|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,534.40 |
$2,534.40 |
$2,534.40 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,159.55 |
$2,159.55 |
$2,159.55 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$1,499.70 |
$1,499.70 |
$1,499.70 |
$2,013.08
|
|
Upper Endoscopy (EGD, diagnostic)
|
$633.60 |
$633.60 |
$633.60 |
$1,588.59
|
|
Urea nitrogen
|
$31.37 |
$31.37 |
$31.37 |
$45.10
|
|
Urea nitrogen clearance
|
$28.50 |
$28.50 |
$28.50 |
$33.57
|
|
Ureteral reflux study
|
$174.45 |
$174.45 |
$174.45 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$157.59 |
$157.59 |
$157.59 |
$574.40
|
|
Urethrocystography void s&i
|
$198.45 |
$198.45 |
$198.45 |
$634.50
|
|
Uric acid blood
|
$42.39 |
$42.39 |
$42.39 |
$46.64
|
|
Uric acid urine
|
$41.85 |
$41.85 |
$41.85 |
$46.75
|
|
Urinalysis microscopic only
|
$14.10 |
$14.10 |
$14.10 |
$26.35
|
|
Urinalysis (with microscopy)
|
$57.75 |
$57.75 |
$57.75 |
$48.14
|
|
Urinalysis (without microscopy)
|
$25.13 |
$25.13 |
$25.13 |
$38.99
|
|
Urine Culture Test
|
$55.80 |
$55.80 |
$55.80 |
$84.81
|
|
Urine pregnancy test
|
$79.05 |
$79.05 |
$79.05 |
$66.40
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$247.46 |
$247.46 |
$247.46 |
$6,892.54
|
|
Vaccine dtap < 7 years im
|
$191.92 |
$191.92 |
$191.92 |
$87.80
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$392.80 |
$392.80 |
$392.80 |
$79.04
|
|
Vaccine influenza inactivated adjuvant im
|
$47.66 |
$47.66 |
$47.66 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$47.66 |
$47.66 |
$47.66 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im
|
$5.85 |
$5.85 |
$5.85 |
$104.63
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$136.04 |
$136.04 |
$136.04 |
$40.01
|
|
Vaccine mmr live subcutaneous
|
$200.11 |
$200.11 |
$200.11 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$440.51 |
$440.51 |
$440.51 |
$274.95
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,570.75 |
$1,570.75 |
$1,570.75 |
$397.18
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$1,761.83 |
$1,761.83 |
$1,761.83 |
$715.41
|
|
Vaccine rabies im
|
$1,294.44 |
$1,294.44 |
$1,294.44 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$326.34 |
$326.34 |
$326.34 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$255.77 |
$255.77 |
$255.77 |
$131.77
|
|
Vaccine varicella live subcutaneous
|
$446.12 |
$446.12 |
$446.12 |
$447.80
|
|
Valproic acid total therapeutic drug level
|
$107.85 |
$107.85 |
$107.85 |
$115.00
|
|
Valvuloplasty aortic
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$7,324.85
|
|
Vancomycin 1,000 mg intravenous injection
|
$308.64 |
$308.64 |
$308.64 |
$204.01
|
|
Vancomycin 750 mg intravenous solution
|
$148.54 |
$148.54 |
$148.54 |
$129.78
|
|
Vancomycin hcl injection
|
$26.03 |
$26.03 |
$26.03 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$58.35 |
$58.35 |
$58.35 |
$126.79
|
|
Varicella zoster antibody igg
|
$23.55 |
$23.55 |
$23.55 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$736.96 |
$736.96 |
$736.96 |
$394.13
|
|
Vedolizumab 300 mg intravenous solution
|
$1,624.14 |
$1,624.14 |
$1,624.14 |
$23,003.79
|
|
Veeg unmon 12-26 hrs
|
$217.35 |
$217.35 |
$217.35 |
$1,411.20
|
|
Veeg unmon 2-12 hrs
|
$126.45 |
$126.45 |
$126.45 |
$704.79
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$22.50 |
$22.50 |
$22.50 |
$188.65
|
|
Venogram ext bil s&i
|
$411.00 |
$411.00 |
$411.00 |
$1,838.28
|
|
Venogram extremity supervision & interpretation unilateral
|
$433.65 |
$433.65 |
$433.65 |
$1,326.00
|
|
Venous mech thrombectomy
|
$1,141.05 |
$1,141.05 |
$1,141.05 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$1,141.05 |
$1,141.05 |
$1,141.05 |
$5,352.00
|
|
Ventilator each subsequent day
|
$487.46 |
$487.46 |
$487.46 |
$1,305.92
|
|
Ventilator initial day
|
$619.20 |
$619.20 |
$619.20 |
$1,540.80
|
|
Version cephalic external
|
$1,148.85 |
$1,148.85 |
$1,148.85 |
$2,598.57
|
|
Vinblastine 1 mg/ml intravenous solution
|
$11.50 |
$11.50 |
$11.50 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$1,250.26 |
$1,250.26 |
$1,250.26 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$345.69 |
$345.69 |
$345.69 |
$245.36
|
|
Virus isolation addl studies ea
|
$16.05 |
$16.05 |
$16.05 |
$90.35
|
|
Vital capacity test
|
$37.35 |
$37.35 |
$37.35 |
$173.33
|
|
Vitamin b-12
|
$33.30 |
$33.30 |
$33.30 |
$94.90
|
|
Vitamin D Test
|
$63.45 |
$63.45 |
$63.45 |
$132.00
|
|
Volume measurement urine timed
|
$7.20 |
$7.20 |
$7.20 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$517.76 |
$517.76 |
$517.76 |
$224.40
|
|
Warde 1003990 aldosterone
|
$84.30 |
$84.30 |
$84.30 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$27.54 |
$27.54 |
$27.54 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$55.80 |
$55.80 |
$55.80 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$52.20 |
$52.20 |
$52.20 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$58.05 |
$58.05 |
$58.05 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$22.20 |
$22.20 |
$22.20 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$34.02 |
$34.02 |
$34.02 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$79.65 |
$79.65 |
$79.65 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$44.37 |
$44.37 |
$44.37 |
$68.80
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$23.63 |
$23.63 |
$23.63 |
$55.25
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$52.05 |
$52.05 |
$52.05 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$12.66 |
$12.66 |
$12.66 |
$78.57
|
|
Warde 3400852 arsenic
|
$26.93 |
$26.93 |
$26.93 |
$105.12
|
|
Warde 3708165 mercury urine
|
$48.66 |
$48.66 |
$48.66 |
$72.80
|
|
Warde actin (smooth muscle) antibody each
|
$49.35 |
$49.35 |
$49.35 |
$45.58
|
|
Warde adenosine deaminase pleural fluid
|
$75.00 |
$75.00 |
$75.00 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$105.00 |
$105.00 |
$105.00 |
$129.75
|
|
Warde aldolase
|
$53.25 |
$53.25 |
$53.25 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$23.85 |
$23.85 |
$23.85 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$53.25 |
$53.25 |
$53.25 |
$53.95
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$72.15 |
$72.15 |
$72.15 |
$142.65
|
|
Warde apolipoprotein b
|
$40.95 |
$40.95 |
$40.95 |
$64.28
|
|
Warde bile acids
|
$79.25 |
$79.25 |
$79.25 |
$64.28
|
|
Warde cadmium blood
|
$21.60 |
$21.60 |
$21.60 |
$77.00
|
|
Warde calcitonin
|
$72.06 |
$72.06 |
$72.06 |
$89.40
|
|
Warde calculus (stone) infrared
|
$28.65 |
$28.65 |
$28.65 |
$61.73
|
|
Warde cobalt heavy metal quantitative each nes
|
$45.30 |
$45.30 |
$45.30 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$100.20 |
$100.20 |
$100.20 |
$90.40
|
|
Warde complement total hemolytic
|
$78.19 |
$78.19 |
$78.19 |
$105.00
|
|
Warde copper
|
$41.34 |
$41.34 |
$41.34 |
$80.00
|
|
Warde cryoglobulin
|
$40.39 |
$40.39 |
$40.39 |
$43.45
|
|
Warde erythropoietin
|
$66.10 |
$66.10 |
$66.10 |
$90.35
|
|
Warde folic acid rbc
|
$6.00 |
$6.00 |
$6.00 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$38.85 |
$38.85 |
$38.85 |
$43.55
|
|
Warde gastrin
|
$43.61 |
$43.61 |
$43.61 |
$75.25
|
|
Warde growth hormone (hgh)
|
$70.69 |
$70.69 |
$70.69 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$12.15 |
$12.15 |
$12.15 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$59.25 |
$59.25 |
$59.25 |
$96.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$48.00 |
$48.00 |
$48.00 |
$68.64
|
|
Warde hepatitis a antibody
|
$38.40 |
$38.40 |
$38.40 |
$83.70
|
|
Warde hepatitis be antibody
|
$32.47 |
$32.47 |
$32.47 |
$50.00
|
