|
Warde lipoprotein-associated phospholipase a2
|
$153.40 |
$153.40 |
$153.40 |
$136.50
|
|
Warde mitochondrial antibody each
|
$120.25 |
$120.25 |
$120.25 |
$62.40
|
|
Warde neutralization rabies
|
$141.05 |
$141.05 |
$141.05 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$142.35 |
$142.35 |
$142.35 |
$71.20
|
|
Warde pancreatic elastase fecal quantitative
|
$118.95 |
$118.95 |
$118.95 |
$90.00
|
|
Warde protein c antigen
|
$213.85 |
$213.85 |
$213.85 |
$89.70
|
|
Warde sex hormone binding globulin
|
$83.20 |
$83.20 |
$83.20 |
$104.28
|
|
Warde somatomedin
|
$194.35 |
$194.35 |
$194.35 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$45.50 |
$45.50 |
$45.50 |
$39.42
|
|
Warde t3 (triiodothyronine) reverse
|
$141.70 |
$141.70 |
$141.70 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$335.40 |
$335.40 |
$335.40 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$99.45 |
$99.45 |
$99.45 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$159.90 |
$159.90 |
$159.90 |
$157.95
|
|
Warde viscosity
|
$88.40 |
$88.40 |
$88.40 |
$61.92
|
|
Warde vitamin a
|
$115.70 |
$115.70 |
$115.70 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$141.05 |
$141.05 |
$141.05 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$163.80 |
$163.80 |
$163.80 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$74.10 |
$74.10 |
$74.10 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$271.05 |
$271.05 |
$271.05 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$113.75 |
$113.75 |
$113.75 |
$64.28
|
|
Warde zinc
|
$98.15 |
$98.15 |
$98.15 |
$67.20
|
|
Wbc automated
|
$38.35 |
$38.35 |
$38.35 |
$32.50
|
|
Wedging of cast
|
$208.65 |
$208.65 |
$208.65 |
$251.98
|
|
Western blot test
|
$197.60 |
$197.60 |
$197.60 |
$170.40
|
|
Whole blood for transfusion
|
$359.45 |
$359.45 |
$359.45 |
$400.68
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$911.95 |
$911.95 |
$911.95 |
$511.20
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$456.30 |
$456.30 |
$456.30 |
$432.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$233.35 |
$233.35 |
$233.35 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$323.05 |
$323.05 |
$323.05 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$243.10 |
$243.10 |
$243.10 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$293.80 |
$293.80 |
$293.80 |
$370.00
|
|
Wrist endoscopy/surgery
|
$6,573.74 |
$6,573.74 |
$6,573.74 |
$2,512.00
|
|
Wrist X-ray
|
$484.25 |
$484.25 |
$484.25 |
$311.20
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,791.40 |
$1,791.40 |
$1,791.40 |
$2,563.00
|
|
Xm archive tissue molec anal
|
$10,246.24 |
$10,246.24 |
$10,246.24 |
$48.00
|
|
X-ray abdomen 1 view
|
$236.60 |
$236.60 |
$236.60 |
$243.00
|
|
X-ray abdomen 2 views
|
$310.70 |
$310.70 |
$310.70 |
$281.50
|
|
X-ray abdomen >=3 views
|
$360.75 |
$360.75 |
$360.75 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$437.45 |
$437.45 |
$437.45 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$310.05 |
$310.05 |
$310.05 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$473.85 |
$473.85 |
$473.85 |
$240.00
|
|
X-ray bone age studies
|
$266.50 |
$266.50 |
$266.50 |
$227.08
|
|
X-ray bone length studies
|
$265.85 |
$265.85 |
$265.85 |
$258.70
|
|
X-ray bone survey complete
|
$686.40 |
$686.40 |
$686.40 |
$569.03
|
|
X-ray bone survey infant
|
$345.15 |
$345.15 |
$345.15 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$354.25 |
$354.25 |
$354.25 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$445.90 |
$445.90 |
$445.90 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$582.40 |
$582.40 |
$582.40 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$456.30 |
$456.30 |
$456.30 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$585.00 |
$585.00 |
$585.00 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$759.85 |
$759.85 |
$759.85 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$452.40 |
$452.40 |
$452.40 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$598.00 |
$598.00 |
$598.00 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$433.55 |
$433.55 |
$433.55 |
$434.76
|
|
X-ray exam of arm infant
|
$166.40 |
$166.40 |
$166.40 |
$238.26
|
|
X-ray exam of eye sockets
|
$377.65 |
$377.65 |
$377.65 |
$321.48
|
|
X-ray exam of jaw joint
|
$153.40 |
$153.40 |
$153.40 |
$179.54
|
|
X-ray exam of sinuses
|
$202.80 |
$202.80 |
$202.80 |
$192.00
|
|
X-ray exam si joints
|
$242.45 |
$242.45 |
$242.45 |
$198.38
|
|
X-ray exam thorac spine4/>vw
|
$429.00 |
$429.00 |
$429.00 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$260.65 |
$260.65 |
$260.65 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$366.60 |
$366.60 |
$366.60 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$452.40 |
$452.40 |
$452.40 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$317.20 |
$317.20 |
$317.20 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$444.60 |
$444.60 |
$444.60 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$464.75 |
$464.75 |
$464.75 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$459.55 |
$459.55 |
$459.55 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$403.65 |
$403.65 |
$403.65 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$352.95 |
$352.95 |
$352.95 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$393.25 |
$393.25 |
$393.25 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$421.20 |
$421.20 |
$421.20 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$533.00 |
$533.00 |
$533.00 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$226.85 |
$226.85 |
$226.85 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$475.80 |
$475.80 |
$475.80 |
$285.00
|
|
X-ray joint survey 1 view
|
$261.95 |
$261.95 |
$261.95 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$470.60 |
$470.60 |
$470.60 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$534.30 |
$534.30 |
$534.30 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$263.25 |
$263.25 |
$263.25 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$304.20 |
$304.20 |
$304.20 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$350.35 |
$350.35 |
$350.35 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$485.55 |
$485.55 |
$485.55 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$585.65 |
$585.65 |
$585.65 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$367.25 |
$367.25 |
$367.25 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$273.00 |
$273.00 |
$273.00 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$267.15 |
$267.15 |
$267.15 |
$260.52
|
|
X-ray neck soft tissue
|
$266.50 |
$266.50 |
$266.50 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$213.20 |
$213.20 |
$213.20 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$249.60 |
$249.60 |
$249.60 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$306.80 |
$306.80 |
$306.80 |
$299.46
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$634.40 |
$634.40 |
$634.40 |
$663.18
|
|
X-ray ribs 2 views left
|
$312.65 |
$312.65 |
$312.65 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$385.45 |
$385.45 |
$385.45 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$364.65 |
$364.65 |
$364.65 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$506.35 |
$506.35 |
$506.35 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$311.35 |
$311.35 |
$311.35 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$307.45 |
$307.45 |
$307.45 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$470.60 |
$470.60 |
$470.60 |
$264.80
|
|
X-ray shoulder 1 view (both sides)
|
$380.90 |
$380.90 |
$380.90 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$330.85 |
$330.85 |
$330.85 |
$324.53
|
|
X-ray skull < 4 views
|
$317.20 |
$317.20 |
$317.20 |
$277.54
|
