|
Urine pregnancy test
|
$364.40 |
$364.40 |
$364.40 |
$66.40
|
|
Vaccine dtap < 7 years im
|
$417.07 |
$417.07 |
$417.07 |
$87.80
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$286.74 |
$286.74 |
$286.74 |
$84.38
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$210.50 |
$210.50 |
$210.50 |
$48.29
|
|
Vaccine mmr live subcutaneous
|
$843.43 |
$843.43 |
$843.43 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$652.49 |
$652.49 |
$652.49 |
$274.95
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$972.49 |
$972.49 |
$972.49 |
$385.45
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$1,964.22 |
$1,964.22 |
$1,964.22 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$976.53 |
$976.53 |
$976.53 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$374.08 |
$374.08 |
$374.08 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$775.96 |
$775.96 |
$775.96 |
$115.00
|
|
Vancomycin 750 mg intravenous solution
|
$132.65 |
$132.65 |
$132.65 |
$100.15
|
|
Vasopressin 20 unit/ml intravenous solution
|
$333.19 |
$333.19 |
$333.19 |
$362.93
|
|
Vein x-ray liver w/hemodynam
|
$8,675.81 |
$8,675.81 |
$8,675.81 |
$3,439.84
|
|
Ventilator each subsequent day
|
$1,226.06 |
$1,226.06 |
$1,226.06 |
$1,305.92
|
|
Ventilator initial day
|
$1,722.86 |
$1,722.86 |
$1,722.86 |
$1,540.80
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$1,326.11 |
$1,326.11 |
$1,326.11 |
$226.75
|
|
Vital capacity test
|
$43.09 |
$43.09 |
$43.09 |
$173.33
|
|
Vitamin b-12
|
$717.22 |
$717.22 |
$717.22 |
$94.90
|
|
Vitamin D Test
|
$331.12 |
$331.12 |
$331.12 |
$132.00
|
|
Volume measurement urine timed
|
$66.60 |
$66.60 |
$66.60 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$560.46 |
$560.46 |
$560.46 |
$215.60
|
|
Warde 1003990 aldosterone
|
$651.38 |
$651.38 |
$651.38 |
$145.60
|
|
Warde 3008005 oligoclonal bands
|
$975.37 |
$975.37 |
$975.37 |
$102.60
|
|
Warde 3016000 west nile virus antibody
|
$491.25 |
$491.25 |
$491.25 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$491.25 |
$491.25 |
$491.25 |
$69.00
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$563.44 |
$563.44 |
$563.44 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$182.58 |
$182.58 |
$182.58 |
$78.57
|
|
Warde 3400852 arsenic
|
$233.46 |
$233.46 |
$233.46 |
$105.12
|
|
Warde 3708165 mercury urine
|
$631.16 |
$631.16 |
$631.16 |
$72.80
|
|
Warde acetylcholine receptor blocking antibody
|
$139.18 |
$139.18 |
$139.18 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$603.09 |
$603.09 |
$603.09 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$1,526.99 |
$1,526.99 |
$1,526.99 |
$129.75
|
|
Warde aldolase
|
$491.98 |
$491.98 |
$491.98 |
$49.20
|
|
Warde anti-mullerian hormone
|
$670.08 |
$670.08 |
$670.08 |
$93.28
|
|
Warde apolipoprotein b
|
$397.00 |
$397.00 |
$397.00 |
$64.28
|
|
Warde bile acids
|
$272.75 |
$272.75 |
$272.75 |
$64.28
|
|
Warde calculus (stone) infrared
|
$588.54 |
$588.54 |
$588.54 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$214.00 |
$214.00 |
$214.00 |
$63.00
|
|
Warde copper
|
$470.30 |
$470.30 |
$470.30 |
$80.00
|
|
Warde fluorescent antibody screen endomysial iga
|
$502.84 |
$502.84 |
$502.84 |
$48.57
|
|
Warde folic acid rbc
|
$757.25 |
$757.25 |
$757.25 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$291.83 |
$291.83 |
$291.83 |
$43.55
|
|
Warde gastrin
|
$810.01 |
$810.01 |
$810.01 |
$75.25
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$855.65 |
$855.65 |
$855.65 |
$68.64
|
|
Warde hepatitis a antibody
|
$616.01 |
$616.01 |
$616.01 |
$83.70
|
|
Warde hepatitis be antibody
|
$408.00 |
$408.00 |
$408.00 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$54.00 |
$54.00 |
$54.00 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$558.21 |
$558.21 |
$558.21 |
$48.75
|
|
Warde lipoprotein (a)
|
$355.43 |
$355.43 |
$355.43 |
$69.96
|
|
Warde oxcarbazepine therapeutic drug level
|
$111.87 |
$111.87 |
$111.87 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$94.25
|
|
Warde sex hormone binding globulin
|
$621.89 |
$621.89 |
$621.89 |
$86.59
|
|
Warde somatomedin
|
$868.37 |
$868.37 |
$868.37 |
$111.80
|
|
Warde thyroid stimulating immunoglobulins
|
$138.24 |
$138.24 |
$138.24 |
$173.50
|
|
Warde vitamin a
|
$630.72 |
$630.72 |
$630.72 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$890.08 |
$890.08 |
$890.08 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$1,074.15 |
$1,074.15 |
$1,074.15 |
$116.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$694.76 |
$694.76 |
$694.76 |
$138.50
|
|
Warde zinc
|
$558.21 |
$558.21 |
$558.21 |
$62.50
|
|
Wbc automated
|
$334.80 |
$334.80 |
$334.80 |
$32.80
|
|
X-ray abdomen 1 view
|
$1,080.87 |
$1,080.87 |
$1,080.87 |
$255.00
|
|
X-ray abdomen 2 views
|
$1,188.25 |
$1,188.25 |
$1,188.25 |
$312.36
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,539.56 |
$1,539.56 |
$1,539.56 |
$418.63
|
|
X-ray bone age studies
|
$582.91 |
$582.91 |
$582.91 |
$246.75
|
|
X-ray bone length studies
|
$928.99 |
$928.99 |
$928.99 |
$287.25
|
|
X-ray bone survey complete
|
$1,770.79 |
$1,770.79 |
$1,770.79 |
$666.60
|
|
X-ray cervical spine 2-3 views
|
$1,084.99 |
$1,084.99 |
$1,084.99 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$1,078.25 |
$1,078.25 |
$1,078.25 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$1,160.56 |
$1,160.56 |
$1,160.56 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,657.79 |
$1,657.79 |
$1,657.79 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$967.51 |
$967.51 |
$967.51 |
$486.24
|
|
X-ray exam of eye sockets
|
$1,492.80 |
$1,492.80 |
$1,492.80 |
$349.05
|
|
X-ray exam of jaw joint
|
$506.96 |
$506.96 |
$506.96 |
$192.39
|
|
X-ray eye detection foreign body (both sides)
|
$1,554.53 |
$1,554.53 |
$1,554.53 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$1,770.79 |
$1,770.79 |
$1,770.79 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$1,079.75 |
$1,079.75 |
$1,079.75 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$1,161.31 |
$1,161.31 |
$1,161.31 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,242.68 |
$1,242.68 |
$1,242.68 |
$508.00
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$625.94 |
$625.94 |
$625.94 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$1,507.02 |
$1,507.02 |
$1,507.02 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$1,539.56 |
$1,539.56 |
$1,539.56 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$1,700.07 |
$1,700.07 |
$1,700.07 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$1,277.67 |
$1,277.67 |
$1,277.67 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$981.36 |
$981.36 |
$981.36 |
$277.70
|
|
X-ray neck soft tissue
|
$865.75 |
$865.75 |
$865.75 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$852.29 |
$852.29 |
$852.29 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$1,160.56 |
$1,160.56 |
$1,160.56 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$1,196.11 |
$1,196.11 |
$1,196.11 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$3,088.49 |
$3,088.49 |
$3,088.49 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$1,154.96 |
$1,154.96 |
$1,154.96 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$1,539.56 |
$1,539.56 |
$1,539.56 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$928.99 |
$928.99 |
$928.99 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$774.84 |
$774.84 |
$774.84 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$1,761.43 |
$1,761.43 |
$1,761.43 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$601.30
|
|
X-ray skull < 4 views
|
$1,235.02 |
$1,235.02 |
$1,235.02 |
$291.78
|
|
X-ray skull > 4 views complete
|
$1,781.62 |
$1,781.62 |
$1,781.62 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$967.51 |
$967.51 |
$967.51 |
$557.70
|
|
X-ray small intestine follow-through study
|
$2,006.86 |
$2,006.86 |
$2,006.86 |
$504.14
|
