|
Vaccine hepatitis a (hepa) adult im
|
$91.00 |
$91.00 |
$91.00 |
$178.07
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$119.34 |
$119.34 |
$119.34 |
$79.04
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$118.80 |
$118.80 |
$118.80 |
$40.01
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$570.24 |
$570.24 |
$570.24 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$115.00 |
$115.00 |
$115.00 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$324.00 |
$324.00 |
$324.00 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$735.48 |
$735.48 |
$735.48 |
$397.18
|
|
Vaccine rabies im
|
$2,061.72 |
$2,061.72 |
$2,061.72 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$179.79 |
$179.79 |
$179.79 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$146.88 |
$146.88 |
$146.88 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$115.00 |
$115.00 |
$115.00 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$200.09 |
$200.09 |
$200.09 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$6.82 |
$6.82 |
$6.82 |
$204.01
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,007.64 |
$1,007.64 |
$1,007.64 |
$394.13
|
|
Vein x-ray adrenal glands
|
$7,077.78 |
$7,077.78 |
$7,077.78 |
$3,999.60
|
|
Vein x-ray liver without hemodyn
|
$8,146.74 |
$8,146.74 |
$8,146.74 |
$2,489.25
|
|
Vein x-ray spleen/liver
|
$4,689.96 |
$4,689.96 |
$4,689.96 |
$3,450.30
|
|
Venogram ext bil s&i
|
$987.36 |
$987.36 |
$987.36 |
$1,838.28
|
|
Venous sampling s&i
|
$4,414.56 |
$4,414.56 |
$4,414.56 |
$4,416.78
|
|
Ventilator initial day
|
$2,340.90 |
$2,340.90 |
$2,340.90 |
$1,540.80
|
|
Very long chain fatty acids
|
$384.78 |
$384.78 |
$384.78 |
$140.40
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$1,088.64 |
$1,088.64 |
$1,088.64 |
$245.36
|
|
Vital capacity test
|
$282.40 |
$282.40 |
$282.40 |
$173.33
|
|
Vkorc1 gene
|
$359.50 |
$359.50 |
$359.50 |
$176.80
|
|
Volume measurement urine timed
|
$38.84 |
$38.84 |
$38.84 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$908.28 |
$908.28 |
$908.28 |
$224.40
|
|
Warde 1005020 citrate 24 hour urine
|
$22.74 |
$22.74 |
$22.74 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$11.77 |
$11.77 |
$11.77 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$8.24 |
$8.24 |
$8.24 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$7.06 |
$7.06 |
$7.06 |
$40.70
|
|
Warde acetylcholine receptor blocking antibody
|
$62.10 |
$62.10 |
$62.10 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$12.17 |
$12.17 |
$12.17 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$15.30 |
$15.30 |
$15.30 |
$129.75
|
|
Warde aldolase
|
$2.65 |
$2.65 |
$2.65 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$135.36 |
$135.36 |
$135.36 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$11.77 |
$11.77 |
$11.77 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$71.91 |
$71.91 |
$71.91 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$814.87 |
$814.87 |
$814.87 |
$381.50
|
|
Warde bile acids
|
$13.53 |
$13.53 |
$13.53 |
$64.28
|
|
Warde calcitonin
|
$22.41 |
$22.41 |
$22.41 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$19.90 |
$19.90 |
$19.90 |
$63.00
|
|
Warde collagen cross links c-telopeptide
|
$63.56 |
$63.56 |
$63.56 |
$90.40
|
|
Warde complement total hemolytic
|
$4.71 |
$4.71 |
$4.71 |
$105.00
|
|
Warde cryoglobulin
|
$5.53 |
$5.53 |
$5.53 |
$43.45
|
|
Warde fluorescent antibody screen endomysial iga
|
$11.77 |
$11.77 |
$11.77 |
$48.57
|
|
Warde folic acid rbc
|
$7.37 |
$7.37 |
$7.37 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$8.62 |
$8.62 |
$8.62 |
$43.55
|
|
Warde gastrin
|
$6.83 |
$6.83 |
$6.83 |
$75.25
|
|
Warde growth hormone (hgh)
|
$11.47 |
$11.47 |
$11.47 |
$81.24
|
|
Warde hepatitis be antibody
|
$3.53 |
$3.53 |
$3.53 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$75.92 |
$75.92 |
$75.92 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$2.95 |
$2.95 |
$2.95 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$95.87 |
$95.87 |
$95.87 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$43.32 |
$43.32 |
$43.32 |
$137.55
|
|
Warde lipoprotein-associated phospholipase a2
|
$88.28 |
$88.28 |
$88.28 |
$97.00
|
|
Warde neutralization rabies
|
$10.32 |
$10.32 |
$10.32 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$9.42 |
$9.42 |
$9.42 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$288.37 |
$288.37 |
$288.37 |
$94.25
|
|
Warde protein c antigen
|
$116.88 |
$116.88 |
$116.88 |
$88.80
|
|
Warde sex hormone binding globulin
|
$23.58 |
$23.58 |
$23.58 |
$86.59
|
|
Warde t3 (triiodothyronine) reverse
|
$8.24 |
$8.24 |
$8.24 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$35.31 |
$35.31 |
$35.31 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$51.98 |
$51.98 |
$51.98 |
$71.19
|
|
Warde viscosity
|
$15.16 |
$15.16 |
$15.16 |
$52.65
|
|
Warde vitamin a
|
$13.83 |
$13.83 |
$13.83 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$19.49 |
$19.49 |
$19.49 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$31.41 |
$31.41 |
$31.41 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$13.23 |
$13.23 |
$13.23 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$11.50 |
$11.50 |
$11.50 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$10.82 |
$10.82 |
$10.82 |
$55.00
|
|
Wet mounts/ w preparations
|
$461.38 |
$461.38 |
$461.38 |
$19.54
|
|
Wilate injection
|
$9.72 |
$9.72 |
$9.72 |
$1.28
|
|
Xe133 xenon 10mci
|
$925.34 |
$925.34 |
$925.34 |
$299.00
|
|
X-ray abdomen 1 view
|
$1,902.30 |
$1,902.30 |
$1,902.30 |
$255.00
|
|
X-ray abdomen 2 views
|
$2,590.80 |
$2,590.80 |
$2,590.80 |
$312.36
|
|
X-ray abdomen >=3 views
|
$2,859.06 |
$2,859.06 |
$2,859.06 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$555.90 |
$555.90 |
$555.90 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,966.56 |
$1,966.56 |
$1,966.56 |
$271.44
|
|
X-ray bone age studies
|
$334.56 |
$334.56 |
$334.56 |
$246.75
|
|
X-ray bone length studies
|
$663.00 |
$663.00 |
$663.00 |
$287.25
|
|
X-ray bone survey complete
|
$4,312.56 |
$4,312.56 |
$4,312.56 |
$666.60
|
|
X-ray bone survey infant
|
$2,552.04 |
$2,552.04 |
$2,552.04 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$2,036.94 |
$2,036.94 |
$2,036.94 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$2,869.26 |
$2,869.26 |
$2,869.26 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$3,449.64 |
$3,449.64 |
$3,449.64 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$902.70 |
$902.70 |
$902.70 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$902.70 |
$902.70 |
$902.70 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$902.70 |
$902.70 |
$902.70 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$1,056.72 |
$1,056.72 |
$1,056.72 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$1,056.72 |
$1,056.72 |
$1,056.72 |
$575.76
|
|
X-ray exam of eye sockets
|
$2,775.42 |
$2,775.42 |
$2,775.42 |
$349.05
|
|
X-ray exam of femur 1
|
$335.58 |
$335.58 |
$335.58 |
$232.36
|
|
X-ray exam of middle ear
|
$2,517.36 |
$2,517.36 |
$2,517.36 |
$341.25
|
|
X-ray exam of penis
|
$5,142.84 |
$5,142.84 |
$5,142.84 |
$565.20
|
|
X-ray exam of sinuses
|
$1,335.18 |
$1,335.18 |
$1,335.18 |
$211.00
|
|
X-ray exam si joints
|
$375.36 |
$375.36 |
$375.36 |
$246.16
|
|
X-ray facial bones complete > 3 views
|
$2,105.28 |
$2,105.28 |
$2,105.28 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$335.58 |
$335.58 |
$335.58 |
$304.15
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$553.86 |
$553.86 |
$553.86 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$553.86 |
$553.86 |
$553.86 |
$350.35
|
