|
Uric acid urine
|
$82.80 |
$82.80 |
$82.80 |
$44.52
|
|
Urinalysis microscopic only
|
$43.20 |
$43.20 |
$43.20 |
$26.35
|
|
Urinalysis (with microscopy)
|
$48.00 |
$48.00 |
$48.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$45.60 |
$45.60 |
$45.60 |
$35.91
|
|
Urine Culture Test
|
$103.20 |
$103.20 |
$103.20 |
$82.32
|
|
Urine pregnancy test
|
$36.00 |
$36.00 |
$36.00 |
$68.21
|
|
Urography, antegrade
|
$449.40 |
$449.40 |
$449.40 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$67.20 |
$67.20 |
$67.20 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$645.00 |
$645.00 |
$645.00 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$12.00 |
$12.00 |
$12.00 |
$67.74
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$340.00 |
$340.00 |
$340.00 |
$224.25
|
|
Vaccine dtap < 7 years im
|
$32.40 |
$32.40 |
$32.40 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$63.00 |
$63.00 |
$63.00 |
$164.63
|
|
Vaccine dtap-ipv 4-6 years im
|
$543.60 |
$543.60 |
$543.60 |
$105.95
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$31.20 |
$31.20 |
$31.20 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$31.20 |
$31.20 |
$31.20 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$81.00 |
$81.00 |
$81.00 |
$166.62
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$156.80 |
$156.80 |
$156.80 |
$231.56
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$64.80 |
$64.80 |
$64.80 |
$78.25
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$86.40 |
$86.40 |
$86.40 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$168.80 |
$168.80 |
$168.80 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$63.20 |
$63.20 |
$63.20 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$186.00 |
$186.00 |
$186.00 |
$576.48
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$186.00 |
$186.00 |
$186.00 |
$282.50
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$12.00 |
$12.00 |
$12.00 |
$33.60
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$24.00 |
$24.00 |
$24.00 |
$82.71
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$109.60 |
$109.60 |
$109.60 |
$394.26
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$82.20 |
$82.20 |
$82.20 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$120.00 |
$120.00 |
$120.00 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$64.80 |
$64.80 |
$64.80 |
$213.00
|
|
Vaccine mmrv live subcutaneous
|
$106.80 |
$106.80 |
$106.80 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$75.00 |
$75.00 |
$75.00 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$144.00 |
$144.00 |
$144.00 |
$393.25
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$192.00 |
$192.00 |
$192.00 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$38.40 |
$38.40 |
$38.40 |
$90.70
|
|
Vaccine rabies im
|
$800.00 |
$800.00 |
$800.00 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$504.00 |
$504.00 |
$504.00 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,184.80 |
$1,184.80 |
$1,184.80 |
$1,105.21
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$373.20 |
$373.20 |
$373.20 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$57.60 |
$57.60 |
$57.60 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$42.40 |
$42.40 |
$42.40 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$74.40 |
$74.40 |
$74.40 |
$112.10
|
|
Vacuum drain bottle/tube kit
|
$454.80 |
$454.80 |
$454.80 |
$325.20
|
|
Valproic acid total therapeutic drug level
|
$183.60 |
$183.60 |
$183.60 |
$115.00
|
|
Valvuloplasty aortic
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$7,944.16
|
|
Valvuloplasty pulmonary
|
$5,455.80 |
$5,455.80 |
$5,455.80 |
$11,945.20
|
|
Vancomycin hcl injection
|
$42.60 |
$42.60 |
$42.60 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$122.40 |
$122.40 |
$122.40 |
$135.60
|
|
Varicella zoster antibody igg
|
$171.00 |
$171.00 |
$171.00 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$7.40 |
$7.40 |
$7.40 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$15,127.80 |
$15,127.80 |
$15,127.80 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,992.60 |
$1,992.60 |
$1,992.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$555.00 |
$555.00 |
$555.00 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$555.00 |
$555.00 |
$555.00 |
$826.15
|
|
Vein x-ray kidney
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$2,870.00
|
|
Vein x-ray liver w/hemodynam
|
$2,489.40 |
$2,489.40 |
$2,489.40 |
$3,683.90
|
|
Ven-artl shunt det mbubb njx
|
$385.20 |
$385.20 |
$385.20 |
$484.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$75.60 |
$75.60 |
$75.60 |
$197.04
|
|
Venogram ext bil s&i
|
$848.40 |
$848.40 |
$848.40 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$33,079.20 |
$33,079.20 |
$33,079.20 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$28,122.00 |
$28,122.00 |
$28,122.00 |
$5,110.00
|
|
Ventilator each subsequent day
|
$629.40 |
$629.40 |
$629.40 |
$1,178.74
|
|
Ventilator Management (first day)
|
$600.00 |
$600.00 |
$600.00 |
$1,434.60
|
|
Version cephalic external
|
$1,621.80 |
$1,621.80 |
$1,621.80 |
$2,361.75
|
|
Very long chain fatty acids
|
$238.20 |
$238.20 |
$238.20 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$793.80 |
$793.80 |
$793.80 |
$524.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$83.40 |
$83.40 |
$83.40 |
$163.80
|
|
Vincristine 1 mg/ml intravenous solution
|
$124.20 |
$124.20 |
$124.20 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$427.80 |
$427.80 |
$427.80 |
$223.55
|
|
Visc & infraren abd 2 prosth
|
$15,624.00 |
$15,624.00 |
$15,624.00 |
$8,957.30
|
|
Visc & infraren abd 3 prosth
|
$15,624.00 |
$15,624.00 |
$15,624.00 |
$9,670.00
|
|
Vitamin b-12
|
$108.60 |
$108.60 |
$108.60 |
$100.20
|
|
Vitamin D Test
|
$271.80 |
$271.80 |
$271.80 |
$132.60
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$334.80 |
$334.80 |
$334.80 |
$165.81
|
|
Vsrctv std tcd icr art compl
|
$913.80 |
$913.80 |
$913.80 |
$434.85
|
|
Walking (Gait) Training (each 15 minutes)
|
$121.80 |
$121.80 |
$121.80 |
$87.50
|
|
Warde 1003990 aldosterone
|
$385.20 |
$385.20 |
$385.20 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$508.20 |
$508.20 |
$508.20 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$179.40 |
$179.40 |
$179.40 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$325.80 |
$325.80 |
$325.80 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$208.20 |
$208.20 |
$208.20 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$67.80 |
$67.80 |
$67.80 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$292.20 |
$292.20 |
$292.20 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$184.20 |
$184.20 |
$184.20 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$226.20 |
$226.20 |
$226.20 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$140.40 |
$140.40 |
$140.40 |
$70.85
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$101.40 |
$101.40 |
$101.40 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$151.20 |
$151.20 |
$151.20 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$93.60 |
$93.60 |
$93.60 |
$74.16
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$538.20 |
$538.20 |
$538.20 |
$219.13
|
|
Warde 3400852 arsenic
|
$276.00 |
$276.00 |
$276.00 |
$101.00
|
|
Warde 3708165 mercury urine
|
$218.40 |
$218.40 |
$218.40 |
$71.76
|
|
Warde acetylcholine receptor blocking antibody
|
$388.20 |
$388.20 |
$388.20 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$336.60 |
$336.60 |
$336.60 |
$42.18
|
|
Warde adenosine deaminase pleural fluid
|
$87.60 |
$87.60 |
$87.60 |
$88.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$456.60 |
$456.60 |
$456.60 |
$160.59
|
|
Warde aldolase
|
$55.20 |
$55.20 |
$55.20 |
$54.12
|
