|
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution
|
$18,422.00 |
$18,422.00 |
$18,422.00 |
$404.20
|
|
Total tau
|
$293.00 |
$293.00 |
$293.00 |
$293.00
|
|
Toxoplasma antibody igg
|
$301.00 |
$301.00 |
$301.00 |
$84.35
|
|
Toxoplasma antibody igm
|
$201.00 |
$201.00 |
$201.00 |
$83.20
|
|
Tp53 gene full gene sequence
|
$4,628.00 |
$4,628.00 |
$4,628.00 |
$706.04
|
|
Tp53 gene trgt sequence alys
|
$882.00 |
$882.00 |
$882.00 |
$919.10
|
|
Transcatheter bx s&i
|
$6,362.00 |
$6,362.00 |
$6,362.00 |
$1,875.96
|
|
Transcutaneous carboxyhb
|
$73.00 |
$73.00 |
$73.00 |
$23.00
|
|
Transferrin
|
$291.00 |
$291.00 |
$291.00 |
$87.30
|
|
Trichinella antibody
|
$851.00 |
$851.00 |
$851.00 |
$70.65
|
|
Trimethobenzamide hcl inj
|
$280.00 |
$280.00 |
$280.00 |
$128.00
|
|
Triptorelin pamoate
|
$15,954.00 |
$15,954.00 |
$15,954.00 |
$4,619.39
|
|
Ugt1a1 gene analy common variants
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$438.75
|
|
Ultrasound abdomen aorta screening study aaa
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$403.26
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$899.00 |
$899.00 |
$899.00 |
$340.14
|
|
Ultrasound elastography parenchyma
|
$606.00 |
$606.00 |
$606.00 |
$284.25
|
|
Ultrasound encephalogram
|
$2,771.00 |
$2,771.00 |
$2,771.00 |
$481.60
|
|
Ultrasound exam k transpl w/doppler
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$570.44
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$2,805.00 |
$2,805.00 |
$2,805.00 |
$477.88
|
|
Ultrasound ob >=14wks ea addl gest
|
$2,563.00 |
$2,563.00 |
$2,563.00 |
$454.11
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$326.54
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$4,121.00 |
$4,121.00 |
$4,121.00 |
$690.48
|
|
Ultrasound pregnant uterus follow up per fetus
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$450.75
|
|
Ultrasound pregnant uterus transvaginal
|
$3,491.00 |
$3,491.00 |
$3,491.00 |
$485.48
|
|
Ultrasound retroperitoneal limited
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$498.00
|
|
Ultrasound scrotum and contents
|
$2,867.00 |
$2,867.00 |
$2,867.00 |
$617.28
|
|
Ultrasound spinal canal and contents
|
$754.00 |
$754.00 |
$754.00 |
$450.60
|
|
Ultrasound transabd ea addl gest
|
$693.00 |
$693.00 |
$693.00 |
$425.10
|
|
Ultrasound transvaginal non obstetric
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$567.44
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$11,037.00 |
$11,037.00 |
$11,037.00 |
$2,916.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$9,731.00 |
$9,731.00 |
$9,731.00 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$8,879.00 |
$8,879.00 |
$8,879.00 |
$2,013.08
|
|
Urea nitrogen 24 hour urine
|
$243.00 |
$243.00 |
$243.00 |
$50.00
|
|
Urea nitrogen clearance
|
$221.00 |
$221.00 |
$221.00 |
$33.57
|
|
Ureteral reflux study
|
$995.00 |
$995.00 |
$995.00 |
$961.20
|
|
Urethrcystgrphy rtrgrde s&i
|
$980.00 |
$980.00 |
$980.00 |
$574.40
|
|
Urethrocystography void s&i
|
$2,398.00 |
$2,398.00 |
$2,398.00 |
$634.50
|
|
Urinalysis qual/semiquant excpt ia
|
$95.00 |
$95.00 |
$95.00 |
$25.72
|
|
Urine Culture Test
|
$116.00 |
$116.00 |
$116.00 |
$84.81
|
|
Use 1st target lesion
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$245.30
|
|
Vaccine dtap < 7 years im
|
$254.00 |
$254.00 |
$254.00 |
$87.80
|
|
Vaccine dtap-ipv/hib im
|
$962.00 |
$962.00 |
$962.00 |
$248.80
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$102.00 |
$102.00 |
$102.00 |
$45.33
|
|
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im
|
$165.00 |
$165.00 |
$165.00 |
$84.38
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$884.00 |
$884.00 |
$884.00 |
$173.98
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$121.00 |
$121.00 |
$121.00 |
$79.04
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$228.00 |
$228.00 |
$228.00 |
$157.41
|
|
Vaccine influenza nos 0.5ml dose im
|
$71.00 |
$71.00 |
$71.00 |
$36.80
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$830.00 |
$830.00 |
$830.00 |
$499.00
|
|
Vaccine mengingoccocal serogroup b 2 or 3 dose im
|
$600.00 |
$600.00 |
$600.00 |
$426.80
|
|
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im
|
$295.00 |
$295.00 |
$295.00 |
$349.15
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$622.00 |
$622.00 |
$622.00 |
$408.70
|
|
Vaccine mmr live subcutaneous
|
$321.00 |
$321.00 |
$321.00 |
$224.04
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$382.00 |
$382.00 |
$382.00 |
$274.95
|
|
Vaccine pneumonococcal conjugate 15 valent (pcv15) im
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$385.45
|
|
Vaccine rabies im
|
$5,117.00 |
$5,117.00 |
$5,117.00 |
$945.46
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$859.00 |
$859.00 |
$859.00 |
$1,196.00
|
|
Vaccine tdap >=7 years im
|
$242.00 |
$242.00 |
$242.00 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$905.00 |
$905.00 |
$905.00 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$639.00 |
$639.00 |
$639.00 |
$115.00
|
|
Vedolizumab 300 mg intravenous solution
|
$28,175.00 |
$28,175.00 |
$28,175.00 |
$20,730.98
|
|
Vein x-ray liver
|
$4,639.00 |
$4,639.00 |
$4,639.00 |
$3,320.80
|
|
Vein x-ray liver w/hemodynam
|
$12,982.00 |
$12,982.00 |
$12,982.00 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$7,788.00 |
$7,788.00 |
$7,788.00 |
$2,489.25
|
|
Venous sampling s&i
|
$5,026.00 |
$5,026.00 |
$5,026.00 |
$4,416.78
|
|
Vitamin b-12
|
$357.00 |
$357.00 |
$357.00 |
$94.90
|
|
Volume measurement urine timed
|
$52.00 |
$52.00 |
$52.00 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$3,790.00 |
$3,790.00 |
$3,790.00 |
$215.60
|
|
Warde 1003990 aldosterone
|
$564.00 |
$564.00 |
$564.00 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$452.00 |
$452.00 |
$452.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$899.00 |
$899.00 |
$899.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$246.00 |
$246.00 |
$246.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$443.00 |
$443.00 |
$443.00 |
$40.70
|
|
Warde 3008005 oligoclonal bands
|
$746.00 |
$746.00 |
$746.00 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$273.00 |
$273.00 |
$273.00 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$251.00 |
$251.00 |
$251.00 |
$78.57
|
|
Warde 3400852 arsenic
|
$265.00 |
$265.00 |
$265.00 |
$105.12
|
|
Warde acetylcholine receptor blocking antibody
|
$54.00 |
$54.00 |
$54.00 |
$68.90
|
|
Warde actin (smooth muscle) antibody each
|
$469.00 |
$469.00 |
$469.00 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$962.00 |
$962.00 |
$962.00 |
$129.75
|
|
Warde aldolase
|
$305.00 |
$305.00 |
$305.00 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$203.00 |
$203.00 |
$203.00 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$927.00 |
$927.00 |
$927.00 |
$260.94
|
|
Warde anti-mullerian hormone
|
$112.00 |
$112.00 |
$112.00 |
$93.28
|
|
Warde bile acids
|
$353.00 |
$353.00 |
$353.00 |
$64.28
|
|
Warde cadmium blood
|
$561.00 |
$561.00 |
$561.00 |
$77.00
|
|
Warde calcitonin
|
$842.00 |
$842.00 |
$842.00 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$251.00 |
$251.00 |
$251.00 |
$63.00
|
|
Warde collagen cross links c-telopeptide
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$90.40
|
|
Warde complement total hemolytic
|
$792.00 |
$792.00 |
$792.00 |
$105.00
|
|
Warde cryoglobulin
|
$606.00 |
$606.00 |
$606.00 |
$43.45
|
|
Warde erythropoietin
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$90.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$564.00 |
$564.00 |
$564.00 |
$48.57
|
|
Warde folic acid rbc
|
$273.00 |
$273.00 |
$273.00 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$382.00 |
$382.00 |
$382.00 |
$43.55
|
|
Warde gastrin
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$389.00 |
$389.00 |
$389.00 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$229.00 |
$229.00 |
$229.00 |
$68.16
|
|
Warde hepatitis a antibody
|
$221.00 |
$221.00 |
$221.00 |
$83.70
|
