 |
$89.80 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$80.48 |
$80.48 |
$80.48 |
$40.01
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$705.76 |
$705.76 |
$705.76 |
$499.00
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$411.60 |
$411.60 |
$411.60 |
$349.15
|
|
Vaccine mmr live subcutaneous
|
$300.64 |
$300.64 |
$300.64 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$390.74 |
$390.74 |
$390.74 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$816.15 |
$816.15 |
$816.15 |
$715.41
|
|
Vaccine rabies im
|
$958.06 |
$958.06 |
$958.06 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,457.88 |
$1,457.88 |
$1,457.88 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$148.02 |
$148.02 |
$148.02 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$144.53 |
$144.53 |
$144.53 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$563.48 |
$563.48 |
$563.48 |
$447.80
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,131.41 |
$1,131.41 |
$1,131.41 |
$1,683.99
|
|
Vad cable power module dc input
|
$581.01 |
$581.01 |
$581.01 |
$915.95
|
|
Vad univ batt charger hm 1440
|
$14,814.14 |
$14,814.14 |
$14,814.14 |
$14,893.34
|
|
Vaginal bx
|
$613.60 |
$613.60 |
$613.60 |
$441.75
|
|
Valproic acid total therapeutic drug level
|
$73.45 |
$73.45 |
$73.45 |
$115.00
|
|
Valvuloplasty aortic
|
$17,613.05 |
$17,613.05 |
$17,613.05 |
$7,324.85
|
|
Valvuloplasty mitral
|
$11,278.80 |
$11,278.80 |
$11,278.80 |
$10,435.39
|
|
Valvuloplasty pulmonary
|
$11,278.80 |
$11,278.80 |
$11,278.80 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$111.74 |
$111.74 |
$111.74 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$80.18 |
$80.18 |
$80.18 |
$100.15
|
|
Vancomycin hcl injection
|
$18.90 |
$18.90 |
$18.90 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$57.85 |
$57.85 |
$57.85 |
$126.79
|
|
Varicella zoster antibody igg
|
$194.35 |
$194.35 |
$194.35 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$30.13 |
$30.13 |
$30.13 |
$362.93
|
|
Vedolizumab 300 mg intravenous solution
|
$30,377.88 |
$30,377.88 |
$30,377.88 |
$20,730.98
|
|
Veeg cont 2-12 hrs
|
$3,019.90 |
$3,019.90 |
$3,019.90 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$5,276.70 |
$5,276.70 |
$5,276.70 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$3,019.90 |
$3,019.90 |
$3,019.90 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$5,276.70 |
$5,276.70 |
$5,276.70 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$3,019.90 |
$3,019.90 |
$3,019.90 |
$704.79
|
|
Vein x-ray adrenal gland
|
$2,304.90 |
$2,304.90 |
$2,304.90 |
$2,489.25
|
|
Vein x-ray adrenal glands
|
$3,976.70 |
$3,976.70 |
$3,976.70 |
$3,999.60
|
|
Vein x-ray kidney
|
$3,474.90 |
$3,474.90 |
$3,474.90 |
$2,716.20
|
|
Vein x-ray liver
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$6,407.70 |
$6,407.70 |
$6,407.70 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$4,051.45 |
$4,051.45 |
$4,051.45 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$4,375.80 |
$4,375.80 |
$4,375.80 |
$2,489.25
|
|
Vein x-ray skull
|
$3,256.50 |
$3,256.50 |
$3,256.50 |
$2,301.09
|
|
Vein x-ray skull epidural
|
$1,855.10 |
$1,855.10 |
$1,855.10 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$4,219.80 |
$4,219.80 |
$4,219.80 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$640.90 |
$640.90 |
$640.90 |
$188.65
|
|
Venogram ext bil s&i
|
$3,287.70 |
$3,287.70 |
$3,287.70 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,959.45 |
$2,959.45 |
$2,959.45 |
$1,326.00
|
|
Venous mech thrombectomy
|
$15,852.20 |
$15,852.20 |
$15,852.20 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$7,946.90 |
$7,946.90 |
$7,946.90 |
$5,352.00
|
|
Venous sampling s&i
|
$6,407.70 |
$6,407.70 |
$6,407.70 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$1,420.25 |
$1,420.25 |
$1,420.25 |
$779.56
|
|
Ventilator each subsequent day
|
$752.70 |
$752.70 |
$752.70 |
$1,305.92
|
|
Ventilator initial day
|
$1,308.45 |
$1,308.45 |
$1,308.45 |
$1,540.80
|
|
Version cephalic external
|
$2,111.20 |
$2,111.20 |
$2,111.20 |
$2,598.57
|
|
Very long chain fatty acids
|
$127.40 |
$127.40 |
$127.40 |
$140.40
|
|
Vest large holster
|
$1,013.61 |
$1,013.61 |
$1,013.61 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$186.71 |
$186.71 |
$186.71 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$82.10 |
$82.10 |
$82.10 |
$100.19
|
|
Virus isolation addl studies ea
|
$104.65 |
$104.65 |
$104.65 |
$90.35
|
|
Visit established high 40-54 minutes/level 5
|
$96.85 |
$96.85 |
$96.85 |
$287.73
|
|
Vitamin b-12
|
$46.80 |
$46.80 |
$46.80 |
$94.90
|
|
Vitamin D Test
|
$92.30 |
$92.30 |
$92.30 |
$132.00
|
|
Volume measurement urine timed
|
$46.15 |
$46.15 |
$46.15 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$64.77 |
$64.77 |
$64.77 |
$215.60
|
|
Warde 1003990 aldosterone
|
$69.55 |
$69.55 |
$69.55 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$34.45 |
$34.45 |
$34.45 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$77.35 |
$77.35 |
$77.35 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$53.95 |
$53.95 |
$53.95 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$43.55 |
$43.55 |
$43.55 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$278.85 |
$278.85 |
$278.85 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$58.50 |
$58.50 |
$58.50 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$89.70 |
$89.70 |
$89.70 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$144.30 |
$144.30 |
$144.30 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$144.30 |
$144.30 |
$144.30 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$58.50 |
$58.50 |
$58.50 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$61.75 |
$61.75 |
$61.75 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$148.20 |
$148.20 |
$148.20 |
$78.57
|
|
Warde 3400852 arsenic
|
$163.15 |
$163.15 |
$163.15 |
$105.12
|
