|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$77.37 |
$77.37 |
$77.37 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$580.24 |
$580.24 |
$580.24 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$320.87 |
$320.87 |
$320.87 |
$137.55
|
|
Warde lipoprotein (a)
|
$69.93 |
$69.93 |
$69.93 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$49.60 |
$49.60 |
$49.60 |
$97.00
|
|
Warde neutralization rabies
|
$54.06 |
$54.06 |
$54.06 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$123.99 |
$123.99 |
$123.99 |
$64.50
|
|
Warde protein c antigen
|
$62.99 |
$62.99 |
$62.99 |
$88.80
|
|
Warde sex hormone binding globulin
|
$254.91 |
$254.91 |
$254.91 |
$86.59
|
|
Warde somatomedin
|
$177.05 |
$177.05 |
$177.05 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$11.91 |
$11.91 |
$11.91 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$206.81 |
$206.81 |
$206.81 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$392.29 |
$392.29 |
$392.29 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$106.63 |
$106.63 |
$106.63 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$216.73 |
$216.73 |
$216.73 |
$127.20
|
|
Warde viscosity
|
$69.93 |
$69.93 |
$69.93 |
$52.65
|
|
Warde vitamin a
|
$140.35 |
$140.35 |
$140.35 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$126.47 |
$126.47 |
$126.47 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$178.54 |
$178.54 |
$178.54 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$79.35 |
$79.35 |
$79.35 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$264.83 |
$264.83 |
$264.83 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$118.53 |
$118.53 |
$118.53 |
$55.00
|
|
Warde zinc
|
$126.47 |
$126.47 |
$126.47 |
$62.50
|
|
Wbc automated
|
$32.74 |
$32.74 |
$32.74 |
$32.80
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$668.02 |
$668.02 |
$668.02 |
$740.15
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$547.51 |
$547.51 |
$547.51 |
$487.30
|
|
Whole mitochondrial genome
|
$388.81 |
$388.81 |
$388.81 |
$1,776.06
|
|
Wnd prep f/n/hf/g addl cm
|
$192.43 |
$192.43 |
$192.43 |
$865.80
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$247.47 |
$247.47 |
$247.47 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$247.47 |
$247.47 |
$247.47 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$131.43 |
$131.43 |
$131.43 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$247.47 |
$247.47 |
$247.47 |
$436.15
|
|
X-ray abdomen 1 view
|
$205.32 |
$205.32 |
$205.32 |
$255.00
|
|
X-ray abdomen 2 views
|
$232.60 |
$232.60 |
$232.60 |
$312.36
|
|
X-ray abdomen >=3 views
|
$232.60 |
$232.60 |
$232.60 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$232.60 |
$232.60 |
$232.60 |
$418.63
|
|
X-ray bone length studies
|
$273.26 |
$273.26 |
$273.26 |
$287.25
|
|
X-ray bone survey complete
|
$552.97 |
$552.97 |
$552.97 |
$666.60
|
|
X-ray cervical spine 2-3 views
|
$196.39 |
$196.39 |
$196.39 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$266.32 |
$266.32 |
$266.32 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$322.36 |
$322.36 |
$322.36 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$527.67 |
$527.67 |
$527.67 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$738.94 |
$738.94 |
$738.94 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$508.33 |
$508.33 |
$508.33 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$1,104.44 |
$1,104.44 |
$1,104.44 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$1,358.36 |
$1,358.36 |
$1,358.36 |
$575.76
|
|
X-ray exam of eye sockets
|
$224.17 |
$224.17 |
$224.17 |
$349.05
|
|
X-ray exam of jaw joint
|
$493.46 |
$493.46 |
$493.46 |
$354.79
|
|
X-ray exam of middle ear
|
$157.71 |
$157.71 |
$157.71 |
$341.25
|
|
X-ray exam of sinuses
|
$191.93 |
$191.93 |
$191.93 |
$211.00
|
|
X-ray exam of tear duct
|
$176.56 |
$176.56 |
$176.56 |
$340.70
|
|
X-ray eye detection foreign body (both sides)
|
$167.63 |
$167.63 |
$167.63 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$269.79 |
$269.79 |
$269.79 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$121.01 |
$121.01 |
$121.01 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$242.02 |
$242.02 |
$242.02 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$362.53 |
$362.53 |
$362.53 |
$508.00
|
|
X-ray joint survey 1 view
|
$109.61 |
$109.61 |
$109.61 |
$211.00
|
|
X-ray knee ap standing bilateral
|
$184.49 |
$184.49 |
$184.49 |
$276.25
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$213.75 |
$213.75 |
$213.75 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$295.58 |
$295.58 |
$295.58 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$454.28 |
$454.28 |
$454.28 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$232.60 |
$232.60 |
$232.60 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$181.02 |
$181.02 |
$181.02 |
$277.70
|
|
X-ray of mammary ducts
|
$437.42 |
$437.42 |
$437.42 |
$473.55
|
|
X-ray pelvis 1-2 views
|
$229.12 |
$229.12 |
$229.12 |
$270.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$519.24 |
$519.24 |
$519.24 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$264.34 |
$264.34 |
$264.34 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$318.39 |
$318.39 |
$318.39 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$200.36 |
$200.36 |
$200.36 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$167.13 |
$167.13 |
$167.13 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$225.65 |
$225.65 |
$225.65 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$268.80 |
$268.80 |
$268.80 |
$601.30
|
|
X-ray skull < 4 views
|
$200.86 |
$200.86 |
$200.86 |
$291.78
|
|
X-ray skull > 4 views complete
|
$254.91 |
$254.91 |
$254.91 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$357.07 |
$357.07 |
$357.07 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$507.34 |
$507.34 |
$507.34 |
$557.70
|
|
X-ray small intestine follow-through study
|
$339.72 |
$339.72 |
$339.72 |
$504.14
|
|
X-ray surgical specimen
|
$436.92 |
$436.92 |
$436.92 |
$482.24
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$395.76 |
$395.76 |
$395.76 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$189.45 |
$189.45 |
$189.45 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$298.06 |
$298.06 |
$298.06 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$389.81 |
$389.81 |
$389.81 |
$387.60
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$586.19 |
$586.19 |
$586.19 |
$256.85
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$976.99 |
$976.99 |
$976.99 |
$385.80
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$551.98 |
$551.98 |
$551.98 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$499.90 |
$499.90 |
$499.90 |
$555.04
|
|
Xylose absorption test blood &/or urine
|
$114.07 |
$114.07 |
$114.07 |
$64.28
|
|
Zika virus dna/rna amp probe
|
$209.78 |
$209.78 |
$209.78 |
$175.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$73.90 |
$73.90 |
$73.90 |
$121.10
|
|
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)
|
$19.35 |
$19.35 |
$19.35 |
$5,790.00
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$223.67 |
$223.67 |
$223.67 |
$360.48
|
|
Zoster vaccine-live inj
|
$318.89 |
$318.89 |
$318.89 |
$235.20
|
