|
Ultrasound joint complete left
|
$2,643.64 |
$2,643.64 |
$2,643.64 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$2,213.93 |
$2,213.93 |
$2,213.93 |
$448.50
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$672.14 |
$672.14 |
$672.14 |
$326.54
|
|
Ultrasound retroperitoneal limited
|
$2,506.02 |
$2,506.02 |
$2,506.02 |
$498.00
|
|
Ultrasound scrotum and contents
|
$2,213.93 |
$2,213.93 |
$2,213.93 |
$617.28
|
|
Unlisted transfusion med px
|
$501.52 |
$501.52 |
$501.52 |
$141.35
|
|
Urea nitrogen
|
$88.58 |
$88.58 |
$88.58 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$147.11 |
$147.11 |
$147.11 |
$50.00
|
|
Uric acid blood
|
$183.26 |
$183.26 |
$183.26 |
$46.64
|
|
Uric acid urine
|
$101.42 |
$101.42 |
$101.42 |
$46.75
|
|
Urinalysis (with microscopy)
|
$191.18 |
$191.18 |
$191.18 |
$48.14
|
|
Urinalysis (without microscopy)
|
$228.24 |
$228.24 |
$228.24 |
$38.99
|
|
Urine Culture Test
|
$284.70 |
$284.70 |
$284.70 |
$84.81
|
|
Urine pregnancy test
|
$171.91 |
$171.91 |
$171.91 |
$66.40
|
|
Urography, antegrade
|
$5,897.27 |
$5,897.27 |
$5,897.27 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$103,734.75 |
$103,734.75 |
$103,734.75 |
$6,892.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$570.08 |
$570.08 |
$570.08 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$1,633.75 |
$1,633.75 |
$1,633.75 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$838.91 |
$838.91 |
$838.91 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$3,529.20 |
$3,529.20 |
$3,529.20 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$1,136.64 |
$1,136.64 |
$1,136.64 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$505.65 |
$505.65 |
$505.65 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$334.19 |
$334.19 |
$334.19 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$282.67 |
$282.67 |
$282.67 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$556.98 |
$556.98 |
$556.98 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$2,005.26 |
$2,005.26 |
$2,005.26 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,935.47 |
$1,935.47 |
$1,935.47 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,362.74 |
$1,362.74 |
$1,362.74 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$2,832.10 |
$2,832.10 |
$2,832.10 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$789.22 |
$789.22 |
$789.22 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$650.23 |
$650.23 |
$650.23 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$270.33 |
$270.33 |
$270.33 |
$115.00
|
|
Vancomycin hcl injection
|
$805.55 |
$805.55 |
$805.55 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$307.62 |
$307.62 |
$307.62 |
$126.79
|
|
Varicella zoster antibody igg
|
$257.15 |
$257.15 |
$257.15 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,033.62 |
$1,033.62 |
$1,033.62 |
$394.13
|
|
Veeg ea 12-26hr cont mntr
|
$18,744.34 |
$18,744.34 |
$18,744.34 |
$3,332.45
|
|
Ventilator each subsequent day
|
$8,248.55 |
$8,248.55 |
$8,248.55 |
$1,305.92
|
|
Ventilator initial day
|
$8,248.55 |
$8,248.55 |
$8,248.55 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$1,328.55 |
$1,328.55 |
$1,328.55 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$403.04 |
$403.04 |
$403.04 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$655.18 |
$655.18 |
$655.18 |
$245.36
|
|
Virus isolation addl studies ea
|
$403.29 |
$403.29 |
$403.29 |
$90.35
|
|
Vital capacity test
|
$547.37 |
$547.37 |
$547.37 |
$173.33
|
|
Vitamin b-12
|
$276.41 |
$276.41 |
$276.41 |
$94.90
|
|
Vitamin D Test
|
$391.53 |
$391.53 |
$391.53 |
$132.00
|
|
Warde 1003990 aldosterone
|
$333.60 |
$333.60 |
$333.60 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$555.03 |
$555.03 |
$555.03 |
$97.61
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$504.12 |
$504.12 |
$504.12 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$309.46 |
$309.46 |
$309.46 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$344.81 |
$344.81 |
$344.81 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$30.88 |
$30.88 |
$30.88 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$546.84 |
$546.84 |
$546.84 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$336.41 |
$336.41 |
$336.41 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$287.30 |
$287.30 |
$287.30 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$244.57 |
$244.57 |
$244.57 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$177.69 |
$177.69 |
$177.69 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$358.97 |
$358.97 |
$358.97 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$2,847.61 |
$2,847.61 |
$2,847.61 |
$219.13
|
|
Warde 3400852 arsenic
|
$378.74 |
$378.74 |
$378.74 |
$105.12
|
|
Warde 3708165 mercury urine
|
$324.63 |
$324.63 |
$324.63 |
$72.80
|
|
Warde actin (smooth muscle) antibody each
|
$46.40 |
$46.40 |
$46.40 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$161.72 |
$161.72 |
$161.72 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$148.69 |
$148.69 |
$148.69 |
$129.75
|
|
Warde aldolase
|
$193.86 |
$193.86 |
$193.86 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$336.82 |
$336.82 |
$336.82 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$372.15 |
$372.15 |
$372.15 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$1,304.91 |
$1,304.91 |
$1,304.91 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$3,273.46 |
$3,273.46 |
$3,273.46 |
$381.50
|
|
Warde anti-mullerian hormone
|
$148.69 |
$148.69 |
$148.69 |
$93.28
|
|
Warde apolipoprotein b
|
$421.07 |
$421.07 |
$421.07 |
$64.28
|
|
Warde cadmium blood
|
$471.98 |
$471.98 |
$471.98 |
$77.00
|
|
Warde calculus (stone) infrared
|
$257.55 |
$257.55 |
$257.55 |
$61.73
|
|
Warde cobalt heavy metal quantitative each nes
|
$438.43 |
$438.43 |
$438.43 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$372.94 |
$372.94 |
$372.94 |
$90.40
|
|
Warde complement total hemolytic
|
$78.23 |
$78.23 |
$78.23 |
$105.00
|
|
Warde copper
|
$247.78 |
$247.78 |
$247.78 |
$80.00
|
|
Warde cryoglobulin
|
$129.18 |
$129.18 |
$129.18 |
$43.45
|
|
Warde erythropoietin
|
$205.11 |
$205.11 |
$205.11 |
$90.35
|
|
Warde estrogen fractionated
|
$644.88 |
$644.88 |
$644.88 |
$112.18
|
|
Warde fluorescent antibody screen endomysial iga
|
$241.38 |
$241.38 |
$241.38 |
$48.57
|
|
Warde folic acid rbc
|
$231.84 |
$231.84 |
$231.84 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$193.67 |
$193.67 |
$193.67 |
$43.55
|
|
Warde gastrin
|
$351.99 |
$351.99 |
$351.99 |
$75.25
|
|
Warde growth hormone (hgh)
|
$332.83 |
$332.83 |
$332.83 |
$81.24
|
|
Warde helminth antibody strongyloides igg
|
$259.75 |
$259.75 |
$259.75 |
$96.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$256.96 |
$256.96 |
$256.96 |
$68.64
|
|
Warde hepatitis a antibody
|
$247.37 |
$247.37 |
$247.37 |
$83.70
|
|
Warde hepatitis be antibody
|
$231.00 |
$231.00 |
$231.00 |
$50.00
|
|
Warde immunofixation electrophoresis urine
|
$585.98 |
$585.98 |
$585.98 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$44.40 |
$44.40 |
$44.40 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$5,139.99 |
$5,139.99 |
$5,139.99 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$470.58 |
$470.58 |
$470.58 |
$137.55
|
|
Warde lipoprotein (a)
|
$285.90 |
$285.90 |
$285.90 |
$69.96
|
|
Warde mitochondrial antibody each
|
$97.99 |
$97.99 |
$97.99 |
$62.40
|
|
Warde oxcarbazepine therapeutic drug level
|
$264.54 |
$264.54 |
$264.54 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$458.60 |
$458.60 |
$458.60 |
$94.25
|
|
Warde protein c antigen
|
$239.79 |
$239.79 |
$239.79 |
$88.80
|
|
Warde sex hormone binding globulin
|
$130.24 |
$130.24 |
$130.24 |
$86.59
|
|
Warde somatomedin
|
$127.42 |
$127.42 |
$127.42 |
$111.80
|
