|
Urine Culture Test
|
$121.84 |
$121.84 |
$153.62 |
$81.00
|
|
Urine flow measurement 51736
|
$249.76 |
$249.76 |
$249.76 |
$210.00
|
|
Urine pregnancy test
|
$9.07 |
$9.07 |
$120.43 |
$66.87
|
|
Urography, antegrade
|
$673.30 |
$673.30 |
$838.75 |
$622.35
|
|
Urography inf drip &/or bolus
|
$823.49 |
$823.49 |
$1,109.77 |
$642.50
|
|
Use 1st target lesion
|
$353.09 |
$353.09 |
$353.09 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$3,644.13 |
$3,644.13 |
$3,644.13 |
$5,205.00
|
|
Vaccine Administration (one shot)
|
$66.51 |
$66.51 |
$142.18 |
$67.74
|
|
Vaccine dtap < 7 years im
|
$101.02 |
$101.02 |
$101.02 |
$68.19
|
|
Vaccine dtap-ipv/hib im
|
$200.85 |
$200.85 |
$280.15 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$46.99 |
$46.99 |
$46.99 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$225.31 |
$225.31 |
$225.31 |
$169.35
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$90.44 |
$90.44 |
$90.44 |
$90.35
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$179.89 |
$179.89 |
$179.89 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$402.20 |
$402.20 |
$402.20 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$103.22 |
$103.22 |
$174.34 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$81.00 |
$81.00 |
$83.43 |
$143.20
|
|
Vaccine influenza inactivated adjuvant im
|
$81.00 |
$81.00 |
$81.00 |
$96.84
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$20.56 |
$20.56 |
$27.00 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$25.76 |
$25.76 |
$25.76 |
$35.88
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$31.03 |
$31.03 |
$31.03 |
$28.77
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$39.65 |
$39.65 |
$39.65 |
$33.21
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$23.37 |
$23.37 |
$23.37 |
$77.22
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$605.69 |
$605.69 |
$605.69 |
$387.95
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$426.43 |
$426.43 |
$426.43 |
$323.39
|
|
Vaccine mmr live subcutaneous
|
$182.82 |
$182.82 |
$254.57 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$243.68 |
$243.68 |
$243.68 |
$466.88
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$133.14 |
$133.14 |
$133.14 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$254.02 |
$254.02 |
$254.02 |
$393.25
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$184.76 |
$184.76 |
$184.76 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$256.30 |
$256.30 |
$729.93 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$1,134.58 |
$1,134.58 |
$1,134.58 |
$90.70
|
|
Vaccine rabies im
|
$587.94 |
$587.94 |
$1,174.89 |
$858.95
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$176.23 |
$176.23 |
$176.23 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$132.88 |
$132.88 |
$167.69 |
$131.22
|
|
Vaccine td preservative free >= 7 years im
|
$81.32 |
$81.32 |
$131.77 |
$110.19
|
|
Vaccine varicella live subcutaneous
|
$495.68 |
$495.68 |
$495.68 |
$364.16
|
|
Vacuum drain bottle/tube kit
|
$40.72 |
$40.72 |
$40.72 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$3,055.80 |
$3,055.80 |
$3,055.80 |
$1,932.00
|
|
Vad cable power module dc input
|
$5,556.00 |
$5,556.00 |
$5,556.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$16,675.20 |
$16,675.20 |
$16,675.20 |
$14,814.14
|
|
Vag hys/<250g/rmv tube/rpr entero 58263
|
$5,345.59 |
$5,345.59 |
$5,345.59 |
$5,345.59
|
|
Vag hyst incl t/o complex
|
$7,530.43 |
$7,530.43 |
$7,530.43 |
$5,813.46
|
|
Vag hyst including t/o
|
$6,515.38 |
$6,515.38 |
$6,515.38 |
$5,110.00
|
|
Vag hyst t/o & repair compl
|
$6,287.36 |
$6,287.36 |
$6,287.36 |
$8,081.64
|
|
Vag hyst w/enterocele compl 58294
|
$5,232.57 |
$5,232.57 |
$5,232.57 |
$5,468.70
|
|
Vag hyst w/enterocele repair
|
$5,885.27 |
$5,885.27 |
$5,885.27 |
$5,463.96
|
|
Vaginal bx
|
$3,061.00 |
$3,061.00 |
$3,061.00 |
$471.12
|
|
Vaginal delivery after cesarean delivery 59612
|
$3,759.08 |
$3,759.08 |
$3,759.08 |
$3,866.47
|
|
Vaginal Delivery (full care)
|
$2,756.98 |
$2,756.98 |
$2,756.98 |
$4,184.00
|
|
Vaginal hysterectomy
|
$8,216.20 |
$8,216.20 |
$8,216.20 |
$5,766.00
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$24.12 |
$24.12 |
$24.12 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$173.37 |
$173.37 |
$228.73 |
$114.48
|
|
Valvuloplasty aortic
|
$9,551.60 |
$9,551.60 |
$9,551.60 |
$7,830.80
|
|
Valvuloplasty mitral
|
$5,693.38 |
$5,693.38 |
$11,570.77 |
$10,851.48
|
|
Valvuloplasty pulmonary
|
$11,095.42 |
$11,095.42 |
$11,095.42 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$246.70 |
$246.70 |
$246.70 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$89.83 |
$89.83 |
$89.83 |
$90.33
|
|
Vancomycin hcl injection
|
$20.45 |
$20.45 |
$589.52 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$221.44 |
$221.44 |
$257.85 |
$129.14
|
|
Vanomycin dna amp probe
|
$241.67 |
$241.67 |
$241.67 |
$78.40
|
|
Varicella zoster antibody igg
|
$98.93 |
$98.93 |
$155.73 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$13,549.31 |
$13,549.31 |
$13,549.31 |
$21,009.00
|
|
Vasc graft into carpal bone
|
$7,086.47 |
$7,086.47 |
$7,086.47 |
$4,350.00
|
|
Vasectomy
|
$4,572.37 |
$4,572.37 |
$4,572.37 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$10.75 |
$10.75 |
$1,458.00 |
$325.80
|
|
Vbac delivery 59610
|
$7,970.66 |
$7,970.66 |
$7,970.66 |
$4,492.00
|
|
Vbac/include postpartum care 59614
|
$4,575.47 |
$4,575.47 |
$4,575.47 |
$2,285.60
|
|
Vedolizumab 300 mg intravenous solution
|
$15,599.84 |
$15,599.84 |
$15,599.84 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,033.91 |
$1,033.91 |
$1,923.28 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,645.13 |
$1,645.13 |
$4,351.73 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$704.79 |
$704.79 |
$1,870.60 |
$983.38
|
|
Veeg unmon 12-26 hrs
|
$1,033.91 |
$1,033.91 |
$2,826.33 |
$1,794.68
|
|
Veeg unmon 2-12 hrs
|
$704.79 |
$704.79 |
$1,585.84 |
$826.15
|
|
Vein x-ray adrenal gland
|
$2,325.28 |
$2,325.28 |
$3,126.27 |
$2,870.00
|
|
Vein x-ray adrenal glands
|
$3,126.27 |
$3,126.27 |
$6,446.54 |
$3,480.10
|
|
Vein x-ray eye socket
|
$1,475.78 |
$1,475.78 |
$1,475.78 |
$1,438.32
|
|
Vein x-ray kidney
|
$2,650.18 |
$2,650.18 |
$8,627.54 |
$2,990.58
|
|
Vein x-ray liver
|
$6,446.54 |
$6,446.54 |
$6,446.54 |
$3,328.80
|
|
Vein x-ray liver w/hemodynam
|
$2,330.14 |
$2,330.14 |
$2,330.14 |
$3,635.28
|
|
Vein x-ray liver w/hemodynam
|
$3,119.40 |
$3,119.40 |
$6,405.83 |
$3,694.50
|
|
Vein x-ray liver without hemodyn
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$2,452.80
|
|
Vein x-ray skull
|
$1,834.89 |
$1,834.89 |
$1,834.89 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$2,079.54 |
$2,079.54 |
$2,079.54 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$1,880.40 |
$1,880.40 |
$3,126.27 |
$3,434.00
|
|
Vemp test i&r cervical
|
$167.46 |
$167.46 |
$167.46 |
$343.72
|
|
Vemp test i&r ocular
|
$167.46 |
$167.46 |
$167.46 |
$260.00
|
|
Vemp tst i&r cervical&ocular
|
$317.34 |
$317.34 |
$317.34 |
$591.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$520.92 |
$520.92 |
$1,717.67 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$2,046.92 |
$2,046.92 |
$2,046.92 |
$67.00
|
|
Venogram ext bil s&i
|
$2,010.86 |
$2,010.86 |
$2,123.31 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,200.91 |
$1,200.91 |
$3,109.80 |
$1,388.00
|
|
Venous mech thrombectomy
|
$5,828.91 |
$5,828.91 |
$5,828.91 |
$8,212.75
|
|
Venous m-thrombectomy add-on
|
$5,288.32 |
$5,288.32 |
$5,288.32 |
$5,288.32
|
|
Venous sampling s&i
|
$3,126.27 |
$3,126.27 |
$4,200.00 |
$4,270.50
|
|
Venous thrombosis imaging
|
$1,306.82 |
$1,306.82 |
$1,306.82 |
$697.20
|
|
Ven thrombosis images bilat
|
$1,193.73 |
$1,193.73 |
$1,193.73 |
$796.50
|
|
Ventilator each subsequent day
|
$890.11 |
$890.11 |
$1,732.73 |
$1,168.86
|
|
Ventilator Management (first day)
|
$1,483.66 |
$1,483.66 |
$1,879.12 |
$1,433.60
|
|
Ventricular puncture prev burr hole without inj 61020
|
$884.17 |
$884.17 |
$884.17 |
$1,257.55
|
