|
Ultrasound pregnant uterus follow up per fetus
|
$373.10 |
$373.10 |
$373.10 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$358.80 |
$358.80 |
$358.80 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$411.45 |
$411.45 |
$411.45 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$483.60 |
$483.60 |
$483.60 |
$469.58
|
|
Ultrasound scrotum and contents
|
$580.45 |
$580.45 |
$580.45 |
$558.03
|
|
Ultrasound spinal canal and contents
|
$415.35 |
$415.35 |
$415.35 |
$415.00
|
|
Ultrasound transabd ea addl gest
|
$495.95 |
$495.95 |
$495.95 |
$424.80
|
|
Ultrasound transvaginal non obstetric
|
$490.75 |
$490.75 |
$490.75 |
$523.20
|
|
Unlisted laps px appendix
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$3,617.40
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,941.25 |
$2,941.25 |
$2,941.25 |
$2,001.87
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$1,794.00
|
|
Upper Endoscopy (EGD, diagnostic)
|
$2,963.97 |
$2,963.97 |
$2,963.97 |
$1,760.00
|
|
Upper Endoscopy (EGD, with biopsy)
|
$3,435.05 |
$3,435.05 |
$3,435.05 |
$1,760.00
|
|
Urea nitrogen
|
$47.45 |
$47.45 |
$47.45 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$45.50 |
$45.50 |
$45.50 |
$42.90
|
|
Urethrocystography void s&i
|
$702.00 |
$702.00 |
$702.00 |
$586.50
|
|
Uric acid blood
|
$53.30 |
$53.30 |
$53.30 |
$44.00
|
|
Uric acid urine
|
$45.50 |
$45.50 |
$45.50 |
$43.20
|
|
Urinalysis microscopic only
|
$38.35 |
$38.35 |
$38.35 |
$25.72
|
|
Urinalysis (with microscopy)
|
$47.45 |
$47.45 |
$47.45 |
$37.39
|
|
Urinalysis (without microscopy)
|
$39.00 |
$39.00 |
$39.00 |
$33.00
|
|
Urine Culture Test
|
$68.25 |
$68.25 |
$68.25 |
$63.84
|
|
Urine pregnancy test
|
$73.45 |
$73.45 |
$73.45 |
$57.00
|
|
Vaccine dtap < 7 years im
|
$88.47 |
$88.47 |
$88.47 |
$66.69
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$268.45 |
$268.45 |
$268.45 |
$84.38
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$86.19 |
$86.19 |
$86.19 |
$75.39
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$59.66 |
$59.66 |
$59.66 |
$47.38
|
|
Vaccine mmr live subcutaneous
|
$289.38 |
$289.38 |
$289.38 |
$222.36
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$930.57 |
$930.57 |
$930.57 |
$579.50
|
|
Vaccine rabies im
|
$850.32 |
$850.32 |
$850.32 |
$800.00
|
|
Vaccine tdap >=7 years im
|
$147.59 |
$147.59 |
$147.59 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$140.40 |
$140.40 |
$140.40 |
$100.80
|
|
Vancomycin peak therapeutic drug level
|
$156.65 |
$156.65 |
$156.65 |
$116.00
|
|
Varicella zoster antibody igg
|
$82.55 |
$82.55 |
$82.55 |
$90.35
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$47.45 |
$47.45 |
$47.45 |
$123.00
|
|
Ventilator each subsequent day
|
$880.75 |
$880.75 |
$880.75 |
$1,138.50
|
|
Ventilator initial day
|
$1,234.35 |
$1,234.35 |
$1,234.35 |
$1,331.00
|
|
Very long chain fatty acids
|
$140.40 |
$140.40 |
$140.40 |
$157.30
|
|
Virus isolation addl studies ea
|
$98.80 |
$98.80 |
$98.80 |
$90.35
|
|
Vitamin b-12
|
$132.60 |
$132.60 |
$132.60 |
$89.70
|
|
Vitamin D Test
|
$163.80 |
$163.80 |
$163.80 |
$132.60
|
|
Volume measurement urine timed
|
$19.50 |
$19.50 |
$19.50 |
$17.40
|
|
Warde 1003990 aldosterone
|
$253.50 |
$253.50 |
$253.50 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$113.75 |
$113.75 |
$113.75 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$112.45 |
$112.45 |
$112.45 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$164.45 |
$164.45 |
$164.45 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$108.55 |
$108.55 |
$108.55 |
$83.06
|
|
Warde 1015200 kappa light chain free
|
$129.35 |
$129.35 |
$129.35 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$60.45 |
$60.45 |
$60.45 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$133.90 |
$133.90 |
$133.90 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$88.40 |
$88.40 |
$88.40 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$88.40 |
$88.40 |
$88.40 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$104.00 |
$104.00 |
$104.00 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$81.90 |
$81.90 |
$81.90 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$63.70 |
$63.70 |
$63.70 |
$79.30
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$289.25 |
$289.25 |
$289.25 |
$250.90
|
|
Warde 3400852 arsenic
|
$172.90 |
$172.90 |
$172.90 |
$107.38
|
|
Warde 3708165 mercury urine
|
$97.50 |
$97.50 |
$97.50 |
$82.20
|
|
Warde acetylcholine receptor blocking antibody
|
$184.60 |
$184.60 |
$184.60 |
$82.55
|
|
Warde actin (smooth muscle) antibody each
|
$113.75 |
$113.75 |
$113.75 |
$52.80
|
|
Warde adenosine deaminase pleural fluid
|
$156.65 |
$156.65 |
$156.65 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$230.75 |
$230.75 |
$230.75 |
$147.55
|
|
Warde aldolase
|
$90.35 |
$90.35 |
$90.35 |
$60.00
|
|
Warde amino acids 6 or more quantitative each specimen
|
$248.30 |
$248.30 |
$248.30 |
$177.60
|
|
Warde amiodarone therapeutic drug level
|
$123.50 |
$123.50 |
$123.50 |
$83.85
|
|
Warde analysis gene hfe common variants
|
$295.75 |
$295.75 |
$295.75 |
$284.70
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$475.80 |
$475.80 |
$475.80 |
$403.20
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$109.20 |
$109.20 |
$109.20 |
$126.43
|
|
Warde anti-mullerian hormone
|
$110.50 |
$110.50 |
$110.50 |
$94.40
|
|
Warde apolipoprotein b
|
$96.85 |
$96.85 |
$96.85 |
$80.60
|
|
Warde bile acids
|
$66.30 |
$66.30 |
$66.30 |
$76.70
|
|
Warde cadmium blood
|
$79.95 |
$79.95 |
$79.95 |
$79.20
|
|
Warde calcitonin
|
$147.55 |
$147.55 |
$147.55 |
$120.25
|
|
Warde calculus (stone) infrared
|
$89.70 |
$89.70 |
$89.70 |
$67.50
|
|
Warde clozapine therapeutic drug level
|
$63.70 |
$63.70 |
$63.70 |
$71.20
|
|
Warde cobalt heavy metal quantitative each nes
|
$111.80 |
$111.80 |
$111.80 |
$126.08
|
|
Warde collagen cross links c-telopeptide
|
$118.30 |
$118.30 |
$118.30 |
$94.80
|
|
Warde complement total hemolytic
|
$157.30 |
$157.30 |
$157.30 |
$108.55
|
|
Warde copper
|
$109.20 |
$109.20 |
$109.20 |
$88.20
|
|
Warde cryoglobulin
|
$56.55 |
$56.55 |
$56.55 |
$52.45
|
|
Warde erythropoietin
|
$150.15 |
$150.15 |
$150.15 |
$92.50
|
|
Warde estrogen fractionated
|
$144.30 |
$144.30 |
$144.30 |
$125.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$113.75 |
$113.75 |
$113.75 |
$66.95
|
|
Warde folic acid rbc
|
$136.50 |
$136.50 |
$136.50 |
$91.85
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$77.35 |
$77.35 |
$77.35 |
$65.00
|
|
Warde gastrin
|
$130.65 |
$130.65 |
$130.65 |
$94.68
|
|
Warde growth hormone (hgh)
|
$104.00 |
$104.00 |
$104.00 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$81.90 |
$81.90 |
$81.90 |
$70.85
|
|
Warde helminth antibody strongyloides igg
|
$104.00 |
$104.00 |
$104.00 |
$115.05
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$97.50 |
$97.50 |
$97.50 |
$78.80
|
|
Warde hepatitis a antibody
|
$92.95 |
$92.95 |
$92.95 |
$85.15
|
|
Warde hepatitis be antibody
|
$72.80 |
$72.80 |
$72.80 |
$64.80
|
|
Warde hepatitis delta agent antibody
|
$112.45 |
$112.45 |
$112.45 |
$102.70
|
|
Warde immunofixation electrophoresis urine
|
$174.20 |
$174.20 |
$174.20 |
$151.71
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$76.70 |
$76.70 |
$76.70 |
$62.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$848.90 |
$848.90 |
$848.90 |
$672.75
|
|
Warde islet cell antibody zinc transporter 8
|
$364.65 |
$364.65 |
$364.65 |
$137.55
|
|
Warde lipoprotein (a)
|
$68.25 |
$68.25 |
$68.25 |
$72.90
|
|
Warde mitochondrial antibody each
|
$76.70 |
$76.70 |
$76.70 |
$62.40
|
