|
Warde apolipoprotein b
|
$205.40 |
$205.40 |
$205.40 |
$61.75
|
|
Warde calcitonin
|
$523.80 |
$523.80 |
$523.80 |
$96.97
|
|
Warde calculus (stone) infrared
|
$339.20 |
$339.20 |
$339.20 |
$59.50
|
|
Warde cobalt heavy metal quantitative each nes
|
$392.60 |
$392.60 |
$392.60 |
$113.09
|
|
Warde complement total hemolytic
|
$209.00 |
$209.00 |
$209.00 |
$104.82
|
|
Warde copper
|
$314.00 |
$314.00 |
$314.00 |
$80.00
|
|
Warde cryoglobulin
|
$85.80 |
$85.80 |
$85.80 |
$50.35
|
|
Warde fluorescent antibody screen endomysial iga
|
$44.00 |
$44.00 |
$44.00 |
$43.20
|
|
Warde folic acid rbc
|
$195.00 |
$195.00 |
$195.00 |
$79.30
|
|
Warde growth hormone (hgh)
|
$345.40 |
$345.40 |
$345.40 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$45.40 |
$45.40 |
$45.40 |
$68.16
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$240.80 |
$240.80 |
$240.80 |
$80.16
|
|
Warde hepatitis a antibody
|
$255.00 |
$255.00 |
$255.00 |
$83.40
|
|
Warde immunofixation electrophoresis urine
|
$170.60 |
$170.60 |
$170.60 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$302.40 |
$302.40 |
$302.40 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,679.00 |
$1,679.00 |
$1,679.00 |
$636.09
|
|
Warde lipoprotein (a)
|
$259.60 |
$259.60 |
$259.60 |
$67.00
|
|
Warde mitochondrial antibody each
|
$105.60 |
$105.60 |
$105.60 |
$59.28
|
|
Warde neutralization rabies
|
$261.60 |
$261.60 |
$261.60 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$426.20 |
$426.20 |
$426.20 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$96.00 |
$96.00 |
$96.00 |
$94.25
|
|
Warde protein c antigen
|
$259.80 |
$259.80 |
$259.80 |
$93.43
|
|
Warde sex hormone binding globulin
|
$311.00 |
$311.00 |
$311.00 |
$82.08
|
|
Warde somatomedin
|
$628.20 |
$628.20 |
$628.20 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$740.20 |
$740.20 |
$740.20 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$178.53
|
|
Warde vitamin a
|
$364.20 |
$364.20 |
$364.20 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$238.80 |
$238.80 |
$238.80 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$279.20 |
$279.20 |
$279.20 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$208.40 |
$208.40 |
$208.40 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$718.20 |
$718.20 |
$718.20 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$421.00 |
$421.00 |
$421.00 |
$59.25
|
|
Warde zinc
|
$316.20 |
$316.20 |
$316.20 |
$62.50
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$692.00 |
$692.00 |
$692.00 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$680.40 |
$680.40 |
$680.40 |
$438.75
|
|
Wrist X-ray
|
$649.60 |
$649.60 |
$649.60 |
$342.80
|
|
X-ray abdomen 1 view
|
$354.60 |
$354.60 |
$354.60 |
$258.50
|
|
X-ray abdomen 2 views
|
$442.00 |
$442.00 |
$442.00 |
$316.47
|
|
X-ray abdomen >=3 views
|
$481.40 |
$481.40 |
$481.40 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$668.00 |
$668.00 |
$668.00 |
$418.63
|
|
X-ray ankle 2 views (both sides)
|
$447.60 |
$447.60 |
$447.60 |
$282.50
|
|
X-ray bone age studies
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$251.40
|
|
X-ray bone survey complete
|
$2,263.60 |
$2,263.60 |
$2,263.60 |
$660.00
|
|
X-ray cervical spine 2-3 views
|
$573.00 |
$573.00 |
$573.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$710.40 |
$710.40 |
$710.40 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$912.40 |
$912.40 |
$912.40 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$388.00 |
$388.00 |
$388.00 |
$300.05
|
|
X-ray elbow 2 views (both sides)
|
$474.40 |
$474.40 |
$474.40 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$624.00 |
$624.00 |
$624.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$869.80 |
$869.80 |
$869.80 |
$483.50
|
|
X-ray exam of arm infant
|
$575.20 |
$575.20 |
$575.20 |
$248.44
|
|
X-ray exam of sinuses
|
$429.40 |
$429.40 |
$429.40 |
$214.50
|
|
X-ray eye detection foreign body (both sides)
|
$390.40 |
$390.40 |
$390.40 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$594.20 |
$594.20 |
$594.20 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$483.20 |
$483.20 |
$483.20 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$369.60 |
$369.60 |
$369.60 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$481.00 |
$481.00 |
$481.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$414.40 |
$414.40 |
$414.40 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$511.20 |
$511.20 |
$511.20 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$440.80 |
$440.80 |
$440.80 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$660.20 |
$660.20 |
$660.20 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$660.18 |
$660.18 |
$660.18 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$660.20 |
$660.20 |
$660.20 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$512.00 |
$512.00 |
$512.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$412.00 |
$412.00 |
$412.00 |
$309.31
|
|
X-ray joint survey 1 view
|
$508.40 |
$508.40 |
$508.40 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$578.40 |
$578.40 |
$578.40 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$655.20 |
$655.20 |
$655.20 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$344.00 |
$344.00 |
$344.00 |
$252.50
|
|
X-ray lumbosacral spine >= 4 views
|
$961.00 |
$961.00 |
$961.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$552.40 |
$552.40 |
$552.40 |
$361.61
|
|
X-ray nasal bones complete > 3 views
|
$385.20 |
$385.20 |
$385.20 |
$274.65
|
|
X-ray neck soft tissue
|
$405.20 |
$405.20 |
$405.20 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$287.80 |
$287.80 |
$287.80 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$399.20 |
$399.20 |
$399.20 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$528.40 |
$528.40 |
$528.40 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,258.60 |
$1,258.60 |
$1,258.60 |
$755.50
|
|
X-ray ribs 2 views left
|
$410.40 |
$410.40 |
$410.40 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$621.20 |
$621.20 |
$621.20 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$537.60 |
$537.60 |
$537.60 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$863.00 |
$863.00 |
$863.00 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$530.80 |
$530.80 |
$530.80 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$523.60 |
$523.60 |
$523.60 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$447.00 |
$447.00 |
$447.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$507.20 |
$507.20 |
$507.20 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$599.80 |
$599.80 |
$599.80 |
$345.60
|
|
X-ray skull < 4 views
|
$485.60 |
$485.60 |
$485.60 |
$292.50
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$855.20 |
$855.20 |
$855.20 |
$557.70
|
|
X-ray spine single view
|
$588.40 |
$588.40 |
$588.40 |
$251.00
|
|
X-ray sternum > 2 views
|
$442.80 |
$442.80 |
$442.80 |
$274.65
|
|
X-ray surgical specimen
|
$707.40 |
$707.40 |
$707.40 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$1,097.80 |
$1,097.80 |
$1,097.80 |
$523.25
|
|
X-ray thoracic spine 2 views
|
$588.40 |
$588.40 |
$588.40 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$648.80 |
$648.80 |
$648.80 |
$381.60
|
|
X-ray thoracolumbar spine >=2 views
|
$648.60 |
$648.60 |
$648.60 |
$282.50
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$529.80 |
$529.80 |
$529.80 |
$257.04
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$648.60 |
$648.60 |
$648.60 |
$352.95
|
|
X-ray tibia/fibula 2 views (both sides)
|
$550.40 |
$550.40 |
$550.40 |
$332.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$365.20 |
$365.20 |
$365.20 |
$258.50
|
