|
Warde lipoprotein (a)
|
$86.00 |
$86.00 |
$86.00 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$99.50 |
$99.50 |
$99.50 |
$95.90
|
|
Warde mitochondrial antibody each
|
$180.50 |
$180.50 |
$180.50 |
$59.28
|
|
Warde neutralization rabies
|
$109.00 |
$109.00 |
$109.00 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$137.50 |
$137.50 |
$137.50 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$99.00 |
$99.00 |
$99.00 |
$94.25
|
|
Warde protein c antigen
|
$138.50 |
$138.50 |
$138.50 |
$93.43
|
|
Warde sex hormone binding globulin
|
$66.50 |
$66.50 |
$66.50 |
$82.08
|
|
Warde somatomedin
|
$136.00 |
$136.00 |
$136.00 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$117.50 |
$117.50 |
$117.50 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$248.50 |
$248.50 |
$248.50 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$159.00 |
$159.00 |
$159.00 |
$71.20
|
|
Warde viscosity
|
$41.50 |
$41.50 |
$41.50 |
$49.47
|
|
Warde vitamin a
|
$89.00 |
$89.00 |
$89.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$144.00 |
$144.00 |
$144.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$163.00 |
$163.00 |
$163.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$93.50 |
$93.50 |
$93.50 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$214.00 |
$214.00 |
$214.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$97.00 |
$97.00 |
$97.00 |
$59.25
|
|
Warde zinc
|
$54.50 |
$54.50 |
$54.50 |
$62.50
|
|
Wbc automated
|
$34.50 |
$34.50 |
$34.50 |
$32.35
|
|
Western blot test
|
$82.00 |
$82.00 |
$82.00 |
$150.00
|
|
Whfo w/joint(s) custom fab
|
$234.00 |
$234.00 |
$234.00 |
$465.50
|
|
Whole blood for transfusion
|
$480.00 |
$480.00 |
$480.00 |
$497.00
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$275.50 |
$275.50 |
$275.50 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$1,946.50 |
$1,946.50 |
$1,946.50 |
$491.04
|
|
Wilate injection
|
$1,645.34 |
$1,645.34 |
$1,645.34 |
$4.58
|
|
Wound closure by adhesive
|
$107.50 |
$107.50 |
$107.50 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$408.50 |
$408.50 |
$408.50 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$542.00 |
$542.00 |
$542.00 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$325.50 |
$325.50 |
$325.50 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$542.00 |
$542.00 |
$542.00 |
$438.75
|
|
Wrist X-ray
|
$254.00 |
$254.00 |
$254.00 |
$342.80
|
|
X-ray abdomen 1 view
|
$195.50 |
$195.50 |
$195.50 |
$258.50
|
|
X-ray abdomen 2 views
|
$283.50 |
$283.50 |
$283.50 |
$316.47
|
|
X-ray abdomen >=3 views
|
$312.00 |
$312.00 |
$312.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$380.00 |
$380.00 |
$380.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$204.50 |
$204.50 |
$204.50 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$242.00 |
$242.00 |
$242.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$909.00 |
$909.00 |
$909.00 |
$773.40
|
|
X-ray bone age studies
|
$106.50 |
$106.50 |
$106.50 |
$251.40
|
|
X-ray bone length studies
|
$267.00 |
$267.00 |
$267.00 |
$285.30
|
|
X-ray bone survey complete
|
$425.50 |
$425.50 |
$425.50 |
$660.00
|
|
X-ray bone survey infant
|
$427.50 |
$427.50 |
$427.50 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$208.50 |
$208.50 |
$208.50 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$289.50 |
$289.50 |
$289.50 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$306.00 |
$306.00 |
$306.00 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$239.50 |
$239.50 |
$239.50 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$524.00 |
$524.00 |
$524.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$875.50 |
$875.50 |
$875.50 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$241.00 |
$241.00 |
$241.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$263.50 |
$263.50 |
$263.50 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$463.00 |
$463.00 |
$463.00 |
$483.50
|
|
X-ray exam of arm infant
|
$243.00 |
$243.00 |
$243.00 |
$248.44
|
|
X-ray exam of eye sockets
|
$225.50 |
$225.50 |
$225.50 |
$328.35
|
|
X-ray exam of femur 1
|
$102.50 |
$102.50 |
$102.50 |
$240.00
|
|
X-ray exam of jaw joint
|
$170.50 |
$170.50 |
$170.50 |
$188.40
|
|
X-ray exam of sinuses
|
$186.50 |
$186.50 |
$186.50 |
$214.50
|
|
X-ray exam thorac spine4/>vw
|
$282.50 |
$282.50 |
$282.50 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$211.00 |
$211.00 |
$211.00 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$238.00 |
$238.00 |
$238.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$316.00 |
$316.00 |
$316.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$154.00 |
$154.00 |
$154.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$242.00 |
$242.00 |
$242.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$240.00 |
$240.00 |
$240.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$231.50 |
$231.50 |
$231.50 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$254.00 |
$254.00 |
$254.00 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$233.00 |
$233.00 |
$233.00 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$284.00 |
$284.00 |
$284.00 |
$424.05
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$154.00 |
$154.00 |
$154.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$263.50 |
$263.50 |
$263.50 |
$309.31
|
|
X-ray joint survey 1 view
|
$240.00 |
$240.00 |
$240.00 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$241.00 |
$241.00 |
$241.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$286.00 |
$286.00 |
$286.00 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$143.00 |
$143.00 |
$143.00 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$243.00 |
$243.00 |
$243.00 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$239.50 |
$239.50 |
$239.50 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$312.00 |
$312.00 |
$312.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$361.00 |
$361.00 |
$361.00 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$262.00 |
$262.00 |
$262.00 |
$361.61
|
|
X-ray nasal bones complete > 3 views
|
$199.50 |
$199.50 |
$199.50 |
$274.65
|
|
X-ray neck soft tissue
|
$159.00 |
$159.00 |
$159.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$177.00 |
$177.00 |
$177.00 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$193.00 |
$193.00 |
$193.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$241.50 |
$241.50 |
$241.50 |
$348.19
|
|
X-ray ribs 2 views left
|
$193.50 |
$193.50 |
$193.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$227.00 |
$227.00 |
$227.00 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$235.00 |
$235.00 |
$235.00 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$307.50 |
$307.50 |
$307.50 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$193.50 |
$193.50 |
$193.50 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$199.50 |
$199.50 |
$199.50 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$272.00 |
$272.00 |
$272.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$197.50 |
$197.50 |
$197.50 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$263.00 |
$263.00 |
$263.00 |
$345.60
|
|
X-ray skull < 4 views
|
$194.50 |
$194.50 |
$194.50 |
$292.50
|
|
X-ray skull > 4 views complete
|
$299.00 |
$299.00 |
$299.00 |
$417.50
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$534.00 |
$534.00 |
$534.00 |
$557.70
|
|
X-ray small intestine follow-through study
|
$226.00 |
$226.00 |
$226.00 |
$499.50
|
|
X-ray spine single view
|
$158.50 |
$158.50 |
$158.50 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$160.50 |
$160.50 |
$160.50 |
$264.48
|
