|
Warde hepatitis be antibody
|
$30.00 |
$30.00 |
$30.00 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$169.20 |
$169.20 |
$169.20 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$218.40 |
$218.40 |
$218.40 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$19.20 |
$19.20 |
$19.20 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$470.40 |
$470.40 |
$470.40 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$211.80 |
$211.80 |
$211.80 |
$141.05
|
|
Warde lipoprotein (a)
|
$16.20 |
$16.20 |
$16.20 |
$67.00
|
|
Warde lipoprotein-associated phospholipase a2
|
$115.80 |
$115.80 |
$115.80 |
$95.90
|
|
Warde mitochondrial antibody each
|
$63.60 |
$63.60 |
$63.60 |
$59.28
|
|
Warde neutralization rabies
|
$97.20 |
$97.20 |
$97.20 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$44.40 |
$44.40 |
$44.40 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$73.80 |
$73.80 |
$73.80 |
$94.25
|
|
Warde protein c antigen
|
$19.20 |
$19.20 |
$19.20 |
$93.43
|
|
Warde sex hormone binding globulin
|
$918.00 |
$918.00 |
$918.00 |
$82.08
|
|
Warde somatomedin
|
$39.60 |
$39.60 |
$39.60 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$16.20 |
$16.20 |
$16.20 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$39.60 |
$39.60 |
$39.60 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$69.60 |
$69.60 |
$69.60 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$34.80 |
$34.80 |
$34.80 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$111.00 |
$111.00 |
$111.00 |
$129.54
|
|
Warde viscosity
|
$13.80 |
$13.80 |
$13.80 |
$49.47
|
|
Warde vitamin a
|
$15.00 |
$15.00 |
$15.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$33.60 |
$33.60 |
$33.60 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$36.00 |
$36.00 |
$36.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$91.80 |
$91.80 |
$91.80 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$84.60 |
$84.60 |
$84.60 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$42.00 |
$42.00 |
$42.00 |
$59.25
|
|
Warde zinc
|
$67.20 |
$67.20 |
$67.20 |
$62.50
|
|
Wbc automated
|
$7.80 |
$7.80 |
$7.80 |
$32.35
|
|
Western blot test
|
$231.60 |
$231.60 |
$231.60 |
$150.00
|
|
Whfo electric custom fitted
|
$7,268.41 |
$7,268.41 |
$7,268.41 |
$5,209.82
|
|
Whfo nontorsion joint prefab
|
$679.85 |
$679.85 |
$679.85 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$1,481.11 |
$1,481.11 |
$1,481.11 |
$465.50
|
|
Whole mitochondrial genome
|
$1,689.00 |
$1,689.00 |
$1,689.00 |
$2,175.00
|
|
Whole mitochondrial genome
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$1,681.55
|
|
Who nontorsion jnts pre cst
|
$1,733.28 |
$1,733.28 |
$1,733.28 |
$706.80
|
|
Who nontorsion jnts pre ots
|
$1,733.28 |
$1,733.28 |
$1,733.28 |
$1,144.66
|
|
Woman's shoe oxford brace
|
$242.08 |
$242.08 |
$242.08 |
$149.37
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$7,569.12 |
$7,569.12 |
$7,569.12 |
$284.70
|
|
Wrist endoscopy/surgery
|
$11,876.31 |
$11,876.31 |
$11,876.31 |
$3,452.80
|
|
Wrist X-ray
|
$470.40 |
$470.40 |
$470.40 |
$342.80
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$12,106.25 |
$12,106.25 |
$12,106.25 |
$3,724.80
|
|
Xcellistem, 1 mg
|
$8,002.99 |
$8,002.99 |
$8,002.99 |
$2,859.19
|
|
Xe133 xenon 10mci
|
$207.00 |
$207.00 |
$207.00 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$12,835.14 |
$12,835.14 |
$12,835.14 |
$2,692.80
|
|
X-linked intellectual dblt
|
$1,918.20 |
$1,918.20 |
$1,918.20 |
$1,258.40
|
|
X-linked intellectual dblt
|
$2,418.60 |
$2,418.60 |
$2,418.60 |
$1,173.00
|
|
X-ray abdomen 1 view
|
$417.00 |
$417.00 |
$417.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$592.80 |
$592.80 |
$592.80 |
$316.47
|
|
X-ray abdomen >=3 views
|
$556.20 |
$556.20 |
$556.20 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$657.60 |
$657.60 |
$657.60 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$430.80 |
$430.80 |
$430.80 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$291.00 |
$291.00 |
$291.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,074.60 |
$1,074.60 |
$1,074.60 |
$773.40
|
|
X-ray bone age studies
|
$219.60 |
$219.60 |
$219.60 |
$251.40
|
|
X-ray bone length studies
|
$291.00 |
$291.00 |
$291.00 |
$285.30
|
|
X-ray bone survey complete
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$660.00
|
|
X-ray bone survey infant
|
$533.40 |
$533.40 |
$533.40 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$816.00 |
$816.00 |
$816.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$824.40 |
$824.40 |
$824.40 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$832.20 |
$832.20 |
$832.20 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$428.40 |
$428.40 |
$428.40 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,483.80 |
$1,483.80 |
$1,483.80 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$449.40 |
$449.40 |
$449.40 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$489.00 |
$489.00 |
$489.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$311.40 |
$311.40 |
$311.40 |
$483.50
|
|
X-ray exam of arm infant
|
$380.40 |
$380.40 |
$380.40 |
$248.44
|
|
X-ray exam of eye sockets
|
$730.80 |
$730.80 |
$730.80 |
$328.35
|
|
X-ray exam of femur 1
|
$431.40 |
$431.40 |
$431.40 |
$240.00
|
|
X-ray exam of jaw joint
|
$205.20 |
$205.20 |
$205.20 |
$188.40
|
|
X-ray exam of salivary gland
|
$450.00 |
$450.00 |
$450.00 |
$162.60
|
|
X-ray exam of sinuses
|
$316.80 |
$316.80 |
$316.80 |
$214.50
|
|
X-ray exam of teeth
|
$533.40 |
$533.40 |
$533.40 |
$328.08
|
|
X-ray exam thorac spine4/>vw
|
$69.00 |
$69.00 |
$69.00 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$514.80 |
$514.80 |
$514.80 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$655.80 |
$655.80 |
$655.80 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$515.40 |
$515.40 |
$515.40 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$210.60 |
$210.60 |
$210.60 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$352.20 |
$352.20 |
$352.20 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$451.80 |
$451.80 |
$451.80 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$523.20 |
$523.20 |
$523.20 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$483.60 |
$483.60 |
$483.60 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$666.00 |
$666.00 |
$666.00 |
$374.40
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$252.00 |
$252.00 |
$252.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$523.20 |
$523.20 |
$523.20 |
$309.31
|
|
X-ray joint survey 1 view
|
$238.80 |
$238.80 |
$238.80 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$483.60 |
$483.60 |
$483.60 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$502.20 |
$502.20 |
$502.20 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$219.60 |
$219.60 |
$219.60 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$404.40 |
$404.40 |
$404.40 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$568.20 |
$568.20 |
$568.20 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$824.40 |
$824.40 |
$824.40 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$1,350.60 |
$1,350.60 |
$1,350.60 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$544.20 |
$544.20 |
$544.20 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$210.60 |
$210.60 |
$210.60 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$292.80 |
$292.80 |
$292.80 |
$274.65
|
|
X-ray neck soft tissue
|
$517.80 |
$517.80 |
$517.80 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$310.20 |
$310.20 |
$310.20 |
$225.60
|
|
X-ray of mammary ducts
|
$947.40 |
$947.40 |
$947.40 |
$568.26
|
