|
Warde hepatitis delta agent antibody
|
$18.88 |
$18.88 |
$18.88 |
$92.30
|
|
Warde immunofixation electrophoresis urine
|
$32.29 |
$32.29 |
$32.29 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$12.68 |
$12.68 |
$12.68 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$283.20 |
$283.20 |
$283.20 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$25.93 |
$25.93 |
$25.93 |
$137.55
|
|
Warde lipoprotein (a)
|
$15.75 |
$15.75 |
$15.75 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$50.94 |
$50.94 |
$50.94 |
$97.00
|
|
Warde mitochondrial antibody each
|
$28.00 |
$28.00 |
$28.00 |
$62.40
|
|
Warde neutralization rabies
|
$18.60 |
$18.60 |
$18.60 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$14.58 |
$14.58 |
$14.58 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$25.27 |
$25.27 |
$25.27 |
$94.25
|
|
Warde protein c antigen
|
$13.21 |
$13.21 |
$13.21 |
$88.80
|
|
Warde sex hormone binding globulin
|
$23.90 |
$23.90 |
$23.90 |
$86.59
|
|
Warde somatomedin
|
$23.39 |
$23.39 |
$23.39 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$6.05 |
$6.05 |
$6.05 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$17.34 |
$17.34 |
$17.34 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$55.95 |
$55.95 |
$55.95 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$13.11 |
$13.11 |
$13.11 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$28.68 |
$28.68 |
$28.68 |
$127.20
|
|
Warde viscosity
|
$12.84 |
$12.84 |
$12.84 |
$52.65
|
|
Warde vitamin a
|
$12.77 |
$12.77 |
$12.77 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$23.35 |
$23.35 |
$23.35 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$30.91 |
$30.91 |
$30.91 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$10.88 |
$10.88 |
$10.88 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$42.35 |
$42.35 |
$42.35 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$15.60 |
$15.60 |
$15.60 |
$55.00
|
|
Warde zinc
|
$12.53 |
$12.53 |
$12.53 |
$62.50
|
|
Warfarin respon genetic test
|
$132.79 |
$132.79 |
$132.79 |
$166.59
|
|
Wash harvest stem cells
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$815.00
|
|
Wbc automated
|
$2.79 |
$2.79 |
$2.79 |
$32.80
|
|
Wedge rescj/bisctj ovary uni/bi 58920
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,419.00
|
|
Wedging of cast
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$309.54
|
|
Wedging of clubfoot cast
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$304.98
|
|
Western blot test
|
$18.73 |
$18.73 |
$18.73 |
$153.18
|
|
Wet mounts/ w preparations
|
$19.54 |
$19.54 |
$19.54 |
$36.80
|
|
Whfo w/joint(s) custom fab
|
$364.79 |
$364.79 |
$364.79 |
$436.49
|
|
Whole blood for transfusion
|
$303.65 |
$303.65 |
$303.65 |
$479.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$303.65 |
$303.65 |
$303.65 |
$740.15
|
|
Whole mitochondrial genome
|
$1,415.70 |
$1,415.70 |
$1,415.70 |
$1,776.06
|
|
Whole mitochondrial genome
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,524.90
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$293.69 |
$293.69 |
$293.69 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$340.31 |
$340.31 |
$340.31 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$178.84 |
$178.84 |
$178.84 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$260.84 |
$260.84 |
$260.84 |
$436.15
|
|
Wrist arthroscopy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,010.63
|
|
Wrist endoscopy/surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,512.00
|
|
Xcapsl ctrc rmvl cplx w/ecp
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,760.49
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,105.79
|
|
Xcapsl ctrc rmvl w/ecp
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,760.49
|
|
Xcpsl ctrc rmvl cplx insj 1+
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,076.38
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,623.24
|
|
X-linked intellectual dblt
|
$1,005.40 |
$1,005.40 |
$1,005.40 |
$1,005.40
|
|
X-linked intellectual dblt
|
$1,005.40 |
$1,005.40 |
$1,005.40 |
$914.00
|
|
Xm archive tissue molec anal
|
$31.78 |
$31.78 |
$31.78 |
$47.85
|
|
X-ray abdomen 1 view
|
$92.38 |
$92.38 |
$92.38 |
$255.00
|
|
X-ray abdomen 2 views
|
$104.25 |
$104.25 |
$104.25 |
$312.36
|
|
X-ray abdomen >=3 views
|
$116.33 |
$116.33 |
$116.33 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$160.62 |
$160.62 |
$160.62 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$128.62 |
$128.62 |
$128.62 |
$271.44
|
|
X-ray assay calculus
|
$13.77 |
$13.77 |
$13.77 |
$13.77
|
|
X-ray bone age studies
|
$77.13 |
$77.13 |
$77.13 |
$246.75
|
|
X-ray bone length studies
|
$126.08 |
$126.08 |
$126.08 |
$287.25
|
|
X-ray bone survey complete
|
$145.99 |
$145.99 |
$145.99 |
$666.60
|
|
X-ray bone survey infant
|
$138.79 |
$138.79 |
$138.79 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$155.74 |
$155.74 |
$155.74 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$220.16 |
$220.16 |
$220.16 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$255.97 |
$255.97 |
$255.97 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$235.20 |
$235.20 |
$235.20 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$387.98 |
$387.98 |
$387.98 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$190.92 |
$190.92 |
$190.92 |
$486.24
|
|
X-ray exam of eye sockets
|
$138.37 |
$138.37 |
$138.37 |
$349.05
|
|
X-ray exam of jaw joint
|
$309.37 |
$309.37 |
$309.37 |
$192.39
|
|
X-ray exam thorac spine4/>vw
|
$223.34 |
$223.34 |
$223.34 |
$395.59
|
|
X-ray facial bones complete > 3 views
|
$134.34 |
$134.34 |
$134.34 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$118.24 |
$118.24 |
$118.24 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$134.76 |
$134.76 |
$134.76 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$207.02 |
$207.02 |
$207.02 |
$508.00
|
|
X-ray joint survey 1 view
|
$54.67 |
$54.67 |
$54.67 |
$211.00
|
|
X-ray knee ap standing bilateral
|
$94.50 |
$94.50 |
$94.50 |
$276.25
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$102.77 |
$102.77 |
$102.77 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$166.97 |
$166.97 |
$166.97 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$180.53 |
$180.53 |
$180.53 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$113.15 |
$113.15 |
$113.15 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$92.81 |
$92.81 |
$92.81 |
$277.70
|
|
X-ray neck soft tissue
|
$85.60 |
$85.60 |
$85.60 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$51.70 |
$51.70 |
$51.70 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$153.83 |
$153.83 |
$153.83 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$180.32 |
$180.32 |
$180.32 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$299.83 |
$299.83 |
$299.83 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$167.18 |
$167.18 |
$167.18 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$176.51 |
$176.51 |
$176.51 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$101.71 |
$101.71 |
$101.71 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$126.29 |
$126.29 |
$126.29 |
$285.60
|
