|
Warde immunofixation electrophoresis urine
|
$261.72 |
$261.72 |
$261.72 |
$155.20
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$105.57 |
$105.57 |
$105.57 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$672.75 |
$672.75 |
$672.75 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$198.54 |
$198.54 |
$198.54 |
$137.55
|
|
Warde lipoprotein (a)
|
$132.66 |
$132.66 |
$132.66 |
$69.96
|
|
Warde mitochondrial antibody each
|
$40.50 |
$40.50 |
$40.50 |
$62.40
|
|
Warde neutralization rabies
|
$64.80 |
$64.80 |
$64.80 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$46.26 |
$46.26 |
$46.26 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$36.45 |
$36.45 |
$36.45 |
$94.25
|
|
Warde sex hormone binding globulin
|
$106.02 |
$106.02 |
$106.02 |
$86.59
|
|
Warde somatomedin
|
$226.08 |
$226.08 |
$226.08 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$53.28 |
$53.28 |
$53.28 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$95.13 |
$95.13 |
$95.13 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$227.79 |
$227.79 |
$227.79 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$81.18 |
$81.18 |
$81.18 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$201.78 |
$201.78 |
$201.78 |
$127.20
|
|
Warde viscosity
|
$61.92 |
$61.92 |
$61.92 |
$52.65
|
|
Warde vitamin a
|
$85.95 |
$85.95 |
$85.95 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$231.30 |
$231.30 |
$231.30 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$257.76 |
$257.76 |
$257.76 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$61.47 |
$61.47 |
$61.47 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$335.43 |
$335.43 |
$335.43 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$94.68 |
$94.68 |
$94.68 |
$55.00
|
|
Warde zinc
|
$273.15 |
$273.15 |
$273.15 |
$62.50
|
|
Whole blood for transfusion
|
$371.79 |
$371.79 |
$371.79 |
$460.36
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$267.03 |
$267.03 |
$267.03 |
$769.45
|
|
Wilate injection
|
$0.63 |
$0.63 |
$0.63 |
$1.60
|
|
Wnd prep f/n/hf/g addl cm
|
$1,616.67 |
$1,616.67 |
$1,616.67 |
$865.80
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$425.52 |
$425.52 |
$425.52 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$500.67 |
$500.67 |
$500.67 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$262.71 |
$262.71 |
$262.71 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$294.75 |
$294.75 |
$294.75 |
$436.15
|
|
Wrist X-ray
|
$392.85 |
$392.85 |
$392.85 |
$343.70
|
|
X-ray abdomen 1 view
|
$343.17 |
$343.17 |
$343.17 |
$255.00
|
|
X-ray abdomen 2 views
|
$421.65 |
$421.65 |
$421.65 |
$312.36
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$434.70 |
$434.70 |
$434.70 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$246.42 |
$246.42 |
$246.42 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$297.18 |
$297.18 |
$297.18 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$550.35 |
$550.35 |
$550.35 |
$768.30
|
|
X-ray bone age studies
|
$409.14 |
$409.14 |
$409.14 |
$246.75
|
|
X-ray bone length studies
|
$164.43 |
$164.43 |
$164.43 |
$287.25
|
|
X-ray bone survey complete
|
$678.96 |
$678.96 |
$678.96 |
$666.60
|
|
X-ray bone survey infant
|
$241.20 |
$241.20 |
$241.20 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$352.62 |
$352.62 |
$352.62 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$532.26 |
$532.26 |
$532.26 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$574.02 |
$574.02 |
$574.02 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$364.68 |
$364.68 |
$364.68 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$342.36 |
$342.36 |
$342.36 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$511.02 |
$511.02 |
$511.02 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$313.74 |
$313.74 |
$313.74 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$416.43 |
$416.43 |
$416.43 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$298.98 |
$298.98 |
$298.98 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$410.76 |
$410.76 |
$410.76 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$410.76 |
$410.76 |
$410.76 |
$575.76
|
|
X-ray exam of arm infant
|
$275.04 |
$275.04 |
$275.04 |
$248.82
|
|
X-ray exam of eye sockets
|
$321.48 |
$321.48 |
$321.48 |
$349.05
|
|
X-ray exam of femur 1
|
$130.32 |
$130.32 |
$130.32 |
$232.36
|
|
X-ray exam of jaw joint
|
$140.13 |
$140.13 |
$140.13 |
$192.39
|
|
X-ray exam of jaw joint
|
$400.95 |
$400.95 |
$400.95 |
$354.79
|
|
X-ray exam of mastoids
|
$140.13 |
$140.13 |
$140.13 |
$191.91
|
|
X-ray exam of perineum
|
$314.10 |
$314.10 |
$314.10 |
$420.93
|
|
X-ray exam of sinuses
|
$207.81 |
$207.81 |
$207.81 |
$211.00
|
|
X-ray exam si joints
|
$129.96 |
$129.96 |
$129.96 |
$246.16
|
|
X-ray eye detection foreign body (both sides)
|
$94.23 |
$94.23 |
$94.23 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$294.03 |
$294.03 |
$294.03 |
$366.60
|
|
X-ray fallopian tube
|
$386.73 |
$386.73 |
$386.73 |
$501.00
|
|
X-ray femur >=2 views (both sides)
|
$130.32 |
$130.32 |
$130.32 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$233.55 |
$233.55 |
$233.55 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$511.38 |
$511.38 |
$511.38 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$361.62 |
$361.62 |
$361.62 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$522.27 |
$522.27 |
$522.27 |
$316.50
|
|
X-ray head for orthodontia
|
$101.88 |
$101.88 |
$101.88 |
$104.19
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$306.45 |
$306.45 |
$306.45 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$215.19 |
$215.19 |
$215.19 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$215.19 |
$215.19 |
$215.19 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$215.19 |
$215.19 |
$215.19 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$410.76 |
$410.76 |
$410.76 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$130.32 |
$130.32 |
$130.32 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$349.65 |
$349.65 |
$349.65 |
$304.15
|
|
X-ray joint survey 1 view
|
$261.18 |
$261.18 |
$261.18 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$355.86 |
$355.86 |
$355.86 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$392.85 |
$392.85 |
$392.85 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$297.72 |
$297.72 |
$297.72 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$212.22 |
$212.22 |
$212.22 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$253.71 |
$253.71 |
$253.71 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$514.71 |
$514.71 |
$514.71 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$585.36 |
$585.36 |
$585.36 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$256.05 |
$256.05 |
$256.05 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$170.82 |
$170.82 |
$170.82 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$306.18 |
$306.18 |
$306.18 |
$277.70
|
|
X-ray neck soft tissue
|
$309.24 |
$309.24 |
$309.24 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$192.60 |
$192.60 |
$192.60 |
$225.96
|
|
X-ray optic foramina
|
$151.20 |
$151.20 |
$151.20 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$313.47 |
$313.47 |
$313.47 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$501.03 |
$501.03 |
$501.03 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$559.89 |
$559.89 |
$559.89 |
$742.00
|
|
X-ray ribs 2 views left
|
$356.22 |
$356.22 |
$356.22 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$303.93 |
$303.93 |
$303.93 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$266.31 |
$266.31 |
$266.31 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$468.18 |
$468.18 |
$468.18 |
$497.00
|