|
Warde protein c antigen
|
$146.90 |
$146.90 |
$146.90 |
$89.70
|
|
Warde sex hormone binding globulin
|
$88.40 |
$88.40 |
$88.40 |
$104.28
|
|
Warde somatomedin
|
$141.70 |
$141.70 |
$141.70 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$41.60 |
$41.60 |
$41.60 |
$39.42
|
|
Warde thyroid stimulating immunoglobulins
|
$152.10 |
$152.10 |
$152.10 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$71.50 |
$71.50 |
$71.50 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$142.35 |
$142.35 |
$142.35 |
$157.95
|
|
Warde viscosity
|
$58.50 |
$58.50 |
$58.50 |
$61.92
|
|
Warde vitamin a
|
$78.65 |
$78.65 |
$78.65 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$146.90 |
$146.90 |
$146.90 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$108.55 |
$108.55 |
$108.55 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$57.85 |
$57.85 |
$57.85 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$185.25 |
$185.25 |
$185.25 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$78.65 |
$78.65 |
$78.65 |
$64.28
|
|
Warde zinc
|
$81.25 |
$81.25 |
$81.25 |
$67.20
|
|
Wbc automated
|
$33.15 |
$33.15 |
$33.15 |
$32.50
|
|
Western blot test
|
$167.05 |
$167.05 |
$167.05 |
$170.40
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$393.25 |
$393.25 |
$393.25 |
$432.00
|
|
Wound closure by adhesive
|
$132.60 |
$132.60 |
$132.60 |
$156.65
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$252.85 |
$252.85 |
$252.85 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$367.90 |
$367.90 |
$367.90 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$312.65 |
$312.65 |
$312.65 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$453.05 |
$453.05 |
$453.05 |
$370.00
|
|
Wrist X-ray
|
$397.80 |
$397.80 |
$397.80 |
$311.20
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$5,144.79 |
$5,144.79 |
$5,144.79 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$8,260.65 |
$8,260.65 |
$8,260.65 |
$6,044.08
|
|
Xe133 xenon 10mci
|
$154.05 |
$154.05 |
$154.05 |
$299.00
|
|
X-ray abdomen 1 view
|
$191.10 |
$191.10 |
$191.10 |
$243.00
|
|
X-ray abdomen 2 views
|
$270.40 |
$270.40 |
$270.40 |
$281.50
|
|
X-ray abdomen >=3 views
|
$341.90 |
$341.90 |
$341.90 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$343.85 |
$343.85 |
$343.85 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$227.50 |
$227.50 |
$227.50 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$343.20 |
$343.20 |
$343.20 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$703.30 |
$703.30 |
$703.30 |
$734.43
|
|
X-ray bone age studies
|
$212.55 |
$212.55 |
$212.55 |
$227.08
|
|
X-ray bone length studies
|
$258.70 |
$258.70 |
$258.70 |
$258.70
|
|
X-ray bone survey complete
|
$685.10 |
$685.10 |
$685.10 |
$569.03
|
|
X-ray bone survey infant
|
$364.00 |
$364.00 |
$364.00 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$286.00 |
$286.00 |
$286.00 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$382.85 |
$382.85 |
$382.85 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$453.05 |
$453.05 |
$453.05 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$388.70 |
$388.70 |
$388.70 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$603.85 |
$603.85 |
$603.85 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$743.60 |
$743.60 |
$743.60 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$370.50 |
$370.50 |
$370.50 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$458.25 |
$458.25 |
$458.25 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$392.60 |
$392.60 |
$392.60 |
$434.76
|
|
X-ray exam entire spi 4/5 vw
|
$537.55 |
$537.55 |
$537.55 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$650.65 |
$650.65 |
$650.65 |
$562.90
|
|
X-ray exam of arm infant
|
$171.60 |
$171.60 |
$171.60 |
$238.26
|
|
X-ray exam of eye sockets
|
$265.85 |
$265.85 |
$265.85 |
$321.48
|
|
X-ray exam of femur 1
|
$202.15 |
$202.15 |
$202.15 |
$194.40
|
|
X-ray exam of jaw joint
|
$180.05 |
$180.05 |
$180.05 |
$179.54
|
|
X-ray exam of sinuses
|
$173.55 |
$173.55 |
$173.55 |
$192.00
|
|
X-ray exam si joints
|
$238.55 |
$238.55 |
$238.55 |
$198.38
|
|
X-ray exam thorac spine4/>vw
|
$336.70 |
$336.70 |
$336.70 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$231.40 |
$231.40 |
$231.40 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$289.25 |
$289.25 |
$289.25 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$404.30 |
$404.30 |
$404.30 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$367.25 |
$367.25 |
$367.25 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$352.95 |
$352.95 |
$352.95 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$398.45 |
$398.45 |
$398.45 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$342.55 |
$342.55 |
$342.55 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$331.50 |
$331.50 |
$331.50 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$279.50 |
$279.50 |
$279.50 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$302.90 |
$302.90 |
$302.90 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$386.75 |
$386.75 |
$386.75 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$498.55 |
$498.55 |
$498.55 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$167.05 |
$167.05 |
$167.05 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$445.25 |
$445.25 |
$445.25 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$331.50 |
$331.50 |
$331.50 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$436.80 |
$436.80 |
$436.80 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$204.75 |
$204.75 |
$204.75 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$187.85 |
$187.85 |
$187.85 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$342.55 |
$342.55 |
$342.55 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$405.60 |
$405.60 |
$405.60 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$498.55 |
$498.55 |
$498.55 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$334.75 |
$334.75 |
$334.75 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$235.30 |
$235.30 |
$235.30 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$241.15 |
$241.15 |
$241.15 |
$260.52
|
|
X-ray neck soft tissue
|
$212.55 |
$212.55 |
$212.55 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$226.20 |
$226.20 |
$226.20 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$198.25 |
$198.25 |
$198.25 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$295.75 |
$295.75 |
$295.75 |
$299.46
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$658.45 |
$658.45 |
$658.45 |
$663.18
|
|
X-ray ribs 2 views left
|
$219.70 |
$219.70 |
$219.70 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$364.00 |
$364.00 |
$364.00 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$257.40 |
$257.40 |
$257.40 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$386.10 |
$386.10 |
$386.10 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$254.80 |
$254.80 |
$254.80 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$244.40 |
$244.40 |
$244.40 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$442.00 |
$442.00 |
$442.00 |
$264.80
|
|
X-ray shoulder 1 view (both sides)
|
$307.45 |
$307.45 |
$307.45 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$337.35 |
$337.35 |
$337.35 |
$324.53
|
|
X-ray sinus tract/fistula/abscess
|
$401.70 |
$401.70 |
$401.70 |
$539.50
|
|
X-ray skull < 4 views
|
$219.70 |
$219.70 |
$219.70 |
$277.54
|
|
X-ray skull > 4 views complete
|
$371.80 |
$371.80 |
$371.80 |
$404.30
|
|
X-ray slg plne bdy sect without urogr
|
$491.40 |
$491.40 |
$491.40 |
$370.64
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$618.80 |
$618.80 |
$618.80 |
$511.38
|
|
X-ray spine single view
|
$166.40 |
$166.40 |
$166.40 |
$225.00
|