|
Warde lipoprotein (a)
|
$26.72 |
$26.72 |
$26.72 |
$69.96
|
|
Warde protein c antigen
|
$395.84 |
$395.84 |
$395.84 |
$88.80
|
|
Warde sex hormone binding globulin
|
$177.40 |
$177.40 |
$177.40 |
$86.59
|
|
Warde somatomedin
|
$56.20 |
$56.20 |
$56.20 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$3.10 |
$3.10 |
$3.10 |
$35.75
|
|
Warde topiramate therapeutic drug level
|
$6.46 |
$6.46 |
$6.46 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$44.44 |
$44.44 |
$44.44 |
$127.20
|
|
Warde vitamin b6 (pyridoxine)
|
$28.00 |
$28.00 |
$28.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$10.00 |
$10.00 |
$10.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$101.80 |
$101.80 |
$101.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$32.52 |
$32.52 |
$32.52 |
$55.00
|
|
Wbc automated
|
$13.84 |
$13.84 |
$13.84 |
$32.80
|
|
Wet mounts/ w preparations
|
$8.24 |
$8.24 |
$8.24 |
$36.80
|
|
Wilate injection
|
$2.62 |
$2.62 |
$2.62 |
$2.94
|
|
Wrist X-ray
|
$892.00 |
$892.00 |
$892.00 |
$343.70
|
|
X-ray abdomen 1 view
|
$256.80 |
$256.80 |
$256.80 |
$255.00
|
|
X-ray abdomen 2 views
|
$268.40 |
$268.40 |
$268.40 |
$312.36
|
|
X-ray abdomen >=3 views
|
$292.80 |
$292.80 |
$292.80 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$362.00 |
$362.00 |
$362.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$369.20 |
$369.20 |
$369.20 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$324.40 |
$324.40 |
$324.40 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$996.80 |
$996.80 |
$996.80 |
$768.30
|
|
X-ray bone age studies
|
$279.60 |
$279.60 |
$279.60 |
$246.75
|
|
X-ray bone length studies
|
$359.20 |
$359.20 |
$359.20 |
$287.25
|
|
X-ray bone survey complete
|
$225.60 |
$225.60 |
$225.60 |
$666.60
|
|
X-ray bone survey infant
|
$362.40 |
$362.40 |
$362.40 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$145.60 |
$145.60 |
$145.60 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$698.00 |
$698.00 |
$698.00 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$733.20 |
$733.20 |
$733.20 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$736.80 |
$736.80 |
$736.80 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$643.60 |
$643.60 |
$643.60 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$724.00 |
$724.00 |
$724.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$624.80 |
$624.80 |
$624.80 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$726.80 |
$726.80 |
$726.80 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$558.00 |
$558.00 |
$558.00 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$558.00 |
$558.00 |
$558.00 |
$575.76
|
|
X-ray exam of arm infant
|
$135.20 |
$135.20 |
$135.20 |
$248.82
|
|
X-ray exam of eye sockets
|
$516.00 |
$516.00 |
$516.00 |
$349.05
|
|
X-ray exam of femur 1
|
$179.60 |
$179.60 |
$179.60 |
$232.36
|
|
X-ray exam of sinuses
|
$180.80 |
$180.80 |
$180.80 |
$211.00
|
|
X-ray exam thorac spine4/>vw
|
$416.40 |
$416.40 |
$416.40 |
$395.59
|
|
X-ray facial bones complete > 3 views
|
$336.00 |
$336.00 |
$336.00 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$358.80 |
$358.80 |
$358.80 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$349.60 |
$349.60 |
$349.60 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$674.40 |
$674.40 |
$674.40 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$699.60 |
$699.60 |
$699.60 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$367.60 |
$367.60 |
$367.60 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$292.80 |
$292.80 |
$292.80 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$296.80 |
$296.80 |
$296.80 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$296.80 |
$296.80 |
$296.80 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$558.00 |
$558.00 |
$558.00 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$179.60 |
$179.60 |
$179.60 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$251.60 |
$251.60 |
$251.60 |
$304.15
|
|
X-ray joint survey 1 view
|
$326.00 |
$326.00 |
$326.00 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$391.20 |
$391.20 |
$391.20 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$815.20 |
$815.20 |
$815.20 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$383.60 |
$383.60 |
$383.60 |
$276.25
|
|
X-ray lumbosacral spine >= 4 views
|
$782.80 |
$782.80 |
$782.80 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$698.00 |
$698.00 |
$698.00 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$445.60 |
$445.60 |
$445.60 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$177.20 |
$177.20 |
$177.20 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$402.00 |
$402.00 |
$402.00 |
$277.70
|
|
X-ray neck soft tissue
|
$373.20 |
$373.20 |
$373.20 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$237.60 |
$237.60 |
$237.60 |
$225.96
|
|
X-ray of mammary ducts
|
$308.40 |
$308.40 |
$308.40 |
$473.55
|
|
X-ray optic foramina
|
$550.80 |
$550.80 |
$550.80 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$232.00 |
$232.00 |
$232.00 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$369.20 |
$369.20 |
$369.20 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$742.00
|
|
X-ray ribs 2 views left
|
$208.40 |
$208.40 |
$208.40 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$207.60 |
$207.60 |
$207.60 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$584.00 |
$584.00 |
$584.00 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$859.60 |
$859.60 |
$859.60 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$366.80 |
$366.80 |
$366.80 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$408.80 |
$408.80 |
$408.80 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$370.80 |
$370.80 |
$370.80 |
$292.50
|
|
X-ray sella turcica
|
$405.20 |
$405.20 |
$405.20 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$154.40 |
$154.40 |
$154.40 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$432.00 |
$432.00 |
$432.00 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$431.60 |
$431.60 |
$431.60 |
$601.30
|
|
X-ray skull < 4 views
|
$343.20 |
$343.20 |
$343.20 |
$291.78
|
|
X-ray skull > 4 views complete
|
$634.80 |
$634.80 |
$634.80 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$514.80 |
$514.80 |
$514.80 |
$557.70
|
|
X-ray small intestine follow-through study
|
$683.20 |
$683.20 |
$683.20 |
$504.14
|
|
X-ray spine single view
|
$528.80 |
$528.80 |
$528.80 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$261.60 |
$261.60 |
$261.60 |
$263.49
|
|
X-ray sternum > 2 views
|
$404.00 |
$404.00 |
$404.00 |
$269.75
|
|
X-ray surgical specimen
|
$280.80 |
$280.80 |
$280.80 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$376.40 |
$376.40 |
$376.40 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$644.80 |
$644.80 |
$644.80 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$270.80 |
$270.80 |
$270.80 |
$318.50
|
|
X-ray thoracolumbar spine >=2 views
|
$348.40 |
$348.40 |
$348.40 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$176.80 |
$176.80 |
$176.80 |
$256.85
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$296.80 |
$296.80 |
$296.80 |
$385.80
|
|
X-ray tibia/fibula 2 views (both sides)
|
$544.80 |
$544.80 |
$544.80 |
$328.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$310.80 |
$310.80 |
$310.80 |
$264.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$936.40 |
$936.40 |
$936.40 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$398.80 |
$398.80 |
$398.80 |
$555.04
|
