|
Warde t3 (triiodothyronine) reverse
|
$125.40 |
$125.40 |
$125.40 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$865.80 |
$865.80 |
$865.80 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$325.20 |
$325.20 |
$325.20 |
$157.95
|
|
Warde vitamin a
|
$142.80 |
$142.80 |
$142.80 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$236.40 |
$236.40 |
$236.40 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$211.80 |
$211.80 |
$211.80 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$125.40 |
$125.40 |
$125.40 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$287.40 |
$287.40 |
$287.40 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$204.00 |
$204.00 |
$204.00 |
$64.28
|
|
Warde zinc
|
$172.80 |
$172.80 |
$172.80 |
$67.20
|
|
Wbc automated
|
$52.80 |
$52.80 |
$52.80 |
$32.50
|
|
Whole blood for transfusion
|
$444.00 |
$444.00 |
$444.00 |
$400.68
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$428.40 |
$428.40 |
$428.40 |
$432.00
|
|
Wnd prep f/n/hf/g addl cm
|
$947.40 |
$947.40 |
$947.40 |
$865.80
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$199.80 |
$199.80 |
$199.80 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$229.20 |
$229.20 |
$229.20 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$282.60 |
$282.60 |
$282.60 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$229.20 |
$229.20 |
$229.20 |
$370.00
|
|
Wrist X-ray
|
$552.00 |
$552.00 |
$552.00 |
$311.20
|
|
Xm archive tissue molec anal
|
$118.80 |
$118.80 |
$118.80 |
$48.00
|
|
X-ray abdomen 1 view
|
$207.60 |
$207.60 |
$207.60 |
$243.00
|
|
X-ray abdomen 2 views
|
$237.60 |
$237.60 |
$237.60 |
$281.50
|
|
X-ray abdomen >=3 views
|
$272.40 |
$272.40 |
$272.40 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$310.80 |
$310.80 |
$310.80 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$239.40 |
$239.40 |
$239.40 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$386.40 |
$386.40 |
$386.40 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$734.43
|
|
X-ray bone age studies
|
$239.40 |
$239.40 |
$239.40 |
$227.08
|
|
X-ray bone length studies
|
$319.20 |
$319.20 |
$319.20 |
$258.70
|
|
X-ray bone survey complete
|
$730.80 |
$730.80 |
$730.80 |
$569.03
|
|
X-ray bone survey infant
|
$427.80 |
$427.80 |
$427.80 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$328.80 |
$328.80 |
$328.80 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$427.20 |
$427.20 |
$427.20 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$489.60 |
$489.60 |
$489.60 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$496.80 |
$496.80 |
$496.80 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$674.40 |
$674.40 |
$674.40 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$804.00 |
$804.00 |
$804.00 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$393.60 |
$393.60 |
$393.60 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$525.60 |
$525.60 |
$525.60 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$484.80 |
$484.80 |
$484.80 |
$434.76
|
|
X-ray exam entire spi 4/5 vw
|
$478.80 |
$478.80 |
$478.80 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$623.40 |
$623.40 |
$623.40 |
$562.90
|
|
X-ray exam of arm infant
|
$115.20 |
$115.20 |
$115.20 |
$238.26
|
|
X-ray exam of eye sockets
|
$256.80 |
$256.80 |
$256.80 |
$321.48
|
|
X-ray exam of femur 1
|
$252.00 |
$252.00 |
$252.00 |
$194.40
|
|
X-ray exam of mastoids
|
$282.00 |
$282.00 |
$282.00 |
$187.60
|
|
X-ray exam of middle ear
|
$94.80 |
$94.80 |
$94.80 |
$322.45
|
|
X-ray exam of sinuses
|
$210.00 |
$210.00 |
$210.00 |
$192.00
|
|
X-ray exam si joints
|
$214.80 |
$214.80 |
$214.80 |
$198.38
|
|
X-ray exam thorac spine4/>vw
|
$408.00 |
$408.00 |
$408.00 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$493.20 |
$493.20 |
$493.20 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$334.80 |
$334.80 |
$334.80 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$504.00 |
$504.00 |
$504.00 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$343.20 |
$343.20 |
$343.20 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$379.20 |
$379.20 |
$379.20 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$472.80 |
$472.80 |
$472.80 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$439.20 |
$439.20 |
$439.20 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$417.60 |
$417.60 |
$417.60 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$379.20 |
$379.20 |
$379.20 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$277.20 |
$277.20 |
$277.20 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$379.20 |
$379.20 |
$379.20 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$483.60 |
$483.60 |
$483.60 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$174.00 |
$174.00 |
$174.00 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$470.40 |
$470.40 |
$470.40 |
$285.00
|
|
X-ray joint survey 1 view
|
$226.20 |
$226.20 |
$226.20 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$492.00 |
$492.00 |
$492.00 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$628.80 |
$628.80 |
$628.80 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$243.60 |
$243.60 |
$243.60 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$348.00 |
$348.00 |
$348.00 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$331.20 |
$331.20 |
$331.20 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$460.80 |
$460.80 |
$460.80 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$465.60 |
$465.60 |
$465.60 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$320.40 |
$320.40 |
$320.40 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$208.80 |
$208.80 |
$208.80 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$230.40 |
$230.40 |
$230.40 |
$260.52
|
|
X-ray neck soft tissue
|
$184.80 |
$184.80 |
$184.80 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$207.60 |
$207.60 |
$207.60 |
$201.00
|
|
X-ray of mammary ducts
|
$486.00 |
$486.00 |
$486.00 |
$437.00
|
|
X-ray optic foramina
|
$66.00 |
$66.00 |
$66.00 |
$165.09
|
|
X-ray pelvis 1-2 views
|
$218.40 |
$218.40 |
$218.40 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$292.80 |
$292.80 |
$292.80 |
$299.46
|
|
X-ray ribs 2 views left
|
$270.00 |
$270.00 |
$270.00 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$351.60 |
$351.60 |
$351.60 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$280.80 |
$280.80 |
$280.80 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$468.00 |
$468.00 |
$468.00 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$253.20 |
$253.20 |
$253.20 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$230.40 |
$230.40 |
$230.40 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$475.20 |
$475.20 |
$475.20 |
$264.80
|
|
X-ray sella turcica
|
$58.80 |
$58.80 |
$58.80 |
$144.00
|
|
X-ray shoulder 1 view (both sides)
|
$368.40 |
$368.40 |
$368.40 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$296.40 |
$296.40 |
$296.40 |
$324.53
|
|
X-ray skull < 4 views
|
$230.40 |
$230.40 |
$230.40 |
$277.54
|
|
X-ray skull > 4 views complete
|
$365.40 |
$365.40 |
$365.40 |
$404.30
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$396.00 |
$396.00 |
$396.00 |
$511.38
|
|
X-ray small intestine follow-through study
|
$297.60 |
$297.60 |
$297.60 |
$470.16
|
|
X-ray spine single view
|
$195.00 |
$195.00 |
$195.00 |
$225.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$303.60 |
$303.60 |
$303.60 |
$236.88
|
|
X-ray sternum > 2 views
|
$243.60 |
$243.60 |
$243.60 |
$230.00
|
|
X-ray surgical specimen
|
$682.80 |
$682.80 |
$682.80 |
$457.47
|
