|
Ustekinumab 130 mg/26 ml intravenous solution
|
$7,440.00 |
$7,440.00 |
$7,440.00 |
$5,184.34
|
|
Vaccine dtap < 7 years im
|
$125.40 |
$125.40 |
$125.40 |
$68.19
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$102.00 |
$102.00 |
$102.00 |
$75.39
|
|
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) preservative free 0.5ml dose im
|
$69.00 |
$69.00 |
$69.00 |
$33.60
|
|
Vaccine mmr live subcutaneous
|
$243.60 |
$243.60 |
$243.60 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$451.80 |
$451.80 |
$451.80 |
$251.64
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$991.20 |
$991.20 |
$991.20 |
$563.36
|
|
Vaccine rabies im
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,990.20 |
$1,990.20 |
$1,990.20 |
$1,104.47
|
|
Vaccine tdap >=7 years im
|
$185.40 |
$185.40 |
$185.40 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$147.00 |
$147.00 |
$147.00 |
$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
|
$93.60 |
$93.60 |
$93.60 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$172.20 |
$172.20 |
$172.20 |
$136.13
|
|
Varicella zoster antibody igg
|
$20.40 |
$20.40 |
$20.40 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$325.80 |
$325.80 |
$325.80 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$20,329.80 |
$20,329.80 |
$20,329.80 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$202.80
|
|
Ventilator each subsequent day
|
$394.20 |
$394.20 |
$394.20 |
$1,204.00
|
|
Ventilator initial day
|
$769.20 |
$769.20 |
$769.20 |
$1,431.43
|
|
Vital capacity test
|
$186.00 |
$186.00 |
$186.00 |
$170.00
|
|
Vitamin b-12
|
$201.60 |
$201.60 |
$201.60 |
$100.00
|
|
Vitamin D Test
|
$90.60 |
$90.60 |
$90.60 |
$132.00
|
|
Warde 1003990 aldosterone
|
$87.00 |
$87.00 |
$87.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$140.40 |
$140.40 |
$140.40 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$50.40 |
$50.40 |
$50.40 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$78.60 |
$78.60 |
$78.60 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$55.80 |
$55.80 |
$55.80 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$92.40 |
$92.40 |
$92.40 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$31.80 |
$31.80 |
$31.80 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$336.60 |
$336.60 |
$336.60 |
$107.97
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$63.00 |
$63.00 |
$63.00 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$118.80 |
$118.80 |
$118.80 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$75.60 |
$75.60 |
$75.60 |
$72.50
|
|
Warde 3400852 arsenic
|
$231.60 |
$231.60 |
$231.60 |
$100.88
|
|
Warde 3708165 mercury urine
|
$116.40 |
$116.40 |
$116.40 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$15.00 |
$15.00 |
$15.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$224.40 |
$224.40 |
$224.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$538.20 |
$538.20 |
$538.20 |
$151.20
|
|
Warde aldolase
|
$116.40 |
$116.40 |
$116.40 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$406.80 |
$406.80 |
$406.80 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$248.40 |
$248.40 |
$248.40 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$399.00 |
$399.00 |
$399.00 |
$267.28
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$100.80 |
$100.80 |
$100.80 |
$126.43
|
|
Warde anti-mullerian hormone
|
$73.20 |
$73.20 |
$73.20 |
$80.08
|
|
Warde apolipoprotein b
|
$121.80 |
$121.80 |
$121.80 |
$61.75
|
|
Warde bile acids
|
$118.20 |
$118.20 |
$118.20 |
$63.70
|
|
Warde cadmium blood
|
$80.40 |
$80.40 |
$80.40 |
$76.50
|
|
Warde calcitonin
|
$322.80 |
$322.80 |
$322.80 |
$96.97
|
|
Warde collagen cross links c-telopeptide
|
$378.00 |
$378.00 |
$378.00 |
$96.85
|
|
Warde complement total hemolytic
|
$315.00 |
$315.00 |
$315.00 |
$104.82
|
|
Warde copper
|
$30.00 |
$30.00 |
$30.00 |
$80.00
|
|
Warde cryoglobulin
|
$16.80 |
$16.80 |
$16.80 |
$50.35
|
|
Warde erythropoietin
|
$91.80 |
$91.80 |
$91.80 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$142.80 |
$142.80 |
$142.80 |
$43.20
|
|
Warde gastrin
|
$54.00 |
$54.00 |
$54.00 |
$73.60
|
|
Warde growth hormone (hgh)
|
$60.00 |
$60.00 |
$60.00 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$438.60 |
$438.60 |
$438.60 |
$100.92
|
|
Warde hepatitis a antibody
|
$133.80 |
$133.80 |
$133.80 |
$83.40
|
|
Warde hepatitis be antibody
|
$34.20 |
$34.20 |
$34.20 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$307.80 |
$307.80 |
$307.80 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$208.80 |
$208.80 |
$208.80 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$34.20 |
$34.20 |
$34.20 |
$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
|
$170.40 |
$170.40 |
$170.40 |
$141.05
|
|
Warde lipoprotein (a)
|
$100.80 |
$100.80 |
$100.80 |
$67.00
|
|
Warde mitochondrial antibody each
|
$15.00 |
$15.00 |
$15.00 |
$59.28
|
|
Warde oxcarbazepine therapeutic drug level
|
$303.00 |
$303.00 |
$303.00 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$208.20 |
$208.20 |
$208.20 |
$94.25
|
|
Warde protein c antigen
|
$105.00 |
$105.00 |
$105.00 |
$93.43
|
|
Warde sex hormone binding globulin
|
$90.60 |
$90.60 |
$90.60 |
$82.08
|
|
Warde somatomedin
|
$147.60 |
$147.60 |
$147.60 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$325.20 |
$325.20 |
$325.20 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$180.00 |
$180.00 |
$180.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$347.40 |
$347.40 |
$347.40 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$144.00 |
$144.00 |
$144.00 |
$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)
|
$243.60 |
$243.60 |
$243.60 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$186.60 |
$186.60 |
$186.60 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$115.20 |
$115.20 |
$115.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$142.20 |
$142.20 |
$142.20 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$82.20 |
$82.20 |
$82.20 |
$59.25
|
|
Warde zinc
|
$83.40 |
$83.40 |
$83.40 |
$62.50
|
|
Wbc automated
|
$54.60 |
$54.60 |
$54.60 |
$32.35
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$325.80 |
$325.80 |
$325.80 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$494.40 |
$494.40 |
$494.40 |
$438.75
|
|
Wrist X-ray
|
$528.00 |
$528.00 |
$528.00 |
$342.80
|
|
X-ray abdomen 1 view
|
$237.60 |
$237.60 |
$237.60 |
$258.50
|
|
X-ray abdomen 2 views
|
$320.40 |
$320.40 |
$320.40 |
$316.47
|
|
X-ray abdomen >=3 views
|
$325.20 |
$325.20 |
$325.20 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$549.60 |
$549.60 |
$549.60 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$315.60 |
$315.60 |
$315.60 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$436.80 |
$436.80 |
$436.80 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$433.80 |
$433.80 |
$433.80 |
$773.40
|
|
X-ray bone age studies
|
$237.60 |
$237.60 |
$237.60 |
$251.40
|
|
X-ray bone survey complete
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$660.00
|
