|
Ultrasound transvaginal non obstetric
|
$531.30 |
$531.30 |
$531.30 |
$558.35
|
|
Unlisted CT procedure
|
$331.98 |
$331.98 |
$331.98 |
$732.70
|
|
Unlisted cytogenetic study
|
$372.90 |
$372.90 |
$372.90 |
$160.18
|
|
Unlisted px casting/strpg
|
$285.78 |
$285.78 |
$285.78 |
$219.70
|
|
Unlisted px foot/toes
|
$545.82 |
$545.82 |
$545.82 |
$1,225.50
|
|
Unlisted surgical path px
|
$1,824.24 |
$1,824.24 |
$1,824.24 |
$217.75
|
|
Unlisted ultrasound procedure
|
$293.70 |
$293.70 |
$293.70 |
$321.20
|
|
Unlisted urinalysis px
|
$584.76 |
$584.76 |
$584.76 |
$25.72
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$2,651.88 |
$2,651.88 |
$2,651.88 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,410.98 |
$2,410.98 |
$2,410.98 |
$2,364.35
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,295.48 |
$2,295.48 |
$2,295.48 |
$2,034.41
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,083.06 |
$1,083.06 |
$1,083.06 |
$1,751.66
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,147.74 |
$1,147.74 |
$1,147.74 |
$1,768.00
|
|
Urea nitrogen
|
$25.74 |
$25.74 |
$25.74 |
$41.46
|
|
Urea nitrogen 24 hour urine
|
$54.12 |
$54.12 |
$54.12 |
$51.75
|
|
Urea nitrogen clearance
|
$217.14 |
$217.14 |
$217.14 |
$42.25
|
|
Urethrocystography void s&i
|
$747.78 |
$747.78 |
$747.78 |
$622.35
|
|
Uric acid blood
|
$67.32 |
$67.32 |
$67.32 |
$48.75
|
|
Uric acid urine
|
$31.02 |
$31.02 |
$31.02 |
$44.33
|
|
Urinalysis microscopic only
|
$21.78 |
$21.78 |
$21.78 |
$26.35
|
|
Urinalysis (with microscopy)
|
$84.48 |
$84.48 |
$84.48 |
$55.00
|
|
Urinalysis (without microscopy)
|
$33.00 |
$33.00 |
$33.00 |
$35.75
|
|
Urine Culture Test
|
$91.08 |
$91.08 |
$91.08 |
$81.50
|
|
Urine pregnancy test
|
$73.26 |
$73.26 |
$73.26 |
$67.20
|
|
Urography, antegrade
|
$616.44 |
$616.44 |
$616.44 |
$622.35
|
|
Urography inf drip &/or bolus
|
$747.78 |
$747.78 |
$747.78 |
$642.50
|
|
Vaccine hepatitis a (hepa) adult im
|
$120.12 |
$120.12 |
$120.12 |
$166.62
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$101.11 |
$101.11 |
$101.11 |
$47.88
|
|
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im
|
$59.40 |
$59.40 |
$59.40 |
$251.64
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$706.27 |
$706.27 |
$706.27 |
$563.36
|
|
Vaccine rabies im
|
$1,084.28 |
$1,084.28 |
$1,084.28 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$158.99 |
$158.99 |
$158.99 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$138.04 |
$138.04 |
$138.04 |
$112.10
|
|
Valproic acid total therapeutic drug level
|
$77.88 |
$77.88 |
$77.88 |
$114.72
|
|
Vancomycin 1,000 mg intravenous injection
|
$0.79 |
$0.79 |
$0.79 |
$251.86
|
|
Vancomycin 750 mg intravenous solution
|
$0.79 |
$0.79 |
$0.79 |
$90.33
|
|
Vancomycin hcl injection
|
$50.16 |
$50.16 |
$50.16 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$95.70 |
$95.70 |
$95.70 |
$136.13
|
|
Varicella zoster antibody igg
|
$68.64 |
$68.64 |
$68.64 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$17.27 |
$17.27 |
$17.27 |
$325.80
|
|
Veeg cont 2-12 hrs
|
$3,153.48 |
$3,153.48 |
$3,153.48 |
$1,540.00
|
|
Veeg ea 12-26hr cont mntr
|
$4,224.00 |
$4,224.00 |
$4,224.00 |
$3,225.60
|
|
Veeg intrmnt 2-12 hrs
|
$2,702.70 |
$2,702.70 |
$2,702.70 |
$961.00
|
|
Veeg unmon 12-26 hrs
|
$4,505.16 |
$4,505.16 |
$4,505.16 |
$1,671.09
|
|
Veeg unmon 2-12 hrs
|
$2,432.76 |
$2,432.76 |
$2,432.76 |
$826.15
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$114.84 |
$114.84 |
$114.84 |
$202.80
|
|
Venipuncture <3 yrs other vein
|
$27.72 |
$27.72 |
$27.72 |
$67.00
|
|
Very long chain fatty acids
|
$225.06 |
$225.06 |
$225.06 |
$139.88
|
|
Vitamin b-12
|
$188.10 |
$188.10 |
$188.10 |
$100.00
|
|
Vitamin D Test
|
$180.18 |
$180.18 |
$180.18 |
$132.00
|
|
Warde 1003990 aldosterone
|
$252.12 |
$252.12 |
$252.12 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$162.36 |
$162.36 |
$162.36 |
$97.50
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$81.18 |
$81.18 |
$81.18 |
$63.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$152.46 |
$152.46 |
$152.46 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$89.76 |
$89.76 |
$89.76 |
$70.85
|
|
Warde 1015200 kappa light chain free
|
$81.18 |
$81.18 |
$81.18 |
$65.20
|
|
Warde 3004000 immunoglobulin subclass 1
|
$33.00 |
$33.00 |
$33.00 |
$39.00
|
|
Warde 3008005 oligoclonal bands
|
$117.48 |
$117.48 |
$117.48 |
$107.97
|
|
Warde 3016000 west nile virus antibody
|
$68.64 |
$68.64 |
$68.64 |
$69.60
|
|
Warde 3016000 west nile virus antibody igg
|
$79.86 |
$79.86 |
$79.86 |
$69.12
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$130.02 |
$130.02 |
$130.02 |
$60.50
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$59.40 |
$59.40 |
$59.40 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$79.86 |
$79.86 |
$79.86 |
$72.50
|
|
Warde 3400852 arsenic
|
$72.60 |
$72.60 |
$72.60 |
$100.88
|
|
Warde 3708165 mercury urine
|
$81.18 |
$81.18 |
$81.18 |
$71.50
|
|
Warde acetylcholine receptor blocking antibody
|
$89.10 |
$89.10 |
$89.10 |
$75.00
|
|
Warde actin (smooth muscle) antibody each
|
$67.32 |
$67.32 |
$67.32 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$170.94 |
$170.94 |
$170.94 |
$90.00
|
|
Warde adrenocorticotropic hormone (acth)
|
$233.64 |
$233.64 |
$233.64 |
$151.20
|
|
Warde aldolase
|
$54.12 |
$54.12 |
$54.12 |
$53.30
|
|
Warde amino acids 6 or more quantitative each specimen
|
$900.90 |
$900.90 |
$900.90 |
$193.80
|
|
Warde amiodarone therapeutic drug level
|
$21.78 |
$21.78 |
$21.78 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$426.36 |
$426.36 |
$426.36 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$753.06 |
$753.06 |
$753.06 |
$368.00
|
|
Warde anti-mullerian hormone
|
$81.18 |
$81.18 |
$81.18 |
$80.08
|
|
Warde apolipoprotein b
|
$96.36 |
$96.36 |
$96.36 |
$61.75
|
|
Warde bile acids
|
$34.32 |
$34.32 |
$34.32 |
$63.70
|
|
Warde cadmium blood
|
$72.60 |
$72.60 |
$72.60 |
$76.50
|
|
Warde calcitonin
|
$126.06 |
$126.06 |
$126.06 |
$96.97
|
|
Warde calculus (stone) infrared
|
$111.54 |
$111.54 |
$111.54 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$69.96 |
$69.96 |
$69.96 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$99.00 |
$99.00 |
$99.00 |
$113.09
|
|
Warde collagen cross links c-telopeptide
|
$99.00 |
$99.00 |
$99.00 |
$96.85
|
|
Warde complement total hemolytic
|
$129.36 |
$129.36 |
$129.36 |
$104.82
|
|
Warde copper
|
$72.60 |
$72.60 |
$72.60 |
$80.00
|
|
Warde cryoglobulin
|
$134.64 |
$134.64 |
$134.64 |
$50.35
|
|
Warde erythropoietin
|
$89.76 |
$89.76 |
$89.76 |
$90.36
|
|
Warde estrogen fractionated
|
$132.00 |
$132.00 |
$132.00 |
$98.15
|
|
Warde fluorescent antibody screen endomysial iga
|
$29.70 |
$29.70 |
$29.70 |
$43.20
|
|
Warde folic acid rbc
|
$73.26 |
$73.26 |
$73.26 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$346.50 |
$346.50 |
$346.50 |
$43.55
|
|
Warde gastrin
|
$81.18 |
$81.18 |
$81.18 |
$73.60
|
|
Warde growth hormone (hgh)
|
$81.18 |
$81.18 |
$81.18 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$33.66 |
$33.66 |
$33.66 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$141.24 |
$141.24 |
$141.24 |
$100.92
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$118.14 |
$118.14 |
$118.14 |
$80.16
|
|
Warde hepatitis a antibody
|
$68.64 |
$68.64 |
$68.64 |
$83.40
|
|
Warde hepatitis be antibody
|
$68.64 |
$68.64 |
$68.64 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$116.82 |
$116.82 |
$116.82 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$198.00 |
$198.00 |
$198.00 |
$161.28
|
