|
Urine Culture Test
|
$1,999.69 |
$1,999.69 |
$1,999.69 |
$84.81
|
|
Vaccine dtap < 7 years im
|
$180.00 |
$180.00 |
$180.00 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$584.76 |
$584.76 |
$584.76 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$404.70 |
$404.70 |
$404.70 |
$248.80
|
|
Vaccine hepatitis a (hepa) adult im
|
$95.55 |
$95.55 |
$95.55 |
$178.07
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$54.60 |
$54.60 |
$54.60 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$116.89 |
$116.89 |
$116.89 |
$79.04
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$162.10 |
$162.10 |
$162.10 |
$40.01
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$932.37 |
$932.37 |
$932.37 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$772.50 |
$772.50 |
$772.50 |
$349.15
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$3,537.60 |
$3,537.60 |
$3,537.60 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$556.98 |
$556.98 |
$556.98 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$808.09 |
$808.09 |
$808.09 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$865.95 |
$865.95 |
$865.95 |
$715.41
|
|
Vaccine rabies im
|
$1,172.93 |
$1,172.93 |
$1,172.93 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$7,704.90 |
$7,704.90 |
$7,704.90 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$298.77 |
$298.77 |
$298.77 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$146.13 |
$146.13 |
$146.13 |
$131.77
|
|
Vad battery clip set hmii 14-v li-ion
|
$2,932.66 |
$2,932.66 |
$2,932.66 |
$1,683.99
|
|
Vad univ batt charger hm 1440
|
$38,391.12 |
$38,391.12 |
$38,391.12 |
$14,929.92
|
|
Valproic acid total therapeutic drug level
|
$1,313.97 |
$1,313.97 |
$1,313.97 |
$115.00
|
|
Vedolizumab 300 mg intravenous solution
|
$25,593.75 |
$25,593.75 |
$25,593.75 |
$23,003.79
|
|
Vein x-ray liver
|
$11,329.03 |
$11,329.03 |
$11,329.03 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$13,362.23 |
$13,362.23 |
$13,362.23 |
$3,413.25
|
|
Venogram ext bil s&i
|
$19,451.69 |
$19,451.69 |
$19,451.69 |
$1,838.28
|
|
Ventilator each subsequent day
|
$2,635.57 |
$2,635.57 |
$2,635.57 |
$1,305.92
|
|
Ventilator initial day
|
$3,010.45 |
$3,010.45 |
$3,010.45 |
$1,540.80
|
|
Vest large holster
|
$2,105.91 |
$2,105.91 |
$2,105.91 |
$1,050.21
|
|
Vinblastine 1 mg/ml intravenous solution
|
$30.54 |
$30.54 |
$30.54 |
$186.71
|
|
Vital capacity test
|
$320.67 |
$320.67 |
$320.67 |
$173.33
|
|
Warde 1003990 aldosterone
|
$4.23 |
$4.23 |
$4.23 |
$145.60
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$8.15 |
$8.15 |
$8.15 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$6.16 |
$6.16 |
$6.16 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$10.52 |
$10.52 |
$10.52 |
$40.70
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$127.28 |
$127.28 |
$127.28 |
$63.05
|
|
Warde 3400852 arsenic
|
$10.80 |
$10.80 |
$10.80 |
$105.12
|
|
Warde 3708165 mercury urine
|
$16.72 |
$16.72 |
$16.72 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$30.00 |
$30.00 |
$30.00 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$5.71 |
$5.71 |
$5.71 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$6.21 |
$6.21 |
$6.21 |
$129.75
|
|
Warde aldolase
|
$2.16 |
$2.16 |
$2.16 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$93.67 |
$93.67 |
$93.67 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$8.80 |
$8.80 |
$8.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$61.09 |
$61.09 |
$61.09 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$81.00 |
$81.00 |
$81.00 |
$381.50
|
|
Warde anti-mullerian hormone
|
$46.20 |
$46.20 |
$46.20 |
$93.28
|
|
Warde bile acids
|
$4.32 |
$4.32 |
$4.32 |
$64.28
|
|
Warde calcitonin
|
$8.64 |
$8.64 |
$8.64 |
$89.40
|
|
Warde calculus (stone) infrared
|
$20.25 |
$20.25 |
$20.25 |
$61.73
|
|
Warde cobalt heavy metal quantitative each nes
|
$21.99 |
$21.99 |
$21.99 |
$122.50
|
|
Warde complement total hemolytic
|
$4.32 |
$4.32 |
$4.32 |
$105.00
|
|
Warde cryoglobulin
|
$3.08 |
$3.08 |
$3.08 |
$43.45
|
|
Warde erythropoietin
|
$7.92 |
$7.92 |
$7.92 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$5.30 |
$5.30 |
$5.30 |
$48.57
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$7.92 |
$7.92 |
$7.92 |
$43.55
|
|
Warde gastrin
|
$5.10 |
$5.10 |
$5.10 |
$75.25
|
|
Warde hepatitis a antibody
|
$15.00 |
$15.00 |
$15.00 |
$83.70
|
|
Warde hepatitis be antibody
|
$3.05 |
$3.05 |
$3.05 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$59.67 |
$59.67 |
$59.67 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$2.54 |
$2.54 |
$2.54 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$79.00 |
$79.00 |
$79.00 |
$636.09
|
|
Warde lipoprotein (a)
|
$8.76 |
$8.76 |
$8.76 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$20.00 |
$20.00 |
$20.00 |
$97.00
|
|
Warde pancreatic elastase fecal quantitative
|
$165.00 |
$165.00 |
$165.00 |
$94.25
|
|
Warde protein c antigen
|
$10.80 |
$10.80 |
$10.80 |
$88.80
|
|
Warde sex hormone binding globulin
|
$31.02 |
$31.02 |
$31.02 |
$86.59
|
|
Warde somatomedin
|
$70.18 |
$70.18 |
$70.18 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$15.75 |
$15.75 |
$15.75 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$6.16 |
$6.16 |
$6.16 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$26.40 |
$26.40 |
$26.40 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$10.55 |
$10.55 |
$10.55 |
$71.19
|
|
Warde viscosity
|
$11.33 |
$11.33 |
$11.33 |
$52.65
|
|
Warde vitamin a
|
$10.26 |
$10.26 |
$10.26 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$13.11 |
$13.11 |
$13.11 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$7.83 |
$7.83 |
$7.83 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$11.24 |
$11.24 |
$11.24 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$10.55 |
$10.55 |
$10.55 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$9.34 |
$9.34 |
$9.34 |
$55.00
|
|
Warde zinc
|
$4.28 |
$4.28 |
$4.28 |
$62.50
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$914.17 |
$914.17 |
$914.17 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$914.17 |
$914.17 |
$914.17 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$381.82 |
$381.82 |
$381.82 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$497.64 |
$497.64 |
$497.64 |
$436.15
|
|
Xe133 xenon 10mci
|
$232.83 |
$232.83 |
$232.83 |
$299.00
|
|
Xm archive tissue molec anal
|
$60.50 |
$60.50 |
$60.50 |
$47.85
|
|
X-ray abdomen 1 view
|
$1,062.82 |
$1,062.82 |
$1,062.82 |
$255.00
|
|
X-ray abdomen 2 views
|
$5,032.16 |
$5,032.16 |
$5,032.16 |
$312.36
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$5,169.95 |
$5,169.95 |
$5,169.95 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$2,803.31 |
$2,803.31 |
$2,803.31 |
$271.44
|
|
X-ray bone age studies
|
$751.20 |
$751.20 |
$751.20 |
$246.75
|
|
X-ray bone length studies
|
$860.63 |
$860.63 |
$860.63 |
$287.25
|
|
X-ray bone survey complete
|
$7,043.54 |
$7,043.54 |
$7,043.54 |
$666.60
|
|
X-ray bone survey infant
|
$1,431.38 |
$1,431.38 |
$1,431.38 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$2,869.38 |
$2,869.38 |
$2,869.38 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$4,684.02 |
$4,684.02 |
$4,684.02 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$4,577.29 |
$4,577.29 |
$4,577.29 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$2,822.09 |
$2,822.09 |
$2,822.09 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$7,707.37 |
$7,707.37 |
$7,707.37 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$3,320.22 |
$3,320.22 |
$3,320.22 |
$486.24
|
|
X-ray exam entire spi 6/> vw
|
$4,708.91 |
$4,708.91 |
$4,708.91 |
$575.76
|
