|
Uric acid blood
|
$199.17 |
$199.17 |
$199.17 |
$46.64
|
|
Urinalysis microscopic only
|
$80.64 |
$80.64 |
$80.64 |
$26.35
|
|
Urinalysis (with microscopy)
|
$119.15 |
$119.15 |
$119.15 |
$48.14
|
|
Urinalysis (without microscopy)
|
$169.98 |
$169.98 |
$169.98 |
$38.99
|
|
Urine Culture Test
|
$210.78 |
$210.78 |
$210.78 |
$84.81
|
|
Ustekinumab 130 mg/26 ml intravenous solution
|
$16,791.75 |
$16,791.75 |
$16,791.75 |
$6,677.00
|
|
Vaccine hepatitis a (hepa) adult im
|
$162.33 |
$162.33 |
$162.33 |
$178.07
|
|
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im
|
$446.01 |
$446.01 |
$446.01 |
$218.40
|
|
Vaccine hepatitis b (hepb) adult 3 dose im
|
$234.02 |
$234.02 |
$234.02 |
$173.98
|
|
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im
|
$583.20 |
$583.20 |
$583.20 |
$686.67
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$313.43 |
$313.43 |
$313.43 |
$157.41
|
|
Vaccine influenza inactivated adjuvant im
|
$145.14 |
$145.14 |
$145.14 |
$110.25
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$99.41 |
$99.41 |
$99.41 |
$48.29
|
|
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im
|
$85.67 |
$85.67 |
$85.67 |
$42.90
|
|
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im
|
$158.83 |
$158.83 |
$158.83 |
$103.88
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$336.70 |
$336.70 |
$336.70 |
$499.00
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$325.41 |
$325.41 |
$325.41 |
$408.70
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$232.77 |
$232.77 |
$232.77 |
$274.95
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$470.44 |
$470.44 |
$470.44 |
$715.41
|
|
Vaccine tdap >=7 years im
|
$220.77 |
$220.77 |
$220.77 |
$150.76
|
|
Vaccine td preservative free >= 7 years im
|
$183.70 |
$183.70 |
$183.70 |
$131.77
|
|
Valproic acid total therapeutic drug level
|
$245.81 |
$245.81 |
$245.81 |
$115.00
|
|
Vancomycin hcl injection
|
$1,889.77 |
$1,889.77 |
$1,889.77 |
$92.63
|
|
Vancomycin peak therapeutic drug level
|
$266.48 |
$266.48 |
$266.48 |
$126.79
|
|
Varicella zoster antibody igg
|
$269.87 |
$269.87 |
$269.87 |
$82.55
|
|
Vasopressin 20 unit/ml intravenous solution
|
$2,433.67 |
$2,433.67 |
$2,433.67 |
$382.25
|
|
Ventilator initial day
|
$4,594.20 |
$4,594.20 |
$4,594.20 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$474.85 |
$474.85 |
$474.85 |
$180.43
|
|
Vincristine 1 mg/ml intravenous solution
|
$156.93 |
$156.93 |
$156.93 |
$93.90
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$244.18 |
$244.18 |
$244.18 |
$227.50
|
|
Vitamin b-12
|
$284.32 |
$284.32 |
$284.32 |
$94.90
|
|
Vitamin D Test
|
$346.40 |
$346.40 |
$346.40 |
$132.00
|
|
Warde 1003990 aldosterone
|
$356.16 |
$356.16 |
$356.16 |
$145.60
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$561.75 |
$561.75 |
$561.75 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$722.79 |
$722.79 |
$722.79 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$174.59 |
$174.59 |
$174.59 |
$69.55
|
|
Warde 1015200 kappa light chain free
|
$586.54 |
$586.54 |
$586.54 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$167.58 |
$167.58 |
$167.58 |
$40.70
|
|
Warde 3016000 west nile virus antibody
|
$188.74 |
$188.74 |
$188.74 |
$68.80
|
|
Warde 3016000 west nile virus antibody igg
|
$167.19 |
$167.19 |
$167.19 |
$69.00
|
|
Warde 3400852 arsenic
|
$221.70 |
$221.70 |
$221.70 |
$105.12
|
|
Warde 3708165 mercury urine
|
$209.59 |
$209.59 |
$209.59 |
$72.80
|
|
Warde actin (smooth muscle) antibody each
|
$141.41 |
$141.41 |
$141.41 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$345.45 |
$345.45 |
$345.45 |
$129.75
|
|
Warde amiodarone therapeutic drug level
|
$188.46 |
$188.46 |
$188.46 |
$53.95
|
|
Warde clozapine therapeutic drug level
|
$285.59 |
$285.59 |
$285.59 |
$63.00
|
|
Warde cobalt heavy metal quantitative each nes
|
$423.53 |
$423.53 |
$423.53 |
$122.50
|
|
Warde collagen cross links c-telopeptide
|
$218.31 |
$218.31 |
$218.31 |
$90.40
|
|
Warde copper
|
$44.67 |
$44.67 |
$44.67 |
$80.00
|
|
Warde erythropoietin
|
$99.80 |
$99.80 |
$99.80 |
$90.35
|
|
Warde estrogen fractionated
|
$185.13 |
$185.13 |
$185.13 |
$112.18
|
|
Warde fluorescent antibody screen endomysial iga
|
$110.16 |
$110.16 |
$110.16 |
$48.57
|
|
Warde gastrin
|
$101.12 |
$101.12 |
$101.12 |
$75.25
|
|
Warde growth hormone (hgh)
|
$169.41 |
$169.41 |
$169.41 |
$81.24
|
|
Warde hepatitis a antibody
|
$132.78 |
$132.78 |
$132.78 |
$83.70
|
|
Warde immunofixation electrophoresis urine
|
$401.87 |
$401.87 |
$401.87 |
$155.20
|
|
Warde islet cell antibody zinc transporter 8
|
$182.94 |
$182.94 |
$182.94 |
$137.55
|
|
Warde lipoprotein (a)
|
$126.43 |
$126.43 |
$126.43 |
$69.96
|
|
Warde mitochondrial antibody each
|
$88.39 |
$88.39 |
$88.39 |
$62.40
|
|
Warde pancreatic elastase fecal quantitative
|
$211.80 |
$211.80 |
$211.80 |
$94.25
|
|
Warde sex hormone binding globulin
|
$150.33 |
$150.33 |
$150.33 |
$86.59
|
|
Warde somatomedin
|
$266.85 |
$266.85 |
$266.85 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$81.01 |
$81.01 |
$81.01 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$443.90 |
$443.90 |
$443.90 |
$70.85
|
|
Warde vitamin a
|
$162.87 |
$162.87 |
$162.87 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$170.85 |
$170.85 |
$170.85 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$523.93 |
$523.93 |
$523.93 |
$116.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$379.48 |
$379.48 |
$379.48 |
$138.50
|
|
Warde zinc
|
$114.16 |
$114.16 |
$114.16 |
$62.50
|
|
Wbc automated
|
$150.18 |
$150.18 |
$150.18 |
$32.80
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$565.52 |
$565.52 |
$565.52 |
$288.91
|
|
Wrist X-ray
|
$474.26 |
$474.26 |
$474.26 |
$343.70
|
|
X-ray abdomen 1 view
|
$395.22 |
$395.22 |
$395.22 |
$255.00
|
|
X-ray abdomen 2 views
|
$437.86 |
$437.86 |
$437.86 |
$312.36
|
|
X-ray abdomen >=3 views
|
$1,067.72 |
$1,067.72 |
$1,067.72 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$751.08 |
$751.08 |
$751.08 |
$418.63
|
|
X-ray ankle 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$283.00
|
|
X-ray bone survey complete
|
$2,231.72 |
$2,231.72 |
$2,231.72 |
$666.60
|
|
X-ray cervical spine 2-3 views
|
$750.92 |
$750.92 |
$750.92 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$948.54 |
$948.54 |
$948.54 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$1,106.62 |
$1,106.62 |
$1,106.62 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$299.65
|
|
X-ray elbow 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$474.26 |
$474.26 |
$474.26 |
$342.00
|
|
X-ray exam of sinuses
|
$830.26 |
$830.26 |
$830.26 |
$211.00
|
|
X-ray exam thorac spine4/>vw
|
$2,004.86 |
$2,004.86 |
$2,004.86 |
$395.59
|
|
X-ray femur >=2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$395.22 |
$395.22 |
$395.22 |
$270.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$727.20 |
$727.20 |
$727.20 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$352.59 |
$352.59 |
$352.59 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,412.06 |
$1,412.06 |
$1,412.06 |
$508.00
|
|
X-ray humerus >= 2 views left
|
$395.22 |
$395.22 |
$395.22 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$405.07 |
$405.07 |
$405.07 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$474.26 |
$474.26 |
$474.26 |
$353.25
|
|
X-ray lumbosacral spine >= 4 views
|
$750.92 |
$750.92 |
$750.92 |
$505.83
|
|
X-ray nasal bones complete > 3 views
|
$474.26 |
$474.26 |
$474.26 |
$277.70
|
