|
Urethrcystgrphy rtrgrde s&i
|
$388.80 |
$388.80 |
$388.80 |
$579.73
|
|
Urethrlys transvag with scope
|
$1,140.96 |
$1,140.96 |
$1,140.96 |
$4,081.37
|
|
Urethrocystography void s&i
|
$267.84 |
$267.84 |
$267.84 |
$622.35
|
|
Uric acid blood
|
$21.37 |
$21.37 |
$21.37 |
$48.75
|
|
Uric acid urine
|
$19.84 |
$19.84 |
$19.84 |
$44.33
|
|
Urinalysis microscopic only
|
$22.90 |
$22.90 |
$22.90 |
$26.35
|
|
Urinalysis (with microscopy)
|
$22.39 |
$22.39 |
$22.39 |
$55.00
|
|
Urinalysis (without microscopy)
|
$21.37 |
$21.37 |
$21.37 |
$35.75
|
|
Urine Culture Test
|
$40.20 |
$40.20 |
$40.20 |
$81.50
|
|
Urine pregnancy test
|
$34.60 |
$34.60 |
$34.60 |
$67.20
|
|
Urography, antegrade
|
$857.76 |
$857.76 |
$857.76 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$4,117.73 |
$4,117.73 |
$4,117.73 |
$5,184.34
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$69,967.34 |
$69,967.34 |
$69,967.34 |
$51,633.07
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$227.04 |
$227.04 |
$227.04 |
$224.25
|
|
Vaccine dtap < 7 years im
|
$69.46 |
$69.46 |
$69.46 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$96.00 |
$96.00 |
$96.00 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$10.54 |
$10.54 |
$10.54 |
$105.95
|
|
Vaccine dtap-ipv/hib im
|
$98.40 |
$98.40 |
$98.40 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$37.44 |
$37.44 |
$37.44 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$75.43 |
$75.43 |
$75.43 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$109.44 |
$109.44 |
$109.44 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$120.00 |
$120.00 |
$120.00 |
$218.40
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$44.16 |
$44.16 |
$44.16 |
$79.15
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$109.44 |
$109.44 |
$109.44 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$249.60 |
$249.60 |
$249.60 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$72.24 |
$72.24 |
$72.24 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$10.54 |
$10.54 |
$10.54 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$165.60 |
$165.60 |
$165.60 |
$282.50
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$114.24 |
$114.24 |
$114.24 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$178.11 |
$178.11 |
$178.11 |
$109.50
|
|
Vaccine influenza nos 0.5ml dose im
|
$10.54 |
$10.54 |
$10.54 |
$24.20
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$49.39 |
$49.39 |
$49.39 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$10.54 |
$10.54 |
$10.54 |
$31.03
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$35.04 |
$35.04 |
$35.04 |
$33.60
|
|
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im
|
$16.32 |
$16.32 |
$16.32 |
$20.80
|
|
Vaccine influenza quadrivalent live (laiv4) intranasal
|
$43.68 |
$43.68 |
$43.68 |
$37.05
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$114.24 |
$114.24 |
$114.24 |
$72.00
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$20.64 |
$20.64 |
$20.64 |
$31.20
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$571.14 |
$571.14 |
$571.14 |
$400.03
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$395.04 |
$395.04 |
$395.04 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$226.92 |
$226.92 |
$226.92 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$417.60 |
$417.60 |
$417.60 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$207.84 |
$207.84 |
$207.84 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$401.28 |
$401.28 |
$401.28 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$394.08 |
$394.08 |
$394.08 |
$414.46
|
|
Vaccine polio (ipv) subcutaneous/im
|
$37.44 |
$37.44 |
$37.44 |
$90.70
|
|
Vaccine rabies im
|
$997.22 |
$997.22 |
$997.22 |
$858.95
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$98.40 |
$98.40 |
$98.40 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$98.40 |
$98.40 |
$98.40 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$115.43 |
$115.43 |
$115.43 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$47.52 |
$47.52 |
$47.52 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$96.00 |
$96.00 |
$96.00 |
$365.17
|
|
Vag hyst including t/o
|
$1,422.72 |
$1,422.72 |
$1,422.72 |
$4,827.18
|
|
Vaginal bx
|
$164.16 |
$164.16 |
$164.16 |
$455.94
|
|
Vaginal Delivery (full care)
|
$3,714.24 |
$3,714.24 |
$3,714.24 |
$4,263.60
|
|
Vaginal hysterectomy
|
$1,287.84 |
$1,287.84 |
$1,287.84 |
$5,766.00
|
|
Valproic acid total therapeutic drug level
|
$81.41 |
$81.41 |
$81.41 |
$114.72
|
|
Vancomycin hcl injection
|
$247.30 |
$247.30 |
$247.30 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$67.67 |
$67.67 |
$67.67 |
$136.13
|
|
Varicella zoster antibody igg
|
$60.04 |
$60.04 |
$60.04 |
$86.80
|
|
Vasectomy
|
$513.60 |
$513.60 |
$513.60 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$226.85 |
$226.85 |
$226.85 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$20,714.68 |
$20,714.68 |
$20,714.68 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$27.36 |
$27.36 |
$27.36 |
$202.80
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,018.56 |
$1,018.56 |
$1,018.56 |
$1,366.20
|
|
Ven thrombosis images bilat
|
$613.92 |
$613.92 |
$613.92 |
$796.50
|
|
Ventilator each subsequent day
|
$808.32 |
$808.32 |
$808.32 |
$1,204.00
|
|
Ventilator initial day
|
$1,032.96 |
$1,032.96 |
$1,032.96 |
$1,431.43
|
|
Version cephalic external
|
$4,645.44 |
$4,645.44 |
$4,645.44 |
$2,361.75
|
|
Very long chain fatty acids
|
$39.43 |
$39.43 |
$39.43 |
$139.88
|
|
Vinblastine 1 mg/ml intravenous solution
|
$151.22 |
$151.22 |
$151.22 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$105.79 |
$105.79 |
$105.79 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$770.30 |
$770.30 |
$770.30 |
$223.55
|
|
Viper venom prothrombin time
|
$40.70 |
$40.70 |
$40.70 |
$85.80
|
|
Visit established high 40-54 minutes/level 5
|
$129.74 |
$129.74 |
$129.74 |
$227.50
|
|
Vital capacity test
|
$110.41 |
$110.41 |
$110.41 |
$170.00
|
|
Vitamin b-12
|
$81.92 |
$81.92 |
$81.92 |
$100.00
|
|
Vitamin D Test
|
$95.15 |
$95.15 |
$95.15 |
$132.00
|
|
Voiding pressure study/intra-abd 51797
|
$288.96 |
$288.96 |
$288.96 |
$433.20
|
|
Vulvectomy simple partial
|
$906.24 |
$906.24 |
$906.24 |
$3,986.00
|
|
Warde 1003990 aldosterone
|
$120.08 |
$120.08 |
$120.08 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$90.57 |
$90.57 |
$90.57 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$57.49 |
$57.49 |
$57.49 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$68.18 |
$68.18 |
$68.18 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$179.10 |
$179.10 |
$179.10 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$32.95 |
$32.95 |
$32.95 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$42.23 |
$42.23 |
$42.23 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$82.43 |
$82.43 |
$82.43 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$32.56 |
$32.56 |
$32.56 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$28.28 |
$28.28 |
$28.28 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$47.83 |
$47.83 |
$47.83 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$58.51 |
$58.51 |
$58.51 |
$62.50
|
|
Warde 3400852 arsenic
|
$49.35 |
$49.35 |
$49.35 |
$100.88
|
|
Warde 3708165 mercury urine
|
$25.44 |
$25.44 |
$25.44 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$21.99 |
$21.99 |
$21.99 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$27.98 |
$27.98 |
$27.98 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$143.99 |
$143.99 |
$143.99 |
$151.20
|
|
Warde aldolase
|
$37.65 |
$37.65 |
$37.65 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$397.92 |
$397.92 |
$397.92 |
$193.80
|
|
Warde analysis gene hfe common variants
|
$132.29 |
$132.29 |
$132.29 |
$267.28
|