|
Vein x-ray liver w/hemodynam
|
$12,097.25 |
$12,097.25 |
$12,097.25 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$6,432.80 |
$6,432.80 |
$6,432.80 |
$2,489.25
|
|
Vein x-ray skull
|
$17,416.30 |
$17,416.30 |
$17,416.30 |
$2,301.09
|
|
Vein x-ray spleen/liver
|
$10,391.70 |
$10,391.70 |
$10,391.70 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$106.67 |
$106.67 |
$106.67 |
$188.65
|
|
Venous sampling s&i
|
$24,026.20 |
$24,026.20 |
$24,026.20 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$5,098.00 |
$5,098.00 |
$5,098.00 |
$779.56
|
|
Ventilator each subsequent day
|
$20,439.65 |
$20,439.65 |
$20,439.65 |
$1,305.92
|
|
Ventilator initial day
|
$21,849.85 |
$21,849.85 |
$21,849.85 |
$1,540.80
|
|
Very long chain fatty acids
|
$3,175.25 |
$3,175.25 |
$3,175.25 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$629.44 |
$629.44 |
$629.44 |
$186.71
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$923.44 |
$923.44 |
$923.44 |
$245.36
|
|
Virus isolation addl studies ea
|
$1,680.67 |
$1,680.67 |
$1,680.67 |
$90.35
|
|
Vital capacity test
|
$217.80 |
$217.80 |
$217.80 |
$173.33
|
|
Vitamin b-12
|
$757.87 |
$757.87 |
$757.87 |
$94.90
|
|
Vitamin D Test
|
$1,395.85 |
$1,395.85 |
$1,395.85 |
$132.00
|
|
Volume measurement urine timed
|
$305.97 |
$305.97 |
$305.97 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$2,173.80 |
$2,173.80 |
$2,173.80 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,478.86 |
$1,478.86 |
$1,478.86 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,911.23 |
$1,911.23 |
$1,911.23 |
$69.55
|
|
Warde 3008005 oligoclonal bands
|
$3,786.11 |
$3,786.11 |
$3,786.11 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$1,118.09 |
$1,118.09 |
$1,118.09 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$123.15 |
$123.15 |
$123.15 |
$78.57
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,861.32 |
$1,861.32 |
$1,861.32 |
$129.75
|
|
Warde aldolase
|
$882.65 |
$882.65 |
$882.65 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$1,176.68 |
$1,176.68 |
$1,176.68 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$7,075.83 |
$7,075.83 |
$7,075.83 |
$260.94
|
|
Warde anti-mullerian hormone
|
$299.46 |
$299.46 |
$299.46 |
$93.28
|
|
Warde bile acids
|
$1,073.07 |
$1,073.07 |
$1,073.07 |
$64.28
|
|
Warde cadmium blood
|
$1,246.12 |
$1,246.12 |
$1,246.12 |
$77.00
|
|
Warde calcitonin
|
$1,778.32 |
$1,778.32 |
$1,778.32 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$2,855.72 |
$2,855.72 |
$2,855.72 |
$63.00
|
|
Warde complement total hemolytic
|
$1,310.14 |
$1,310.14 |
$1,310.14 |
$105.00
|
|
Warde cryoglobulin
|
$1,172.34 |
$1,172.34 |
$1,172.34 |
$43.45
|
|
Warde erythropoietin
|
$1,858.06 |
$1,858.06 |
$1,858.06 |
$90.35
|
|
Warde folic acid rbc
|
$827.86 |
$827.86 |
$827.86 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$630.93 |
$630.93 |
$630.93 |
$43.55
|
|
Warde gastrin
|
$1,879.22 |
$1,879.22 |
$1,879.22 |
$75.25
|
|
Warde growth hormone (hgh)
|
$1,630.76 |
$1,630.76 |
$1,630.76 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$734.00 |
$734.00 |
$734.00 |
$68.16
|
|
Warde hepatitis a antibody
|
$371.07 |
$371.07 |
$371.07 |
$83.70
|
|
Warde hepatitis be antibody
|
$1,043.77 |
$1,043.77 |
$1,043.77 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$1,043.77 |
$1,043.77 |
$1,043.77 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$746.48 |
$746.48 |
$746.48 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$2,173.80 |
$2,173.80 |
$2,173.80 |
$636.09
|
|
Warde lipoprotein (a)
|
$301.09 |
$301.09 |
$301.09 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$228.39 |
$228.39 |
$228.39 |
$97.00
|
|
Warde neutralization rabies
|
$412.30 |
$412.30 |
$412.30 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$1,751.73 |
$1,751.73 |
$1,751.73 |
$64.50
|
|
Warde protein c antigen
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$88.80
|
|
Warde sex hormone binding globulin
|
$1,028.58 |
$1,028.58 |
$1,028.58 |
$86.59
|
|
Warde t3 (triiodothyronine) reverse
|
$1,310.14 |
$1,310.14 |
$1,310.14 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$1,417.01 |
$1,417.01 |
$1,417.01 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$602.18 |
$602.18 |
$602.18 |
$71.19
|
|
Warde viscosity
|
$640.69 |
$640.69 |
$640.69 |
$52.65
|
|
Warde vitamin a
|
$1,395.85 |
$1,395.85 |
$1,395.85 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$1,016.65 |
$1,016.65 |
$1,016.65 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$820.80 |
$820.80 |
$820.80 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$1,073.07 |
$1,073.07 |
$1,073.07 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$1,406.70 |
$1,406.70 |
$1,406.70 |
$55.00
|
|
Whole blood for transfusion
|
$3,369.30 |
$3,369.30 |
$3,369.30 |
$425.88
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$3,563.45 |
$3,563.45 |
$3,563.45 |
$740.15
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$611.25
|
|
Xe133 xenon 10mci
|
$589.50 |
$589.50 |
$589.50 |
$299.00
|
|
Xm archive tissue molec anal
|
$167.09 |
$167.09 |
$167.09 |
$47.85
|
|
X-ray abdomen >=3 views
|
$4,829.55 |
$4,829.55 |
$4,829.55 |
$332.15
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$6,630.25 |
$6,630.25 |
$6,630.25 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$6,981.15 |
$6,981.15 |
$6,981.15 |
$820.15
|
|
X-ray exam entire spi 4/5 vw
|
$11,924.00 |
$11,924.00 |
$11,924.00 |
$486.01
|
|
X-ray exam of jaw joint
|
$3,326.95 |
$3,326.95 |
$3,326.95 |
$192.39
|
|
X-ray exam of penis
|
$10,503.90 |
$10,503.90 |
$10,503.90 |
$565.20
|
|
X-ray fallopian tube
|
$12,928.30 |
$12,928.30 |
$12,928.30 |
$501.00
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$742.00
|
|
X-ray slg plne bdy sect without urogr
|
$6,981.15 |
$6,981.15 |
$6,981.15 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$4,062.85 |
$4,062.85 |
$4,062.85 |
$557.70
|
|
X-ray small intestine follow-through study
|
$4,062.85 |
$4,062.85 |
$4,062.85 |
$504.14
|
|
X-ray surgical specimen
|
$906.40 |
$906.40 |
$906.40 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$514.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$5,888.30 |
$5,888.30 |
$5,888.30 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$555.04
|
|
Xylose absorption test blood &/or urine
|
$2,511.78 |
$2,511.78 |
$2,511.78 |
$64.28
|
|
Yersinia antibody
|
$296.75 |
$296.75 |
$296.75 |
$66.95
|
|
Yttrium y-90 ibritumomab ther
|
$298,867.00 |
$298,867.00 |
$298,867.00 |
$55,035.00
|
|
Zika virus dna/rna amp probe
|
$2,243.24 |
$2,243.24 |
$2,243.24 |
$175.00
|
|
Zika virus igm antibody
|
$1,316.65 |
$1,316.65 |
$1,316.65 |
$75.40
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$826.56 |
$826.56 |
$826.56 |
$128.10
|
