|
Vaccine rabies im
|
$10,545.00 |
$10,545.00 |
$10,545.00 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$15,593.00 |
$15,593.00 |
$15,593.00 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$249.00 |
$249.00 |
$249.00 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$206.00 |
$206.00 |
$206.00 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$1,097.26 |
$1,097.26 |
$1,097.26 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$115.00
|
|
Vein x-ray liver w/hemodynam
|
$18,676.00 |
$18,676.00 |
$18,676.00 |
$3,439.84
|
|
Ventilator each subsequent day
|
$6,405.00 |
$6,405.00 |
$6,405.00 |
$1,305.92
|
|
Ventilator initial day
|
$9,028.00 |
$9,028.00 |
$9,028.00 |
$1,540.80
|
|
Very long chain fatty acids
|
$179.00 |
$179.00 |
$179.00 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$35.00 |
$35.00 |
$35.00 |
$186.71
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$245.36
|
|
Virus isolation addl studies ea
|
$404.00 |
$404.00 |
$404.00 |
$90.35
|
|
Vital capacity test
|
$265.00 |
$265.00 |
$265.00 |
$173.33
|
|
Vitamin b-12
|
$562.00 |
$562.00 |
$562.00 |
$94.90
|
|
Vitamin D Test
|
$348.00 |
$348.00 |
$348.00 |
$132.00
|
|
Volume measurement urine timed
|
$135.00 |
$135.00 |
$135.00 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$224.40
|
|
Warde 1003990 aldosterone
|
$715.00 |
$715.00 |
$715.00 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$404.00 |
$404.00 |
$404.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$397.00 |
$397.00 |
$397.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$434.00 |
$434.00 |
$434.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$777.00 |
$777.00 |
$777.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$269.00 |
$269.00 |
$269.00 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$228.00 |
$228.00 |
$228.00 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$837.00 |
$837.00 |
$837.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$271.00 |
$271.00 |
$271.00 |
$78.57
|
|
Warde acetylcholine receptor blocking antibody
|
$65.00 |
$65.00 |
$65.00 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$175.00 |
$175.00 |
$175.00 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$560.00 |
$560.00 |
$560.00 |
$129.75
|
|
Warde aldolase
|
$407.00 |
$407.00 |
$407.00 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$2,664.00 |
$2,664.00 |
$2,664.00 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$873.00 |
$873.00 |
$873.00 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$175.00 |
$175.00 |
$175.00 |
$260.94
|
|
Warde apolipoprotein b
|
$121.00 |
$121.00 |
$121.00 |
$64.28
|
|
Warde bile acids
|
$279.00 |
$279.00 |
$279.00 |
$64.28
|
|
Warde calcitonin
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$89.40
|
|
Warde calculus (stone) infrared
|
$291.00 |
$291.00 |
$291.00 |
$61.73
|
|
Warde complement total hemolytic
|
$560.00 |
$560.00 |
$560.00 |
$105.00
|
|
Warde copper
|
$287.00 |
$287.00 |
$287.00 |
$80.00
|
|
Warde cryoglobulin
|
$279.00 |
$279.00 |
$279.00 |
$43.45
|
|
Warde erythropoietin
|
$347.00 |
$347.00 |
$347.00 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$143.00 |
$143.00 |
$143.00 |
$48.57
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$407.00 |
$407.00 |
$407.00 |
$43.55
|
|
Warde gastrin
|
$647.00 |
$647.00 |
$647.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$724.00 |
$724.00 |
$724.00 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$428.00 |
$428.00 |
$428.00 |
$68.16
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$679.00 |
$679.00 |
$679.00 |
$68.64
|
|
Warde hepatitis a antibody
|
$471.00 |
$471.00 |
$471.00 |
$83.70
|
|
Warde hepatitis be antibody
|
$171.00 |
$171.00 |
$171.00 |
$50.00
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$695.00 |
$695.00 |
$695.00 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$230.00 |
$230.00 |
$230.00 |
$636.09
|
|
Warde mitochondrial antibody each
|
$529.00 |
$529.00 |
$529.00 |
$62.40
|
|
Warde oxcarbazepine therapeutic drug level
|
$404.00 |
$404.00 |
$404.00 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$75.00 |
$75.00 |
$75.00 |
$94.25
|
|
Warde protein c antigen
|
$347.00 |
$347.00 |
$347.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$118.00 |
$118.00 |
$118.00 |
$86.59
|
|
Warde somatomedin
|
$642.00 |
$642.00 |
$642.00 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$354.00 |
$354.00 |
$354.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$179.00 |
$179.00 |
$179.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$179.00 |
$179.00 |
$179.00 |
$71.19
|
|
Warde viscosity
|
$171.00 |
$171.00 |
$171.00 |
$52.65
|
|
Warde vitamin a
|
$175.00 |
$175.00 |
$175.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$130.00 |
$130.00 |
$130.00 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$470.00 |
$470.00 |
$470.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$153.00 |
$153.00 |
$153.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$737.00 |
$737.00 |
$737.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$407.00 |
$407.00 |
$407.00 |
$55.00
|
|
Warde zinc
|
$407.00 |
$407.00 |
$407.00 |
$62.50
|
|
Wbc automated
|
$580.00 |
$580.00 |
$580.00 |
$32.80
|
|
Xe133 xenon 10mci
|
$749.00 |
$749.00 |
$749.00 |
$299.00
|
|
X-ray abdomen 1 view
|
$2,818.00 |
$2,818.00 |
$2,818.00 |
$255.00
|
|
X-ray abdomen 2 views
|
$2,943.00 |
$2,943.00 |
$2,943.00 |
$312.36
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$3,307.00 |
$3,307.00 |
$3,307.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$271.44
|
|
X-ray bone age studies
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$246.75
|
|
X-ray bone length studies
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$287.25
|
|
X-ray bone survey complete
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$666.60
|
|
X-ray bone survey infant
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$3,134.00 |
$3,134.00 |
$3,134.00 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$3,254.00 |
$3,254.00 |
$3,254.00 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$5,535.00 |
$5,535.00 |
$5,535.00 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$4,630.00 |
$4,630.00 |
$4,630.00 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$486.01
|
|
X-ray exam of eye sockets
|
$2,818.00 |
$2,818.00 |
$2,818.00 |
$349.05
|
|
X-ray exam of sinuses
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
$211.00
|
|
X-ray facial bones complete > 3 views
|
$2,985.00 |
$2,985.00 |
$2,985.00 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$3,297.00 |
$3,297.00 |
$3,297.00 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$3,297.00 |
$3,297.00 |
$3,297.00 |
$409.24
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$3,205.00 |
$3,205.00 |
$3,205.00 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$3,699.00 |
$3,699.00 |
$3,699.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$4,038.00 |
$4,038.00 |
$4,038.00 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$2,833.00 |
$2,833.00 |
$2,833.00 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$451.00 |
$451.00 |
$451.00 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$2,087.00 |
$2,087.00 |
$2,087.00 |
$277.70
|
|
X-ray neck soft tissue
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$225.96
|
