|
Warde t3 (triiodothyronine) reverse
|
$75.87 |
$75.87 |
$75.87 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$81.26 |
$81.26 |
$81.26 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$61.26 |
$61.26 |
$61.26 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$33.95 |
$33.95 |
$33.95 |
$127.20
|
|
Warde vitamin a
|
$19.87 |
$19.87 |
$19.87 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$70.21 |
$70.21 |
$70.21 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$77.45 |
$77.45 |
$77.45 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$37.34 |
$37.34 |
$37.34 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$111.42 |
$111.42 |
$111.42 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$20.69 |
$20.69 |
$20.69 |
$55.00
|
|
Warde zinc
|
$79.65 |
$79.65 |
$79.65 |
$62.50
|
|
Wbc automated
|
$112.46 |
$112.46 |
$112.46 |
$32.80
|
|
Western blot test
|
$49.30 |
$49.30 |
$49.30 |
$153.18
|
|
Wrist X-ray
|
$838.55 |
$838.55 |
$838.55 |
$343.70
|
|
Xm archive tissue molec anal
|
$64.85 |
$64.85 |
$64.85 |
$47.85
|
|
X-ray abdomen 1 view
|
$445.22 |
$445.22 |
$445.22 |
$255.00
|
|
X-ray abdomen 2 views
|
$681.04 |
$681.04 |
$681.04 |
$312.36
|
|
X-ray abdomen >=3 views
|
$589.52 |
$589.52 |
$589.52 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$983.55 |
$983.55 |
$983.55 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$668.31 |
$668.31 |
$668.31 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$605.25 |
$605.25 |
$605.25 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$928.37 |
$928.37 |
$928.37 |
$768.30
|
|
X-ray bone age studies
|
$592.65 |
$592.65 |
$592.65 |
$246.75
|
|
X-ray bone length studies
|
$470.35 |
$470.35 |
$470.35 |
$287.25
|
|
X-ray bone survey complete
|
$2,133.13 |
$2,133.13 |
$2,133.13 |
$666.60
|
|
X-ray bone survey infant
|
$949.89 |
$949.89 |
$949.89 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$1,019.28 |
$1,019.28 |
$1,019.28 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$2,303.34 |
$2,303.34 |
$2,303.34 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$2,437.86 |
$2,437.86 |
$2,437.86 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$556.91 |
$556.91 |
$556.91 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,142.20 |
$1,142.20 |
$1,142.20 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,959.33 |
$1,959.33 |
$1,959.33 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$605.25 |
$605.25 |
$605.25 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$764.98 |
$764.98 |
$764.98 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$932.35 |
$932.35 |
$932.35 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$758.69 |
$758.69 |
$758.69 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$912.10 |
$912.10 |
$912.10 |
$575.76
|
|
X-ray exam of arm infant
|
$653.61 |
$653.61 |
$653.61 |
$248.82
|
|
X-ray exam of eye sockets
|
$504.40 |
$504.40 |
$504.40 |
$349.05
|
|
X-ray exam of femur 1
|
$529.63 |
$529.63 |
$529.63 |
$232.36
|
|
X-ray exam of jaw joint
|
$1,069.70 |
$1,069.70 |
$1,069.70 |
$192.39
|
|
X-ray exam of sinuses
|
$794.40 |
$794.40 |
$794.40 |
$211.00
|
|
X-ray exam si joints
|
$453.11 |
$453.11 |
$453.11 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$1,214.72 |
$1,214.72 |
$1,214.72 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$339.75 |
$339.75 |
$339.75 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$1,277.77 |
$1,277.77 |
$1,277.77 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$943.60 |
$943.60 |
$943.60 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$596.85 |
$596.85 |
$596.85 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$526.95 |
$526.95 |
$526.95 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$600.98 |
$600.98 |
$600.98 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$632.58 |
$632.58 |
$632.58 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$529.63 |
$529.63 |
$529.63 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$1,862.07 |
$1,862.07 |
$1,862.07 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$1,122.26 |
$1,122.26 |
$1,122.26 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$270.00 |
$270.00 |
$270.00 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$974.61 |
$974.61 |
$974.61 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$273.23 |
$273.23 |
$273.23 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$601.05 |
$601.05 |
$601.05 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$1,008.78 |
$1,008.78 |
$1,008.78 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$994.02 |
$994.02 |
$994.02 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$479.17 |
$479.17 |
$479.17 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$1,023.49 |
$1,023.49 |
$1,023.49 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$760.76 |
$760.76 |
$760.76 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$2,303.34 |
$2,303.34 |
$2,303.34 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$2,437.86 |
$2,437.86 |
$2,437.86 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$1,155.87 |
$1,155.87 |
$1,155.87 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$554.83 |
$554.83 |
$554.83 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$849.02 |
$849.02 |
$849.02 |
$277.70
|
|
X-ray neck soft tissue
|
$558.48 |
$558.48 |
$558.48 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$482.46 |
$482.46 |
$482.46 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$777.60 |
$777.60 |
$777.60 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$790.19 |
$790.19 |
$790.19 |
$342.30
|
|
X-ray ribs 2 views left
|
$977.24 |
$977.24 |
$977.24 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$1,191.61 |
$1,191.61 |
$1,191.61 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$1,076.02 |
$1,076.02 |
$1,076.02 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$1,477.39 |
$1,477.39 |
$1,477.39 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$926.79 |
$926.79 |
$926.79 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$977.24 |
$977.24 |
$977.24 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$628.39 |
$628.39 |
$628.39 |
$292.50
|
|
X-ray shoulder 1 view (both sides)
|
$264.16 |
$264.16 |
$264.16 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$1,191.61 |
$1,191.61 |
$1,191.61 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$890.46 |
$890.46 |
$890.46 |
$601.30
|
|
X-ray skull < 4 views
|
$668.31 |
$668.31 |
$668.31 |
$291.78
|
|
X-ray skull > 4 views complete
|
$1,178.98 |
$1,178.98 |
$1,178.98 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$557.70
|
|
X-ray small intestine follow-through study
|
$613.08 |
$613.08 |
$613.08 |
$504.14
|
|
X-ray spine single view
|
$273.23 |
$273.23 |
$273.23 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$517.00 |
$517.00 |
$517.00 |
$263.49
|
|
X-ray sternum > 2 views
|
$701.93 |
$701.93 |
$701.93 |
$269.75
|
|
X-ray surgical specimen
|
$1,360.16 |
$1,360.16 |
$1,360.16 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$918.39 |
$918.39 |
$918.39 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$1,069.70 |
$1,069.70 |
$1,069.70 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$1,006.66 |
$1,006.66 |
$1,006.66 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$1,181.09 |
$1,181.09 |
$1,181.09 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$779.70 |
$779.70 |
$779.70 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$453.57 |
$453.57 |
$453.57 |
$256.85
|
|
X-ray tibia/fibula 2 views (both sides)
|
$987.76 |
$987.76 |
$987.76 |
$328.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$529.63 |
$529.63 |
$529.63 |
$264.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$1,532.72 |
$1,532.72 |
$1,532.72 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$1,150.51 |
$1,150.51 |
$1,150.51 |
$555.04
|