|
Warde sugars single qualitative each specimen stool
|
$55.50 |
$55.50 |
$55.50 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$207.00 |
$207.00 |
$207.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$197.50 |
$197.50 |
$197.50 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$71.00 |
$71.00 |
$71.00 |
$71.20
|
|
Warde viscosity
|
$131.50 |
$131.50 |
$131.50 |
$49.47
|
|
Warde vitamin a
|
$84.00 |
$84.00 |
$84.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$133.50 |
$133.50 |
$133.50 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$175.50 |
$175.50 |
$175.50 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$78.50 |
$78.50 |
$78.50 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$241.00 |
$241.00 |
$241.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$88.00 |
$88.00 |
$88.00 |
$59.25
|
|
Warde zinc
|
$211.50 |
$211.50 |
$211.50 |
$62.50
|
|
Wbc automated
|
$87.50 |
$87.50 |
$87.50 |
$32.35
|
|
Whfo w/joint(s) custom fab
|
$527.50 |
$527.50 |
$527.50 |
$465.50
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,260.50 |
$1,260.50 |
$1,260.50 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$1,260.50 |
$1,260.50 |
$1,260.50 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$430.50 |
$430.50 |
$430.50 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$543.50 |
$543.50 |
$543.50 |
$438.75
|
|
Wrist X-ray
|
$398.50 |
$398.50 |
$398.50 |
$342.80
|
|
X-ray abdomen 1 view
|
$320.00 |
$320.00 |
$320.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$383.00 |
$383.00 |
$383.00 |
$316.47
|
|
X-ray abdomen >=3 views
|
$446.00 |
$446.00 |
$446.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$819.00 |
$819.00 |
$819.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$293.50 |
$293.50 |
$293.50 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$241.00 |
$241.00 |
$241.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$2,740.50 |
$2,740.50 |
$2,740.50 |
$773.40
|
|
X-ray bone age studies
|
$210.50 |
$210.50 |
$210.50 |
$251.40
|
|
X-ray bone length studies
|
$457.00 |
$457.00 |
$457.00 |
$285.30
|
|
X-ray bone survey complete
|
$1,629.00 |
$1,629.00 |
$1,629.00 |
$660.00
|
|
X-ray bone survey infant
|
$337.00 |
$337.00 |
$337.00 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$343.50 |
$343.50 |
$343.50 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$654.50 |
$654.50 |
$654.50 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$882.50 |
$882.50 |
$882.50 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$337.00 |
$337.00 |
$337.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,714.50 |
$1,714.50 |
$1,714.50 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$293.50 |
$293.50 |
$293.50 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$359.00 |
$359.00 |
$359.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$603.50 |
$603.50 |
$603.50 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$3,039.50 |
$3,039.50 |
$3,039.50 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$3,039.50 |
$3,039.50 |
$3,039.50 |
$517.80
|
|
X-ray exam of arm infant
|
$327.50 |
$327.50 |
$327.50 |
$248.44
|
|
X-ray exam of eye sockets
|
$439.50 |
$439.50 |
$439.50 |
$328.35
|
|
X-ray exam of femur 1
|
$254.00 |
$254.00 |
$254.00 |
$240.00
|
|
X-ray exam of jaw joint
|
$49.50 |
$49.50 |
$49.50 |
$188.40
|
|
X-ray exam of perineum
|
$647.00 |
$647.00 |
$647.00 |
$577.85
|
|
X-ray exam of salivary gland
|
$79.50 |
$79.50 |
$79.50 |
$162.60
|
|
X-ray exam of sinuses
|
$304.50 |
$304.50 |
$304.50 |
$214.50
|
|
X-ray exam of teeth
|
$202.50 |
$202.50 |
$202.50 |
$328.08
|
|
X-ray exam si joints
|
$348.50 |
$348.50 |
$348.50 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$687.00 |
$687.00 |
$687.00 |
$387.40
|
|
X-ray facial bones complete > 3 views
|
$571.50 |
$571.50 |
$571.50 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$327.50 |
$327.50 |
$327.50 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$253.00 |
$253.00 |
$253.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$292.50 |
$292.50 |
$292.50 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$359.00 |
$359.00 |
$359.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$409.00 |
$409.00 |
$409.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$254.00 |
$254.00 |
$254.00 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$654.00 |
$654.00 |
$654.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$579.50 |
$579.50 |
$579.50 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$579.50 |
$579.50 |
$579.50 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$270.50 |
$270.50 |
$270.50 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$327.50 |
$327.50 |
$327.50 |
$309.31
|
|
X-ray joint survey 1 view
|
$241.50 |
$241.50 |
$241.50 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$327.50 |
$327.50 |
$327.50 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$486.50 |
$486.50 |
$486.50 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$244.00 |
$244.00 |
$244.00 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$327.50 |
$327.50 |
$327.50 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$534.50 |
$534.50 |
$534.50 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$617.50 |
$617.50 |
$617.50 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$706.50 |
$706.50 |
$706.50 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$520.00 |
$520.00 |
$520.00 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$520.00 |
$520.00 |
$520.00 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$331.50 |
$331.50 |
$331.50 |
$274.65
|
|
X-ray neck soft tissue
|
$479.00 |
$479.00 |
$479.00 |
$237.43
|
|
X-ray of mammary ducts
|
$289.50 |
$289.50 |
$289.50 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$421.50 |
$421.50 |
$421.50 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$431.00 |
$431.00 |
$431.00 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,014.50 |
$1,014.50 |
$1,014.50 |
$755.50
|
|
X-ray ribs 2 views left
|
$265.00 |
$265.00 |
$265.00 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$475.00 |
$475.00 |
$475.00 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$323.50 |
$323.50 |
$323.50 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$534.50 |
$534.50 |
$534.50 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$348.50 |
$348.50 |
$348.50 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$347.50 |
$347.50 |
$347.50 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$359.00 |
$359.00 |
$359.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$244.50 |
$244.50 |
$244.50 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$489.00 |
$489.00 |
$489.00 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$863.50 |
$863.50 |
$863.50 |
$606.89
|
|
X-ray skull < 4 views
|
$379.50 |
$379.50 |
$379.50 |
$292.50
|
|
X-ray skull > 4 views complete
|
$496.50 |
$496.50 |
$496.50 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$543.50 |
$543.50 |
$543.50 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$809.50 |
$809.50 |
$809.50 |
$557.70
|
|
X-ray small intestine follow-through study
|
$901.50 |
$901.50 |
$901.50 |
$499.50
|
|
X-ray spine single view
|
$164.50 |
$164.50 |
$164.50 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$341.50 |
$341.50 |
$341.50 |
$264.48
|
|
X-ray sternum > 2 views
|
$401.50 |
$401.50 |
$401.50 |
$274.65
|
|
X-ray surgical specimen
|
$496.00 |
$496.00 |
$496.00 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$1,106.50 |
$1,106.50 |
$1,106.50 |
$523.25
|