|
Trh stimulation panel
|
$2,460.80 |
$2,460.80 |
$2,460.80 |
$117.75
|
|
Triamcinolone a inj prs-free
|
$2,223.78 |
$2,223.78 |
$2,223.78 |
$260.98
|
|
Trichinella antibody
|
$688.86 |
$688.86 |
$688.86 |
$70.65
|
|
Tte w or without contr, cont ecg
|
$11,313.75 |
$11,313.75 |
$11,313.75 |
$1,966.90
|
|
Tube drain vert dev st 5-40f
|
$244.00 |
$244.00 |
$244.00 |
$27.60
|
|
Ua w/micro/comp poc
|
$362.06 |
$362.06 |
$362.06 |
$25.00
|
|
Ultrasound encephalogram
|
$1,702.17 |
$1,702.17 |
$1,702.17 |
$494.92
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$980.12 |
$980.12 |
$980.12 |
$469.50
|
|
Ultrasound ob >=14wks ea addl gest
|
$2,788.04 |
$2,788.04 |
$2,788.04 |
$397.15
|
|
Ultrasound prostate/transrectal
|
$1,013.96 |
$1,013.96 |
$1,013.96 |
$545.16
|
|
Unit mobile power mpu
|
$259,431.00 |
$259,431.00 |
$259,431.00 |
$14,359.52
|
|
Unlisted CT procedure
|
$781.83 |
$781.83 |
$781.83 |
$676.12
|
|
Unlisted neurological dx px
|
$531.64 |
$531.64 |
$531.64 |
$238.16
|
|
Unsched dialysis esrd pt hos
|
$5,300.54 |
$5,300.54 |
$5,300.54 |
$1,248.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$9,731.13 |
$9,731.13 |
$9,731.13 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$7,511.20 |
$7,511.20 |
$7,511.20 |
$2,412.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$7,497.19 |
$7,497.19 |
$7,497.19 |
$2,034.41
|
|
Urea nitrogen 24 hour urine
|
$452.59 |
$452.59 |
$452.59 |
$52.00
|
|
Urea nitrogen clearance
|
$530.82 |
$530.82 |
$530.82 |
$47.73
|
|
Ureteral reflux study
|
$1,242.18 |
$1,242.18 |
$1,242.18 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,431.84 |
$1,431.84 |
$1,431.84 |
$584.00
|
|
Urethrocystography void s&i
|
$1,301.67 |
$1,301.67 |
$1,301.67 |
$622.35
|
|
Urine ost pouch w faucet/tap
|
$47.00 |
$47.00 |
$47.00 |
$2.00
|
|
Urine screen for bacteria
|
$110.45 |
$110.45 |
$110.45 |
$55.64
|
|
Urography inf drip &/or bolus
|
$1,750.34 |
$1,750.34 |
$1,750.34 |
$690.85
|
|
Vaccine dtap < 7 years im
|
$127.08 |
$127.08 |
$127.08 |
$73.01
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$404.44 |
$404.44 |
$404.44 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$427.33 |
$427.33 |
$427.33 |
$42.90
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$889.77 |
$889.77 |
$889.77 |
$154.78
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$81.23 |
$81.23 |
$81.23 |
$31.91
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,152.20 |
$1,152.20 |
$1,152.20 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$846.01 |
$846.01 |
$846.01 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$533.79 |
$533.79 |
$533.79 |
$310.93
|
|
Vaccine mmr live subcutaneous
|
$437.57 |
$437.57 |
$437.57 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$941.22 |
$941.22 |
$941.22 |
$252.90
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$2,000.58 |
$2,000.58 |
$2,000.58 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,095.33 |
$1,095.33 |
$1,095.33 |
$385.45
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,287.45 |
$1,287.45 |
$1,287.45 |
$563.36
|
|
Vaccine rabies im
|
$2,339.45 |
$2,339.45 |
$2,339.45 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$825.18 |
$825.18 |
$825.18 |
$136.80
|
|
Vaccine td preservative free >= 7 years im
|
$348.05 |
$348.05 |
$348.05 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$848.68 |
$848.68 |
$848.68 |
$396.97
|
|
Vad univ batt charger hm 1440
|
$233,488.00 |
$233,488.00 |
$233,488.00 |
$14,893.34
|
|
Vancomycin peak therapeutic drug level
|
$859.13 |
$859.13 |
$859.13 |
$135.00
|
|
Varus/valgus strap padded/li
|
$398.00 |
$398.00 |
$398.00 |
$127.04
|
|
Vasopressin 20 unit/ml intravenous solution
|
$263.50 |
$263.50 |
$263.50 |
$342.98
|
|
Vedolizumab 300 mg intravenous solution
|
$44,494.72 |
$44,494.72 |
$44,494.72 |
$18,732.33
|
|
Vein x-ray adrenal gland
|
$4,832.81 |
$4,832.81 |
$4,832.81 |
$2,833.34
|
|
Vein x-ray eye socket
|
$2,903.85 |
$2,903.85 |
$2,903.85 |
$1,438.32
|
|
Vein x-ray liver w/hemodynam
|
$4,137.67 |
$4,137.67 |
$4,137.67 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$4,827.27 |
$4,827.27 |
$4,827.27 |
$3,421.50
|
|
Vein x-ray liver without hemodyn
|
$3,065.86 |
$3,065.86 |
$3,065.86 |
$2,489.25
|
|
Vein x-ray skull
|
$1,905.42 |
$1,905.42 |
$1,905.42 |
$2,342.60
|
|
Vein x-ray skull epidural
|
$1,905.42 |
$1,905.42 |
$1,905.42 |
$1,612.50
|
|
Venous thrombosis imaging
|
$1,919.85 |
$1,919.85 |
$1,919.85 |
$697.20
|
|
Ven thrombosis images bilat
|
$2,927.72 |
$2,927.72 |
$2,927.72 |
$800.50
|
|
Ventilator each subsequent day
|
$4,707.92 |
$4,707.92 |
$4,707.92 |
$1,148.00
|
|
Ventilator initial day
|
$5,000.08 |
$5,000.08 |
$5,000.08 |
$1,433.60
|
|
Vinblastine 1 mg/ml intravenous solution
|
$23.19 |
$23.19 |
$23.19 |
$152.05
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$1,740.12 |
$1,740.12 |
$1,740.12 |
$223.55
|
|
Viper venom prothrombin time
|
$911.29 |
$911.29 |
$911.29 |
$85.80
|
|
Virus isolation addl studies ea
|
$883.69 |
$883.69 |
$883.69 |
$79.34
|
|
Vital capacity test
|
$513.22 |
$513.22 |
$513.22 |
$170.99
|
|
Vitamin b-12
|
$650.46 |
$650.46 |
$650.46 |
$100.00
|
|
Vitamin D Test
|
$1,776.56 |
$1,776.56 |
$1,776.56 |
$132.00
|
|
Volume measurement urine timed
|
$84.39 |
$84.39 |
$84.39 |
$21.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$2,165.27 |
$2,165.27 |
$2,165.27 |
$165.81
|
|
Warde 1005020 citrate 24 hour urine
|
$1,566.38 |
$1,566.38 |
$1,566.38 |
$94.90
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$452.59 |
$452.59 |
$452.59 |
$68.25
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$756.34 |
$756.34 |
$756.34 |
$78.60
|
|
Warde 3004000 immunoglobulin subclass 1
|
$457.17 |
$457.17 |
$457.17 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$1,162.90 |
$1,162.90 |
$1,162.90 |
$103.95
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$133.47 |
$133.47 |
$133.47 |
$70.20
|
|
Warde 3400852 arsenic
|
$1,047.84 |
$1,047.84 |
$1,047.84 |
$101.00
|
|
Warde 3708165 mercury urine
|
$1,721.32 |
$1,721.32 |
$1,721.32 |
$72.00
|
|
Warde actin (smooth muscle) antibody each
|
$1,035.56 |
$1,035.56 |
$1,035.56 |
$40.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,560.26 |
$1,560.26 |
$1,560.26 |
$150.60
|
|
Warde aldolase
|
$515.48 |
$515.48 |
$515.48 |
$54.50
|
|
Warde amiodarone therapeutic drug level
|
$1,196.65 |
$1,196.65 |
$1,196.65 |
$53.25
|
|
Warde analysis gene hfe common variants
|
$156.49 |
$156.49 |
$156.49 |
$267.28
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$230.13 |
$230.13 |
$230.13 |
$126.43
|
|
Warde calcitonin
|
$1,794.97 |
$1,794.97 |
$1,794.97 |
$101.40
|
|
Warde calculus (stone) infrared
|
$35.92 |
$35.92 |
$35.92 |
$59.52
|
|
Warde complement total hemolytic
|
$1,408.34 |
$1,408.34 |
$1,408.34 |
$105.78
|
|
Warde cryoglobulin
|
$1,121.48 |
$1,121.48 |
$1,121.48 |
$50.35
|
|
Warde erythropoietin
|
$1,270.29 |
$1,270.29 |
$1,270.29 |
$90.36
|
|
Warde estrogen fractionated
|
$1,172.09 |
$1,172.09 |
$1,172.09 |
$99.99
|
|
Warde fluorescent antibody screen endomysial iga
|
$391.23 |
$391.23 |
$391.23 |
$46.56
|
|
Warde folic acid rbc
|
$828.45 |
$828.45 |
$828.45 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$44.64
|
|
Warde gastrin
|
$739.47 |
$739.47 |
$739.47 |
$79.30
|
|
Warde growth hormone (hgh)
|
$854.53 |
$854.53 |
$854.53 |
$80.00
|
|
Warde haloperidol therapeutic drug level
|
$705.70 |
$705.70 |
$705.70 |
$70.85
|
|
Warde hepatitis a antibody
|
$587.59 |
$587.59 |
$587.59 |
$83.70
|
|
Warde hepatitis be antibody
|
$556.91 |
$556.91 |
$556.91 |
$58.00
|
|
Warde hepatitis delta agent antibody
|
$843.79 |
$843.79 |
$843.79 |
$97.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$556.91 |
$556.91 |
$556.91 |
$59.40
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$2,598.86 |
$2,598.86 |
$2,598.86 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$85.92 |
$85.92 |
$85.92 |
$137.55
|
|
Warde oxcarbazepine therapeutic drug level
|
$619.79 |
$619.79 |
$619.79 |
$65.80
|