|
Ultrasound fetal biophysical profile without non-stress testing
|
$909.60 |
$909.60 |
$909.60 |
$469.50
|
|
Ultrasound guidance for vascular access
|
$504.00 |
$504.00 |
$504.00 |
$400.20
|
|
Ultrasound guided needle placement supervision & interpretation
|
$1,184.80 |
$1,184.80 |
$1,184.80 |
$720.15
|
|
Ultrasound guide intraoperative
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
$632.85
|
|
Ultrasound hips infant dynamic
|
$636.80 |
$636.80 |
$636.80 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$558.40 |
$558.40 |
$558.40 |
$311.25
|
|
Ultrasound joint complete left
|
$575.20 |
$575.20 |
$575.20 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$468.00 |
$468.00 |
$468.00 |
$425.45
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$892.00 |
$892.00 |
$892.00 |
$331.50
|
|
Ultrasound pregnant uterus follow up per fetus
|
$666.40 |
$666.40 |
$666.40 |
$425.60
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$728.00 |
$728.00 |
$728.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$534.40 |
$534.40 |
$534.40 |
$497.12
|
|
Ultrasound retroperitoneal limited
|
$626.40 |
$626.40 |
$626.40 |
$486.50
|
|
Ultrasound scrotum and contents
|
$702.40 |
$702.40 |
$702.40 |
$608.90
|
|
Ultrasound transvaginal non obstetric
|
$708.80 |
$708.80 |
$708.80 |
$558.35
|
|
Unsched dialysis esrd pt hos
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$700.50 |
$700.50 |
$700.50 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$633.50 |
$633.50 |
$633.50 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$454.00 |
$454.00 |
$454.00 |
$2,034.41
|
|
Urea nitrogen
|
$20.00 |
$20.00 |
$20.00 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$23.20 |
$23.20 |
$23.20 |
$51.75
|
|
Urethrocystography void s&i
|
$600.00 |
$600.00 |
$600.00 |
$622.35
|
|
Uric acid blood
|
$15.00 |
$15.00 |
$15.00 |
$48.75
|
|
Uric acid urine
|
$20.80 |
$20.80 |
$20.80 |
$44.33
|
|
Urinalysis microscopic only
|
$15.20 |
$15.20 |
$15.20 |
$26.35
|
|
Urinalysis (with microscopy)
|
$10.00 |
$10.00 |
$10.00 |
$55.00
|
|
Urinalysis (without microscopy)
|
$10.00 |
$10.00 |
$10.00 |
$35.75
|
|
Urine Culture Test
|
$25.00 |
$25.00 |
$25.00 |
$81.50
|
|
Urine pregnancy test
|
$43.20 |
$43.20 |
$43.20 |
$67.20
|
|
Vaccine dtap < 7 years im
|
$63.00 |
$63.00 |
$63.00 |
$68.19
|
|
Vaccine influenza inactivated adjuvant im
|
$167.20 |
$167.20 |
$167.20 |
$109.50
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$37.60 |
$37.60 |
$37.60 |
$47.88
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$700.00 |
$700.00 |
$700.00 |
$563.36
|
|
Vaccine rabies im
|
$1,368.40 |
$1,368.40 |
$1,368.40 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$121.40 |
$121.40 |
$121.40 |
$131.34
|
|
Valproic acid total therapeutic drug level
|
$56.80 |
$56.80 |
$56.80 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$261.40 |
$261.40 |
$261.40 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$56.40 |
$56.40 |
$56.40 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$67.20 |
$67.20 |
$67.20 |
$136.13
|
|
Varicella zoster antibody igg
|
$53.60 |
$53.60 |
$53.60 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$37.60 |
$37.60 |
$37.60 |
$325.80
|
|
Vedolizumab 300 mg intravenous solution
|
$22,378.60 |
$22,378.60 |
$22,378.60 |
$18,732.33
|
|
Ven blood coll snf/hha
|
$16.80 |
$16.80 |
$16.80 |
$15.65
|
|
Venous mech thrombectomy
|
$10,528.00 |
$10,528.00 |
$10,528.00 |
$7,965.00
|
|
Ventilator each subsequent day
|
$2,020.00 |
$2,020.00 |
$2,020.00 |
$1,204.00
|
|
Ventilator initial day
|
$2,300.80 |
$2,300.80 |
$2,300.80 |
$1,431.43
|
|
Very long chain fatty acids
|
$82.40 |
$82.40 |
$82.40 |
$139.88
|
|
Vital capacity test
|
$210.40 |
$210.40 |
$210.40 |
$170.00
|
|
Vitamin b-12
|
$40.00 |
$40.00 |
$40.00 |
$100.00
|
|
Vitamin D Test
|
$100.00 |
$100.00 |
$100.00 |
$132.00
|
|
Warde 1003990 aldosterone
|
$204.00 |
$204.00 |
$204.00 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$116.00 |
$116.00 |
$116.00 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$54.40 |
$54.40 |
$54.40 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$104.80 |
$104.80 |
$104.80 |
$113.10
|
|
Warde 1015200 kappa light chain free
|
$71.20 |
$71.20 |
$71.20 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$40.00 |
$40.00 |
$40.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$136.80 |
$136.80 |
$136.80 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$84.00 |
$84.00 |
$84.00 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$71.20 |
$71.20 |
$71.20 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$50.40 |
$50.40 |
$50.40 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$37.60 |
$37.60 |
$37.60 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$75.20 |
$75.20 |
$75.20 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$472.80 |
$472.80 |
$472.80 |
$218.40
|
|
Warde 3400852 arsenic
|
$79.20 |
$79.20 |
$79.20 |
$100.88
|
|
Warde 3708165 mercury urine
|
$67.20 |
$67.20 |
$67.20 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$76.80 |
$76.80 |
$76.80 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$49.60 |
$49.60 |
$49.60 |
$40.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$160.80 |
$160.80 |
$160.80 |
$151.20
|
|
Warde aldolase
|
$40.80 |
$40.80 |
$40.80 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$84.00 |
$84.00 |
$84.00 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$77.60 |
$77.60 |
$77.60 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$326.40 |
$326.40 |
$326.40 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$682.40 |
$682.40 |
$682.40 |
$368.00
|
|
Warde anti-mullerian hormone
|
$160.80 |
$160.80 |
$160.80 |
$80.08
|
|
Warde apolipoprotein b
|
$105.60 |
$105.60 |
$105.60 |
$61.75
|
|
Warde cadmium blood
|
$98.40 |
$98.40 |
$98.40 |
$76.50
|
|
Warde calcitonin
|
$111.20 |
$111.20 |
$111.20 |
$96.97
|
|
Warde calculus (stone) infrared
|
$64.00 |
$64.00 |
$64.00 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$84.00 |
$84.00 |
$84.00 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$91.20 |
$91.20 |
$91.20 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$77.60 |
$77.60 |
$77.60 |
$96.85
|
|
Warde complement total hemolytic
|
$101.60 |
$101.60 |
$101.60 |
$104.82
|
|
Warde copper
|
$51.20 |
$51.20 |
$51.20 |
$80.00
|
|
Warde cryoglobulin
|
$26.40 |
$26.40 |
$26.40 |
$50.35
|
|
Warde erythropoietin
|
$78.40 |
$78.40 |
$78.40 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$60.80 |
$60.80 |
$60.80 |
$43.20
|
|
Warde folic acid rbc
|
$73.60 |
$73.60 |
$73.60 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$40.80 |
$40.80 |
$40.80 |
$43.55
|
|
Warde gastrin
|
$88.00 |
$88.00 |
$88.00 |
$73.60
|
|
Warde growth hormone (hgh)
|
$68.80 |
$68.80 |
$68.80 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$54.40 |
$54.40 |
$54.40 |
$100.92
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$53.60 |
$53.60 |
$53.60 |
$80.16
|
|
Warde hepatitis a antibody
|
$51.20 |
$51.20 |
$51.20 |
$83.40
|
|
Warde hepatitis be antibody
|
$48.00 |
$48.00 |
$48.00 |
$52.20
|
|
Warde immunofixation electrophoresis urine
|
$122.40 |
$122.40 |
$122.40 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$48.00 |
$48.00 |
$48.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$117.60 |
$117.60 |
$117.60 |
$141.05
|
|
Warde lipoprotein (a)
|
$60.00 |
$60.00 |
$60.00 |
$67.00
|
|
Warde mitochondrial antibody each
|
$105.60 |
$105.60 |
$105.60 |
$59.28
|
