|
Warde haloperidol therapeutic drug level
|
$70.85 |
$70.85 |
$70.85 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$58.50 |
$58.50 |
$58.50 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$57.85 |
$57.85 |
$57.85 |
$83.34
|
|
Warde hepatitis a antibody
|
$55.25 |
$55.25 |
$55.25 |
$83.85
|
|
Warde hepatitis be antibody
|
$52.00 |
$52.00 |
$52.00 |
$53.00
|
|
Warde hepatitis delta agent antibody
|
$76.70 |
$76.70 |
$76.70 |
$97.24
|
|
Warde immunofixation electrophoresis urine
|
$131.95 |
$131.95 |
$131.95 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$52.00 |
$52.00 |
$52.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$646.40
|
|
Warde islet cell antibody zinc transporter 8
|
$105.95 |
$105.95 |
$105.95 |
$143.52
|
|
Warde lipoprotein (a)
|
$64.35 |
$64.35 |
$64.35 |
$64.68
|
|
Warde lipoprotein-associated phospholipase a2
|
$208.00 |
$208.00 |
$208.00 |
$95.90
|
|
Warde mitochondrial antibody each
|
$114.40 |
$114.40 |
$114.40 |
$61.36
|
|
Warde oxcarbazepine therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$65.80
|
|
Warde pancreatic elastase fecal quantitative
|
$102.70 |
$102.70 |
$102.70 |
$98.45
|
|
Warde protein c antigen
|
$53.95 |
$53.95 |
$53.95 |
$93.43
|
|
Warde sex hormone binding globulin
|
$97.50 |
$97.50 |
$97.50 |
$84.50
|
|
Warde somatomedin
|
$95.55 |
$95.55 |
$95.55 |
$115.82
|
|
Warde t3 (triiodothyronine) reverse
|
$70.85 |
$70.85 |
$70.85 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$228.15 |
$228.15 |
$228.15 |
$183.60
|
|
Warde topiramate therapeutic drug level
|
$53.30 |
$53.30 |
$53.30 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$117.00 |
$117.00 |
$117.00 |
$129.80
|
|
Warde viscosity
|
$52.65 |
$52.65 |
$52.65 |
$50.16
|
|
Warde vitamin a
|
$52.00 |
$52.00 |
$52.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$94.90 |
$94.90 |
$94.90 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$126.10 |
$126.10 |
$126.10 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$44.20 |
$44.20 |
$44.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$172.90 |
$172.90 |
$172.90 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$63.70 |
$63.70 |
$63.70 |
$61.15
|
|
Warde zinc
|
$51.35 |
$51.35 |
$51.35 |
$62.70
|
|
Wbc automated
|
$11.70 |
$11.70 |
$11.70 |
$32.74
|
|
Wcd device interrogate
|
$139.10 |
$139.10 |
$139.10 |
$109.20
|
|
Wet mounts/ w preparations
|
$99.45 |
$99.45 |
$99.45 |
$36.80
|
|
Whfo nontorsion joint prefab
|
$69.55 |
$69.55 |
$69.55 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$308.75 |
$308.75 |
$308.75 |
$452.38
|
|
Whole blood for transfusion
|
$1,009.45 |
$1,009.45 |
$1,009.45 |
$504.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$772.20 |
$772.20 |
$772.20 |
$491.04
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,570.65
|
|
Whole Skeleton X-ray Survey
|
$477.10 |
$477.10 |
$477.10 |
$636.46
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$594.10 |
$594.10 |
$594.10 |
$353.40
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$574.40
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$594.10 |
$594.10 |
$594.10 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$442.22
|
|
Wrist X-ray
|
$395.20 |
$395.20 |
$395.20 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$395.20 |
$395.20 |
$395.20 |
$291.20
|
|
Xe133 xenon 10mci
|
$299.00 |
$299.00 |
$299.00 |
$207.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,838.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$12,129.00 |
$12,129.00 |
$12,129.00 |
$1,859.09
|
|
X-ray abdomen >=3 views
|
$477.10 |
$477.10 |
$477.10 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$794.00
|
|
X-ray bone length studies
|
$477.10 |
$477.10 |
$477.10 |
$285.30
|
|
X-ray bone survey infant
|
$477.10 |
$477.10 |
$477.10 |
$394.80
|
|
X-ray exam entire spi 4/5 vw
|
$477.10 |
$477.10 |
$477.10 |
$455.91
|
|
X-ray exam entire spi 6/> vw
|
$477.10 |
$477.10 |
$477.10 |
$519.00
|
|
X-ray exam of arm infant
|
$477.10 |
$477.10 |
$477.10 |
$248.82
|
|
X-ray exam of femur 1
|
$395.20 |
$395.20 |
$395.20 |
$237.60
|
|
X-ray exam of perineum
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$588.00
|
|
X-ray exam of teeth
|
$395.20 |
$395.20 |
$395.20 |
$138.40
|
|
X-ray exam of teeth
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$385.39
|
|
X-ray exam si joints
|
$477.10 |
$477.10 |
$477.10 |
$246.98
|
|
X-ray exam thorac spine4/>vw
|
$477.10 |
$477.10 |
$477.10 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$238.29
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$477.10 |
$477.10 |
$477.10 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$477.10 |
$477.10 |
$477.10 |
$513.56
|
|
X-ray joint survey 1 view
|
$477.10 |
$477.10 |
$477.10 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$477.10 |
$477.10 |
$477.10 |
$364.75
|
|
X-ray male genital tract
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$603.50
|
|
X-ray mandible ltd <4 views
|
$395.20 |
$395.20 |
$395.20 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$395.20 |
$395.20 |
$395.20 |
$226.85
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$765.60
|
|
X-ray ribs 2 views left
|
$395.20 |
$395.20 |
$395.20 |
$296.32
|
|
X-ray sinus tract/fistula/abscess
|
$2,458.95 |
$2,458.95 |
$2,458.95 |
$636.30
|
|
X-ray small intestine follow-through study
|
$516.75 |
$516.75 |
$516.75 |
$501.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$395.20 |
$395.20 |
$395.20 |
$267.50
|
|
X-ray surgical specimen
|
$2,458.95 |
$2,458.95 |
$2,458.95 |
$520.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$395.20 |
$395.20 |
$395.20 |
$256.85
|
|
Yttrium y-90 ibritumomab ther
|
$96,361.76 |
$96,361.76 |
$96,361.76 |
$56,824.55
|
|
Ziconotide injection
|
$2,938.53 |
$2,938.53 |
$2,938.53 |
$7,216.02
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$3.41 |
$3.41 |
$3.41 |
$83.25
|
|
Zika virus dna/rna amp probe
|
$230.10 |
$230.10 |
$230.10 |
$181.08
|
|
Zika virus igm antibody
|
$75.40 |
$75.40 |
$75.40 |
$85.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$76.73 |
$76.73 |
$76.73 |
$123.21
|
|
Zolbetuximab-clzb 100 mg intravenous solution
|
$14,976.00 |
$14,976.00 |
$14,976.00 |
$7,810.92
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$276.12 |
$276.12 |
$276.12 |
$423.96
|
|
Zoster vaccine-live inj
|
$522.60 |
$522.60 |
$522.60 |
$333.34
|