|
Unlisted procedure colon
|
$785.84 |
$785.84 |
$785.84 |
|
|
Unlisted px small intestine
|
$1,201.23 |
$1,201.23 |
$1,201.23 |
|
|
Upgrade pm system
|
$5,813.03 |
$5,813.03 |
$5,813.03 |
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,318.01 |
$1,324.91 |
$1,383.93 |
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$1,152.21 |
$1,152.21 |
$1,280.24 |
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$930.30 |
$976.83 |
$1,001.88 |
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Uppr gi scope w/submuc inj
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Urea nitrogen
|
$32.96 |
$32.96 |
$37.37 |
|
|
Urea nitrogen 24 hour urine
|
$32.96 |
$32.96 |
$32.96 |
|
|
Ureteral embolization/occl
|
$733.80 |
$733.80 |
$733.80 |
|
|
Ureteral reflux study
|
$632.48 |
$632.48 |
$632.48 |
|
|
Urethrcystgrphy rtrgrde s&i
|
$379.74 |
$379.74 |
$379.74 |
|
|
Urethrocystography void s&i
|
$242.43 |
$242.43 |
$254.57 |
|
|
Uric acid blood
|
$42.81 |
$42.81 |
$42.81 |
|
|
Uric acid urine
|
$57.39 |
$57.39 |
$57.39 |
|
|
Urinalysis (with microscopy)
|
$48.14 |
$48.14 |
$48.14 |
|
|
Urinalysis (without microscopy)
|
$34.80 |
$34.80 |
$34.80 |
|
|
Urinary bldr retent nuc study
|
$421.62 |
$421.62 |
$421.62 |
|
|
Urine Culture Test
|
$36.56 |
$36.56 |
$36.56 |
|
|
Urine pregnancy test
|
$52.53 |
$52.53 |
$52.53 |
|
|
Urography, antegrade
|
$506.51 |
$506.51 |
$506.51 |
|
|
Use 1st target lesion
|
$369.77 |
$369.77 |
$369.77 |
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$275.10 |
$275.10 |
$275.10 |
|
|
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml
|
$275.10 |
$275.10 |
$275.10 |
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$247.16 |
$247.16 |
$247.16 |
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$165.50 |
$165.50 |
$165.50 |
|
|
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im
|
$370.74 |
$370.74 |
$370.74 |
|
|
Vaccine dtap < 7 years im
|
$61.08 |
$61.08 |
$61.08 |
|
|
Vaccine dtap-hep b-ipv im
|
$209.21 |
$209.21 |
$209.21 |
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$27.24 |
$27.24 |
$27.24 |
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$83.21 |
$83.21 |
$83.21 |
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$147.62 |
$147.62 |
$147.62 |
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$317.28 |
$317.28 |
$317.28 |
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$59.81 |
$59.81 |
$147.62 |
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$157.41 |
$157.41 |
$157.41 |
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$44.18 |
$44.18 |
$44.18 |
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$337.91 |
$337.91 |
$337.91 |
|
|
Vaccine mmr live subcutaneous
|
$203.79 |
$203.79 |
$203.79 |
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$251.64 |
$251.64 |
$251.64 |
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$579.50 |
$579.50 |
$579.50 |
|
|
Vaccine polio (ipv) subcutaneous/im
|
$91.38 |
$91.38 |
$91.38 |
|
|
Vaccine rabies im
|
$889.58 |
$889.58 |
$889.58 |
|
|
Vaccine tdap >=7 years im
|
$101.06 |
$101.06 |
$101.06 |
|
|
Vaccine td preservative free >= 7 years im
|
$79.20 |
$79.20 |
$86.10 |
|
|
Valproic acid total therapeutic drug level
|
$82.74 |
$82.74 |
$82.74 |
|
|
Vancomycin peak therapeutic drug level
|
$85.62 |
$85.62 |
$85.62 |
|
|
Varicella zoster antibody igg
|
$75.56 |
$75.56 |
$75.56 |
|
|
Vasopressin 20 unit/ml intravenous solution
|
$8.70 |
$8.70 |
$30.77 |
|
|
Vedolizumab 300 mg intravenous solution
|
$41.43 |
$41.43 |
$41.43 |
|
|
Veeg unmon 12-26 hrs
|
$598.17 |
$598.17 |
$598.17 |
|
|
Veeg unmon 2-12 hrs
|
$598.17 |
$598.17 |
$598.17 |
|
|
Vein x-ray adrenal gland
|
$897.47 |
$897.47 |
$897.47 |
|
|
Vein x-ray adrenal glands
|
$994.49 |
$994.49 |
$994.49 |
|
|
Vein x-ray kidney
|
$994.43 |
$994.43 |
$994.43 |
|
|
Vein x-ray liver
|
$897.47 |
$897.47 |
$897.47 |
|
|
Vein x-ray liver w/hemodynam
|
$1,380.90 |
$1,380.90 |
$1,380.90 |
|
|
Vein x-ray liver w/hemodynam
|
$854.73 |
$854.73 |
$854.73 |
|
|
Vein x-ray liver without hemodyn
|
$559.20 |
$559.20 |
$559.20 |
|
|
Vein x-ray skull
|
$822.42 |
$822.42 |
$822.42 |
|
|
Vein x-ray spleen/liver
|
$1,751.63 |
$1,751.63 |
$1,751.63 |
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,417.76 |
$1,417.76 |
$1,417.76 |
|
|
Venogram ext bil s&i
|
$1,338.96 |
$1,338.96 |
$1,338.96 |
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,338.96 |
$1,338.96 |
$1,338.96 |
|
|
Venous mech thrombectomy
|
$6,022.38 |
$6,022.38 |
$6,022.38 |
|
|
Venous m-thrombectomy add-on
|
$6,022.38 |
$6,022.38 |
$6,022.38 |
|
|
Venous sampling s&i
|
$994.49 |
$994.49 |
$994.49 |
|
|
Ventilator each subsequent day
|
$451.82 |
$451.82 |
$474.42 |
|
|
Ventilator initial day
|
$485.18 |
$485.18 |
$509.54 |
|
|
Version cephalic external
|
$1,622.55 |
$1,622.55 |
$1,736.10 |
|
|
Vinblastine 1 mg/ml intravenous solution
|
$11.55 |
$11.55 |
$11.55 |
|
|
Vincristine 1 mg/ml intravenous solution
|
$38.15 |
$38.15 |
$38.15 |
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$53.73 |
$53.73 |
$53.73 |
|
|
Virus isolation addl studies ea
|
$39.20 |
$39.20 |
$39.20 |
|
|
Vital capacity test
|
$77.82 |
$77.82 |
$77.82 |
|
|
Vitamin b-12
|
$50.55 |
$50.55 |
$50.55 |
|
|
Vitamin D Test
|
$81.87 |
$81.87 |
$81.87 |
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$6.48 |
$6.48 |
$6.48 |
|
|
Warde 1003990 aldosterone
|
$118.79 |
$118.79 |
$118.79 |
|
|
Warde 1005020 citrate 24 hour urine
|
$83.06 |
$83.06 |
$83.09 |
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$81.81 |
$81.84 |
$81.84 |
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$111.60 |
$111.60 |
$111.60 |
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$83.06 |
$83.06 |
$83.06 |
|
|
Warde 1015200 kappa light chain free
|
$26.82 |
$26.82 |
$26.82 |
|
|
Warde 3004000 immunoglobulin subclass 1
|
$44.82 |
$44.82 |
$44.82 |
|
|
Warde 3008005 oligoclonal bands
|
$147.36 |
$147.36 |
$241.85 |
|
|
Warde 3016000 west nile virus antibody
|
$88.73 |
$88.73 |
$88.73 |
|
|
Warde 3016000 west nile virus antibody igg
|
$88.73 |
$88.73 |
$88.73 |
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$76.70 |
$76.70 |
$76.70 |
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$63.83 |
$63.83 |
$63.83 |
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$60.92 |
$60.92 |
$60.92 |
|
|
Warde 3400852 arsenic
|
$86.81 |
$86.81 |
$86.81 |
|
|
Warde 3708165 mercury urine
|
$75.62 |
$75.62 |
$75.62 |
|
|
Warde actin (smooth muscle) antibody each
|
$30.24 |
$30.24 |
$30.24 |
|
|
Warde adenosine deaminase pleural fluid
|
$86.81 |
$120.33 |
$120.33 |
|
|
Warde adrenocorticotropic hormone (acth)
|
$96.72 |
$96.72 |
$96.72 |
|
|
Warde aldolase
|
$66.95 |
$66.95 |
$66.95 |
|
|
Warde amino acids 6 or more quantitative each specimen
|
$273.48 |
$273.50 |
$273.50 |
|
|
Warde analysis gene hfe common variants
|
$221.43 |
$221.43 |
$221.43 |
|