|
Warde hepatitis delta agent antibody
|
$35.85 |
$35.85 |
$35.85 |
$92.30
|
|
Warde immunofixation electrophoresis urine
|
$56.40 |
$56.40 |
$56.40 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$34.80 |
$34.80 |
$34.80 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$166.69 |
$166.69 |
$166.69 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$74.22 |
$74.22 |
$74.22 |
$137.55
|
|
Warde lipoprotein-associated phospholipase a2
|
$12.90 |
$12.90 |
$12.90 |
$97.00
|
|
Warde mitochondrial antibody each
|
$58.91 |
$58.91 |
$58.91 |
$62.40
|
|
Warde protein c antigen
|
$36.19 |
$36.19 |
$36.19 |
$88.80
|
|
Warde sex hormone binding globulin
|
$21.87 |
$21.87 |
$21.87 |
$86.59
|
|
Warde somatomedin
|
$49.88 |
$49.88 |
$49.88 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$18.60 |
$18.60 |
$18.60 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$38.36 |
$38.36 |
$38.36 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$99.15 |
$99.15 |
$99.15 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$42.75 |
$42.75 |
$42.75 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$22.95 |
$22.95 |
$22.95 |
$127.20
|
|
Warde viscosity
|
$12.30 |
$12.30 |
$12.30 |
$52.65
|
|
Warde vitamin a
|
$76.69 |
$76.69 |
$76.69 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$40.95 |
$40.95 |
$40.95 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$50.10 |
$50.10 |
$50.10 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$20.55 |
$20.55 |
$20.55 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$84.00 |
$84.00 |
$84.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$40.35 |
$40.35 |
$40.35 |
$55.00
|
|
Warde zinc
|
$28.80 |
$28.80 |
$28.80 |
$62.50
|
|
Western blot test
|
$32.13 |
$32.13 |
$32.13 |
$153.18
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$281.85 |
$281.85 |
$281.85 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$281.85 |
$281.85 |
$281.85 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$97.20 |
$97.20 |
$97.20 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$193.50 |
$193.50 |
$193.50 |
$436.15
|
|
Wrist X-ray
|
$238.35 |
$238.35 |
$238.35 |
$343.70
|
|
Xe133 xenon 10mci
|
$102.67 |
$102.67 |
$102.67 |
$299.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$127.80 |
$127.80 |
$127.80 |
$2,160.89
|
|
X-ray abdomen 1 view
|
$160.95 |
$160.95 |
$160.95 |
$255.00
|
|
X-ray abdomen 2 views
|
$194.70 |
$194.70 |
$194.70 |
$312.36
|
|
X-ray abdomen >=3 views
|
$194.70 |
$194.70 |
$194.70 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$194.70 |
$194.70 |
$194.70 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$81.60 |
$81.60 |
$81.60 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$137.55 |
$137.55 |
$137.55 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$341.10 |
$341.10 |
$341.10 |
$768.30
|
|
X-ray bone age studies
|
$60.29 |
$60.29 |
$60.29 |
$246.75
|
|
X-ray bone length studies
|
$40.80 |
$40.80 |
$40.80 |
$287.25
|
|
X-ray bone survey complete
|
$1,118.55 |
$1,118.55 |
$1,118.55 |
$666.60
|
|
X-ray cervical spine 2-3 views
|
$374.10 |
$374.10 |
$374.10 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$505.50 |
$505.50 |
$505.50 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$591.45 |
$591.45 |
$591.45 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$239.40 |
$239.40 |
$239.40 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$317.25 |
$317.25 |
$317.25 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$422.85 |
$422.85 |
$422.85 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$223.80 |
$223.80 |
$223.80 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$254.40 |
$254.40 |
$254.40 |
$342.00
|
|
X-ray exam entire spi 4/5 vw
|
$121.50 |
$121.50 |
$121.50 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$151.50 |
$151.50 |
$151.50 |
$575.76
|
|
X-ray exam of arm infant
|
$62.73 |
$62.73 |
$62.73 |
$248.82
|
|
X-ray exam of eye sockets
|
$137.86 |
$137.86 |
$137.86 |
$349.05
|
|
X-ray exam of femur 1
|
$49.95 |
$49.95 |
$49.95 |
$232.36
|
|
X-ray exam of jaw joint
|
$198.15 |
$198.15 |
$198.15 |
$354.79
|
|
X-ray exam of middle ear
|
$117.30 |
$117.30 |
$117.30 |
$341.25
|
|
X-ray exam of sinuses
|
$151.05 |
$151.05 |
$151.05 |
$211.00
|
|
X-ray eye detection foreign body (both sides)
|
$71.10 |
$71.10 |
$71.10 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$225.57 |
$225.57 |
$225.57 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$237.45 |
$237.45 |
$237.45 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$205.95 |
$205.95 |
$205.95 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$175.50 |
$175.50 |
$175.50 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$162.60 |
$162.60 |
$162.60 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$217.80 |
$217.80 |
$217.80 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$134.67 |
$134.67 |
$134.67 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$166.05 |
$166.05 |
$166.05 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$113.40 |
$113.40 |
$113.40 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$148.95 |
$148.95 |
$148.95 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$171.30 |
$171.30 |
$171.30 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$90.90 |
$90.90 |
$90.90 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$245.17 |
$245.17 |
$245.17 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$161.40 |
$161.40 |
$161.40 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$194.40 |
$194.40 |
$194.40 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$190.50 |
$190.50 |
$190.50 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$66.30 |
$66.30 |
$66.30 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$401.70 |
$401.70 |
$401.70 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$514.95 |
$514.95 |
$514.95 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$607.65 |
$607.65 |
$607.65 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$146.43 |
$146.43 |
$146.43 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$168.60 |
$168.60 |
$168.60 |
$277.70
|
|
X-ray neck soft tissue
|
$166.03 |
$166.03 |
$166.03 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$63.81 |
$63.81 |
$63.81 |
$225.96
|
|
X-ray of mammary ducts
|
$242.70 |
$242.70 |
$242.70 |
$473.55
|
|
X-ray optic foramina
|
$70.95 |
$70.95 |
$70.95 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$170.40 |
$170.40 |
$170.40 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$257.25 |
$257.25 |
$257.25 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$501.15 |
$501.15 |
$501.15 |
$742.00
|
|
X-ray ribs 2 views left
|
$374.55 |
$374.55 |
$374.55 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$447.75 |
$447.75 |
$447.75 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$430.50 |
$430.50 |
$430.50 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$538.05 |
$538.05 |
$538.05 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$266.40 |
$266.40 |
$266.40 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$222.00 |
$222.00 |
$222.00 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$132.90 |
$132.90 |
$132.90 |
$292.50
|
|
X-ray shoulder 1 view (both sides)
|
$171.15 |
$171.15 |
$171.15 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$397.20 |
$397.20 |
$397.20 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$122.55 |
$122.55 |
$122.55 |
$601.30
|
|
X-ray skull < 4 views
|
$110.25 |
$110.25 |
$110.25 |
$291.78
|
|
X-ray skull > 4 views complete
|
$136.05 |
$136.05 |
$136.05 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$588.85 |
$588.85 |
$588.85 |
$557.70
|