|
Unlisted reprod med lab proc
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Unlisted surgical path px
|
$1,824.24 |
$1,824.24 |
$1,824.24 |
$217.75
|
|
Unlisted transfusion med px
|
$145.00 |
$145.00 |
$145.00 |
$147.50
|
|
Unlisted ultrasound procedure
|
$75.00 |
$293.70 |
$293.70 |
$321.20
|
|
Unlisted urinalysis px
|
$584.76 |
$584.76 |
$584.76 |
$25.72
|
|
Unsched dialysis esrd pt hos
|
$1,240.00 |
$1,240.00 |
$1,626.24 |
$1,268.17
|
|
Upgrade pm system
|
$12,087.24 |
$12,087.24 |
$12,087.24 |
$12,077.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,651.88 |
$2,651.88 |
$3,265.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,210.00 |
$2,410.98 |
$2,410.98 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,110.00 |
$2,295.48 |
$2,295.48 |
$2,034.41
|
|
Urea nitrogen
|
$25.74 |
$25.74 |
$27.50 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$54.12 |
$54.12 |
$57.50 |
$51.75
|
|
Urea nitrogen clearance
|
$72.50 |
$217.14 |
$217.14 |
$42.25
|
|
Ureteral embolization/occl
|
$369.60 |
$369.60 |
$4,810.00 |
$2,181.40
|
|
Ureteral reflux study
|
$1,023.66 |
$1,023.66 |
$1,023.66 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$515.00 |
$747.78 |
$747.78 |
$579.73
|
|
Urethrocystography void s&i
|
$690.00 |
$747.78 |
$747.78 |
$622.35
|
|
Uric acid blood
|
$31.02 |
$31.02 |
$57.50 |
$48.75
|
|
Uric acid urine
|
$31.02 |
$31.02 |
$52.50 |
$44.33
|
|
Urinalysis microscopic only
|
$20.00 |
$21.78 |
$21.78 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$64.68 |
$64.68 |
$64.68 |
$25.72
|
|
Urinalysis (with microscopy)
|
$38.28 |
$38.28 |
$57.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$25.00 |
$35.64 |
$35.64 |
$35.75
|
|
Urine Culture Test
|
$59.40 |
$59.40 |
$80.00 |
$81.50
|
|
Urine pregnancy test
|
$59.40 |
$59.40 |
$77.50 |
$67.20
|
|
Urography, antegrade
|
$560.00 |
$616.44 |
$616.44 |
$622.35
|
|
Urography inf drip &/or bolus
|
$747.78 |
$747.78 |
$747.78 |
$642.50
|
|
Use 1st target lesion
|
$360.00 |
$360.00 |
$360.00 |
$332.00
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$35.39 |
$35.39 |
$48.42 |
$5,184.34
|
|
Vaccine dtap < 7 years im
|
$142.33 |
$142.33 |
$142.33 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$338.55 |
$338.55 |
$338.55 |
$164.63
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$88.24 |
$88.24 |
$88.24 |
$43.12
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$63.20 |
$63.20 |
$141.90 |
$75.39
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$100.12 |
$100.12 |
$101.11 |
$47.88
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$670.66 |
$670.66 |
$670.66 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$320.86 |
$320.86 |
$320.86 |
$211.68
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$706.27 |
$706.27 |
$706.27 |
$563.36
|
|
Vaccine rabies im
|
$1,084.28 |
$1,084.28 |
$1,084.28 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,387.45 |
$1,387.45 |
$1,387.45 |
$1,104.47
|
|
Vaccine tdap >=7 years im
|
$95.33 |
$146.03 |
$158.99 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$138.04 |
$138.04 |
$138.04 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$631.06 |
$631.06 |
$631.06 |
$365.17
|
|
Vacuum drain bottle/tube kit
|
$487.50 |
$487.50 |
$487.50 |
$325.20
|
|
Valproic acid total therapeutic drug level
|
$77.88 |
$77.88 |
$122.50 |
$114.72
|
|
Valvuloplasty aortic
|
$6,585.48 |
$6,585.48 |
$6,585.48 |
$7,830.80
|
|
Valvuloplasty mitral
|
$13,098.36 |
$13,098.36 |
$13,098.36 |
$10,877.90
|
|
Vancomycin 1,000 mg intravenous injection
|
$1.52 |
$1.52 |
$38.60 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$0.63 |
$0.63 |
$0.79 |
$90.33
|
|
Vancomycin hcl injection
|
$11.09 |
$11.09 |
$11.09 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$95.70 |
$95.70 |
$142.50 |
$136.13
|
|
Varicella zoster antibody igg
|
$68.64 |
$68.64 |
$85.00 |
$86.80
|
|
Vasc emb/occ w/prs cath
|
$26,695.00 |
$26,695.00 |
$26,695.00 |
$21,009.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$17.27 |
$17.27 |
$17.27 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$60.54 |
$60.54 |
$67.48 |
$18,732.33
|
|
Veeg cont 2-12 hrs
|
$1,180.00 |
$1,180.00 |
$3,153.48 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$2,370.00 |
$2,370.00 |
$4,224.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$1,180.00 |
$1,180.00 |
$2,702.70 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$2,370.00 |
$4,505.16 |
$4,505.16 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$1,180.00 |
$2,432.76 |
$2,432.76 |
$826.15
|
|
Vein x-ray adrenal gland
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$2,845.80
|
|
Vein x-ray adrenal glands
|
$6,243.60 |
$6,243.60 |
$6,243.60 |
$3,935.00
|
|
Vein x-ray eye socket
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$1,438.32
|
|
Vein x-ray kidney
|
$2,095.00 |
$3,635.28 |
$3,635.28 |
$2,766.73
|
|
Vein x-ray liver
|
$2,095.00 |
$5,139.42 |
$5,139.42 |
$3,305.50
|
|
Vein x-ray liver w/hemodynam
|
$2,365.00 |
$3,635.28 |
$3,635.28 |
$3,486.86
|
|
Vein x-ray liver w/hemodynam
|
$2,515.00 |
$6,076.62 |
$6,076.62 |
$3,483.84
|
|
Vein x-ray liver without hemodyn
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$2,452.80
|
|
Vein x-ray skull
|
$1,315.00 |
$3,635.28 |
$3,635.28 |
$2,141.00
|
|
Vein x-ray skull epidural
|
$2,176.02 |
$2,176.02 |
$2,176.02 |
$1,746.50
|
|
Vein x-ray spleen/liver
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$3,427.50
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$70.00 |
$114.84 |
$114.84 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$27.72 |
$27.72 |
$70.00 |
$67.00
|
|
Venogram ext bil s&i
|
$1,575.00 |
$1,794.54 |
$1,794.54 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,050.00 |
$1,794.54 |
$1,794.54 |
$1,366.20
|
|
Venous mech thrombectomy
|
$4,870.00 |
$11,389.62 |
$11,389.62 |
$7,965.00
|
|
Venous m-thrombectomy add-on
|
$3,635.28 |
$3,635.28 |
$4,870.00 |
$5,094.75
|
|
Venous sampling s&i
|
$3,085.00 |
$6,243.60 |
$6,243.60 |
$4,193.20
|
|
Ventilator each subsequent day
|
$775.00 |
$775.00 |
$775.00 |
$1,204.00
|
|
Ventilator initial day
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,431.43
|
|
Ventricular puncture prev burr hole without inj 61020
|
$605.00 |
$605.00 |
$605.00 |
$1,314.30
|
|
Version cephalic external
|
$770.00 |
$3,474.24 |
$3,474.24 |
$2,361.75
|
|
Very long chain fatty acids
|
$177.50 |
$225.06 |
$225.06 |
$139.88
|
|
Vinblastine 1 mg/ml intravenous solution
|
$19.20 |
$19.20 |
$19.20 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$98.44 |
$98.44 |
$98.44 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$121.97 |
$121.97 |
$121.97 |
$223.55
|
|
Visc & infraren abd 1 prosth
|
$23,954.04 |
$23,954.04 |
$23,954.04 |
$9,715.02
|
|
Visc & infraren abd 2 prosth
|
$26,200.02 |
$26,200.02 |
$26,200.02 |
$10,796.94
|
|
Visc & infraren abd 3 prosth
|
$28,445.34 |
$28,445.34 |
$28,445.34 |
$11,878.86
|
|
Visc & infraren abd 4+ prost
|
$30,691.32 |
$30,691.32 |
$30,691.32 |
$10,660.00
|
|
Visit established high 40-54 minutes/level 5
|
$245.52 |
$245.52 |
$245.52 |
$227.50
|
|
Vital capacity test
|
$55.00 |
$180.84 |
$180.84 |
$170.00
|
|
Vitamin b-12
|
$89.76 |
$89.76 |
$100.00 |
$100.00
|
|
Vitamin D Test
|
$150.00 |
$180.18 |
$180.18 |
$132.00
|
|
Volume measurement urine timed
|
$12.50 |
$22.44 |
$22.44 |
$21.45
|
|
Vonvendi inj 1 iu vwf:rco
|
$3.61 |
$3.61 |
$3.61 |
$5.42
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$20.90 |
$20.90 |
$20.90 |
$165.81
|
|
Vutrisiran 25 mg/0.5 ml subcutaneous syringe
|
$7,719.56 |
$7,719.56 |
$7,719.56 |
$179,026.50
|
|
Warde 1003990 aldosterone
|
$142.50 |
$252.12 |
$252.12 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$125.00 |
$162.36 |
$162.36 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$81.18 |
$81.18 |
$82.50 |
$63.50
|
