|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$575.34 |
$575.34 |
$575.34 |
$43.55
|
|
Warde gastrin
|
$1,310.15 |
$1,310.15 |
$1,310.15 |
$75.25
|
|
Warde growth hormone (hgh)
|
$893.44 |
$893.44 |
$893.44 |
$81.24
|
|
Warde helminth antibody strongyloides igg
|
$697.28 |
$697.28 |
$697.28 |
$96.80
|
|
Warde hepatitis a antibody
|
$1,166.32 |
$1,166.32 |
$1,166.32 |
$83.70
|
|
Warde hepatitis be antibody
|
$620.10 |
$620.10 |
$620.10 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$919.70 |
$919.70 |
$919.70 |
$92.30
|
|
Warde immunofixation electrophoresis urine
|
$1,573.04 |
$1,573.04 |
$1,573.04 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$545.90 |
$545.90 |
$545.90 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$13,798.22 |
$13,798.22 |
$13,798.22 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$1,263.26 |
$1,263.26 |
$1,263.26 |
$137.55
|
|
Warde lipoprotein (a)
|
$767.48 |
$767.48 |
$767.48 |
$69.96
|
|
Warde mitochondrial antibody each
|
$1,364.02 |
$1,364.02 |
$1,364.02 |
$62.40
|
|
Warde neutralization rabies
|
$906.31 |
$906.31 |
$906.31 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$568.41 |
$568.41 |
$568.41 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$1,231.09 |
$1,231.09 |
$1,231.09 |
$94.25
|
|
Warde protein c antigen
|
$738.26 |
$738.26 |
$738.26 |
$88.80
|
|
Warde sex hormone binding globulin
|
$1,164.63 |
$1,164.63 |
$1,164.63 |
$86.59
|
|
Warde somatomedin
|
$1,139.45 |
$1,139.45 |
$1,139.45 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$639.49 |
$639.49 |
$639.49 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$2,725.87 |
$2,725.87 |
$2,725.87 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$638.85 |
$638.85 |
$638.85 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$1,027.68 |
$1,027.68 |
$1,027.68 |
$127.20
|
|
Warde vitamin a
|
$126.92 |
$126.92 |
$126.92 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$1,137.84 |
$1,137.84 |
$1,137.84 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$346.60 |
$346.60 |
$346.60 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$105.70 |
$105.70 |
$105.70 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$436.71 |
$436.71 |
$436.71 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$759.99 |
$759.99 |
$759.99 |
$55.00
|
|
Warde zinc
|
$610.45 |
$610.45 |
$610.45 |
$62.50
|
|
Wbc automated
|
$262.11 |
$262.11 |
$262.11 |
$32.80
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$4,533.77 |
$4,533.77 |
$4,533.77 |
$740.15
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,467.92 |
$1,467.92 |
$1,467.92 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$551.80 |
$551.80 |
$551.80 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$971.74 |
$971.74 |
$971.74 |
$436.15
|
|
Wrist X-ray
|
$1,198.72 |
$1,198.72 |
$1,198.72 |
$343.70
|
|
X-ray abdomen 1 view
|
$1,199.06 |
$1,199.06 |
$1,199.06 |
$255.00
|
|
X-ray abdomen 2 views
|
$1,730.55 |
$1,730.55 |
$1,730.55 |
$312.36
|
|
X-ray abdomen >=3 views
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$901.24 |
$901.24 |
$901.24 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,590.76 |
$1,590.76 |
$1,590.76 |
$768.30
|
|
X-ray bone age studies
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$246.75
|
|
X-ray bone survey complete
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$666.60
|
|
X-ray cervical spine 2-3 views
|
$1,791.99 |
$1,791.99 |
$1,791.99 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$2,988.99 |
$2,988.99 |
$2,988.99 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$2,988.99 |
$2,988.99 |
$2,988.99 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$710.50 |
$710.50 |
$710.50 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$2,570.73 |
$2,570.73 |
$2,570.73 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$811.99 |
$811.99 |
$811.99 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$869.74 |
$869.74 |
$869.74 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$3,739.73 |
$3,739.73 |
$3,739.73 |
$486.24
|
|
X-ray exam entire spi 6/> vw
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$575.76
|
|
X-ray exam of eye sockets
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$349.05
|
|
X-ray exam of femur 1
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$232.36
|
|
X-ray exam of jaw joint
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$192.39
|
|
X-ray exam of sinuses
|
$1,212.76 |
$1,212.76 |
$1,212.76 |
$211.00
|
|
X-ray exam si joints
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$2,441.23 |
$2,441.23 |
$2,441.23 |
$395.59
|
|
X-ray facial bones complete > 3 views
|
$2,166.48 |
$2,166.48 |
$2,166.48 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$1,791.99 |
$1,791.99 |
$1,791.99 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$1,191.75 |
$1,191.75 |
$1,191.75 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$839.98 |
$839.98 |
$839.98 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$1,023.73 |
$1,023.73 |
$1,023.73 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$892.49 |
$892.49 |
$892.49 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$1,601.26 |
$1,601.26 |
$1,601.26 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$1,469.99 |
$1,469.99 |
$1,469.99 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$314.01 |
$314.01 |
$314.01 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$3,202.48 |
$3,202.48 |
$3,202.48 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$735.00 |
$735.00 |
$735.00 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$747.23 |
$747.23 |
$747.23 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$1,263.49 |
$1,263.49 |
$1,263.49 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$1,697.48 |
$1,697.48 |
$1,697.48 |
$353.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$3,149.99 |
$3,149.99 |
$3,149.99 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$2,988.99 |
$2,988.99 |
$2,988.99 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$1,112.98 |
$1,112.98 |
$1,112.98 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$1,830.47 |
$1,830.47 |
$1,830.47 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$1,601.26 |
$1,601.26 |
$1,601.26 |
$277.70
|
|
X-ray neck soft tissue
|
$1,410.49 |
$1,410.49 |
$1,410.49 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$1,391.25 |
$1,391.25 |
$1,391.25 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,408.64 |
$1,408.64 |
$1,408.64 |
$742.00
|
|
X-ray ribs 2 views left
|
$2,297.72 |
$2,297.72 |
$2,297.72 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$2,519.99 |
$2,519.99 |
$2,519.99 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$1,919.73 |
$1,919.73 |
$1,919.73 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$1,695.72 |
$1,695.72 |
$1,695.72 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$811.99 |
$811.99 |
$811.99 |
$292.50
|
|
X-ray shoulder 1 view (both sides)
|
$1,009.75 |
$1,009.75 |
$1,009.75 |
$264.48
|
|
X-ray sinus tract/fistula/abscess
|
$6,986.59 |
$6,986.59 |
$6,986.59 |
$601.30
|
|
X-ray skull < 4 views
|
$1,557.49 |
$1,557.49 |
$1,557.49 |
$291.78
|
|
X-ray skull > 4 views complete
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$2,994.22 |
$2,994.22 |
$2,994.22 |
$557.70
|