|
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
|
|
Wash harvest stem cells
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$815.00
|
|
Wbc automated
|
$2.79 |
$2.79 |
$2.79 |
$32.80
|
|
Wedge rescj/bisctj ovary uni/bi 58920
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Wedging of cast
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$309.54
|
|
Wedging of clubfoot cast
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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
|
|
Whole blood for transfusion
|
$298.49 |
$298.49 |
$298.49 |
$479.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$298.49 |
$298.49 |
$298.49 |
$740.15
|
|
Whole mitochondrial genome
|
$1,415.70 |
$1,415.70 |
$1,415.70 |
$1,776.06
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$288.70 |
$288.70 |
$288.70 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$334.52 |
$334.52 |
$334.52 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$175.80 |
$175.80 |
$175.80 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$256.41 |
$256.41 |
$256.41 |
$436.15
|
|
Wrist arthroscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,010.63
|
|
Wrist endoscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,512.00
|
|
Xcapsl ctrc rmvl cplx w/ecp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,760.49
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,105.79
|
|
Xcapsl ctrc rmvl w/ecp
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,760.49
|
|
Xcpsl ctrc rmvl cplx insj 1+
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,076.38
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,623.24
|
|
Xm archive tissue molec anal
|
$31.24 |
$31.24 |
$31.24 |
$47.85
|
|
X-ray abdomen 1 view
|
$90.81 |
$90.81 |
$90.81 |
$255.00
|
|
X-ray abdomen 2 views
|
$102.48 |
$102.48 |
$102.48 |
$312.36
|
|
X-ray abdomen >=3 views
|
$114.35 |
$114.35 |
$114.35 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$157.89 |
$157.89 |
$157.89 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$126.43 |
$126.43 |
$126.43 |
$271.44
|
|
X-ray bone age studies
|
$75.82 |
$75.82 |
$75.82 |
$246.75
|
|
X-ray bone length studies
|
$123.93 |
$123.93 |
$123.93 |
$287.25
|
|
X-ray bone survey complete
|
$143.51 |
$143.51 |
$143.51 |
$666.60
|
|
X-ray bone survey infant
|
$136.43 |
$136.43 |
$136.43 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$153.10 |
$153.10 |
$153.10 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$216.42 |
$216.42 |
$216.42 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$251.62 |
$251.62 |
$251.62 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$231.21 |
$231.21 |
$231.21 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$381.39 |
$381.39 |
$381.39 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$187.67 |
$187.67 |
$187.67 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$199.55 |
$199.55 |
$199.55 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$208.71 |
$208.71 |
$208.71 |
$575.76
|
|
X-ray exam of eye sockets
|
$136.01 |
$136.01 |
$136.01 |
$349.05
|
|
X-ray exam of jaw joint
|
$303.70 |
$303.70 |
$303.70 |
$192.39
|
|
X-ray exam of sinuses
|
$72.90 |
$72.90 |
$72.90 |
$211.00
|
|
X-ray exam si joints
|
$74.98 |
$74.98 |
$74.98 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$219.54 |
$219.54 |
$219.54 |
$395.59
|
|
X-ray facial bones complete > 3 views
|
$132.06 |
$132.06 |
$132.06 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$116.23 |
$116.23 |
$116.23 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$132.47 |
$132.47 |
$132.47 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$203.50 |
$203.50 |
$203.50 |
$508.00
|
|
X-ray joint survey 1 view
|
$53.74 |
$53.74 |
$53.74 |
$211.00
|
|
X-ray knee ap standing bilateral
|
$92.90 |
$92.90 |
$92.90 |
$276.25
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$101.02 |
$101.02 |
$101.02 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$164.14 |
$164.14 |
$164.14 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$177.47 |
$177.47 |
$177.47 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$111.23 |
$111.23 |
$111.23 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$89.36 |
$89.36 |
$89.36 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$91.23 |
$91.23 |
$91.23 |
$277.70
|
|
X-ray neck soft tissue
|
$84.15 |
$84.15 |
$84.15 |
$237.43
|
|
X-ray pelvis 1-2 views
|
$151.22 |
$151.22 |
$151.22 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$177.26 |
$177.26 |
$177.26 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$294.74 |
$294.74 |
$294.74 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$164.34 |
$164.34 |
$164.34 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$173.51 |
$173.51 |
$173.51 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$99.98 |
$99.98 |
$99.98 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$124.14 |
$124.14 |
$124.14 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$91.86 |
$91.86 |
$91.86 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$237.87 |
$237.87 |
$237.87 |
$601.30
|
