|
Warde hepatitis delta agent antibody
|
$150.15 |
$150.15 |
$150.15 |
$102.70
|
|
Warde immunofixation electrophoresis urine
|
$312.65 |
$312.65 |
$312.65 |
$151.71
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$81.90 |
$81.90 |
$81.90 |
$62.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,474.85 |
$1,474.85 |
$1,474.85 |
$672.75
|
|
Warde islet cell antibody zinc transporter 8
|
$328.90 |
$328.90 |
$328.90 |
$137.55
|
|
Warde lipoprotein (a)
|
$68.90 |
$68.90 |
$68.90 |
$72.90
|
|
Warde mitochondrial antibody each
|
$38.35 |
$38.35 |
$38.35 |
$62.40
|
|
Warde neutralization rabies
|
$255.45 |
$255.45 |
$255.45 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$120.25 |
$120.25 |
$120.25 |
$71.20
|
|
Warde pancreatic elastase fecal quantitative
|
$113.75 |
$113.75 |
$113.75 |
$90.00
|
|
Warde protein c antigen
|
$188.50 |
$188.50 |
$188.50 |
$89.70
|
|
Warde sex hormone binding globulin
|
$139.75 |
$139.75 |
$139.75 |
$104.28
|
|
Warde somatomedin
|
$118.30 |
$118.30 |
$118.30 |
$127.40
|
|
Warde sugars single qualitative each specimen stool
|
$81.25 |
$81.25 |
$81.25 |
$39.42
|
|
Warde t3 (triiodothyronine) reverse
|
$118.30 |
$118.30 |
$118.30 |
$84.51
|
|
Warde thyroid stimulating immunoglobulins
|
$173.55 |
$173.55 |
$173.55 |
$217.62
|
|
Warde topiramate therapeutic drug level
|
$86.45 |
$86.45 |
$86.45 |
$76.05
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$200.85 |
$200.85 |
$200.85 |
$157.95
|
|
Warde viscosity
|
$71.50 |
$71.50 |
$71.50 |
$61.92
|
|
Warde vitamin a
|
$83.85 |
$83.85 |
$83.85 |
$67.20
|
|
Warde vitamin b-1 (thiamine)
|
$108.55 |
$108.55 |
$108.55 |
$99.27
|
|
Warde vitamin b6 (pyridoxine)
|
$110.50 |
$110.50 |
$110.50 |
$127.40
|
|
Warde vitamin c (ascorbic acid)
|
$63.05 |
$63.05 |
$63.05 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$178.75 |
$178.75 |
$178.75 |
$185.25
|
|
Warde vitamin e (alpha-tocopherol)
|
$163.15 |
$163.15 |
$163.15 |
$64.28
|
|
Warde zinc
|
$78.00 |
$78.00 |
$78.00 |
$67.20
|
|
Wbc automated
|
$35.75 |
$35.75 |
$35.75 |
$32.50
|
|
Western blot test
|
$234.65 |
$234.65 |
$234.65 |
$170.40
|
|
Whole blood for transfusion
|
$1,170.65 |
$1,170.65 |
$1,170.65 |
$400.68
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$511.20
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$547.95 |
$547.95 |
$547.95 |
$432.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$846.30 |
$846.30 |
$846.30 |
$501.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$746.85 |
$746.85 |
$746.85 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$260.00 |
$260.00 |
$260.00 |
$275.88
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$334.10 |
$334.10 |
$334.10 |
$370.00
|
|
Wrist arthroscopy/surgery
|
$16,793.48 |
$16,793.48 |
$16,793.48 |
$3,594.44
|
|
Wrist arthroscopy/surgery
|
$10,397.15 |
$10,397.15 |
$10,397.15 |
$3,594.44
|
|
Wrist arthroscopy/surgery
|
$9,114.60 |
$9,114.60 |
$9,114.60 |
$6,010.63
|
|
Wrist endoscopy/surgery
|
$4,942.18 |
$4,942.18 |
$4,942.18 |
$2,512.00
|
|
Wrist X-ray
|
$623.35 |
$623.35 |
$623.35 |
$311.20
|
|
Xm archive tissue molec anal
|
$7,248.17 |
$7,248.17 |
$7,248.17 |
$48.00
|
|
X-ray abdomen 1 view
|
$382.20 |
$382.20 |
$382.20 |
$243.00
|
|
X-ray abdomen 2 views
|
$518.05 |
$518.05 |
$518.05 |
$281.50
|
|
X-ray abdomen >=3 views
|
$679.25 |
$679.25 |
$679.25 |
$309.38
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$831.35 |
$831.35 |
$831.35 |
$359.84
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$388.05 |
$388.05 |
$388.05 |
$246.42
|
|
X-ray ankle 2 views (both sides)
|
$443.95 |
$443.95 |
$443.95 |
$240.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$3,337.75 |
$3,337.75 |
$3,337.75 |
$734.43
|
|
X-ray bone age studies
|
$339.95 |
$339.95 |
$339.95 |
$227.08
|
|
X-ray bone length studies
|
$178.10 |
$178.10 |
$178.10 |
$258.70
|
|
X-ray bone survey complete
|
$1,242.15 |
$1,242.15 |
$1,242.15 |
$569.03
|
|
X-ray bone survey infant
|
$460.85 |
$460.85 |
$460.85 |
$362.40
|
|
X-ray cervical spine 2-3 views
|
$425.10 |
$425.10 |
$425.10 |
$308.40
|
|
X-ray cervical spine 4-5 views
|
$585.65 |
$585.65 |
$585.65 |
$439.14
|
|
X-ray cervical spine >= 6 views
|
$553.80 |
$553.80 |
$553.80 |
$479.05
|
|
X-ray clavicle complete (both sides)
|
$629.85 |
$629.85 |
$629.85 |
$277.00
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,275.30 |
$1,275.30 |
$1,275.30 |
$594.68
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,041.30 |
$1,041.30 |
$1,041.30 |
$785.86
|
|
X-ray elbow 2 views (both sides)
|
$582.40 |
$582.40 |
$582.40 |
$281.40
|
|
X-ray elbow >= 3 views (both sides)
|
$410.15 |
$410.15 |
$410.15 |
$325.88
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$567.45 |
$567.45 |
$567.45 |
$434.76
|
|
X-ray exam entire spi 4/5 vw
|
$1,079.65 |
$1,079.65 |
$1,079.65 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$897.65 |
$897.65 |
$897.65 |
$562.90
|
|
X-ray exam of arm infant
|
$375.70 |
$375.70 |
$375.70 |
$238.26
|
|
X-ray exam of eye sockets
|
$280.80 |
$280.80 |
$280.80 |
$321.48
|
|
X-ray exam of femur 1
|
$256.75 |
$256.75 |
$256.75 |
$194.40
|
|
X-ray exam of jaw joint
|
$2,065.70 |
$2,065.70 |
$2,065.70 |
$370.89
|
|
X-ray exam of penis
|
$613.60 |
$613.60 |
$613.60 |
$339.47
|
|
X-ray exam of sinuses
|
$289.25 |
$289.25 |
$289.25 |
$192.00
|
|
X-ray exam si joints
|
$618.80 |
$618.80 |
$618.80 |
$198.38
|
|
X-ray exam thorac spine4/>vw
|
$334.10 |
$334.10 |
$334.10 |
$365.00
|
|
X-ray eye detection foreign body (both sides)
|
$220.35 |
$220.35 |
$220.35 |
$227.80
|
|
X-ray facial bones complete > 3 views
|
$320.45 |
$320.45 |
$320.45 |
$337.95
|
|
X-ray fallopian tube
|
$750.75 |
$750.75 |
$750.75 |
$489.00
|
|
X-ray femur >=2 views (both sides)
|
$416.65 |
$416.65 |
$416.65 |
$290.44
|
|
X-ray finger(s) >= 2 views (both sides)
|
$497.90 |
$497.90 |
$497.90 |
$233.55
|
|
X-ray foot 2 views (both sides)
|
$638.95 |
$638.95 |
$638.95 |
$270.40
|
|
X-ray forearm 2 views (both sides)
|
$603.20 |
$603.20 |
$603.20 |
$317.62
|
|
X-ray hand 2 views (both sides)
|
$555.10 |
$555.10 |
$555.10 |
$270.00
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$358.15 |
$358.15 |
$358.15 |
$243.10
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$576.55 |
$576.55 |
$576.55 |
$300.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$391.30 |
$391.30 |
$391.30 |
$313.45
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$454.35 |
$454.35 |
$454.35 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$477.10
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$159.90 |
$159.90 |
$159.90 |
$187.20
|
|
X-ray humerus >= 2 views left
|
$624.65 |
$624.65 |
$624.65 |
$285.00
|
|
X-ray knee 1-2 views (both sides)
|
$375.70 |
$375.70 |
$375.70 |
$271.70
|
|
X-ray knee 3 views (both sides)
|
$709.15 |
$709.15 |
$709.15 |
$319.24
|
|
X-ray knee ap standing bilateral
|
$174.85 |
$174.85 |
$174.85 |
$243.09
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$359.45 |
$359.45 |
$359.45 |
$227.92
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$300.30 |
$300.30 |
$300.30 |
$345.15
|
|
X-ray lumbosacral spine >= 4 views
|
$460.20 |
$460.20 |
$460.20 |
$475.04
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$525.20 |
$525.20 |
$525.20 |
$513.63
|
|
X-ray mandible complete > 4 views
|
$333.45 |
$333.45 |
$333.45 |
$323.70
|
|
X-ray mandible ltd <4 views
|
$227.50 |
$227.50 |
$227.50 |
$200.20
|
|
X-ray nasal bones complete > 3 views
|
$243.10 |
$243.10 |
$243.10 |
$260.52
|
|
X-ray neck soft tissue
|
$508.30 |
$508.30 |
$508.30 |
$221.10
|
|
X-ray nose to rectum for foreign body child
|
$200.20 |
$200.20 |
$200.20 |
$201.00
|
|
X-ray pelvis 1-2 views
|
$259.35 |
$259.35 |
$259.35 |
$242.58
|
|
X-ray pelvis complete > 3 views
|
$329.55 |
$329.55 |
$329.55 |
$299.46
|