|
Uric acid urine
|
$433.17 |
$433.17 |
$433.17 |
$44.33
|
|
Urinalysis microscopic only
|
$210.32 |
$210.32 |
$210.32 |
$26.35
|
|
Urinalysis (with microscopy)
|
$213.39 |
$213.39 |
$213.39 |
$55.00
|
|
Urine pregnancy test
|
$264.70 |
$264.70 |
$264.70 |
$67.20
|
|
Urography inf drip &/or bolus
|
$4,513.14 |
$4,513.14 |
$4,513.14 |
$642.50
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$6,488.79 |
$6,488.79 |
$6,488.79 |
$5,184.34
|
|
Vaccine dtap < 7 years im
|
$139.15 |
$139.15 |
$139.15 |
$68.19
|
|
Vaccine dtap-hep b-ipv im
|
$152.00 |
$152.00 |
$152.00 |
$164.63
|
|
Vaccine dtap-ipv/hib im
|
$302.00 |
$302.00 |
$302.00 |
$221.24
|
|
Vaccine hepatitis a (hepa) adult im
|
$257.34 |
$257.34 |
$257.34 |
$166.62
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$115.69 |
$115.69 |
$115.69 |
$75.39
|
|
Vaccine influenza nos 0.5ml dose im
|
$124.42 |
$124.42 |
$124.42 |
$24.20
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$128.61 |
$128.61 |
$128.61 |
$33.60
|
|
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im
|
$213.32 |
$213.32 |
$213.32 |
$72.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$817.40 |
$817.40 |
$817.40 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$331.27 |
$331.27 |
$331.27 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$256.65 |
$256.65 |
$256.65 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$179.98 |
$179.98 |
$179.98 |
$211.68
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$223.00 |
$223.00 |
$223.00 |
$251.64
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$607.70 |
$607.70 |
$607.70 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$672.66 |
$672.66 |
$672.66 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$145.46 |
$145.46 |
$145.46 |
$90.70
|
|
Vaccine rabies im
|
$952.88 |
$952.88 |
$952.88 |
$858.95
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,199.51 |
$1,199.51 |
$1,199.51 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,199.51 |
$1,199.51 |
$1,199.51 |
$997.44
|
|
Vaccine rotavirus pentavalent (rv5) live 3 dose oral
|
$91.85 |
$91.85 |
$91.85 |
$126.14
|
|
Vaccine tdap >=7 years im
|
$138.98 |
$138.98 |
$138.98 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$117.00 |
$117.00 |
$117.00 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$364.16 |
$364.16 |
$364.16 |
$365.17
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$95.00 |
$95.00 |
$95.00 |
$24.12
|
|
Valproic acid total therapeutic drug level
|
$469.40 |
$469.40 |
$469.40 |
$114.72
|
|
Valrubicin injection
|
$3,666.00 |
$3,666.00 |
$3,666.00 |
$2,813.49
|
|
Vancomycin peak therapeutic drug level
|
$712.49 |
$712.49 |
$712.49 |
$136.13
|
|
Vasopressin 20 unit/ml intravenous solution
|
$199.84 |
$199.84 |
$199.84 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$826.15
|
|
Vitamin b-12
|
$518.18 |
$518.18 |
$518.18 |
$100.00
|
|
Volume measurement urine timed
|
$114.14 |
$114.14 |
$114.14 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$832.23 |
$832.23 |
$832.23 |
$165.81
|
|
Warde 1005020 citrate 24 hour urine
|
$526.49 |
$526.49 |
$526.49 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$565.51 |
$565.51 |
$565.51 |
$63.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$2,033.47 |
$2,033.47 |
$2,033.47 |
$70.85
|
|
Warde 3008005 oligoclonal bands
|
$356.55 |
$356.55 |
$356.55 |
$107.97
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$1,036.55 |
$1,036.55 |
$1,036.55 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$415.87 |
$415.87 |
$415.87 |
$72.50
|
|
Warde acetylcholine receptor blocking antibody
|
$575.43 |
$575.43 |
$575.43 |
$75.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,011.17 |
$1,011.17 |
$1,011.17 |
$151.20
|
|
Warde aldolase
|
$194.43 |
$194.43 |
$194.43 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$1,055.74 |
$1,055.74 |
$1,055.74 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$502.46 |
$502.46 |
$502.46 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$1,951.01 |
$1,951.01 |
$1,951.01 |
$368.00
|
|
Warde anti-mullerian hormone
|
$413.23 |
$413.23 |
$413.23 |
$80.08
|
|
Warde bile acids
|
$217.30 |
$217.30 |
$217.30 |
$63.70
|
|
Warde calcitonin
|
$1,146.27 |
$1,146.27 |
$1,146.27 |
$96.97
|
|
Warde calculus (stone) infrared
|
$331.48 |
$331.48 |
$331.48 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$898.65 |
$898.65 |
$898.65 |
$66.43
|
|
Warde collagen cross links c-telopeptide
|
$867.73 |
$867.73 |
$867.73 |
$96.85
|
|
Warde complement total hemolytic
|
$1,367.73 |
$1,367.73 |
$1,367.73 |
$104.82
|
|
Warde cryoglobulin
|
$1,046.03 |
$1,046.03 |
$1,046.03 |
$50.35
|
|
Warde erythropoietin
|
$996.01 |
$996.01 |
$996.01 |
$90.36
|
|
Warde estrogen fractionated
|
$877.46 |
$877.46 |
$877.46 |
$98.15
|
|
Warde folic acid rbc
|
$1,415.07 |
$1,415.07 |
$1,415.07 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$567.64 |
$567.64 |
$567.64 |
$43.55
|
|
Warde gastrin
|
$640.70 |
$640.70 |
$640.70 |
$73.60
|
|
Warde growth hormone (hgh)
|
$252.11 |
$252.11 |
$252.11 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$483.28 |
$483.28 |
$483.28 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$691.89 |
$691.89 |
$691.89 |
$100.92
|
|
Warde hepatitis a antibody
|
$1,130.98 |
$1,130.98 |
$1,130.98 |
$83.40
|
|
Warde hepatitis be antibody
|
$235.35 |
$235.35 |
$235.35 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$696.43 |
$696.43 |
$696.43 |
$97.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$394.13 |
$394.13 |
$394.13 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$6,011.70 |
$6,011.70 |
$6,011.70 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$355.21 |
$355.21 |
$355.21 |
$141.05
|
|
Warde lipoprotein (a)
|
$1,189.45 |
$1,189.45 |
$1,189.45 |
$67.00
|
|
Warde oxcarbazepine therapeutic drug level
|
$1,025.86 |
$1,025.86 |
$1,025.86 |
$64.35
|
|
Warde protein c antigen
|
$1,202.03 |
$1,202.03 |
$1,202.03 |
$93.43
|
|
Warde sex hormone binding globulin
|
$1,635.17 |
$1,635.17 |
$1,635.17 |
$82.08
|
|
Warde somatomedin
|
$1,920.67 |
$1,920.67 |
$1,920.67 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$925.17 |
$925.17 |
$925.17 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$1,363.60 |
$1,363.60 |
$1,363.60 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$835.55 |
$835.55 |
$835.55 |
$71.20
|
|
Warde viscosity
|
$910.95 |
$910.95 |
$910.95 |
$49.47
|
|
Warde vitamin a
|
$370.50 |
$370.50 |
$370.50 |
$58.80
|
|
Warde vitamin b6 (pyridoxine)
|
$470.74 |
$470.74 |
$470.74 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$775.84 |
$775.84 |
$775.84 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,179.72 |
$1,179.72 |
$1,179.72 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$249.32 |
$249.32 |
$249.32 |
$59.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$1,164.27 |
$1,164.27 |
$1,164.27 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$2,141.92 |
$2,141.92 |
$2,141.92 |
$438.75
|
|
Xylose absorption test blood &/or urine
|
$969.37 |
$969.37 |
$969.37 |
$99.89
|
|
Zika virus dna/rna amp probe
|
$1,414.54 |
$1,414.54 |
$1,414.54 |
$185.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$107.25 |
$107.25 |
$107.25 |
$122.45
|
|
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$5,215.08
|
