|
Ventilator initial day
|
$18,156.30 |
$18,156.30 |
$18,156.30 |
$1,540.80
|
|
Viper venom prothrombin time
|
$1,003.03 |
$1,003.03 |
$1,003.03 |
$35.20
|
|
Virus isolation addl studies ea
|
$138.57 |
$138.57 |
$138.57 |
$90.35
|
|
Vitamin b-12
|
$1,798.84 |
$1,798.84 |
$1,798.84 |
$94.90
|
|
Vitamin D Test
|
$1,296.69 |
$1,296.69 |
$1,296.69 |
$132.00
|
|
Vkorc1 gene
|
$882.26 |
$882.26 |
$882.26 |
$176.80
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$7,232.65 |
$7,232.65 |
$7,232.65 |
$224.40
|
|
Warde 1005020 citrate 24 hour urine
|
$1,525.52 |
$1,525.52 |
$1,525.52 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$1,230.59 |
$1,230.59 |
$1,230.59 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,397.12 |
$1,397.12 |
$1,397.12 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$692.84 |
$692.84 |
$692.84 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$1,170.84 |
$1,170.84 |
$1,170.84 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$703.01 |
$703.01 |
$703.01 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$703.01 |
$703.01 |
$703.01 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$1,540.78 |
$1,540.78 |
$1,540.78 |
$63.05
|
|
Warde acetylcholine receptor blocking antibody
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$1,628.50 |
$1,628.50 |
$1,628.50 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$3,726.08 |
$3,726.08 |
$3,726.08 |
$129.75
|
|
Warde aldolase
|
$844.12 |
$844.12 |
$844.12 |
$49.20
|
|
Warde analysis gene hfe common variants
|
$954.72 |
$954.72 |
$954.72 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$958.54 |
$958.54 |
$958.54 |
$381.50
|
|
Warde bile acids
|
$490.71 |
$490.71 |
$490.71 |
$64.28
|
|
Warde cadmium blood
|
$291.11 |
$291.11 |
$291.11 |
$77.00
|
|
Warde calcitonin
|
$1,650.10 |
$1,650.10 |
$1,650.10 |
$89.40
|
|
Warde complement total hemolytic
|
$1,259.83 |
$1,259.83 |
$1,259.83 |
$105.00
|
|
Warde copper
|
$1,090.75 |
$1,090.75 |
$1,090.75 |
$80.00
|
|
Warde cryoglobulin
|
$517.41 |
$517.41 |
$517.41 |
$43.45
|
|
Warde erythropoietin
|
$1,679.34 |
$1,679.34 |
$1,679.34 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$2,739.59 |
$2,739.59 |
$2,739.59 |
$48.57
|
|
Warde folic acid rbc
|
$1,679.34 |
$1,679.34 |
$1,679.34 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$1,782.32 |
$1,782.32 |
$1,782.32 |
$43.55
|
|
Warde gastrin
|
$1,456.87 |
$1,456.87 |
$1,456.87 |
$75.25
|
|
Warde growth hormone (hgh)
|
$1,084.39 |
$1,084.39 |
$1,084.39 |
$81.24
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$1,276.35 |
$1,276.35 |
$1,276.35 |
$68.64
|
|
Warde hepatitis be antibody
|
$537.75 |
$537.75 |
$537.75 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$305.10 |
$305.10 |
$305.10 |
$92.30
|
|
Warde immunofixation electrophoresis urine
|
$1,137.78 |
$1,137.78 |
$1,137.78 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$385.19 |
$385.19 |
$385.19 |
$48.75
|
|
Warde islet cell antibody zinc transporter 8
|
$1,247.12 |
$1,247.12 |
$1,247.12 |
$137.55
|
|
Warde lipoprotein (a)
|
$638.18 |
$638.18 |
$638.18 |
$69.96
|
|
Warde mitochondrial antibody each
|
$1,475.94 |
$1,475.94 |
$1,475.94 |
$62.40
|
|
Warde neutralization rabies
|
$1,250.93 |
$1,250.93 |
$1,250.93 |
$106.50
|
|
Warde protein c antigen
|
$1,628.50 |
$1,628.50 |
$1,628.50 |
$88.80
|
|
Warde sex hormone binding globulin
|
$106.79 |
$106.79 |
$106.79 |
$86.59
|
|
Warde somatomedin
|
$1,003.03 |
$1,003.03 |
$1,003.03 |
$111.80
|
|
Warde thyroid stimulating immunoglobulins
|
$2,513.29 |
$2,513.29 |
$2,513.29 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$537.75 |
$537.75 |
$537.75 |
$71.19
|
|
Warde viscosity
|
$504.70 |
$504.70 |
$504.70 |
$52.65
|
|
Warde vitamin a
|
$1,430.17 |
$1,430.17 |
$1,430.17 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$1,578.91 |
$1,578.91 |
$1,578.91 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$2,036.57 |
$2,036.57 |
$2,036.57 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$402.99 |
$402.99 |
$402.99 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,756.89 |
$1,756.89 |
$1,756.89 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$1,103.46 |
$1,103.46 |
$1,103.46 |
$55.00
|
|
Warde zinc
|
$1,003.03 |
$1,003.03 |
$1,003.03 |
$62.50
|
|
Wet mounts/ w preparations
|
$714.45 |
$714.45 |
$714.45 |
$19.54
|
|
Whole blood for transfusion
|
$463.50 |
$463.50 |
$463.50 |
$425.88
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$216.13 |
$216.13 |
$216.13 |
$396.20
|
|
Wilate injection
|
$34.02 |
$34.02 |
$34.02 |
$1.28
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$996.95 |
$996.95 |
$996.95 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,920.09 |
$1,920.09 |
$1,920.09 |
$436.15
|
|
Xe133 xenon 10mci
|
$565.76 |
$565.76 |
$565.76 |
$299.00
|
|
Xm archive tissue molec anal
|
$347.05 |
$347.05 |
$347.05 |
$47.85
|
|
Xpos opn fmrl eprst aor uni add-on
|
$35,200.00 |
$35,200.00 |
$35,200.00 |
$2,160.89
|
|
X-ray abdomen 1 view
|
$2,233.28 |
$2,233.28 |
$2,233.28 |
$255.00
|
|
X-ray abdomen 2 views
|
$2,562.03 |
$2,562.03 |
$2,562.03 |
$312.36
|
|
X-ray abdomen >=3 views
|
$2,894.57 |
$2,894.57 |
$2,894.57 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$3,363.14 |
$3,363.14 |
$3,363.14 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$2,242.10 |
$2,242.10 |
$2,242.10 |
$271.44
|
|
X-ray bone age studies
|
$1,730.69 |
$1,730.69 |
$1,730.69 |
$246.75
|
|
X-ray bone length studies
|
$2,234.53 |
$2,234.53 |
$2,234.53 |
$287.25
|
|
X-ray bone survey complete
|
$5,500.69 |
$5,500.69 |
$5,500.69 |
$666.60
|
|
X-ray bone survey infant
|
$2,745.94 |
$2,745.94 |
$2,745.94 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$2,598.56 |
$2,598.56 |
$2,598.56 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$4,048.37 |
$4,048.37 |
$4,048.37 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$2,598.56 |
$2,598.56 |
$2,598.56 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$5,078.72 |
$5,078.72 |
$5,078.72 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$7,220.05 |
$7,220.05 |
$7,220.05 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$4,967.88 |
$4,967.88 |
$4,967.88 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$4,176.85 |
$4,176.85 |
$4,176.85 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$4,176.85 |
$4,176.85 |
$4,176.85 |
$575.76
|
|
X-ray exam of eye sockets
|
$2,651.47 |
$2,651.47 |
$2,651.47 |
$349.05
|
|
X-ray exam of femur 1
|
$2,234.53 |
$2,234.53 |
$2,234.53 |
$232.36
|
|
X-ray exam of mastoids
|
$2,051.90 |
$2,051.90 |
$2,051.90 |
$191.91
|
|
X-ray exam of middle ear
|
$1,988.92 |
$1,988.92 |
$1,988.92 |
$341.25
|
|
X-ray facial bones complete > 3 views
|
$3,417.30 |
$3,417.30 |
$3,417.30 |
$366.60
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$2,786.25 |
$2,786.25 |
$2,786.25 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$2,786.25 |
$2,786.25 |
$2,786.25 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$3,358.11 |
$3,358.11 |
$3,358.11 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$2,786.25 |
$2,786.25 |
$2,786.25 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$2,462.53 |
$2,462.53 |
$2,462.53 |
$207.35
|
|
X-ray knee ap standing bilateral
|
$1,624.89 |
$1,624.89 |
$1,624.89 |
$276.25
|
|
X-ray lumbosacral spine >= 4 views
|
$4,176.85 |
$4,176.85 |
$4,176.85 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$5,205.95 |
$5,205.95 |
$5,205.95 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$3,812.82 |
$3,812.82 |
$3,812.82 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$1,815.09 |
$1,815.09 |
$1,815.09 |
$277.70
|
|
X-ray neck soft tissue
|
$1,719.36 |
$1,719.36 |
$1,719.36 |
$237.43
|
|
X-ray of mammary ducts
|
$5,954.14 |
$5,954.14 |
$5,954.14 |
$473.55
|
|
X-ray pelvis 1-2 views
|
$2,390.73 |
$2,390.73 |
$2,390.73 |
$270.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$5,467.95 |
$5,467.95 |
$5,467.95 |
$742.00
|
