|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$756.80 |
$756.80 |
$756.80 |
$442.80
|
|
Ultrasound pregnant uterus transvaginal
|
$756.80 |
$756.80 |
$756.80 |
$484.52
|
|
Ultrasound retroperitoneal limited
|
$988.80 |
$988.80 |
$988.80 |
$477.10
|
|
Ultrasound scrotum and contents
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$606.60
|
|
Ultrasound transvaginal non obstetric
|
$1,290.40 |
$1,290.40 |
$1,290.40 |
$549.75
|
|
Ultraviolet therapy
|
$36.80 |
$36.80 |
$36.80 |
$39.76
|
|
Unlisted maaa
|
$484.00 |
$484.00 |
$484.00 |
$190.80
|
|
Unlisted procedure microbiology
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$487.50
|
|
Unlisted ultrasound procedure
|
$678.40 |
$678.40 |
$678.40 |
$321.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,282.40 |
$5,282.40 |
$5,282.40 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$4,036.80 |
$4,036.80 |
$4,036.80 |
$2,412.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,876.80 |
$3,876.80 |
$3,876.80 |
$2,034.41
|
|
Urea nitrogen
|
$93.60 |
$93.60 |
$93.60 |
$39.90
|
|
Urea nitrogen 24 hour urine
|
$130.40 |
$130.40 |
$130.40 |
$52.00
|
|
Urethrocystography void s&i
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$622.35
|
|
Uric acid blood
|
$93.60 |
$93.60 |
$93.60 |
$49.32
|
|
Uric acid urine
|
$124.80 |
$124.80 |
$124.80 |
$44.14
|
|
Urinalysis microscopic only
|
$71.20 |
$71.20 |
$71.20 |
$25.80
|
|
Urinalysis qual/semiquant excpt ia
|
$84.00 |
$84.00 |
$84.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$129.60 |
$129.60 |
$129.60 |
$55.00
|
|
Urinalysis (without microscopy)
|
$106.40 |
$106.40 |
$106.40 |
$35.91
|
|
Urine Culture Test
|
$77.60 |
$77.60 |
$77.60 |
$84.00
|
|
Urine pregnancy test
|
$152.00 |
$152.00 |
$152.00 |
$69.48
|
|
Vad battery clip set hmii 14-v li-ion
|
$4,641.60 |
$4,641.60 |
$4,641.60 |
$2,002.00
|
|
Valproic acid total therapeutic drug level
|
$388.00 |
$388.00 |
$388.00 |
$115.00
|
|
Vancomycin peak therapeutic drug level
|
$457.60 |
$457.60 |
$457.60 |
$135.00
|
|
Varicella zoster antibody igg
|
$181.60 |
$181.60 |
$181.60 |
$85.05
|
|
Vein x-ray liver w/hemodynam
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$3,413.25
|
|
Vein x-ray liver without hemodyn
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$2,489.25
|
|
Venogram ext bil s&i
|
$2,716.00 |
$2,716.00 |
$2,716.00 |
$1,794.54
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$1,344.60
|
|
Venous mech thrombectomy
|
$9,509.60 |
$9,509.60 |
$9,509.60 |
$8,184.00
|
|
Ventilator each subsequent day
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,148.00
|
|
Ventilator initial day
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$1,433.60
|
|
Very long chain fatty acids
|
$488.80 |
$488.80 |
$488.80 |
$139.88
|
|
Vest large holster
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$1,050.21
|
|
Vital capacity test
|
$184.80 |
$184.80 |
$184.80 |
$170.99
|
|
Vitamin b-12
|
$119.20 |
$119.20 |
$119.20 |
$100.00
|
|
Vitamin D Test
|
$144.80 |
$144.80 |
$144.80 |
$132.00
|
|
Warde 1003990 aldosterone
|
$869.60 |
$869.60 |
$869.60 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$404.00 |
$404.00 |
$404.00 |
$94.90
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$241.60 |
$241.60 |
$241.60 |
$68.25
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$352.00 |
$352.00 |
$352.00 |
$115.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$241.60 |
$241.60 |
$241.60 |
$78.60
|
|
Warde 1015200 kappa light chain free
|
$155.20 |
$155.20 |
$155.20 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$372.80 |
$372.80 |
$372.80 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$219.20 |
$219.20 |
$219.20 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$492.80 |
$492.80 |
$492.80 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$422.40 |
$422.40 |
$422.40 |
$72.15
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$256.80 |
$256.80 |
$256.80 |
$60.45
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$276.80 |
$276.80 |
$276.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$199.20 |
$199.20 |
$199.20 |
$70.20
|
|
Warde 3400852 arsenic
|
$813.60 |
$813.60 |
$813.60 |
$101.00
|
|
Warde 3708165 mercury urine
|
$324.00 |
$324.00 |
$324.00 |
$72.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$436.80 |
$436.80 |
$436.80 |
$150.60
|
|
Warde aldolase
|
$168.00 |
$168.00 |
$168.00 |
$54.50
|
|
Warde amino acids 6 or more quantitative each specimen
|
$1,311.20 |
$1,311.20 |
$1,311.20 |
$196.50
|
|
Warde amiodarone therapeutic drug level
|
$74.40 |
$74.40 |
$74.40 |
$53.25
|
|
Warde analysis gene hfe common variants
|
$624.00 |
$624.00 |
$624.00 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$656.80 |
$656.80 |
$656.80 |
$363.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$328.00 |
$328.00 |
$328.00 |
$126.43
|
|
Warde anti-mullerian hormone
|
$126.40 |
$126.40 |
$126.40 |
$80.08
|
|
Warde apolipoprotein b
|
$357.60 |
$357.60 |
$357.60 |
$61.80
|
|
Warde bile acids
|
$173.60 |
$173.60 |
$173.60 |
$64.28
|
|
Warde cadmium blood
|
$587.20 |
$587.20 |
$587.20 |
$76.50
|
|
Warde calcitonin
|
$337.60 |
$337.60 |
$337.60 |
$101.40
|
|
Warde calculus (stone) infrared
|
$169.60 |
$169.60 |
$169.60 |
$59.52
|
|
Warde clozapine therapeutic drug level
|
$192.00 |
$192.00 |
$192.00 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$516.80 |
$516.80 |
$516.80 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$510.40 |
$510.40 |
$510.40 |
$96.85
|
|
Warde complement total hemolytic
|
$247.20 |
$247.20 |
$247.20 |
$105.78
|
|
Warde copper
|
$192.80 |
$192.80 |
$192.80 |
$76.70
|
|
Warde cryoglobulin
|
$133.60 |
$133.60 |
$133.60 |
$50.35
|
|
Warde erythropoietin
|
$298.40 |
$298.40 |
$298.40 |
$90.36
|
|
Warde estrogen fractionated
|
$109.60 |
$109.60 |
$109.60 |
$99.99
|
|
Warde folic acid rbc
|
$314.40 |
$314.40 |
$314.40 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$212.00 |
$212.00 |
$212.00 |
$44.64
|
|
Warde gastrin
|
$225.60 |
$225.60 |
$225.60 |
$79.30
|
|
Warde growth hormone (hgh)
|
$220.80 |
$220.80 |
$220.80 |
$80.00
|
|
Warde haloperidol therapeutic drug level
|
$215.20 |
$215.20 |
$215.20 |
$70.85
|
|
Warde helminth antibody strongyloides igg
|
$252.80 |
$252.80 |
$252.80 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$676.80 |
$676.80 |
$676.80 |
$78.80
|
|
Warde hepatitis a antibody
|
$180.80 |
$180.80 |
$180.80 |
$83.70
|
|
Warde hepatitis be antibody
|
$160.80 |
$160.80 |
$160.80 |
$58.00
|
|
Warde hepatitis delta agent antibody
|
$461.60 |
$461.60 |
$461.60 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$297.60 |
$297.60 |
$297.60 |
$159.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$235.20 |
$235.20 |
$235.20 |
$59.40
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$137.55
|
|
Warde lipoprotein (a)
|
$715.20 |
$715.20 |
$715.20 |
$65.65
|
|
Warde lipoprotein-associated phospholipase a2
|
$465.60 |
$465.60 |
$465.60 |
$92.80
|
|
Warde mitochondrial antibody each
|
$74.40 |
$74.40 |
$74.40 |
$59.28
|
|
Warde oxcarbazepine therapeutic drug level
|
$247.20 |
$247.20 |
$247.20 |
$65.80
|
|
Warde pancreatic elastase fecal quantitative
|
$319.20 |
$319.20 |
$319.20 |
$92.50
|
|
Warde protein c antigen
|
$300.00 |
$300.00 |
$300.00 |
$93.80
|
|
Warde sex hormone binding globulin
|
$176.00 |
$176.00 |
$176.00 |
$83.20
|
|
Warde somatomedin
|
$440.00 |
$440.00 |
$440.00 |
$114.08
|
|
Warde sugars single qualitative each specimen stool
|
$185.60 |
$185.60 |
$185.60 |
$32.19
|
|
Warde t3 (triiodothyronine) reverse
|
$301.60 |
$301.60 |
$301.60 |
$66.00
|
|
Warde thyroid stimulating immunoglobulins
|
$540.80 |
$540.80 |
$540.80 |
$176.70
|
