|
Uric acid blood
|
$257.00 |
$257.00 |
$257.00 |
$49.44
|
|
Uric acid urine
|
$257.00 |
$257.00 |
$257.00 |
$45.36
|
|
Urinalysis (with microscopy)
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$55.20
|
|
Urine Culture Test
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$83.00
|
|
Urine pregnancy test
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$68.78
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$51.00 |
$51.00 |
$51.00 |
$43.12
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$367.00 |
$367.00 |
$367.00 |
$75.39
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$113.00 |
$113.00 |
$113.00 |
$48.59
|
|
Vaccine mmr live subcutaneous
|
$379.00 |
$379.00 |
$379.00 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$449.00 |
$449.00 |
$449.00 |
$252.87
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$880.00 |
$880.00 |
$880.00 |
$414.46
|
|
Vaccine rabies im
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$352.00 |
$352.00 |
$352.00 |
$131.34
|
|
Vaccine varicella live subcutaneous
|
$750.00 |
$750.00 |
$750.00 |
$365.17
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$237.00 |
$237.00 |
$237.00 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$772.00 |
$772.00 |
$772.00 |
$115.00
|
|
Vasopressin 20 unit/ml intravenous solution
|
$212.00 |
$212.00 |
$212.00 |
$325.80
|
|
Vendaje, per square centimet
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Ventilator each subsequent day
|
$5,385.00 |
$5,385.00 |
$5,385.00 |
$1,184.00
|
|
Ventilator Management (first day)
|
$5,385.00 |
$5,385.00 |
$5,385.00 |
$1,434.60
|
|
Video Swallow Study (Modified Barium Swallow)
|
$4,247.00 |
$4,247.00 |
$4,247.00 |
$524.50
|
|
Virus isolation addl studies ea
|
$70.00 |
$70.00 |
$70.00 |
$79.34
|
|
Vital capacity test
|
$573.00 |
$573.00 |
$573.00 |
$173.18
|
|
Vitamin b-12
|
$688.00 |
$688.00 |
$688.00 |
$100.28
|
|
Vitamin D Test
|
$273.00 |
$273.00 |
$273.00 |
$132.00
|
|
Volume measurement urine timed
|
$252.00 |
$252.00 |
$252.00 |
$21.64
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$165.81
|
|
Warde 1005020 citrate 24 hour urine
|
$29.53 |
$29.53 |
$29.53 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$14.00 |
$14.00 |
$14.00 |
$64.08
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$6.00 |
$6.00 |
$6.00 |
$70.85
|
|
Warde 3004000 immunoglobulin subclass 1
|
$12.00 |
$12.00 |
$12.00 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$33.00 |
$33.00 |
$33.00 |
$108.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$885.00 |
$885.00 |
$885.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$10.00 |
$10.00 |
$10.00 |
$73.60
|
|
Warde acetylcholine receptor blocking antibody
|
$124.43 |
$124.43 |
$124.43 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$6.00 |
$6.00 |
$6.00 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$26.11 |
$26.11 |
$26.11 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$6.00 |
$6.00 |
$6.00 |
$156.40
|
|
Warde aldolase
|
$2.00 |
$2.00 |
$2.00 |
$54.05
|
|
Warde amiodarone therapeutic drug level
|
$10.00 |
$10.00 |
$10.00 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$71.00 |
$71.00 |
$71.00 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$190.00 |
$190.00 |
$190.00 |
$368.00
|
|
Warde anti-mullerian hormone
|
$147.00 |
$147.00 |
$147.00 |
$82.50
|
|
Warde bile acids
|
$11.00 |
$11.00 |
$11.00 |
$64.28
|
|
Warde cadmium blood
|
$45.66 |
$45.66 |
$45.66 |
$76.70
|
|
Warde calcitonin
|
$10.00 |
$10.00 |
$10.00 |
$101.40
|
|
Warde calculus (stone) infrared
|
$42.00 |
$42.00 |
$42.00 |
$59.52
|
|
Warde cobalt heavy metal quantitative each nes
|
$71.00 |
$71.00 |
$71.00 |
$116.16
|
|
Warde complement total hemolytic
|
$4.00 |
$4.00 |
$4.00 |
$105.00
|
|
Warde cryoglobulin
|
$3.00 |
$3.00 |
$3.00 |
$50.96
|
|
Warde erythropoietin
|
$9.00 |
$9.00 |
$9.00 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$6.00 |
$6.00 |
$6.00 |
$42.56
|
|
Warde folic acid rbc
|
$6.00 |
$6.00 |
$6.00 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$9.00 |
$9.00 |
$9.00 |
$43.55
|
|
Warde gastrin
|
$12.00 |
$12.00 |
$12.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$237.00 |
$237.00 |
$237.00 |
$77.55
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$83.79
|
|
Warde hepatitis a antibody
|
$178.00 |
$178.00 |
$178.00 |
$85.15
|
|
Warde hepatitis be antibody
|
$3.00 |
$3.00 |
$3.00 |
$52.80
|
|
Warde hepatitis delta agent antibody
|
$76.00 |
$76.00 |
$76.00 |
$97.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$3.00 |
$3.00 |
$3.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$92.00 |
$92.00 |
$92.00 |
$646.40
|
|
Warde lipoprotein (a)
|
$54.25 |
$54.25 |
$54.25 |
$64.68
|
|
Warde lipoprotein-associated phospholipase a2
|
$54.25 |
$54.25 |
$54.25 |
$95.90
|
|
Warde mitochondrial antibody each
|
$199.00 |
$199.00 |
$199.00 |
$60.80
|
|
Warde oxcarbazepine therapeutic drug level
|
$22.82 |
$22.82 |
$22.82 |
$65.80
|
|
Warde pancreatic elastase fecal quantitative
|
$192.00 |
$192.00 |
$192.00 |
$96.00
|
|
Warde protein c antigen
|
$12.00 |
$12.00 |
$12.00 |
$93.80
|
|
Warde sex hormone binding globulin
|
$407.93 |
$407.93 |
$407.93 |
$83.85
|
|
Warde somatomedin
|
$8.00 |
$8.00 |
$8.00 |
$115.82
|
|
Warde t3 (triiodothyronine) reverse
|
$19.95 |
$19.95 |
$19.95 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$28.00 |
$28.00 |
$28.00 |
$180.01
|
|
Warde topiramate therapeutic drug level
|
$34.20 |
$34.20 |
$34.20 |
$71.20
|
|
Warde viscosity
|
$36.72 |
$36.72 |
$36.72 |
$50.10
|
|
Warde vitamin a
|
$11.00 |
$11.00 |
$11.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$14.00 |
$14.00 |
$14.00 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$9.00 |
$9.00 |
$9.00 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$13.00 |
$13.00 |
$13.00 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$12.00 |
$12.00 |
$12.00 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$21.00 |
$21.00 |
$21.00 |
$61.15
|
|
Warde zinc
|
$5.00 |
$5.00 |
$5.00 |
$62.70
|
|
Western blot test
|
$285.08 |
$285.08 |
$285.08 |
$149.40
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$22,109.00 |
$22,109.00 |
$22,109.00 |
$1,570.65
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$922.00 |
$922.00 |
$922.00 |
$351.60
|
|
Woundfix biowound plus xplus
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
X-ray bone length studies
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$285.30
|
|
X-ray exam entire spi 4/5 vw
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$450.24
|
|
X-ray exam entire spi 6/> vw
|
$4,944.00 |
$4,944.00 |
$4,944.00 |
$519.00
|
|
X-ray exam of perineum
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$588.00
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$7,943.00 |
$7,943.00 |
$7,943.00 |
$762.55
|
|
X-ray sinus tract/fistula/abscess
|
$4,699.00 |
$4,699.00 |
$4,699.00 |
$632.80
|
|
X-ray small intestine follow-through study
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$501.19
|
|
X-ray surgical specimen
|
$3,735.00 |
$3,735.00 |
$3,735.00 |
$520.00
|
|
Xwrap 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Zenith amniotic membrane psc
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$388.00 |
$388.00 |
$388.00 |
$123.21
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$6,303.00 |
$6,303.00 |
$6,303.00 |
$432.92
|
