|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$18,940.82 |
$18,940.82 |
$18,940.82 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$14,350.23 |
$14,350.23 |
$14,350.23 |
$2,412.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$12,135.15 |
$12,135.15 |
$12,135.15 |
$2,034.41
|
|
Urea nitrogen 24 hour urine
|
$649.25 |
$649.25 |
$649.25 |
$52.00
|
|
Urea nitrogen clearance
|
$841.62 |
$841.62 |
$841.62 |
$47.73
|
|
Ureteral reflux study
|
$2,186.33 |
$2,186.33 |
$2,186.33 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$1,936.85 |
$1,936.85 |
$1,936.85 |
$584.00
|
|
Urethrocystography void s&i
|
$2,685.53 |
$2,685.53 |
$2,685.53 |
$622.35
|
|
Urography, antegrade
|
$1,743.59 |
$1,743.59 |
$1,743.59 |
$607.00
|
|
Vaccine dtap < 7 years im
|
$387.76 |
$387.76 |
$387.76 |
$73.01
|
|
Vaccine dtap-ipv/hib im
|
$579.15 |
$579.15 |
$579.15 |
$221.24
|
|
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im
|
$431.04 |
$431.04 |
$431.04 |
$70.26
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$844.33 |
$844.33 |
$844.33 |
$42.90
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$520.91 |
$520.91 |
$520.91 |
$154.78
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$219.56 |
$219.56 |
$219.56 |
$31.91
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$1,209.28 |
$1,209.28 |
$1,209.28 |
$400.03
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$930.54 |
$930.54 |
$930.54 |
$409.35
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$630.42 |
$630.42 |
$630.42 |
$310.93
|
|
Vaccine mmr live subcutaneous
|
$801.88 |
$801.88 |
$801.88 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$252.90
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,273.89 |
$1,273.89 |
$1,273.89 |
$385.45
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$2,666.68 |
$2,666.68 |
$2,666.68 |
$1,105.21
|
|
Vaccine tdap >=7 years im
|
$1,105.03 |
$1,105.03 |
$1,105.03 |
$136.80
|
|
Vaccine td preservative free >= 7 years im
|
$374.90 |
$374.90 |
$374.90 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$1,025.58 |
$1,025.58 |
$1,025.58 |
$396.97
|
|
Vancomycin peak therapeutic drug level
|
$1,183.07 |
$1,183.07 |
$1,183.07 |
$135.00
|
|
Varicella-zoster immue globin im
|
$14,030.94 |
$14,030.94 |
$14,030.94 |
$3,816.19
|
|
Varus/valgus strap padded/li
|
$699.00 |
$699.00 |
$699.00 |
$127.04
|
|
Vasopressin 20 unit/ml intravenous solution
|
$453.88 |
$453.88 |
$453.88 |
$342.98
|
|
Veeg cont 2-12 hrs
|
$2,452.63 |
$2,452.63 |
$2,452.63 |
$1,500.00
|
|
Veeg ea 12-26hr cont mntr
|
$4,625.03 |
$4,625.03 |
$4,625.03 |
$2,810.56
|
|
Veeg intrmnt 2-12 hrs
|
$1,329.70 |
$1,329.70 |
$1,329.70 |
$945.35
|
|
Veeg unmon 12-26 hrs
|
$2,452.63 |
$2,452.63 |
$2,452.63 |
$1,647.00
|
|
Veeg unmon 2-12 hrs
|
$1,329.70 |
$1,329.70 |
$1,329.70 |
$813.95
|
|
Vein x-ray kidney
|
$4,563.69 |
$4,563.69 |
$4,563.69 |
$2,750.25
|
|
Vein x-ray liver
|
$6,440.42 |
$6,440.42 |
$6,440.42 |
$3,158.72
|
|
Vein x-ray liver w/hemodynam
|
$6,440.42 |
$6,440.42 |
$6,440.42 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$6,440.42 |
$6,440.42 |
$6,440.42 |
$3,421.50
|
|
Vein x-ray liver without hemodyn
|
$3,153.64 |
$3,153.64 |
$3,153.64 |
$2,489.25
|
|
Vein x-ray skull epidural
|
$1,866.71 |
$1,866.71 |
$1,866.71 |
$1,612.50
|
|
Vein x-ray spleen/liver
|
$3,521.54 |
$3,521.54 |
$3,521.54 |
$3,476.40
|
|
Venogram ext bil s&i
|
$4,188.62 |
$4,188.62 |
$4,188.62 |
$1,794.54
|
|
Venous sampling s&i
|
$17,058.01 |
$17,058.01 |
$17,058.01 |
$4,414.56
|
|
Venous thrombosis imaging
|
$3,181.37 |
$3,181.37 |
$3,181.37 |
$697.20
|
|
Ven thrombosis images bilat
|
$3,181.37 |
$3,181.37 |
$3,181.37 |
$800.50
|
|
Ventilator each subsequent day
|
$11,708.09 |
$11,708.09 |
$11,708.09 |
$1,148.00
|
|
Ventilator initial day
|
$15,577.74 |
$15,577.74 |
$15,577.74 |
$1,433.60
|
|
Very long chain fatty acids
|
$959.40 |
$959.40 |
$959.40 |
$139.88
|
|
Vincristine 1 mg/ml intravenous solution
|
$309.50 |
$309.50 |
$309.50 |
$84.35
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$11,069.54 |
$11,069.54 |
$11,069.54 |
$223.55
|
|
Viper venom prothrombin time
|
$646.05 |
$646.05 |
$646.05 |
$85.80
|
|
Virus isolation addl studies ea
|
$87.34 |
$87.34 |
$87.34 |
$79.34
|
|
Vital capacity test
|
$1,359.58 |
$1,359.58 |
$1,359.58 |
$170.99
|
|
Vitamin b-12
|
$1,506.88 |
$1,506.88 |
$1,506.88 |
$100.00
|
|
Volume measurement urine timed
|
$99.39 |
$99.39 |
$99.39 |
$21.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$2,097.77 |
$2,097.77 |
$2,097.77 |
$165.81
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$795.12 |
$795.12 |
$795.12 |
$68.25
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$1,285.67 |
$1,285.67 |
$1,285.67 |
$115.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$1,051.62 |
$1,051.62 |
$1,051.62 |
$78.60
|
|
Warde 3004000 immunoglobulin subclass 1
|
$3,273.46 |
$3,273.46 |
$3,273.46 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$1,046.81 |
$1,046.81 |
$1,046.81 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$602.75 |
$602.75 |
$602.75 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$1,439.55 |
$1,439.55 |
$1,439.55 |
$72.15
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$77.75 |
$77.75 |
$77.75 |
$70.20
|
|
Warde 3400852 arsenic
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$101.00
|
|
Warde 3708165 mercury urine
|
$1,208.72 |
$1,208.72 |
$1,208.72 |
$72.00
|
|
Warde acetylcholine receptor blocking antibody
|
$85.84 |
$85.84 |
$85.84 |
$70.56
|
|
Warde actin (smooth muscle) antibody each
|
$63.21 |
$63.21 |
$63.21 |
$40.20
|
|
Warde adrenocorticotropic hormone (acth)
|
$2,141.70 |
$2,141.70 |
$2,141.70 |
$150.60
|
|
Warde aldolase
|
$620.39 |
$620.39 |
$620.39 |
$54.50
|
|
Warde amino acids 6 or more quantitative each specimen
|
$3,873.02 |
$3,873.02 |
$3,873.02 |
$196.50
|
|
Warde amiodarone therapeutic drug level
|
$1,506.88 |
$1,506.88 |
$1,506.88 |
$53.25
|
|
Warde analysis gene hfe common variants
|
$1,107.72 |
$1,107.72 |
$1,107.72 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$9,201.60 |
$9,201.60 |
$9,201.60 |
$363.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$1,413.92 |
$1,413.92 |
$1,413.92 |
$126.43
|
|
Warde bile acids
|
$859.24 |
$859.24 |
$859.24 |
$64.28
|
|
Warde cadmium blood
|
$581.91 |
$581.91 |
$581.91 |
$76.50
|
|
Warde calcitonin
|
$1,635.13 |
$1,635.13 |
$1,635.13 |
$101.40
|
|
Warde clozapine therapeutic drug level
|
$142.67 |
$142.67 |
$142.67 |
$66.43
|
|
Warde complement total hemolytic
|
$646.05 |
$646.05 |
$646.05 |
$105.78
|
|
Warde cryoglobulin
|
$428.01 |
$428.01 |
$428.01 |
$50.35
|
|
Warde erythropoietin
|
$432.81 |
$432.81 |
$432.81 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$66.29 |
$66.29 |
$66.29 |
$46.56
|
|
Warde folic acid rbc
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$1,506.88 |
$1,506.88 |
$1,506.88 |
$44.64
|
|
Warde gastrin
|
$1,413.92 |
$1,413.92 |
$1,413.92 |
$79.30
|
|
Warde growth hormone (hgh)
|
$795.12 |
$795.12 |
$795.12 |
$80.00
|
|
Warde haloperidol therapeutic drug level
|
$905.75 |
$905.75 |
$905.75 |
$70.85
|
|
Warde hepatitis a antibody
|
$774.29 |
$774.29 |
$774.29 |
$83.70
|
|
Warde hepatitis be antibody
|
$756.66 |
$756.66 |
$756.66 |
$58.00
|
|
Warde hepatitis delta agent antibody
|
$357.49 |
$357.49 |
$357.49 |
$97.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$649.25 |
$649.25 |
$649.25 |
$59.40
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,957.35 |
$1,957.35 |
$1,957.35 |
$636.09
|
|
Warde mitochondrial antibody each
|
$139.51 |
$139.51 |
$139.51 |
$59.28
|
|
Warde neutralization rabies
|
$473.67 |
$473.67 |
$473.67 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$400.76 |
$400.76 |
$400.76 |
$65.80
|
|
Warde protein c antigen
|
$957.02 |
$957.02 |
$957.02 |
$93.80
|
|
Warde sex hormone binding globulin
|
$330.25 |
$330.25 |
$330.25 |
$83.20
|
|
Warde somatomedin
|
$748.62 |
$748.62 |
$748.62 |
$114.08
|
|
Warde t3 (triiodothyronine) reverse
|
$1,955.75 |
$1,955.75 |
$1,955.75 |
$66.00
|
