|
Ultrasound joint complete left
|
$105.60 |
$105.60 |
$192.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$105.60 |
$105.60 |
$192.00 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$129.58 |
$129.58 |
$235.60 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$129.58 |
$129.58 |
$235.60 |
$331.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$321.64 |
$321.64 |
$584.80 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$135.30 |
$135.30 |
$246.00 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$135.30 |
$135.30 |
$246.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$135.30 |
$135.30 |
$246.00 |
$497.12
|
|
Ultrasound prostate/transrectal
|
$70.84 |
$70.84 |
$128.80 |
$557.40
|
|
Ultrasound retroperitoneal limited
|
$134.64 |
$134.64 |
$244.80 |
$486.50
|
|
Ultrasound scrotum and contents
|
$86.68 |
$86.68 |
$157.60 |
$608.90
|
|
Ultrasound spinal canal and contents
|
$72.16 |
$72.16 |
$131.20 |
$463.00
|
|
Ultrasound transvaginal non obstetric
|
$125.40 |
$125.40 |
$228.00 |
$558.35
|
|
Umbilical artery cath newborn 36660
|
$189.42 |
$189.42 |
$344.40 |
$206.64
|
|
Unlisted px salivry glnd/dux
|
$629.64 |
$629.64 |
$1,144.80 |
$1,265.16
|
|
Unsched dialysis esrd pt hos
|
$387.20 |
$387.20 |
$704.00 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$358.82 |
$358.82 |
$652.40 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$263.12 |
$263.12 |
$478.40 |
$2,034.41
|
|
Urea nitrogen
|
$29.92 |
$29.92 |
$54.40 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$60.28 |
$60.28 |
$109.60 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$137.50 |
$137.50 |
$250.00 |
$579.73
|
|
Urethrocystography void s&i
|
$137.50 |
$137.50 |
$250.00 |
$622.35
|
|
Uric acid blood
|
$4.18 |
$4.18 |
$7.60 |
$48.75
|
|
Uric acid urine
|
$91.52 |
$91.52 |
$166.40 |
$44.33
|
|
Urinalysis microscopic only
|
$2.64 |
$2.64 |
$4.80 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$1.76 |
$1.76 |
$3.20 |
$25.72
|
|
Urinalysis (with microscopy)
|
$23.76 |
$23.76 |
$43.20 |
$55.00
|
|
Urinalysis (without microscopy)
|
$1.98 |
$1.98 |
$3.60 |
$35.75
|
|
Urine Culture Test
|
$7.26 |
$7.26 |
$13.20 |
$81.50
|
|
Urine pregnancy test
|
$6.38 |
$6.38 |
$11.60 |
$67.20
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$15.40 |
$15.40 |
$28.00 |
$143.20
|
|
Valproic acid total therapeutic drug level
|
$48.18 |
$48.18 |
$87.60 |
$114.72
|
|
Valrubicin injection
|
$1,798.57 |
$1,798.57 |
$3,270.12 |
$2,813.49
|
|
Vancomycin hcl injection
|
$663.01 |
$663.01 |
$1,205.47 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$36.08 |
$36.08 |
$65.60 |
$136.13
|
|
Varicella zoster antibody igg
|
$28.38 |
$28.38 |
$51.60 |
$86.80
|
|
Vasectomy
|
$659.34 |
$659.34 |
$1,198.80 |
$2,424.12
|
|
Vasopressin 20 unit/ml intravenous solution
|
$2,101.87 |
$2,101.87 |
$3,821.58 |
$325.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$180.62 |
$180.62 |
$328.40 |
$202.80
|
|
Venogram ext bil s&i
|
$447.26 |
$447.26 |
$813.20 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$447.26 |
$447.26 |
$813.20 |
$1,366.20
|
|
Venous mech thrombectomy
|
$3,192.86 |
$3,192.86 |
$5,805.20 |
$7,965.00
|
|
Ventilator each subsequent day
|
$160.60 |
$160.60 |
$292.00 |
$1,204.00
|
|
Ventilator initial day
|
$168.30 |
$168.30 |
$306.00 |
$1,431.43
|
|
Vinblastine 1 mg/ml intravenous solution
|
$64.98 |
$64.98 |
$118.15 |
$165.00
|
|
Vincristine 1 mg/ml intravenous solution
|
$22.00 |
$22.00 |
$40.00 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$466.19 |
$466.19 |
$847.62 |
$223.55
|
|
Vital capacity test
|
$17.16 |
$17.16 |
$31.20 |
$170.00
|
|
Vitamin b-12
|
$13.64 |
$13.64 |
$24.80 |
$100.00
|
|
Vitamin D Test
|
$35.86 |
$35.86 |
$65.20 |
$132.00
|
|
Volume measurement urine timed
|
$10.56 |
$10.56 |
$19.20 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$106.85 |
$106.85 |
$194.28 |
$165.81
|
|
Warde 1003990 aldosterone
|
$146.74 |
$146.74 |
$266.80 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$16.28 |
$16.28 |
$29.60 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$107.58 |
$107.58 |
$195.60 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$27.06 |
$27.06 |
$49.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$15.62 |
$15.62 |
$28.40 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$15.18 |
$15.18 |
$27.60 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$24.86 |
$24.86 |
$45.20 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$43.34 |
$43.34 |
$78.80 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$55.88 |
$55.88 |
$101.60 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$55.88 |
$55.88 |
$101.60 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$25.52 |
$25.52 |
$46.40 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$11.88 |
$11.88 |
$21.60 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$18.70 |
$18.70 |
$34.00 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$106.04 |
$106.04 |
$192.80 |
$218.40
|
|
Warde 3400852 arsenic
|
$27.06 |
$27.06 |
$49.20 |
$100.88
|
|
Warde 3708165 mercury urine
|
$27.06 |
$27.06 |
$49.20 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$8.36 |
$8.36 |
$15.20 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$40.48 |
$40.48 |
$73.60 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$40.92 |
$40.92 |
$74.40 |
$151.20
|
|
Warde aldolase
|
$10.34 |
$10.34 |
$18.80 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$7.92 |
$7.92 |
$14.40 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$45.10 |
$45.10 |
$82.00 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$148.50 |
$148.50 |
$270.00 |
$368.00
|
|
Warde anti-mullerian hormone
|
$26.62 |
$26.62 |
$48.40 |
$80.08
|
|
Warde apolipoprotein b
|
$23.32 |
$23.32 |
$42.40 |
$61.75
|
|
Warde bile acids
|
$15.40 |
$15.40 |
$28.00 |
$63.70
|
|
Warde cadmium blood
|
$15.84 |
$15.84 |
$28.80 |
$76.50
|
|
Warde calcitonin
|
$28.60 |
$28.60 |
$52.00 |
$96.97
|
|
Warde calculus (stone) infrared
|
$8.14 |
$8.14 |
$14.80 |
$59.50
|
|
Warde cobalt heavy metal quantitative each nes
|
$27.72 |
$27.72 |
$50.40 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$58.96 |
$58.96 |
$107.20 |
$96.85
|
|
Warde complement total hemolytic
|
$20.68 |
$20.68 |
$37.60 |
$104.82
|
|
Warde copper
|
$95.26 |
$95.26 |
$173.20 |
$80.00
|
|
Warde cryoglobulin
|
$6.38 |
$6.38 |
$11.60 |
$50.35
|
|
Warde erythropoietin
|
$16.28 |
$16.28 |
$29.60 |
$90.36
|
|
Warde estrogen fractionated
|
$33.00 |
$33.00 |
$60.00 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$8.80 |
$8.80 |
$16.00 |
$43.20
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$13.42 |
$13.42 |
$24.40 |
$43.55
|
|
Warde gastrin
|
$33.44 |
$33.44 |
$60.80 |
$73.60
|
|
Warde growth hormone (hgh)
|
$16.06 |
$16.06 |
$29.20 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$34.76 |
$34.76 |
$63.20 |
$100.92
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$59.18 |
$59.18 |
$107.60 |
$80.16
|
|
Warde hepatitis a antibody
|
$12.76 |
$12.76 |
$23.20 |
$83.40
|
|
Warde hepatitis be antibody
|
$12.98 |
$12.98 |
$23.60 |
$52.20
|
|
Warde immunofixation electrophoresis urine
|
$45.32 |
$45.32 |
$82.40 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$13.20 |
$13.20 |
$24.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$249.48 |
$249.48 |
$453.60 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$137.28 |
$137.28 |
$249.60 |
$141.05
|
