|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$69.84 |
$69.84 |
$69.84 |
$80.16
|
|
Warde hepatitis a antibody
|
$126.00 |
$126.00 |
$126.00 |
$83.40
|
|
Warde hepatitis be antibody
|
$100.08 |
$100.08 |
$100.08 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$157.68 |
$157.68 |
$157.68 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$112.32 |
$112.32 |
$112.32 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$105.12 |
$105.12 |
$105.12 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,121.04 |
$1,121.04 |
$1,121.04 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$246.96 |
$246.96 |
$246.96 |
$141.05
|
|
Warde lipoprotein (a)
|
$128.16 |
$128.16 |
$128.16 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$210.96 |
$210.96 |
$210.96 |
$95.90
|
|
Warde mitochondrial antibody each
|
$148.32 |
$148.32 |
$148.32 |
$59.28
|
|
Warde neutralization rabies
|
$156.24 |
$156.24 |
$156.24 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$76.32 |
$76.32 |
$76.32 |
$64.35
|
|
Warde protein c antigen
|
$270.00 |
$270.00 |
$270.00 |
$93.43
|
|
Warde sex hormone binding globulin
|
$132.48 |
$132.48 |
$132.48 |
$82.08
|
|
Warde somatomedin
|
$196.56 |
$196.56 |
$196.56 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$106.56 |
$106.56 |
$106.56 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$214.56 |
$214.56 |
$214.56 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$403.92 |
$403.92 |
$403.92 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$194.40 |
$194.40 |
$194.40 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$358.56 |
$358.56 |
$358.56 |
$129.54
|
|
Warde viscosity
|
$157.68 |
$157.68 |
$157.68 |
$49.47
|
|
Warde vitamin a
|
$118.08 |
$118.08 |
$118.08 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$128.16 |
$128.16 |
$128.16 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$264.96 |
$264.96 |
$264.96 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$186.48 |
$186.48 |
$186.48 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$275.76 |
$275.76 |
$275.76 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$115.92 |
$115.92 |
$115.92 |
$59.25
|
|
Warde zinc
|
$100.80 |
$100.80 |
$100.80 |
$62.50
|
|
Wbc automated
|
$65.52 |
$65.52 |
$65.52 |
$32.35
|
|
Western blot test
|
$303.12 |
$303.12 |
$303.12 |
$150.00
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,071.36 |
$1,071.36 |
$1,071.36 |
$696.45
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,070.64 |
$1,070.64 |
$1,070.64 |
$554.01
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$1,120.32 |
$1,120.32 |
$1,120.32 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,194.48 |
$1,194.48 |
$1,194.48 |
$438.75
|
|
Wrist X-ray
|
$578.16 |
$578.16 |
$578.16 |
$342.80
|
|
Xpos opn fmrl eprst aor uni add-on
|
$362.88 |
$362.88 |
$362.88 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$424.08 |
$424.08 |
$424.08 |
$258.50
|
|
X-ray abdomen 2 views
|
$527.04 |
$527.04 |
$527.04 |
$316.47
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$658.80 |
$658.80 |
$658.80 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$632.88 |
$632.88 |
$632.88 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$488.16 |
$488.16 |
$488.16 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$773.40
|
|
X-ray bone age studies
|
$781.20 |
$781.20 |
$781.20 |
$251.40
|
|
X-ray bone length studies
|
$352.80 |
$352.80 |
$352.80 |
$285.30
|
|
X-ray bone survey complete
|
$974.88 |
$974.88 |
$974.88 |
$660.00
|
|
X-ray bone survey infant
|
$710.64 |
$710.64 |
$710.64 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$582.48 |
$582.48 |
$582.48 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$897.12 |
$897.12 |
$897.12 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$967.68 |
$967.68 |
$967.68 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$466.56 |
$466.56 |
$466.56 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$958.32 |
$958.32 |
$958.32 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,390.32 |
$1,390.32 |
$1,390.32 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$490.32 |
$490.32 |
$490.32 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$514.80 |
$514.80 |
$514.80 |
$364.12
|
|
Xray endovasc thor ao repr
|
$1,586.16 |
$1,586.16 |
$1,586.16 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$1,824.48 |
$1,824.48 |
$1,824.48 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$940.32 |
$940.32 |
$940.32 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$993.60 |
$993.60 |
$993.60 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$229.68 |
$229.68 |
$229.68 |
$517.80
|
|
X-ray exam of arm infant
|
$529.92 |
$529.92 |
$529.92 |
$248.44
|
|
X-ray exam of eye sockets
|
$609.12 |
$609.12 |
$609.12 |
$328.35
|
|
X-ray exam of femur 1
|
$460.08 |
$460.08 |
$460.08 |
$240.00
|
|
X-ray exam of sinuses
|
$466.56 |
$466.56 |
$466.56 |
$214.50
|
|
X-ray exam si joints
|
$519.12 |
$519.12 |
$519.12 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$810.72 |
$810.72 |
$810.72 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$310.32 |
$310.32 |
$310.32 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$747.36 |
$747.36 |
$747.36 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$567.36 |
$567.36 |
$567.36 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$466.56 |
$466.56 |
$466.56 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$514.80 |
$514.80 |
$514.80 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$497.52 |
$497.52 |
$497.52 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$466.56 |
$466.56 |
$466.56 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$488.88 |
$488.88 |
$488.88 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$478.80 |
$478.80 |
$478.80 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$601.20 |
$601.20 |
$601.20 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$864.00 |
$864.00 |
$864.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$352.80 |
$352.80 |
$352.80 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$565.20 |
$565.20 |
$565.20 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$558.72 |
$558.72 |
$558.72 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$618.48 |
$618.48 |
$618.48 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$515.52 |
$515.52 |
$515.52 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$785.52 |
$785.52 |
$785.52 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$810.72 |
$810.72 |
$810.72 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$931.68 |
$931.68 |
$931.68 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$974.88 |
$974.88 |
$974.88 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$529.92 |
$529.92 |
$529.92 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$529.92 |
$529.92 |
$529.92 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$528.48 |
$528.48 |
$528.48 |
$274.65
|
|
X-ray neck soft tissue
|
$370.80 |
$370.80 |
$370.80 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$403.20 |
$403.20 |
$403.20 |
$225.60
|
|
X-ray of mammary ducts
|
$924.48 |
$924.48 |
$924.48 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$565.20 |
$565.20 |
$565.20 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$587.52 |
$587.52 |
$587.52 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$755.50
|
|
X-ray ribs 2 views left
|
$518.40 |
$518.40 |
$518.40 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$574.56 |
$574.56 |
$574.56 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$568.08 |
$568.08 |
$568.08 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$678.24 |
$678.24 |
$678.24 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$565.20 |
$565.20 |
$565.20 |
$312.75
|