|
Warde lipoprotein (a)
|
$22.86 |
$22.86 |
$22.86 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$24.00 |
$24.00 |
$24.00 |
$97.00
|
|
Warde mitochondrial antibody each
|
$37.80 |
$37.80 |
$37.80 |
$62.40
|
|
Warde oxcarbazepine therapeutic drug level
|
$34.08 |
$34.08 |
$34.08 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$107.52 |
$107.52 |
$107.52 |
$94.25
|
|
Warde protein c antigen
|
$93.43 |
$93.43 |
$93.43 |
$88.80
|
|
Warde sex hormone binding globulin
|
$49.31 |
$49.31 |
$49.31 |
$86.59
|
|
Warde somatomedin
|
$74.40 |
$74.40 |
$74.40 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$34.94 |
$34.94 |
$34.94 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$99.29 |
$99.29 |
$99.29 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$163.30 |
$163.30 |
$163.30 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$29.21 |
$29.21 |
$29.21 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$121.92 |
$121.92 |
$121.92 |
$127.20
|
|
Warde viscosity
|
$38.57 |
$38.57 |
$38.57 |
$52.65
|
|
Warde vitamin a
|
$50.90 |
$50.90 |
$50.90 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$55.20 |
$55.20 |
$55.20 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$84.00 |
$84.00 |
$84.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$31.75 |
$31.75 |
$31.75 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$108.96 |
$108.96 |
$108.96 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$39.84 |
$39.84 |
$39.84 |
$55.00
|
|
Warde zinc
|
$32.14 |
$32.14 |
$32.14 |
$62.50
|
|
Wbc automated
|
$29.76 |
$29.76 |
$29.76 |
$32.80
|
|
Wedging of cast
|
$361.92 |
$361.92 |
$361.92 |
$309.54
|
|
Western blot test
|
$91.20 |
$91.20 |
$91.20 |
$153.18
|
|
Wnd prep f/n/hf/g addl cm
|
$772.80 |
$772.80 |
$772.80 |
$865.80
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$567.84 |
$567.84 |
$567.84 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$368.16 |
$368.16 |
$368.16 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$306.72 |
$306.72 |
$306.72 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$361.92 |
$361.92 |
$361.92 |
$436.15
|
|
Wrist X-ray
|
$524.64 |
$524.64 |
$524.64 |
$343.70
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$4,018.56 |
$4,018.56 |
$4,018.56 |
$3,724.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$2,623.24
|
|
X-ray abdomen 1 view
|
$545.28 |
$545.28 |
$545.28 |
$255.00
|
|
X-ray abdomen 2 views
|
$563.04 |
$563.04 |
$563.04 |
$312.36
|
|
X-ray abdomen >=3 views
|
$647.04 |
$647.04 |
$647.04 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$837.60 |
$837.60 |
$837.60 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$486.24 |
$486.24 |
$486.24 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$395.04 |
$395.04 |
$395.04 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$520.32 |
$520.32 |
$520.32 |
$768.30
|
|
X-ray bone age studies
|
$485.28 |
$485.28 |
$485.28 |
$246.75
|
|
X-ray bone length studies
|
$564.96 |
$564.96 |
$564.96 |
$287.25
|
|
X-ray bone survey complete
|
$1,102.56 |
$1,102.56 |
$1,102.56 |
$666.60
|
|
X-ray bone survey infant
|
$935.04 |
$935.04 |
$935.04 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$510.24 |
$510.24 |
$510.24 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$843.84 |
$843.84 |
$843.84 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$995.52 |
$995.52 |
$995.52 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$409.44 |
$409.44 |
$409.44 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,328.16 |
$1,328.16 |
$1,328.16 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,649.28 |
$1,649.28 |
$1,649.28 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$416.64 |
$416.64 |
$416.64 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$524.64 |
$524.64 |
$524.64 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$644.16 |
$644.16 |
$644.16 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$627.84 |
$627.84 |
$627.84 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$879.84 |
$879.84 |
$879.84 |
$575.76
|
|
X-ray exam of arm infant
|
$126.24 |
$126.24 |
$126.24 |
$248.82
|
|
X-ray exam of eye sockets
|
$765.60 |
$765.60 |
$765.60 |
$349.05
|
|
X-ray exam of femur 1
|
$287.04 |
$287.04 |
$287.04 |
$232.36
|
|
X-ray exam of jaw joint
|
$304.80 |
$304.80 |
$304.80 |
$192.39
|
|
X-ray exam of mastoids
|
$435.36 |
$435.36 |
$435.36 |
$191.91
|
|
X-ray exam of salivary gland
|
$547.20 |
$547.20 |
$547.20 |
$124.24
|
|
X-ray exam of sinuses
|
$404.64 |
$404.64 |
$404.64 |
$211.00
|
|
X-ray exam si joints
|
$126.24 |
$126.24 |
$126.24 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$608.64 |
$608.64 |
$608.64 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$575.52 |
$575.52 |
$575.52 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$780.00 |
$780.00 |
$780.00 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$489.60 |
$489.60 |
$489.60 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$330.24 |
$330.24 |
$330.24 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$374.40 |
$374.40 |
$374.40 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$439.20 |
$439.20 |
$439.20 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$374.40 |
$374.40 |
$374.40 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$368.16 |
$368.16 |
$368.16 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$600.48 |
$600.48 |
$600.48 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$614.88 |
$614.88 |
$614.88 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$760.80 |
$760.80 |
$760.80 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$884.64 |
$884.64 |
$884.64 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$267.84 |
$267.84 |
$267.84 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$417.12 |
$417.12 |
$417.12 |
$304.15
|
|
X-ray joint survey 1 view
|
$404.16 |
$404.16 |
$404.16 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$338.40 |
$338.40 |
$338.40 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$442.08 |
$442.08 |
$442.08 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$288.48 |
$288.48 |
$288.48 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$126.24 |
$126.24 |
$126.24 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$713.76 |
$713.76 |
$713.76 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$794.88 |
$794.88 |
$794.88 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$1,026.24 |
$1,026.24 |
$1,026.24 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$749.28 |
$749.28 |
$749.28 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$489.60 |
$489.60 |
$489.60 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$513.12 |
$513.12 |
$513.12 |
$277.70
|
|
X-ray neck soft tissue
|
$461.28 |
$461.28 |
$461.28 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$601.92 |
$601.92 |
$601.92 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$394.56 |
$394.56 |
$394.56 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$631.68 |
$631.68 |
$631.68 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,313.28 |
$1,313.28 |
$1,313.28 |
$742.00
|
|
X-ray ribs 2 views left
|
$538.08 |
$538.08 |
$538.08 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$641.28 |
$641.28 |
$641.28 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$538.08 |
$538.08 |
$538.08 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$653.28 |
$653.28 |
$653.28 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$621.12 |
$621.12 |
$621.12 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$510.24 |
$510.24 |
$510.24 |
$285.60
|
