|
Warde neutralization rabies
|
$113.75 |
$113.75 |
$113.75 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$102.05 |
$102.05 |
$102.05 |
$71.20
|
|
Warde pancreatic elastase fecal quantitative
|
$125.45 |
$125.45 |
$125.45 |
$90.00
|
|
Warde protein c antigen
|
$139.10 |
$139.10 |
$139.10 |
$89.70
|
|
Warde sex hormone binding globulin
|
$102.70 |
$102.70 |
$102.70 |
$104.28
|
|
Warde somatomedin
|
$158.60 |
$158.60 |
$158.60 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$38.35 |
$38.35 |
$38.35 |
$39.42
|
|
Warde thyroid stimulating immunoglobulins
|
$213.85 |
$213.85 |
$213.85 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$100.75 |
$100.75 |
$100.75 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$202.15 |
$202.15 |
$202.15 |
$157.95
|
|
Warde viscosity
|
$65.65 |
$65.65 |
$65.65 |
$61.92
|
|
Warde vitamin a
|
$114.40 |
$114.40 |
$114.40 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$162.50 |
$162.50 |
$162.50 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$161.20 |
$161.20 |
$161.20 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$75.40 |
$75.40 |
$75.40 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$200.20 |
$200.20 |
$200.20 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$90.35 |
$90.35 |
$90.35 |
$64.28
|
|
Warde zinc
|
$100.75 |
$100.75 |
$100.75 |
$67.20
|
|
Wbc automated
|
$27.95 |
$27.95 |
$27.95 |
$32.50
|
|
Western blot test
|
$162.50 |
$162.50 |
$162.50 |
$170.40
|
|
Whole blood for transfusion
|
$258.05 |
$258.05 |
$258.05 |
$400.68
|
|
Wound closure by adhesive
|
$153.40 |
$153.40 |
$153.40 |
$156.65
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$248.95 |
$248.95 |
$248.95 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$362.05 |
$362.05 |
$362.05 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$230.10 |
$230.10 |
$230.10 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$358.80 |
$358.80 |
$358.80 |
$370.00
|
|
Wrist endoscopy/surgery
|
$6,700.02 |
$6,700.02 |
$6,700.02 |
$2,512.00
|
|
Wrist X-ray
|
$360.10 |
$360.10 |
$360.10 |
$311.20
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$2,563.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$1,158.95 |
$1,158.95 |
$1,158.95 |
$2,605.00
|
|
Xm archive tissue molec anal
|
$53.95 |
$53.95 |
$53.95 |
$48.00
|
|
X-ray abdomen 1 view
|
$206.70 |
$206.70 |
$206.70 |
$243.00
|
|
X-ray abdomen 2 views
|
$293.15 |
$293.15 |
$293.15 |
$281.50
|
|
X-ray abdomen >=3 views
|
$386.75 |
$386.75 |
$386.75 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$371.80 |
$371.80 |
$371.80 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$256.10 |
$256.10 |
$256.10 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$317.20 |
$317.20 |
$317.20 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$779.35 |
$779.35 |
$779.35 |
$734.43
|
|
X-ray bone age studies
|
$275.60 |
$275.60 |
$275.60 |
$227.08
|
|
X-ray bone length studies
|
$319.80 |
$319.80 |
$319.80 |
$258.70
|
|
X-ray bone survey complete
|
$711.10 |
$711.10 |
$711.10 |
$569.03
|
|
X-ray bone survey infant
|
$403.00 |
$403.00 |
$403.00 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$309.40 |
$309.40 |
$309.40 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$414.70 |
$414.70 |
$414.70 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$490.75 |
$490.75 |
$490.75 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$368.55 |
$368.55 |
$368.55 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$771.55 |
$771.55 |
$771.55 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$878.15 |
$878.15 |
$878.15 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$325.00 |
$325.00 |
$325.00 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$439.40 |
$439.40 |
$439.40 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$436.15 |
$436.15 |
$436.15 |
$434.76
|
|
X-ray exam entire spi 4/5 vw
|
$482.95 |
$482.95 |
$482.95 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$644.80 |
$644.80 |
$644.80 |
$562.90
|
|
X-ray exam of arm infant
|
$176.15 |
$176.15 |
$176.15 |
$238.26
|
|
X-ray exam of eye sockets
|
$349.05 |
$349.05 |
$349.05 |
$321.48
|
|
X-ray exam of femur 1
|
$196.95 |
$196.95 |
$196.95 |
$194.40
|
|
X-ray exam of mastoids
|
$201.50 |
$201.50 |
$201.50 |
$187.60
|
|
X-ray exam of sinuses
|
$201.50 |
$201.50 |
$201.50 |
$192.00
|
|
X-ray exam thorac spine4/>vw
|
$371.80 |
$371.80 |
$371.80 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$230.10 |
$230.10 |
$230.10 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$313.30 |
$313.30 |
$313.30 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$310.70 |
$310.70 |
$310.70 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$317.85 |
$317.85 |
$317.85 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$358.80 |
$358.80 |
$358.80 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$336.70 |
$336.70 |
$336.70 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$315.90 |
$315.90 |
$315.90 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$271.05 |
$271.05 |
$271.05 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$328.90 |
$328.90 |
$328.90 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$419.90 |
$419.90 |
$419.90 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$495.95 |
$495.95 |
$495.95 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$181.35 |
$181.35 |
$181.35 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$250.90 |
$250.90 |
$250.90 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$329.55 |
$329.55 |
$329.55 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$393.25 |
$393.25 |
$393.25 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$245.05 |
$245.05 |
$245.05 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$338.00 |
$338.00 |
$338.00 |
$227.92
|
|
X-ray lumbosacral spine >= 4 views
|
$438.75 |
$438.75 |
$438.75 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$581.10 |
$581.10 |
$581.10 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$347.75 |
$347.75 |
$347.75 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$252.85 |
$252.85 |
$252.85 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$259.35 |
$259.35 |
$259.35 |
$260.52
|
|
X-ray neck soft tissue
|
$228.15 |
$228.15 |
$228.15 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$226.85 |
$226.85 |
$226.85 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$214.50 |
$214.50 |
$214.50 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$319.15 |
$319.15 |
$319.15 |
$299.46
|
|
X-ray ribs 2 views left
|
$235.95 |
$235.95 |
$235.95 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$355.55 |
$355.55 |
$355.55 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$274.30 |
$274.30 |
$274.30 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$417.95 |
$417.95 |
$417.95 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$274.30 |
$274.30 |
$274.30 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$263.25 |
$263.25 |
$263.25 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$280.80 |
$280.80 |
$280.80 |
$264.80
|
|
X-ray shoulder 1 view (both sides)
|
$187.20 |
$187.20 |
$187.20 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$339.95 |
$339.95 |
$339.95 |
$324.53
|
|
X-ray sinus tract/fistula/abscess
|
$539.50 |
$539.50 |
$539.50 |
$539.50
|
|
X-ray skull < 4 views
|
$235.95 |
$235.95 |
$235.95 |
$277.54
|
|
X-ray skull > 4 views complete
|
$377.65 |
$377.65 |
$377.65 |
$404.30
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$583.05 |
$583.05 |
$583.05 |
$511.38
|
|
X-ray spine single view
|
$180.70 |
$180.70 |
$180.70 |
$225.00
|
