|
Warde gastrin
|
$16.80 |
$16.80 |
$16.80 |
$94.68
|
|
Warde growth hormone (hgh)
|
$31.36 |
$31.36 |
$31.36 |
$81.24
|
|
Warde helminth antibody strongyloides igg
|
$96.88 |
$96.88 |
$96.88 |
$115.05
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$52.64 |
$52.64 |
$52.64 |
$78.80
|
|
Warde hepatitis a antibody
|
$46.48 |
$46.48 |
$46.48 |
$85.15
|
|
Warde hepatitis be antibody
|
$6.61 |
$6.61 |
$6.61 |
$64.80
|
|
Warde hepatitis delta agent antibody
|
$36.40 |
$36.40 |
$36.40 |
$102.70
|
|
Warde immunofixation electrophoresis urine
|
$73.36 |
$73.36 |
$73.36 |
$151.71
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$6.61 |
$6.61 |
$6.61 |
$62.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$331.52 |
$331.52 |
$331.52 |
$672.75
|
|
Warde islet cell antibody zinc transporter 8
|
$9.52 |
$9.52 |
$9.52 |
$137.55
|
|
Warde lipoprotein (a)
|
$36.96 |
$36.96 |
$36.96 |
$72.90
|
|
Warde lipoprotein-associated phospholipase a2
|
$28.00 |
$28.00 |
$28.00 |
$136.50
|
|
Warde mitochondrial antibody each
|
$26.88 |
$26.88 |
$26.88 |
$62.40
|
|
Warde protein c antigen
|
$16.24 |
$16.24 |
$16.24 |
$89.70
|
|
Warde sex hormone binding globulin
|
$35.28 |
$35.28 |
$35.28 |
$104.28
|
|
Warde somatomedin
|
$33.60 |
$33.60 |
$33.60 |
$127.40
|
|
Warde t3 (triiodothyronine) reverse
|
$29.01 |
$29.01 |
$29.01 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$85.12 |
$85.12 |
$85.12 |
$217.62
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$240.80 |
$240.80 |
$240.80 |
$157.95
|
|
Warde viscosity
|
$13.44 |
$13.44 |
$13.44 |
$61.92
|
|
Warde vitamin a
|
$8.40 |
$8.40 |
$8.40 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$11.70 |
$11.70 |
$11.70 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$13.78 |
$13.78 |
$13.78 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$3.86 |
$3.86 |
$3.86 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$17.86 |
$17.86 |
$17.86 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$16.24 |
$16.24 |
$16.24 |
$64.28
|
|
Warde zinc
|
$11.76 |
$11.76 |
$11.76 |
$67.20
|
|
Wbc automated
|
$7.84 |
$7.84 |
$7.84 |
$32.50
|
|
Wet mounts/ w preparations
|
$12.32 |
$12.32 |
$12.32 |
$18.19
|
|
Whole blood for transfusion
|
$226.80 |
$226.80 |
$226.80 |
$400.68
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$403.76 |
$403.76 |
$403.76 |
$511.20
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$356.72 |
$356.72 |
$356.72 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$395.36 |
$395.36 |
$395.36 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$187.04 |
$187.04 |
$187.04 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$225.68 |
$225.68 |
$225.68 |
$370.00
|
|
Wrist X-ray
|
$228.48 |
$228.48 |
$228.48 |
$311.20
|
|
Xe133 xenon 10mci
|
$115.36 |
$115.36 |
$115.36 |
$299.00
|
|
X-ray abdomen 1 view
|
$130.48 |
$130.48 |
$130.48 |
$243.00
|
|
X-ray abdomen 2 views
|
$157.36 |
$157.36 |
$157.36 |
$281.50
|
|
X-ray abdomen >=3 views
|
$146.16 |
$146.16 |
$146.16 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$153.44 |
$153.44 |
$153.44 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$119.28 |
$119.28 |
$119.28 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$194.88 |
$194.88 |
$194.88 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$702.24 |
$702.24 |
$702.24 |
$734.43
|
|
X-ray bone age studies
|
$119.28 |
$119.28 |
$119.28 |
$227.08
|
|
X-ray bone length studies
|
$98.00 |
$98.00 |
$98.00 |
$258.70
|
|
X-ray bone survey complete
|
$313.04 |
$313.04 |
$313.04 |
$569.03
|
|
X-ray bone survey infant
|
$78.96 |
$78.96 |
$78.96 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$119.28 |
$119.28 |
$119.28 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$171.92 |
$171.92 |
$171.92 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$188.72 |
$188.72 |
$188.72 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$205.52 |
$205.52 |
$205.52 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$259.28 |
$259.28 |
$259.28 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$356.16 |
$356.16 |
$356.16 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$194.88 |
$194.88 |
$194.88 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$235.76 |
$235.76 |
$235.76 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$269.92 |
$269.92 |
$269.92 |
$434.76
|
|
X-ray exam entire spi 4/5 vw
|
$282.24 |
$282.24 |
$282.24 |
$441.48
|
|
X-ray exam of arm infant
|
$154.00 |
$154.00 |
$154.00 |
$238.26
|
|
X-ray exam of eye sockets
|
$139.44 |
$139.44 |
$139.44 |
$321.48
|
|
X-ray exam of femur 1
|
$115.36 |
$115.36 |
$115.36 |
$194.40
|
|
X-ray exam of sinuses
|
$119.28 |
$119.28 |
$119.28 |
$192.00
|
|
X-ray exam si joints
|
$62.72 |
$62.72 |
$62.72 |
$198.38
|
|
X-ray exam thorac spine4/>vw
|
$153.44 |
$153.44 |
$153.44 |
$365.00
|
|
X-ray facial bones complete > 3 views
|
$161.84 |
$161.84 |
$161.84 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$202.16 |
$202.16 |
$202.16 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$80.64 |
$80.64 |
$80.64 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$194.88 |
$194.88 |
$194.88 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$205.52 |
$205.52 |
$205.52 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$194.88 |
$194.88 |
$194.88 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$194.88 |
$194.88 |
$194.88 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$277.20 |
$277.20 |
$277.20 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$224.00 |
$224.00 |
$224.00 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$337.12 |
$337.12 |
$337.12 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$381.92 |
$381.92 |
$381.92 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$150.08 |
$150.08 |
$150.08 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$299.60 |
$299.60 |
$299.60 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$205.52 |
$205.52 |
$205.52 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$103.04 |
$103.04 |
$103.04 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$139.44 |
$139.44 |
$139.44 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$194.88 |
$194.88 |
$194.88 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$100.24 |
$100.24 |
$100.24 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$183.12 |
$183.12 |
$183.12 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$205.52 |
$205.52 |
$205.52 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$139.44 |
$139.44 |
$139.44 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$164.08 |
$164.08 |
$164.08 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$116.48 |
$116.48 |
$116.48 |
$260.52
|
|
X-ray neck soft tissue
|
$93.52 |
$93.52 |
$93.52 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$78.96 |
$78.96 |
$78.96 |
$201.00
|
|
X-ray of mammary ducts
|
$654.08 |
$654.08 |
$654.08 |
$437.00
|
|
X-ray pelvis 1-2 views
|
$104.72 |
$104.72 |
$104.72 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$124.88 |
$124.88 |
$124.88 |
$299.46
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$399.28 |
$399.28 |
$399.28 |
$663.18
|
|
X-ray ribs 2 views left
|
$108.64 |
$108.64 |
$108.64 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$146.16 |
$146.16 |
$146.16 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$139.44 |
$139.44 |
$139.44 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$214.48 |
$214.48 |
$214.48 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$139.44 |
$139.44 |
$139.44 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$139.44 |
$139.44 |
$139.44 |
$260.65
|
