|
Urinalysis microscopic only
|
$19.50 |
$19.50 |
$19.50 |
$25.72
|
|
Urinalysis (with microscopy)
|
$19.50 |
$19.50 |
$19.50 |
$37.39
|
|
Urinalysis (without microscopy)
|
$11.25 |
$11.25 |
$11.25 |
$33.00
|
|
Urine Culture Test
|
$24.75 |
$24.75 |
$24.75 |
$63.84
|
|
Urine pregnancy test
|
$24.00 |
$24.00 |
$24.00 |
$57.00
|
|
Vaccine dtap < 7 years im
|
$29.25 |
$29.25 |
$29.25 |
$66.69
|
|
Vaccine dtap-hep b-ipv im
|
$193.50 |
$193.50 |
$193.50 |
$169.85
|
|
Vaccine dtap-ipv 4-6 years im
|
$126.00 |
$126.00 |
$126.00 |
$129.00
|
|
Vaccine dtap-ipv-hib-hepb im
|
$792.00 |
$792.00 |
$792.00 |
$175.00
|
|
Vaccine dtap-ipv/hib im
|
$156.00 |
$156.00 |
$156.00 |
$199.37
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$29.25 |
$29.25 |
$29.25 |
$70.53
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$52.50 |
$52.50 |
$52.50 |
$39.78
|
|
Vaccine hepatitis a (hepa) adult im
|
$70.50 |
$70.50 |
$70.50 |
$163.15
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$52.50 |
$52.50 |
$52.50 |
$84.38
|
|
Vaccine hepatitis b (hepb) adolescent 2 dose im
|
$84.75 |
$84.75 |
$84.75 |
$57.20
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$63.00 |
$63.00 |
$63.00 |
$162.07
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$29.25 |
$29.25 |
$29.25 |
$75.39
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$307.50 |
$307.50 |
$307.50 |
$521.70
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$101.25 |
$101.25 |
$101.25 |
$130.67
|
|
Vaccine influenza inactivated adjuvant im
|
$110.25 |
$110.25 |
$110.25 |
$81.00
|
|
Vaccine influenza nos 0.5ml dose im
|
$29.25 |
$29.25 |
$29.25 |
$31.00
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$30.00 |
$30.00 |
$30.00 |
$47.38
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$24.00 |
$24.00 |
$24.00 |
$29.60
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$55.50 |
$55.50 |
$55.50 |
$30.40
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$28.50 |
$28.50 |
$28.50 |
$32.50
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$466.50 |
$466.50 |
$466.50 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$497.25 |
$497.25 |
$497.25 |
$335.00
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$180.00 |
$180.00 |
$180.00 |
$156.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$417.00 |
$417.00 |
$417.00 |
$321.80
|
|
Vaccine mmr live subcutaneous
|
$46.50 |
$46.50 |
$46.50 |
$222.36
|
|
Vaccine mmrv live subcutaneous
|
$604.50 |
$604.50 |
$604.50 |
$604.50
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$29.25 |
$29.25 |
$29.25 |
$195.69
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$159.75 |
$159.75 |
$159.75 |
$393.25
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$708.75 |
$708.75 |
$708.75 |
$579.50
|
|
Vaccine polio (ipv) subcutaneous/im
|
$21.00 |
$21.00 |
$21.00 |
$100.00
|
|
Vaccine rabies im
|
$447.00 |
$447.00 |
$447.00 |
$800.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,481.29 |
$1,481.29 |
$1,481.29 |
$1,159.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,481.29 |
$1,481.29 |
$1,481.29 |
$997.44
|
|
Vaccine rotavirus attenuated (rv1) live 2 dose oral
|
$110.25 |
$110.25 |
$110.25 |
$200.70
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$78.75 |
$78.75 |
$78.75 |
$108.00
|
|
Vaccine tdap >=7 years im
|
$52.50 |
$52.50 |
$52.50 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$50.25 |
$50.25 |
$50.25 |
$112.10
|
|
Vaccine typhoid vicps im
|
$306.75 |
$306.75 |
$306.75 |
$253.50
|
|
Vaccine varicella live subcutaneous
|
$194.25 |
$194.25 |
$194.25 |
$434.73
|
|
Valproic acid total therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$100.80
|
|
Varicella zoster antibody igg
|
$28.50 |
$28.50 |
$28.50 |
$90.35
|
|
Vasectomy
|
$811.50 |
$811.50 |
$811.50 |
$2,361.00
|
|
Vitamin b-12
|
$45.00 |
$45.00 |
$45.00 |
$89.70
|
|
Vitamin D Test
|
$101.25 |
$101.25 |
$101.25 |
$132.60
|
|
Volume measurement urine timed
|
$12.75 |
$12.75 |
$12.75 |
$17.40
|
|
Vulvectomy simple partial
|
$635.25 |
$635.25 |
$635.25 |
$3,615.39
|
|
Warde 1003990 aldosterone
|
$108.75 |
$108.75 |
$108.75 |
$182.65
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$60.00 |
$60.00 |
$60.00 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$162.00 |
$162.00 |
$162.00 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$43.50 |
$43.50 |
$43.50 |
$83.06
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$233.25 |
$233.25 |
$233.25 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$25.50 |
$25.50 |
$25.50 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$43.50 |
$43.50 |
$43.50 |
$79.30
|
|
Warde 3400852 arsenic
|
$36.75 |
$36.75 |
$36.75 |
$107.38
|
|
Warde 3708165 mercury urine
|
$43.50 |
$43.50 |
$43.50 |
$82.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$72.75 |
$72.75 |
$72.75 |
$147.55
|
|
Warde aldolase
|
$27.00 |
$27.00 |
$27.00 |
$60.00
|
|
Warde analysis gene hfe common variants
|
$382.50 |
$382.50 |
$382.50 |
$284.70
|
|
Warde calculus (stone) infrared
|
$34.50 |
$34.50 |
$34.50 |
$67.50
|
|
Warde cobalt heavy metal quantitative each nes
|
$136.50 |
$136.50 |
$136.50 |
$126.08
|
|
Warde complement total hemolytic
|
$52.50 |
$52.50 |
$52.50 |
$108.55
|
|
Warde copper
|
$39.75 |
$39.75 |
$39.75 |
$88.20
|
|
Warde erythropoietin
|
$42.75 |
$42.75 |
$42.75 |
$92.50
|
|
Warde estrogen fractionated
|
$96.75 |
$96.75 |
$96.75 |
$125.35
|
|
Warde folic acid rbc
|
$158.25 |
$158.25 |
$158.25 |
$91.85
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$75.00 |
$75.00 |
$75.00 |
$65.00
|
|
Warde growth hormone (hgh)
|
$83.25 |
$83.25 |
$83.25 |
$81.24
|
|
Warde helminth antibody strongyloides igg
|
$89.25 |
$89.25 |
$89.25 |
$115.05
|
|
Warde hepatitis a antibody
|
$67.50 |
$67.50 |
$67.50 |
$85.15
|
|
Warde immunofixation electrophoresis urine
|
$69.75 |
$69.75 |
$69.75 |
$151.71
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$505.50 |
$505.50 |
$505.50 |
$672.75
|
|
Warde somatomedin
|
$40.50 |
$40.50 |
$40.50 |
$127.40
|
|
Warde t3 (triiodothyronine) reverse
|
$93.00 |
$93.00 |
$93.00 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$223.50 |
$223.50 |
$223.50 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$10.50 |
$10.50 |
$10.50 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$84.75 |
$84.75 |
$84.75 |
$157.95
|
|
Warde vitamin a
|
$23.25 |
$23.25 |
$23.25 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$44.25 |
$44.25 |
$44.25 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$176.25 |
$176.25 |
$176.25 |
$127.40
|
|
Warde vitamin d (1 25 dihydroxy)
|
$96.00 |
$96.00 |
$96.00 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$79.50 |
$79.50 |
$79.50 |
$64.28
|
|
Warde zinc
|
$30.00 |
$30.00 |
$30.00 |
$67.20
|
|
Wbc automated
|
$12.00 |
$12.00 |
$12.00 |
$32.50
|
|
Wound closure by adhesive
|
$44.25 |
$44.25 |
$44.25 |
$156.65
|
|
Wrist endoscopy/surgery
|
$476.25 |
$476.25 |
$476.25 |
$2,512.00
|
|
Wrist X-ray
|
$61.50 |
$61.50 |
$61.50 |
$311.20
|
|
X-ray abdomen 1 view
|
$27.00 |
$27.00 |
$27.00 |
$243.00
|
|
X-ray abdomen 2 views
|
$33.00 |
$33.00 |
$33.00 |
$281.50
|
|
X-ray abdomen >=3 views
|
$38.25 |
$38.25 |
$38.25 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$84.00 |
$84.00 |
$84.00 |
$359.84
|
|
X-ray ankle 2 views (both sides)
|
$86.25 |
$86.25 |
$86.25 |
$240.00
|
|
X-ray bone age studies
|
$9.00 |
$9.00 |
$9.00 |
$227.08
|
|
X-ray cervical spine 2-3 views
|
$118.50 |
$118.50 |
$118.50 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$160.50 |
$160.50 |
$160.50 |
$439.14
|
|
X-ray clavicle complete (both sides)
|
$81.75 |
$81.75 |
$81.75 |
$277.00
|
