|
Urinalysis qual/semiquant excpt ia
|
$46.86 |
$46.86 |
$46.86 |
$25.72
|
|
Urinalysis (with microscopy)
|
$77.87 |
$77.87 |
$107.85 |
$55.20
|
|
Urinalysis (without microscopy)
|
$96.30 |
$96.30 |
$107.85 |
$35.91
|
|
Urinary bldr retent nuc study
|
$309.22 |
$309.22 |
$309.22 |
$350.66
|
|
Urine Culture Test
|
$129.30 |
$129.30 |
$210.00 |
$82.32
|
|
Urine ost pouch w faucet/tap
|
$2.00 |
$2.00 |
$2.00 |
$2.00
|
|
Urine pregnancy test
|
$97.30 |
$97.30 |
$187.20 |
$68.21
|
|
Urography, antegrade
|
$593.37 |
$593.37 |
$622.35 |
$622.35
|
|
Urography inf drip &/or bolus
|
$690.85 |
$690.85 |
$690.85 |
$642.50
|
|
Use 1st target lesion
|
$355.91 |
$355.91 |
$355.91 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$3,644.13 |
$3,644.13 |
$4,008.54 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$55,128.85 |
$55,128.85 |
$55,128.85 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$77.72 |
$77.72 |
$113.70 |
$67.74
|
|
Vaccine dtap < 7 years im
|
$68.19 |
$68.19 |
$101.02 |
$71.17
|
|
Vaccine dtap-ipv/hib im
|
$221.24 |
$221.24 |
$280.15 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$72.98 |
$72.98 |
$72.98 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$33.30 |
$33.30 |
$46.99 |
$43.12
|
|
Vaccine hepatitis a (hepa) adult im
|
$192.15 |
$192.15 |
$225.31 |
$166.62
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$93.90 |
$93.90 |
$93.90 |
$78.25
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$160.86 |
$160.86 |
$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
|
$69.74 |
$69.74 |
$103.22 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$81.00 |
$81.00 |
$149.21 |
$149.21
|
|
Vaccine influenza inactivated adjuvant im
|
$81.00 |
$81.00 |
$81.00 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$27.00 |
$27.00 |
$27.00 |
$48.59
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$54.84 |
$54.84 |
$54.84 |
$33.60
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$149.21 |
$149.21 |
$149.21 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$605.69 |
$605.69 |
$605.69 |
$394.26
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$409.35 |
$409.35 |
$409.35 |
$409.35
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$426.43 |
$426.43 |
$426.43 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$194.93 |
$194.93 |
$254.57 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$252.90 |
$252.90 |
$252.90 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$487.47 |
$487.47 |
$487.47 |
$393.25
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$563.36 |
$563.36 |
$729.93 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$1,134.58 |
$1,134.58 |
$1,134.58 |
$90.70
|
|
Vaccine rabies im
|
$858.95 |
$858.95 |
$1,174.89 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$637.20 |
$637.20 |
$637.20 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$980.10 |
$980.10 |
$980.10 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$980.10 |
$980.10 |
$980.10 |
$997.44
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$102.83 |
$102.83 |
$102.83 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$106.66 |
$106.66 |
$167.69 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$89.72 |
$89.72 |
$131.77 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$495.68 |
$495.68 |
$495.68 |
$365.17
|
|
Vacuum drain bottle/tube kit
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$1,932.00
|
|
Vad cable power module dc input
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$15,793.12 |
$15,793.12 |
$15,793.12 |
$14,814.14
|
|
Vaginal bx
|
$513.30 |
$513.30 |
$3,859.51 |
$459.42
|
|
Vaginal delivery after cesarean delivery 59612
|
$3,843.60 |
$3,843.60 |
$4,170.07 |
$3,866.47
|
|
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 |
$226.50 |
$115.00
|
|
Valvuloplasty aortic
|
$5,841.45 |
$5,841.45 |
$16,030.65 |
$7,944.16
|
|
Valvuloplasty mitral
|
$6,889.20 |
$6,889.20 |
$17,175.83 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$12,700.66 |
$12,700.66 |
$17,222.70 |
$11,945.20
|
|
Valvuloplasty/tv without ring insert 33463
|
$15,523.12 |
$15,523.12 |
$15,523.12 |
$7,556.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$246.70 |
$246.70 |
$246.70 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$89.83 |
$89.83 |
$89.83 |
$90.33
|
|
Vancomycin hcl injection
|
$459.00 |
$459.00 |
$589.52 |
$149.49
|
|
Vancomycin peak therapeutic drug level
|
$182.61 |
$182.61 |
$362.70 |
$135.60
|
|
Vanomycin dna amp probe
|
$174.24 |
$174.24 |
$174.24 |
$78.40
|
|
Varicella zoster antibody igg
|
$108.99 |
$108.99 |
$140.40 |
$86.80
|
|
Varicella-zoster immue globin im
|
$4,321.49 |
$4,321.49 |
$4,321.49 |
$3,816.19
|
|
Varus/valgus strap padded/li
|
$136.41 |
$136.41 |
$136.41 |
$114.24
|
|
Vasc emb/occ w/prs cath
|
$16,060.54 |
$16,060.54 |
$16,060.54 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$458.82 |
$458.82 |
$1,458.00 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$15,599.84 |
$15,599.84 |
$17,159.83 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,063.95 |
$1,063.95 |
$1,868.14 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$1,990.80 |
$1,990.80 |
$4,212.17 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$554.70 |
$554.70 |
$2,338.10 |
$994.91
|
|
Veeg unmon 12-26 hrs
|
$1,063.95 |
$1,063.95 |
$2,826.33 |
$1,737.12
|
|
Veeg unmon 2-12 hrs
|
$554.70 |
$554.70 |
$1,889.94 |
$826.15
|
|
Vein x-ray adrenal gland
|
$2,833.34 |
$2,833.34 |
$2,833.34 |
$2,833.34
|
|
Vein x-ray adrenal glands
|
$3,353.84 |
$3,353.84 |
$3,353.84 |
$3,480.10
|
|
Vein x-ray eye socket
|
$1,128.41 |
$1,128.41 |
$1,128.41 |
$1,438.32
|
|
Vein x-ray kidney
|
$2,571.95 |
$2,571.95 |
$2,571.95 |
$2,870.00
|
|
Vein x-ray liver
|
$2,563.49 |
$2,563.49 |
$2,563.49 |
$3,312.00
|
|
Vein x-ray liver w/hemodynam
|
$2,376.74 |
$2,376.74 |
$2,502.15 |
$3,619.84
|
|
Vein x-ray liver w/hemodynam
|
$2,634.90 |
$2,634.90 |
$3,368.95 |
$3,683.90
|
|
Vein x-ray liver without hemodyn
|
$1,869.20 |
$1,869.20 |
$1,869.20 |
$2,452.80
|
|
Vein x-ray skull
|
$2,122.85 |
$2,122.85 |
$2,122.85 |
$2,236.50
|
|
Vein x-ray skull epidural
|
$1,006.40 |
$1,006.40 |
$1,006.40 |
$1,596.00
|
|
Vein x-ray spleen/liver
|
$2,320.33 |
$2,320.33 |
$2,320.33 |
$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 |
$257.50
|
|
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)
|
$208.50 |
$208.50 |
$1,385.30 |
$197.04
|
|
Venipuncture <3 yrs other vein
|
$1,634.26 |
$1,634.26 |
$1,634.26 |
$62.40
|
|
Venogram ext bil s&i
|
$1,438.01 |
$1,438.01 |
$1,931.40 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,200.91 |
$1,200.91 |
$1,448.70 |
$1,382.58
|
|
Venous mech thrombectomy
|
$7,107.92 |
$7,107.92 |
$8,611.50 |
$8,184.00
|
|
Venous m-thrombectomy add-on
|
$4,671.21 |
$4,671.21 |
$5,094.75 |
$5,110.00
|
|
Venous sampling s&i
|
$4,762.80 |
$4,762.80 |
$4,762.80 |
$4,200.00
|
|
Ven thrombosis images bilat
|
$609.73 |
$609.73 |
$609.73 |
$796.50
|
|
Ventilator each subsequent day
|
$1,572.08 |
$1,572.08 |
$1,915.20 |
$1,178.74
|
|
Ventilator Management (first day)
|
$2,002.58 |
$2,002.58 |
$3,143.25 |
$1,434.60
|
|
Version cephalic external
|
$1,907.85 |
$1,907.85 |
$3,131.78 |
$2,361.75
|
|
Verteporfin injection
|
$3,077.48 |
$3,077.48 |
$3,385.23 |
$3,077.48
|
|
Very long chain fatty acids
|
$295.97 |
$295.97 |
$295.97 |
$139.88
|
|
Vest large holster
|
$1,154.90 |
$1,154.90 |
$1,154.90 |
$1,073.50
|
|
Video Swallow Study (Modified Barium Swallow)
|
$505.08 |
$505.08 |
$601.05 |
$524.50
|
