|
Urea nitrogen 24 hour urine
|
$163.78 |
$163.78 |
$163.78 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,193.65 |
$2,193.65 |
$2,193.65 |
$579.73
|
|
Urethrocystography void s&i
|
$2,411.38 |
$2,411.38 |
$2,411.38 |
$622.35
|
|
Uric acid blood
|
$254.91 |
$254.91 |
$254.91 |
$48.75
|
|
Uric acid urine
|
$254.91 |
$254.91 |
$254.91 |
$44.33
|
|
Urinalysis microscopic only
|
$134.43 |
$134.43 |
$134.43 |
$26.35
|
|
Urinalysis (with microscopy)
|
$324.46 |
$324.46 |
$324.46 |
$55.00
|
|
Urine Culture Test
|
$386.24 |
$386.24 |
$386.24 |
$81.50
|
|
Urine pregnancy test
|
$254.91 |
$254.91 |
$254.91 |
$67.20
|
|
Urography, antegrade
|
$2,851.29 |
$2,851.29 |
$2,851.29 |
$622.35
|
|
Vaccine dtap-hep b-ipv im
|
$95.36 |
$95.36 |
$95.36 |
$164.63
|
|
Vaccine hepatitis a (hepa) adult im
|
$575.10 |
$575.10 |
$575.10 |
$166.62
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$71.88 |
$71.88 |
$71.88 |
$155.16
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$41.32 |
$41.32 |
$41.32 |
$75.39
|
|
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im
|
$1,751.67 |
$1,751.67 |
$1,751.67 |
$282.50
|
|
Vaccine influenza nos 0.5ml dose im
|
$66.68 |
$66.68 |
$66.68 |
$24.20
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$32.04 |
$32.04 |
$32.04 |
$33.60
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$305.28 |
$305.28 |
$305.28 |
$400.03
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$186.34 |
$186.34 |
$186.34 |
$329.24
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$397.11
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$454.94 |
$454.94 |
$454.94 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$266.18 |
$266.18 |
$266.18 |
$90.70
|
|
Vaccine tdap >=7 years im
|
$1,746.62 |
$1,746.62 |
$1,746.62 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$198.68 |
$198.68 |
$198.68 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$815.33 |
$815.33 |
$815.33 |
$365.17
|
|
Valproic acid total therapeutic drug level
|
$451.13 |
$451.13 |
$451.13 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$390.88 |
$390.88 |
$390.88 |
$136.13
|
|
Venogram extremity supervision & interpretation unilateral
|
$2,161.29 |
$2,161.29 |
$2,161.29 |
$1,366.20
|
|
Vinblastine 1 mg/ml intravenous solution
|
$22.71 |
$22.71 |
$22.71 |
$165.00
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$76.42 |
$76.42 |
$76.42 |
$223.55
|
|
Vital capacity test
|
$84.33 |
$84.33 |
$84.33 |
$170.00
|
|
Vitamin b-12
|
$270.38 |
$270.38 |
$270.38 |
$100.00
|
|
Volume measurement urine timed
|
$57.16 |
$57.16 |
$57.16 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$222.49 |
$222.49 |
$222.49 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,083.05 |
$1,083.05 |
$1,083.05 |
$63.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$865.21 |
$865.21 |
$865.21 |
$70.85
|
|
Warde 3008005 oligoclonal bands
|
$760.14 |
$760.14 |
$760.14 |
$107.97
|
|
Warde 3016000 west nile virus antibody igg
|
$364.62 |
$364.62 |
$364.62 |
$69.12
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$27.30 |
$27.30 |
$27.30 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$604.08 |
$604.08 |
$604.08 |
$72.50
|
|
Warde acetylcholine receptor blocking antibody
|
$166.85 |
$166.85 |
$166.85 |
$75.00
|
|
Warde adenosine deaminase pleural fluid
|
$192.61 |
$192.61 |
$192.61 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,328.70 |
$1,328.70 |
$1,328.70 |
$151.20
|
|
Warde aldolase
|
$276.56 |
$276.56 |
$276.56 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$444.96 |
$444.96 |
$444.96 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$2,113.55 |
$2,113.55 |
$2,113.55 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$1,227.12 |
$1,227.12 |
$1,227.12 |
$368.00
|
|
Warde anti-mullerian hormone
|
$520.00 |
$520.00 |
$520.00 |
$80.08
|
|
Warde bile acids
|
$105.06 |
$105.06 |
$105.06 |
$63.70
|
|
Warde calcitonin
|
$954.80 |
$954.80 |
$954.80 |
$96.97
|
|
Warde calculus (stone) infrared
|
$50.08 |
$50.08 |
$50.08 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$142.14 |
$142.14 |
$142.14 |
$66.43
|
|
Warde collagen cross links c-telopeptide
|
$378.53 |
$378.53 |
$378.53 |
$96.85
|
|
Warde complement total hemolytic
|
$651.99 |
$651.99 |
$651.99 |
$104.82
|
|
Warde cryoglobulin
|
$438.78 |
$438.78 |
$438.78 |
$50.35
|
|
Warde erythropoietin
|
$640.89 |
$640.89 |
$640.89 |
$90.36
|
|
Warde estrogen fractionated
|
$383.16 |
$383.16 |
$383.16 |
$98.15
|
|
Warde folic acid rbc
|
$571.66 |
$571.66 |
$571.66 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$227.12 |
$227.12 |
$227.12 |
$43.55
|
|
Warde gastrin
|
$216.30 |
$216.30 |
$216.30 |
$73.60
|
|
Warde growth hormone (hgh)
|
$565.46 |
$565.46 |
$565.46 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$205.48 |
$205.48 |
$205.48 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$175.42 |
$175.42 |
$175.42 |
$100.92
|
|
Warde hepatitis a antibody
|
$461.96 |
$461.96 |
$461.96 |
$83.40
|
|
Warde hepatitis be antibody
|
$392.43 |
$392.43 |
$392.43 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$296.64 |
$296.64 |
$296.64 |
$97.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$466.60 |
$466.60 |
$466.60 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,015.07 |
$1,015.07 |
$1,015.07 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$154.50 |
$154.50 |
$154.50 |
$141.05
|
|
Warde lipoprotein (a)
|
$644.28 |
$644.28 |
$644.28 |
$67.00
|
|
Warde oxcarbazepine therapeutic drug level
|
$32.45 |
$32.45 |
$32.45 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$202.80 |
$202.80 |
$202.80 |
$94.25
|
|
Warde protein c antigen
|
$512.94 |
$512.94 |
$512.94 |
$93.43
|
|
Warde sex hormone binding globulin
|
$704.52 |
$704.52 |
$704.52 |
$82.08
|
|
Warde somatomedin
|
$640.89 |
$640.89 |
$640.89 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$987.25 |
$987.25 |
$987.25 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$576.30 |
$576.30 |
$576.30 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$868.30 |
$868.30 |
$868.30 |
$71.20
|
|
Warde viscosity
|
$387.81 |
$387.81 |
$387.81 |
$49.47
|
|
Warde vitamin a
|
$29.64 |
$29.64 |
$29.64 |
$58.80
|
|
Warde vitamin b6 (pyridoxine)
|
$191.57 |
$191.57 |
$191.57 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$78.79 |
$78.79 |
$78.79 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$72.80 |
$72.80 |
$72.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$26.99 |
$26.99 |
$26.99 |
$59.25
|
|
Western blot test
|
$573.20 |
$573.20 |
$573.20 |
$150.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$2,041.24 |
$2,041.24 |
$2,041.24 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$2,041.24 |
$2,041.24 |
$2,041.24 |
$438.75
|
|
X-ray abdomen 1 view
|
$758.23 |
$758.23 |
$758.23 |
$258.50
|
|
X-ray abdomen 2 views
|
$1,171.96 |
$1,171.96 |
$1,171.96 |
$316.47
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,418.29 |
$1,418.29 |
$1,418.29 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,107.84 |
$1,107.84 |
$1,107.84 |
$270.20
|
|
X-ray bone age studies
|
$425.19 |
$425.19 |
$425.19 |
$251.40
|
|
X-ray bone survey complete
|
$1,877.32 |
$1,877.32 |
$1,877.32 |
$660.00
|
|
X-ray bone survey infant
|
$965.14 |
$965.14 |
$965.14 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$912.18 |
$912.18 |
$912.18 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$1,346.19 |
$1,346.19 |
$1,346.19 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$1,540.41 |
$1,540.41 |
$1,540.41 |
$508.50
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,605.15 |
$1,605.15 |
$1,605.15 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,613.97 |
$1,613.97 |
$1,613.97 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,472.72 |
$1,472.72 |
$1,472.72 |
$483.50
|
