|
Ventilator each subsequent day
|
$10,632.31 |
$10,632.31 |
$10,632.31 |
$1,178.74
|
|
Ventilator initial day
|
$12,876.68 |
$12,876.68 |
$12,876.68 |
$1,416.96
|
|
Very long chain fatty acids
|
$2,651.68 |
$2,651.68 |
$2,651.68 |
$139.88
|
|
Vinblastine 1 mg/ml intravenous solution
|
$24.95 |
$24.95 |
$24.95 |
$159.60
|
|
Vincristine 1 mg/ml intravenous solution
|
$1,157.19 |
$1,157.19 |
$1,157.19 |
$87.15
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$841.23 |
$841.23 |
$841.23 |
$223.55
|
|
Virus isolation addl studies ea
|
$101.00 |
$101.00 |
$101.00 |
$77.60
|
|
Vital capacity test
|
$522.15 |
$522.15 |
$522.15 |
$170.00
|
|
Vitamin b-12
|
$873.47 |
$873.47 |
$873.47 |
$100.28
|
|
Vitamin D Test
|
$1,306.67 |
$1,306.67 |
$1,306.67 |
$132.00
|
|
Volume measurement urine timed
|
$83.80 |
$83.80 |
$83.80 |
$21.35
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$765.78 |
$765.78 |
$765.78 |
$165.81
|
|
Warde 1003990 aldosterone
|
$1,363.48 |
$1,363.48 |
$1,363.48 |
$144.00
|
|
Warde 1005020 citrate 24 hour urine
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$94.90
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,495.57 |
$1,495.57 |
$1,495.57 |
$66.60
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$149.67 |
$149.67 |
$149.67 |
$113.75
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,333.65 |
$1,333.65 |
$1,333.65 |
$73.10
|
|
Warde 3004000 immunoglobulin subclass 1
|
$399.10 |
$399.10 |
$399.10 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$2,009.71 |
$2,009.71 |
$2,009.71 |
$108.00
|
|
Warde 3016000 west nile virus antibody
|
$108.91 |
$108.91 |
$108.91 |
$68.80
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$784.00 |
$784.00 |
$784.00 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$185.01 |
$185.01 |
$185.01 |
$70.76
|
|
Warde 3400852 arsenic
|
$1,745.54 |
$1,745.54 |
$1,745.54 |
$101.50
|
|
Warde 3708165 mercury urine
|
$2,023.91 |
$2,023.91 |
$2,023.91 |
$71.50
|
|
Warde actin (smooth muscle) antibody each
|
$1,258.38 |
$1,258.38 |
$1,258.38 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$677.48 |
$677.48 |
$677.48 |
$88.68
|
|
Warde adrenocorticotropic hormone (acth)
|
$835.12 |
$835.12 |
$835.12 |
$151.20
|
|
Warde aldolase
|
$725.77 |
$725.77 |
$725.77 |
$53.30
|
|
Warde amiodarone therapeutic drug level
|
$113.62 |
$113.62 |
$113.62 |
$54.00
|
|
Warde analysis gene hfe common variants
|
$3,091.98 |
$3,091.98 |
$3,091.98 |
$266.40
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$1,001.97 |
$1,001.97 |
$1,001.97 |
$363.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$188.90 |
$188.90 |
$188.90 |
$126.43
|
|
Warde apolipoprotein b
|
$494.26 |
$494.26 |
$494.26 |
$61.80
|
|
Warde cadmium blood
|
$782.58 |
$782.58 |
$782.58 |
$76.50
|
|
Warde calcitonin
|
$1,859.17 |
$1,859.17 |
$1,859.17 |
$96.88
|
|
Warde calculus (stone) infrared
|
$181.89 |
$181.89 |
$181.89 |
$59.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$1,759.74 |
$1,759.74 |
$1,759.74 |
$117.65
|
|
Warde collagen cross links c-telopeptide
|
$1,475.68 |
$1,475.68 |
$1,475.68 |
$96.85
|
|
Warde complement total hemolytic
|
$855.01 |
$855.01 |
$855.01 |
$105.00
|
|
Warde copper
|
$893.37 |
$893.37 |
$893.37 |
$78.75
|
|
Warde cryoglobulin
|
$521.25 |
$521.25 |
$521.25 |
$51.00
|
|
Warde erythropoietin
|
$629.19 |
$629.19 |
$629.19 |
$92.40
|
|
Warde estrogen fractionated
|
$1,035.40 |
$1,035.40 |
$1,035.40 |
$99.63
|
|
Warde fluorescent antibody screen endomysial iga
|
$3,326.32 |
$3,326.32 |
$3,326.32 |
$46.56
|
|
Warde folic acid rbc
|
$538.29 |
$538.29 |
$538.29 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$1,333.65 |
$1,333.65 |
$1,333.65 |
$43.55
|
|
Warde gastrin
|
$1,467.16 |
$1,467.16 |
$1,467.16 |
$77.50
|
|
Warde growth hormone (hgh)
|
$947.33 |
$947.33 |
$947.33 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$1,644.70 |
$1,644.70 |
$1,644.70 |
$69.69
|
|
Warde hepatitis a antibody
|
$735.72 |
$735.72 |
$735.72 |
$85.20
|
|
Warde hepatitis be antibody
|
$1,353.54 |
$1,353.54 |
$1,353.54 |
$55.77
|
|
Warde immunofixation electrophoresis urine
|
$2,188.66 |
$2,188.66 |
$2,188.66 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$1,353.54 |
$1,353.54 |
$1,353.54 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$5,668.38 |
$5,668.38 |
$5,668.38 |
$636.09
|
|
Warde lipoprotein (a)
|
$235.76 |
$235.76 |
$235.76 |
$68.25
|
|
Warde mitochondrial antibody each
|
$1,207.25 |
$1,207.25 |
$1,207.25 |
$61.36
|
|
Warde oxcarbazepine therapeutic drug level
|
$2,271.05 |
$2,271.05 |
$2,271.05 |
$64.50
|
|
Warde protein c antigen
|
$2,229.87 |
$2,229.87 |
$2,229.87 |
$93.43
|
|
Warde sex hormone binding globulin
|
$235.76 |
$235.76 |
$235.76 |
$83.85
|
|
Warde somatomedin
|
$1,944.38 |
$1,944.38 |
$1,944.38 |
$119.40
|
|
Warde sugars single qualitative each specimen stool
|
$172.57 |
$172.57 |
$172.57 |
$30.60
|
|
Warde t3 (triiodothyronine) reverse
|
$2,245.47 |
$2,245.47 |
$2,245.47 |
$68.31
|
|
Warde thyroid stimulating immunoglobulins
|
$2,759.63 |
$2,759.63 |
$2,759.63 |
$176.70
|
|
Warde topiramate therapeutic drug level
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$75.00
|
|
Warde viscosity
|
$559.60 |
$559.60 |
$559.60 |
$50.00
|
|
Warde vitamin a
|
$940.24 |
$940.24 |
$940.24 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$79.20
|
|
Warde vitamin b6 (pyridoxine)
|
$559.60 |
$559.60 |
$559.60 |
$114.66
|
|
Warde vitamin c (ascorbic acid)
|
$232.92 |
$232.92 |
$232.92 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,725.65 |
$1,725.65 |
$1,725.65 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$833.72 |
$833.72 |
$833.72 |
$59.25
|
|
Warde zinc
|
$806.73 |
$806.73 |
$806.73 |
$66.08
|
|
Western blot test
|
$190.98 |
$190.98 |
$190.98 |
$150.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$3,399.79 |
$3,399.79 |
$3,399.79 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$3,399.79 |
$3,399.79 |
$3,399.79 |
$595.55
|
|
Xe133 xenon 10mci
|
$675.01 |
$675.01 |
$675.01 |
$198.79
|
|
X-ray abdomen 1 view
|
$939.00 |
$939.00 |
$939.00 |
$258.00
|
|
X-ray abdomen 2 views
|
$1,124.91 |
$1,124.91 |
$1,124.91 |
$316.30
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,436.11 |
$1,436.11 |
$1,436.11 |
$417.30
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,196.31 |
$1,196.31 |
$1,196.31 |
$270.69
|
|
X-ray bone age studies
|
$1,446.89 |
$1,446.89 |
$1,446.89 |
$248.95
|
|
X-ray bone length studies
|
$1,537.15 |
$1,537.15 |
$1,537.15 |
$285.30
|
|
X-ray bone survey complete
|
$2,088.15 |
$2,088.15 |
$2,088.15 |
$660.00
|
|
X-ray bone survey infant
|
$373.18 |
$373.18 |
$373.18 |
$396.50
|
|
X-ray cervical spine 2-3 views
|
$1,079.10 |
$1,079.10 |
$1,079.10 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$1,616.63 |
$1,616.63 |
$1,616.63 |
$464.55
|
|
X-ray cervical spine >= 6 views
|
$819.09 |
$819.09 |
$819.09 |
$508.50
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$2,517.91 |
$2,517.91 |
$2,517.91 |
$667.61
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$2,889.73 |
$2,889.73 |
$2,889.73 |
$820.15
|
|
Xray endovasc thor ao repr
|
$6,070.44 |
$6,070.44 |
$6,070.44 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$6,574.29 |
$6,574.29 |
$6,574.29 |
$1,568.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,648.97 |
$1,648.97 |
$1,648.97 |
$484.80
|
|
X-ray exam entire spi 4/5 vw
|
$3,009.63 |
$3,009.63 |
$3,009.63 |
$436.80
|
|
X-ray exam entire spi 6/> vw
|
$3,009.63 |
$3,009.63 |
$3,009.63 |
$517.80
|
|
X-ray exam of eye sockets
|
$1,246.16 |
$1,246.16 |
$1,246.16 |
$328.35
|
|
X-ray exam of femur 1
|
$956.50 |
$956.50 |
$956.50 |
$237.42
|
|
X-ray exam of penis
|
$832.56 |
$832.56 |
$832.56 |
$606.40
|
|
X-ray exam of sinuses
|
$595.46 |
$595.46 |
$595.46 |
$211.00
|
|
X-ray exam si joints
|
$626.62 |
$626.62 |
$626.62 |
$244.50
|
|
X-ray eye detection foreign body (both sides)
|
$1,118.17 |
$1,118.17 |
$1,118.17 |
$235.00
|