|
Urography, antegrade
|
$1,264.41 |
$1,264.41 |
$1,264.41 |
$593.37
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$40,509.34 |
$40,509.34 |
$40,509.34 |
$5,521.54
|
|
Vaccine hepatitis a (hepa) adult im
|
$265.05 |
$265.05 |
$265.05 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$748.26 |
$748.26 |
$748.26 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$387.18 |
$387.18 |
$387.18 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$1,385.27 |
$1,385.27 |
$1,385.27 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$522.43 |
$522.43 |
$522.43 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$235.79 |
$235.79 |
$235.79 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$157.89 |
$157.89 |
$157.89 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$134.49 |
$134.49 |
$134.49 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$259.10 |
$259.10 |
$259.10 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$790.26 |
$790.26 |
$790.26 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$763.01 |
$763.01 |
$763.01 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$539.40 |
$539.40 |
$539.40 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,113.09 |
$1,113.09 |
$1,113.09 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$364.60 |
$364.60 |
$364.60 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$301.46 |
$301.46 |
$301.46 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$67.31 |
$67.31 |
$67.31 |
$115.00
|
|
Vancomycin hcl injection
|
$315.17 |
$315.17 |
$315.17 |
$186.80
|
|
Vancomycin peak therapeutic drug level
|
$201.29 |
$201.29 |
$201.29 |
$126.79
|
|
Varicella zoster antibody igg
|
$227.22 |
$227.22 |
$227.22 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$362.93 |
$362.93 |
$362.93 |
$362.93
|
|
Ventilator each subsequent day
|
$696.78 |
$696.78 |
$696.78 |
$1,305.92
|
|
Ventilator initial day
|
$956.03 |
$956.03 |
$956.03 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$289.89 |
$289.89 |
$289.89 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$86.23 |
$86.23 |
$86.23 |
$100.19
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$124.07 |
$124.07 |
$124.07 |
$226.75
|
|
Vitamin b-12
|
$104.58 |
$104.58 |
$104.58 |
$94.90
|
|
Vitamin D Test
|
$265.34 |
$265.34 |
$265.34 |
$132.00
|
|
Warde 1003990 aldosterone
|
$1,211.60 |
$1,211.60 |
$1,211.60 |
$145.60
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$89.99 |
$89.99 |
$89.99 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$157.19 |
$157.19 |
$157.19 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$133.25 |
$133.25 |
$133.25 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$98.39 |
$98.39 |
$98.39 |
$64.28
|
|
Warde 3016000 west nile virus antibody
|
$227.22 |
$227.22 |
$227.22 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$227.22 |
$227.22 |
$227.22 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$74.97 |
$74.97 |
$74.97 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$87.68 |
$87.68 |
$87.68 |
$78.57
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$307.93 |
$307.93 |
$307.93 |
$219.13
|
|
Warde 3400852 arsenic
|
$157.40 |
$157.40 |
$157.40 |
$105.12
|
|
Warde 3708165 mercury urine
|
$143.85 |
$143.85 |
$143.85 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$259.35 |
$259.35 |
$259.35 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$244.02 |
$244.02 |
$244.02 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$135.45 |
$135.45 |
$135.45 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$197.61 |
$197.61 |
$197.61 |
$129.75
|
|
Warde amino acids 6 or more quantitative each specimen
|
$504.63 |
$504.63 |
$504.63 |
$176.20
|
|
Warde analysis gene hfe common variants
|
$316.58 |
$316.58 |
$316.58 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$1,229.94 |
$1,229.94 |
$1,229.94 |
$381.50
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$114.00 |
$114.00 |
$114.00 |
$142.65
|
|
Warde anti-mullerian hormone
|
$189.00 |
$189.00 |
$189.00 |
$93.28
|
|
Warde apolipoprotein b
|
$41.58 |
$41.58 |
$41.58 |
$64.28
|
|
Warde bile acids
|
$351.86 |
$351.86 |
$351.86 |
$64.28
|
|
Warde cadmium blood
|
$140.18 |
$140.18 |
$140.18 |
$77.00
|
|
Warde calculus (stone) infrared
|
$235.73 |
$235.73 |
$235.73 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$149.73 |
$149.73 |
$149.73 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$645.23 |
$645.23 |
$645.23 |
$122.50
|
|
Warde complement total hemolytic
|
$111.30 |
$111.30 |
$111.30 |
$105.00
|
|
Warde copper
|
$85.16 |
$85.16 |
$85.16 |
$80.00
|
|
Warde erythropoietin
|
$111.72 |
$111.72 |
$111.72 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$68.88 |
$68.88 |
$68.88 |
$48.57
|
|
Warde folic acid rbc
|
$175.98 |
$175.98 |
$175.98 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$113.30 |
$113.30 |
$113.30 |
$43.55
|
|
Warde growth hormone (hgh)
|
$168.53 |
$168.53 |
$168.53 |
$81.24
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$219.24 |
$219.24 |
$219.24 |
$68.64
|
|
Warde hepatitis a antibody
|
$135.00 |
$135.00 |
$135.00 |
$83.70
|
|
Warde immunofixation electrophoresis urine
|
$257.99 |
$257.99 |
$257.99 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$23.52 |
$23.52 |
$23.52 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$643.86 |
$643.86 |
$643.86 |
$636.09
|
|
Warde lipoprotein (a)
|
$215.36 |
$215.36 |
$215.36 |
$69.96
|
|
Warde mitochondrial antibody each
|
$283.00 |
$283.00 |
$283.00 |
$62.40
|
|
Warde oxcarbazepine therapeutic drug level
|
$71.00 |
$71.00 |
$71.00 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$409.61 |
$409.61 |
$409.61 |
$94.25
|
|
Warde protein c antigen
|
$235.41 |
$235.41 |
$235.41 |
$88.80
|
|
Warde sex hormone binding globulin
|
$287.81 |
$287.81 |
$287.81 |
$86.59
|
|
Warde somatomedin
|
$116.03 |
$116.03 |
$116.03 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$42.84 |
$42.84 |
$42.84 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$413.39 |
$413.39 |
$413.39 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$156.66 |
$156.66 |
$156.66 |
$71.19
|
|
Warde vitamin a
|
$141.96 |
$141.96 |
$141.96 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$129.89 |
$129.89 |
$129.89 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$243.71 |
$243.71 |
$243.71 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$118.86 |
$118.86 |
$118.86 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$172.31 |
$172.31 |
$172.31 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$139.76 |
$139.76 |
$139.76 |
$55.00
|
|
Warde zinc
|
$80.12 |
$80.12 |
$80.12 |
$62.50
|
|
Wbc automated
|
$57.02 |
$57.02 |
$57.02 |
$32.80
|
|
Wrist X-ray
|
$440.48 |
$440.48 |
$440.48 |
$343.70
|
|
X-ray abdomen 1 view
|
$347.13 |
$347.13 |
$347.13 |
$255.00
|
|
X-ray abdomen 2 views
|
$474.39 |
$474.39 |
$474.39 |
$312.36
|
|
X-ray abdomen >=3 views
|
$503.16 |
$503.16 |
$503.16 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$733.22 |
$733.22 |
$733.22 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$468.51 |
$468.51 |
$468.51 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$299.99 |
$299.99 |
$299.99 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,318.91 |
$1,318.91 |
$1,318.91 |
$768.30
|
|
X-ray bone length studies
|
$559.13 |
$559.13 |
$559.13 |
$287.25
|
|
X-ray bone survey complete
|
$1,184.72 |
$1,184.72 |
$1,184.72 |
$666.60
|
|
X-ray bone survey infant
|
$696.89 |
$696.89 |
$696.89 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$440.48 |
$440.48 |
$440.48 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$739.73 |
$739.73 |
$739.73 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$770.49 |
$770.49 |
$770.49 |
$515.35
|
