|
Warde lipoprotein (a)
|
$110.88 |
$110.88 |
$110.88 |
$67.00
|
|
Warde mitochondrial antibody each
|
$144.72 |
$144.72 |
$144.72 |
$59.28
|
|
Warde oxcarbazepine therapeutic drug level
|
$167.76 |
$167.76 |
$167.76 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$253.44 |
$253.44 |
$253.44 |
$94.25
|
|
Warde protein c antigen
|
$231.84 |
$231.84 |
$231.84 |
$93.43
|
|
Warde sex hormone binding globulin
|
$99.36 |
$99.36 |
$99.36 |
$82.08
|
|
Warde somatomedin
|
$218.88 |
$218.88 |
$218.88 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$70.56 |
$70.56 |
$70.56 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$96.48 |
$96.48 |
$96.48 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$177.12 |
$177.12 |
$177.12 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$182.16 |
$182.16 |
$182.16 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$253.44 |
$253.44 |
$253.44 |
$129.54
|
|
Warde viscosity
|
$200.16 |
$200.16 |
$200.16 |
$49.47
|
|
Warde vitamin a
|
$74.88 |
$74.88 |
$74.88 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$334.08 |
$334.08 |
$334.08 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$107.28 |
$107.28 |
$107.28 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$84.96 |
$84.96 |
$84.96 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$282.96 |
$282.96 |
$282.96 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$74.88 |
$74.88 |
$74.88 |
$59.25
|
|
Warde zinc
|
$123.84 |
$123.84 |
$123.84 |
$62.50
|
|
Western blot test
|
$179.28 |
$179.28 |
$179.28 |
$150.00
|
|
Wrist X-ray
|
$352.08 |
$352.08 |
$352.08 |
$342.80
|
|
X-ray abdomen 1 view
|
$418.32 |
$418.32 |
$418.32 |
$258.50
|
|
X-ray abdomen 2 views
|
$509.04 |
$509.04 |
$509.04 |
$316.47
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$722.16 |
$722.16 |
$722.16 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$419.04 |
$419.04 |
$419.04 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$282.96 |
$282.96 |
$282.96 |
$282.50
|
|
X-ray bone age studies
|
$453.60 |
$453.60 |
$453.60 |
$251.40
|
|
X-ray bone length studies
|
$267.12 |
$267.12 |
$267.12 |
$285.30
|
|
X-ray bone survey complete
|
$1,149.84 |
$1,149.84 |
$1,149.84 |
$660.00
|
|
X-ray bone survey infant
|
$1,149.84 |
$1,149.84 |
$1,149.84 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$696.96 |
$696.96 |
$696.96 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$573.84 |
$573.84 |
$573.84 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$612.72 |
$612.72 |
$612.72 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$383.04 |
$383.04 |
$383.04 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$732.24 |
$732.24 |
$732.24 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,046.88 |
$1,046.88 |
$1,046.88 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$293.04 |
$293.04 |
$293.04 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$387.36 |
$387.36 |
$387.36 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$443.52 |
$443.52 |
$443.52 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$412.56 |
$412.56 |
$412.56 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$412.56 |
$412.56 |
$412.56 |
$517.80
|
|
X-ray exam of arm infant
|
$352.08 |
$352.08 |
$352.08 |
$248.44
|
|
X-ray exam of eye sockets
|
$250.56 |
$250.56 |
$250.56 |
$328.35
|
|
X-ray exam of femur 1
|
$352.08 |
$352.08 |
$352.08 |
$240.00
|
|
X-ray exam of sinuses
|
$198.72 |
$198.72 |
$198.72 |
$214.50
|
|
X-ray exam si joints
|
$267.12 |
$267.12 |
$267.12 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$697.68 |
$697.68 |
$697.68 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$250.56 |
$250.56 |
$250.56 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$498.96 |
$498.96 |
$498.96 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$352.08 |
$352.08 |
$352.08 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$293.04 |
$293.04 |
$293.04 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$476.64 |
$476.64 |
$476.64 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$352.08 |
$352.08 |
$352.08 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$295.92 |
$295.92 |
$295.92 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$352.08 |
$352.08 |
$352.08 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$702.72 |
$702.72 |
$702.72 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$702.72 |
$702.72 |
$702.72 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$702.72 |
$702.72 |
$702.72 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$165.60 |
$165.60 |
$165.60 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$352.08 |
$352.08 |
$352.08 |
$309.31
|
|
X-ray joint survey 1 view
|
$459.36 |
$459.36 |
$459.36 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$353.52 |
$353.52 |
$353.52 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$383.04 |
$383.04 |
$383.04 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$383.04 |
$383.04 |
$383.04 |
$252.50
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$267.12 |
$267.12 |
$267.12 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$634.32 |
$634.32 |
$634.32 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$741.60 |
$741.60 |
$741.60 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$508.32 |
$508.32 |
$508.32 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$198.72 |
$198.72 |
$198.72 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$383.04 |
$383.04 |
$383.04 |
$274.65
|
|
X-ray neck soft tissue
|
$293.04 |
$293.04 |
$293.04 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$198.72 |
$198.72 |
$198.72 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$293.04 |
$293.04 |
$293.04 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$267.12 |
$267.12 |
$267.12 |
$348.19
|
|
X-ray ribs 2 views left
|
$322.56 |
$322.56 |
$322.56 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$293.76 |
$293.76 |
$293.76 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$453.60 |
$453.60 |
$453.60 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$573.84 |
$573.84 |
$573.84 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$447.84 |
$447.84 |
$447.84 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$412.56 |
$412.56 |
$412.56 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$412.56 |
$412.56 |
$412.56 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$190.08 |
$190.08 |
$190.08 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$498.96 |
$498.96 |
$498.96 |
$345.60
|
|
X-ray skull < 4 views
|
$505.44 |
$505.44 |
$505.44 |
$292.50
|
|
X-ray skull > 4 views complete
|
$544.32 |
$544.32 |
$544.32 |
$417.50
|
|
X-ray small intestine follow-through study
|
$1,503.36 |
$1,503.36 |
$1,503.36 |
$499.50
|
|
X-ray spine single view
|
$250.56 |
$250.56 |
$250.56 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$412.56 |
$412.56 |
$412.56 |
$264.48
|
|
X-ray sternum > 2 views
|
$383.04 |
$383.04 |
$383.04 |
$274.65
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$733.68 |
$733.68 |
$733.68 |
$523.25
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$476.64 |
$476.64 |
$476.64 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$274.32 |
$274.32 |
$274.32 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$412.56 |
$412.56 |
$412.56 |
$381.60
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$412.56 |
$412.56 |
$412.56 |
$352.95
|
|
X-ray tibia/fibula 2 views (both sides)
|
$352.08 |
$352.08 |
$352.08 |
$332.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$407.00 |
$407.00 |
$407.00 |
$258.50
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$773.28 |
$773.28 |
$773.28 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$837.36 |
$837.36 |
$837.36 |
$603.20
|
|
X-ray wrist 2 views (both sides)
|
$331.92 |
$331.92 |
$331.92 |
$290.40
|