|
Treponema pallidum antibody
|
$22.96 |
$22.96 |
$22.96 |
$74.40
|
|
Trichinella antibody
|
$24.46 |
$24.46 |
$24.46 |
$56.55
|
|
Triglycerides
|
$23.03 |
$23.03 |
$23.03 |
$48.75
|
|
Troponin quantitative
|
$44.88 |
$44.88 |
$44.88 |
$112.80
|
|
Tte w or without contr, cont ecg
|
$643.44 |
$643.44 |
$643.44 |
$1,613.95
|
|
Tte w or without fol w/con,stres
|
$712.32 |
$712.32 |
$712.32 |
$1,108.76
|
|
Tube trach disp innr can 5 xlt
|
$105.84 |
$105.84 |
$105.84 |
$416.99
|
|
Tube trach fen sz 6 uncuffed
|
$99.12 |
$99.12 |
$99.12 |
$132.40
|
|
Ultrasound abdomen aorta screening study aaa
|
$134.96 |
$134.96 |
$134.96 |
$394.20
|
|
Ultrasound breast complete
|
$776.16 |
$776.16 |
$776.16 |
$519.20
|
|
Ultrasound breast unilateral limited (both sides)
|
$673.12 |
$673.12 |
$673.12 |
$427.00
|
|
Ultrasound chest
|
$134.40 |
$134.40 |
$134.40 |
$430.10
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$153.44 |
$153.44 |
$153.44 |
$428.68
|
|
Ultrasound guided needle placement supervision & interpretation
|
$219.52 |
$219.52 |
$219.52 |
$629.64
|
|
Ultrasound hips infant dynamic
|
$320.88 |
$320.88 |
$320.88 |
$395.20
|
|
Ultrasound joint complete left
|
$569.52 |
$569.52 |
$569.52 |
$534.00
|
|
Ultrasound joint/nonvascular extremity limited left
|
$469.28 |
$469.28 |
$469.28 |
$426.60
|
|
Ultrasound ob >=14wks ea addl gest
|
$104.72 |
$104.72 |
$104.72 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$125.44 |
$125.44 |
$125.44 |
$304.80
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$207.20 |
$207.20 |
$207.20 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$97.44 |
$97.44 |
$97.44 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$153.44 |
$153.44 |
$153.44 |
$469.58
|
|
Ultrasound scrotum and contents
|
$173.60 |
$173.60 |
$173.60 |
$558.03
|
|
Ultrasound transvaginal non obstetric
|
$242.48 |
$242.48 |
$242.48 |
$523.20
|
|
Unlisted reprod med lab proc
|
$58.86 |
$58.86 |
$58.86 |
$67.63
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$803.04 |
$803.04 |
$803.04 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$588.00 |
$588.00 |
$588.00 |
$1,794.00
|
|
Urea nitrogen
|
$12.45 |
$12.45 |
$12.45 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$12.40 |
$12.40 |
$12.40 |
$42.90
|
|
Urea nitrogen clearance
|
$27.75 |
$27.75 |
$27.75 |
$33.57
|
|
Uric acid blood
|
$16.54 |
$16.54 |
$16.54 |
$44.00
|
|
Uric acid urine
|
$11.81 |
$11.81 |
$11.81 |
$43.20
|
|
Urinalysis microscopic only
|
$8.86 |
$8.86 |
$8.86 |
$25.72
|
|
Urinalysis qual/semiquant excpt ia
|
$8.27 |
$8.27 |
$8.27 |
$22.75
|
|
Urinalysis (with microscopy)
|
$10.04 |
$10.04 |
$10.04 |
$37.39
|
|
Urinalysis (without microscopy)
|
$8.86 |
$8.86 |
$8.86 |
$33.00
|
|
Urine Culture Test
|
$33.07 |
$33.07 |
$33.07 |
$63.84
|
|
Urine pregnancy test
|
$31.89 |
$31.89 |
$31.89 |
$57.00
|
|
Valproic acid total therapeutic drug level
|
$42.52 |
$42.52 |
$42.52 |
$100.80
|
|
Vancomycin peak therapeutic drug level
|
$72.04 |
$72.04 |
$72.04 |
$116.00
|
|
Varicella zoster antibody igg
|
$27.75 |
$27.75 |
$27.75 |
$90.35
|
|
Ventilator each subsequent day
|
$547.68 |
$547.68 |
$547.68 |
$1,138.50
|
|
Ventilator initial day
|
$547.68 |
$547.68 |
$547.68 |
$1,331.00
|
|
Very long chain fatty acids
|
$56.64 |
$56.64 |
$56.64 |
$157.30
|
|
Vital capacity test
|
$82.32 |
$82.32 |
$82.32 |
$170.00
|
|
Vitamin b-12
|
$34.25 |
$34.25 |
$34.25 |
$89.70
|
|
Vitamin D Test
|
$44.29 |
$44.29 |
$44.29 |
$132.60
|
|
Warde 1005020 citrate 24 hour urine
|
$33.04 |
$33.04 |
$33.04 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$15.12 |
$15.12 |
$15.12 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$18.48 |
$18.48 |
$18.48 |
$83.06
|
|
Warde 3004000 immunoglobulin subclass 1
|
$50.19 |
$50.19 |
$50.19 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$66.73 |
$66.73 |
$66.73 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$20.16 |
$20.16 |
$20.16 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$17.36 |
$17.36 |
$17.36 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$25.39 |
$25.39 |
$25.39 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$65.55 |
$65.55 |
$65.55 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$92.71 |
$92.71 |
$92.71 |
$79.30
|
|
Warde 3400852 arsenic
|
$117.60 |
$117.60 |
$117.60 |
$107.38
|
|
Warde adenosine deaminase pleural fluid
|
$91.53 |
$91.53 |
$91.53 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$67.32 |
$67.32 |
$67.32 |
$147.55
|
|
Warde amino acids 6 or more quantitative each specimen
|
$103.90 |
$103.90 |
$103.90 |
$177.60
|
|
Warde analysis gene hfe common variants
|
$14.50 |
$14.50 |
$14.50 |
$284.70
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$126.00 |
$126.00 |
$126.00 |
$403.20
|
|
Warde apolipoprotein b
|
$53.15 |
$53.15 |
$53.15 |
$80.60
|
|
Warde cadmium blood
|
$8.68 |
$8.68 |
$8.68 |
$79.20
|
|
Warde clozapine therapeutic drug level
|
$6.35 |
$6.35 |
$6.35 |
$71.20
|
|
Warde cobalt heavy metal quantitative each nes
|
$38.43 |
$38.43 |
$38.43 |
$126.08
|
|
Warde collagen cross links c-telopeptide
|
$64.46 |
$64.46 |
$64.46 |
$94.80
|
|
Warde copper
|
$32.48 |
$32.48 |
$32.48 |
$88.20
|
|
Warde cryoglobulin
|
$17.72 |
$17.72 |
$17.72 |
$52.45
|
|
Warde folic acid rbc
|
$34.25 |
$34.25 |
$34.25 |
$91.85
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$7.71 |
$7.71 |
$7.71 |
$65.00
|
|
Warde gastrin
|
$45.47 |
$45.47 |
$45.47 |
$94.68
|
|
Warde growth hormone (hgh)
|
$35.84 |
$35.84 |
$35.84 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$17.19 |
$17.19 |
$17.19 |
$70.85
|
|
Warde helminth antibody strongyloides igg
|
$50.40 |
$50.40 |
$50.40 |
$115.05
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$25.39 |
$25.39 |
$25.39 |
$78.80
|
|
Warde hepatitis a antibody
|
$36.02 |
$36.02 |
$36.02 |
$85.15
|
|
Warde hepatitis delta agent antibody
|
$49.45 |
$49.45 |
$49.45 |
$102.70
|
|
Warde immunofixation electrophoresis urine
|
$67.32 |
$67.32 |
$67.32 |
$151.71
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$304.08 |
$304.08 |
$304.08 |
$672.75
|
|
Warde islet cell antibody zinc transporter 8
|
$92.64 |
$92.64 |
$92.64 |
$137.55
|
|
Warde lipoprotein (a)
|
$33.66 |
$33.66 |
$33.66 |
$72.90
|
|
Warde lipoprotein-associated phospholipase a2
|
$54.88 |
$54.88 |
$54.88 |
$136.50
|
|
Warde neutralization rabies
|
$20.16 |
$20.16 |
$20.16 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$6.99 |
$6.99 |
$6.99 |
$71.20
|
|
Warde protein c antigen
|
$14.00 |
$14.00 |
$14.00 |
$89.70
|
|
Warde sex hormone binding globulin
|
$32.48 |
$32.48 |
$32.48 |
$104.28
|
|
Warde somatomedin
|
$41.71 |
$41.71 |
$41.71 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$11.20 |
$11.20 |
$11.20 |
$39.42
|
|
Warde thyroid stimulating immunoglobulins
|
$60.48 |
$60.48 |
$60.48 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$21.78 |
$21.78 |
$21.78 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$220.85 |
$220.85 |
$220.85 |
$157.95
|
|
Warde vitamin b-1 (thiamine)
|
$5.39 |
$5.39 |
$5.39 |
$99.27
|
|
Warde vitamin c (ascorbic acid)
|
$10.00 |
$10.00 |
$10.00 |
$50.00
|
|
Warde zinc
|
$32.48 |
$32.48 |
$32.48 |
$67.20
|
|
Wbc automated
|
$20.08 |
$20.08 |
$20.08 |
$32.50
|
|
Western blot test
|
$52.91 |
$52.91 |
$52.91 |
$170.40
|
|
Whole blood for transfusion
|
$309.68 |
$309.68 |
$309.68 |
$400.68
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$218.40 |
$218.40 |
$218.40 |
$511.20
|
