|
Ultrasound fetal biophysical profile without non-stress testing
|
$576.00 |
$576.00 |
$576.00 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$820.80 |
$820.80 |
$820.80 |
$720.15
|
|
Ultrasound joint complete left
|
$624.80 |
$624.80 |
$624.80 |
$557.99
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$373.60 |
$373.60 |
$373.60 |
$334.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$420.80 |
$420.80 |
$420.80 |
$425.60
|
|
Ultrasound prostate/transrectal
|
$628.00 |
$628.00 |
$628.00 |
$557.40
|
|
Upper Arm (Humerus) X-ray (left side)
|
$196.00 |
$196.00 |
$196.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$2,258.40 |
$2,258.40 |
$2,258.40 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,856.00 |
$3,856.00 |
$3,856.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,183.20 |
$3,183.20 |
$3,183.20 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$253.60 |
$253.60 |
$253.60 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$428.00 |
$428.00 |
$428.00 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$868.00 |
$868.00 |
$868.00 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$808.80 |
$808.80 |
$808.80 |
$607.20
|
|
Urea nitrogen
|
$27.20 |
$27.20 |
$27.20 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$51.20 |
$51.20 |
$51.20 |
$52.00
|
|
Uric acid blood
|
$32.00 |
$32.00 |
$32.00 |
$49.44
|
|
Uric acid urine
|
$43.20 |
$43.20 |
$43.20 |
$45.36
|
|
Urinalysis microscopic only
|
$20.80 |
$20.80 |
$20.80 |
$26.46
|
|
Urinalysis qual/semiquant excpt ia
|
$16.00 |
$16.00 |
$16.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$36.00 |
$36.00 |
$36.00 |
$55.20
|
|
Urinalysis (without microscopy)
|
$24.00 |
$24.00 |
$24.00 |
$36.00
|
|
Urine Culture Test
|
$42.40 |
$42.40 |
$42.40 |
$83.00
|
|
Urine pregnancy test
|
$33.60 |
$33.60 |
$33.60 |
$68.78
|
|
Vaccine Administration (one shot)
|
$62.40 |
$62.40 |
$62.40 |
$67.70
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$222.02 |
$222.02 |
$222.02 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$37.12 |
$37.12 |
$37.12 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$130.67 |
$130.67 |
$130.67 |
$149.21
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$41.28 |
$41.28 |
$41.28 |
$48.59
|
|
Vaccine mmr live subcutaneous
|
$105.32 |
$105.32 |
$105.32 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$181.98 |
$181.98 |
$181.98 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$284.48 |
$284.48 |
$284.48 |
$397.11
|
|
Vaccine rabies im
|
$430.84 |
$430.84 |
$430.84 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$69.72 |
$69.72 |
$69.72 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$62.00 |
$62.00 |
$62.00 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$88.00 |
$88.00 |
$88.00 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$36.01 |
$36.01 |
$36.01 |
$259.05
|
|
Vancomycin 750 mg intravenous solution
|
$74.62 |
$74.62 |
$74.62 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$111.20 |
$111.20 |
$111.20 |
$136.13
|
|
Varicella zoster antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$86.80
|
|
Ventilator Management (first day)
|
$1,433.60 |
$1,433.60 |
$1,433.60 |
$1,434.60
|
|
Viper venom prothrombin time
|
$55.20 |
$55.20 |
$55.20 |
$84.96
|
|
Vitamin b-12
|
$80.80 |
$80.80 |
$80.80 |
$100.28
|
|
Vitamin D Test
|
$132.00 |
$132.00 |
$132.00 |
$132.00
|
|
Volume measurement urine timed
|
$19.20 |
$19.20 |
$19.20 |
$21.64
|
|
Walking (Gait) Training (each 15 minutes)
|
$107.20 |
$107.20 |
$107.20 |
$87.50
|
|
Warde 1003990 aldosterone
|
$261.60 |
$261.60 |
$261.60 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$72.00 |
$72.00 |
$72.00 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$46.40 |
$46.40 |
$46.40 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$80.80 |
$80.80 |
$80.80 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$48.80 |
$48.80 |
$48.80 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$53.60 |
$53.60 |
$53.60 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$45.60 |
$45.60 |
$45.60 |
$39.36
|
|
Warde 3016000 west nile virus antibody
|
$79.20 |
$79.20 |
$79.20 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$83.20 |
$83.20 |
$83.20 |
$70.74
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$60.00 |
$60.00 |
$60.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$89.60 |
$89.60 |
$89.60 |
$73.60
|
|
Warde 3400852 arsenic
|
$87.20 |
$87.20 |
$87.20 |
$101.00
|
|
Warde 3708165 mercury urine
|
$98.40 |
$98.40 |
$98.40 |
$71.60
|
|
Warde actin (smooth muscle) antibody each
|
$68.00 |
$68.00 |
$68.00 |
$42.00
|
|
Warde adenosine deaminase pleural fluid
|
$64.80 |
$64.80 |
$64.80 |
$88.53
|
|
Warde adrenocorticotropic hormone (acth)
|
$106.40 |
$106.40 |
$106.40 |
$156.40
|
|
Warde aldolase
|
$64.00 |
$64.00 |
$64.00 |
$54.05
|
|
Warde amino acids 6 or more quantitative each specimen
|
$181.60 |
$181.60 |
$181.60 |
$200.16
|
|
Warde analysis gene hfe common variants
|
$172.80 |
$172.80 |
$172.80 |
$269.50
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$420.00 |
$420.00 |
$420.00 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$120.80 |
$120.80 |
$120.80 |
$126.43
|
|
Warde anti-mullerian hormone
|
$92.80 |
$92.80 |
$92.80 |
$82.50
|
|
Warde apolipoprotein b
|
$54.40 |
$54.40 |
$54.40 |
$61.82
|
|
Warde bile acids
|
$43.20 |
$43.20 |
$43.20 |
$64.28
|
|
Warde cadmium blood
|
$62.40 |
$62.40 |
$62.40 |
$76.70
|
|
Warde calcitonin
|
$76.80 |
$76.80 |
$76.80 |
$101.40
|
|
Warde calculus (stone) infrared
|
$80.00 |
$80.00 |
$80.00 |
$59.52
|
|
Warde clozapine therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$117.60 |
$117.60 |
$117.60 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$53.60 |
$53.60 |
$53.60 |
$96.85
|
|
Warde complement total hemolytic
|
$56.80 |
$56.80 |
$56.80 |
$105.00
|
|
Warde copper
|
$82.40 |
$82.40 |
$82.40 |
$80.00
|
|
Warde cryoglobulin
|
$31.20 |
$31.20 |
$31.20 |
$50.96
|
|
Warde erythropoietin
|
$57.60 |
$57.60 |
$57.60 |
$90.36
|
|
Warde estrogen fractionated
|
$103.20 |
$103.20 |
$103.20 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$54.40 |
$54.40 |
$54.40 |
$42.56
|
|
Warde folic acid rbc
|
$124.00 |
$124.00 |
$124.00 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$31.20 |
$31.20 |
$31.20 |
$43.55
|
|
Warde gastrin
|
$48.80 |
$48.80 |
$48.80 |
$75.25
|
|
Warde growth hormone (hgh)
|
$46.40 |
$46.40 |
$46.40 |
$77.55
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$45.60 |
$45.60 |
$45.60 |
$83.79
|
|
Warde hepatitis a antibody
|
$90.40 |
$90.40 |
$90.40 |
$85.15
|
|
Warde hepatitis be antibody
|
$28.80 |
$28.80 |
$28.80 |
$52.80
|
|
Warde immunofixation electrophoresis urine
|
$175.20 |
$175.20 |
$175.20 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$28.80 |
$28.80 |
$28.80 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$603.20 |
$603.20 |
$603.20 |
$646.40
|
|
Warde islet cell antibody zinc transporter 8
|
$448.00 |
$448.00 |
$448.00 |
$143.52
|
|
Warde lipoprotein (a)
|
$51.20 |
$51.20 |
$51.20 |
$64.68
|
|
Warde mitochondrial antibody each
|
$60.80 |
$60.80 |
$60.80 |
$60.80
|
|
Warde neutralization rabies
|
$54.40 |
$54.40 |
$54.40 |
$106.50
|
