|
Warde pancreatic elastase fecal quantitative
|
$124.80 |
$124.80 |
$124.80 |
$90.00
|
|
Warde protein c antigen
|
$122.85 |
$122.85 |
$122.85 |
$89.70
|
|
Warde sex hormone binding globulin
|
$87.75 |
$87.75 |
$87.75 |
$104.28
|
|
Warde somatomedin
|
$139.75 |
$139.75 |
$139.75 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$40.30 |
$40.30 |
$40.30 |
$39.42
|
|
Warde t3 (triiodothyronine) reverse
|
$113.10 |
$113.10 |
$113.10 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$291.20 |
$291.20 |
$291.20 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$131.30 |
$131.30 |
$131.30 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$197.60 |
$197.60 |
$197.60 |
$157.95
|
|
Warde viscosity
|
$98.80 |
$98.80 |
$98.80 |
$61.92
|
|
Warde vitamin a
|
$87.75 |
$87.75 |
$87.75 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$76.05 |
$76.05 |
$76.05 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$155.35 |
$155.35 |
$155.35 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$67.60 |
$67.60 |
$67.60 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$174.20 |
$174.20 |
$174.20 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$50.70 |
$50.70 |
$50.70 |
$64.28
|
|
Warde zinc
|
$70.85 |
$70.85 |
$70.85 |
$67.20
|
|
Wbc automated
|
$27.95 |
$27.95 |
$27.95 |
$32.50
|
|
Western blot test
|
$116.35 |
$116.35 |
$116.35 |
$170.40
|
|
Whole blood for transfusion
|
$1,247.35 |
$1,247.35 |
$1,247.35 |
$400.68
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,269.45 |
$1,269.45 |
$1,269.45 |
$511.20
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$574.60 |
$574.60 |
$574.60 |
$432.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$224.25 |
$224.25 |
$224.25 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$284.70 |
$284.70 |
$284.70 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$305.50 |
$305.50 |
$305.50 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$227.50 |
$227.50 |
$227.50 |
$370.00
|
|
Wrist X-ray
|
$588.90 |
$588.90 |
$588.90 |
$311.20
|
|
Xm archive tissue molec anal
|
$7,367.33 |
$7,367.33 |
$7,367.33 |
$48.00
|
|
X-ray abdomen 1 view
|
$317.20 |
$317.20 |
$317.20 |
$243.00
|
|
X-ray abdomen 2 views
|
$347.10 |
$347.10 |
$347.10 |
$281.50
|
|
X-ray abdomen >=3 views
|
$453.70 |
$453.70 |
$453.70 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$391.30 |
$391.30 |
$391.30 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$200.85 |
$200.85 |
$200.85 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$244.40 |
$244.40 |
$244.40 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$734.43
|
|
X-ray bone age studies
|
$359.45 |
$359.45 |
$359.45 |
$227.08
|
|
X-ray bone length studies
|
$249.60 |
$249.60 |
$249.60 |
$258.70
|
|
X-ray bone survey complete
|
$614.25 |
$614.25 |
$614.25 |
$569.03
|
|
X-ray bone survey infant
|
$318.50 |
$318.50 |
$318.50 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$427.70 |
$427.70 |
$427.70 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$440.05 |
$440.05 |
$440.05 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$468.65 |
$468.65 |
$468.65 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$540.80 |
$540.80 |
$540.80 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$451.75 |
$451.75 |
$451.75 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$564.85 |
$564.85 |
$564.85 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$497.25 |
$497.25 |
$497.25 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$539.50 |
$539.50 |
$539.50 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$536.90 |
$536.90 |
$536.90 |
$434.76
|
|
X-ray exam of arm infant
|
$291.85 |
$291.85 |
$291.85 |
$238.26
|
|
X-ray exam of eye sockets
|
$201.50 |
$201.50 |
$201.50 |
$321.48
|
|
X-ray exam of femur 1
|
$245.05 |
$245.05 |
$245.05 |
$194.40
|
|
X-ray exam of jaw joint
|
$154.70 |
$154.70 |
$154.70 |
$179.54
|
|
X-ray exam of jaw joint
|
$1,652.30 |
$1,652.30 |
$1,652.30 |
$370.89
|
|
X-ray exam of penis
|
$533.65 |
$533.65 |
$533.65 |
$339.47
|
|
X-ray eye detection foreign body (both sides)
|
$142.35 |
$142.35 |
$142.35 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$224.90 |
$224.90 |
$224.90 |
$337.95
|
|
X-ray femur >=2 views (both sides)
|
$411.45 |
$411.45 |
$411.45 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$460.20 |
$460.20 |
$460.20 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$307.45 |
$307.45 |
$307.45 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$544.70 |
$544.70 |
$544.70 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$371.80 |
$371.80 |
$371.80 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$243.10 |
$243.10 |
$243.10 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$487.50 |
$487.50 |
$487.50 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$399.75 |
$399.75 |
$399.75 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$457.60 |
$457.60 |
$457.60 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$495.30 |
$495.30 |
$495.30 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$140.40 |
$140.40 |
$140.40 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$438.75 |
$438.75 |
$438.75 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$574.60 |
$574.60 |
$574.60 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$600.60 |
$600.60 |
$600.60 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$234.00 |
$234.00 |
$234.00 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$323.05 |
$323.05 |
$323.05 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$512.20 |
$512.20 |
$512.20 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$600.60 |
$600.60 |
$600.60 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$661.70 |
$661.70 |
$661.70 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$229.45 |
$229.45 |
$229.45 |
$323.70
|
|
X-ray nasal bones complete > 3 views
|
$248.95 |
$248.95 |
$248.95 |
$260.52
|
|
X-ray neck soft tissue
|
$294.45 |
$294.45 |
$294.45 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$314.60 |
$314.60 |
$314.60 |
$201.00
|
|
X-ray of mammary ducts
|
$1,032.20 |
$1,032.20 |
$1,032.20 |
$437.00
|
|
X-ray pelvis 1-2 views
|
$154.70 |
$154.70 |
$154.70 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$300.95 |
$300.95 |
$300.95 |
$299.46
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$663.18
|
|
X-ray ribs 2 views left
|
$224.25 |
$224.25 |
$224.25 |
$281.45
|
|
X-ray ribs 3 views bilateral
|
$534.95 |
$534.95 |
$534.95 |
$361.20
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$476.45 |
$476.45 |
$476.45 |
$327.21
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$351.65 |
$351.65 |
$351.65 |
$466.80
|
|
X-ray sacroiliac joints >= 3 views
|
$300.95 |
$300.95 |
$300.95 |
$270.40
|
|
X-ray sacrum/coccyx >= 2 views
|
$393.25 |
$393.25 |
$393.25 |
$260.65
|
|
X-ray scapula complete (both sides)
|
$473.85 |
$473.85 |
$473.85 |
$264.80
|
|
X-ray sella turcica
|
$205.40 |
$205.40 |
$205.40 |
$144.00
|
|
X-ray shoulder 1 view (both sides)
|
$271.70 |
$271.70 |
$271.70 |
$242.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$211.25 |
$211.25 |
$211.25 |
$324.53
|
|
X-ray sinus tract/fistula/abscess
|
$895.70 |
$895.70 |
$895.70 |
$539.50
|
|
X-ray skull < 4 views
|
$325.00 |
$325.00 |
$325.00 |
$277.54
|
|
X-ray skull > 4 views complete
|
$552.50 |
$552.50 |
$552.50 |
$404.30
|
|
X-ray slg plne bdy sect without urogr
|
$811.20 |
$811.20 |
$811.20 |
$370.64
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$687.70 |
$687.70 |
$687.70 |
$511.38
|
|
X-ray small intestine follow-through study
|
$692.90 |
$692.90 |
$692.90 |
$470.16
|
|
X-ray spine single view
|
$245.70 |
$245.70 |
$245.70 |
$225.00
|