|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$76.80 |
$76.80 |
$76.80 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$834.00 |
$834.00 |
$834.00 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$358.20 |
$358.20 |
$358.20 |
$137.55
|
|
Warde lipoprotein (a)
|
$223.20 |
$223.20 |
$223.20 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$81.60 |
$81.60 |
$81.60 |
$92.80
|
|
Warde mitochondrial antibody each
|
$66.60 |
$66.60 |
$66.60 |
$60.80
|
|
Warde neutralization rabies
|
$44.40 |
$44.40 |
$44.40 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$146.40 |
$146.40 |
$146.40 |
$64.40
|
|
Warde protein c antigen
|
$42.60 |
$42.60 |
$42.60 |
$93.43
|
|
Warde sex hormone binding globulin
|
$198.00 |
$198.00 |
$198.00 |
$83.85
|
|
Warde somatomedin
|
$107.40 |
$107.40 |
$107.40 |
$118.80
|
|
Warde sugars single qualitative each specimen stool
|
$49.20 |
$49.20 |
$49.20 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$70.80 |
$70.80 |
$70.80 |
$68.00
|
|
Warde thyroid stimulating immunoglobulins
|
$168.00 |
$168.00 |
$168.00 |
$176.70
|
|
Warde topiramate therapeutic drug level
|
$120.00 |
$120.00 |
$120.00 |
$71.70
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$180.60 |
$180.60 |
$180.60 |
$123.51
|
|
Warde viscosity
|
$45.00 |
$45.00 |
$45.00 |
$49.00
|
|
Warde vitamin a
|
$42.00 |
$42.00 |
$42.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$99.00 |
$99.00 |
$99.00 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$87.00 |
$87.00 |
$87.00 |
$114.40
|
|
Warde vitamin c (ascorbic acid)
|
$64.20 |
$64.20 |
$64.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$280.80 |
$280.80 |
$280.80 |
$139.80
|
|
Warde vitamin e (alpha-tocopherol)
|
$139.80 |
$139.80 |
$139.80 |
$56.95
|
|
Warde zinc
|
$93.60 |
$93.60 |
$93.60 |
$64.80
|
|
Wbc automated
|
$26.40 |
$26.40 |
$26.40 |
$33.44
|
|
Western blot test
|
$229.80 |
$229.80 |
$229.80 |
$148.85
|
|
Whfo electric custom fitted
|
$8,251.39 |
$8,251.39 |
$8,251.39 |
$5,209.82
|
|
Whfo nontorsion joint prefab
|
$509.70 |
$509.70 |
$509.70 |
$246.96
|
|
Whfo w/joint(s) custom fab
|
$1,110.41 |
$1,110.41 |
$1,110.41 |
$442.81
|
|
Whole mitochondrial genome
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$2,078.50
|
|
Whole mitochondrial genome
|
$1,212.60 |
$1,212.60 |
$1,212.60 |
$1,631.52
|
|
Who nontorsion jnts pre cst
|
$1,299.46 |
$1,299.46 |
$1,299.46 |
$711.46
|
|
Who nontorsion jnts pre ots
|
$1,299.46 |
$1,299.46 |
$1,299.46 |
$1,144.66
|
|
Woman's shoe oxford brace
|
$181.49 |
$181.49 |
$181.49 |
$149.37
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$543.60 |
$543.60 |
$543.60 |
$569.60
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$543.60 |
$543.60 |
$543.60 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$284.40 |
$284.40 |
$284.40 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$284.40 |
$284.40 |
$284.40 |
$435.20
|
|
Wrist X-ray
|
$351.00 |
$351.00 |
$351.00 |
$352.08
|
|
Xcellistem, 1 mg
|
$5,999.95 |
$5,999.95 |
$5,999.95 |
$5,285.18
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$2,696.72
|
|
X-linked intellectual dblt
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$1,261.32
|
|
X-linked intellectual dblt
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$1,173.00
|
|
X-ray abdomen 1 view
|
$307.20 |
$307.20 |
$307.20 |
$258.00
|
|
X-ray abdomen 2 views
|
$363.00 |
$363.00 |
$363.00 |
$316.30
|
|
X-ray abdomen >=3 views
|
$619.80 |
$619.80 |
$619.80 |
$339.00
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$619.80 |
$619.80 |
$619.80 |
$410.33
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$462.00 |
$462.00 |
$462.00 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$330.60 |
$330.60 |
$330.60 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$782.40
|
|
X-ray bone age studies
|
$572.40 |
$572.40 |
$572.40 |
$251.40
|
|
X-ray bone survey complete
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$660.00
|
|
X-ray bone survey infant
|
$482.40 |
$482.40 |
$482.40 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$404.40 |
$404.40 |
$404.40 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$571.20 |
$571.20 |
$571.20 |
$463.20
|
|
X-ray cervical spine >= 6 views
|
$666.00 |
$666.00 |
$666.00 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$328.80 |
$328.80 |
$328.80 |
$305.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$856.80 |
$856.80 |
$856.80 |
$666.90
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$999.60 |
$999.60 |
$999.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$240.00 |
$240.00 |
$240.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$360.00 |
$360.00 |
$360.00 |
$367.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$571.20 |
$571.20 |
$571.20 |
$484.80
|
|
X-ray exam entire spi 4/5 vw
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$436.80
|
|
X-ray exam of arm infant
|
$351.00 |
$351.00 |
$351.00 |
$246.75
|
|
X-ray exam of eye sockets
|
$601.20 |
$601.20 |
$601.20 |
$328.35
|
|
X-ray exam of jaw joint
|
$218.40 |
$218.40 |
$218.40 |
$188.40
|
|
X-ray exam of sinuses
|
$357.00 |
$357.00 |
$357.00 |
$211.36
|
|
X-ray exam si joints
|
$330.60 |
$330.60 |
$330.60 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$553.80 |
$553.80 |
$553.80 |
$395.00
|
|
X-ray facial bones complete > 3 views
|
$571.20 |
$571.20 |
$571.20 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$470.40 |
$470.40 |
$470.40 |
$317.60
|
|
X-ray finger(s) >= 2 views (both sides)
|
$307.20 |
$307.20 |
$307.20 |
$241.50
|
|
X-ray foot 2 views (both sides)
|
$330.60 |
$330.60 |
$330.60 |
$291.55
|
|
X-ray forearm 2 views (both sides)
|
$322.20 |
$322.20 |
$322.20 |
$328.00
|
|
X-ray hand 2 views (both sides)
|
$307.20 |
$307.20 |
$307.20 |
$294.90
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$352.20 |
$352.20 |
$352.20 |
$278.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$848.40 |
$848.40 |
$848.40 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$848.40 |
$848.40 |
$848.40 |
$421.20
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$427.20 |
$427.20 |
$427.20 |
$230.00
|
|
X-ray humerus >= 2 views left
|
$366.00 |
$366.00 |
$366.00 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$247.80 |
$247.80 |
$247.80 |
$298.65
|
|
X-ray knee 3 views (both sides)
|
$325.80 |
$325.80 |
$325.80 |
$363.60
|
|
X-ray knee ap standing bilateral
|
$244.80 |
$244.80 |
$244.80 |
$253.35
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$307.20 |
$307.20 |
$307.20 |
$253.60
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$393.00 |
$393.00 |
$393.00 |
$370.20
|
|
X-ray lumbosacral spine >= 4 views
|
$421.20 |
$421.20 |
$421.20 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$460.20 |
$460.20 |
$460.20 |
$540.60
|
|
X-ray mandible complete > 4 views
|
$511.20 |
$511.20 |
$511.20 |
$363.20
|
|
X-ray mandible ltd <4 views
|
$475.20 |
$475.20 |
$475.20 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$366.00 |
$366.00 |
$366.00 |
$274.65
|
|
X-ray neck soft tissue
|
$312.00 |
$312.00 |
$312.00 |
$237.76
|
|
X-ray nose to rectum for foreign body child
|
$241.20 |
$241.20 |
$241.20 |
$226.85
|
|
X-ray pelvis 1-2 views
|
$447.60 |
$447.60 |
$447.60 |
$280.50
|
|
X-ray pelvis complete > 3 views
|
$526.80 |
$526.80 |
$526.80 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$862.20 |
$862.20 |
$862.20 |
$762.50
|
|
X-ray ribs 2 views left
|
$528.00 |
$528.00 |
$528.00 |
$289.80
|
|
X-ray ribs 3 views bilateral
|
$425.40 |
$425.40 |
$425.40 |
$393.75
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$639.00 |
$639.00 |
$639.00 |
$357.60
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$627.60 |
$627.60 |
$627.60 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$387.00 |
$387.00 |
$387.00 |
$309.11
|
