|
Ultrasound ob >=14wks ea addl gest
|
$382.20 |
$382.20 |
$382.20 |
$431.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$283.40 |
$283.40 |
$283.40 |
$304.80
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$681.85 |
$681.85 |
$681.85 |
$680.71
|
|
Ultrasound pregnant uterus follow up per fetus
|
$328.25 |
$328.25 |
$328.25 |
$393.32
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$358.15 |
$358.15 |
$358.15 |
$434.20
|
|
Ultrasound pregnant uterus transvaginal
|
$419.90 |
$419.90 |
$419.90 |
$477.10
|
|
Ultrasound retroperitoneal limited
|
$248.30 |
$248.30 |
$248.30 |
$469.58
|
|
Ultrasound scrotum and contents
|
$331.50 |
$331.50 |
$331.50 |
$558.03
|
|
Ultrasound spinal canal and contents
|
$298.35 |
$298.35 |
$298.35 |
$415.00
|
|
Ultrasound transabd ea addl gest
|
$477.75 |
$477.75 |
$477.75 |
$424.80
|
|
Ultrasound transvaginal non obstetric
|
$532.35 |
$532.35 |
$532.35 |
$523.20
|
|
Unsched dialysis esrd pt hos
|
$1,280.50 |
$1,280.50 |
$1,280.50 |
$980.20
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,257.15 |
$3,257.15 |
$3,257.15 |
$2,590.50
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,794.00
|
|
Urea nitrogen
|
$40.95 |
$40.95 |
$40.95 |
$38.25
|
|
Urea nitrogen 24 hour urine
|
$55.90 |
$55.90 |
$55.90 |
$42.90
|
|
Urethrcystgrphy rtrgrde s&i
|
$577.20 |
$577.20 |
$577.20 |
$554.28
|
|
Urethrocystography void s&i
|
$448.50 |
$448.50 |
$448.50 |
$586.50
|
|
Uric acid blood
|
$40.95 |
$40.95 |
$40.95 |
$44.00
|
|
Uric acid urine
|
$40.95 |
$40.95 |
$40.95 |
$43.20
|
|
Urinalysis microscopic only
|
$26.00 |
$26.00 |
$26.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$59.80 |
$59.80 |
$59.80 |
$37.39
|
|
Urinalysis (without microscopy)
|
$48.75 |
$48.75 |
$48.75 |
$33.00
|
|
Urine Culture Test
|
$86.45 |
$86.45 |
$86.45 |
$63.84
|
|
Urine pregnancy test
|
$79.30 |
$79.30 |
$79.30 |
$57.00
|
|
Urography, antegrade
|
$333.45 |
$333.45 |
$333.45 |
$593.37
|
|
Vaccine dtap < 7 years im
|
$142.69 |
$142.69 |
$142.69 |
$66.69
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$432.98 |
$432.98 |
$432.98 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$362.46 |
$362.46 |
$362.46 |
$162.07
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$416.71 |
$416.71 |
$416.71 |
$130.67
|
|
Vaccine mmr live subcutaneous
|
$466.73 |
$466.73 |
$466.73 |
$222.36
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,500.91 |
$1,500.91 |
$1,500.91 |
$579.50
|
|
Vaccine tdap >=7 years im
|
$238.05 |
$238.05 |
$238.05 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$84.50 |
$84.50 |
$84.50 |
$100.80
|
|
Vancomycin 1,000 mg intravenous injection
|
$78.19 |
$78.19 |
$78.19 |
$112.14
|
|
Vancomycin 750 mg intravenous solution
|
$117.58 |
$117.58 |
$117.58 |
$187.24
|
|
Vancomycin peak therapeutic drug level
|
$128.05 |
$128.05 |
$128.05 |
$116.00
|
|
Varicella zoster antibody igg
|
$103.35 |
$103.35 |
$103.35 |
$90.35
|
|
Vasopressin 20 unit/ml intravenous solution
|
$512.39 |
$512.39 |
$512.39 |
$330.41
|
|
Venipuncture <3 yrs other vein
|
$18.85 |
$18.85 |
$18.85 |
$46.80
|
|
Venogram ext bil s&i
|
$1,257.75 |
$1,257.75 |
$1,257.75 |
$1,697.72
|
|
Venogram extremity supervision & interpretation unilateral
|
$1,060.15 |
$1,060.15 |
$1,060.15 |
$1,270.23
|
|
Ventilator each subsequent day
|
$722.80 |
$722.80 |
$722.80 |
$1,138.50
|
|
Ventilator initial day
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$1,331.00
|
|
Version cephalic external
|
$1,743.30 |
$1,743.30 |
$1,743.30 |
$2,361.75
|
|
Very long chain fatty acids
|
$134.55 |
$134.55 |
$134.55 |
$157.30
|
|
Vital capacity test
|
$139.10 |
$139.10 |
$139.10 |
$170.00
|
|
Vitamin b-12
|
$86.45 |
$86.45 |
$86.45 |
$89.70
|
|
Vitamin D Test
|
$187.20 |
$187.20 |
$187.20 |
$132.60
|
|
Voiding pressure study/intra-abd 51797
|
$510.25 |
$510.25 |
$510.25 |
$510.25
|
|
Volume measurement urine timed
|
$20.80 |
$20.80 |
$20.80 |
$17.40
|
|
Warde 1003990 aldosterone
|
$167.70 |
$167.70 |
$167.70 |
$182.65
|
|
Warde 1005020 citrate 24 hour urine
|
$94.90 |
$94.90 |
$94.90 |
$113.75
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$96.20 |
$96.20 |
$96.20 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$145.60 |
$145.60 |
$145.60 |
$128.05
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$89.70 |
$89.70 |
$89.70 |
$83.06
|
|
Warde 1015200 kappa light chain free
|
$124.15 |
$124.15 |
$124.15 |
$77.35
|
|
Warde 3004000 immunoglobulin subclass 1
|
$53.30 |
$53.30 |
$53.30 |
$51.20
|
|
Warde 3008005 oligoclonal bands
|
$119.60 |
$119.60 |
$119.60 |
$117.13
|
|
Warde 3016000 west nile virus antibody
|
$81.90 |
$81.90 |
$81.90 |
$78.65
|
|
Warde 3016000 west nile virus antibody igg
|
$81.90 |
$81.90 |
$81.90 |
$78.00
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$97.50 |
$97.50 |
$97.50 |
$70.85
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$87.10 |
$87.10 |
$87.10 |
$60.00
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$91.65 |
$91.65 |
$91.65 |
$79.30
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$250.90 |
$250.90 |
$250.90 |
$250.90
|
|
Warde 3400852 arsenic
|
$143.65 |
$143.65 |
$143.65 |
$107.38
|
|
Warde 3708165 mercury urine
|
$71.50 |
$71.50 |
$71.50 |
$82.20
|
|
Warde acetylcholine receptor blocking antibody
|
$159.90 |
$159.90 |
$159.90 |
$82.55
|
|
Warde actin (smooth muscle) antibody each
|
$91.65 |
$91.65 |
$91.65 |
$52.80
|
|
Warde adenosine deaminase pleural fluid
|
$87.10 |
$87.10 |
$87.10 |
$96.03
|
|
Warde adrenocorticotropic hormone (acth)
|
$208.65 |
$208.65 |
$208.65 |
$147.55
|
|
Warde aldolase
|
$59.80 |
$59.80 |
$59.80 |
$60.00
|
|
Warde amino acids 6 or more quantitative each specimen
|
$155.35 |
$155.35 |
$155.35 |
$177.60
|
|
Warde amiodarone therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$83.85
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$562.90 |
$562.90 |
$562.90 |
$403.20
|
|
Warde apolipoprotein b
|
$80.60 |
$80.60 |
$80.60 |
$80.60
|
|
Warde bile acids
|
$63.70 |
$63.70 |
$63.70 |
$76.70
|
|
Warde cadmium blood
|
$79.95 |
$79.95 |
$79.95 |
$79.20
|
|
Warde calcitonin
|
$136.50 |
$136.50 |
$136.50 |
$120.25
|
|
Warde calculus (stone) infrared
|
$130.00 |
$130.00 |
$130.00 |
$67.50
|
|
Warde clozapine therapeutic drug level
|
$120.25 |
$120.25 |
$120.25 |
$71.20
|
|
Warde cobalt heavy metal quantitative each nes
|
$122.20 |
$122.20 |
$122.20 |
$126.08
|
|
Warde collagen cross links c-telopeptide
|
$108.55 |
$108.55 |
$108.55 |
$94.80
|
|
Warde complement total hemolytic
|
$114.40 |
$114.40 |
$114.40 |
$108.55
|
|
Warde copper
|
$85.15 |
$85.15 |
$85.15 |
$88.20
|
|
Warde cryoglobulin
|
$59.15 |
$59.15 |
$59.15 |
$52.45
|
|
Warde erythropoietin
|
$126.75 |
$126.75 |
$126.75 |
$92.50
|
|
Warde estrogen fractionated
|
$123.50 |
$123.50 |
$123.50 |
$125.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$130.00 |
$130.00 |
$130.00 |
$66.95
|
|
Warde folic acid rbc
|
$111.15 |
$111.15 |
$111.15 |
$91.85
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$68.90 |
$68.90 |
$68.90 |
$65.00
|
|
Warde gastrin
|
$114.40 |
$114.40 |
$114.40 |
$94.68
|
|
Warde growth hormone (hgh)
|
$87.10 |
$87.10 |
$87.10 |
$81.24
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$139.10 |
$139.10 |
$139.10 |
$78.80
|
|
Warde hepatitis a antibody
|
$117.65 |
$117.65 |
$117.65 |
$85.15
|
|
Warde hepatitis be antibody
|
$66.95 |
$66.95 |
$66.95 |
$64.80
|
|
Warde hepatitis delta agent antibody
|
$117.00 |
$117.00 |
$117.00 |
$102.70
|
|
Warde immunofixation electrophoresis urine
|
$134.55 |
$134.55 |
$134.55 |
$151.71
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$66.30 |
$66.30 |
$66.30 |
$62.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$752.70 |
$752.70 |
$752.70 |
$672.75
|
