|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$385.04 |
$385.04 |
$385.04 |
$32.50
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$1,098.65 |
$1,098.65 |
$1,098.65 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$478.87 |
$478.87 |
$478.87 |
$349.15
|
|
Vaccine mmr live subcutaneous
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$224.04
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,751.28 |
$1,751.28 |
$1,751.28 |
$385.45
|
|
Vaccine polio (ipv) subcutaneous/im
|
$520.83 |
$520.83 |
$520.83 |
$119.17
|
|
Vaccine rabies im
|
$2,090.70 |
$2,090.70 |
$2,090.70 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,763.84 |
$1,763.84 |
$1,763.84 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,763.84 |
$1,763.84 |
$1,763.84 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$789.72 |
$789.72 |
$789.72 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$328.55 |
$328.55 |
$328.55 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$772.49 |
$772.49 |
$772.49 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$1,945.31 |
$1,945.31 |
$1,945.31 |
$115.00
|
|
Varicella-zoster immue globin im
|
$3,594.75 |
$3,594.75 |
$3,594.75 |
$2,372.84
|
|
Vedolizumab 300 mg intravenous solution
|
$44,320.57 |
$44,320.57 |
$44,320.57 |
$23,003.79
|
|
Veeg cont 2-12 hrs
|
$864.56 |
$864.56 |
$864.56 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$1,629.50 |
$1,629.50 |
$1,629.50 |
$3,332.45
|
|
Veeg intrmnt 2-12 hrs
|
$1,027.62 |
$1,027.62 |
$1,027.62 |
$904.90
|
|
Veeg unmon 12-26 hrs
|
$1,114.08 |
$1,114.08 |
$1,114.08 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$1,114.08 |
$1,114.08 |
$1,114.08 |
$704.79
|
|
Vein x-ray adrenal glands
|
$21,776.46 |
$21,776.46 |
$21,776.46 |
$3,999.60
|
|
Vein x-ray liver
|
$8,539.68 |
$8,539.68 |
$8,539.68 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$10,583.40 |
$10,583.40 |
$10,583.40 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$9,191.54 |
$9,191.54 |
$9,191.54 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$5,359.49 |
$5,359.49 |
$5,359.49 |
$2,489.25
|
|
Vein x-ray skull
|
$6,431.43 |
$6,431.43 |
$6,431.43 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$19,835.43 |
$19,835.43 |
$19,835.43 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$11,302.68 |
$11,302.68 |
$11,302.68 |
$188.65
|
|
Venous sampling s&i
|
$18,281.60 |
$18,281.60 |
$18,281.60 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$1,325.77 |
$1,325.77 |
$1,325.77 |
$779.56
|
|
Very long chain fatty acids
|
$3,944.28 |
$3,944.28 |
$3,944.28 |
$140.40
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$6,552.90 |
$6,552.90 |
$6,552.90 |
$245.36
|
|
Virus isolation addl studies ea
|
$2,077.27 |
$2,077.27 |
$2,077.27 |
$90.35
|
|
Vitamin b-12
|
$1,210.07 |
$1,210.07 |
$1,210.07 |
$94.90
|
|
Vitamin D Test
|
$1,713.38 |
$1,713.38 |
$1,713.38 |
$132.00
|
|
Volume measurement urine timed
|
$355.15 |
$355.15 |
$355.15 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$2,696.22 |
$2,696.22 |
$2,696.22 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,657.82 |
$1,657.82 |
$1,657.82 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$2,364.21 |
$2,364.21 |
$2,364.21 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$381.22 |
$381.22 |
$381.22 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$4,705.25 |
$4,705.25 |
$4,705.25 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$1,371.32 |
$1,371.32 |
$1,371.32 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$1,161.12 |
$1,161.12 |
$1,161.12 |
$78.57
|
|
Warde acetylcholine receptor blocking antibody
|
$90.75 |
$90.75 |
$90.75 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$1,246.65 |
$1,246.65 |
$1,246.65 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$2,099.23 |
$2,099.23 |
$2,099.23 |
$129.75
|
|
Warde aldolase
|
$985.71 |
$985.71 |
$985.71 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$3,524.33 |
$3,524.33 |
$3,524.33 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$1,448.11 |
$1,448.11 |
$1,448.11 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$4,628.47 |
$4,628.47 |
$4,628.47 |
$260.94
|
|
Warde bile acids
|
$1,326.33 |
$1,326.33 |
$1,326.33 |
$64.28
|
|
Warde cadmium blood
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$77.00
|
|
Warde calcitonin
|
$2,199.02 |
$2,199.02 |
$2,199.02 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$2,828.12 |
$2,828.12 |
$2,828.12 |
$63.00
|
|
Warde complement total hemolytic
|
$1,613.41 |
$1,613.41 |
$1,613.41 |
$105.00
|
|
Warde cryoglobulin
|
$1,436.42 |
$1,436.42 |
$1,436.42 |
$43.45
|
|
Warde erythropoietin
|
$2,299.04 |
$2,299.04 |
$2,299.04 |
$90.35
|
|
Warde folic acid rbc
|
$1,017.53 |
$1,017.53 |
$1,017.53 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$763.97 |
$763.97 |
$763.97 |
$43.55
|
|
Warde gastrin
|
$2,320.77 |
$2,320.77 |
$2,320.77 |
$75.25
|
|
Warde growth hormone (hgh)
|
$2,012.11 |
$2,012.11 |
$2,012.11 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$884.28 |
$884.28 |
$884.28 |
$68.16
|
|
Warde hepatitis a antibody
|
$432.08 |
$432.08 |
$432.08 |
$83.70
|
|
Warde hepatitis be antibody
|
$1,282.93 |
$1,282.93 |
$1,282.93 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$1,282.93 |
$1,282.93 |
$1,282.93 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$907.50 |
$907.50 |
$907.50 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$3,809.43 |
$3,809.43 |
$3,809.43 |
$636.09
|
|
Warde lipoprotein (a)
|
$1,680.03 |
$1,680.03 |
$1,680.03 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$223.22 |
$223.22 |
$223.22 |
$97.00
|
|
Warde oxcarbazepine therapeutic drug level
|
$2,156.94 |
$2,156.94 |
$2,156.94 |
$64.50
|
|
Warde protein c antigen
|
$1,878.69 |
$1,878.69 |
$1,878.69 |
$88.80
|
|
Warde sex hormone binding globulin
|
$454.59 |
$454.59 |
$454.59 |
$86.59
|
|
Warde somatomedin
|
$1,058.26 |
$1,058.26 |
$1,058.26 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$696.47 |
$696.47 |
$696.47 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$1,611.92 |
$1,611.92 |
$1,611.92 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$1,743.86 |
$1,743.86 |
$1,743.86 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$942.25 |
$942.25 |
$942.25 |
$71.19
|
|
Warde viscosity
|
$775.51 |
$775.51 |
$775.51 |
$52.65
|
|
Warde vitamin a
|
$1,713.38 |
$1,713.38 |
$1,713.38 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$1,252.44 |
$1,252.44 |
$1,252.44 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$1,003.13 |
$1,003.13 |
$1,003.13 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$1,326.33 |
$1,326.33 |
$1,326.33 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,878.69 |
$1,878.69 |
$1,878.69 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$55.00
|
|
Whole blood for transfusion
|
$3,680.39 |
$3,680.39 |
$3,680.39 |
$425.88
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$3,093.94 |
$3,093.94 |
$3,093.94 |
$396.20
|
|
Wilate injection
|
$6.01 |
$6.01 |
$6.01 |
$1.28
|
|
Xe133 xenon 10mci
|
$438.78 |
$438.78 |
$438.78 |
$299.00
|
|
X-ray exam of penis
|
$7,977.42 |
$7,977.42 |
$7,977.42 |
$565.20
|
|
X-ray fallopian tube
|
$9,834.12 |
$9,834.12 |
$9,834.12 |
$501.00
|
|
X-ray of mammary ducts
|
$5,018.43 |
$5,018.43 |
$5,018.43 |
$473.55
|
|
X-ray sacroiliac joints >= 3 views
|
$2,558.59 |
$2,558.59 |
$2,558.59 |
$313.95
|
|
X-ray slg plne bdy sect without urogr
|
$6,086.42 |
$6,086.42 |
$6,086.42 |
$387.00
|
|
Xylose absorption test blood &/or urine
|
$3,116.52 |
$3,116.52 |
$3,116.52 |
$64.28
|
|
Yersinia antibody
|
$347.89 |
$347.89 |
$347.89 |
$66.95
|
|
Yttrium y-90 ibritumomab ther
|
$73,208.68 |
$73,208.68 |
$73,208.68 |
$55,035.00
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$22.18 |
$22.18 |
$22.18 |
$106.94
|
|
Zika virus dna/rna amp probe
|
$2,301.94 |
$2,301.94 |
$2,301.94 |
$175.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$1,347.55 |
$1,347.55 |
$1,347.55 |
$128.10
|