|
Warde fluorescent antibody screen endomysial iga
|
$346.40 |
$346.40 |
$346.40 |
$43.20
|
|
Warde folic acid rbc
|
$288.25 |
$288.25 |
$288.25 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$120.90 |
$120.90 |
$120.90 |
$44.64
|
|
Warde gastrin
|
$194.70 |
$194.70 |
$194.70 |
$75.25
|
|
Warde growth hormone (hgh)
|
$335.30 |
$335.30 |
$335.30 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$150.90 |
$150.90 |
$150.90 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$60.80 |
$60.80 |
$60.80 |
$83.34
|
|
Warde hepatitis a antibody
|
$155.65 |
$155.65 |
$155.65 |
$83.85
|
|
Warde hepatitis be antibody
|
$162.80 |
$162.80 |
$162.80 |
$53.00
|
|
Warde hepatitis delta agent antibody
|
$200.70 |
$200.70 |
$200.70 |
$97.24
|
|
Warde immunofixation electrophoresis urine
|
$560.60 |
$560.60 |
$560.60 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$162.15 |
$162.15 |
$162.15 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,029.65 |
$1,029.65 |
$1,029.65 |
$646.40
|
|
Warde islet cell antibody zinc transporter 8
|
$221.90 |
$221.90 |
$221.90 |
$143.52
|
|
Warde lipoprotein (a)
|
$259.20 |
$259.20 |
$259.20 |
$64.68
|
|
Warde mitochondrial antibody each
|
$227.05 |
$227.05 |
$227.05 |
$61.36
|
|
Warde neutralization rabies
|
$256.50 |
$256.50 |
$256.50 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$289.50 |
$289.50 |
$289.50 |
$65.80
|
|
Warde pancreatic elastase fecal quantitative
|
$255.85 |
$255.85 |
$255.85 |
$98.45
|
|
Warde sex hormone binding globulin
|
$210.35 |
$210.35 |
$210.35 |
$84.50
|
|
Warde somatomedin
|
$255.85 |
$255.85 |
$255.85 |
$115.82
|
|
Warde sugars single qualitative each specimen stool
|
$33.05 |
$33.05 |
$33.05 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$530.60 |
$530.60 |
$530.60 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$1,045.35 |
$1,045.35 |
$1,045.35 |
$183.60
|
|
Warde topiramate therapeutic drug level
|
$328.65 |
$328.65 |
$328.65 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$791.20 |
$791.20 |
$791.20 |
$129.80
|
|
Warde viscosity
|
$375.75 |
$375.75 |
$375.75 |
$50.16
|
|
Warde vitamin a
|
$329.90 |
$329.90 |
$329.90 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$201.60 |
$201.60 |
$201.60 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$498.75 |
$498.75 |
$498.75 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$88.70 |
$88.70 |
$88.70 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$743.60 |
$743.60 |
$743.60 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$364.80 |
$364.80 |
$364.80 |
$61.15
|
|
Warde zinc
|
$115.20 |
$115.20 |
$115.20 |
$62.70
|
|
Wbc automated
|
$51.00 |
$51.00 |
$51.00 |
$32.74
|
|
Western blot test
|
$311.25 |
$311.25 |
$311.25 |
$148.85
|
|
Whfo nontorsion joint prefab
|
$725.80 |
$725.80 |
$725.80 |
$224.01
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$2,799.85 |
$2,799.85 |
$2,799.85 |
$1,570.65
|
|
Whole Skeleton X-ray Survey
|
$1,228.40 |
$1,228.40 |
$1,228.40 |
$636.46
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$597.55 |
$597.55 |
$597.55 |
$353.40
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$643.00 |
$643.00 |
$643.00 |
$574.40
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$678.35 |
$678.35 |
$678.35 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$535.60 |
$535.60 |
$535.60 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$640.30 |
$640.30 |
$640.30 |
$442.22
|
|
Wrist X-ray
|
$390.10 |
$390.10 |
$390.10 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$293.05 |
$293.05 |
$293.05 |
$291.20
|
|
X-ray abdomen >=3 views
|
$602.35 |
$602.35 |
$602.35 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,362.15 |
$1,362.15 |
$1,362.15 |
$794.00
|
|
X-ray bone length studies
|
$605.00 |
$605.00 |
$605.00 |
$285.30
|
|
X-ray bone survey infant
|
$514.10 |
$514.10 |
$514.10 |
$394.80
|
|
Xray endovasc thor ao repr
|
$2,597.85 |
$2,597.85 |
$2,597.85 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$2,597.85 |
$2,597.85 |
$2,597.85 |
$1,622.18
|
|
X-ray exam entire spi 4/5 vw
|
$944.35 |
$944.35 |
$944.35 |
$455.91
|
|
X-ray exam entire spi 6/> vw
|
$944.35 |
$944.35 |
$944.35 |
$519.00
|
|
X-ray exam of arm infant
|
$365.75 |
$365.75 |
$365.75 |
$248.82
|
|
X-ray exam of femur 1
|
$301.20 |
$301.20 |
$301.20 |
$237.60
|
|
X-ray exam of mastoids
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$193.41
|
|
X-ray exam of middle ear
|
$1,333.75 |
$1,333.75 |
$1,333.75 |
$349.35
|
|
X-ray exam of salivary gland
|
$534.95 |
$534.95 |
$534.95 |
$162.60
|
|
X-ray exam of tear duct
|
$879.05 |
$879.05 |
$879.05 |
$467.50
|
|
X-ray exam si joints
|
$522.30 |
$522.30 |
$522.30 |
$246.98
|
|
X-ray exam thorac spine4/>vw
|
$607.60 |
$607.60 |
$607.60 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$351.60 |
$351.60 |
$351.60 |
$238.29
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$497.05 |
$497.05 |
$497.05 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$944.35 |
$944.35 |
$944.35 |
$513.56
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$318.95 |
$318.95 |
$318.95 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$623.10 |
$623.10 |
$623.10 |
$364.75
|
|
X-ray mandible ltd <4 views
|
$465.15 |
$465.15 |
$465.15 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$455.45 |
$455.45 |
$455.45 |
$226.85
|
|
X-ray of mammary ducts
|
$1,632.65 |
$1,632.65 |
$1,632.65 |
$568.26
|
|
X-ray optic foramina
|
$1,005.95 |
$1,005.95 |
$1,005.95 |
$185.95
|
|
Xray place dist ext thor ao
|
$7,254.90 |
$7,254.90 |
$7,254.90 |
$1,203.95
|
|
Xray place prox ext thor ao
|
$1,077.05 |
$1,077.05 |
$1,077.05 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,231.15 |
$1,231.15 |
$1,231.15 |
$765.60
|
|
X-ray ribs 2 views left
|
$402.40 |
$402.40 |
$402.40 |
$296.32
|
|
X-ray sella turcica
|
$431.85 |
$431.85 |
$431.85 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$800.45 |
$800.45 |
$800.45 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$1,054.10 |
$1,054.10 |
$1,054.10 |
$398.75
|
|
X-ray small intestine follow-through study
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$501.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$460.70 |
$460.70 |
$460.70 |
$267.50
|
|
X-ray surgical specimen
|
$802.05 |
$802.05 |
$802.05 |
$520.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$471.80 |
$471.80 |
$471.80 |
$256.85
|
|
Xtrnl ecg rec up to 48 hrs
|
$158.05 |
$158.05 |
$158.05 |
$232.98
|
|
Yttrium y-90 ibritumomab ther
|
$107,718.30 |
$107,718.30 |
$107,718.30 |
$56,824.55
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$193.75 |
$193.75 |
$193.75 |
$83.25
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$655.86 |
$655.86 |
$655.86 |
$123.21
|
|
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)
|
$11,483.20 |
$11,483.20 |
$11,483.20 |
$5,215.08
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$1,824.66 |
$1,824.66 |
$1,824.66 |
$423.96
|
|
Zoster vaccine-live inj
|
$329.40 |
$329.40 |
$329.40 |
$333.34
|