|
Warde estrogen fractionated
|
$40.20 |
$40.20 |
$40.20 |
$99.00
|
|
Warde folic acid rbc
|
$24.00 |
$24.00 |
$24.00 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$24.00 |
$24.00 |
$24.00 |
$44.64
|
|
Warde gastrin
|
$24.00 |
$24.00 |
$24.00 |
$75.25
|
|
Warde growth hormone (hgh)
|
$51.60 |
$51.60 |
$51.60 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$48.60 |
$48.60 |
$48.60 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$53.40 |
$53.40 |
$53.40 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$40.20 |
$40.20 |
$40.20 |
$83.34
|
|
Warde hepatitis a antibody
|
$32.40 |
$32.40 |
$32.40 |
$83.85
|
|
Warde hepatitis be antibody
|
$32.40 |
$32.40 |
$32.40 |
$53.00
|
|
Warde immunofixation electrophoresis urine
|
$71.40 |
$71.40 |
$71.40 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$32.40 |
$32.40 |
$32.40 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$552.00 |
$552.00 |
$552.00 |
$646.40
|
|
Warde islet cell antibody zinc transporter 8
|
$32.40 |
$32.40 |
$32.40 |
$143.52
|
|
Warde lipoprotein (a)
|
$40.20 |
$40.20 |
$40.20 |
$64.68
|
|
Warde neutralization rabies
|
$81.00 |
$81.00 |
$81.00 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$65.80
|
|
Warde pancreatic elastase fecal quantitative
|
$40.20 |
$40.20 |
$40.20 |
$98.45
|
|
Warde protein c antigen
|
$97.20 |
$97.20 |
$97.20 |
$93.43
|
|
Warde sex hormone binding globulin
|
$40.20 |
$40.20 |
$40.20 |
$84.50
|
|
Warde somatomedin
|
$24.00 |
$24.00 |
$24.00 |
$115.82
|
|
Warde sugars single qualitative each specimen stool
|
$12.60 |
$12.60 |
$12.60 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$24.00 |
$24.00 |
$24.00 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$40.20 |
$40.20 |
$40.20 |
$183.60
|
|
Warde topiramate therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$162.00 |
$162.00 |
$162.00 |
$129.80
|
|
Warde viscosity
|
$40.20 |
$40.20 |
$40.20 |
$50.16
|
|
Warde vitamin a
|
$48.60 |
$48.60 |
$48.60 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$79.20 |
$79.20 |
$79.20 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$81.00 |
$81.00 |
$81.00 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$40.20 |
$40.20 |
$40.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$40.20 |
$40.20 |
$40.20 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$48.60 |
$48.60 |
$48.60 |
$61.15
|
|
Warde zinc
|
$40.20 |
$40.20 |
$40.20 |
$62.70
|
|
Wbc automated
|
$6.00 |
$6.00 |
$6.00 |
$32.74
|
|
Western blot test
|
$97.20 |
$97.20 |
$97.20 |
$148.85
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$511.20 |
$511.20 |
$511.20 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$267.60 |
$267.60 |
$267.60 |
$491.04
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$223.20 |
$223.20 |
$223.20 |
$1,570.65
|
|
Whole Skeleton X-ray Survey
|
$303.60 |
$303.60 |
$303.60 |
$636.46
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$251.40 |
$251.40 |
$251.40 |
$353.40
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$125.40 |
$125.40 |
$125.40 |
$574.40
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$136.80 |
$136.80 |
$136.80 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$125.40 |
$125.40 |
$125.40 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$136.80 |
$136.80 |
$136.80 |
$442.22
|
|
Wrist X-ray
|
$124.80 |
$124.80 |
$124.80 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$106.80 |
$106.80 |
$106.80 |
$291.20
|
|
Xe133 xenon 10mci
|
$23.40 |
$23.40 |
$23.40 |
$207.00
|
|
Xm archive tissue molec anal
|
$40.20 |
$40.20 |
$40.20 |
$48.38
|
|
X-ray abdomen >=3 views
|
$124.80 |
$124.80 |
$124.80 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$0.60 |
$0.60 |
$0.60 |
$794.00
|
|
X-ray bone length studies
|
$106.80 |
$106.80 |
$106.80 |
$285.30
|
|
X-ray bone survey infant
|
$303.60 |
$303.60 |
$303.60 |
$394.80
|
|
X-ray exam entire spi 4/5 vw
|
$250.20 |
$250.20 |
$250.20 |
$455.91
|
|
X-ray exam entire spi 6/> vw
|
$303.60 |
$303.60 |
$303.60 |
$519.00
|
|
X-ray exam of arm infant
|
$89.40 |
$89.40 |
$89.40 |
$248.82
|
|
X-ray exam of femur 1
|
$89.40 |
$89.40 |
$89.40 |
$237.60
|
|
X-ray exam of jaw joint
|
$106.80 |
$106.80 |
$106.80 |
$194.36
|
|
X-ray exam of mastoids
|
$124.80 |
$124.80 |
$124.80 |
$193.41
|
|
X-ray exam of middle ear
|
$58.80 |
$58.80 |
$58.80 |
$349.35
|
|
X-ray exam si joints
|
$89.40 |
$89.40 |
$89.40 |
$246.98
|
|
X-ray exam thorac spine4/>vw
|
$142.80 |
$142.80 |
$142.80 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$89.40 |
$89.40 |
$89.40 |
$238.29
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$178.80 |
$178.80 |
$178.80 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$196.20 |
$196.20 |
$196.20 |
$513.56
|
|
X-ray joint survey 1 view
|
$106.80 |
$106.80 |
$106.80 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$89.40 |
$89.40 |
$89.40 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$142.80 |
$142.80 |
$142.80 |
$364.75
|
|
X-ray mandible ltd <4 views
|
$124.80 |
$124.80 |
$124.80 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$89.40 |
$89.40 |
$89.40 |
$226.85
|
|
X-ray optic foramina
|
$29.40 |
$29.40 |
$29.40 |
$185.95
|
|
X-ray ribs 2 views left
|
$106.80 |
$106.80 |
$106.80 |
$296.32
|
|
X-ray sella turcica
|
$39.00 |
$39.00 |
$39.00 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$142.80 |
$142.80 |
$142.80 |
$636.30
|
|
X-ray small intestine follow-through study
|
$232.20 |
$232.20 |
$232.20 |
$501.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$124.80 |
$124.80 |
$124.80 |
$267.50
|
|
X-ray surgical specimen
|
$35.40 |
$35.40 |
$35.40 |
$520.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$124.80 |
$124.80 |
$124.80 |
$256.85
|
|
Xyntha inj
|
$1.80 |
$1.80 |
$1.80 |
$6.65
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$32.40 |
$32.40 |
$32.40 |
$83.25
|
|
Zika virus dna/rna amp probe
|
$194.40 |
$194.40 |
$194.40 |
$181.08
|
|
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$5,215.08
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$52.80 |
$52.80 |
$52.80 |
$423.96
|
|
Zoster vaccine-live inj
|
$262.20 |
$262.20 |
$262.20 |
$333.34
|