|
Ultrasound prostate/transrectal
|
$3,326.70 |
$3,326.70 |
$3,326.70 |
$545.16
|
|
Unsched dialysis esrd pt hos
|
$9,502.42 |
$9,502.42 |
$9,502.42 |
$1,376.10
|
|
Upgrade pm system
|
$70,046.64 |
$70,046.64 |
$70,046.64 |
$12,324.60
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$18,152.95 |
$18,152.95 |
$18,152.95 |
$2,919.75
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$13,106.54 |
$13,106.54 |
$13,106.54 |
$2,350.95
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$13,106.54 |
$13,106.54 |
$13,106.54 |
$2,022.37
|
|
Urea nitrogen
|
$806.94 |
$806.94 |
$806.94 |
$45.10
|
|
Urea nitrogen 24 hour urine
|
$672.69 |
$672.69 |
$672.69 |
$49.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,690.68 |
$1,690.68 |
$1,690.68 |
$574.40
|
|
Urethrocystography void s&i
|
$4,657.67 |
$4,657.67 |
$4,657.67 |
$624.11
|
|
Urinalysis (with microscopy)
|
$518.85 |
$518.85 |
$518.85 |
$48.14
|
|
Urinalysis (without microscopy)
|
$309.07 |
$309.07 |
$309.07 |
$39.00
|
|
Urine Culture Test
|
$1,103.43 |
$1,103.43 |
$1,103.43 |
$84.81
|
|
Urine pregnancy test
|
$569.19 |
$569.19 |
$569.19 |
$66.40
|
|
Vaccine dtap < 7 years im
|
$93.44 |
$93.44 |
$93.44 |
$81.65
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$215.14 |
$215.14 |
$215.14 |
$42.90
|
|
Vaccine influenza nos 0.5ml dose im
|
$53.60 |
$53.60 |
$53.60 |
$39.70
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,103.04 |
$1,103.04 |
$1,103.04 |
$411.74
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$719.49 |
$719.49 |
$719.49 |
$271.97
|
|
Vaccine td preservative free >= 7 years im
|
$452.33 |
$452.33 |
$452.33 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$676.89 |
$676.89 |
$676.89 |
$115.00
|
|
Valvuloplasty aortic
|
$19,801.69 |
$19,801.69 |
$19,801.69 |
$7,020.01
|
|
Vancomycin hcl injection
|
$9.07 |
$9.07 |
$9.07 |
$83.79
|
|
Vancomycin peak therapeutic drug level
|
$948.19 |
$948.19 |
$948.19 |
$125.66
|
|
Varicella zoster antibody igg
|
$390.18 |
$390.18 |
$390.18 |
$86.45
|
|
Vasopressin 20 unit/ml intravenous solution
|
$16.00 |
$16.00 |
$16.00 |
$451.92
|
|
Vein x-ray kidney
|
$3,846.98 |
$3,846.98 |
$3,846.98 |
$2,633.40
|
|
Venogram ext bil s&i
|
$9,944.50 |
$9,944.50 |
$9,944.50 |
$1,761.90
|
|
Venogram extremity supervision & interpretation unilateral
|
$3,846.98 |
$3,846.98 |
$3,846.98 |
$1,290.00
|
|
Venous m-thrombectomy add-on
|
$16,746.00 |
$16,746.00 |
$16,746.00 |
$5,106.64
|
|
Ventilator each subsequent day
|
$14,044.45 |
$14,044.45 |
$14,044.45 |
$1,290.00
|
|
Ventilator initial day
|
$14,876.39 |
$14,876.39 |
$14,876.39 |
$1,478.40
|
|
Vitamin b-12
|
$1,563.54 |
$1,563.54 |
$1,563.54 |
$94.80
|
|
Vitamin D Test
|
$699.26 |
$699.26 |
$699.26 |
$132.00
|
|
Warde 1003990 aldosterone
|
$1,806.88 |
$1,806.88 |
$1,806.88 |
$144.73
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$981.76 |
$981.76 |
$981.76 |
$70.87
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$112.45
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,215.30 |
$1,215.30 |
$1,215.30 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$934.20 |
$934.20 |
$934.20 |
$42.88
|
|
Warde 3008005 oligoclonal bands
|
$942.60 |
$942.60 |
$942.60 |
$102.83
|
|
Warde 3016000 west nile virus antibody
|
$176.21 |
$176.21 |
$176.21 |
$70.00
|
|
Warde 3016000 west nile virus antibody igg
|
$176.21 |
$176.21 |
$176.21 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$1,339.77 |
$1,339.77 |
$1,339.77 |
$61.75
|
|
Warde 3400852 arsenic
|
$2,087.99 |
$2,087.99 |
$2,087.99 |
$107.20
|
|
Warde 3708165 mercury urine
|
$1,433.48 |
$1,433.48 |
$1,433.48 |
$72.80
|
|
Warde adrenocorticotropic hormone (acth)
|
$3,237.57 |
$3,237.57 |
$3,237.57 |
$127.80
|
|
Warde aldolase
|
$732.82 |
$732.82 |
$732.82 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$1,371.95 |
$1,371.95 |
$1,371.95 |
$53.95
|
|
Warde calcitonin
|
$1,433.48 |
$1,433.48 |
$1,433.48 |
$88.47
|
|
Warde complement total hemolytic
|
$999.94 |
$999.94 |
$999.94 |
$105.00
|
|
Warde copper
|
$946.79 |
$946.79 |
$946.79 |
$80.00
|
|
Warde cryoglobulin
|
$80.00 |
$80.00 |
$80.00 |
$43.45
|
|
Warde erythropoietin
|
$983.16 |
$983.16 |
$983.16 |
$90.30
|
|
Warde folic acid rbc
|
$1,166.37 |
$1,166.37 |
$1,166.37 |
$81.60
|
|
Warde gastrin
|
$1,268.45 |
$1,268.45 |
$1,268.45 |
$75.25
|
|
Warde growth hormone (hgh)
|
$942.60 |
$942.60 |
$942.60 |
$81.00
|
|
Warde helminth antibody strongyloides igg
|
$815.34 |
$815.34 |
$815.34 |
$98.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$1,110.42 |
$1,110.42 |
$1,110.42 |
$71.50
|
|
Warde hepatitis be antibody
|
$467.11 |
$467.11 |
$467.11 |
$48.57
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$444.72 |
$444.72 |
$444.72 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$2,715.92 |
$2,715.92 |
$2,715.92 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$902.05 |
$902.05 |
$902.05 |
$137.55
|
|
Warde mitochondrial antibody each
|
$980.36 |
$980.36 |
$980.36 |
$62.40
|
|
Warde protein c antigen
|
$763.58 |
$763.58 |
$763.58 |
$85.52
|
|
Warde thyroid stimulating immunoglobulins
|
$2,185.88 |
$2,185.88 |
$2,185.88 |
$173.50
|
|
Warde vitamin a
|
$1,243.27 |
$1,243.27 |
$1,243.27 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$1,371.95 |
$1,371.95 |
$1,371.95 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$1,771.91 |
$1,771.91 |
$1,771.91 |
$118.30
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,528.58 |
$1,528.58 |
$1,528.58 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$959.37 |
$959.37 |
$959.37 |
$55.00
|
|
Warde zinc
|
$791.55 |
$791.55 |
$791.55 |
$62.50
|
|
Wet mounts/ w preparations
|
$620.95 |
$620.95 |
$620.95 |
$19.54
|
|
Xe133 xenon 10mci
|
$435.25 |
$435.25 |
$435.25 |
$299.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$12,688.38 |
$12,688.38 |
$12,688.38 |
$2,234.27
|
|
X-ray abdomen >=3 views
|
$2,440.39 |
$2,440.39 |
$2,440.39 |
$331.54
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$4,286.27 |
$4,286.27 |
$4,286.27 |
$633.56
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$6,086.44 |
$6,086.44 |
$6,086.44 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$4,187.89 |
$4,187.89 |
$4,187.89 |
$484.80
|
|
X-ray exam of eye sockets
|
$1,743.12 |
$1,743.12 |
$1,743.12 |
$340.20
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$3,941.22 |
$3,941.22 |
$3,941.22 |
$557.70
|
|
X-ray surgical specimen
|
$849.50 |
$849.50 |
$849.50 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$3,968.94 |
$3,968.94 |
$3,968.94 |
$511.10
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$3,084.79 |
$3,084.79 |
$3,084.79 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$3,982.79 |
$3,982.79 |
$3,982.79 |
$555.04
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$223.52 |
$223.52 |
$223.52 |
$125.35
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$32.28 |
$32.28 |
$32.28 |
$297.32
|
