|
Warde immunofixation electrophoresis urine
|
$27.86 |
$27.86 |
$27.86 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$31.52 |
$31.52 |
$31.52 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$233.82 |
$233.82 |
$233.82 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$180.31 |
$180.31 |
$180.31 |
$137.55
|
|
Warde lipoprotein (a)
|
$104.45 |
$104.45 |
$104.45 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$25.29 |
$25.29 |
$25.29 |
$97.00
|
|
Warde mitochondrial antibody each
|
$5.14 |
$5.14 |
$5.14 |
$62.40
|
|
Warde neutralization rabies
|
$189.48 |
$189.48 |
$189.48 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$87.59 |
$87.59 |
$87.59 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$75.87 |
$75.87 |
$75.87 |
$94.25
|
|
Warde protein c antigen
|
$396.90 |
$396.90 |
$396.90 |
$88.80
|
|
Warde sex hormone binding globulin
|
$81.00 |
$81.00 |
$81.00 |
$86.59
|
|
Warde somatomedin
|
$74.40 |
$74.40 |
$74.40 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$31.52 |
$31.52 |
$31.52 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$315.91 |
$315.91 |
$315.91 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$62.67 |
$62.67 |
$62.67 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$117.28 |
$117.28 |
$117.28 |
$127.20
|
|
Warde viscosity
|
$51.31 |
$51.31 |
$51.31 |
$52.65
|
|
Warde vitamin a
|
$109.22 |
$109.22 |
$109.22 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$74.77 |
$74.77 |
$74.77 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$67.80 |
$67.80 |
$67.80 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$78.80 |
$78.80 |
$78.80 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$252.88 |
$252.88 |
$252.88 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$41.78 |
$41.78 |
$41.78 |
$55.00
|
|
Warde zinc
|
$63.04 |
$63.04 |
$63.04 |
$62.50
|
|
Wbc automated
|
$16.13 |
$16.13 |
$16.13 |
$32.80
|
|
Western blot test
|
$260.94 |
$260.94 |
$260.94 |
$153.18
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$300.52 |
$300.52 |
$300.52 |
$740.15
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$161.26 |
$161.26 |
$161.26 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$214.03 |
$214.03 |
$214.03 |
$436.15
|
|
Wrist X-ray
|
$183.25 |
$183.25 |
$183.25 |
$343.70
|
|
X-ray abdomen 1 view
|
$120.58 |
$120.58 |
$120.58 |
$255.00
|
|
X-ray abdomen 2 views
|
$205.97 |
$205.97 |
$205.97 |
$312.36
|
|
X-ray abdomen >=3 views
|
$170.78 |
$170.78 |
$170.78 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$351.46 |
$351.46 |
$351.46 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$80.26 |
$80.26 |
$80.26 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$133.77 |
$133.77 |
$133.77 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$432.82 |
$432.82 |
$432.82 |
$768.30
|
|
X-ray bone age studies
|
$79.90 |
$79.90 |
$79.90 |
$246.75
|
|
X-ray bone length studies
|
$254.34 |
$254.34 |
$254.34 |
$287.25
|
|
X-ray bone survey complete
|
$409.00 |
$409.00 |
$409.00 |
$666.60
|
|
X-ray bone survey infant
|
$200.47 |
$200.47 |
$200.47 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$183.25 |
$183.25 |
$183.25 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$298.32 |
$298.32 |
$298.32 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$393.60 |
$393.60 |
$393.60 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$335.70 |
$335.70 |
$335.70 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$287.33 |
$287.33 |
$287.33 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$433.92 |
$433.92 |
$433.92 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$138.17 |
$138.17 |
$138.17 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$192.04 |
$192.04 |
$192.04 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$382.24 |
$382.24 |
$382.24 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$232.72 |
$232.72 |
$232.72 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$277.06 |
$277.06 |
$277.06 |
$575.76
|
|
X-ray exam of arm infant
|
$115.81 |
$115.81 |
$115.81 |
$248.82
|
|
X-ray exam of eye sockets
|
$163.46 |
$163.46 |
$163.46 |
$349.05
|
|
X-ray exam of femur 1
|
$88.33 |
$88.33 |
$88.33 |
$232.36
|
|
X-ray exam of jaw joint
|
$120.21 |
$120.21 |
$120.21 |
$192.39
|
|
X-ray exam of mastoids
|
$171.15 |
$171.15 |
$171.15 |
$191.91
|
|
X-ray exam of perineum
|
$199.74 |
$199.74 |
$199.74 |
$420.93
|
|
X-ray exam of sinuses
|
$68.90 |
$68.90 |
$68.90 |
$211.00
|
|
X-ray exam of teeth
|
$76.23 |
$76.23 |
$76.23 |
$104.19
|
|
X-ray exam si joints
|
$115.45 |
$115.45 |
$115.45 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$370.15 |
$370.15 |
$370.15 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$74.77 |
$74.77 |
$74.77 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$232.72 |
$232.72 |
$232.72 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$425.12 |
$425.12 |
$425.12 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$141.83 |
$141.83 |
$141.83 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$241.52 |
$241.52 |
$241.52 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$179.58 |
$179.58 |
$179.58 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$172.98 |
$172.98 |
$172.98 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$75.87 |
$75.87 |
$75.87 |
$270.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$215.50 |
$215.50 |
$215.50 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$257.64 |
$257.64 |
$257.64 |
$409.24
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$119.11 |
$119.11 |
$119.11 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$311.51 |
$311.51 |
$311.51 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$273.03 |
$273.03 |
$273.03 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$191.67 |
$191.67 |
$191.67 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$204.87 |
$204.87 |
$204.87 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$197.17 |
$197.17 |
$197.17 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$296.12 |
$296.12 |
$296.12 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$392.87 |
$392.87 |
$392.87 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$503.18 |
$503.18 |
$503.18 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$280.36 |
$280.36 |
$280.36 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$221.73 |
$221.73 |
$221.73 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$149.90 |
$149.90 |
$149.90 |
$277.70
|
|
X-ray neck soft tissue
|
$137.44 |
$137.44 |
$137.44 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$88.69 |
$88.69 |
$88.69 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$139.63 |
$139.63 |
$139.63 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$183.98 |
$183.98 |
$183.98 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$263.50 |
$263.50 |
$263.50 |
$742.00
|
|
X-ray ribs 2 views left
|
$139.63 |
$139.63 |
$139.63 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$279.26 |
$279.26 |
$279.26 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$367.22 |
$367.22 |
$367.22 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$411.20 |
$411.20 |
$411.20 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$218.43 |
$218.43 |
$218.43 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$124.24 |
$124.24 |
$124.24 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$105.55 |
$105.55 |
$105.55 |
$292.50
|
|
X-ray sella turcica
|
$74.40 |
$74.40 |
$74.40 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$142.93 |
$142.93 |
$142.93 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$286.23 |
$286.23 |
$286.23 |
$339.00
|