|
Ultrasound guidance for vascular access
|
$327.00 |
$327.00 |
$327.00 |
$388.08
|
|
Ultrasound guide intraoperative
|
$1,607.40 |
$1,607.40 |
$1,607.40 |
$632.85
|
|
Ultrasound joint complete left
|
$1,414.20 |
$1,414.20 |
$1,414.20 |
$557.99
|
|
Ultrasound prostate/transrectal
|
$584.40 |
$584.40 |
$584.40 |
$557.40
|
|
Unlisted CT procedure
|
$624.00 |
$624.00 |
$624.00 |
$732.70
|
|
Unlisted dx gi procedure
|
$262.20 |
$262.20 |
$262.20 |
$649.22
|
|
Unlisted mr procedure
|
$375.00 |
$375.00 |
$375.00 |
$1,165.00
|
|
Unlisted neurological dx px
|
$96.00 |
$96.00 |
$96.00 |
$242.50
|
|
Unlisted procedure microbiology
|
$711.60 |
$711.60 |
$711.60 |
$530.00
|
|
Unlisted procedure rectum
|
$538.20 |
$538.20 |
$538.20 |
$1,223.20
|
|
Unlisted px casting/strpg
|
$103.20 |
$103.20 |
$103.20 |
$222.00
|
|
Unlisted px leg/ankle
|
$97.20 |
$97.20 |
$97.20 |
$882.30
|
|
Unlisted px male genital sys
|
$91.80 |
$91.80 |
$91.80 |
$387.84
|
|
Unlisted px posterior segmnt
|
$4,036.20 |
$4,036.20 |
$4,036.20 |
$3,173.34
|
|
Unlisted px small intestine
|
$2,744.40 |
$2,744.40 |
$2,744.40 |
$2,118.35
|
|
Unlisted px tongue flr mouth
|
$93.60 |
$93.60 |
$93.60 |
$282.50
|
|
Unsched dialysis esrd pt hos
|
$415.80 |
$415.80 |
$415.80 |
$1,292.33
|
|
Upper Arm (Humerus) X-ray (left side)
|
$436.20 |
$436.20 |
$436.20 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,074.20 |
$5,074.20 |
$5,074.20 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$436.20 |
$436.20 |
$436.20 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$436.20 |
$436.20 |
$436.20 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$674.40 |
$674.40 |
$674.40 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$674.40 |
$674.40 |
$674.40 |
$607.20
|
|
Uppr gi scope w/submuc inj
|
$3,284.40 |
$3,284.40 |
$3,284.40 |
$1,872.00
|
|
Urea nitrogen
|
$58.80 |
$58.80 |
$58.80 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$97.20 |
$97.20 |
$97.20 |
$52.00
|
|
Urea nitrogen clearance
|
$137.40 |
$137.40 |
$137.40 |
$38.35
|
|
Uric acid blood
|
$67.20 |
$67.20 |
$67.20 |
$49.44
|
|
Uric acid urine
|
$47.40 |
$47.40 |
$47.40 |
$45.36
|
|
Urinalysis (with microscopy)
|
$64.80 |
$64.80 |
$64.80 |
$55.20
|
|
Urinalysis (without microscopy)
|
$46.80 |
$46.80 |
$46.80 |
$36.00
|
|
Urine Culture Test
|
$118.20 |
$118.20 |
$118.20 |
$83.00
|
|
Urine pregnancy test
|
$133.20 |
$133.20 |
$133.20 |
$68.78
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$70.00 |
$70.00 |
$70.00 |
$5,205.00
|
|
Vaccine Administration (one shot)
|
$12.00 |
$12.00 |
$12.00 |
$67.70
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$340.00 |
$340.00 |
$340.00 |
$224.25
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$176.00 |
$176.00 |
$176.00 |
$231.56
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$86.40 |
$86.40 |
$86.40 |
$155.16
|
|
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 meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$108.80 |
$108.80 |
$108.80 |
$329.24
|
|
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 |
$397.11
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$192.00 |
$192.00 |
$192.00 |
$563.36
|
|
Vaccine rabies im
|
$800.00 |
$800.00 |
$800.00 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,105.21
|
|
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
|
$211.80 |
$211.80 |
$211.80 |
$325.20
|
|
Valproic acid total therapeutic drug level
|
$201.00 |
$201.00 |
$201.00 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$0.60 |
$0.60 |
$0.60 |
$259.05
|
|
Vancomycin hcl injection
|
$64.80 |
$64.80 |
$64.80 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$201.00 |
$201.00 |
$201.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$192.00 |
$192.00 |
$192.00 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$8.00 |
$8.00 |
$8.00 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$16,630.20 |
$16,630.20 |
$16,630.20 |
$18,732.33
|
|
Veeg ea 12-26hr cont mntr
|
$2,109.60 |
$2,109.60 |
$2,109.60 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$586.20 |
$586.20 |
$586.20 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$1,794.68
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$102.60 |
$102.60 |
$102.60 |
$188.83
|
|
Venogram ext bil s&i
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$1,829.42
|
|
Venogram extremity supervision & interpretation unilateral
|
$777.00 |
$777.00 |
$777.00 |
$1,382.58
|
|
Venous mech thrombectomy
|
$13,128.60 |
$13,128.60 |
$13,128.60 |
$8,184.00
|
|
Ventilator each subsequent day
|
$574.80 |
$574.80 |
$574.80 |
$1,184.00
|
|
Ventilator Management (first day)
|
$791.40 |
$791.40 |
$791.40 |
$1,434.60
|
|
Very long chain fatty acids
|
$261.60 |
$261.60 |
$261.60 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$832.80 |
$832.80 |
$832.80 |
$524.50
|
|
Vincristine 1 mg/ml intravenous solution
|
$239.40 |
$239.40 |
$239.40 |
$87.15
|
|
Vitamin b-12
|
$225.60 |
$225.60 |
$225.60 |
$100.28
|
|
Vitamin D Test
|
$441.60 |
$441.60 |
$441.60 |
$132.00
|
|
Vonvendi inj 1 iu vwf:rco
|
$15.20 |
$15.20 |
$15.20 |
$5.42
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$831.00 |
$831.00 |
$831.00 |
$165.81
|
|
Walking (Gait) Training (each 15 minutes)
|
$87.60 |
$87.60 |
$87.60 |
$87.50
|
|
Warde 1003990 aldosterone
|
$609.00 |
$609.00 |
$609.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$415.80 |
$415.80 |
$415.80 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$175.80 |
$175.80 |
$175.80 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$378.00 |
$378.00 |
$378.00 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$231.60 |
$231.60 |
$231.60 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$202.80 |
$202.80 |
$202.80 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$496.80 |
$496.80 |
$496.80 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$397.80 |
$397.80 |
$397.80 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$338.40 |
$338.40 |
$338.40 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$287.40 |
$287.40 |
$287.40 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$271.20 |
$271.20 |
$271.20 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$133.20 |
$133.20 |
$133.20 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$358.80 |
$358.80 |
$358.80 |
$73.60
|
|
Warde 3400852 arsenic
|
$283.20 |
$283.20 |
$283.20 |
$101.00
|
|
Warde 3708165 mercury urine
|
$241.20 |
$241.20 |
$241.20 |
$71.60
|
|
Warde acetylcholine receptor blocking antibody
|
$284.40 |
$284.40 |
$284.40 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$179.40 |
$179.40 |
$179.40 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$104.40 |
$104.40 |
$104.40 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$575.40 |
$575.40 |
$575.40 |
$156.40
|
|
Warde aldolase
|
$145.80 |
$145.80 |
$145.80 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$345.00 |
$345.00 |
$345.00 |
$200.16
|
