|
Ultrasound pregnant uterus limited >= 1 fetuses
|
$387.50 |
$387.50 |
$387.50 |
$442.80
|
|
Ultrasound pregnant uterus transvaginal
|
$452.50 |
$452.50 |
$452.50 |
$484.52
|
|
Ultrasound retroperitoneal limited
|
$422.50 |
$422.50 |
$422.50 |
$477.10
|
|
Ultrasound scrotum and contents
|
$595.00 |
$595.00 |
$595.00 |
$606.60
|
|
Ultrasound transvaginal non obstetric
|
$282.50 |
$282.50 |
$282.50 |
$549.75
|
|
Ultrasound trgt dyn mbubb 1st les
|
$685.00 |
$685.00 |
$685.00 |
$525.00
|
|
Ultrasound trgt dyn mbubb ea addl
|
$342.50 |
$342.50 |
$342.50 |
$348.00
|
|
Umbilical artery cath newborn 36660
|
$347.50 |
$347.50 |
$347.50 |
$196.03
|
|
Unlistd noninvas vasc dx std
|
$427.50 |
$427.50 |
$427.50 |
$564.60
|
|
Unlisted chemotherapy px
|
$127.50 |
$127.50 |
$127.50 |
$150.00
|
|
Unlisted fluoroscopic px
|
$460.00 |
$460.00 |
$460.00 |
$305.76
|
|
Unlisted procedure microbiology
|
$530.00 |
$530.00 |
$530.00 |
$487.50
|
|
Unlisted px med radj physics
|
$495.00 |
$495.00 |
$495.00 |
$376.03
|
|
Unlisted reprod med lab proc
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Unlisted ultrasound procedure
|
$75.00 |
$75.00 |
$75.00 |
$321.20
|
|
Unsched dialysis esrd pt hos
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$1,248.00
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,039.60
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,412.60
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,034.41
|
|
Urea nitrogen
|
$27.50 |
$27.50 |
$27.50 |
$39.90
|
|
Urea nitrogen 24 hour urine
|
$57.50 |
$57.50 |
$57.50 |
$52.00
|
|
Urea nitrogen clearance
|
$72.50 |
$72.50 |
$72.50 |
$47.73
|
|
Urethrcystgrphy rtrgrde s&i
|
$515.00 |
$515.00 |
$515.00 |
$584.00
|
|
Urethrocystography void s&i
|
$690.00 |
$690.00 |
$690.00 |
$622.35
|
|
Uric acid blood
|
$57.50 |
$57.50 |
$57.50 |
$49.32
|
|
Uric acid urine
|
$52.50 |
$52.50 |
$52.50 |
$44.14
|
|
Urinalysis microscopic only
|
$20.00 |
$20.00 |
$20.00 |
$25.80
|
|
Urinalysis (with microscopy)
|
$57.50 |
$57.50 |
$57.50 |
$55.00
|
|
Urinalysis (without microscopy)
|
$25.00 |
$25.00 |
$25.00 |
$35.91
|
|
Urine Culture Test
|
$80.00 |
$80.00 |
$80.00 |
$84.00
|
|
Urine pregnancy test
|
$77.50 |
$77.50 |
$77.50 |
$69.48
|
|
Urography, antegrade
|
$560.00 |
$560.00 |
$560.00 |
$607.00
|
|
Use 1st target lesion
|
$360.00 |
$360.00 |
$360.00 |
$285.12
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$65.98 |
$65.98 |
$65.98 |
$74.42
|
|
Vaccine rabies im
|
$754.19 |
$754.19 |
$754.19 |
$858.95
|
|
Vaccine tdap >=7 years im
|
$99.81 |
$99.81 |
$99.81 |
$136.80
|
|
Valproic acid total therapeutic drug level
|
$122.50 |
$122.50 |
$122.50 |
$115.00
|
|
Vancomycin hcl injection
|
$19.00 |
$19.00 |
$19.00 |
$154.40
|
|
Vancomycin peak therapeutic drug level
|
$142.50 |
$142.50 |
$142.50 |
$135.00
|
|
Varicella zoster antibody igg
|
$85.00 |
$85.00 |
$85.00 |
$85.05
|
|
Ven-artl shunt det mbubb njx
|
$630.00 |
$630.00 |
$630.00 |
$484.25
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$70.00 |
$70.00 |
$70.00 |
$188.83
|
|
Venipuncture <3 yrs other vein
|
$70.00 |
$70.00 |
$70.00 |
$67.00
|
|
Ventilator each subsequent day
|
$720.00 |
$720.00 |
$720.00 |
$1,148.00
|
|
Ventilator initial day
|
$955.00 |
$955.00 |
$955.00 |
$1,433.60
|
|
Version cephalic external
|
$770.00 |
$770.00 |
$770.00 |
$2,361.75
|
|
Very long chain fatty acids
|
$177.50 |
$177.50 |
$177.50 |
$139.88
|
|
Vital capacity test
|
$55.00 |
$55.00 |
$55.00 |
$170.99
|
|
Vitamin b-12
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Vitamin D Test
|
$150.00 |
$150.00 |
$150.00 |
$132.00
|
|
Volume measurement urine timed
|
$12.50 |
$12.50 |
$12.50 |
$21.00
|
|
Vsrctv std tcd icr art compl
|
$560.00 |
$560.00 |
$560.00 |
$434.85
|
|
Warde 1003990 aldosterone
|
$142.50 |
$142.50 |
$142.50 |
$144.73
|
|
Warde 1005020 citrate 24 hour urine
|
$125.00 |
$125.00 |
$125.00 |
$94.90
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$82.50 |
$82.50 |
$82.50 |
$68.25
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$165.00 |
$165.00 |
$165.00 |
$115.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$97.50 |
$97.50 |
$97.50 |
$78.60
|
|
Warde 1015200 kappa light chain free
|
$47.50 |
$47.50 |
$47.50 |
$64.28
|
|
Warde 3004000 immunoglobulin subclass 1
|
$25.00 |
$25.00 |
$25.00 |
$39.60
|
|
Warde 3008005 oligoclonal bands
|
$92.50 |
$92.50 |
$92.50 |
$103.95
|
|
Warde 3016000 west nile virus antibody
|
$60.00 |
$60.00 |
$60.00 |
$72.00
|
|
Warde 3016000 west nile virus antibody igg
|
$82.50 |
$82.50 |
$82.50 |
$72.15
|
|
Warde 3016300 saccharomyces cerevisiae iga antibody
|
$77.50 |
$77.50 |
$77.50 |
$60.45
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$62.50 |
$62.50 |
$62.50 |
$62.50
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$55.00 |
$55.00 |
$55.00 |
$70.20
|
|
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis
|
$200.00 |
$200.00 |
$200.00 |
$219.13
|
|
Warde 3400852 arsenic
|
$70.00 |
$70.00 |
$70.00 |
$101.00
|
|
Warde 3708165 mercury urine
|
$82.50 |
$82.50 |
$82.50 |
$72.00
|
|
Warde acetylcholine receptor blocking antibody
|
$75.00 |
$75.00 |
$75.00 |
$70.56
|
|
Warde actin (smooth muscle) antibody each
|
$100.00 |
$100.00 |
$100.00 |
$40.20
|
|
Warde adenosine deaminase pleural fluid
|
$62.50 |
$62.50 |
$62.50 |
$88.68
|
|
Warde adrenocorticotropic hormone (acth)
|
$212.50 |
$212.50 |
$212.50 |
$150.60
|
|
Warde aldolase
|
$65.00 |
$65.00 |
$65.00 |
$54.50
|
|
Warde amino acids 6 or more quantitative each specimen
|
$220.00 |
$220.00 |
$220.00 |
$196.50
|
|
Warde amiodarone therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$53.25
|
|
Warde analysis gene hfe common variants
|
$457.50 |
$457.50 |
$457.50 |
$267.28
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$445.00 |
$445.00 |
$445.00 |
$363.00
|
|
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites
|
$170.00 |
$170.00 |
$170.00 |
$126.43
|
|
Warde anti-mullerian hormone
|
$140.00 |
$140.00 |
$140.00 |
$80.08
|
|
Warde apolipoprotein b
|
$70.00 |
$70.00 |
$70.00 |
$61.80
|
|
Warde bile acids
|
$95.00 |
$95.00 |
$95.00 |
$64.28
|
|
Warde cadmium blood
|
$85.00 |
$85.00 |
$85.00 |
$76.50
|
|
Warde calcitonin
|
$65.00 |
$65.00 |
$65.00 |
$101.40
|
|
Warde calculus (stone) infrared
|
$77.50 |
$77.50 |
$77.50 |
$59.52
|
|
Warde clozapine therapeutic drug level
|
$87.50 |
$87.50 |
$87.50 |
$66.43
|
|
Warde cobalt heavy metal quantitative each nes
|
$122.50 |
$122.50 |
$122.50 |
$116.16
|
|
Warde collagen cross links c-telopeptide
|
$52.50 |
$52.50 |
$52.50 |
$96.85
|
|
Warde complement total hemolytic
|
$137.50 |
$137.50 |
$137.50 |
$105.78
|
|
Warde copper
|
$87.50 |
$87.50 |
$87.50 |
$76.70
|
|
Warde cryoglobulin
|
$37.50 |
$37.50 |
$37.50 |
$50.35
|
|
Warde erythropoietin
|
$85.00 |
$85.00 |
$85.00 |
$90.36
|
|
Warde estrogen fractionated
|
$65.00 |
$65.00 |
$65.00 |
$99.99
|
|
Warde fluorescent antibody screen endomysial iga
|
$77.50 |
$77.50 |
$77.50 |
$46.56
|
|
Warde folic acid rbc
|
$120.00 |
$120.00 |
$120.00 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$65.00 |
$65.00 |
$65.00 |
$44.64
|
|
Warde gastrin
|
$52.50 |
$52.50 |
$52.50 |
$79.30
|
|
Warde growth hormone (hgh)
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Warde haloperidol therapeutic drug level
|
$80.00 |
$80.00 |
$80.00 |
$70.85
|
|
Warde helminth antibody strongyloides igg
|
$150.00 |
$150.00 |
$150.00 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$115.00 |
$115.00 |
$115.00 |
$78.80
|
