|
Ultrasound pregnant uterus transvaginal
|
$373.80 |
$373.80 |
$373.80 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$990.84 |
$990.84 |
$990.84 |
$498.00
|
|
Ultrasound scrotum and contents
|
$1,155.36 |
$1,155.36 |
$1,155.36 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$631.09 |
$631.09 |
$631.09 |
$450.60
|
|
Ultrasound transvaginal non obstetric
|
$608.42 |
$608.42 |
$608.42 |
$567.44
|
|
Unlisted chemotherapy px
|
$155.46 |
$155.46 |
$155.46 |
$153.85
|
|
Unlisted transfusion med px
|
$75.10 |
$75.10 |
$75.10 |
$141.35
|
|
Unsched dialysis esrd pt hos
|
$2,160.85 |
$2,160.85 |
$2,160.85 |
$1,480.70
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$6,349.69 |
$6,349.69 |
$6,349.69 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$5,754.20 |
$5,754.20 |
$5,754.20 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$5,702.40 |
$5,702.40 |
$5,702.40 |
$2,013.08
|
|
Urea nitrogen
|
$120.44 |
$120.44 |
$120.44 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$90.92 |
$90.92 |
$90.92 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$527.52 |
$527.52 |
$527.52 |
$574.40
|
|
Urethrocystography void s&i
|
$652.13 |
$652.13 |
$652.13 |
$634.50
|
|
Uric acid blood
|
$43.06 |
$43.06 |
$43.06 |
$46.64
|
|
Uric acid urine
|
$72.59 |
$72.59 |
$72.59 |
$46.75
|
|
Urinalysis (with microscopy)
|
$108.34 |
$108.34 |
$108.34 |
$48.14
|
|
Urinalysis (without microscopy)
|
$147.82 |
$147.82 |
$147.82 |
$38.99
|
|
Urine Culture Test
|
$257.28 |
$257.28 |
$257.28 |
$84.81
|
|
Urine pregnancy test
|
$179.91 |
$179.91 |
$179.91 |
$66.40
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$38,518.71 |
$38,518.71 |
$38,518.71 |
$5,521.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$238.78 |
$238.78 |
$238.78 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$685.20 |
$685.20 |
$685.20 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$351.60 |
$351.60 |
$351.60 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,310.91 |
$1,310.91 |
$1,310.91 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$476.56 |
$476.56 |
$476.56 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$211.74 |
$211.74 |
$211.74 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$139.78 |
$139.78 |
$139.78 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$118.15 |
$118.15 |
$118.15 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$233.28 |
$233.28 |
$233.28 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$745.05 |
$745.05 |
$745.05 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$719.14 |
$719.14 |
$719.14 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$506.47 |
$506.47 |
$506.47 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,052.07 |
$1,052.07 |
$1,052.07 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$330.75 |
$330.75 |
$330.75 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$272.42 |
$272.42 |
$272.42 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$46.00 |
$46.00 |
$46.00 |
$115.00
|
|
Vancomycin hcl injection
|
$534.19 |
$534.19 |
$534.19 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$209.76 |
$209.76 |
$209.76 |
$126.79
|
|
Varicella zoster antibody igg
|
$44.00 |
$44.00 |
$44.00 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$684.71 |
$684.71 |
$684.71 |
$362.93
|
|
Vein x-ray kidney
|
$4,314.11 |
$4,314.11 |
$4,314.11 |
$2,716.20
|
|
Venogram ext bil s&i
|
$1,956.07 |
$1,956.07 |
$1,956.07 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,397.19 |
$1,397.19 |
$1,397.19 |
$1,326.00
|
|
Venous mech thrombectomy
|
$14,024.65 |
$14,024.65 |
$14,024.65 |
$8,869.50
|
|
Ventilator each subsequent day
|
$2,051.75 |
$2,051.75 |
$2,051.75 |
$1,305.92
|
|
Ventilator initial day
|
$2,186.89 |
$2,186.89 |
$2,186.89 |
$1,540.80
|
|
Very long chain fatty acids
|
$170.27 |
$170.27 |
$170.27 |
$140.40
|
|
Vinblastine 1 mg/ml intravenous solution
|
$731.52 |
$731.52 |
$731.52 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$252.72 |
$252.72 |
$252.72 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$406.35 |
$406.35 |
$406.35 |
$226.75
|
|
Vital capacity test
|
$201.92 |
$201.92 |
$201.92 |
$173.33
|
|
Vitamin b-12
|
$162.31 |
$162.31 |
$162.31 |
$94.90
|
|
Vitamin D Test
|
$140.57 |
$140.57 |
$140.57 |
$132.00
|
|
Warde 1003990 aldosterone
|
$135.45 |
$135.45 |
$135.45 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$72.41 |
$72.41 |
$72.41 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$38.40 |
$38.40 |
$38.40 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$65.77 |
$65.77 |
$65.77 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$60.36 |
$60.36 |
$60.36 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$42.85 |
$42.85 |
$42.85 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$23.87 |
$23.87 |
$23.87 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$57.81 |
$57.81 |
$57.81 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$72.93 |
$72.93 |
$72.93 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$46.92 |
$46.92 |
$46.92 |
$69.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$51.86 |
$51.86 |
$51.86 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$30.00 |
$30.00 |
$30.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$88.25 |
$88.25 |
$88.25 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$446.18 |
$446.18 |
$446.18 |
$219.13
|
|
Warde 3400852 arsenic
|
$68.88 |
$68.88 |
$68.88 |
$105.12
|
|
Warde 3708165 mercury urine
|
$42.35 |
$42.35 |
$42.35 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$107.25 |
$107.25 |
$107.25 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$31.78 |
$31.78 |
$31.78 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$24.12 |
$24.12 |
$24.12 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$100.59 |
$100.59 |
$100.59 |
$129.75
|
|
Warde aldolase
|
$44.62 |
$44.62 |
$44.62 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$59.09 |
$59.09 |
$59.09 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$216.17 |
$216.17 |
$216.17 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$542.29 |
$542.29 |
$542.29 |
$381.50
|
|
Warde anti-mullerian hormone
|
$63.17 |
$63.17 |
$63.17 |
$93.28
|
|
Warde apolipoprotein b
|
$54.95 |
$54.95 |
$54.95 |
$64.28
|
|
Warde bile acids
|
$56.50 |
$56.50 |
$56.50 |
$64.28
|
|
Warde cadmium blood
|
$33.08 |
$33.08 |
$33.08 |
$77.00
|
|
Warde calcitonin
|
$60.17 |
$60.17 |
$60.17 |
$89.40
|
|
Warde calculus (stone) infrared
|
$32.00 |
$32.00 |
$32.00 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$71.21 |
$71.21 |
$71.21 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$74.90 |
$74.90 |
$74.90 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$68.09 |
$68.09 |
$68.09 |
$90.40
|
|
Warde complement total hemolytic
|
$58.81 |
$58.81 |
$58.81 |
$105.00
|
|
Warde copper
|
$32.33 |
$32.33 |
$32.33 |
$80.00
|
|
Warde cryoglobulin
|
$71.55 |
$71.55 |
$71.55 |
$43.45
|
|
Warde erythropoietin
|
$48.95 |
$48.95 |
$48.95 |
$90.35
|
|
Warde estrogen fractionated
|
$84.13 |
$84.13 |
$84.13 |
$112.18
|
|
Warde fluorescent antibody screen endomysial iga
|
$33.33 |
$33.33 |
$33.33 |
$48.57
|
|
Warde folic acid rbc
|
$45.98 |
$45.98 |
$45.98 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$25.26 |
$25.26 |
$25.26 |
$43.55
|
|
Warde gastrin
|
$45.92 |
$45.92 |
$45.92 |
$75.25
|
|
Warde growth hormone (hgh)
|
$43.43 |
$43.43 |
$43.43 |
$81.24
|
|
Warde helminth antibody strongyloides igg
|
$147.05 |
$147.05 |
$147.05 |
$96.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$38.31 |
$38.31 |
$38.31 |
$68.64
|