|
Vaccine Administration (one shot)
|
$96.80 |
$96.80 |
$96.80 |
$67.70
|
|
Vaccine dtap < 7 years im
|
$74.99 |
$74.99 |
$74.99 |
$71.17
|
|
Vaccine dtap-ipv 4-6 years im
|
$95.35 |
$95.35 |
$95.35 |
$105.95
|
|
Vaccine dtap-ipv/hib im
|
$109.34 |
$109.34 |
$109.34 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$74.08 |
$74.08 |
$74.08 |
$43.12
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$79.15 |
$79.15 |
$79.15 |
$78.25
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$244.84 |
$244.84 |
$244.84 |
$274.93
|
|
Vaccine influenza inactivated adjuvant im
|
$54.00 |
$54.00 |
$54.00 |
$110.25
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$31.00 |
$31.00 |
$31.00 |
$82.71
|
|
Vaccine mmr live subcutaneous
|
$104.84 |
$104.84 |
$104.84 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$108.56 |
$108.56 |
$108.56 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$287.71 |
$287.71 |
$287.71 |
$397.11
|
|
Vaccine polio (ipv) subcutaneous/im
|
$364.12 |
$364.12 |
$364.12 |
$90.70
|
|
Vaccine rabies im
|
$518.56 |
$518.56 |
$518.56 |
$858.95
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$106.63 |
$106.63 |
$106.63 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$86.52 |
$86.52 |
$86.52 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$75.76 |
$75.76 |
$75.76 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$210.48 |
$210.48 |
$210.48 |
$365.17
|
|
Valproic acid total therapeutic drug level
|
$128.80 |
$128.80 |
$128.80 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$325.91 |
$325.91 |
$325.91 |
$259.05
|
|
Vancomycin 750 mg intravenous solution
|
$87.49 |
$87.49 |
$87.49 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$127.20 |
$127.20 |
$127.20 |
$136.13
|
|
Varicella zoster antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$77.68 |
$77.68 |
$77.68 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$10,824.48 |
$10,824.48 |
$10,824.48 |
$18,732.33
|
|
Ventilator each subsequent day
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$1,184.00
|
|
Version cephalic external
|
$1,961.60 |
$1,961.60 |
$1,961.60 |
$2,361.75
|
|
Very long chain fatty acids
|
$92.00 |
$92.00 |
$92.00 |
$139.88
|
|
Video Swallow Study (Modified Barium Swallow)
|
$720.80 |
$720.80 |
$720.80 |
$524.50
|
|
Vincristine 1 mg/ml intravenous solution
|
$188.74 |
$188.74 |
$188.74 |
$87.15
|
|
Virus isolation addl studies ea
|
$101.60 |
$101.60 |
$101.60 |
$79.34
|
|
Vitamin b-12
|
$120.80 |
$120.80 |
$120.80 |
$100.28
|
|
Vitamin D Test
|
$132.00 |
$132.00 |
$132.00 |
$132.00
|
|
Volume measurement urine timed
|
$28.80 |
$28.80 |
$28.80 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$117.60 |
$117.60 |
$117.60 |
$87.50
|
|
Warde 1003990 aldosterone
|
$239.20 |
$239.20 |
$239.20 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$73.60 |
$73.60 |
$73.60 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$46.40 |
$46.40 |
$46.40 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$85.60 |
$85.60 |
$85.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$68.80 |
$68.80 |
$68.80 |
$70.85
|
|
Warde 3004000 immunoglobulin subclass 1
|
$84.00 |
$84.00 |
$84.00 |
$39.36
|
|
Warde 3008005 oligoclonal bands
|
$69.60 |
$69.60 |
$69.60 |
$108.50
|
|
Warde 3016000 west nile virus antibody
|
$86.40 |
$86.40 |
$86.40 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$111.20 |
$111.20 |
$111.20 |
$70.74
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$74.40 |
$74.40 |
$74.40 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$41.60 |
$41.60 |
$41.60 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$90.40 |
$90.40 |
$90.40 |
$73.60
|
|
Warde 3400852 arsenic
|
$146.40 |
$146.40 |
$146.40 |
$101.00
|
|
Warde 3708165 mercury urine
|
$127.20 |
$127.20 |
$127.20 |
$71.60
|
|
Warde adenosine deaminase pleural fluid
|
$64.80 |
$64.80 |
$64.80 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$109.60 |
$109.60 |
$109.60 |
$156.40
|
|
Warde aldolase
|
$79.20 |
$79.20 |
$79.20 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$353.60 |
$353.60 |
$353.60 |
$200.16
|
|
Warde analysis gene hfe common variants
|
$172.80 |
$172.80 |
$172.80 |
$269.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$120.80 |
$120.80 |
$120.80 |
$126.43
|
|
Warde apolipoprotein b
|
$51.20 |
$51.20 |
$51.20 |
$61.82
|
|
Warde bile acids
|
$70.40 |
$70.40 |
$70.40 |
$64.28
|
|
Warde cadmium blood
|
$144.00 |
$144.00 |
$144.00 |
$76.70
|
|
Warde calculus (stone) infrared
|
$45.60 |
$45.60 |
$45.60 |
$59.52
|
|
Warde cobalt heavy metal quantitative each nes
|
$158.40 |
$158.40 |
$158.40 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$53.60 |
$53.60 |
$53.60 |
$96.85
|
|
Warde complement total hemolytic
|
$56.80 |
$56.80 |
$56.80 |
$105.00
|
|
Warde copper
|
$107.20 |
$107.20 |
$107.20 |
$80.00
|
|
Warde cryoglobulin
|
$52.80 |
$52.80 |
$52.80 |
$50.96
|
|
Warde erythropoietin
|
$57.60 |
$57.60 |
$57.60 |
$90.36
|
|
Warde folic acid rbc
|
$154.40 |
$154.40 |
$154.40 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$31.20 |
$31.20 |
$31.20 |
$43.55
|
|
Warde gastrin
|
$48.80 |
$48.80 |
$48.80 |
$75.25
|
|
Warde growth hormone (hgh)
|
$47.20 |
$47.20 |
$47.20 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$114.40 |
$114.40 |
$114.40 |
$68.16
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$91.20 |
$91.20 |
$91.20 |
$83.79
|
|
Warde hepatitis a antibody
|
$64.00 |
$64.00 |
$64.00 |
$85.15
|
|
Warde hepatitis be antibody
|
$29.60 |
$29.60 |
$29.60 |
$52.80
|
|
Warde immunofixation electrophoresis urine
|
$136.00 |
$136.00 |
$136.00 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$29.60 |
$29.60 |
$29.60 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$603.20 |
$603.20 |
$603.20 |
$646.40
|
|
Warde islet cell antibody zinc transporter 8
|
$55.20 |
$55.20 |
$55.20 |
$143.52
|
|
Warde lipoprotein (a)
|
$48.80 |
$48.80 |
$48.80 |
$64.68
|
|
Warde oxcarbazepine therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$65.80
|
|
Warde sex hormone binding globulin
|
$179.20 |
$179.20 |
$179.20 |
$83.85
|
|
Warde somatomedin
|
$182.40 |
$182.40 |
$182.40 |
$115.82
|
|
Warde t3 (triiodothyronine) reverse
|
$45.60 |
$45.60 |
$45.60 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$124.00 |
$124.00 |
$124.00 |
$180.01
|
|
Warde topiramate therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$164.00 |
$164.00 |
$164.00 |
$129.60
|
|
Warde viscosity
|
$98.40 |
$98.40 |
$98.40 |
$50.10
|
|
Warde vitamin a
|
$48.80 |
$48.80 |
$48.80 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$52.00 |
$52.00 |
$52.00 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$68.80 |
$68.80 |
$68.80 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$83.20 |
$83.20 |
$83.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$253.60 |
$253.60 |
$253.60 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$48.80 |
$48.80 |
$48.80 |
$61.15
|
|
Warde zinc
|
$40.00 |
$40.00 |
$40.00 |
$62.70
|
|
Wbc automated
|
$19.20 |
$19.20 |
$19.20 |
$32.80
|
|
Western blot test
|
$100.00 |
$100.00 |
$100.00 |
$149.40
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$661.60 |
$661.60 |
$661.60 |
$491.04
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,570.65
|
|
Whole Skeleton X-ray Survey
|
$774.40 |
$774.40 |
$774.40 |
$639.93
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$396.80 |
$396.80 |
$396.80 |
$351.60
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$360.80 |
$360.80 |
$360.80 |
$284.70
|
