|
Warde protein c antigen
|
$42.58 |
$42.58 |
$53.39 |
$88.80
|
|
Warde sex hormone binding globulin
|
$108.86 |
$108.86 |
$136.49 |
$86.59
|
|
Warde somatomedin
|
$114.08 |
$114.08 |
$133.79 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$33.34 |
$33.34 |
$39.10 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$117.29 |
$117.29 |
$147.06 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$55.84 |
$55.84 |
$70.01 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$96.01 |
$96.01 |
$112.59 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$165.09 |
$165.09 |
$206.99 |
$127.20
|
|
Warde viscosity
|
$27.32 |
$27.32 |
$32.04 |
$52.65
|
|
Warde vitamin a
|
$18.08 |
$18.08 |
$21.20 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$44.99 |
$44.99 |
$52.77 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$39.77 |
$39.77 |
$46.64 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$44.99 |
$44.99 |
$52.77 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$38.97 |
$38.97 |
$48.86 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$18.48 |
$18.48 |
$21.67 |
$55.00
|
|
Warde zinc
|
$62.26 |
$62.26 |
$73.02 |
$62.50
|
|
Wbc automated
|
$15.67 |
$15.67 |
$19.65 |
$32.80
|
|
Western blot test
|
$110.47 |
$110.47 |
$138.50 |
$153.18
|
|
Whole blood for transfusion
|
$316.52 |
$316.52 |
$371.22 |
$479.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$345.04 |
$345.04 |
$404.67 |
$740.15
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$257.22 |
$257.22 |
$257.22 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$257.22 |
$257.22 |
$257.22 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$206.87 |
$206.87 |
$242.61 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$424.17 |
$424.17 |
$497.47 |
$436.15
|
|
Wrist X-ray
|
$245.03 |
$245.03 |
$307.21 |
$343.70
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,040.34 |
$1,040.34 |
$1,304.38 |
$2,830.00
|
|
Xm archive tissue molec anal
|
$10.85 |
$10.85 |
$12.72 |
$47.85
|
|
X-ray abdomen 1 view
|
$185.18 |
$185.18 |
$232.17 |
$255.00
|
|
X-ray abdomen 2 views
|
$203.65 |
$203.65 |
$255.34 |
$312.36
|
|
X-ray abdomen >=3 views
|
$200.04 |
$200.04 |
$250.81 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$298.05 |
$298.05 |
$349.55 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$150.23 |
$150.23 |
$176.19 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$265.11 |
$265.11 |
$310.92 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$445.86 |
$445.86 |
$559.02 |
$768.30
|
|
X-ray bone age studies
|
$110.87 |
$110.87 |
$130.02 |
$246.75
|
|
X-ray bone length studies
|
$163.47 |
$163.47 |
$163.47 |
$287.25
|
|
X-ray bone survey complete
|
$563.55 |
$563.55 |
$660.93 |
$666.60
|
|
X-ray bone survey infant
|
$191.60 |
$191.60 |
$224.71 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$297.24 |
$297.24 |
$348.61 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$433.81 |
$433.81 |
$508.77 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$430.60 |
$430.60 |
$449.42 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$301.67 |
$301.67 |
$367.54 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$520.17 |
$520.17 |
$652.19 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$712.58 |
$712.58 |
$893.42 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$263.10 |
$263.10 |
$308.56 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$273.95 |
$273.95 |
$343.47 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$380.79 |
$380.79 |
$477.43 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$265.11 |
$265.11 |
$310.92 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$157.86 |
$157.86 |
$185.14 |
$575.76
|
|
X-ray exam of arm infant
|
$138.98 |
$138.98 |
$163.00 |
$248.82
|
|
X-ray exam of eye sockets
|
$167.91 |
$167.91 |
$210.52 |
$349.05
|
|
X-ray exam of jaw joint
|
$157.06 |
$157.06 |
$193.39 |
$192.39
|
|
X-ray exam of jaw joint
|
$418.15 |
$418.15 |
$490.40 |
$354.79
|
|
X-ray exam of mastoids
|
$187.59 |
$187.59 |
$220.00 |
$191.91
|
|
X-ray exam of perineum
|
$218.92 |
$218.92 |
$274.48 |
$420.93
|
|
X-ray exam of salivary gland
|
$78.73 |
$78.73 |
$92.34 |
$124.24
|
|
X-ray exam of sinuses
|
$94.80 |
$94.80 |
$118.86 |
$211.00
|
|
X-ray exam of teeth
|
$196.45 |
$196.45 |
$196.45 |
$104.19
|
|
X-ray exam si joints
|
$175.54 |
$175.54 |
$220.09 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$423.77 |
$423.77 |
$497.00 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$151.03 |
$151.03 |
$177.13 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$306.08 |
$306.08 |
$383.76 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$422.97 |
$422.97 |
$496.06 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$203.25 |
$203.25 |
$254.84 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$292.83 |
$292.83 |
$343.42 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$277.16 |
$277.16 |
$347.50 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$228.96 |
$228.96 |
$287.07 |
$316.50
|
|
X-ray head for orthodontia
|
$129.55 |
$129.55 |
$129.55 |
$104.19
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$153.44 |
$153.44 |
$179.96 |
$270.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$159.07 |
$159.07 |
$199.44 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$286.80 |
$286.80 |
$359.59 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$331.79 |
$331.79 |
$415.99 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$157.06 |
$157.06 |
$196.92 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$410.11 |
$410.11 |
$480.98 |
$304.15
|
|
X-ray joint survey 1 view
|
$110.47 |
$110.47 |
$129.55 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$298.85 |
$298.85 |
$350.49 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$316.93 |
$316.93 |
$371.69 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$224.14 |
$224.14 |
$281.02 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$203.25 |
$203.25 |
$238.37 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$360.71 |
$360.71 |
$452.25 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$367.14 |
$367.14 |
$460.31 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$550.70 |
$550.70 |
$645.86 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$351.47 |
$351.47 |
$440.67 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$277.96 |
$277.96 |
$348.51 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$327.77 |
$327.77 |
$410.96 |
$277.70
|
|
X-ray neck soft tissue
|
$159.87 |
$159.87 |
$200.45 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$132.56 |
$132.56 |
$166.20 |
$225.96
|
|
X-ray of mammary ducts
|
$133.36 |
$133.36 |
$167.21 |
$473.55
|
|
X-ray optic foramina
|
$94.00 |
$94.00 |
$110.24 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$194.01 |
$194.01 |
$243.25 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$198.03 |
$198.03 |
$248.29 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$408.51 |
$408.51 |
$479.10 |
$742.00
|
|
X-ray ribs 2 views left
|
$87.63 |
$87.63 |
$262.30 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$314.52 |
$314.52 |
$394.34 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$275.96 |
$275.96 |
$345.99 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$388.83 |
$388.83 |
$487.51 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$250.65 |
$250.65 |
$314.26 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$208.07 |
$208.07 |
$260.88 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$238.20 |
$238.20 |
$279.36 |
$292.50
|
|
X-ray sella turcica
|
$77.93 |
$77.93 |
$92.34 |
$162.50
|
