|
Ultrasound pregnant uterus transvaginal
|
$3,434.74 |
$3,434.74 |
$3,434.74 |
$488.40
|
|
Ultrasound scrotum and contents
|
$3,051.85 |
$3,051.85 |
$3,051.85 |
$612.55
|
|
Ultrasound transvaginal non obstetric
|
$3,434.74 |
$3,434.74 |
$3,434.74 |
$558.35
|
|
Unlisted mr procedure
|
$7,572.45 |
$7,572.45 |
$7,572.45 |
$1,163.00
|
|
Unsched dialysis esrd pt hos
|
$7,988.79 |
$7,988.79 |
$7,988.79 |
$1,266.30
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$10,545.72 |
$10,545.72 |
$10,545.72 |
$2,984.45
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$9,296.97 |
$9,296.97 |
$9,296.97 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$8,712.62 |
$8,712.62 |
$8,712.62 |
$2,034.41
|
|
Urea nitrogen
|
$341.22 |
$341.22 |
$341.22 |
$40.80
|
|
Urea nitrogen 24 hour urine
|
$523.48 |
$523.48 |
$523.48 |
$51.84
|
|
Urea nitrogen clearance
|
$638.11 |
$638.11 |
$638.11 |
$45.12
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,257.45 |
$2,257.45 |
$2,257.45 |
$584.00
|
|
Urethrocystography void s&i
|
$2,546.06 |
$2,546.06 |
$2,546.06 |
$634.50
|
|
Uric acid blood
|
$551.38 |
$551.38 |
$551.38 |
$49.32
|
|
Urinalysis (with microscopy)
|
$485.64 |
$485.64 |
$485.64 |
$55.20
|
|
Urine Culture Test
|
$889.15 |
$889.15 |
$889.15 |
$80.60
|
|
Urine pregnancy test
|
$631.61 |
$631.61 |
$631.61 |
$66.87
|
|
Urography, antegrade
|
$3,861.96 |
$3,861.96 |
$3,861.96 |
$622.35
|
|
Vaccine dtap < 7 years im
|
$117.63 |
$117.63 |
$117.63 |
$69.46
|
|
Vaccine dtap-hep b-ipv im
|
$2,119.92 |
$2,119.92 |
$2,119.92 |
$164.63
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$710.64 |
$710.64 |
$710.64 |
$42.90
|
|
Vaccine hepatitis a (hepa) adult im
|
$1,672.78 |
$1,672.78 |
$1,672.78 |
$168.95
|
|
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im
|
$123.35 |
$123.35 |
$123.35 |
$35.04
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$854.36 |
$854.36 |
$854.36 |
$407.20
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$1,203.16 |
$1,203.16 |
$1,203.16 |
$337.91
|
|
Vaccine mmr live subcutaneous
|
$1,276.73 |
$1,276.73 |
$1,276.73 |
$213.00
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$1,011.03 |
$1,011.03 |
$1,011.03 |
$252.87
|
|
Vaccine pneumococcal conjugate 13 valent (pcv13) im
|
$1,572.79 |
$1,572.79 |
$1,572.79 |
$397.11
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$1,279.26 |
$1,279.26 |
$1,279.26 |
$414.46
|
|
Vaccine tdap >=7 years im
|
$986.04 |
$986.04 |
$986.04 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$361.42 |
$361.42 |
$361.42 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$2,895.59 |
$2,895.59 |
$2,895.59 |
$386.44
|
|
Valproic acid total therapeutic drug level
|
$1,114.22 |
$1,114.22 |
$1,114.22 |
$114.48
|
|
Vancomycin hcl injection
|
$146.91 |
$146.91 |
$146.91 |
$154.40
|
|
Varus/valgus strap padded/li
|
$699.00 |
$699.00 |
$699.00 |
$115.53
|
|
Vasopressin 20 unit/ml intravenous solution
|
$1,472.81 |
$1,472.81 |
$1,472.81 |
$325.80
|
|
Ven thrombosis images bilat
|
$5,557.89 |
$5,557.89 |
$5,557.89 |
$800.50
|
|
Ventilator each subsequent day
|
$4,359.44 |
$4,359.44 |
$4,359.44 |
$1,184.00
|
|
Ventilator initial day
|
$1,886.39 |
$1,886.39 |
$1,886.39 |
$1,416.96
|
|
Very long chain fatty acids
|
$319.44 |
$319.44 |
$319.44 |
$139.88
|
|
Vital capacity test
|
$850.00 |
$850.00 |
$850.00 |
$170.00
|
|
Vitamin b-12
|
$697.34 |
$697.34 |
$697.34 |
$100.00
|
|
Volume measurement urine timed
|
$139.46 |
$139.46 |
$139.46 |
$21.00
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$1,871.35 |
$1,871.35 |
$1,871.35 |
$165.81
|
|
Warde 1003990 aldosterone
|
$1,351.88 |
$1,351.88 |
$1,351.88 |
$144.67
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$808.91 |
$808.91 |
$808.91 |
$65.40
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$853.23 |
$853.23 |
$853.23 |
$70.85
|
|
Warde 3004000 immunoglobulin subclass 1
|
$793.99 |
$793.99 |
$793.99 |
$39.56
|
|
Warde 3008005 oligoclonal bands
|
$869.66 |
$869.66 |
$869.66 |
$103.95
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$630.10 |
$630.10 |
$630.10 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$185.33 |
$185.33 |
$185.33 |
$70.70
|
|
Warde actin (smooth muscle) antibody each
|
$879.60 |
$879.60 |
$879.60 |
$43.32
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,417.60 |
$1,417.60 |
$1,417.60 |
$149.20
|
|
Warde aldolase
|
$564.36 |
$564.36 |
$564.36 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$2,074.05 |
$2,074.05 |
$2,074.05 |
$192.40
|
|
Warde amiodarone therapeutic drug level
|
$849.80 |
$849.80 |
$849.80 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$1,284.63 |
$1,284.63 |
$1,284.63 |
$266.00
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$2,946.77 |
$2,946.77 |
$2,946.77 |
$363.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$802.42 |
$802.42 |
$802.42 |
$126.43
|
|
Warde bile acids
|
$1,406.14 |
$1,406.14 |
$1,406.14 |
$63.05
|
|
Warde cadmium blood
|
$720.27 |
$720.27 |
$720.27 |
$76.50
|
|
Warde calcitonin
|
$1,542.17 |
$1,542.17 |
$1,542.17 |
$96.97
|
|
Warde calculus (stone) infrared
|
$38.22 |
$38.22 |
$38.22 |
$58.00
|
|
Warde complement total hemolytic
|
$769.55 |
$769.55 |
$769.55 |
$104.82
|
|
Warde cryoglobulin
|
$410.38 |
$410.38 |
$410.38 |
$51.00
|
|
Warde erythropoietin
|
$917.05 |
$917.05 |
$917.05 |
$90.36
|
|
Warde fluorescent antibody screen endomysial iga
|
$821.90 |
$821.90 |
$821.90 |
$43.20
|
|
Warde folic acid rbc
|
$651.49 |
$651.49 |
$651.49 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$771.09 |
$771.09 |
$771.09 |
$43.55
|
|
Warde gastrin
|
$1,156.63 |
$1,156.63 |
$1,156.63 |
$75.25
|
|
Warde growth hormone (hgh)
|
$190.29 |
$190.29 |
$190.29 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$838.34 |
$838.34 |
$838.34 |
$66.43
|
|
Warde hepatitis a antibody
|
$687.40 |
$687.40 |
$687.40 |
$83.40
|
|
Warde hepatitis be antibody
|
$566.28 |
$566.28 |
$566.28 |
$52.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$569.32 |
$569.32 |
$569.32 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$2,919.25 |
$2,919.25 |
$2,919.25 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$864.70 |
$864.70 |
$864.70 |
$137.55
|
|
Warde lipoprotein (a)
|
$436.36 |
$436.36 |
$436.36 |
$66.31
|
|
Warde lipoprotein-associated phospholipase a2
|
$416.88 |
$416.88 |
$416.88 |
$97.00
|
|
Warde mitochondrial antibody each
|
$877.69 |
$877.69 |
$877.69 |
$59.28
|
|
Warde oxcarbazepine therapeutic drug level
|
$370.64 |
$370.64 |
$370.64 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$1,710.29 |
$1,710.29 |
$1,710.29 |
$92.50
|
|
Warde protein c antigen
|
$1,004.16 |
$1,004.16 |
$1,004.16 |
$92.40
|
|
Warde sex hormone binding globulin
|
$533.41 |
$533.41 |
$533.41 |
$83.85
|
|
Warde somatomedin
|
$1,399.64 |
$1,399.64 |
$1,399.64 |
$117.60
|
|
Warde t3 (triiodothyronine) reverse
|
$1,207.83 |
$1,207.83 |
$1,207.83 |
$68.00
|
|
Warde thyroid stimulating immunoglobulins
|
$1,685.84 |
$1,685.84 |
$1,685.84 |
$176.70
|
|
Warde topiramate therapeutic drug level
|
$845.21 |
$845.21 |
$845.21 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$1,010.66 |
$1,010.66 |
$1,010.66 |
$123.51
|
|
Warde vitamin a
|
$1,004.16 |
$1,004.16 |
$1,004.16 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$1,099.30 |
$1,099.30 |
$1,099.30 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$1,685.84 |
$1,685.84 |
$1,685.84 |
$114.48
|
|
Warde vitamin c (ascorbic acid)
|
$972.82 |
$972.82 |
$972.82 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$1,371.73 |
$1,371.73 |
$1,371.73 |
$139.80
|
|
Warde vitamin e (alpha-tocopherol)
|
$653.00 |
$653.00 |
$653.00 |
$56.95
|
|
Whole blood for transfusion
|
$3,067.90 |
$3,067.90 |
$3,067.90 |
$487.92
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$3,700.94 |
$3,700.94 |
$3,700.94 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$3,822.16 |
$3,822.16 |
$3,822.16 |
$495.00
|
|
Wound pouch each
|
$57.00 |
$57.00 |
$57.00 |
$48.31
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$796.69 |
$796.69 |
$796.69 |
$574.80
|