|
Warde thyroid stimulating immunoglobulins
|
$35.00 |
$35.00 |
$35.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$6.01 |
$6.01 |
$6.01 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$18.50 |
$18.50 |
$18.50 |
$127.20
|
|
Warde viscosity
|
$12.40 |
$12.40 |
$16.00 |
$52.65
|
|
Warde vitamin a
|
$15.00 |
$15.00 |
$15.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$18.00 |
$18.00 |
$18.00 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$21.00 |
$21.00 |
$21.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$6.66 |
$6.66 |
$9.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$15.00 |
$15.00 |
$15.00 |
$138.50
|
|
Warde zinc
|
$6.00 |
$26.64 |
$26.64 |
$62.50
|
|
Wbc automated
|
$30.34 |
$30.34 |
$30.34 |
$32.80
|
|
Wilate injection
|
$5.00 |
$5.00 |
$5.00 |
$1.28
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$447.33 |
$447.33 |
$871.00 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$447.33 |
$447.33 |
$871.00 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$213.77 |
$352.89 |
$871.00 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$408.48 |
$709.57 |
$871.00 |
$436.15
|
|
Wrist X-ray
|
$220.24 |
$220.24 |
$275.28 |
$343.70
|
|
Xe133 xenon 10mci
|
$487.11 |
$487.11 |
$487.11 |
$299.00
|
|
Xm archive tissue molec anal
|
$53.65 |
$53.65 |
$53.65 |
$47.85
|
|
X-ray abdomen 1 view
|
$162.99 |
$162.99 |
$203.78 |
$255.00
|
|
X-ray abdomen 2 views
|
$174.46 |
$174.46 |
$218.12 |
$312.36
|
|
X-ray abdomen >=3 views
|
$185.93 |
$185.93 |
$232.45 |
$332.15
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$230.33 |
$230.33 |
$287.95 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$191.48 |
$191.48 |
$191.48 |
$283.00
|
|
X-ray bone age studies
|
$165.02 |
$165.02 |
$206.28 |
$246.75
|
|
X-ray bone length studies
|
$218.86 |
$218.86 |
$273.62 |
$287.25
|
|
X-ray bone survey complete
|
$551.58 |
$551.58 |
$689.50 |
$666.60
|
|
X-ray bone survey infant
|
$610.87 |
$610.87 |
$763.59 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$234.77 |
$234.77 |
$293.50 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$352.33 |
$352.33 |
$440.39 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$382.95 |
$382.95 |
$478.69 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$179.64 |
$179.64 |
$224.59 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$538.17 |
$538.17 |
$538.17 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$948.87 |
$948.87 |
$948.87 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$130.24 |
$130.24 |
$162.80 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$145.50 |
$145.50 |
$181.86 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$419.77 |
$419.77 |
$419.77 |
$486.24
|
|
X-ray exam entire spi 6/> vw
|
$299.79 |
$299.79 |
$299.79 |
$575.76
|
|
X-ray exam of arm infant
|
$109.80 |
$109.80 |
$137.27 |
$248.82
|
|
X-ray exam of eye sockets
|
$144.49 |
$144.49 |
$180.65 |
$349.05
|
|
X-ray exam of femur 1
|
$114.89 |
$114.89 |
$143.65 |
$232.36
|
|
X-ray exam of mastoids
|
$227.83 |
$227.83 |
$2,761.00 |
$191.91
|
|
X-ray exam of middle ear
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$341.25
|
|
X-ray exam of penis
|
$1,511.00 |
$1,511.00 |
$1,511.00 |
$565.20
|
|
X-ray exam of sinuses
|
$169.09 |
$169.09 |
$169.09 |
$211.00
|
|
X-ray exam si joints
|
$141.62 |
$141.62 |
$177.05 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$148.83 |
$148.83 |
$148.83 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$130.98 |
$130.98 |
$130.98 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$163.26 |
$163.26 |
$204.06 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$227.83 |
$227.83 |
$284.81 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$156.60 |
$156.60 |
$195.73 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$194.90 |
$194.90 |
$194.90 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$185.37 |
$185.37 |
$231.71 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$189.53 |
$189.53 |
$189.53 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$181.12 |
$181.12 |
$226.44 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$191.48 |
$191.48 |
$239.39 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$203.41 |
$203.41 |
$254.28 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$212.57 |
$212.57 |
$265.75 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$222.83 |
$222.83 |
$278.52 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$159.47 |
$159.47 |
$199.34 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$157.53 |
$157.53 |
$196.93 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$210.62 |
$210.62 |
$263.26 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$235.51 |
$235.51 |
$294.43 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$189.16 |
$189.16 |
$236.43 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$110.08 |
$110.08 |
$137.64 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$448.16 |
$448.16 |
$448.16 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$371.20 |
$371.20 |
$463.98 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$474.43 |
$474.43 |
$474.43 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$206.46 |
$206.46 |
$258.08 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$149.57 |
$149.57 |
$149.57 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$215.62 |
$215.62 |
$269.55 |
$277.70
|
|
X-ray neck soft tissue
|
$159.38 |
$159.38 |
$199.25 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$159.75 |
$159.75 |
$199.71 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$150.50 |
$150.50 |
$188.15 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$148.37 |
$148.37 |
$148.37 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$833.70 |
$833.70 |
$833.70 |
$742.00
|
|
X-ray ribs 2 views left
|
$267.23 |
$267.23 |
$334.02 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$240.87 |
$240.87 |
$301.09 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$272.04 |
$272.04 |
$340.03 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$396.83 |
$396.83 |
$496.08 |
$497.00
|
|
X-ray sacrum/coccyx >= 2 views
|
$166.04 |
$166.04 |
$207.57 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$221.72 |
$221.72 |
$277.13 |
$292.50
|
|
X-ray sella turcica
|
$1,849.00 |
$1,849.00 |
$1,849.00 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$110.08 |
$110.08 |
$110.08 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$210.72 |
$210.72 |
$263.44 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$665.91 |
$665.91 |
$665.91 |
$601.30
|
|
X-ray skull < 4 views
|
$213.68 |
$213.68 |
$267.14 |
$291.78
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$480.17 |
$480.17 |
$480.17 |
$557.70
|
|
X-ray small intestine follow-through study
|
$843.14 |
$843.14 |
$843.14 |
$504.14
|
|
X-ray spine single view
|
$241.80 |
$241.80 |
$302.29 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$245.59 |
$245.59 |
$307.01 |
$263.49
|
|
X-ray sternum > 2 views
|
$207.29 |
$207.29 |
$259.09 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$216.82 |
$216.82 |
$216.82 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$148.46 |
$148.46 |
$148.46 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$124.51 |
$124.51 |
$124.51 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$143.56 |
$143.56 |
$179.45 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$158.27 |
$158.27 |
$197.86 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$130.98 |
$130.98 |
$130.98 |
$256.85
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$186.57 |
$186.57 |
$233.19 |
$385.80
|
|
X-ray tibia/fibula 2 views (both sides)
|
$215.53 |
$215.53 |
$269.45 |
$328.00
|