|
Warde thyroid stimulating immunoglobulins
|
$38.82 |
$38.82 |
$48.91 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$12.72 |
$12.72 |
$16.02 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$77.64 |
$77.64 |
$97.82 |
$127.20
|
|
Warde viscosity
|
$12.49 |
$12.49 |
$15.73 |
$52.65
|
|
Warde vitamin a
|
$12.26 |
$12.26 |
$15.45 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$39.50 |
$39.50 |
$49.77 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$24.97 |
$24.97 |
$31.46 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$7.50 |
$7.50 |
$9.44 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$54.48 |
$54.48 |
$68.64 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$25.43 |
$25.43 |
$32.04 |
$55.00
|
|
Warde zinc
|
$25.88 |
$25.88 |
$32.61 |
$62.50
|
|
Wbc automated
|
$46.31 |
$46.31 |
$58.35 |
$32.80
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$360.03 |
$360.03 |
$453.60 |
$740.15
|
|
Whole mitochondrial genome
|
$335.51 |
$335.51 |
$422.71 |
$1,776.06
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$112.60 |
$112.60 |
$112.60 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$1,085.06 |
$1,085.06 |
$1,367.08 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,128.42 |
$1,128.42 |
$1,421.71 |
$436.15
|
|
Wrist X-ray
|
$583.17 |
$583.17 |
$734.74 |
$343.70
|
|
Xe133 xenon 10mci
|
$82.18 |
$82.18 |
$103.54 |
$299.00
|
|
X-ray abdomen 1 view
|
$356.62 |
$356.62 |
$449.31 |
$255.00
|
|
X-ray abdomen 2 views
|
$559.79 |
$559.79 |
$705.28 |
$312.36
|
|
X-ray abdomen >=3 views
|
$520.52 |
$520.52 |
$705.28 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$673.97 |
$673.97 |
$849.14 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$205.44 |
$205.44 |
$258.83 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$513.25 |
$513.25 |
$646.65 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$871.73 |
$871.73 |
$871.73 |
$768.30
|
|
X-ray bone age studies
|
$158.90 |
$158.90 |
$200.20 |
$246.75
|
|
X-ray bone length studies
|
$290.01 |
$290.01 |
$290.01 |
$287.25
|
|
X-ray bone survey complete
|
$535.72 |
$535.72 |
$674.96 |
$666.60
|
|
X-ray bone survey infant
|
$582.26 |
$582.26 |
$733.59 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$415.19 |
$415.19 |
$523.10 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$560.47 |
$560.47 |
$706.14 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$701.66 |
$701.66 |
$884.03 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$429.49 |
$429.49 |
$541.12 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$697.35 |
$697.35 |
$878.60 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$976.33 |
$976.33 |
$1,230.09 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$579.76 |
$579.76 |
$730.45 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$691.67 |
$691.67 |
$871.45 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$576.58 |
$576.58 |
$726.44 |
$486.24
|
|
X-ray exam of eye sockets
|
$313.95 |
$313.95 |
$395.54 |
$349.05
|
|
X-ray exam of femur 1
|
$578.63 |
$578.63 |
$729.02 |
$232.36
|
|
X-ray exam of jaw joint
|
$543.69 |
$543.69 |
$543.69 |
$354.79
|
|
X-ray exam of mastoids
|
$152.32 |
$152.32 |
$191.91 |
$191.91
|
|
X-ray exam of middle ear
|
$338.91 |
$338.91 |
$338.91 |
$341.25
|
|
X-ray exam of sinuses
|
$201.13 |
$201.13 |
$253.40 |
$211.00
|
|
X-ray exam si joints
|
$510.23 |
$510.23 |
$510.23 |
$246.16
|
|
X-ray eye detection foreign body (both sides)
|
$271.42 |
$271.42 |
$271.42 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$321.89 |
$321.89 |
$405.55 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$1,091.65 |
$1,091.65 |
$1,375.38 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$285.34 |
$285.34 |
$359.51 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$496.45 |
$496.45 |
$625.49 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$500.77 |
$500.77 |
$630.92 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$420.64 |
$420.64 |
$529.96 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$409.51 |
$409.51 |
$515.95 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$109.65 |
$109.65 |
$138.14 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$559.11 |
$559.11 |
$704.42 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$559.11 |
$559.11 |
$704.42 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$644.00 |
$644.00 |
$811.39 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$297.15 |
$297.15 |
$374.38 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$318.26 |
$318.26 |
$400.98 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$466.94 |
$466.94 |
$588.31 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$572.27 |
$572.27 |
$721.01 |
$353.25
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$471.71 |
$471.71 |
$594.31 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$574.31 |
$574.31 |
$723.58 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$730.04 |
$730.04 |
$919.78 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$442.43 |
$442.43 |
$557.42 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$272.40 |
$272.40 |
$343.20 |
$277.70
|
|
X-ray neck soft tissue
|
$371.15 |
$371.15 |
$467.61 |
$237.43
|
|
X-ray of mammary ducts
|
$457.03 |
$457.03 |
$457.03 |
$473.55
|
|
X-ray pelvis 1-2 views
|
$312.58 |
$312.58 |
$393.83 |
$270.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$583.62 |
$583.62 |
$735.31 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$412.92 |
$412.92 |
$520.24 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$400.89 |
$400.89 |
$505.08 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$521.20 |
$521.20 |
$656.66 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$465.13 |
$465.13 |
$586.02 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$400.89 |
$400.89 |
$505.08 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$556.61 |
$556.61 |
$701.28 |
$292.50
|
|
X-ray sella turcica
|
$163.88 |
$163.88 |
$163.88 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$428.58 |
$428.58 |
$539.97 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$251.29 |
$251.29 |
$316.61 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$451.05 |
$451.05 |
$568.29 |
$601.30
|
|
X-ray skull < 4 views
|
$357.53 |
$357.53 |
$450.45 |
$291.78
|
|
X-ray skull > 4 views complete
|
$450.60 |
$450.60 |
$567.71 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$379.24 |
$379.24 |
$379.24 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$434.03 |
$434.03 |
$546.84 |
$557.70
|
|
X-ray small intestine follow-through study
|
$776.80 |
$776.80 |
$978.70 |
$504.14
|
|
X-ray spine single view
|
$297.15 |
$297.15 |
$374.38 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$456.50 |
$456.50 |
$575.15 |
$263.49
|
|
X-ray sternum > 2 views
|
$371.15 |
$371.15 |
$467.61 |
$269.75
|
|
X-ray surgical specimen
|
$422.22 |
$422.22 |
$531.96 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$553.20 |
$553.20 |
$696.99 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$337.55 |
$337.55 |
$425.29 |
$317.70
|
|
X-ray thoracic spine 3 views
|
$485.56 |
$485.56 |
$611.76 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$310.77 |
$310.77 |
$391.54 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$76.28 |
$76.28 |
$96.10 |
$385.80
|
|
X-ray tibia/fibula 2 views (both sides)
|
$636.74 |
$636.74 |
$802.23 |
$328.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$307.82 |
$307.82 |
$387.82 |
$264.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$528.23 |
$528.23 |
$665.53 |
$555.04
|
|
X-ray wrist 2 views (both sides)
|
$486.01 |
$486.01 |
$612.33 |
$290.40
|
|
Yersinia antibody
|
$91.94 |
$91.94 |
$115.83 |
$66.95
|