|
Ultrasound joint/nonvascular extremity limited left
|
$143.92 |
$143.92 |
$143.92 |
$425.45
|
|
Ultrasound ob >=14wks ea addl gest
|
$227.64 |
$227.64 |
$227.64 |
$407.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$185.36 |
$185.36 |
$185.36 |
$331.50
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$74.20 |
$74.20 |
$74.20 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$178.36 |
$178.36 |
$178.36 |
$492.80
|
|
Ultrasound retroperitoneal limited
|
$62.16 |
$62.16 |
$62.16 |
$486.50
|
|
Ultrasound scrotum and contents
|
$96.60 |
$96.60 |
$96.60 |
$606.60
|
|
Ultrasound transvaginal non obstetric
|
$78.12 |
$78.12 |
$78.12 |
$558.35
|
|
Unsched dialysis esrd pt hos
|
$555.52 |
$555.52 |
$555.52 |
$1,268.17
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$809.20 |
$809.20 |
$809.20 |
$2,984.45
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$658.00 |
$658.00 |
$658.00 |
$2,357.39
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$658.00 |
$658.00 |
$658.00 |
$2,034.41
|
|
Urea nitrogen
|
$7.84 |
$7.84 |
$7.84 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$3.64 |
$3.64 |
$3.64 |
$51.75
|
|
Urethrcystgrphy rtrgrde s&i
|
$120.96 |
$120.96 |
$120.96 |
$579.34
|
|
Urethrocystography void s&i
|
$133.28 |
$133.28 |
$133.28 |
$622.35
|
|
Uric acid blood
|
$8.96 |
$8.96 |
$8.96 |
$48.75
|
|
Uric acid urine
|
$5.04 |
$5.04 |
$5.04 |
$44.22
|
|
Urinalysis microscopic only
|
$5.88 |
$5.88 |
$5.88 |
$26.00
|
|
Urinalysis (with microscopy)
|
$6.44 |
$6.44 |
$6.44 |
$53.00
|
|
Urinalysis (without microscopy)
|
$4.48 |
$4.48 |
$4.48 |
$35.75
|
|
Urine Culture Test
|
$16.24 |
$16.24 |
$16.24 |
$81.00
|
|
Urine pregnancy test
|
$12.88 |
$12.88 |
$12.88 |
$66.60
|
|
Vaccine dtap < 7 years im
|
$12.60 |
$12.60 |
$12.60 |
$68.19
|
|
Vaccine hepatitis a (hepa) adult im
|
$22.40 |
$22.40 |
$22.40 |
$166.44
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$22.40 |
$22.40 |
$22.40 |
$75.39
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$76.98 |
$76.98 |
$76.98 |
$310.93
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$51.80 |
$51.80 |
$51.80 |
$329.24
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$43.96 |
$43.96 |
$43.96 |
$251.64
|
|
Vaccine rabies im
|
$92.12 |
$92.12 |
$92.12 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$22.68 |
$22.68 |
$22.68 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$22.68 |
$22.68 |
$22.68 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$27.16 |
$27.16 |
$27.16 |
$114.48
|
|
Vancomycin peak therapeutic drug level
|
$7.00 |
$7.00 |
$7.00 |
$135.60
|
|
Varicella zoster antibody igg
|
$17.08 |
$17.08 |
$17.08 |
$86.80
|
|
Vedolizumab 300 mg intravenous solution
|
$12.01 |
$12.01 |
$12.01 |
$18,719.82
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$326.76 |
$326.76 |
$326.76 |
$202.80
|
|
Ventilator each subsequent day
|
$291.20 |
$291.20 |
$291.20 |
$1,204.00
|
|
Ventilator initial day
|
$320.60 |
$320.60 |
$320.60 |
$1,431.43
|
|
Vital capacity test
|
$65.80 |
$65.80 |
$65.80 |
$170.00
|
|
Vitamin b-12
|
$30.24 |
$30.24 |
$30.24 |
$100.00
|
|
Vitamin D Test
|
$17.08 |
$17.08 |
$17.08 |
$132.00
|
|
Volume measurement urine timed
|
$6.16 |
$6.16 |
$6.16 |
$21.24
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$0.62 |
$0.62 |
$0.62 |
$165.81
|
|
Warde 1003990 aldosterone
|
$30.24 |
$30.24 |
$30.24 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$168.84 |
$168.84 |
$168.84 |
$95.55
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$10.64 |
$10.64 |
$10.64 |
$62.58
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$22.68 |
$22.68 |
$22.68 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$10.64 |
$10.64 |
$10.64 |
$70.40
|
|
Warde 1015200 kappa light chain free
|
$9.80 |
$9.80 |
$9.80 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$12.60 |
$12.60 |
$12.60 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$13.16 |
$13.16 |
$13.16 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$11.76 |
$11.76 |
$11.76 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$11.20 |
$11.20 |
$11.20 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$39.48 |
$39.48 |
$39.48 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$6.72 |
$6.72 |
$6.72 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$13.72 |
$13.72 |
$13.72 |
$72.40
|
|
Warde 3400852 arsenic
|
$15.40 |
$15.40 |
$15.40 |
$100.88
|
|
Warde 3708165 mercury urine
|
$16.24 |
$16.24 |
$16.24 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$58.80 |
$58.80 |
$58.80 |
$73.60
|
|
Warde actin (smooth muscle) antibody each
|
$7.84 |
$7.84 |
$7.84 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$92.40 |
$92.40 |
$92.40 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$22.12 |
$22.12 |
$22.12 |
$151.20
|
|
Warde aldolase
|
$7.00 |
$7.00 |
$7.00 |
$53.25
|
|
Warde amiodarone therapeutic drug level
|
$16.24 |
$16.24 |
$16.24 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$73.64 |
$73.64 |
$73.64 |
$267.17
|
|
Warde calcitonin
|
$15.96 |
$15.96 |
$15.96 |
$96.88
|
|
Warde clozapine therapeutic drug level
|
$15.96 |
$15.96 |
$15.96 |
$65.70
|
|
Warde cobalt heavy metal quantitative each nes
|
$39.20 |
$39.20 |
$39.20 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$22.12 |
$22.12 |
$22.12 |
$96.85
|
|
Warde complement total hemolytic
|
$7.84 |
$7.84 |
$7.84 |
$104.50
|
|
Warde copper
|
$10.08 |
$10.08 |
$10.08 |
$80.00
|
|
Warde cryoglobulin
|
$3.64 |
$3.64 |
$3.64 |
$50.35
|
|
Warde erythropoietin
|
$16.80 |
$16.80 |
$16.80 |
$90.35
|
|
Warde estrogen fractionated
|
$35.28 |
$35.28 |
$35.28 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$35.84 |
$35.84 |
$35.84 |
$43.20
|
|
Warde folic acid rbc
|
$5.32 |
$5.32 |
$5.32 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$7.00 |
$7.00 |
$7.00 |
$43.55
|
|
Warde gastrin
|
$10.64 |
$10.64 |
$10.64 |
$72.00
|
|
Warde growth hormone (hgh)
|
$7.00 |
$7.00 |
$7.00 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$16.80 |
$16.80 |
$16.80 |
$66.43
|
|
Warde helminth antibody strongyloides igg
|
$39.76 |
$39.76 |
$39.76 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$14.28 |
$14.28 |
$14.28 |
$80.16
|
|
Warde hepatitis a antibody
|
$7.84 |
$7.84 |
$7.84 |
$83.20
|
|
Warde hepatitis be antibody
|
$7.00 |
$7.00 |
$7.00 |
$52.00
|
|
Warde hepatitis delta agent antibody
|
$45.36 |
$45.36 |
$45.36 |
$95.55
|
|
Warde immunofixation electrophoresis urine
|
$63.56 |
$63.56 |
$63.56 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$7.00 |
$7.00 |
$7.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$74.20 |
$74.20 |
$74.20 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$20.44 |
$20.44 |
$20.44 |
$141.05
|
|
Warde lipoprotein (a)
|
$20.16 |
$20.16 |
$20.16 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$40.04 |
$40.04 |
$40.04 |
$95.90
|
|
Warde neutralization rabies
|
$30.24 |
$30.24 |
$30.24 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$30.24 |
$30.24 |
$30.24 |
$64.35
|
|
Warde protein c antigen
|
$21.28 |
$21.28 |
$21.28 |
$93.00
|
|
Warde sex hormone binding globulin
|
$12.04 |
$12.04 |
$12.04 |
$81.92
|
|
Warde somatomedin
|
$69.72 |
$69.72 |
$69.72 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$32.48 |
$32.48 |
$32.48 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$13.16 |
$13.16 |
$13.16 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$36.68 |
$36.68 |
$36.68 |
$178.01
|
