|
Warde pancreatic elastase fecal quantitative
|
$53.43 |
$53.43 |
$53.43 |
$98.45
|
|
Warde protein c antigen
|
$395.07 |
$395.07 |
$395.07 |
$93.43
|
|
Warde sex hormone binding globulin
|
$125.97 |
$125.97 |
$125.97 |
$84.50
|
|
Warde somatomedin
|
$260.13 |
$260.13 |
$260.13 |
$115.82
|
|
Warde sugars single qualitative each specimen stool
|
$49.92 |
$49.92 |
$49.92 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$121.29 |
$121.29 |
$121.29 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$526.11 |
$526.11 |
$526.11 |
$183.60
|
|
Warde topiramate therapeutic drug level
|
$94.77 |
$94.77 |
$94.77 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$264.81 |
$264.81 |
$264.81 |
$129.80
|
|
Warde viscosity
|
$145.86 |
$145.86 |
$145.86 |
$50.16
|
|
Warde vitamin a
|
$190.32 |
$190.32 |
$190.32 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$358.80 |
$358.80 |
$358.80 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$510.90 |
$510.90 |
$510.90 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$44.85 |
$44.85 |
$44.85 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$367.38 |
$367.38 |
$367.38 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$161.85 |
$161.85 |
$161.85 |
$61.15
|
|
Warde zinc
|
$178.62 |
$178.62 |
$178.62 |
$62.70
|
|
Wash harvest stem cells
|
$803.79 |
$803.79 |
$803.79 |
$1,263.60
|
|
Wbc automated
|
$59.28 |
$59.28 |
$59.28 |
$32.74
|
|
Wedging of cast
|
$614.64 |
$614.64 |
$614.64 |
$314.28
|
|
Wedging of clubfoot cast
|
$304.98 |
$304.98 |
$304.98 |
$314.28
|
|
Western blot test
|
$186.03 |
$186.03 |
$186.03 |
$148.85
|
|
Whfo nontorsion joint prefab
|
$284.17 |
$284.17 |
$284.17 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$442.81 |
$442.81 |
$442.81 |
$452.38
|
|
Whole blood for transfusion
|
$761.28 |
$761.28 |
$761.28 |
$504.00
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,555.32 |
$1,555.32 |
$1,555.32 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$1,088.88 |
$1,088.88 |
$1,088.88 |
$491.04
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$1,087.32 |
$1,087.32 |
$1,087.32 |
$1,570.65
|
|
Whole mitochondrial genome
|
$1,385.28 |
$1,385.28 |
$1,385.28 |
$2,175.00
|
|
Whole Skeleton X-ray Survey
|
$801.45 |
$801.45 |
$801.45 |
$636.46
|
|
Wnd prep f/n/hf/g addl cm
|
$865.80 |
$865.80 |
$865.80 |
$811.00
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$852.93 |
$852.93 |
$852.93 |
$353.40
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$695.37 |
$695.37 |
$695.37 |
$574.40
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$689.91 |
$689.91 |
$689.91 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$211.38 |
$211.38 |
$211.38 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$352.56 |
$352.56 |
$352.56 |
$442.22
|
|
Wrist X-ray
|
$235.17 |
$235.17 |
$235.17 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$197.73 |
$197.73 |
$197.73 |
$291.20
|
|
Xe133 xenon 10mci
|
$64.35 |
$64.35 |
$64.35 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$2,157.48 |
$2,157.48 |
$2,157.48 |
$2,707.20
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,190.24 |
$2,190.24 |
$2,190.24 |
$2,838.00
|
|
Xm archive tissue molec anal
|
$20.28 |
$20.28 |
$20.28 |
$48.38
|
|
Xpos opn fmrl eprst aor uni add-on
|
$2,338.05 |
$2,338.05 |
$2,338.05 |
$1,859.09
|
|
X-ray abdomen >=3 views
|
$329.55 |
$329.55 |
$329.55 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$491.01 |
$491.01 |
$491.01 |
$794.00
|
|
X-ray bone length studies
|
$240.63 |
$240.63 |
$240.63 |
$285.30
|
|
X-ray bone survey infant
|
$559.26 |
$559.26 |
$559.26 |
$394.80
|
|
Xray endovasc thor ao repr
|
$5,261.88 |
$5,261.88 |
$5,261.88 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$7,990.32 |
$7,990.32 |
$7,990.32 |
$1,622.18
|
|
X-ray exam entire spi 4/5 vw
|
$441.48 |
$441.48 |
$441.48 |
$455.91
|
|
X-ray exam entire spi 6/> vw
|
$597.48 |
$597.48 |
$597.48 |
$519.00
|
|
X-ray exam of arm infant
|
$248.82 |
$248.82 |
$248.82 |
$248.82
|
|
X-ray exam of femur 1
|
$168.09 |
$168.09 |
$168.09 |
$237.60
|
|
X-ray exam of jaw joint
|
$240.63 |
$240.63 |
$240.63 |
$194.36
|
|
X-ray exam of jaw joint
|
$370.89 |
$370.89 |
$370.89 |
$452.00
|
|
X-ray exam of mastoids
|
$101.40 |
$101.40 |
$101.40 |
$193.41
|
|
X-ray exam of penis
|
$171.99 |
$171.99 |
$171.99 |
$593.46
|
|
X-ray exam of tear duct
|
$572.91 |
$572.91 |
$572.91 |
$467.50
|
|
X-ray exam si joints
|
$169.65 |
$169.65 |
$169.65 |
$246.98
|
|
X-ray exam thorac spine4/>vw
|
$414.57 |
$414.57 |
$414.57 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$238.29 |
$238.29 |
$238.29 |
$238.29
|
|
X-ray fallopian tube
|
$609.57 |
$609.57 |
$609.57 |
$565.40
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$271.05 |
$271.05 |
$271.05 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$304.98 |
$304.98 |
$304.98 |
$513.56
|
|
X-ray joint survey 1 view
|
$187.20 |
$187.20 |
$187.20 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$256.62 |
$256.62 |
$256.62 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$342.42 |
$342.42 |
$342.42 |
$364.75
|
|
X-ray male genital tract
|
$205.14 |
$205.14 |
$205.14 |
$603.50
|
|
X-ray mandible ltd <4 views
|
$213.72 |
$213.72 |
$213.72 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$259.74 |
$259.74 |
$259.74 |
$226.85
|
|
X-ray of mammary ducts
|
$504.27 |
$504.27 |
$504.27 |
$568.26
|
|
X-ray optic foramina
|
$134.55 |
$134.55 |
$134.55 |
$185.95
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$633.36 |
$633.36 |
$633.36 |
$765.60
|
|
X-ray ribs 2 views left
|
$283.92 |
$283.92 |
$283.92 |
$296.32
|
|
X-ray sella turcica
|
$221.52 |
$221.52 |
$221.52 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$414.96 |
$414.96 |
$414.96 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$618.93 |
$618.93 |
$618.93 |
$398.75
|
|
X-ray small intestine follow-through study
|
$804.18 |
$804.18 |
$804.18 |
$501.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$514.80 |
$514.80 |
$514.80 |
$267.50
|
|
X-ray surgical specimen
|
$457.47 |
$457.47 |
$457.47 |
$520.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$273.00 |
$273.00 |
$273.00 |
$256.85
|
|
Yersinia antibody
|
$202.80 |
$202.80 |
$202.80 |
$55.80
|
|
Zika virus dna/rna amp probe
|
$214.50 |
$214.50 |
$214.50 |
$181.08
|
|
Zika virus igm antibody
|
$23.01 |
$23.01 |
$23.01 |
$85.00
|