|
Warde lipoprotein (a)
|
$19.36 |
$19.36 |
$35.20 |
$67.00
|
|
Warde mitochondrial antibody each
|
$18.70 |
$18.70 |
$34.00 |
$59.28
|
|
Warde oxcarbazepine therapeutic drug level
|
$25.96 |
$25.96 |
$47.20 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$16.50 |
$16.50 |
$30.00 |
$94.25
|
|
Warde protein c antigen
|
$19.14 |
$19.14 |
$34.80 |
$93.43
|
|
Warde sex hormone binding globulin
|
$22.88 |
$22.88 |
$41.60 |
$82.08
|
|
Warde somatomedin
|
$101.86 |
$101.86 |
$185.20 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$35.64 |
$35.64 |
$64.80 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$16.72 |
$16.72 |
$30.40 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$26.62 |
$26.62 |
$48.40 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$24.64 |
$24.64 |
$44.80 |
$71.20
|
|
Warde viscosity
|
$12.54 |
$12.54 |
$22.80 |
$49.47
|
|
Warde vitamin a
|
$16.94 |
$16.94 |
$30.80 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$36.74 |
$36.74 |
$66.80 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$58.74 |
$58.74 |
$106.80 |
$116.20
|
|
Warde vitamin d (1 25 dihydroxy)
|
$40.92 |
$40.92 |
$74.40 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$17.38 |
$17.38 |
$31.60 |
$59.25
|
|
Warde zinc
|
$9.46 |
$9.46 |
$17.20 |
$62.50
|
|
Wbc automated
|
$16.50 |
$16.50 |
$30.00 |
$32.35
|
|
Western blot test
|
$46.20 |
$46.20 |
$84.00 |
$150.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$192.72 |
$192.72 |
$350.40 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$78.54 |
$78.54 |
$142.80 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$45.98 |
$45.98 |
$83.60 |
$284.70
|
|
Wrist X-ray
|
$79.20 |
$79.20 |
$144.00 |
$342.80
|
|
Xe133 xenon 10mci
|
$66.45 |
$66.45 |
$120.82 |
$207.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$779.46 |
$779.46 |
$1,417.20 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$79.20 |
$79.20 |
$144.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$95.04 |
$95.04 |
$172.80 |
$316.47
|
|
X-ray abdomen >=3 views
|
$78.54 |
$78.54 |
$142.80 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$79.20 |
$79.20 |
$144.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$57.42 |
$57.42 |
$104.40 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$223.08 |
$223.08 |
$405.60 |
$773.40
|
|
X-ray bone age studies
|
$78.32 |
$78.32 |
$142.40 |
$251.40
|
|
X-ray bone length studies
|
$80.96 |
$80.96 |
$147.20 |
$285.30
|
|
X-ray bone survey complete
|
$189.64 |
$189.64 |
$344.80 |
$660.00
|
|
X-ray bone survey infant
|
$110.66 |
$110.66 |
$201.20 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$79.20 |
$79.20 |
$144.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$117.70 |
$117.70 |
$214.00 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$35.42 |
$35.42 |
$64.40 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$107.58 |
$107.58 |
$195.60 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$144.98 |
$144.98 |
$263.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$74.80 |
$74.80 |
$136.00 |
$364.12
|
|
Xray endovasc thor ao repr
|
$1,574.32 |
$1,574.32 |
$2,862.40 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$79.20 |
$79.20 |
$144.00 |
$483.50
|
|
X-ray exam entire spi 6/> vw
|
$160.16 |
$160.16 |
$291.20 |
$517.80
|
|
X-ray exam of arm infant
|
$79.20 |
$79.20 |
$144.00 |
$248.44
|
|
X-ray exam of eye sockets
|
$49.94 |
$49.94 |
$90.80 |
$328.35
|
|
X-ray exam of femur 1
|
$78.54 |
$78.54 |
$142.80 |
$240.00
|
|
X-ray exam of jaw joint
|
$33.88 |
$33.88 |
$61.60 |
$188.40
|
|
X-ray exam of sinuses
|
$79.20 |
$79.20 |
$144.00 |
$214.50
|
|
X-ray exam si joints
|
$65.12 |
$65.12 |
$118.40 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$79.20 |
$79.20 |
$144.00 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$98.12 |
$98.12 |
$178.40 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$79.20 |
$79.20 |
$144.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$98.12 |
$98.12 |
$178.40 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$78.76 |
$78.76 |
$143.20 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$78.32 |
$78.32 |
$142.40 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$66.88 |
$66.88 |
$121.60 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$125.18 |
$125.18 |
$227.60 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$115.06 |
$115.06 |
$209.20 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$79.20 |
$79.20 |
$144.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$78.76 |
$78.76 |
$143.20 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$78.76 |
$78.76 |
$143.20 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$98.12 |
$98.12 |
$178.40 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$79.20 |
$79.20 |
$144.00 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$80.30 |
$80.30 |
$146.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$113.74 |
$113.74 |
$206.80 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$63.80 |
$63.80 |
$116.00 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$18.26 |
$18.26 |
$33.20 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$79.20 |
$79.20 |
$144.00 |
$274.65
|
|
X-ray neck soft tissue
|
$79.20 |
$79.20 |
$144.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$52.36 |
$52.36 |
$95.20 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$79.20 |
$79.20 |
$144.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$79.20 |
$79.20 |
$144.00 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$258.06 |
$258.06 |
$469.20 |
$755.50
|
|
X-ray ribs 2 views left
|
$79.20 |
$79.20 |
$144.00 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$79.20 |
$79.20 |
$144.00 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$79.20 |
$79.20 |
$144.00 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$113.52 |
$113.52 |
$206.40 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$53.90 |
$53.90 |
$98.00 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$76.34 |
$76.34 |
$138.80 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$79.20 |
$79.20 |
$144.00 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$79.20 |
$79.20 |
$144.00 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$307.12 |
$307.12 |
$558.40 |
$606.89
|
|
X-ray skull < 4 views
|
$79.20 |
$79.20 |
$144.00 |
$292.50
|
|
X-ray skull > 4 views complete
|
$82.06 |
$82.06 |
$149.20 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$161.26 |
$161.26 |
$293.20 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$86.24 |
$86.24 |
$156.80 |
$557.70
|
|
X-ray small intestine follow-through study
|
$254.32 |
$254.32 |
$462.40 |
$499.50
|
|
X-ray spine single view
|
$79.20 |
$79.20 |
$144.00 |
$251.00
|
|
X-ray sternum > 2 views
|
$79.20 |
$79.20 |
$144.00 |
$274.65
|
