|
Warde neutralization rabies
|
$70.40 |
$70.40 |
$70.40 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$115.20 |
$115.20 |
$115.20 |
$94.25
|
|
Warde protein c antigen
|
$122.40 |
$122.40 |
$122.40 |
$93.43
|
|
Warde sex hormone binding globulin
|
$108.00 |
$108.00 |
$108.00 |
$82.08
|
|
Warde somatomedin
|
$106.40 |
$106.40 |
$106.40 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$23.20 |
$23.20 |
$23.20 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$65.60 |
$65.60 |
$65.60 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$211.20 |
$211.20 |
$211.20 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$49.60 |
$49.60 |
$49.60 |
$71.20
|
|
Warde viscosity
|
$102.40 |
$102.40 |
$102.40 |
$49.47
|
|
Warde vitamin a
|
$48.00 |
$48.00 |
$48.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$88.00 |
$88.00 |
$88.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$117.60 |
$117.60 |
$117.60 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$40.80 |
$40.80 |
$40.80 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$160.80 |
$160.80 |
$160.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$59.20 |
$59.20 |
$59.20 |
$59.25
|
|
Warde zinc
|
$47.20 |
$47.20 |
$47.20 |
$62.50
|
|
Wbc automated
|
$18.40 |
$18.40 |
$18.40 |
$32.35
|
|
Western blot test
|
$70.40 |
$70.40 |
$70.40 |
$150.00
|
|
Whfo w/joint(s) custom fab
|
$587.20 |
$587.20 |
$587.20 |
$465.50
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$777.60 |
$777.60 |
$777.60 |
$554.01
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$224.80 |
$224.80 |
$224.80 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$224.80 |
$224.80 |
$224.80 |
$438.75
|
|
Wrist X-ray
|
$444.00 |
$444.00 |
$444.00 |
$342.80
|
|
X-ray abdomen 1 view
|
$403.20 |
$403.20 |
$403.20 |
$258.50
|
|
X-ray abdomen 2 views
|
$470.40 |
$470.40 |
$470.40 |
$316.47
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$777.60 |
$777.60 |
$777.60 |
$418.63
|
|
X-ray ankle 2 views (both sides)
|
$398.40 |
$398.40 |
$398.40 |
$282.50
|
|
X-ray bone age studies
|
$246.40 |
$246.40 |
$246.40 |
$251.40
|
|
X-ray bone survey complete
|
$693.60 |
$693.60 |
$693.60 |
$660.00
|
|
X-ray cervical spine 2-3 views
|
$484.00 |
$484.00 |
$484.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$768.80 |
$768.80 |
$768.80 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$292.00 |
$292.00 |
$292.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$954.40 |
$954.40 |
$954.40 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,141.60 |
$1,141.60 |
$1,141.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$347.20 |
$347.20 |
$347.20 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$452.80 |
$452.80 |
$452.80 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$479.20 |
$479.20 |
$479.20 |
$483.50
|
|
X-ray exam of eye sockets
|
$272.00 |
$272.00 |
$272.00 |
$328.35
|
|
X-ray exam of femur 1
|
$372.80 |
$372.80 |
$372.80 |
$240.00
|
|
X-ray exam si joints
|
$312.00 |
$312.00 |
$312.00 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$501.60 |
$501.60 |
$501.60 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$278.40 |
$278.40 |
$278.40 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$501.60 |
$501.60 |
$501.60 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$464.80 |
$464.80 |
$464.80 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$269.60 |
$269.60 |
$269.60 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$369.60 |
$369.60 |
$369.60 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$392.00 |
$392.00 |
$392.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$372.80 |
$372.80 |
$372.80 |
$274.95
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$501.60 |
$501.60 |
$501.60 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$697.60 |
$697.60 |
$697.60 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$369.60 |
$369.60 |
$369.60 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$420.80 |
$420.80 |
$420.80 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$380.00 |
$380.00 |
$380.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$499.20 |
$499.20 |
$499.20 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$261.60 |
$261.60 |
$261.60 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$422.40 |
$422.40 |
$422.40 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$280.00 |
$280.00 |
$280.00 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$724.00 |
$724.00 |
$724.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$793.60 |
$793.60 |
$793.60 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$312.00 |
$312.00 |
$312.00 |
$361.61
|
|
X-ray nasal bones complete > 3 views
|
$583.20 |
$583.20 |
$583.20 |
$274.65
|
|
X-ray neck soft tissue
|
$280.00 |
$280.00 |
$280.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$261.60 |
$261.60 |
$261.60 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$479.20 |
$479.20 |
$479.20 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$673.60 |
$673.60 |
$673.60 |
$348.19
|
|
X-ray ribs 2 views left
|
$400.00 |
$400.00 |
$400.00 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$501.60 |
$501.60 |
$501.60 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$552.00 |
$552.00 |
$552.00 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$501.60 |
$501.60 |
$501.60 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$546.40 |
$546.40 |
$546.40 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$480.00 |
$480.00 |
$480.00 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$336.00 |
$336.00 |
$336.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$410.40 |
$410.40 |
$410.40 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$501.60 |
$501.60 |
$501.60 |
$345.60
|
|
X-ray skull < 4 views
|
$543.20 |
$543.20 |
$543.20 |
$292.50
|
|
X-ray skull > 4 views complete
|
$753.60 |
$753.60 |
$753.60 |
$417.50
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$694.40 |
$694.40 |
$694.40 |
$557.70
|
|
X-ray small intestine follow-through study
|
$1,380.80 |
$1,380.80 |
$1,380.80 |
$499.50
|
|
X-ray spine single view
|
$269.60 |
$269.60 |
$269.60 |
$251.00
|
|
X-ray sternum > 2 views
|
$443.20 |
$443.20 |
$443.20 |
$274.65
|
|
X-ray surgical specimen
|
$987.20 |
$987.20 |
$987.20 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$590.40 |
$590.40 |
$590.40 |
$523.25
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$580.80 |
$580.80 |
$580.80 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$504.00 |
$504.00 |
$504.00 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$605.60 |
$605.60 |
$605.60 |
$381.60
|
|
X-ray thoracolumbar spine >=2 views
|
$519.20 |
$519.20 |
$519.20 |
$282.50
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$372.80 |
$372.80 |
$372.80 |
$257.04
|
|
X-ray tibia/fibula 2 views (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$332.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$258.50
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$811.20 |
$811.20 |
$811.20 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$811.20 |
$811.20 |
$811.20 |
$603.20
|
|
X-ray wrist 2 views (both sides)
|
$351.20 |
$351.20 |
$351.20 |
$290.40
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$36.00 |
$36.00 |
$36.00 |
$122.45
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$58.60 |
$58.60 |
$58.60 |
$452.69
|
