|
Warde estrogen fractionated
|
$34.00 |
$34.00 |
$34.00 |
$98.15
|
|
Warde folic acid rbc
|
$57.00 |
$57.00 |
$57.00 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$415.00 |
$415.00 |
$415.00 |
$43.55
|
|
Warde gastrin
|
$546.50 |
$546.50 |
$546.50 |
$73.60
|
|
Warde growth hormone (hgh)
|
$498.00 |
$498.00 |
$498.00 |
$77.55
|
|
Warde haloperidol therapeutic drug level
|
$82.50 |
$82.50 |
$82.50 |
$68.16
|
|
Warde helminth antibody strongyloides igg
|
$98.50 |
$98.50 |
$98.50 |
$100.92
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$231.50 |
$231.50 |
$231.50 |
$80.16
|
|
Warde hepatitis a antibody
|
$74.00 |
$74.00 |
$74.00 |
$83.40
|
|
Warde hepatitis be antibody
|
$427.00 |
$427.00 |
$427.00 |
$52.20
|
|
Warde immunofixation electrophoresis urine
|
$504.00 |
$504.00 |
$504.00 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$408.00 |
$408.00 |
$408.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,579.50 |
$1,579.50 |
$1,579.50 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$720.00 |
$720.00 |
$720.00 |
$141.05
|
|
Warde lipoprotein (a)
|
$150.50 |
$150.50 |
$150.50 |
$67.00
|
|
Warde oxcarbazepine therapeutic drug level
|
$234.00 |
$234.00 |
$234.00 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$113.50 |
$113.50 |
$113.50 |
$94.25
|
|
Warde protein c antigen
|
$50.50 |
$50.50 |
$50.50 |
$93.43
|
|
Warde sex hormone binding globulin
|
$60.50 |
$60.50 |
$60.50 |
$82.08
|
|
Warde somatomedin
|
$1,186.00 |
$1,186.00 |
$1,186.00 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$57.00 |
$57.00 |
$57.00 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$36.00 |
$36.00 |
$36.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$248.00 |
$248.00 |
$248.00 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$457.00 |
$457.00 |
$457.00 |
$71.20
|
|
Warde viscosity
|
$417.00 |
$417.00 |
$417.00 |
$49.47
|
|
Warde vitamin a
|
$86.50 |
$86.50 |
$86.50 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$346.00 |
$346.00 |
$346.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$63.00 |
$63.00 |
$63.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$81.00 |
$81.00 |
$81.00 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$95.00 |
$95.00 |
$95.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$77.00 |
$77.00 |
$77.00 |
$59.25
|
|
Warde zinc
|
$343.50 |
$343.50 |
$343.50 |
$62.50
|
|
Wbc automated
|
$220.00 |
$220.00 |
$220.00 |
$32.35
|
|
Whfo w/joint(s) custom fab
|
$554.50 |
$554.50 |
$554.50 |
$465.50
|
|
Whole blood for transfusion
|
$613.50 |
$613.50 |
$613.50 |
$497.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$485.00 |
$485.00 |
$485.00 |
$491.04
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$171.50 |
$171.50 |
$171.50 |
$554.01
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$745.00 |
$745.00 |
$745.00 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$752.50 |
$752.50 |
$752.50 |
$438.75
|
|
Wrist X-ray
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$342.80
|
|
X-ray abdomen 1 view
|
$653.00 |
$653.00 |
$653.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$699.50 |
$699.50 |
$699.50 |
$316.47
|
|
X-ray abdomen >=3 views
|
$699.50 |
$699.50 |
$699.50 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$856.00 |
$856.00 |
$856.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$783.50 |
$783.50 |
$783.50 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$972.00 |
$972.00 |
$972.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,638.50 |
$1,638.50 |
$1,638.50 |
$773.40
|
|
X-ray bone age studies
|
$582.50 |
$582.50 |
$582.50 |
$251.40
|
|
X-ray bone length studies
|
$767.00 |
$767.00 |
$767.00 |
$285.30
|
|
X-ray bone survey complete
|
$1,594.50 |
$1,594.50 |
$1,594.50 |
$660.00
|
|
X-ray bone survey infant
|
$799.00 |
$799.00 |
$799.00 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$675.50 |
$675.50 |
$675.50 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$990.00 |
$990.00 |
$990.00 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$582.50 |
$582.50 |
$582.50 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,821.50 |
$1,821.50 |
$1,821.50 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$519.00 |
$519.00 |
$519.00 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$483.50
|
|
X-ray exam of arm infant
|
$652.50 |
$652.50 |
$652.50 |
$248.44
|
|
X-ray exam of eye sockets
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$328.35
|
|
X-ray exam of femur 1
|
$630.50 |
$630.50 |
$630.50 |
$240.00
|
|
X-ray exam of jaw joint
|
$911.50 |
$911.50 |
$911.50 |
$188.40
|
|
X-ray exam of salivary gland
|
$79.50 |
$79.50 |
$79.50 |
$162.60
|
|
X-ray exam of sinuses
|
$675.00 |
$675.00 |
$675.00 |
$214.50
|
|
X-ray exam si joints
|
$675.00 |
$675.00 |
$675.00 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$56.00 |
$56.00 |
$56.00 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$873.50 |
$873.50 |
$873.50 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$652.50 |
$652.50 |
$652.50 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$466.00 |
$466.00 |
$466.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$582.50 |
$582.50 |
$582.50 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$972.00 |
$972.00 |
$972.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$984.50 |
$984.50 |
$984.50 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$1,403.00 |
$1,403.00 |
$1,403.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$757.00 |
$757.00 |
$757.00 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$2,194.50 |
$2,194.50 |
$2,194.50 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$3,028.50 |
$3,028.50 |
$3,028.50 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$580.50 |
$580.50 |
$580.50 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$652.50 |
$652.50 |
$652.50 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$681.50 |
$681.50 |
$681.50 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$681.50 |
$681.50 |
$681.50 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$484.00 |
$484.00 |
$484.00 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$652.50 |
$652.50 |
$652.50 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$677.50 |
$677.50 |
$677.50 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$243.00 |
$243.00 |
$243.00 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$730.00 |
$730.00 |
$730.00 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$364.50 |
$364.50 |
$364.50 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$582.50 |
$582.50 |
$582.50 |
$274.65
|
|
X-ray neck soft tissue
|
$466.00 |
$466.00 |
$466.00 |
$237.43
|
|
X-ray of mammary ducts
|
$289.50 |
$289.50 |
$289.50 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$541.50 |
$541.50 |
$541.50 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$541.50 |
$541.50 |
$541.50 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$2,897.00 |
$2,897.00 |
$2,897.00 |
$755.50
|
|
X-ray ribs 2 views left
|
$671.50 |
$671.50 |
$671.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$873.50 |
$873.50 |
$873.50 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$873.50 |
$873.50 |
$873.50 |
$356.20
|