|
Warde growth hormone (hgh)
|
$174.41 |
$174.41 |
$174.41 |
$81.24
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$139.70 |
$139.70 |
$139.70 |
$68.64
|
|
Warde hepatitis a antibody
|
$135.27 |
$135.27 |
$135.27 |
$83.70
|
|
Warde hepatitis be antibody
|
$15.67 |
$15.67 |
$15.67 |
$50.00
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$12.89 |
$12.89 |
$12.89 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$81.45 |
$81.45 |
$81.45 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$21.15 |
$21.15 |
$21.15 |
$137.55
|
|
Warde lipoprotein (a)
|
$8.76 |
$8.76 |
$8.76 |
$69.96
|
|
Warde mitochondrial antibody each
|
$132.20 |
$132.20 |
$132.20 |
$62.40
|
|
Warde neutralization rabies
|
$2.35 |
$2.35 |
$2.35 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$68.75 |
$68.75 |
$68.75 |
$64.50
|
|
Warde protein c antigen
|
$6.00 |
$6.00 |
$6.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$95.25 |
$95.25 |
$95.25 |
$86.59
|
|
Warde somatomedin
|
$20.00 |
$20.00 |
$20.00 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$7.00 |
$7.00 |
$7.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$30.00 |
$30.00 |
$30.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$9.77 |
$9.77 |
$9.77 |
$71.19
|
|
Warde viscosity
|
$12.88 |
$12.88 |
$12.88 |
$52.65
|
|
Warde vitamin a
|
$11.75 |
$11.75 |
$11.75 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$14.90 |
$14.90 |
$14.90 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$14.66 |
$14.66 |
$14.66 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$6.89 |
$6.89 |
$6.89 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$12.00 |
$12.00 |
$12.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$6.93 |
$6.93 |
$6.93 |
$55.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$726.07 |
$726.07 |
$726.07 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,327.66 |
$1,327.66 |
$1,327.66 |
$436.15
|
|
X-ray abdomen 1 view
|
$1,020.34 |
$1,020.34 |
$1,020.34 |
$255.00
|
|
X-ray abdomen 2 views
|
$6,282.66 |
$6,282.66 |
$6,282.66 |
$312.36
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$3,980.38 |
$3,980.38 |
$3,980.38 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,950.06 |
$1,950.06 |
$1,950.06 |
$271.44
|
|
X-ray bone age studies
|
$1,025.52 |
$1,025.52 |
$1,025.52 |
$246.75
|
|
X-ray bone length studies
|
$2,563.79 |
$2,563.79 |
$2,563.79 |
$287.25
|
|
X-ray bone survey complete
|
$4,798.73 |
$4,798.73 |
$4,798.73 |
$666.60
|
|
X-ray bone survey infant
|
$4,798.73 |
$4,798.73 |
$4,798.73 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$3,294.12 |
$3,294.12 |
$3,294.12 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$6,412.11 |
$6,412.11 |
$6,412.11 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$2,625.95 |
$2,625.95 |
$2,625.95 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$7,976.32 |
$7,976.32 |
$7,976.32 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$9,493.91 |
$9,493.91 |
$9,493.91 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$5,275.25 |
$5,275.25 |
$5,275.25 |
$486.24
|
|
X-ray exam of eye sockets
|
$3,685.15 |
$3,685.15 |
$3,685.15 |
$349.05
|
|
X-ray exam of mastoids
|
$2,136.53 |
$2,136.53 |
$2,136.53 |
$191.91
|
|
X-ray exam of middle ear
|
$2,514.62 |
$2,514.62 |
$2,514.62 |
$341.25
|
|
X-ray exam of sinuses
|
$2,680.36 |
$2,680.36 |
$2,680.36 |
$211.00
|
|
X-ray exam thorac spine4/>vw
|
$5,679.28 |
$5,679.28 |
$5,679.28 |
$395.59
|
|
X-ray facial bones complete > 3 views
|
$4,591.57 |
$4,591.57 |
$4,591.57 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$3,270.04 |
$3,270.04 |
$3,270.04 |
$304.15
|
|
X-ray head for orthodontia
|
$4,951.56 |
$4,951.56 |
$4,951.56 |
$104.19
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$2,882.04 |
$2,882.04 |
$2,882.04 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$3,602.58 |
$3,602.58 |
$3,602.58 |
$409.24
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$2,438.68 |
$2,438.68 |
$2,438.68 |
$207.35
|
|
X-ray knee ap standing bilateral
|
$2,214.22 |
$2,214.22 |
$2,214.22 |
$276.25
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$3,449.55 |
$3,449.55 |
$3,449.55 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$5,516.09 |
$5,516.09 |
$5,516.09 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$6,523.47 |
$6,523.47 |
$6,523.47 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$4,591.57 |
$4,591.57 |
$4,591.57 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$3,597.11 |
$3,597.11 |
$3,597.11 |
$277.70
|
|
X-ray neck soft tissue
|
$3,597.11 |
$3,597.11 |
$3,597.11 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$4,798.73 |
$4,798.73 |
$4,798.73 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$3,822.41 |
$3,822.41 |
$3,822.41 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$2,804.68 |
$2,804.68 |
$2,804.68 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$6,935.25 |
$6,935.25 |
$6,935.25 |
$742.00
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$3,597.11 |
$3,597.11 |
$3,597.11 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$1,750.64 |
$1,750.64 |
$1,750.64 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$4,521.63 |
$4,521.63 |
$4,521.63 |
$285.60
|
|
X-ray sella turcica
|
$2,563.79 |
$2,563.79 |
$2,563.79 |
$162.50
|
|
X-ray sinuses paranasal complete > 3 views
|
$5,969.29 |
$5,969.29 |
$5,969.29 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$668.14 |
$668.14 |
$668.14 |
$601.30
|
|
X-ray skull < 4 views
|
$2,949.71 |
$2,949.71 |
$2,949.71 |
$291.78
|
|
X-ray skull > 4 views complete
|
$5,477.22 |
$5,477.22 |
$5,477.22 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$8,183.51 |
$8,183.51 |
$8,183.51 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$8,186.09 |
$8,186.09 |
$8,186.09 |
$557.70
|
|
X-ray small intestine follow-through study
|
$7,903.80 |
$7,903.80 |
$7,903.80 |
$504.14
|
|
X-ray spine single view
|
$1,929.31 |
$1,929.31 |
$1,929.31 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$1,950.06 |
$1,950.06 |
$1,950.06 |
$263.49
|
|
X-ray sternum > 2 views
|
$4,125.44 |
$4,125.44 |
$4,125.44 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$3,628.17 |
$3,628.17 |
$3,628.17 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$4,045.15 |
$4,045.15 |
$4,045.15 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$1,929.31 |
$1,929.31 |
$1,929.31 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$5,244.17 |
$5,244.17 |
$5,244.17 |
$387.60
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$3,629.18 |
$3,629.18 |
$3,629.18 |
$256.85
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$8,973.33 |
$8,973.33 |
$8,973.33 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$8,781.74 |
$8,781.74 |
$8,781.74 |
$555.04
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$163.01 |
$163.01 |
$163.01 |
$128.10
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$93.08 |
$93.08 |
$93.08 |
$346.14
|
