|
Warde topiramate therapeutic drug level
|
$429.60 |
$429.60 |
$429.60 |
$72.00
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$436.80 |
$436.80 |
$436.80 |
$123.51
|
|
Warde viscosity
|
$181.60 |
$181.60 |
$181.60 |
$49.00
|
|
Warde vitamin a
|
$159.20 |
$159.20 |
$159.20 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$249.60 |
$249.60 |
$249.60 |
$79.20
|
|
Warde vitamin b6 (pyridoxine)
|
$637.60 |
$637.60 |
$637.60 |
$114.66
|
|
Warde vitamin c (ascorbic acid)
|
$696.00 |
$696.00 |
$696.00 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$453.60 |
$453.60 |
$453.60 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$160.00 |
$160.00 |
$160.00 |
$57.20
|
|
Warde zinc
|
$143.20 |
$143.20 |
$143.20 |
$65.64
|
|
Wbc automated
|
$56.00 |
$56.00 |
$56.00 |
$33.57
|
|
Western blot test
|
$391.20 |
$391.20 |
$391.20 |
$149.45
|
|
Whole mitochondrial genome
|
$8,570.40 |
$8,570.40 |
$8,570.40 |
$2,175.00
|
|
Whole mitochondrial genome
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$1,653.60
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$574.40 |
$574.40 |
$574.40 |
$567.84
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$596.00 |
$596.00 |
$596.00 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$326.40 |
$326.40 |
$326.40 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$626.40 |
$626.40 |
$626.40 |
$435.60
|
|
Wrist X-ray
|
$974.40 |
$974.40 |
$974.40 |
$355.00
|
|
X-ray abdomen 1 view
|
$314.40 |
$314.40 |
$314.40 |
$258.00
|
|
X-ray abdomen 2 views
|
$383.20 |
$383.20 |
$383.20 |
$316.30
|
|
X-ray abdomen >=3 views
|
$441.60 |
$441.60 |
$441.60 |
$339.00
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$709.60 |
$709.60 |
$709.60 |
$416.40
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$637.60 |
$637.60 |
$637.60 |
$270.69
|
|
X-ray ankle 2 views (both sides)
|
$790.40 |
$790.40 |
$790.40 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$860.80 |
$860.80 |
$860.80 |
$781.55
|
|
X-ray bone age studies
|
$524.00 |
$524.00 |
$524.00 |
$250.20
|
|
X-ray bone length studies
|
$468.80 |
$468.80 |
$468.80 |
$285.30
|
|
X-ray bone survey complete
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$660.00
|
|
X-ray bone survey infant
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$394.80
|
|
X-ray cervical spine 2-3 views
|
$468.00 |
$468.00 |
$468.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$577.60 |
$577.60 |
$577.60 |
$464.55
|
|
X-ray cervical spine >= 6 views
|
$635.20 |
$635.20 |
$635.20 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$820.80 |
$820.80 |
$820.80 |
$306.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,314.40 |
$1,314.40 |
$1,314.40 |
$667.61
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$812.00 |
$812.00 |
$812.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$868.00 |
$868.00 |
$868.00 |
$368.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$484.80
|
|
X-ray exam entire spi 4/5 vw
|
$379.20 |
$379.20 |
$379.20 |
$436.80
|
|
X-ray exam entire spi 6/> vw
|
$436.80 |
$436.80 |
$436.80 |
$517.80
|
|
X-ray exam of arm infant
|
$851.20 |
$851.20 |
$851.20 |
$246.75
|
|
X-ray exam of eye sockets
|
$718.40 |
$718.40 |
$718.40 |
$328.35
|
|
X-ray exam of femur 1
|
$644.00 |
$644.00 |
$644.00 |
$237.42
|
|
X-ray exam of jaw joint
|
$470.40 |
$470.40 |
$470.40 |
$188.40
|
|
X-ray exam si joints
|
$416.00 |
$416.00 |
$416.00 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$569.60 |
$569.60 |
$569.60 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$903.20 |
$903.20 |
$903.20 |
$236.00
|
|
X-ray facial bones complete > 3 views
|
$718.40 |
$718.40 |
$718.40 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$812.00 |
$812.00 |
$812.00 |
$319.00
|
|
X-ray finger(s) >= 2 views (both sides)
|
$553.60 |
$553.60 |
$553.60 |
$243.60
|
|
X-ray foot 2 views (both sides)
|
$790.40 |
$790.40 |
$790.40 |
$292.83
|
|
X-ray forearm 2 views (both sides)
|
$821.60 |
$821.60 |
$821.60 |
$329.50
|
|
X-ray hand 2 views (both sides)
|
$774.40 |
$774.40 |
$774.40 |
$294.90
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$769.60 |
$769.60 |
$769.60 |
$280.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$587.20 |
$587.20 |
$587.20 |
$376.40
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$587.20 |
$587.20 |
$587.20 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$708.80 |
$708.80 |
$708.80 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$832.00 |
$832.00 |
$832.00 |
$512.80
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$464.00 |
$464.00 |
$464.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$971.20 |
$971.20 |
$971.20 |
$310.00
|
|
X-ray joint survey 1 view
|
$498.40 |
$498.40 |
$498.40 |
$233.77
|
|
X-ray knee 1-2 views (both sides)
|
$781.60 |
$781.60 |
$781.60 |
$298.85
|
|
X-ray knee 3 views (both sides)
|
$934.40 |
$934.40 |
$934.40 |
$369.95
|
|
X-ray knee ap standing bilateral
|
$462.40 |
$462.40 |
$462.40 |
$255.23
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$851.20 |
$851.20 |
$851.20 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$471.20 |
$471.20 |
$471.20 |
$373.10
|
|
X-ray lumbosacral spine >= 4 views
|
$542.40 |
$542.40 |
$542.40 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$612.80 |
$612.80 |
$612.80 |
$540.60
|
|
X-ray mandible complete > 4 views
|
$687.20 |
$687.20 |
$687.20 |
$365.66
|
|
X-ray mandible ltd <4 views
|
$687.20 |
$687.20 |
$687.20 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$551.20 |
$551.20 |
$551.20 |
$274.65
|
|
X-ray neck soft tissue
|
$493.60 |
$493.60 |
$493.60 |
$237.76
|
|
X-ray nose to rectum for foreign body child
|
$472.80 |
$472.80 |
$472.80 |
$226.20
|
|
X-ray of mammary ducts
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$621.00
|
|
X-ray pelvis 1-2 views
|
$520.80 |
$520.80 |
$520.80 |
$280.50
|
|
X-ray pelvis complete > 3 views
|
$781.60 |
$781.60 |
$781.60 |
$350.26
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$762.24
|
|
X-ray ribs 2 views left
|
$509.60 |
$509.60 |
$509.60 |
$291.61
|
|
X-ray ribs 3 views bilateral
|
$677.60 |
$677.60 |
$677.60 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$677.60 |
$677.60 |
$677.60 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$800.00 |
$800.00 |
$800.00 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$470.40 |
$470.40 |
$470.40 |
$311.35
|
|
X-ray sacrum/coccyx >= 2 views
|
$587.20 |
$587.20 |
$587.20 |
$289.20
|
|
X-ray scapula complete (both sides)
|
$820.80 |
$820.80 |
$820.80 |
$286.00
|
|
X-ray shoulder 1 view (both sides)
|
$767.20 |
$767.20 |
$767.20 |
$261.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$776.00 |
$776.00 |
$776.00 |
$346.45
|
|
X-ray sinus tract/fistula/abscess
|
$591.20 |
$591.20 |
$591.20 |
$599.23
|
|
X-ray skull < 4 views
|
$536.80 |
$536.80 |
$536.80 |
$291.78
|
|
X-ray skull > 4 views complete
|
$774.40 |
$774.40 |
$774.40 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$424.80
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$551.81
|
|
X-ray small intestine follow-through study
|
$688.00 |
$688.00 |
$688.00 |
$490.20
|
|
X-ray spine single view
|
$366.40 |
$366.40 |
$366.40 |
$254.25
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$564.80 |
$564.80 |
$564.80 |
$267.50
|
|
X-ray sternum > 2 views
|
$632.80 |
$632.80 |
$632.80 |
$274.65
|
|
X-ray surgical specimen
|
$451.20 |
$451.20 |
$451.20 |
$488.66
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$766.40 |
$766.40 |
$766.40 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$459.20 |
$459.20 |
$459.20 |
$321.60
|
