|
Ultrasound joint complete left
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$556.14
|
|
Ultrasound joint/nonvascular extremity limited left
|
$307.00 |
$307.00 |
$307.00 |
$448.50
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$2,746.00 |
$2,746.00 |
$2,746.00 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$873.00 |
$873.00 |
$873.00 |
$450.75
|
|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$459.00
|
|
Ultrasound pregnant uterus transvaginal
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$2,215.00 |
$2,215.00 |
$2,215.00 |
$498.00
|
|
Ultrasound scrotum and contents
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$813.00 |
$813.00 |
$813.00 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$994.00 |
$994.00 |
$994.00 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$2,854.00 |
$2,854.00 |
$2,854.00 |
$567.44
|
|
Unlisted misc path test
|
$133.00 |
$133.00 |
$133.00 |
$89.40
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$7,673.00 |
$7,673.00 |
$7,673.00 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$7,214.00 |
$7,214.00 |
$7,214.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$2,013.08
|
|
Urea nitrogen 24 hour urine
|
$199.00 |
$199.00 |
$199.00 |
$50.00
|
|
Urethrcystgrphy rtrgrde s&i
|
$2,539.00 |
$2,539.00 |
$2,539.00 |
$574.40
|
|
Urethrocystography void s&i
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$634.50
|
|
Uric acid blood
|
$294.00 |
$294.00 |
$294.00 |
$46.64
|
|
Urinalysis (with microscopy)
|
$206.00 |
$206.00 |
$206.00 |
$48.14
|
|
Urine Culture Test
|
$397.00 |
$397.00 |
$397.00 |
$84.81
|
|
Urine pregnancy test
|
$215.00 |
$215.00 |
$215.00 |
$66.40
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$9,738.00 |
$9,738.00 |
$9,738.00 |
$5,521.54
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$45.33
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$986.90 |
$986.90 |
$986.90 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$258.00 |
$258.00 |
$258.00 |
$157.41
|
|
Vaccine influenza nos 0.5ml dose im
|
$178.00 |
$178.00 |
$178.00 |
$36.80
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$665.00 |
$665.00 |
$665.00 |
$426.80
|
|
Vaccine mmr live subcutaneous
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$224.04
|
|
Vaccine rabies im
|
$3,524.00 |
$3,524.00 |
$3,524.00 |
$945.46
|
|
Vaccine tdap >=7 years im
|
$409.00 |
$409.00 |
$409.00 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$161.00 |
$161.00 |
$161.00 |
$131.77
|
|
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr
|
$156.00 |
$156.00 |
$156.00 |
$22.29
|
|
Valproic acid total therapeutic drug level
|
$293.00 |
$293.00 |
$293.00 |
$115.00
|
|
Vedolizumab 300 mg intravenous solution
|
$34,895.00 |
$34,895.00 |
$34,895.00 |
$20,730.98
|
|
Vein x-ray kidney
|
$9,678.00 |
$9,678.00 |
$9,678.00 |
$2,716.20
|
|
Venogram ext bil s&i
|
$3,713.00 |
$3,713.00 |
$3,713.00 |
$1,838.28
|
|
Very long chain fatty acids
|
$697.00 |
$697.00 |
$697.00 |
$140.40
|
|
Vitamin b-12
|
$397.00 |
$397.00 |
$397.00 |
$94.90
|
|
Vitamin D Test
|
$513.00 |
$513.00 |
$513.00 |
$132.00
|
|
Volume measurement urine timed
|
$91.00 |
$91.00 |
$91.00 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$773.00 |
$773.00 |
$773.00 |
$215.60
|
|
Warde 1005020 citrate 24 hour urine
|
$717.00 |
$717.00 |
$717.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$259.00 |
$259.00 |
$259.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$948.00 |
$948.00 |
$948.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$482.00 |
$482.00 |
$482.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$261.00 |
$261.00 |
$261.00 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$642.00 |
$642.00 |
$642.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$54.00 |
$54.00 |
$54.00 |
$78.57
|
|
Warde acetylcholine receptor blocking antibody
|
$978.00 |
$978.00 |
$978.00 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$363.00 |
$363.00 |
$363.00 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$489.00 |
$489.00 |
$489.00 |
$129.75
|
|
Warde aldolase
|
$261.00 |
$261.00 |
$261.00 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$233.00 |
$233.00 |
$233.00 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$260.94
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$956.00 |
$956.00 |
$956.00 |
$381.50
|
|
Warde anti-mullerian hormone
|
$238.00 |
$238.00 |
$238.00 |
$93.28
|
|
Warde bile acids
|
$395.00 |
$395.00 |
$395.00 |
$64.28
|
|
Warde cadmium blood
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$77.00
|
|
Warde calcitonin
|
$602.00 |
$602.00 |
$602.00 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$540.00 |
$540.00 |
$540.00 |
$63.00
|
|
Warde complement total hemolytic
|
$343.00 |
$343.00 |
$343.00 |
$105.00
|
|
Warde cryoglobulin
|
$215.00 |
$215.00 |
$215.00 |
$43.45
|
|
Warde erythropoietin
|
$482.00 |
$482.00 |
$482.00 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$424.00 |
$424.00 |
$424.00 |
$48.57
|
|
Warde folic acid rbc
|
$397.00 |
$397.00 |
$397.00 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$280.00 |
$280.00 |
$280.00 |
$43.55
|
|
Warde gastrin
|
$343.00 |
$343.00 |
$343.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$383.00 |
$383.00 |
$383.00 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$361.00 |
$361.00 |
$361.00 |
$68.16
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$485.00 |
$485.00 |
$485.00 |
$68.64
|
|
Warde hepatitis a antibody
|
$215.00 |
$215.00 |
$215.00 |
$83.70
|
|
Warde hepatitis be antibody
|
$261.00 |
$261.00 |
$261.00 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$573.00 |
$573.00 |
$573.00 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$261.00 |
$261.00 |
$261.00 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$636.09
|
|
Warde lipoprotein (a)
|
$215.00 |
$215.00 |
$215.00 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$786.00 |
$786.00 |
$786.00 |
$97.00
|
|
Warde neutralization rabies
|
$554.00 |
$554.00 |
$554.00 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$473.00 |
$473.00 |
$473.00 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$94.25
|
|
Warde protein c antigen
|
$246.00 |
$246.00 |
$246.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$400.00 |
$400.00 |
$400.00 |
$86.59
|
|
Warde somatomedin
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$640.00 |
$640.00 |
$640.00 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$917.00 |
$917.00 |
$917.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$627.00 |
$627.00 |
$627.00 |
$71.19
|
|
Warde viscosity
|
$179.00 |
$179.00 |
$179.00 |
$52.65
|
|
Warde vitamin a
|
$259.00 |
$259.00 |
$259.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$642.00 |
$642.00 |
$642.00 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$423.00 |
$423.00 |
$423.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$146.00 |
$146.00 |
$146.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$667.00 |
$667.00 |
$667.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$334.00 |
$334.00 |
$334.00 |
$55.00
|
|
Warde zinc
|
$300.00 |
$300.00 |
$300.00 |
$62.50
|
|
Western blot test
|
$199.00 |
$199.00 |
$199.00 |
$153.18
|
|
X-ray abdomen 1 view
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$255.00
|
|
X-ray abdomen >=3 views
|
$2,579.00 |
$2,579.00 |
$2,579.00 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$418.63
|
