|
Warde cadmium blood
|
$44.40 |
$44.40 |
$72.80 |
|
|
Warde calcitonin
|
$70.00 |
$70.00 |
$88.40 |
|
|
Warde calculus (stone) infrared
|
$68.40 |
$68.40 |
$156.65 |
|
|
Warde clozapine therapeutic drug level
|
$40.40 |
$40.40 |
$104.00 |
|
|
Warde cobalt heavy metal quantitative each nes
|
$38.00 |
$38.00 |
$86.40 |
|
|
Warde collagen cross links c-telopeptide
|
$36.00 |
$36.00 |
$89.20 |
|
|
Warde complement total hemolytic
|
$66.00 |
$70.40 |
$126.10 |
|
|
Warde copper
|
$31.60 |
$46.80 |
$104.65 |
|
|
Warde cryoglobulin
|
$25.60 |
$25.60 |
$25.60 |
|
|
Warde erythropoietin
|
$55.20 |
$65.60 |
$137.15 |
|
|
Warde estrogen fractionated
|
$160.55 |
$160.55 |
$160.55 |
|
|
Warde fluorescent antibody screen endomysial iga
|
$61.60 |
$61.60 |
$61.60 |
|
|
Warde folic acid rbc
|
$55.60 |
$55.60 |
$59.60 |
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$68.40 |
$68.40 |
$70.40 |
|
|
Warde gastrin
|
$68.80 |
$68.80 |
$80.00 |
|
|
Warde helminth antibody strongyloides igg
|
$78.00 |
$78.00 |
$160.80 |
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$78.80 |
$95.20 |
$185.90 |
|
|
Warde hepatitis a antibody
|
$44.00 |
$52.80 |
$98.80 |
|
|
Warde hepatitis be antibody
|
$50.00 |
$55.60 |
$83.20 |
|
|
Warde immunofixation electrophoresis urine
|
$102.80 |
$131.60 |
$198.25 |
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$55.60 |
$55.60 |
$112.80 |
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$264.80 |
$264.80 |
$364.80 |
|
|
Warde islet cell antibody zinc transporter 8
|
$62.00 |
$128.80 |
$347.75 |
|
|
Warde lipoprotein (a)
|
$50.80 |
$51.60 |
$99.45 |
|
|
Warde lipoprotein-associated phospholipase a2
|
$146.90 |
$146.90 |
$146.90 |
|
|
Warde mitochondrial antibody each
|
$26.80 |
$26.80 |
$107.25 |
|
|
Warde neutralization rabies
|
$90.80 |
$90.80 |
$142.35 |
|
|
Warde oxcarbazepine therapeutic drug level
|
$79.60 |
$80.00 |
$130.00 |
|
|
Warde protein c antigen
|
$64.00 |
$64.00 |
$66.80 |
|
|
Warde sex hormone binding globulin
|
$61.60 |
$61.60 |
$62.40 |
|
|
Warde somatomedin
|
$70.40 |
$70.40 |
$99.20 |
|
|
Warde t3 (triiodothyronine) reverse
|
$55.60 |
$148.80 |
$159.25 |
|
|
Warde thyroid stimulating immunoglobulins
|
$309.40 |
$356.80 |
$359.60 |
|
|
Warde topiramate therapeutic drug level
|
$55.60 |
$55.60 |
$82.40 |
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$122.80 |
$122.80 |
$161.20 |
|
|
Warde viscosity
|
$70.40 |
$70.40 |
$70.40 |
|
|
Warde vitamin a
|
$42.00 |
$43.60 |
$112.45 |
|
|
Warde vitamin b-1 (thiamine)
|
$48.00 |
$90.40 |
$127.40 |
|
|
Warde vitamin b6 (pyridoxine)
|
$115.60 |
$116.00 |
$187.85 |
|
|
Warde vitamin c (ascorbic acid)
|
$55.90 |
$55.90 |
$57.60 |
|
|
Warde vitamin d (1 25 dihydroxy)
|
$63.20 |
$63.20 |
$66.00 |
|
|
Warde vitamin e (alpha-tocopherol)
|
$42.80 |
$43.20 |
$108.55 |
|
|
Warde zinc
|
$58.00 |
$78.00 |
$97.50 |
|
|
Wbc automated
|
$22.80 |
$22.80 |
$34.00 |
|
|
Western blot test
|
$65.20 |
$65.20 |
$65.20 |
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$325.00 |
$325.00 |
$325.00 |
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$325.00 |
$325.00 |
$325.00 |
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$162.50 |
$162.50 |
$321.60 |
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$239.60 |
$239.60 |
$343.85 |
|
|
Wrist endoscopy/surgery
|
$12,156.18 |
$12,156.18 |
$12,156.18 |
|
|
Wrist X-ray
|
$226.00 |
$233.60 |
$386.10 |
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$7,217.83 |
$7,217.83 |
$7,217.83 |
|
|
X-ray abdomen 1 view
|
$176.00 |
$248.00 |
$328.90 |
|
|
X-ray abdomen 2 views
|
$219.20 |
$330.80 |
$440.05 |
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$271.20 |
$307.60 |
$548.60 |
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$205.20 |
$230.40 |
$329.55 |
|
|
X-ray ankle 2 views (both sides)
|
$145.60 |
$218.80 |
$414.05 |
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$628.80 |
$628.80 |
$1,359.80 |
|
|
X-ray bone age studies
|
$61.20 |
$165.20 |
$248.95 |
|
|
X-ray bone length studies
|
$211.20 |
$211.20 |
$211.20 |
|
|
X-ray bone survey complete
|
$588.80 |
$708.00 |
$900.25 |
|
|
X-ray bone survey infant
|
$281.60 |
$281.60 |
$413.40 |
|
|
X-ray cervical spine 2-3 views
|
$252.40 |
$370.80 |
$395.20 |
|
|
X-ray cervical spine 4-5 views
|
$378.00 |
$394.80 |
$521.95 |
|
|
X-ray cervical spine >= 6 views
|
$378.00 |
$422.00 |
$495.95 |
|
|
X-ray clavicle complete (both sides)
|
$167.60 |
$240.80 |
$414.05 |
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$566.40 |
$566.40 |
$904.80 |
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$684.40 |
$726.40 |
$904.80 |
|
|
X-ray elbow 2 views (both sides)
|
$176.00 |
$196.40 |
$440.70 |
|
|
X-ray elbow >= 3 views (both sides)
|
$228.00 |
$233.60 |
$395.85 |
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$252.40 |
$440.80 |
$495.95 |
|
|
X-ray exam entire spi 4/5 vw
|
$462.40 |
$462.40 |
$534.00 |
|
|
X-ray exam of arm infant
|
$57.20 |
$57.20 |
$228.00 |
|
|
X-ray exam of eye sockets
|
$80.00 |
$234.40 |
$289.90 |
|
|
X-ray exam of femur 1
|
$166.40 |
$166.40 |
$166.40 |
|
|
X-ray exam of jaw joint
|
$47.20 |
$47.20 |
$47.20 |
|
|
X-ray exam of mastoids
|
$57.20 |
$57.20 |
$57.20 |
|
|
X-ray exam of sinuses
|
$47.20 |
$47.20 |
$228.00 |
|
|
X-ray exam of teeth
|
$148.80 |
$148.80 |
$148.80 |
|
|
X-ray exam si joints
|
$62.40 |
$62.40 |
$188.80 |
|
|
X-ray eye detection foreign body (both sides)
|
$64.40 |
$149.20 |
$216.45 |
|
|
X-ray facial bones complete > 3 views
|
$294.00 |
$316.80 |
$329.55 |
|
|
X-ray femur >=2 views (both sides)
|
$246.00 |
$275.60 |
$526.50 |
|
|
X-ray finger(s) >= 2 views (both sides)
|
$167.60 |
$175.60 |
$304.20 |
|
|
X-ray foot 2 views (both sides)
|
$145.60 |
$198.40 |
$408.20 |
|
|
X-ray forearm 2 views (both sides)
|
$145.60 |
$196.40 |
$297.70 |
|
|
X-ray hand 2 views (both sides)
|
$145.60 |
$183.20 |
$345.80 |
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$145.60 |
$198.40 |
$414.05 |
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$330.80 |
$371.20 |
$526.50 |
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$331.60 |
$383.20 |
$526.50 |
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$526.50 |
$526.50 |
$526.50 |
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$192.80 |
$202.00 |
$220.35 |
|
|
X-ray humerus >= 2 views left
|
$226.00 |
$228.00 |
$454.35 |
|
|
X-ray knee 1-2 views (both sides)
|
$143.20 |
$179.60 |
$493.35 |
|
|
X-ray knee 3 views (both sides)
|
$190.00 |
$292.80 |
$517.40 |
|
|
X-ray knee ap standing bilateral
|
$211.20 |
$212.40 |
$311.35 |
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$60.80 |
$60.80 |
$184.00 |
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$182.80 |
$182.80 |
$337.60 |
|
|
X-ray lumbosacral spine >= 4 views
|
$397.20 |
$454.80 |
$521.95 |
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$312.40 |
$394.80 |
$495.95 |
|
