|
Tube trach disp innr can 5 xlt
|
$281.18 |
$281.18 |
$281.18 |
$445.99
|
|
Tx closed hip disl traumatic without anes
|
$222.90 |
$222.90 |
$222.90 |
$581.07
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$2,067.90 |
$2,067.90 |
$2,067.90 |
$3,986.00
|
|
Ultrasound abdomen aorta screening study aaa
|
$422.70 |
$422.70 |
$422.70 |
$394.20
|
|
Ultrasound breast complete
|
$442.20 |
$442.20 |
$442.20 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$232.20 |
$232.20 |
$232.20 |
$452.00
|
|
Ultrasound chest
|
$264.00 |
$264.00 |
$264.00 |
$460.85
|
|
Ultrasound guidance for vascular access
|
$277.50 |
$277.50 |
$277.50 |
$388.08
|
|
Ultrasound guided needle placement supervision & interpretation
|
$439.20 |
$439.20 |
$439.20 |
$720.15
|
|
Ultrasound joint/nonvascular extremity limited left
|
$214.20 |
$214.20 |
$214.20 |
$424.00
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$135.90 |
$135.90 |
$135.90 |
$452.10
|
|
Ultrasound pregnant uterus transvaginal
|
$422.70 |
$422.70 |
$422.70 |
$490.00
|
|
Ultrasound retroperitoneal limited
|
$422.70 |
$422.70 |
$422.70 |
$479.60
|
|
Ultrasound scrotum and contents
|
$425.70 |
$425.70 |
$425.70 |
$612.55
|
|
Ultrasound transvaginal non obstetric
|
$422.70 |
$422.70 |
$422.70 |
$558.35
|
|
Unlisted maaa
|
$70.80 |
$70.80 |
$70.80 |
$228.00
|
|
Unlisted px hands/fingers
|
$226.80 |
$226.80 |
$226.80 |
$378.00
|
|
Unlisted px tongue flr mouth
|
$144.60 |
$144.60 |
$144.60 |
$282.50
|
|
Unlisted px vestibule mouth
|
$230.70 |
$230.70 |
$230.70 |
$418.20
|
|
Unsched dialysis esrd pt hos
|
$1,266.30 |
$1,266.30 |
$1,266.30 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,699.80 |
$1,699.80 |
$1,699.80 |
$2,984.45
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$913.50 |
$913.50 |
$913.50 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$4,065.58 |
$4,065.58 |
$4,065.58 |
$1,794.22
|
|
Upper Endoscopy (EGD, with biopsy)
|
$4,929.71 |
$4,929.71 |
$4,929.71 |
$1,768.00
|
|
Urea nitrogen
|
$70.50 |
$70.50 |
$70.50 |
$40.95
|
|
Uric acid blood
|
$54.30 |
$54.30 |
$54.30 |
$49.44
|
|
Urinalysis microscopic only
|
$21.60 |
$21.60 |
$21.60 |
$26.46
|
|
Urinalysis (with microscopy)
|
$16.20 |
$16.20 |
$16.20 |
$55.44
|
|
Urinalysis (without microscopy)
|
$4.20 |
$4.20 |
$4.20 |
$36.00
|
|
Urine Culture Test
|
$36.60 |
$36.60 |
$36.60 |
$81.27
|
|
Urine pregnancy test
|
$28.80 |
$28.80 |
$28.80 |
$67.80
|
|
Vaccine influenza inactivated adjuvant im
|
$426.84 |
$426.84 |
$426.84 |
$106.41
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$58.78 |
$58.78 |
$58.78 |
$76.50
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$579.55 |
$579.55 |
$579.55 |
$252.87
|
|
Vaccine rabies im
|
$2,151.32 |
$2,151.32 |
$2,151.32 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$241.30 |
$241.30 |
$241.30 |
$132.88
|
|
Vad univ batt charger hm 1440
|
$10,092.45 |
$10,092.45 |
$10,092.45 |
$14,827.28
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$44.22 |
$44.22 |
$44.22 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$144.30 |
$144.30 |
$144.30 |
$114.48
|
|
Vancomycin 1,000 mg intravenous injection
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$246.70
|
|
Vancomycin 750 mg intravenous solution
|
$159.19 |
$159.19 |
$159.19 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$60.90 |
$60.90 |
$60.90 |
$132.72
|
|
Varicella zoster antibody igg
|
$37.20 |
$37.20 |
$37.20 |
$86.80
|
|
Varus/valgus strap padded/li
|
$71.79 |
$71.79 |
$71.79 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$27.63 |
$27.63 |
$27.63 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$46,893.15 |
$46,893.15 |
$46,893.15 |
$18,719.82
|
|
Ventilator each subsequent day
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$1,184.00
|
|
Ventilator initial day
|
$1,055.70 |
$1,055.70 |
$1,055.70 |
$1,416.96
|
|
Vest large holster
|
$744.52 |
$744.52 |
$744.52 |
$1,089.36
|
|
Vinblastine 1 mg/ml intravenous solution
|
$203.21 |
$203.21 |
$203.21 |
$159.60
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$340.20 |
$340.20 |
$340.20 |
$223.55
|
|
Vital capacity test
|
$94.50 |
$94.50 |
$94.50 |
$170.00
|
|
Vitamin b-12
|
$67.80 |
$67.80 |
$67.80 |
$100.00
|
|
Vitamin D Test
|
$118.80 |
$118.80 |
$118.80 |
$132.00
|
|
Volume measurement urine timed
|
$16.20 |
$16.20 |
$16.20 |
$21.03
|
|
Warde 1003990 aldosterone
|
$265.20 |
$265.20 |
$265.20 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$132.30 |
$132.30 |
$132.30 |
$65.40
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$265.20 |
$265.20 |
$265.20 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$30.30 |
$30.30 |
$30.30 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$118.20 |
$118.20 |
$118.20 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$76.50 |
$76.50 |
$76.50 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$19.80 |
$19.80 |
$19.80 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$19.80 |
$19.80 |
$19.80 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$198.60 |
$198.60 |
$198.60 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$47.70 |
$47.70 |
$47.70 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$16.80 |
$16.80 |
$16.80 |
$70.85
|
|
Warde 3400852 arsenic
|
$126.60 |
$126.60 |
$126.60 |
$100.88
|
|
Warde 3708165 mercury urine
|
$126.60 |
$126.60 |
$126.60 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$109.20 |
$109.20 |
$109.20 |
$73.16
|
|
Warde actin (smooth muscle) antibody each
|
$20.10 |
$20.10 |
$20.10 |
$44.16
|
|
Warde adenosine deaminase pleural fluid
|
$44.10 |
$44.10 |
$44.10 |
$87.60
|
|
Warde adrenocorticotropic hormone (acth)
|
$82.80 |
$82.80 |
$82.80 |
$151.20
|
|
Warde aldolase
|
$67.20 |
$67.20 |
$67.20 |
$53.30
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$170.70 |
$170.70 |
$170.70 |
$368.00
|
|
Warde apolipoprotein b
|
$110.70 |
$110.70 |
$110.70 |
$61.82
|
|
Warde clozapine therapeutic drug level
|
$51.00 |
$51.00 |
$51.00 |
$63.05
|
|
Warde cobalt heavy metal quantitative each nes
|
$41.40 |
$41.40 |
$41.40 |
$116.16
|
|
Warde complement total hemolytic
|
$163.50 |
$163.50 |
$163.50 |
$105.00
|
|
Warde copper
|
$38.70 |
$38.70 |
$38.70 |
$78.72
|
|
Warde cryoglobulin
|
$96.90 |
$96.90 |
$96.90 |
$51.00
|
|
Warde erythropoietin
|
$168.30 |
$168.30 |
$168.30 |
$91.80
|
|
Warde fluorescent antibody screen endomysial iga
|
$21.00 |
$21.00 |
$21.00 |
$43.86
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$133.50 |
$133.50 |
$133.50 |
$43.55
|
|
Warde gastrin
|
$133.50 |
$133.50 |
$133.50 |
$75.25
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$25.20 |
$25.20 |
$25.20 |
$76.80
|
|
Warde hepatitis a antibody
|
$37.20 |
$37.20 |
$37.20 |
$83.85
|
|
Warde hepatitis be antibody
|
$40.20 |
$40.20 |
$40.20 |
$52.80
|
|
Warde immunofixation electrophoresis urine
|
$54.90 |
$54.90 |
$54.90 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$111.30 |
$111.30 |
$111.30 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$244.80 |
$244.80 |
$244.80 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$56.40 |
$56.40 |
$56.40 |
$137.55
|
|
Warde mitochondrial antibody each
|
$21.30 |
$21.30 |
$21.30 |
$59.80
|
|
Warde neutralization rabies
|
$26.70 |
$26.70 |
$26.70 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$31.50 |
$31.50 |
$31.50 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$39.90 |
$39.90 |
$39.90 |
$92.50
|
|
Warde protein c antigen
|
$323.40 |
$323.40 |
$323.40 |
$93.43
|
|
Warde sex hormone binding globulin
|
$70.50 |
$70.50 |
$70.50 |
$83.85
|
|
Warde somatomedin
|
$110.40 |
$110.40 |
$110.40 |
$118.30
|
|
Warde topiramate therapeutic drug level
|
$98.10 |
$98.10 |
$98.10 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$208.80 |
$208.80 |
$208.80 |
$123.51
|
