|
Warde gastrin
|
$118.80 |
$118.80 |
$118.80 |
$72.00
|
|
Warde growth hormone (hgh)
|
$160.80 |
$160.80 |
$160.80 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$117.60 |
$117.60 |
$117.60 |
$66.43
|
|
Warde helminth antibody strongyloides igg
|
$417.00 |
$417.00 |
$417.00 |
$100.80
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$98.40 |
$98.40 |
$98.40 |
$80.16
|
|
Warde hepatitis a antibody
|
$301.20 |
$301.20 |
$301.20 |
$83.20
|
|
Warde hepatitis be antibody
|
$210.00 |
$210.00 |
$210.00 |
$52.00
|
|
Warde hepatitis delta agent antibody
|
$165.60 |
$165.60 |
$165.60 |
$95.55
|
|
Warde immunofixation electrophoresis urine
|
$128.40 |
$128.40 |
$128.40 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$141.00 |
$141.00 |
$141.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$637.80 |
$637.80 |
$637.80 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$243.00 |
$243.00 |
$243.00 |
$141.05
|
|
Warde lipoprotein (a)
|
$87.00 |
$87.00 |
$87.00 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$82.80 |
$82.80 |
$82.80 |
$95.90
|
|
Warde neutralization rabies
|
$169.20 |
$169.20 |
$169.20 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$49.80 |
$49.80 |
$49.80 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$73.80 |
$73.80 |
$73.80 |
$94.25
|
|
Warde protein c antigen
|
$136.80 |
$136.80 |
$136.80 |
$93.00
|
|
Warde sex hormone binding globulin
|
$123.00 |
$123.00 |
$123.00 |
$81.92
|
|
Warde somatomedin
|
$261.00 |
$261.00 |
$261.00 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$20.40 |
$20.40 |
$20.40 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$132.60 |
$132.60 |
$132.60 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$352.20 |
$352.20 |
$352.20 |
$178.01
|
|
Warde topiramate therapeutic drug level
|
$64.20 |
$64.20 |
$64.20 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$243.00 |
$243.00 |
$243.00 |
$129.54
|
|
Warde viscosity
|
$30.00 |
$30.00 |
$30.00 |
$49.00
|
|
Warde vitamin a
|
$166.80 |
$166.80 |
$166.80 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$208.20 |
$208.20 |
$208.20 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$265.20 |
$265.20 |
$265.20 |
$115.92
|
|
Warde vitamin c (ascorbic acid)
|
$121.80 |
$121.80 |
$121.80 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$323.40 |
$323.40 |
$323.40 |
$136.80
|
|
Warde vitamin e (alpha-tocopherol)
|
$153.00 |
$153.00 |
$153.00 |
$59.20
|
|
Warde zinc
|
$73.20 |
$73.20 |
$73.20 |
$62.50
|
|
Wbc automated
|
$27.00 |
$27.00 |
$27.00 |
$32.35
|
|
Western blot test
|
$243.00 |
$243.00 |
$243.00 |
$148.85
|
|
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 mitochondrial genome
|
$1,689.00 |
$1,689.00 |
$1,689.00 |
$2,175.00
|
|
Whole mitochondrial genome
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$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
|
|
Woman's shoe oxford brace
|
$159.87 |
$159.87 |
$159.87 |
$149.37
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$450.00 |
$450.00 |
$450.00 |
$546.24
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$450.00 |
$450.00 |
$450.00 |
$577.20
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$646.80 |
$646.80 |
$646.80 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$942.60 |
$942.60 |
$942.60 |
$437.41
|
|
Wrist X-ray
|
$499.80 |
$499.80 |
$499.80 |
$342.80
|
|
Xcellistem, 1 mg
|
$5,285.18 |
$5,285.18 |
$5,285.18 |
$2,859.19
|
|
X-linked intellectual dblt
|
$2,418.60 |
$2,418.60 |
$2,418.60 |
$1,258.40
|
|
X-linked intellectual dblt
|
$2,418.60 |
$2,418.60 |
$2,418.60 |
$1,173.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$738.60 |
$738.60 |
$738.60 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$295.20 |
$295.20 |
$295.20 |
$258.00
|
|
X-ray abdomen 2 views
|
$676.20 |
$676.20 |
$676.20 |
$316.47
|
|
X-ray abdomen >=3 views
|
$69.00 |
$69.00 |
$69.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$744.00 |
$744.00 |
$744.00 |
$417.30
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$58.20 |
$58.20 |
$58.20 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$316.20 |
$316.20 |
$316.20 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$773.40
|
|
X-ray bone age studies
|
$298.20 |
$298.20 |
$298.20 |
$250.20
|
|
X-ray bone length studies
|
$543.00 |
$543.00 |
$543.00 |
$285.30
|
|
X-ray bone survey complete
|
$559.20 |
$559.20 |
$559.20 |
$660.00
|
|
X-ray bone survey infant
|
$443.40 |
$443.40 |
$443.40 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$526.20 |
$526.20 |
$526.20 |
$333.11
|
|
X-ray cervical spine 4-5 views
|
$722.40 |
$722.40 |
$722.40 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$712.80 |
$712.80 |
$712.80 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$406.80 |
$406.80 |
$406.80 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$652.19
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$455.40 |
$455.40 |
$455.40 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$547.20 |
$547.20 |
$547.20 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$642.00 |
$642.00 |
$642.00 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$69.00 |
$69.00 |
$69.00 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$69.00 |
$69.00 |
$69.00 |
$517.80
|
|
X-ray exam of arm infant
|
$445.80 |
$445.80 |
$445.80 |
$248.44
|
|
X-ray exam of eye sockets
|
$980.40 |
$980.40 |
$980.40 |
$328.35
|
|
X-ray exam of jaw joint
|
$150.00 |
$150.00 |
$150.00 |
$188.40
|
|
X-ray exam of sinuses
|
$305.40 |
$305.40 |
$305.40 |
$214.50
|
|
X-ray exam si joints
|
$243.00 |
$243.00 |
$243.00 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$568.80 |
$568.80 |
$568.80 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$572.40 |
$572.40 |
$572.40 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$654.00 |
$654.00 |
$654.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$556.80 |
$556.80 |
$556.80 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$406.80 |
$406.80 |
$406.80 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$391.80 |
$391.80 |
$391.80 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$445.80 |
$445.80 |
$445.80 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$250.20 |
$250.20 |
$250.20 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$390.60 |
$390.60 |
$390.60 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$376.40
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$406.20 |
$406.20 |
$406.20 |
$500.28
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$446.40 |
$446.40 |
$446.40 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$456.60 |
$456.60 |
$456.60 |
$309.31
|
|
X-ray joint survey 1 view
|
$184.20 |
$184.20 |
$184.20 |
$230.75
|
|
X-ray knee 1-2 views (both sides)
|
$471.00 |
$471.00 |
$471.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$589.80 |
$589.80 |
$589.80 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$298.20 |
$298.20 |
$298.20 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$334.80 |
$334.80 |
$334.80 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$141.00 |
$141.00 |
$141.00 |
$369.15
|
