|
Warde anti-mullerian hormone
|
$398.91 |
$398.91 |
$398.91 |
$80.08
|
|
Warde bile acids
|
$139.08 |
$139.08 |
$139.08 |
$63.70
|
|
Warde calcitonin
|
$731.88 |
$731.88 |
$752.50 |
$96.97
|
|
Warde calculus (stone) infrared
|
$213.09 |
$213.09 |
$213.09 |
$59.50
|
|
Warde clozapine therapeutic drug level
|
$672.67 |
$672.67 |
$672.67 |
$66.43
|
|
Warde collagen cross links c-telopeptide
|
$555.29 |
$555.29 |
$555.29 |
$96.85
|
|
Warde complement total hemolytic
|
$522.00 |
$522.00 |
$1,044.41 |
$104.82
|
|
Warde cryoglobulin
|
$350.25 |
$350.25 |
$699.11 |
$50.35
|
|
Warde erythropoietin
|
$509.75 |
$509.75 |
$1,022.23 |
$90.36
|
|
Warde estrogen fractionated
|
$560.00 |
$560.00 |
$560.00 |
$98.15
|
|
Warde folic acid rbc
|
$452.25 |
$452.25 |
$900.57 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$181.00 |
$181.00 |
$362.23 |
$43.55
|
|
Warde gastrin
|
$173.25 |
$173.25 |
$350.59 |
$73.60
|
|
Warde growth hormone (hgh)
|
$448.25 |
$448.25 |
$897.96 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$159.50 |
$159.50 |
$319.41 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$297.50 |
$297.50 |
$646.22 |
$100.92
|
|
Warde hepatitis a antibody
|
$364.75 |
$364.75 |
$729.76 |
$83.40
|
|
Warde hepatitis be antibody
|
$313.00 |
$313.00 |
$631.43 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$233.25 |
$233.25 |
$465.91 |
$97.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$370.50 |
$370.50 |
$742.45 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$882.25 |
$882.25 |
$1,488.62 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$119.50 |
$119.50 |
$119.50 |
$141.05
|
|
Warde lipoprotein (a)
|
$762.02 |
$762.02 |
$762.02 |
$67.00
|
|
Warde oxcarbazepine therapeutic drug level
|
$729.76 |
$729.76 |
$729.76 |
$64.35
|
|
Warde protein c antigen
|
$402.50 |
$402.50 |
$806.46 |
$93.43
|
|
Warde sex hormone binding globulin
|
$557.75 |
$557.75 |
$1,122.17 |
$82.08
|
|
Warde somatomedin
|
$645.75 |
$645.75 |
$1,294.54 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$785.00 |
$785.00 |
$1,570.07 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$456.25 |
$456.25 |
$913.82 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$687.50 |
$687.50 |
$1,374.41 |
$71.20
|
|
Warde viscosity
|
$307.00 |
$307.00 |
$613.43 |
$49.47
|
|
Warde vitamin a
|
$123.50 |
$123.50 |
$245.93 |
$58.80
|
|
Warde vitamin b6 (pyridoxine)
|
$153.25 |
$153.25 |
$310.94 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$250.75 |
$250.75 |
$497.08 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$755.15 |
$755.15 |
$1,009.75 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$85.75 |
$85.75 |
$169.75 |
$59.25
|
|
Western blot test
|
$456.25 |
$456.25 |
$913.82 |
$150.00
|
|
Whfo nontorsion joint prefab
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$224.01
|
|
Whole blood for transfusion
|
$3,561.09 |
$3,561.09 |
$3,561.09 |
$497.00
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,213.53 |
$1,213.53 |
$1,213.53 |
$438.75
|
|
Xe133 xenon 10mci
|
$608.18 |
$608.18 |
$608.18 |
$207.00
|
|
X-ray abdomen 1 view
|
$1,499.32 |
$1,499.32 |
$1,499.32 |
$258.50
|
|
X-ray abdomen 2 views
|
$1,937.75 |
$1,937.75 |
$1,937.75 |
$316.47
|
|
X-ray abdomen >=3 views
|
$2,170.28 |
$2,170.28 |
$2,170.28 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,788.50 |
$1,788.50 |
$1,788.50 |
$418.63
|
|
X-ray bone age studies
|
$1,508.75 |
$1,508.75 |
$1,508.75 |
$251.40
|
|
X-ray cervical spine 2-3 views
|
$615.75 |
$615.75 |
$615.75 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$1,445.50 |
$1,445.50 |
$1,445.50 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$1,079.75 |
$1,079.75 |
$1,079.75 |
$508.50
|
|
Xray endovasc thor ao repr
|
$17,594.75 |
$17,594.75 |
$17,594.75 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$48,442.56 |
$48,442.56 |
$48,442.56 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$587.50 |
$587.50 |
$587.50 |
$483.50
|
|
X-ray exam of eye sockets
|
$673.75 |
$673.75 |
$673.75 |
$328.35
|
|
X-ray exam of mastoids
|
$2,833.27 |
$2,833.27 |
$2,833.27 |
$193.41
|
|
X-ray exam of middle ear
|
$1,944.26 |
$1,944.26 |
$1,944.26 |
$345.66
|
|
X-ray exam of teeth
|
$2,448.66 |
$2,448.66 |
$2,448.66 |
$328.08
|
|
X-ray eye detection foreign body (both sides)
|
$1,593.25 |
$1,593.25 |
$1,593.25 |
$238.29
|
|
X-ray finger(s) >= 2 views (both sides)
|
$412.25 |
$412.25 |
$412.25 |
$241.05
|
|
X-ray lumbosacral spine >= 4 views
|
$1,091.25 |
$1,091.25 |
$1,091.25 |
$505.83
|
|
X-ray nasal bones complete > 3 views
|
$440.25 |
$440.25 |
$440.25 |
$274.65
|
|
X-ray pelvis 1-2 views
|
$514.00 |
$514.00 |
$514.00 |
$280.80
|
|
X-ray ribs 2 views left
|
$507.75 |
$507.75 |
$507.75 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$1,025.50 |
$1,025.50 |
$1,025.50 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$876.25 |
$876.25 |
$876.25 |
$356.20
|
|
X-ray sacrum/coccyx >= 2 views
|
$535.75 |
$535.75 |
$535.75 |
$288.80
|
|
X-ray sella turcica
|
$2,137.45 |
$2,137.45 |
$2,137.45 |
$162.50
|
|
X-ray sinuses paranasal complete > 3 views
|
$633.25 |
$633.25 |
$633.25 |
$345.60
|
|
X-ray skull < 4 views
|
$535.75 |
$535.75 |
$535.75 |
$292.50
|
|
X-ray skull > 4 views complete
|
$815.25 |
$815.25 |
$815.25 |
$417.50
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$1,013.75 |
$1,013.75 |
$1,013.75 |
$557.70
|
|
X-ray spine single view
|
$334.50 |
$334.50 |
$334.50 |
$251.00
|
|
X-ray sternum > 2 views
|
$615.75 |
$615.75 |
$615.75 |
$274.65
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$655.50 |
$655.50 |
$655.50 |
$523.25
|
|
X-ray thoracic spine 3 views
|
$705.50 |
$705.50 |
$705.50 |
$381.60
|
|
X-ray toe(s) > 2 views (both sides)
|
$412.25 |
$412.25 |
$412.25 |
$258.50
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$1,013.75 |
$1,013.75 |
$1,013.75 |
$603.20
|
|
X-ray upper gi delay w/kub
|
$2,581.00 |
$2,581.00 |
$2,581.00 |
$247.02
|
|
Xylose absorption test blood &/or urine
|
$322.00 |
$322.00 |
$646.22 |
$99.89
|
|
Yttrium y-90 ibritumomab ther
|
$4,763.58 |
$4,763.58 |
$4,763.58 |
$55,035.00
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$1.64 |
$1.64 |
$1.64 |
$93.06
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$96.80 |
$96.80 |
$122.45 |
$122.45
|