|
Unlisted px casting/strpg
|
$53.59 |
$53.59 |
$53.59 |
$219.70
|
|
Unlisted px small intestine
|
$1,080.31 |
$1,080.31 |
$1,080.31 |
$2,102.10
|
|
Unlisted transfusion med px
|
$11.73 |
$11.73 |
$11.73 |
$147.50
|
|
Unsched dialysis esrd pt hos
|
$163.76 |
$163.76 |
$163.76 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$624.68 |
$624.68 |
$624.68 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$593.63 |
$593.63 |
$593.63 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$418.83 |
$418.83 |
$418.83 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$377.43 |
$377.43 |
$377.43 |
$1,768.00
|
|
Urea nitrogen
|
$6.67 |
$6.67 |
$6.67 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$8.05 |
$8.05 |
$8.05 |
$51.75
|
|
Ureteral reflux study
|
$179.17 |
$179.17 |
$179.17 |
$952.50
|
|
Uric acid blood
|
$8.05 |
$8.05 |
$8.05 |
$48.75
|
|
Uric acid urine
|
$8.28 |
$8.28 |
$8.28 |
$44.33
|
|
Urinalysis microscopic only
|
$5.06 |
$5.06 |
$5.06 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$3.91 |
$3.91 |
$3.91 |
$25.72
|
|
Urinalysis (with microscopy)
|
$5.52 |
$5.52 |
$5.52 |
$55.00
|
|
Urinalysis (without microscopy)
|
$3.91 |
$3.91 |
$3.91 |
$35.75
|
|
Urine Culture Test
|
$13.80 |
$13.80 |
$13.80 |
$81.50
|
|
Urine pregnancy test
|
$10.81 |
$10.81 |
$10.81 |
$67.20
|
|
Vaccine dtap < 7 years im
|
$87.47 |
$87.47 |
$87.47 |
$68.19
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$85.26 |
$85.26 |
$85.26 |
$75.39
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$35.45 |
$35.45 |
$35.45 |
$33.60
|
|
Vaccine mmr live subcutaneous
|
$237.69 |
$237.69 |
$237.69 |
$211.68
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$500.74 |
$500.74 |
$500.74 |
$397.11
|
|
Vaccine rabies im
|
$896.01 |
$896.01 |
$896.01 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$121.96 |
$121.96 |
$121.96 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$103.22 |
$103.22 |
$103.22 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$23.46 |
$23.46 |
$23.46 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$480.39 |
$480.39 |
$480.39 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$138.50 |
$138.50 |
$138.50 |
$90.33
|
|
Vancomycin peak therapeutic drug level
|
$23.46 |
$23.46 |
$23.46 |
$136.13
|
|
Varicella zoster antibody igg
|
$22.08 |
$22.08 |
$22.08 |
$86.80
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$463.68 |
$463.68 |
$463.68 |
$202.80
|
|
Ventilator each subsequent day
|
$397.67 |
$397.67 |
$397.67 |
$1,204.00
|
|
Ventilator initial day
|
$195.27 |
$195.27 |
$195.27 |
$1,431.43
|
|
Virus isolation addl studies ea
|
$33.58 |
$33.58 |
$33.58 |
$77.50
|
|
Visit established high 40-54 minutes/level 5
|
$64.17 |
$64.17 |
$64.17 |
$227.50
|
|
Vital capacity test
|
$27.60 |
$27.60 |
$27.60 |
$170.00
|
|
Vitamin b-12
|
$25.76 |
$25.76 |
$25.76 |
$100.00
|
|
Vitamin D Test
|
$51.06 |
$51.06 |
$51.06 |
$132.00
|
|
Vkorc1 gene
|
$113.16 |
$113.16 |
$113.16 |
$176.80
|
|
Volume measurement urine timed
|
$5.06 |
$5.06 |
$5.06 |
$21.45
|
|
Warde 1003990 aldosterone
|
$67.39 |
$67.39 |
$67.39 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$47.61 |
$47.61 |
$47.61 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$22.31 |
$22.31 |
$22.31 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$43.47 |
$43.47 |
$43.47 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$26.68 |
$26.68 |
$26.68 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$37.49 |
$37.49 |
$37.49 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$13.80 |
$13.80 |
$13.80 |
$39.00
|
|
Warde 3016000 west nile virus antibody
|
$25.53 |
$25.53 |
$25.53 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$24.61 |
$24.61 |
$24.61 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$11.27 |
$11.27 |
$11.27 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$15.18 |
$15.18 |
$15.18 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$30.82 |
$30.82 |
$30.82 |
$72.50
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$179.40 |
$179.40 |
$179.40 |
$218.40
|
|
Warde 3400852 arsenic
|
$32.66 |
$32.66 |
$32.66 |
$100.88
|
|
Warde 3708165 mercury urine
|
$28.06 |
$28.06 |
$28.06 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$23.46 |
$23.46 |
$23.46 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$27.60 |
$27.60 |
$27.60 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$11.73 |
$11.73 |
$11.73 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$66.47 |
$66.47 |
$66.47 |
$151.20
|
|
Warde aldolase
|
$16.56 |
$16.56 |
$16.56 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$23.69 |
$23.69 |
$23.69 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$112.24 |
$112.24 |
$112.24 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$281.75 |
$281.75 |
$281.75 |
$368.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$18.86 |
$18.86 |
$18.86 |
$126.43
|
|
Warde anti-mullerian hormone
|
$66.47 |
$66.47 |
$66.47 |
$80.08
|
|
Warde apolipoprotein b
|
$26.68 |
$26.68 |
$26.68 |
$61.75
|
|
Warde calcitonin
|
$44.39 |
$44.39 |
$44.39 |
$96.97
|
|
Warde calculus (stone) infrared
|
$22.31 |
$22.31 |
$22.31 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$31.74 |
$31.74 |
$31.74 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$37.49 |
$37.49 |
$37.49 |
$113.09
|
|
Warde complement total hemolytic
|
$34.96 |
$34.96 |
$34.96 |
$104.82
|
|
Warde copper
|
$21.16 |
$21.16 |
$21.16 |
$80.00
|
|
Warde cryoglobulin
|
$11.04 |
$11.04 |
$11.04 |
$50.35
|
|
Warde erythropoietin
|
$32.20 |
$32.20 |
$32.20 |
$90.36
|
|
Warde estrogen fractionated
|
$26.91 |
$26.91 |
$26.91 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$28.29 |
$28.29 |
$28.29 |
$43.20
|
|
Warde folic acid rbc
|
$29.67 |
$29.67 |
$29.67 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$16.56 |
$16.56 |
$16.56 |
$43.55
|
|
Warde gastrin
|
$30.36 |
$30.36 |
$30.36 |
$73.60
|
|
Warde growth hormone (hgh)
|
$28.75 |
$28.75 |
$28.75 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$25.07 |
$25.07 |
$25.07 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$22.31 |
$22.31 |
$22.31 |
$100.92
|
|
Warde hepatitis a antibody
|
$20.24 |
$20.24 |
$20.24 |
$83.40
|
|
Warde hepatitis be antibody
|
$19.78 |
$19.78 |
$19.78 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$13.80 |
$13.80 |
$13.80 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$50.37 |
$50.37 |
$50.37 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$19.32 |
$19.32 |
$19.32 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$381.11 |
$381.11 |
$381.11 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$32.66 |
$32.66 |
$32.66 |
$141.05
|
|
Warde lipoprotein (a)
|
$22.31 |
$22.31 |
$22.31 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$58.42 |
$58.42 |
$58.42 |
$95.90
|
|
Warde mitochondrial antibody each
|
$28.29 |
$28.29 |
$28.29 |
$59.28
|
|
Warde neutralization rabies
|
$28.06 |
$28.06 |
$28.06 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$23.00 |
$23.00 |
$23.00 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$6.21 |
$6.21 |
$6.21 |
$94.25
|
|
Warde protein c antigen
|
$20.47 |
$20.47 |
$20.47 |
$93.43
|
|
Warde sex hormone binding globulin
|
$37.26 |
$37.26 |
$37.26 |
$82.08
|
