|
Warde folic acid rbc
|
$66.60 |
$66.60 |
$66.60 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$25.20 |
$25.20 |
$25.20 |
$43.55
|
|
Warde gastrin
|
$60.00 |
$60.00 |
$60.00 |
$73.60
|
|
Warde growth hormone (hgh)
|
$63.00 |
$63.00 |
$63.00 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$35.40 |
$35.40 |
$35.40 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$139.80 |
$139.80 |
$139.80 |
$100.92
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$103.80 |
$103.80 |
$103.80 |
$80.16
|
|
Warde hepatitis a antibody
|
$32.40 |
$32.40 |
$32.40 |
$83.40
|
|
Warde hepatitis be antibody
|
$42.60 |
$42.60 |
$42.60 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$105.00 |
$105.00 |
$105.00 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$205.20 |
$205.20 |
$205.20 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$70.80 |
$70.80 |
$70.80 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$375.60 |
$375.60 |
$375.60 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$195.60 |
$195.60 |
$195.60 |
$141.05
|
|
Warde lipoprotein (a)
|
$28.20 |
$36.00 |
$36.00 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$83.40 |
$83.40 |
$83.40 |
$95.90
|
|
Warde mitochondrial antibody each
|
$79.80 |
$79.80 |
$79.80 |
$59.28
|
|
Warde neutralization rabies
|
$36.60 |
$36.60 |
$36.60 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$73.80 |
$73.80 |
$73.80 |
$94.25
|
|
Warde protein c antigen
|
$142.20 |
$142.20 |
$142.20 |
$93.43
|
|
Warde sex hormone binding globulin
|
$49.80 |
$49.80 |
$49.80 |
$82.08
|
|
Warde somatomedin
|
$49.80 |
$49.80 |
$49.80 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$20.40 |
$20.40 |
$20.40 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$33.60 |
$33.60 |
$33.60 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$109.20 |
$109.20 |
$109.20 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$96.60 |
$96.60 |
$96.60 |
$129.54
|
|
Warde viscosity
|
$25.80 |
$25.80 |
$25.80 |
$49.47
|
|
Warde vitamin a
|
$22.80 |
$22.80 |
$22.80 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$47.40 |
$47.40 |
$47.40 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$63.00 |
$63.00 |
$63.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$22.20 |
$22.20 |
$22.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$127.20 |
$127.20 |
$127.20 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$32.40 |
$32.40 |
$32.40 |
$59.25
|
|
Warde zinc
|
$89.40 |
$89.40 |
$89.40 |
$62.50
|
|
Wash harvest stem cells
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,263.60
|
|
Wbc automated
|
$33.60 |
$33.60 |
$33.60 |
$32.35
|
|
Whfo electric custom fitted
|
$7,268.41 |
$7,268.41 |
$7,268.41 |
$5,209.82
|
|
Whfo nontorsion joint prefab
|
$448.98 |
$448.98 |
$448.98 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$978.13 |
$978.13 |
$978.13 |
$465.50
|
|
Whole blood for transfusion
|
$316.20 |
$316.20 |
$316.20 |
$497.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$411.00 |
$411.00 |
$411.00 |
$491.04
|
|
Whole mitochondrial genome
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,681.55
|
|
Who nontorsion jnts pre cst
|
$1,144.66 |
$1,144.66 |
$1,144.66 |
$706.80
|
|
Who nontorsion jnts pre ots
|
$1,144.66 |
$1,144.66 |
$1,144.66 |
$1,144.66
|
|
Wnd prep f/n/hf/g addl cm
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$811.00
|
|
Woman's shoe oxford brace
|
$159.87 |
$159.87 |
$159.87 |
$149.37
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$597.60 |
$597.60 |
$597.60 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$715.20 |
$715.20 |
$715.20 |
$438.75
|
|
Wrist arthroscopy/surgery
|
$18,293.58 |
$18,293.58 |
$18,293.58 |
$3,839.54
|
|
Wrist X-ray
|
$329.40 |
$329.40 |
$329.40 |
$342.80
|
|
Xcellistem, 1 mg
|
$5,285.18 |
$5,285.18 |
$5,285.18 |
$2,859.19
|
|
Xe133 xenon 10mci
|
$34.80 |
$34.80 |
$34.80 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$18,774.18 |
$21,033.24 |
$33,133.33 |
$2,692.80
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$3,025.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$861.60 |
$861.60 |
$861.60 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$264.00 |
$264.00 |
$264.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$264.00 |
$264.00 |
$264.00 |
$316.47
|
|
X-ray abdomen >=3 views
|
$265.80 |
$265.80 |
$282.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$626.40 |
$626.40 |
$626.40 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$196.20 |
$196.20 |
$294.00 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$262.80 |
$262.80 |
$262.80 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$695.40 |
$730.20 |
$730.20 |
$773.40
|
|
X-ray bone age studies
|
$166.80 |
$166.80 |
$248.40 |
$251.40
|
|
X-ray bone length studies
|
$243.60 |
$364.80 |
$364.80 |
$285.30
|
|
X-ray bone survey complete
|
$544.80 |
$816.60 |
$816.60 |
$660.00
|
|
X-ray bone survey infant
|
$237.00 |
$354.00 |
$354.00 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$382.80 |
$382.80 |
$382.80 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$368.40 |
$552.60 |
$552.60 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$470.40 |
$470.40 |
$702.60 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$251.40 |
$251.40 |
$251.40 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$867.60 |
$867.60 |
$867.60 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$737.40 |
$1,260.60 |
$1,260.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$271.80 |
$271.80 |
$271.80 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$364.20 |
$364.20 |
$364.20 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$586.80 |
$586.80 |
$586.80 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$190.20 |
$198.00 |
$415.20 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$475.20 |
$475.20 |
$499.20 |
$517.80
|
|
X-ray exam of arm infant
|
$259.80 |
$259.80 |
$259.80 |
$248.44
|
|
X-ray exam of eye sockets
|
$474.00 |
$474.00 |
$474.00 |
$328.35
|
|
X-ray exam of femur 1
|
$195.60 |
$195.60 |
$195.60 |
$240.00
|
|
X-ray exam of jaw joint
|
$843.60 |
$885.60 |
$885.60 |
$452.00
|
|
X-ray exam of salivary gland
|
$291.00 |
$291.00 |
$291.00 |
$162.60
|
|
X-ray exam of sinuses
|
$198.00 |
$198.00 |
$297.00 |
$214.50
|
|
X-ray exam si joints
|
$160.80 |
$241.80 |
$241.80 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$250.80 |
$400.80 |
$400.80 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$340.80 |
$340.80 |
$340.80 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$281.40 |
$421.20 |
$421.20 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$292.80 |
$292.80 |
$292.80 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$251.40 |
$251.40 |
$251.40 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$271.80 |
$271.80 |
$271.80 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$270.00 |
$270.00 |
$270.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$260.40 |
$260.40 |
$260.40 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$266.40 |
$266.40 |
$266.40 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$331.80 |
$496.80 |
$496.80 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$391.80 |
$391.80 |
$391.80 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$496.80 |
$496.80 |
$496.80 |
$424.05
|
