|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$944.00 |
$944.00 |
$944.00 |
$381.50
|
|
Warde anti-mullerian hormone
|
$187.00 |
$187.00 |
$187.00 |
$93.28
|
|
Warde bile acids
|
$382.00 |
$382.00 |
$382.00 |
$64.28
|
|
Warde calcitonin
|
$305.00 |
$305.00 |
$305.00 |
$89.40
|
|
Warde clozapine therapeutic drug level
|
$383.00 |
$383.00 |
$383.00 |
$63.00
|
|
Warde complement total hemolytic
|
$235.00 |
$235.00 |
$235.00 |
$105.00
|
|
Warde cryoglobulin
|
$188.00 |
$188.00 |
$188.00 |
$43.45
|
|
Warde erythropoietin
|
$703.00 |
$703.00 |
$703.00 |
$90.35
|
|
Warde folic acid rbc
|
$240.00 |
$240.00 |
$240.00 |
$81.60
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$300.00 |
$300.00 |
$300.00 |
$43.55
|
|
Warde gastrin
|
$209.00 |
$209.00 |
$209.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$352.00 |
$352.00 |
$352.00 |
$81.24
|
|
Warde haloperidol therapeutic drug level
|
$156.00 |
$156.00 |
$156.00 |
$68.16
|
|
Warde hepatitis a antibody
|
$154.00 |
$154.00 |
$154.00 |
$83.70
|
|
Warde hepatitis be antibody
|
$144.00 |
$144.00 |
$144.00 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$209.00 |
$209.00 |
$209.00 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$144.00 |
$144.00 |
$144.00 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$6,167.00 |
$6,167.00 |
$6,167.00 |
$636.09
|
|
Warde lipoprotein (a)
|
$305.00 |
$305.00 |
$305.00 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$408.00 |
$408.00 |
$408.00 |
$97.00
|
|
Warde neutralization rabies
|
$535.00 |
$535.00 |
$535.00 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$482.00 |
$482.00 |
$482.00 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$305.00 |
$305.00 |
$305.00 |
$94.25
|
|
Warde protein c antigen
|
$382.00 |
$382.00 |
$382.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$252.00 |
$252.00 |
$252.00 |
$86.59
|
|
Warde t3 (triiodothyronine) reverse
|
$327.00 |
$327.00 |
$327.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$807.00 |
$807.00 |
$807.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$366.00 |
$366.00 |
$366.00 |
$71.19
|
|
Warde viscosity
|
$438.00 |
$438.00 |
$438.00 |
$52.65
|
|
Warde vitamin a
|
$230.00 |
$230.00 |
$230.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$300.00 |
$300.00 |
$300.00 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$223.00 |
$223.00 |
$223.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$235.00 |
$235.00 |
$235.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$565.00 |
$565.00 |
$565.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$209.00 |
$209.00 |
$209.00 |
$55.00
|
|
Western blot test
|
$868.00 |
$868.00 |
$868.00 |
$153.18
|
|
Wilate injection
|
$10.00 |
$10.00 |
$10.00 |
$1.28
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$72.00 |
$72.00 |
$72.00 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$149.00 |
$149.00 |
$149.00 |
$436.15
|
|
Xe133 xenon 10mci
|
$847.00 |
$847.00 |
$847.00 |
$299.00
|
|
X-ray abdomen 1 view
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$255.00
|
|
X-ray abdomen 2 views
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$312.36
|
|
X-ray abdomen >=3 views
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$271.44
|
|
X-ray bone age studies
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$246.75
|
|
X-ray bone survey complete
|
$4,687.00 |
$4,687.00 |
$4,687.00 |
$666.60
|
|
X-ray bone survey infant
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$2,159.00 |
$2,159.00 |
$2,159.00 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$4,523.00 |
$4,523.00 |
$4,523.00 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$6,681.00 |
$6,681.00 |
$6,681.00 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$4,085.00 |
$4,085.00 |
$4,085.00 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$5,493.00 |
$5,493.00 |
$5,493.00 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$486.24
|
|
X-ray exam of eye sockets
|
$3,724.00 |
$3,724.00 |
$3,724.00 |
$349.05
|
|
X-ray exam of middle ear
|
$3,893.00 |
$3,893.00 |
$3,893.00 |
$341.25
|
|
X-ray exam of penis
|
$3,353.00 |
$3,353.00 |
$3,353.00 |
$565.20
|
|
X-ray exam of salivary gland
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$124.24
|
|
X-ray exam of sinuses
|
$949.00 |
$949.00 |
$949.00 |
$211.00
|
|
X-ray facial bones complete > 3 views
|
$4,523.00 |
$4,523.00 |
$4,523.00 |
$366.60
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$2,915.00 |
$2,915.00 |
$2,915.00 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$3,433.00 |
$3,433.00 |
$3,433.00 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$3,603.00 |
$3,603.00 |
$3,603.00 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$3,787.00 |
$3,787.00 |
$3,787.00 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$207.35
|
|
X-ray joint survey 1 view
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$211.00
|
|
X-ray knee ap standing bilateral
|
$2,716.00 |
$2,716.00 |
$2,716.00 |
$276.25
|
|
X-ray lumbosacral spine >= 4 views
|
$4,085.00 |
$4,085.00 |
$4,085.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$4,337.00 |
$4,337.00 |
$4,337.00 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$3,724.00 |
$3,724.00 |
$3,724.00 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$2,159.00 |
$2,159.00 |
$2,159.00 |
$277.70
|
|
X-ray neck soft tissue
|
$2,159.00 |
$2,159.00 |
$2,159.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$1,706.00 |
$1,706.00 |
$1,706.00 |
$270.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$5,666.00 |
$5,666.00 |
$5,666.00 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$757.00 |
$757.00 |
$757.00 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$2,680.00 |
$2,680.00 |
$2,680.00 |
$285.60
|
|
X-ray sella turcica
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$162.50
|
|
X-ray sinuses paranasal complete > 3 views
|
$3,724.00 |
$3,724.00 |
$3,724.00 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$601.30
|
|
X-ray skull < 4 views
|
$2,603.00 |
$2,603.00 |
$2,603.00 |
$291.78
|
|
X-ray skull > 4 views complete
|
$3,949.00 |
$3,949.00 |
$3,949.00 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$6,091.00 |
$6,091.00 |
$6,091.00 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$4,468.00 |
$4,468.00 |
$4,468.00 |
$557.70
|
|
X-ray spine single view
|
$2,543.00 |
$2,543.00 |
$2,543.00 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$2,378.00 |
$2,378.00 |
$2,378.00 |
$263.49
|
|
X-ray sternum > 2 views
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$4,311.00 |
$4,311.00 |
$4,311.00 |
$318.50
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$3,214.00 |
$3,214.00 |
$3,214.00 |
$385.80
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$5,523.00 |
$5,523.00 |
$5,523.00 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$555.04
|
|
Xylose absorption test blood &/or urine
|
$454.00 |
$454.00 |
$454.00 |
$64.28
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$583.00 |
$583.00 |
$583.00 |
$106.94
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$581.00 |
$581.00 |
$581.00 |
$128.10
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$10,012.00 |
$10,012.00 |
$10,012.00 |
$346.14
|
