|
Toxoplasma antibody igm
|
$141.60 |
$141.60 |
$141.60 |
$87.75
|
|
Training self management diabetes individual outpatient department per 30 minutes
|
$123.20 |
$123.20 |
$123.20 |
$102.27
|
|
Transferrin
|
$108.00 |
$108.00 |
$108.00 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$834.40 |
$834.40 |
$834.40 |
$561.60
|
|
Transvaginal Pregnancy Ultrasound
|
$812.80 |
$812.80 |
$812.80 |
$499.20
|
|
Trauma partial team response w/critical care services level 4
|
$2,387.20 |
$2,387.20 |
$2,387.20 |
$4,523.04
|
|
Treponema pallidum antibody
|
$70.40 |
$70.40 |
$70.40 |
$72.05
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$67.01 |
$67.01 |
$67.01 |
$43.09
|
|
Triglycerides
|
$65.60 |
$65.60 |
$65.60 |
$58.50
|
|
Troponin quantitative
|
$140.00 |
$140.00 |
$140.00 |
$127.60
|
|
Ultrasound pregnant uterus follow up per fetus
|
$531.20 |
$531.20 |
$531.20 |
$425.60
|
|
Unlisted ultrasound procedure
|
$628.80 |
$628.80 |
$628.80 |
$332.16
|
|
Upper Arm (Humerus) X-ray (left side)
|
$337.60 |
$337.60 |
$337.60 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$2,539.20 |
$2,539.20 |
$2,539.20 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$4,424.00 |
$4,424.00 |
$4,424.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$2,369.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$3,372.00 |
$3,372.00 |
$3,372.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$404.00 |
$404.00 |
$404.00 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$483.20 |
$483.20 |
$483.20 |
$381.60
|
|
Upper Endoscopy (EGD, with biopsy)
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$1,768.00
|
|
Urea nitrogen
|
$40.00 |
$40.00 |
$40.00 |
$42.25
|
|
Urea nitrogen 24 hour urine
|
$39.20 |
$39.20 |
$39.20 |
$52.00
|
|
Uric acid blood
|
$40.00 |
$40.00 |
$40.00 |
$49.44
|
|
Uric acid urine
|
$36.00 |
$36.00 |
$36.00 |
$45.36
|
|
Urinalysis microscopic only
|
$22.40 |
$22.40 |
$22.40 |
$26.46
|
|
Urinalysis (with microscopy)
|
$32.80 |
$32.80 |
$32.80 |
$55.20
|
|
Urinalysis (without microscopy)
|
$24.80 |
$24.80 |
$24.80 |
$36.00
|
|
Urine Culture Test
|
$73.60 |
$73.60 |
$73.60 |
$83.00
|
|
Urine pregnancy test
|
$58.40 |
$58.40 |
$58.40 |
$68.78
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$3,432.80 |
$3,432.80 |
$3,432.80 |
$5,205.00
|
|
Ustekinumab 45 mg/0.5 ml subcutaneous solution
|
$36,009.49 |
$36,009.49 |
$36,009.49 |
$51,633.07
|
|
Vaccine Administration (one shot)
|
$50.40 |
$50.40 |
$50.40 |
$67.70
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$232.02 |
$232.02 |
$232.02 |
$236.50
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$106.21 |
$106.21 |
$106.21 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$76.32 |
$76.32 |
$76.32 |
$75.39
|
|
Vaccine influenza inactivated adjuvant im
|
$53.76 |
$53.76 |
$53.76 |
$110.25
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$29.07 |
$29.07 |
$29.07 |
$82.71
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$194.47 |
$194.47 |
$194.47 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$329.64 |
$329.64 |
$329.64 |
$397.11
|
|
Vaccine rabies im
|
$564.92 |
$564.92 |
$564.92 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$93.60 |
$93.60 |
$93.60 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$79.45 |
$79.45 |
$79.45 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$103.20 |
$103.20 |
$103.20 |
$115.00
|
|
Vancomycin 1,000 mg intravenous injection
|
$72.80 |
$72.80 |
$72.80 |
$259.05
|
|
Vancomycin 750 mg intravenous solution
|
$87.49 |
$87.49 |
$87.49 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$136.80 |
$136.80 |
$136.80 |
$136.13
|
|
Varicella zoster antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$64.40 |
$64.40 |
$64.40 |
$325.80
|
|
Video Swallow Study (Modified Barium Swallow)
|
$728.00 |
$728.00 |
$728.00 |
$524.50
|
|
Virus isolation addl studies ea
|
$127.20 |
$127.20 |
$127.20 |
$79.34
|
|
Vital capacity test
|
$174.40 |
$174.40 |
$174.40 |
$173.18
|
|
Vitamin b-12
|
$116.00 |
$116.00 |
$116.00 |
$100.28
|
|
Vitamin D Test
|
$132.00 |
$132.00 |
$132.00 |
$132.00
|
|
Walking (Gait) Training (each 15 minutes)
|
$116.00 |
$116.00 |
$116.00 |
$87.50
|
|
Warde 1003990 aldosterone
|
$323.20 |
$323.20 |
$323.20 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$76.00 |
$76.00 |
$76.00 |
$100.10
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$46.40 |
$46.40 |
$46.40 |
$64.08
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$76.80 |
$76.80 |
$76.80 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$48.80 |
$48.80 |
$48.80 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$58.40 |
$58.40 |
$58.40 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$42.40 |
$42.40 |
$42.40 |
$39.36
|
|
Warde 3016000 west nile virus antibody
|
$95.20 |
$95.20 |
$95.20 |
$71.60
|
|
Warde 3016000 west nile virus antibody igg
|
$95.20 |
$95.20 |
$95.20 |
$70.74
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$46.40 |
$46.40 |
$46.40 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$68.00 |
$68.00 |
$68.00 |
$73.60
|
|
Warde 3400852 arsenic
|
$145.60 |
$145.60 |
$145.60 |
$101.00
|
|
Warde 3708165 mercury urine
|
$39.20 |
$39.20 |
$39.20 |
$71.60
|
|
Warde actin (smooth muscle) antibody each
|
$52.80 |
$52.80 |
$52.80 |
$42.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$113.60 |
$113.60 |
$113.60 |
$156.40
|
|
Warde aldolase
|
$93.60 |
$93.60 |
$93.60 |
$54.05
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$400.00 |
$400.00 |
$400.00 |
$368.00
|
|
Warde anti-mullerian hormone
|
$90.40 |
$90.40 |
$90.40 |
$82.50
|
|
Warde bile acids
|
$51.20 |
$51.20 |
$51.20 |
$64.28
|
|
Warde cadmium blood
|
$56.80 |
$56.80 |
$56.80 |
$76.70
|
|
Warde calcitonin
|
$76.80 |
$76.80 |
$76.80 |
$101.40
|
|
Warde calculus (stone) infrared
|
$76.00 |
$76.00 |
$76.00 |
$59.52
|
|
Warde cobalt heavy metal quantitative each nes
|
$124.80 |
$124.80 |
$124.80 |
$116.16
|
|
Warde complement total hemolytic
|
$56.80 |
$56.80 |
$56.80 |
$105.00
|
|
Warde copper
|
$50.40 |
$50.40 |
$50.40 |
$80.00
|
|
Warde cryoglobulin
|
$31.20 |
$31.20 |
$31.20 |
$50.96
|
|
Warde erythropoietin
|
$57.60 |
$57.60 |
$57.60 |
$90.36
|
|
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)
|
$48.80 |
$48.80 |
$48.80 |
$77.55
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$130.40 |
$130.40 |
$130.40 |
$83.79
|
|
Warde hepatitis a antibody
|
$53.60 |
$53.60 |
$53.60 |
$85.15
|
|
Warde hepatitis be antibody
|
$29.60 |
$29.60 |
$29.60 |
$52.80
|
|
Warde immunofixation electrophoresis urine
|
$154.40 |
$154.40 |
$154.40 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$29.60 |
$29.60 |
$29.60 |
$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
|
$55.20 |
$55.20 |
$55.20 |
$143.52
|
|
Warde sex hormone binding globulin
|
$51.20 |
$51.20 |
$51.20 |
$83.85
|
|
Warde somatomedin
|
$148.80 |
$148.80 |
$148.80 |
$115.82
|
|
Warde t3 (triiodothyronine) reverse
|
$45.60 |
$45.60 |
$45.60 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$275.20 |
$275.20 |
$275.20 |
$180.01
|
|
Warde topiramate therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$165.60 |
$165.60 |
$165.60 |
$129.60
|
|
Warde vitamin a
|
$48.80 |
$48.80 |
$48.80 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$52.00 |
$52.00 |
$52.00 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$68.80 |
$68.80 |
$68.80 |
$118.30
|
