|
Ultrasound transabd ea addl gest
|
$879.00 |
$879.00 |
$879.00 |
$421.00
|
|
Ultrasound transvaginal non obstetric
|
$962.40 |
$962.40 |
$962.40 |
$558.35
|
|
Unsched dialysis esrd pt hos
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$5,716.80 |
$5,716.80 |
$5,716.80 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$2,034.41
|
|
Urea nitrogen
|
$72.00 |
$72.00 |
$72.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$83.40 |
$83.40 |
$83.40 |
$51.75
|
|
Uric acid blood
|
$69.60 |
$69.60 |
$69.60 |
$48.75
|
|
Uric acid urine
|
$72.00 |
$72.00 |
$72.00 |
$44.33
|
|
Urinalysis microscopic only
|
$54.00 |
$54.00 |
$54.00 |
$26.35
|
|
Urinalysis (with microscopy)
|
$55.80 |
$55.80 |
$55.80 |
$55.00
|
|
Urinalysis (without microscopy)
|
$54.00 |
$54.00 |
$54.00 |
$35.75
|
|
Urine Culture Test
|
$121.20 |
$121.20 |
$121.20 |
$81.50
|
|
Urine pregnancy test
|
$170.40 |
$170.40 |
$170.40 |
$67.20
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$589.50 |
$589.50 |
$589.50 |
$236.50
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$189.00 |
$189.00 |
$189.00 |
$155.16
|
|
Vaccine influenza inactivated adjuvant im
|
$250.80 |
$250.80 |
$250.80 |
$109.50
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$54.90 |
$54.90 |
$54.90 |
$47.88
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$180.00 |
$180.00 |
$180.00 |
$72.80
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$69.00 |
$69.00 |
$69.00 |
$33.60
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$451.80 |
$451.80 |
$451.80 |
$251.64
|
|
Vaccine rabies im
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$205.20 |
$205.20 |
$205.20 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$105.60 |
$105.60 |
$105.60 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$27.60 |
$27.60 |
$27.60 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$94.20 |
$94.20 |
$94.20 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$82.20 |
$82.20 |
$82.20 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$180.00 |
$180.00 |
$180.00 |
$136.13
|
|
Varicella zoster antibody igg
|
$289.20 |
$289.20 |
$289.20 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$325.80 |
$325.80 |
$325.80 |
$325.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$202.80
|
|
Venous thrombosis imaging
|
$394.20 |
$394.20 |
$394.20 |
$697.20
|
|
Ventilator each subsequent day
|
$397.20 |
$397.20 |
$397.20 |
$1,204.00
|
|
Ventilator initial day
|
$776.40 |
$776.40 |
$776.40 |
$1,431.43
|
|
Vital capacity test
|
$202.80 |
$202.80 |
$202.80 |
$170.00
|
|
Vitamin b-12
|
$208.80 |
$208.80 |
$208.80 |
$100.00
|
|
Vitamin D Test
|
$219.60 |
$219.60 |
$219.60 |
$132.00
|
|
Warde 1003990 aldosterone
|
$87.00 |
$87.00 |
$87.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$340.80 |
$340.80 |
$340.80 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$50.40 |
$50.40 |
$50.40 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$93.60 |
$93.60 |
$93.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$204.00 |
$204.00 |
$204.00 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$261.00 |
$261.00 |
$261.00 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$29.40 |
$29.40 |
$29.40 |
$39.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$61.80 |
$61.80 |
$61.80 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$140.40 |
$140.40 |
$140.40 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$73.20 |
$73.20 |
$73.20 |
$72.50
|
|
Warde 3400852 arsenic
|
$243.60 |
$243.60 |
$243.60 |
$100.88
|
|
Warde 3708165 mercury urine
|
$161.40 |
$161.40 |
$161.40 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$15.00 |
$15.00 |
$15.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$365.40 |
$365.40 |
$365.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$563.40 |
$563.40 |
$563.40 |
$151.20
|
|
Warde aldolase
|
$121.20 |
$121.20 |
$121.20 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$407.40 |
$407.40 |
$407.40 |
$267.28
|
|
Warde anti-mullerian hormone
|
$73.20 |
$73.20 |
$73.20 |
$80.08
|
|
Warde apolipoprotein b
|
$140.40 |
$140.40 |
$140.40 |
$61.75
|
|
Warde cadmium blood
|
$297.00 |
$297.00 |
$297.00 |
$76.50
|
|
Warde calcitonin
|
$311.40 |
$311.40 |
$311.40 |
$96.97
|
|
Warde cobalt heavy metal quantitative each nes
|
$366.00 |
$366.00 |
$366.00 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$113.40 |
$113.40 |
$113.40 |
$96.85
|
|
Warde complement total hemolytic
|
$412.20 |
$412.20 |
$412.20 |
$104.82
|
|
Warde copper
|
$30.00 |
$30.00 |
$30.00 |
$80.00
|
|
Warde cryoglobulin
|
$15.60 |
$15.60 |
$15.60 |
$50.35
|
|
Warde erythropoietin
|
$88.80 |
$88.80 |
$88.80 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$27.00 |
$27.00 |
$27.00 |
$43.20
|
|
Warde gastrin
|
$256.80 |
$256.80 |
$256.80 |
$73.60
|
|
Warde growth hormone (hgh)
|
$57.60 |
$57.60 |
$57.60 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$343.20 |
$343.20 |
$343.20 |
$100.92
|
|
Warde hepatitis a antibody
|
$139.20 |
$139.20 |
$139.20 |
$83.40
|
|
Warde hepatitis be antibody
|
$139.20 |
$139.20 |
$139.20 |
$52.20
|
|
Warde immunofixation electrophoresis urine
|
$208.80 |
$208.80 |
$208.80 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$139.80 |
$139.80 |
$139.80 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$993.60 |
$993.60 |
$993.60 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$217.20 |
$217.20 |
$217.20 |
$141.05
|
|
Warde lipoprotein (a)
|
$96.00 |
$96.00 |
$96.00 |
$67.00
|
|
Warde mitochondrial antibody each
|
$15.00 |
$15.00 |
$15.00 |
$59.28
|
|
Warde neutralization rabies
|
$235.80 |
$235.80 |
$235.80 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$292.20 |
$292.20 |
$292.20 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$207.00 |
$207.00 |
$207.00 |
$94.25
|
|
Warde protein c antigen
|
$186.00 |
$186.00 |
$186.00 |
$93.43
|
|
Warde sex hormone binding globulin
|
$93.60 |
$93.60 |
$93.60 |
$82.08
|
|
Warde somatomedin
|
$141.60 |
$141.60 |
$141.60 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$186.60 |
$186.60 |
$186.60 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$362.40 |
$362.40 |
$362.40 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$139.80 |
$139.80 |
$139.80 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$67.20 |
$67.20 |
$67.20 |
$129.54
|
|
Warde vitamin a
|
$67.20 |
$67.20 |
$67.20 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$233.40 |
$233.40 |
$233.40 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$180.00 |
$180.00 |
$180.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$115.20 |
$115.20 |
$115.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$136.80 |
$136.80 |
$136.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$82.20 |
$82.20 |
$82.20 |
$59.25
|
|
Warde zinc
|
$148.80 |
$148.80 |
$148.80 |
$62.50
|
|
Wbc automated
|
$55.20 |
$55.20 |
$55.20 |
$32.35
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$249.60 |
$249.60 |
$249.60 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$480.60 |
$480.60 |
$480.60 |
$438.75
|
|
Wrist X-ray
|
$669.60 |
$669.60 |
$669.60 |
$342.80
|
|
X-ray abdomen 1 view
|
$302.40 |
$302.40 |
$302.40 |
$258.50
|
|
X-ray abdomen 2 views
|
$394.80 |
$394.80 |
$394.80 |
$316.47
|
