|
Urea nitrogen 24 hour urine
|
$139.00 |
$139.00 |
$139.00 |
$50.00
|
|
Urethrocystography void s&i
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$634.50
|
|
Uric acid blood
|
$43.00 |
$43.00 |
$43.00 |
$46.64
|
|
Uric acid urine
|
$191.00 |
$191.00 |
$191.00 |
$46.75
|
|
Urinalysis (with microscopy)
|
$156.00 |
$156.00 |
$156.00 |
$48.14
|
|
Urinalysis (without microscopy)
|
$139.00 |
$139.00 |
$139.00 |
$38.99
|
|
Urine Culture Test
|
$298.00 |
$298.00 |
$298.00 |
$84.81
|
|
Vaccine dtap < 7 years im
|
$312.00 |
$312.00 |
$312.00 |
$87.80
|
|
Vaccine dtap-hep b-ipv im
|
$554.00 |
$554.00 |
$554.00 |
$193.83
|
|
Vaccine dtap-ipv/hib im
|
$337.00 |
$337.00 |
$337.00 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$247.00 |
$247.00 |
$247.00 |
$85.00
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$75.00 |
$75.00 |
$75.00 |
$45.33
|
|
Vaccine hepatitis a (hepa) adult im
|
$994.00 |
$994.00 |
$994.00 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$218.40
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im
|
$146.00 |
$146.00 |
$146.00 |
$26.40
|
|
Vaccine influenza trivalent (iiv3) 0.25ml dose im
|
$46.00 |
$46.00 |
$46.00 |
$32.50
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$693.00 |
$693.00 |
$693.00 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$496.00 |
$496.00 |
$496.00 |
$349.15
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$378.00 |
$378.00 |
$378.00 |
$274.95
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$973.00 |
$973.00 |
$973.00 |
$385.45
|
|
Vaccine polio (ipv) subcutaneous/im
|
$350.00 |
$350.00 |
$350.00 |
$119.17
|
|
Vaccine rabies im
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$1,196.00
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$1,636.00 |
$1,636.00 |
$1,636.00 |
$1,159.00
|
|
Vaccine tdap >=7 years im
|
$728.00 |
$728.00 |
$728.00 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$247.00 |
$247.00 |
$247.00 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$1,361.00 |
$1,361.00 |
$1,361.00 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$265.00 |
$265.00 |
$265.00 |
$115.00
|
|
Valrubicin injection
|
$12,155.00 |
$12,155.00 |
$12,155.00 |
$2,929.63
|
|
Veeg cont 2-12 hrs
|
$4,789.00 |
$4,789.00 |
$4,789.00 |
$1,485.05
|
|
Veeg ea 12-26hr cont mntr
|
$7,963.00 |
$7,963.00 |
$7,963.00 |
$3,332.45
|
|
Vein x-ray liver
|
$6,356.00 |
$6,356.00 |
$6,356.00 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$5,203.00 |
$5,203.00 |
$5,203.00 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$6,990.00 |
$6,990.00 |
$6,990.00 |
$3,439.84
|
|
Vein x-ray skull epidural
|
$6,299.00 |
$6,299.00 |
$6,299.00 |
$1,344.60
|
|
Vein x-ray spleen/liver
|
$12,730.00 |
$12,730.00 |
$12,730.00 |
$3,450.30
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$6,071.00 |
$6,071.00 |
$6,071.00 |
$188.65
|
|
Venous sampling s&i
|
$23,508.00 |
$23,508.00 |
$23,508.00 |
$4,416.78
|
|
Ventilator each subsequent day
|
$4,385.00 |
$4,385.00 |
$4,385.00 |
$1,305.92
|
|
Very long chain fatty acids
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$140.40
|
|
Vincristine 1 mg/ml intravenous solution
|
$875.00 |
$875.00 |
$875.00 |
$104.79
|
|
Virus isolation addl studies ea
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$90.35
|
|
Vital capacity test
|
$281.00 |
$281.00 |
$281.00 |
$173.33
|
|
Vitamin b-12
|
$402.00 |
$402.00 |
$402.00 |
$94.90
|
|
Volume measurement urine timed
|
$97.00 |
$97.00 |
$97.00 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$383.00 |
$383.00 |
$383.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$320.00 |
$320.00 |
$320.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$312.00 |
$312.00 |
$312.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$418.00 |
$418.00 |
$418.00 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$70.00 |
$70.00 |
$70.00 |
$68.80
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$326.00 |
$326.00 |
$326.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$264.00 |
$264.00 |
$264.00 |
$78.57
|
|
Warde acetylcholine receptor blocking antibody
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$68.90
|
|
Warde adrenocorticotropic hormone (acth)
|
$298.00 |
$298.00 |
$298.00 |
$129.75
|
|
Warde aldolase
|
$187.00 |
$187.00 |
$187.00 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$777.00 |
$777.00 |
$777.00 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$326.00 |
$326.00 |
$326.00 |
$53.95
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$110.00 |
$110.00 |
$110.00 |
$142.65
|
|
Warde anti-mullerian hormone
|
$129.00 |
$129.00 |
$129.00 |
$93.28
|
|
Warde bile acids
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$64.28
|
|
Warde cadmium blood
|
$227.00 |
$227.00 |
$227.00 |
$77.00
|
|
Warde calcitonin
|
$351.00 |
$351.00 |
$351.00 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$90.00 |
$90.00 |
$90.00 |
$63.00
|
|
Warde complement total hemolytic
|
$312.00 |
$312.00 |
$312.00 |
$105.00
|
|
Warde cryoglobulin
|
$292.00 |
$292.00 |
$292.00 |
$43.45
|
|
Warde erythropoietin
|
$350.00 |
$350.00 |
$350.00 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$693.00 |
$693.00 |
$693.00 |
$48.57
|
|
Warde folic acid rbc
|
$187.00 |
$187.00 |
$187.00 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$79.00 |
$79.00 |
$79.00 |
$43.55
|
|
Warde gastrin
|
$205.00 |
$205.00 |
$205.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$217.00 |
$217.00 |
$217.00 |
$81.24
|
|
Warde hepatitis a antibody
|
$265.00 |
$265.00 |
$265.00 |
$83.70
|
|
Warde hepatitis be antibody
|
$292.00 |
$292.00 |
$292.00 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$103.00 |
$103.00 |
$103.00 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$292.00 |
$292.00 |
$292.00 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$501.00 |
$501.00 |
$501.00 |
$636.09
|
|
Warde lipoprotein (a)
|
$124.00 |
$124.00 |
$124.00 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$371.00 |
$371.00 |
$371.00 |
$97.00
|
|
Warde neutralization rabies
|
$1,346.00 |
$1,346.00 |
$1,346.00 |
$106.50
|
|
Warde protein c antigen
|
$910.00 |
$910.00 |
$910.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$284.00 |
$284.00 |
$284.00 |
$86.59
|
|
Warde somatomedin
|
$408.00 |
$408.00 |
$408.00 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$322.00 |
$322.00 |
$322.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$451.00 |
$451.00 |
$451.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$350.00 |
$350.00 |
$350.00 |
$71.19
|
|
Warde viscosity
|
$163.00 |
$163.00 |
$163.00 |
$52.65
|
|
Warde vitamin a
|
$634.00 |
$634.00 |
$634.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$581.00 |
$581.00 |
$581.00 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$589.00 |
$589.00 |
$589.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$638.00 |
$638.00 |
$638.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$715.00 |
$715.00 |
$715.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$408.00 |
$408.00 |
$408.00 |
$55.00
|
|
Wbc automated
|
$191.00 |
$191.00 |
$191.00 |
$32.80
|
|
Western blot test
|
$772.00 |
$772.00 |
$772.00 |
$153.18
|
|
Whole blood for transfusion
|
$2,189.00 |
$2,189.00 |
$2,189.00 |
$425.88
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$3,638.00 |
$3,638.00 |
$3,638.00 |
$740.15
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$558.97
|
|
Xm archive tissue molec anal
|
$78.00 |
$78.00 |
$78.00 |
$47.85
|
|
X-ray abdomen 1 view
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$255.00
|
