|
Warde oxcarbazepine therapeutic drug level
|
$179.40 |
$179.40 |
$179.40 |
$71.20
|
|
Warde protein c antigen
|
$492.60 |
$492.60 |
$492.60 |
$89.70
|
|
Warde sex hormone binding globulin
|
$234.00 |
$234.00 |
$234.00 |
$104.28
|
|
Warde somatomedin
|
$484.80 |
$484.80 |
$484.80 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$57.60 |
$57.60 |
$57.60 |
$39.42
|
|
Warde t3 (triiodothyronine) reverse
|
$195.60 |
$195.60 |
$195.60 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$583.20 |
$583.20 |
$583.20 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$212.40 |
$212.40 |
$212.40 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$594.60 |
$594.60 |
$594.60 |
$157.95
|
|
Warde vitamin a
|
$241.80 |
$241.80 |
$241.80 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$304.20 |
$304.20 |
$304.20 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$301.80 |
$301.80 |
$301.80 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$149.40 |
$149.40 |
$149.40 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$520.20 |
$520.20 |
$520.20 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$294.60 |
$294.60 |
$294.60 |
$64.28
|
|
Warde zinc
|
$235.80 |
$235.80 |
$235.80 |
$67.20
|
|
Wbc automated
|
$72.00 |
$72.00 |
$72.00 |
$32.50
|
|
Western blot test
|
$172.20 |
$172.20 |
$172.20 |
$170.40
|
|
Whole blood for transfusion
|
$556.80 |
$556.80 |
$556.80 |
$400.68
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$785.40 |
$785.40 |
$785.40 |
$432.00
|
|
Wnd prep f/n/hf/g addl cm
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$865.80
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$473.40 |
$473.40 |
$473.40 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$323.40 |
$323.40 |
$323.40 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$294.60 |
$294.60 |
$294.60 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$315.60 |
$315.60 |
$315.60 |
$370.00
|
|
Wrist X-ray
|
$510.00 |
$510.00 |
$510.00 |
$311.20
|
|
Xe133 xenon 10mci
|
$177.00 |
$177.00 |
$177.00 |
$299.00
|
|
Xm archive tissue molec anal
|
$113.40 |
$113.40 |
$113.40 |
$48.00
|
|
X-ray abdomen 1 view
|
$241.80 |
$241.80 |
$241.80 |
$243.00
|
|
X-ray abdomen 2 views
|
$321.60 |
$321.60 |
$321.60 |
$281.50
|
|
X-ray abdomen >=3 views
|
$339.00 |
$339.00 |
$339.00 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$333.00 |
$333.00 |
$333.00 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$264.60 |
$264.60 |
$264.60 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$387.60 |
$387.60 |
$387.60 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$734.43
|
|
X-ray bone age studies
|
$239.40 |
$239.40 |
$239.40 |
$227.08
|
|
X-ray bone length studies
|
$355.20 |
$355.20 |
$355.20 |
$258.70
|
|
X-ray bone survey complete
|
$703.20 |
$703.20 |
$703.20 |
$569.03
|
|
X-ray bone survey infant
|
$792.00 |
$792.00 |
$792.00 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$308.40 |
$308.40 |
$308.40 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$427.80 |
$427.80 |
$427.80 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$453.00 |
$453.00 |
$453.00 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$498.00 |
$498.00 |
$498.00 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$679.20 |
$679.20 |
$679.20 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$804.60 |
$804.60 |
$804.60 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$392.40 |
$392.40 |
$392.40 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$524.40 |
$524.40 |
$524.40 |
$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
|
$430.20 |
$430.20 |
$430.20 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$559.20 |
$559.20 |
$559.20 |
$562.90
|
|
X-ray exam of arm infant
|
$310.80 |
$310.80 |
$310.80 |
$238.26
|
|
X-ray exam of eye sockets
|
$328.20 |
$328.20 |
$328.20 |
$321.48
|
|
X-ray exam of femur 1
|
$255.60 |
$255.60 |
$255.60 |
$194.40
|
|
X-ray exam of jaw joint
|
$333.60 |
$333.60 |
$333.60 |
$370.89
|
|
X-ray exam of mastoids
|
$310.80 |
$310.80 |
$310.80 |
$187.60
|
|
X-ray exam of middle ear
|
$132.60 |
$132.60 |
$132.60 |
$322.45
|
|
X-ray exam of salivary gland
|
$172.20 |
$172.20 |
$172.20 |
$124.24
|
|
X-ray exam of sinuses
|
$275.40 |
$275.40 |
$275.40 |
$192.00
|
|
X-ray exam of tear duct
|
$485.40 |
$485.40 |
$485.40 |
$340.70
|
|
X-ray exam of teeth
|
$113.40 |
$113.40 |
$113.40 |
$97.54
|
|
X-ray exam of teeth
|
$142.20 |
$142.20 |
$142.20 |
$267.78
|
|
X-ray exam si joints
|
$175.20 |
$175.20 |
$175.20 |
$198.38
|
|
X-ray exam thorac spine4/>vw
|
$438.00 |
$438.00 |
$438.00 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$522.00 |
$522.00 |
$522.00 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$351.00 |
$351.00 |
$351.00 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$510.00 |
$510.00 |
$510.00 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$398.40 |
$398.40 |
$398.40 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$391.20 |
$391.20 |
$391.20 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$472.80 |
$472.80 |
$472.80 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$409.20 |
$409.20 |
$409.20 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$482.40 |
$482.40 |
$482.40 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$370.80 |
$370.80 |
$370.80 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$270.00 |
$270.00 |
$270.00 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$370.80 |
$370.80 |
$370.80 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$471.60 |
$471.60 |
$471.60 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$170.40 |
$170.40 |
$170.40 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$471.60 |
$471.60 |
$471.60 |
$285.00
|
|
X-ray joint survey 1 view
|
$250.20 |
$250.20 |
$250.20 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$235.20 |
$235.20 |
$235.20 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$352.80 |
$352.80 |
$352.80 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$117.60 |
$117.60 |
$117.60 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$424.80 |
$424.80 |
$424.80 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$396.60 |
$396.60 |
$396.60 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$371.40 |
$371.40 |
$371.40 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$426.60 |
$426.60 |
$426.60 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$376.20 |
$376.20 |
$376.20 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$203.40 |
$203.40 |
$203.40 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$268.80 |
$268.80 |
$268.80 |
$260.52
|
|
X-ray neck soft tissue
|
$221.40 |
$221.40 |
$221.40 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$241.80 |
$241.80 |
$241.80 |
$201.00
|
|
X-ray optic foramina
|
$206.40 |
$206.40 |
$206.40 |
$165.09
|
|
X-ray pelvis 1-2 views
|
$224.40 |
$224.40 |
$224.40 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$274.20 |
$274.20 |
$274.20 |
$299.46
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$842.40 |
$842.40 |
$842.40 |
$663.18
|
|
X-ray ribs 2 views left
|
$270.00 |
$270.00 |
$270.00 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$350.40 |
$350.40 |
$350.40 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$299.40 |
$299.40 |
$299.40 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$370.20 |
$370.20 |
$370.20 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$265.20 |
$265.20 |
$265.20 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$261.00 |
$261.00 |
$261.00 |
$260.65
|
