|
Warde lipoprotein (a)
|
$36.40 |
$36.40 |
$36.40 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$278.20 |
$278.20 |
$278.20 |
$97.00
|
|
Warde mitochondrial antibody each
|
$200.85 |
$200.85 |
$200.85 |
$62.40
|
|
Warde neutralization rabies
|
$285.35 |
$285.35 |
$285.35 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$34.45 |
$34.45 |
$34.45 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$213.20 |
$213.20 |
$213.20 |
$94.25
|
|
Warde protein c antigen
|
$135.85 |
$135.85 |
$135.85 |
$88.80
|
|
Warde sex hormone binding globulin
|
$92.30 |
$92.30 |
$92.30 |
$86.59
|
|
Warde somatomedin
|
$148.20 |
$148.20 |
$148.20 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$53.30 |
$53.30 |
$53.30 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$48.75 |
$48.75 |
$48.75 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$96.85 |
$96.85 |
$96.85 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$49.40 |
$49.40 |
$49.40 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$33.15 |
$33.15 |
$33.15 |
$127.20
|
|
Warde viscosity
|
$52.65 |
$52.65 |
$52.65 |
$52.65
|
|
Warde vitamin a
|
$27.95 |
$27.95 |
$27.95 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$58.50 |
$58.50 |
$58.50 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$50.70 |
$50.70 |
$50.70 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$66.30 |
$66.30 |
$66.30 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$78.00 |
$78.00 |
$78.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$27.95 |
$27.95 |
$27.95 |
$55.00
|
|
Warde zinc
|
$18.85 |
$18.85 |
$18.85 |
$62.50
|
|
Wbc automated
|
$28.60 |
$28.60 |
$28.60 |
$32.80
|
|
Western blot test
|
$234.65 |
$234.65 |
$234.65 |
$153.18
|
|
Whole blood for transfusion
|
$1,465.10 |
$1,465.10 |
$1,465.10 |
$479.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,585.35 |
$1,585.35 |
$1,585.35 |
$740.15
|
|
Whole mitochondrial genome
|
$3,894.15 |
$3,894.15 |
$3,894.15 |
$1,776.06
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$585.00 |
$585.00 |
$585.00 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$650.00 |
$650.00 |
$650.00 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$263.25 |
$263.25 |
$263.25 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$438.75 |
$438.75 |
$438.75 |
$436.15
|
|
Wrist X-ray
|
$586.30 |
$586.30 |
$586.30 |
$343.70
|
|
X-ray abdomen 1 view
|
$242.45 |
$242.45 |
$242.45 |
$255.00
|
|
X-ray abdomen 2 views
|
$309.40 |
$309.40 |
$309.40 |
$312.36
|
|
X-ray abdomen >=3 views
|
$332.15 |
$332.15 |
$332.15 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$399.10 |
$399.10 |
$399.10 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$533.00 |
$533.00 |
$533.00 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$447.20 |
$447.20 |
$447.20 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,582.10 |
$1,582.10 |
$1,582.10 |
$768.30
|
|
X-ray bone age studies
|
$339.30 |
$339.30 |
$339.30 |
$246.75
|
|
X-ray bone length studies
|
$468.00 |
$468.00 |
$468.00 |
$287.25
|
|
X-ray bone survey complete
|
$611.00 |
$611.00 |
$611.00 |
$666.60
|
|
X-ray bone survey infant
|
$741.00 |
$741.00 |
$741.00 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$426.40 |
$426.40 |
$426.40 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$509.60 |
$509.60 |
$509.60 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$585.65 |
$585.65 |
$585.65 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$685.10 |
$685.10 |
$685.10 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$773.50 |
$773.50 |
$773.50 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$814.45 |
$814.45 |
$814.45 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$556.40 |
$556.40 |
$556.40 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$747.50 |
$747.50 |
$747.50 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$547.95 |
$547.95 |
$547.95 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$637.00 |
$637.00 |
$637.00 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$764.40 |
$764.40 |
$764.40 |
$575.76
|
|
X-ray exam of arm infant
|
$702.00 |
$702.00 |
$702.00 |
$248.82
|
|
X-ray exam of eye sockets
|
$541.45 |
$541.45 |
$541.45 |
$349.05
|
|
X-ray exam of femur 1
|
$499.20 |
$499.20 |
$499.20 |
$232.36
|
|
X-ray exam of jaw joint
|
$403.00 |
$403.00 |
$403.00 |
$192.39
|
|
X-ray exam of middle ear
|
$339.95 |
$339.95 |
$339.95 |
$341.25
|
|
X-ray exam of penis
|
$990.60 |
$990.60 |
$990.60 |
$565.20
|
|
X-ray exam of perineum
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$420.93
|
|
X-ray exam of sinuses
|
$211.90 |
$211.90 |
$211.90 |
$211.00
|
|
X-ray exam si joints
|
$458.25 |
$458.25 |
$458.25 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$444.60 |
$444.60 |
$444.60 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$526.50 |
$526.50 |
$526.50 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$536.25 |
$536.25 |
$536.25 |
$366.60
|
|
X-ray fallopian tube
|
$3,549.00 |
$3,549.00 |
$3,549.00 |
$501.00
|
|
X-ray femur >=2 views (both sides)
|
$616.20 |
$616.20 |
$616.20 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$656.50 |
$656.50 |
$656.50 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$458.90 |
$458.90 |
$458.90 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$501.80 |
$501.80 |
$501.80 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$483.60 |
$483.60 |
$483.60 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$663.00 |
$663.00 |
$663.00 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$583.05 |
$583.05 |
$583.05 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$501.15 |
$501.15 |
$501.15 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$614.25 |
$614.25 |
$614.25 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$809.25 |
$809.25 |
$809.25 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$282.75 |
$282.75 |
$282.75 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$271.70 |
$271.70 |
$271.70 |
$304.15
|
|
X-ray joint survey 1 view
|
$267.15 |
$267.15 |
$267.15 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$556.40 |
$556.40 |
$556.40 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$722.80 |
$722.80 |
$722.80 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$333.45 |
$333.45 |
$333.45 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$692.90 |
$692.90 |
$692.90 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$428.35 |
$428.35 |
$428.35 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$534.30 |
$534.30 |
$534.30 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$587.60 |
$587.60 |
$587.60 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$447.20 |
$447.20 |
$447.20 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$308.10 |
$308.10 |
$308.10 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$384.80 |
$384.80 |
$384.80 |
$277.70
|
|
X-ray neck soft tissue
|
$252.85 |
$252.85 |
$252.85 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$412.75 |
$412.75 |
$412.75 |
$225.96
|
|
X-ray of mammary ducts
|
$1,629.55 |
$1,629.55 |
$1,629.55 |
$473.55
|
|
X-ray optic foramina
|
$336.70 |
$336.70 |
$336.70 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$305.50 |
$305.50 |
$305.50 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$322.40 |
$322.40 |
$322.40 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$796.90 |
$796.90 |
$796.90 |
$742.00
|
|
X-ray ribs 2 views left
|
$434.85 |
$434.85 |
$434.85 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$457.60 |
$457.60 |
$457.60 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$528.45 |
$528.45 |
$528.45 |
$359.47
|
