|
Warde hepatitis a antibody
|
$192.60 |
$192.60 |
$192.60 |
$83.40
|
|
Warde hepatitis be antibody
|
$142.80 |
$142.80 |
$142.80 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$172.80 |
$172.80 |
$172.80 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$339.60 |
$339.60 |
$339.60 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$178.80 |
$178.80 |
$178.80 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$832.80 |
$832.80 |
$832.80 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$180.00 |
$180.00 |
$180.00 |
$141.05
|
|
Warde lipoprotein (a)
|
$164.40 |
$164.40 |
$164.40 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$115.80 |
$115.80 |
$115.80 |
$95.90
|
|
Warde mitochondrial antibody each
|
$79.80 |
$79.80 |
$79.80 |
$59.28
|
|
Warde neutralization rabies
|
$169.20 |
$169.20 |
$169.20 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$313.20 |
$313.20 |
$313.20 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$72.60 |
$72.60 |
$72.60 |
$94.25
|
|
Warde protein c antigen
|
$139.20 |
$139.20 |
$139.20 |
$93.43
|
|
Warde sex hormone binding globulin
|
$265.80 |
$265.80 |
$265.80 |
$82.08
|
|
Warde somatomedin
|
$234.00 |
$234.00 |
$234.00 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$64.80 |
$64.80 |
$64.80 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$241.20 |
$241.20 |
$241.20 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$154.20 |
$154.20 |
$154.20 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$154.20 |
$154.20 |
$154.20 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$372.60 |
$372.60 |
$372.60 |
$129.54
|
|
Warde viscosity
|
$117.00 |
$117.00 |
$117.00 |
$49.47
|
|
Warde vitamin a
|
$154.20 |
$154.20 |
$154.20 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$114.00 |
$114.00 |
$114.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$154.20 |
$154.20 |
$154.20 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$86.40 |
$86.40 |
$86.40 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$347.40 |
$347.40 |
$347.40 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$154.20 |
$154.20 |
$154.20 |
$59.25
|
|
Warde zinc
|
$162.00 |
$162.00 |
$162.00 |
$62.50
|
|
Wbc automated
|
$240.60 |
$240.60 |
$240.60 |
$32.35
|
|
Western blot test
|
$329.40 |
$329.40 |
$329.40 |
$150.00
|
|
Wet mounts/ w preparations
|
$9.00 |
$9.00 |
$9.00 |
$36.80
|
|
Whfo electric custom fitted
|
$8,363.89 |
$8,363.89 |
$8,363.89 |
$5,209.82
|
|
Whfo nontorsion joint prefab
|
$516.65 |
$516.65 |
$516.65 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$1,125.55 |
$1,125.55 |
$1,125.55 |
$465.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
$696.45
|
|
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
|
$1,317.18 |
$1,317.18 |
$1,317.18 |
$706.80
|
|
Who nontorsion jnts pre ots
|
$1,317.18 |
$1,317.18 |
$1,317.18 |
$1,144.66
|
|
Wilate injection
|
$15,435.00 |
$15,435.00 |
$15,435.00 |
$4.58
|
|
Wnd prep f/n/hf/g addl cm
|
$1,891.80 |
$1,891.80 |
$1,891.80 |
$811.00
|
|
Woman's shoe oxford brace
|
$183.96 |
$183.96 |
$183.96 |
$149.37
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$37,971.08 |
$37,971.08 |
$37,971.08 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$577.20 |
$577.20 |
$577.20 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$18,667.09 |
$18,667.09 |
$18,667.09 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$637.20 |
$637.20 |
$637.20 |
$438.75
|
|
Wrist arthroscopy/surgery
|
$25,351.85 |
$25,351.85 |
$25,351.85 |
$3,839.54
|
|
Wrist X-ray
|
$657.60 |
$657.60 |
$657.60 |
$342.80
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$15,714.60 |
$15,714.60 |
$15,714.60 |
$3,724.80
|
|
Xcellistem, 1 mg
|
$6,081.76 |
$6,081.76 |
$6,081.76 |
$2,859.19
|
|
Xe133 xenon 10mci
|
$184.20 |
$184.20 |
$184.20 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$44,086.85 |
$44,086.85 |
$44,086.85 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$18,599.10 |
$18,599.10 |
$18,599.10 |
$2,837.09
|
|
X-linked intellectual dblt
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$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
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$490.20 |
$490.20 |
$490.20 |
$258.50
|
|
X-ray abdomen 2 views
|
$612.60 |
$612.60 |
$612.60 |
$316.47
|
|
X-ray abdomen >=3 views
|
$680.40 |
$680.40 |
$680.40 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,063.80 |
$1,063.80 |
$1,063.80 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$502.20 |
$502.20 |
$502.20 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$773.40
|
|
X-ray bone age studies
|
$502.20 |
$502.20 |
$502.20 |
$251.40
|
|
X-ray bone length studies
|
$598.80 |
$598.80 |
$598.80 |
$285.30
|
|
X-ray bone survey complete
|
$1,085.40 |
$1,085.40 |
$1,085.40 |
$660.00
|
|
X-ray bone survey infant
|
$1,085.40 |
$1,085.40 |
$1,085.40 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$657.60 |
$657.60 |
$657.60 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$1,085.40 |
$1,085.40 |
$1,085.40 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$871.80 |
$871.80 |
$871.80 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$871.80 |
$871.80 |
$871.80 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$693.00 |
$693.00 |
$693.00 |
$517.80
|
|
X-ray exam of arm infant
|
$626.40 |
$626.40 |
$626.40 |
$248.44
|
|
X-ray exam of eye sockets
|
$612.60 |
$612.60 |
$612.60 |
$328.35
|
|
X-ray exam of femur 1
|
$502.20 |
$502.20 |
$502.20 |
$240.00
|
|
X-ray exam of jaw joint
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$452.00
|
|
X-ray exam of sinuses
|
$502.20 |
$502.20 |
$502.20 |
$214.50
|
|
X-ray exam thorac spine4/>vw
|
$502.20 |
$502.20 |
$502.20 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$612.60 |
$612.60 |
$612.60 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$598.80 |
$598.80 |
$598.80 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$826.80 |
$826.80 |
$826.80 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$291.20
|
|
X-ray head for orthodontia
|
$126.00 |
$126.00 |
$126.00 |
$158.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$626.40 |
$626.40 |
$626.40 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$753.00 |
$753.00 |
$753.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$657.60 |
$657.60 |
$657.60 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$612.60 |
$612.60 |
$612.60 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$626.40 |
$626.40 |
$626.40 |
$309.31
|
