|
Warde lipoprotein (a)
|
$28.08 |
$28.08 |
$28.08 |
|
|
Warde lipoprotein-associated phospholipase a2
|
$42.90 |
$42.90 |
$42.90 |
|
|
Warde mitochondrial antibody each
|
$53.82 |
$53.82 |
$53.82 |
|
|
Warde neutralization rabies
|
$106.08 |
$106.08 |
$106.08 |
|
|
Warde pancreatic elastase fecal quantitative
|
$137.28 |
$137.28 |
$137.28 |
|
|
Warde protein c antigen
|
$154.44 |
$154.44 |
$154.44 |
|
|
Warde sex hormone binding globulin
|
$49.92 |
$49.92 |
$49.92 |
|
|
Warde somatomedin
|
$260.52 |
$260.52 |
$260.52 |
|
|
Warde t3 (triiodothyronine) reverse
|
$291.72 |
$291.72 |
$291.72 |
|
|
Warde thyroid stimulating immunoglobulins
|
$104.52 |
$104.52 |
$104.52 |
|
|
Warde topiramate therapeutic drug level
|
$113.10 |
$113.10 |
$113.10 |
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$52.26 |
$52.26 |
$52.26 |
|
|
Warde viscosity
|
$24.96 |
$24.96 |
$24.96 |
|
|
Warde vitamin a
|
$191.88 |
$191.88 |
$191.88 |
|
|
Warde vitamin b-1 (thiamine)
|
$265.20 |
$265.20 |
$265.20 |
|
|
Warde vitamin b6 (pyridoxine)
|
$148.98 |
$148.98 |
$148.98 |
|
|
Warde vitamin c (ascorbic acid)
|
$52.26 |
$52.26 |
$52.26 |
|
|
Warde vitamin d (1 25 dihydroxy)
|
$287.04 |
$287.04 |
$287.04 |
|
|
Warde vitamin e (alpha-tocopherol)
|
$187.20 |
$187.20 |
$187.20 |
|
|
Warde zinc
|
$174.72 |
$174.72 |
$174.72 |
|
|
Wbc automated
|
$13.26 |
$13.26 |
$13.26 |
|
|
Wedging of cast
|
$468.00 |
$468.00 |
$468.00 |
|
|
Western blot test
|
$173.94 |
$173.94 |
$173.94 |
|
|
Wnd prep f/n/hf/g addl cm
|
$651.30 |
$651.30 |
$651.30 |
|
|
Wound closure by adhesive
|
$97.50 |
$97.50 |
$97.50 |
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$741.00 |
$741.00 |
$741.00 |
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$779.22 |
$779.22 |
$779.22 |
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$292.50 |
$292.50 |
$292.50 |
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$779.22 |
$779.22 |
$779.22 |
|
|
Wrist X-ray
|
$622.44 |
$622.44 |
$622.44 |
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$3,870.36 |
$3,870.36 |
$3,870.36 |
|
|
Xfer tis s/a/l 10 sq cm/<
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
|
|
X-ray abdomen 1 view
|
$558.48 |
$558.48 |
$558.48 |
|
|
X-ray abdomen 2 views
|
$860.34 |
$860.34 |
$860.34 |
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$986.70 |
$986.70 |
$986.70 |
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray ankle 2 views (both sides)
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray bone age studies
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray bone survey complete
|
$1,048.32 |
$1,048.32 |
$1,048.32 |
|
|
X-ray bone survey infant
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray cervical spine 2-3 views
|
$726.96 |
$726.96 |
$726.96 |
|
|
X-ray cervical spine 4-5 views
|
$776.88 |
$776.88 |
$776.88 |
|
|
X-ray cervical spine >= 6 views
|
$832.26 |
$832.26 |
$832.26 |
|
|
X-ray clavicle complete (both sides)
|
$389.22 |
$389.22 |
$389.22 |
|
|
X-ray elbow 2 views (both sides)
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray elbow >= 3 views (both sides)
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray exam of arm infant
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray exam of eye sockets
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray exam of femur 1
|
$739.44 |
$739.44 |
$739.44 |
|
|
X-ray exam of sinuses
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray exam thorac spine4/>vw
|
$238.68 |
$238.68 |
$238.68 |
|
|
X-ray eye detection foreign body (both sides)
|
$219.18 |
$219.18 |
$219.18 |
|
|
X-ray facial bones complete > 3 views
|
$776.88 |
$776.88 |
$776.88 |
|
|
X-ray femur >=2 views (both sides)
|
$923.52 |
$923.52 |
$923.52 |
|
|
X-ray finger(s) >= 2 views (both sides)
|
$392.34 |
$392.34 |
$392.34 |
|
|
X-ray foot 2 views (both sides)
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray forearm 2 views (both sides)
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray hand 2 views (both sides)
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$460.98 |
$460.98 |
$460.98 |
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$492.96 |
$492.96 |
$492.96 |
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$655.98 |
$655.98 |
$655.98 |
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$310.44 |
$310.44 |
$310.44 |
|
|
X-ray humerus >= 2 views left
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray joint survey 1 view
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray knee 1-2 views (both sides)
|
$429.78 |
$429.78 |
$429.78 |
|
|
X-ray knee 3 views (both sides)
|
$686.40 |
$686.40 |
$686.40 |
|
|
X-ray knee ap standing bilateral
|
$389.22 |
$389.22 |
$389.22 |
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray lumbosacral spine >= 4 views
|
$776.88 |
$776.88 |
$776.88 |
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$776.88 |
$776.88 |
$776.88 |
|
|
X-ray mandible ltd <4 views
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray nasal bones complete > 3 views
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray neck soft tissue
|
$616.98 |
$616.98 |
$616.98 |
|
|
X-ray nose to rectum for foreign body child
|
$492.18 |
$492.18 |
$492.18 |
|
|
X-ray pelvis 1-2 views
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray pelvis complete > 3 views
|
$776.88 |
$776.88 |
$776.88 |
|
|
X-ray ribs 2 views left
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$677.04 |
$677.04 |
$677.04 |
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$266.76 |
$266.76 |
$266.76 |
|
|
X-ray sacroiliac joints >= 3 views
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray sacrum/coccyx >= 2 views
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray scapula complete (both sides)
|
$207.48 |
$207.48 |
$207.48 |
|
|
X-ray shoulder 1 view (both sides)
|
$390.00 |
$390.00 |
$390.00 |
|
|
X-ray sinuses paranasal complete > 3 views
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray skull < 4 views
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray spine single view
|
$387.66 |
$387.66 |
$387.66 |
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$387.66 |
$387.66 |
$387.66 |
|
|
X-ray sternum > 2 views
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$197.34 |
$197.34 |
$197.34 |
|
|
X-ray thoracic spine 2 views
|
$620.88 |
$620.88 |
$620.88 |
|
|
X-ray thoracic spine 3 views
|
$691.08 |
$691.08 |
$691.08 |
|
|
X-ray thoracolumbar spine >=2 views
|
$485.16 |
$485.16 |
$485.16 |
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$1,002.30 |
$1,002.30 |
$1,002.30 |
|
|
X-ray tibia/fibula 2 views (both sides)
|
$622.44 |
$622.44 |
$622.44 |
|
|
X-ray toe(s) > 2 views (both sides)
|
$460.98 |
$460.98 |
$460.98 |
|
|
X-ray wrist 2 views (both sides)
|
$485.16 |
$485.16 |
$485.16 |
|
|
Yersinia antibody
|
$42.12 |
$42.12 |
$42.12 |
|
|
Zika virus igm antibody
|
$98.28 |
$98.28 |
$98.28 |
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$380.23 |
$380.23 |
$380.23 |
|