|
Unlisted px external ear
|
$4,972.50 |
$4,972.50 |
$4,972.50 |
|
|
Unlisted px foot/toes
|
$390.00 |
$390.00 |
$133,705.78 |
|
|
Unlisted px forearm/wrist
|
$34,644.88 |
$34,644.88 |
$34,644.88 |
|
|
Unlisted px hands/fingers
|
$248.00 |
$248.00 |
$13,652.31 |
|
|
Unlisted px inner ear
|
$104.00 |
$154.50 |
$154.50 |
|
|
Unlisted px lacrimal system
|
$331.00 |
$490.50 |
$490.50 |
|
|
Unlisted px male genital sys
|
$5,363.50 |
$7,027.58 |
$7,281.00 |
|
|
Unlisted px med radj physics
|
$394.50 |
$1,479.00 |
$1,479.00 |
|
|
Unlisted px neck/thorax
|
$6,337.50 |
$8,603.50 |
$8,603.50 |
|
|
Unlisted px palate uvula
|
$666.00 |
$905.00 |
$905.00 |
|
|
Unlisted px pelvis/hip joint
|
$4,683.00 |
$6,358.00 |
$42,185.17 |
|
|
Unlisted px salivry glnd/dux
|
$268.50 |
$371.50 |
$371.50 |
|
|
Unlisted px small intestine
|
$3,630.00 |
$4,928.00 |
$6,061.80 |
|
|
Unlisted px tongue flr mouth
|
$544.80 |
$1,324.50 |
$1,798.50 |
|
|
Unlisted px vestibule mouth
|
$557.40 |
$557.40 |
$557.40 |
|
|
Unlisted resp px dx nuc med
|
$405.00 |
$521.00 |
$532.00 |
|
|
Unlisted ultrasound procedure
|
$360.00 |
$713.00 |
$713.00 |
|
|
Unlisted urinalysis px
|
$17.50 |
$17.50 |
$19.00 |
|
|
Unlstd laps px sprmatic cord
|
$23,433.52 |
$23,433.52 |
$28,844.00 |
|
|
Unsched dialysis esrd pt hos
|
$497.00 |
$791.00 |
$3,702.00 |
|
|
Upgrade pm system
|
$2,275.50 |
$21,136.50 |
$163,797.00 |
|
|
Upper Arm (Humerus) X-ray (left side)
|
$148.50 |
$257.50 |
$652.50 |
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$662.00 |
$1,291.80 |
$6,899.00 |
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$455.50 |
$1,148.40 |
$8,478.00 |
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,187.00 |
$2,560.20 |
$11,724.00 |
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$857.40 |
$1,202.50 |
$10,794.00 |
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$830.50 |
$1,673.40 |
$11,629.00 |
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$155.00 |
$313.00 |
$1,428.00 |
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$191.00 |
$501.50 |
$1,649.00 |
|
|
Upper Endoscopy (EGD, diagnostic)
|
$5,995.00 |
$5,995.00 |
$12,528.19 |
|
|
Upper Endoscopy (EGD, with biopsy)
|
$11,024.86 |
$11,024.86 |
$12,092.82 |
|
|
Upper GI Barium X-ray (barium and gas)
|
$325.50 |
$455.40 |
$2,820.00 |
|
|
Upper GI Barium X-ray (barium only)
|
$325.50 |
$586.50 |
$3,197.00 |
|
|
Uppr gi scope w/submuc inj
|
$12,872.80 |
$12,872.80 |
$21,584.20 |
|
|
Urea nitrogen
|
$24.00 |
$67.50 |
$252.00 |
|
|
Urea nitrogen 24 hour urine
|
$22.00 |
$45.00 |
$307.50 |
|
|
Ureteral embolization/occl
|
$708.00 |
$961.50 |
$961.50 |
|
|
Ureteral reflux study
|
$375.50 |
$1,078.00 |
$2,423.00 |
|
|
Urethrcystgrphy rtrgrde s&i
|
$286.00 |
$510.00 |
$604.00 |
|
|
Urethrocystography void s&i
|
$280.00 |
$548.00 |
$2,247.00 |
|
|
Uric acid blood
|
$24.00 |
$63.00 |
$333.00 |
|
|
Uric acid urine
|
$33.00 |
$63.50 |
$340.50 |
|
|
Urinalysis microscopic only
|
$7.50 |
$27.00 |
$52.00 |
|
|
Urinalysis (with microscopy)
|
$18.00 |
$76.20 |
$12,544.37 |
|
|
Urinalysis (without microscopy)
|
$15.50 |
$52.00 |
$164.00 |
|
|
Urinary bldr retent nuc study
|
$83.00 |
$109.00 |
$426.50 |
|
|
Urinary pouch on barr w/flng
|
$23.00 |
$23.00 |
$23.00 |
|
|
Urinary pouch w/barrier
|
$42.00 |
$42.00 |
$42.00 |
|
|
Urine Culture Test
|
$81.50 |
$114.00 |
$356.50 |
|
|
Urine flow measurement 51736
|
$118.50 |
$163.50 |
$163.50 |
|
|
Urine ost pouch w faucet/tap
|
$90.00 |
$90.00 |
$90.00 |
|
|
Urine pregnancy test
|
$16.00 |
$103.50 |
$305.50 |
|
|
Urography, antegrade
|
$236.00 |
$398.50 |
$2,674.50 |
|
|
Urokinase 250,000 iu inj
|
$5,966.00 |
$5,966.00 |
$5,966.00 |
|
|
Use 1st target lesion
|
$112.00 |
$124.50 |
$124.50 |
|
|
Vaccine Administration (one shot)
|
$18.00 |
$84.50 |
$148.00 |
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$583.05 |
$583.05 |
$583.05 |
|
|
Vaccine dtap < 7 years im
|
$124.28 |
$142.04 |
$312.00 |
|
|
Vaccine dtap-hep b-ipv im
|
$554.00 |
$554.00 |
$554.00 |
|
|
Vaccine dtap-ipv/hib im
|
$337.00 |
$337.00 |
$337.00 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$247.00 |
$247.00 |
$247.00 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$56.31 |
$64.35 |
$75.00 |
|
|
Vaccine hepatitis a (hepa) adult im
|
$994.00 |
$994.00 |
$994.00 |
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$103.33 |
$103.33 |
$118.09 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$137.00 |
$137.00 |
$137.00 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$146.00 |
$146.00 |
$146.00 |
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$0.01 |
$0.01 |
$0.01 |
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$58.78 |
$58.78 |
$58.78 |
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$46.00 |
$46.00 |
$46.00 |
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$995.93 |
$995.93 |
$1,138.21 |
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$693.00 |
$693.00 |
$693.00 |
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$496.00 |
$496.00 |
$496.00 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$700.34 |
$700.34 |
$800.39 |
|
|
Vaccine mmr live subcutaneous
|
$411.56 |
$529.94 |
$906.00 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$378.00 |
$378.00 |
$378.00 |
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$973.00 |
$973.00 |
$973.00 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$350.00 |
$350.00 |
$350.00 |
|
|
Vaccine rabies im
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,636.00 |
$1,636.00 |
$2,821.65 |
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
|
|
Vaccine tdap >=7 years im
|
$204.74 |
$233.98 |
$728.00 |
|
|
Vaccine td preservative free >= 7 years im
|
$177.44 |
$202.78 |
$247.00 |
|
|
Vaccine varicella live subcutaneous
|
$806.89 |
$922.15 |
$1,361.00 |
|
|
Vacuum drain bottle/tube kit
|
$154.70 |
$1,238.50 |
$1,516.50 |
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,451.50 |
$2,385.00 |
$3,241.00 |
|
|
Vad cable power module dc input
|
$2,639.50 |
$3,877.50 |
$5,892.50 |
|
|
Vad univ batt charger hm 1440
|
$9,501.00 |
$12,912.00 |
$38,247.00 |
|
|
Vag hyst including t/o
|
$34,215.58 |
$34,215.58 |
$34,215.58 |
|
|
Vaginal bx
|
$1,308.00 |
$1,308.00 |
$12,915.00 |
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$45.00 |
$45.00 |
$45.00 |
|
|
Valproic acid total therapeutic drug level
|
$68.50 |
$144.50 |
$474.00 |
|
|
Valrubicin injection
|
$12,155.00 |
$12,155.00 |
$12,155.00 |
|
|
Valvuloplasty aortic
|
$3,602.00 |
$4,586.50 |
$48,777.00 |
|
|
Valvuloplasty mitral
|
$6,113.50 |
$7,547.50 |
$17,841.00 |
|
|
Valvuloplasty pulmonary
|
$6,113.50 |
$7,547.50 |
$7,547.50 |
|
|
Vancomycin 1,000 mg intravenous injection
|
$242.06 |
$1,765.88 |
$1,976.25 |
|
|
Vancomycin 750 mg intravenous solution
|
$109.13 |
$200.44 |
$224.32 |
|
|
Vancomycin hcl injection
|
$3,988.80 |
$3,988.80 |
$4,464.00 |
|
|
Vancomycin peak therapeutic drug level
|
$95.50 |
$170.50 |
$604.50 |
|
