|
Urethrcystgrphy rtrgrde s&i
|
$1,352.40 |
$1,352.40 |
$1,352.40 |
$579.73
|
|
Urethrocystography void s&i
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$622.35
|
|
Uric acid blood
|
$77.40 |
$77.40 |
$77.40 |
$48.75
|
|
Uric acid urine
|
$26.40 |
$26.40 |
$26.40 |
$44.33
|
|
Urinalysis microscopic only
|
$25.80 |
$25.80 |
$25.80 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$24.60 |
$24.60 |
$24.60 |
$25.72
|
|
Urinalysis (with microscopy)
|
$42.60 |
$42.60 |
$42.60 |
$55.00
|
|
Urinalysis (without microscopy)
|
$34.20 |
$34.20 |
$34.20 |
$35.75
|
|
Urine Culture Test
|
$89.40 |
$89.40 |
$89.40 |
$81.50
|
|
Urine pregnancy test
|
$54.00 |
$54.00 |
$54.00 |
$67.20
|
|
Urography, antegrade
|
$537.00 |
$537.00 |
$712.80 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$21,747.66 |
$21,747.66 |
$22,129.20 |
$5,184.34
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$74,773.56 |
$74,773.56 |
$76,085.40 |
$51,633.07
|
|
Vaccine dtap < 7 years im
|
$73.74 |
$73.74 |
$75.48 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$258.06 |
$258.06 |
$258.06 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$156.48 |
$156.48 |
$160.20 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$390.24 |
$390.24 |
$390.24 |
$174.72
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$78.42 |
$78.42 |
$80.28 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$33.42 |
$33.42 |
$34.20 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$99.60 |
$99.60 |
$99.60 |
$166.62
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$179.82 |
$179.82 |
$179.82 |
$84.75
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$387.84 |
$387.84 |
$387.84 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$0.06 |
$0.06 |
$0.06 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$819.48 |
$819.48 |
$839.22 |
$576.48
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$135.12 |
$135.12 |
$135.12 |
$76.50
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$590.46 |
$590.46 |
$604.68 |
$400.03
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$415.26 |
$415.26 |
$415.26 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$244.02 |
$244.02 |
$249.90 |
$211.68
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$683.76 |
$683.76 |
$700.26 |
$563.36
|
|
Vaccine rabies im
|
$1,082.22 |
$1,082.22 |
$1,108.26 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$121.38 |
$121.38 |
$124.32 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$105.24 |
$105.24 |
$107.76 |
$112.10
|
|
Vad univ batt charger hm 1440
|
$24,239.45 |
$24,239.45 |
$24,239.45 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$36.18 |
$36.18 |
$39.48 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$52.80 |
$52.80 |
$52.80 |
$114.72
|
|
Valrubicin injection
|
$34,636.68 |
$34,636.68 |
$37,745.10 |
$2,813.49
|
|
Vancomycin 1,000 mg intravenous injection
|
$480.24 |
$480.24 |
$501.60 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$136.08 |
$136.08 |
$136.08 |
$90.33
|
|
Vancomycin hcl injection
|
$225.00 |
$225.00 |
$54,344.56 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$60.00 |
$60.00 |
$60.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$147.60 |
$147.60 |
$147.60 |
$86.80
|
|
Varus/valgus strap padded/li
|
$172.42 |
$172.42 |
$172.42 |
$115.53
|
|
Vasc emb/occ w/prs cath
|
$27,629.40 |
$27,629.40 |
$27,629.40 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$28.20 |
$28.20 |
$810.00 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$48,016.38 |
$48,016.38 |
$48,858.78 |
$18,732.33
|
|
Vein x-ray kidney
|
$2,458.20 |
$2,458.20 |
$2,458.20 |
$2,766.73
|
|
Vein x-ray liver
|
$3,994.80 |
$3,994.80 |
$3,994.80 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$3,203.40 |
$3,203.40 |
$3,203.40 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$4,373.40 |
$4,373.40 |
$4,373.40 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,452.80
|
|
Vein x-ray skull
|
$5,478.60 |
$5,478.60 |
$5,478.60 |
$2,141.00
|
|
Vein x-ray spleen/liver
|
$4,085.40 |
$4,085.40 |
$4,085.40 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$4,314.60 |
$4,314.60 |
$4,314.60 |
$202.80
|
|
Venogram ext bil s&i
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,718.40 |
$1,718.40 |
$1,718.40 |
$1,366.20
|
|
Venous sampling s&i
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$4,193.20
|
|
Very long chain fatty acids
|
$172.20 |
$172.20 |
$172.20 |
$139.88
|
|
Vest large holster
|
$1,788.16 |
$1,788.16 |
$1,788.16 |
$1,078.25
|
|
Vinblastine 1 mg/ml intravenous solution
|
$251.64 |
$251.64 |
$274.20 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$166.14 |
$166.14 |
$181.08 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$421.20 |
$421.20 |
$459.00 |
$223.55
|
|
Virus isolation addl studies ea
|
$66.00 |
$66.00 |
$66.00 |
$77.50
|
|
Visc & infraren abd 1 prosth
|
$3,237.60 |
$3,237.60 |
$3,237.60 |
$9,715.02
|
|
Visc & infraren abd 2 prosth
|
$3,399.00 |
$3,399.00 |
$3,399.00 |
$10,796.94
|
|
Visc & infraren abd 3 prosth
|
$3,569.40 |
$3,569.40 |
$3,569.40 |
$11,878.86
|
|
Visc & infraren abd 4+ prost
|
$3,747.60 |
$3,747.60 |
$3,747.60 |
$10,660.00
|
|
Visit established high 40-54 minutes/level 5
|
$1,592.10 |
$1,592.10 |
$1,592.10 |
$227.50
|
|
Vitamin b-12
|
$64.80 |
$64.80 |
$64.80 |
$100.00
|
|
Vitamin D Test
|
$64.80 |
$64.80 |
$64.80 |
$132.00
|
|
Vit for macular hole
|
$11,370.06 |
$11,370.06 |
$11,370.06 |
$5,815.63
|
|
Vit for macular pucker
|
$10,121.70 |
$10,121.70 |
$10,121.70 |
$6,039.58
|
|
Vkorc1 gene
|
$233.40 |
$233.40 |
$233.40 |
$176.80
|
|
Volume measurement urine timed
|
$26.40 |
$26.40 |
$26.40 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$100.02 |
$100.02 |
$104.52 |
$165.81
|
|
Vulvectomy simple partial
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$3,986.00
|
|
Warde 1003990 aldosterone
|
$99.60 |
$99.60 |
$99.60 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$209.40 |
$209.40 |
$209.40 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$228.00 |
$228.00 |
$228.00 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$48.00 |
$48.00 |
$48.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$28.20 |
$28.20 |
$28.20 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$28.80 |
$28.80 |
$28.80 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$47.40 |
$47.40 |
$47.40 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$92.40 |
$92.40 |
$92.40 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$37.80 |
$37.80 |
$37.80 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$66.00 |
$66.00 |
$66.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$30.00 |
$30.00 |
$30.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$106.20 |
$106.20 |
$106.20 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$219.60 |
$219.60 |
$219.60 |
$218.40
|
|
Warde 3400852 arsenic
|
$116.40 |
$116.40 |
$116.40 |
$100.88
|
|
Warde 3708165 mercury urine
|
$107.40 |
$107.40 |
$107.40 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$47.40 |
$47.40 |
$47.40 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$66.00 |
$66.00 |
$66.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$188.40 |
$188.40 |
$188.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$143.40 |
$143.40 |
$143.40 |
$151.20
|
|
Warde aldolase
|
$16.20 |
$16.20 |
$16.20 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$134.40 |
$134.40 |
$134.40 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$266.40 |
$266.40 |
$266.40 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$314.40 |
$314.40 |
$314.40 |
$368.00
|