|
Urea nitrogen 24 hour urine
|
$14.19 |
$14.19 |
$14.19 |
$51.75
|
|
Urea nitrogen clearance
|
$17.16 |
$17.16 |
$17.16 |
$42.25
|
|
Urethrcystgrphy rtrgrde s&i
|
$142.56 |
$142.56 |
$142.56 |
$579.73
|
|
Urethrocystography void s&i
|
$157.08 |
$157.08 |
$157.08 |
$622.35
|
|
Uric acid blood
|
$14.85 |
$14.85 |
$14.85 |
$48.75
|
|
Uric acid urine
|
$44.22 |
$44.22 |
$44.22 |
$44.33
|
|
Urinalysis (with microscopy)
|
$10.56 |
$10.56 |
$10.56 |
$55.00
|
|
Urinalysis (without microscopy)
|
$7.59 |
$7.59 |
$7.59 |
$35.75
|
|
Urine Culture Test
|
$26.73 |
$26.73 |
$26.73 |
$81.50
|
|
Urine pregnancy test
|
$21.12 |
$21.12 |
$21.12 |
$67.20
|
|
Urography, antegrade
|
$186.12 |
$186.12 |
$186.12 |
$622.35
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$4,062.63 |
$4,062.63 |
$4,062.63 |
$5,184.34
|
|
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im
|
$166.10 |
$166.10 |
$166.10 |
$236.50
|
|
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im
|
$94.05 |
$94.05 |
$94.05 |
$123.20
|
|
Vaccine dtap-ipv 4-6 years im
|
$94.05 |
$94.05 |
$94.05 |
$105.95
|
|
Vaccine dtap-ipv-hib-hepb im
|
$164.02 |
$164.02 |
$164.02 |
$174.72
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$58.37 |
$58.37 |
$58.37 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$25.23 |
$25.23 |
$25.23 |
$43.12
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$138.46 |
$138.46 |
$138.46 |
$155.16
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$175.16 |
$175.16 |
$175.16 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$55.85 |
$55.85 |
$55.85 |
$75.39
|
|
Vaccine influenza inactivated adjuvant im
|
$96.84 |
$96.84 |
$96.84 |
$109.50
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$42.75 |
$42.75 |
$42.75 |
$47.88
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$94.05 |
$94.05 |
$94.05 |
$76.50
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$266.68 |
$266.68 |
$266.68 |
$400.03
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$193.26 |
$193.26 |
$193.26 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$187.53 |
$187.53 |
$187.53 |
$329.24
|
|
Vaccine mmr live subcutaneous
|
$109.78 |
$109.78 |
$109.78 |
$211.68
|
|
Vaccine mmrv live subcutaneous
|
$312.27 |
$312.27 |
$312.27 |
$424.32
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$131.67 |
$131.67 |
$131.67 |
$251.64
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$254.51 |
$254.51 |
$254.51 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$257.63 |
$257.63 |
$257.63 |
$414.46
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$308.69 |
$308.69 |
$308.69 |
$563.36
|
|
Vaccine rabies im
|
$507.39 |
$507.39 |
$507.39 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$331.77 |
$331.77 |
$331.77 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$625.45 |
$625.45 |
$625.45 |
$1,104.47
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$556.70 |
$556.70 |
$556.70 |
$997.44
|
|
Vaccine tdap >=7 years im
|
$94.05 |
$94.05 |
$94.05 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$94.05 |
$94.05 |
$94.05 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$215.92 |
$215.92 |
$215.92 |
$365.17
|
|
Valproic acid total therapeutic drug level
|
$44.88 |
$44.88 |
$44.88 |
$114.72
|
|
Vancomycin peak therapeutic drug level
|
$44.88 |
$44.88 |
$44.88 |
$136.13
|
|
Varicella zoster antibody igg
|
$12.21 |
$12.21 |
$12.21 |
$86.80
|
|
Vedolizumab 300 mg intravenous solution
|
$10,526.53 |
$10,526.53 |
$10,526.53 |
$18,732.33
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$385.11 |
$385.11 |
$385.11 |
$202.80
|
|
Venogram ext bil s&i
|
$308.55 |
$308.55 |
$308.55 |
$1,797.50
|
|
Venogram extremity supervision & interpretation unilateral
|
$795.96 |
$795.96 |
$795.96 |
$1,366.20
|
|
Venous mech thrombectomy
|
$1,152.03 |
$1,152.03 |
$1,152.03 |
$7,965.00
|
|
Ventilator each subsequent day
|
$343.20 |
$343.20 |
$343.20 |
$1,204.00
|
|
Ventilator initial day
|
$377.85 |
$377.85 |
$377.85 |
$1,431.43
|
|
Vinblastine 1 mg/ml intravenous solution
|
$124.32 |
$124.32 |
$124.32 |
$165.00
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$172.50 |
$172.50 |
$172.50 |
$223.55
|
|
Virus isolation addl studies ea
|
$33.66 |
$33.66 |
$33.66 |
$77.50
|
|
Visit established high 40-54 minutes/level 5
|
$60.06 |
$60.06 |
$60.06 |
$227.50
|
|
Vital capacity test
|
$77.55 |
$77.55 |
$77.55 |
$170.00
|
|
Vitamin b-12
|
$50.16 |
$50.16 |
$50.16 |
$100.00
|
|
Vitamin D Test
|
$37.29 |
$37.29 |
$37.29 |
$132.00
|
|
Volume measurement urine timed
|
$9.90 |
$9.90 |
$9.90 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$143.00 |
$143.00 |
$143.00 |
$165.81
|
|
Warde 1003990 aldosterone
|
$42.24 |
$42.24 |
$42.24 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$34.65 |
$34.65 |
$34.65 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$26.40 |
$26.40 |
$26.40 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$34.65 |
$34.65 |
$34.65 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$22.11 |
$22.11 |
$22.11 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$66.00 |
$66.00 |
$66.00 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$7.59 |
$7.59 |
$7.59 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$19.14 |
$19.14 |
$19.14 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$13.86 |
$13.86 |
$13.86 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$13.20 |
$13.20 |
$13.20 |
$69.12
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$7.92 |
$7.92 |
$7.92 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$16.17 |
$16.17 |
$16.17 |
$72.50
|
|
Warde 3400852 arsenic
|
$79.86 |
$79.86 |
$79.86 |
$100.88
|
|
Warde 3708165 mercury urine
|
$24.09 |
$24.09 |
$24.09 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$69.30 |
$69.30 |
$69.30 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$10.56 |
$10.56 |
$10.56 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$79.20 |
$79.20 |
$79.20 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$89.10 |
$89.10 |
$89.10 |
$151.20
|
|
Warde aldolase
|
$8.91 |
$8.91 |
$8.91 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$21.78 |
$21.78 |
$21.78 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$114.51 |
$114.51 |
$114.51 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$231.00 |
$231.00 |
$231.00 |
$368.00
|
|
Warde apolipoprotein b
|
$13.86 |
$13.86 |
$13.86 |
$61.75
|
|
Warde cadmium blood
|
$30.36 |
$30.36 |
$30.36 |
$76.50
|
|
Warde calcitonin
|
$41.91 |
$41.91 |
$41.91 |
$96.97
|
|
Warde calculus (stone) infrared
|
$11.88 |
$11.88 |
$11.88 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$26.07 |
$26.07 |
$26.07 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$34.65 |
$34.65 |
$34.65 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$26.73 |
$26.73 |
$26.73 |
$96.85
|
|
Warde complement total hemolytic
|
$13.86 |
$13.86 |
$13.86 |
$104.82
|
|
Warde copper
|
$38.28 |
$38.28 |
$38.28 |
$80.00
|
|
Warde cryoglobulin
|
$22.44 |
$22.44 |
$22.44 |
$50.35
|
|
Warde erythropoietin
|
$15.51 |
$15.51 |
$15.51 |
$90.36
|
|
Warde estrogen fractionated
|
$44.55 |
$44.55 |
$44.55 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$87.12 |
$87.12 |
$87.12 |
$43.20
|
|
Warde folic acid rbc
|
$25.08 |
$25.08 |
$25.08 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$21.45 |
$21.45 |
$21.45 |
$43.55
|
|
Warde gastrin
|
$17.82 |
$17.82 |
$17.82 |
$73.60
|
|
Warde growth hormone (hgh)
|
$12.54 |
$12.54 |
$12.54 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$30.03 |
$30.03 |
$30.03 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$61.71 |
$61.71 |
$61.71 |
$100.92
|
