|
Warde topiramate therapeutic drug level
|
$162.60 |
$162.60 |
$162.60 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$238.80 |
$238.80 |
$238.80 |
$129.54
|
|
Warde viscosity
|
$138.60 |
$138.60 |
$138.60 |
$49.47
|
|
Warde vitamin a
|
$145.20 |
$145.20 |
$145.20 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$210.60 |
$210.60 |
$210.60 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$403.80 |
$403.80 |
$403.80 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$152.40 |
$152.40 |
$152.40 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$256.80 |
$256.80 |
$256.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$124.20 |
$124.20 |
$124.20 |
$59.25
|
|
Warde zinc
|
$159.00 |
$159.00 |
$159.00 |
$62.50
|
|
Wbc automated
|
$45.00 |
$45.00 |
$45.00 |
$32.35
|
|
Western blot test
|
$334.80 |
$334.80 |
$334.80 |
$150.00
|
|
Wet mounts/ w preparations
|
$78.00 |
$78.00 |
$78.00 |
$36.80
|
|
Whfo w/joint(s) custom fab
|
$240.60 |
$240.60 |
$240.60 |
$465.50
|
|
Whole blood for transfusion
|
$778.80 |
$778.80 |
$778.80 |
$497.00
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$907.20 |
$907.20 |
$907.20 |
$491.04
|
|
Whole mitochondrial genome
|
$5,424.60 |
$5,424.60 |
$5,424.60 |
$2,175.00
|
|
Whole mitochondrial genome
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$1,681.55
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$249.00 |
$249.00 |
$249.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$252.00 |
$252.00 |
$252.00 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$601.80 |
$601.80 |
$601.80 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$483.60 |
$483.60 |
$483.60 |
$438.75
|
|
Wrist X-ray
|
$482.40 |
$482.40 |
$482.40 |
$342.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$4,965.00 |
$4,965.00 |
$4,965.00 |
$2,692.80
|
|
Xm archive tissue molec anal
|
$132.00 |
$132.00 |
$132.00 |
$49.84
|
|
Xpos opn fmrl eprst aor uni add-on
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$277.20 |
$277.20 |
$277.20 |
$258.50
|
|
X-ray abdomen 2 views
|
$337.80 |
$337.80 |
$337.80 |
$316.47
|
|
X-ray abdomen >=3 views
|
$389.40 |
$389.40 |
$389.40 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$551.40 |
$551.40 |
$551.40 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$241.80 |
$241.80 |
$241.80 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$408.60 |
$408.60 |
$408.60 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$709.20 |
$709.20 |
$709.20 |
$773.40
|
|
X-ray bone age studies
|
$212.40 |
$212.40 |
$212.40 |
$251.40
|
|
X-ray bone length studies
|
$456.00 |
$456.00 |
$456.00 |
$285.30
|
|
X-ray bone survey complete
|
$729.00 |
$729.00 |
$729.00 |
$660.00
|
|
X-ray bone survey infant
|
$729.00 |
$729.00 |
$729.00 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$412.80 |
$412.80 |
$412.80 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$510.00 |
$510.00 |
$510.00 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$560.40 |
$560.40 |
$560.40 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$431.40 |
$431.40 |
$431.40 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$837.00 |
$837.00 |
$837.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,325.40 |
$1,325.40 |
$1,325.40 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$495.60 |
$495.60 |
$495.60 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$486.60 |
$486.60 |
$486.60 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$631.80 |
$631.80 |
$631.80 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$334.20 |
$334.20 |
$334.20 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$385.20 |
$385.20 |
$385.20 |
$517.80
|
|
X-ray exam of arm infant
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$248.44
|
|
X-ray exam of eye sockets
|
$583.80 |
$583.80 |
$583.80 |
$328.35
|
|
X-ray exam of femur 1
|
$484.20 |
$484.20 |
$484.20 |
$240.00
|
|
X-ray exam of jaw joint
|
$430.20 |
$430.20 |
$430.20 |
$188.40
|
|
X-ray exam of mastoids
|
$215.40 |
$215.40 |
$215.40 |
$193.41
|
|
X-ray exam of penis
|
$1,805.40 |
$1,805.40 |
$1,805.40 |
$593.46
|
|
X-ray exam of salivary gland
|
$262.20 |
$262.20 |
$262.20 |
$162.60
|
|
X-ray exam of sinuses
|
$377.40 |
$377.40 |
$377.40 |
$214.50
|
|
X-ray exam of teeth
|
$245.40 |
$245.40 |
$245.40 |
$119.66
|
|
X-ray exam of teeth
|
$307.20 |
$307.20 |
$307.20 |
$328.08
|
|
X-ray exam si joints
|
$482.40 |
$482.40 |
$482.40 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$502.20 |
$502.20 |
$502.20 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$430.80 |
$430.80 |
$430.80 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$720.00 |
$720.00 |
$720.00 |
$381.75
|
|
X-ray fallopian tube
|
$721.80 |
$721.80 |
$721.80 |
$532.38
|
|
X-ray femur >=2 views (both sides)
|
$426.60 |
$426.60 |
$426.60 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$280.20 |
$280.20 |
$280.20 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$402.00 |
$402.00 |
$402.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$376.80 |
$376.80 |
$376.80 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$405.00 |
$405.00 |
$405.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$371.40 |
$371.40 |
$371.40 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$729.00 |
$729.00 |
$729.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$510.60 |
$510.60 |
$510.60 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$464.40 |
$464.40 |
$464.40 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$534.00 |
$534.00 |
$534.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$295.80 |
$295.80 |
$295.80 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$409.20 |
$409.20 |
$409.20 |
$309.31
|
|
X-ray joint survey 1 view
|
$214.80 |
$214.80 |
$214.80 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$403.80 |
$403.80 |
$403.80 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$592.80 |
$592.80 |
$592.80 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$207.00 |
$207.00 |
$207.00 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$415.80 |
$415.80 |
$415.80 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$478.20 |
$478.20 |
$478.20 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$540.60 |
$540.60 |
$540.60 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$405.00 |
$405.00 |
$405.00 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$580.80 |
$580.80 |
$580.80 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$259.80 |
$259.80 |
$259.80 |
$274.65
|
|
X-ray neck soft tissue
|
$326.40 |
$326.40 |
$326.40 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$316.80 |
$316.80 |
$316.80 |
$225.60
|
|
X-ray of mammary ducts
|
$885.00 |
$885.00 |
$885.00 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$266.40 |
$266.40 |
$266.40 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$587.40 |
$587.40 |
$587.40 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$739.20 |
$739.20 |
$739.20 |
$755.50
|
|
X-ray ribs 2 views left
|
$435.00 |
$435.00 |
$435.00 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$552.60 |
$552.60 |
$552.60 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$557.40 |
$557.40 |
$557.40 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$681.60 |
$681.60 |
$681.60 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$297.60 |
$297.60 |
$297.60 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$289.20 |
$289.20 |
$289.20 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$526.20 |
$526.20 |
$526.20 |
$285.00
|
