|
Warde sugars single qualitative each specimen stool
|
$45.50 |
$45.50 |
$45.50 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$140.00 |
$140.00 |
$140.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$330.00 |
$330.00 |
$330.00 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$234.00 |
$234.00 |
$234.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$244.00 |
$244.00 |
$244.00 |
$129.54
|
|
Warde viscosity
|
$86.00 |
$86.00 |
$86.00 |
$49.47
|
|
Warde vitamin a
|
$65.50 |
$65.50 |
$65.50 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$276.00 |
$276.00 |
$276.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$176.00 |
$176.00 |
$176.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$63.50 |
$63.50 |
$63.50 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$221.50 |
$221.50 |
$221.50 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$172.00 |
$172.00 |
$172.00 |
$59.25
|
|
Warde zinc
|
$232.50 |
$232.50 |
$232.50 |
$62.50
|
|
Wbc automated
|
$53.50 |
$53.50 |
$53.50 |
$32.35
|
|
Western blot test
|
$75.00 |
$75.00 |
$75.00 |
$150.00
|
|
Wet mounts/ w preparations
|
$31.00 |
$31.00 |
$31.00 |
$36.80
|
|
Whfo nontorsion joint prefab
|
$114.37 |
$114.37 |
$114.37 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$218.38 |
$218.38 |
$218.38 |
$465.50
|
|
Whole blood for transfusion
|
$833.00 |
$833.00 |
$833.00 |
$497.00
|
|
Wound pouch each
|
$17.08 |
$17.08 |
$17.08 |
$57.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$684.00 |
$684.00 |
$684.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$684.00 |
$684.00 |
$684.00 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$374.00 |
$374.00 |
$374.00 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$684.00 |
$684.00 |
$684.00 |
$438.75
|
|
Wrist X-ray
|
$299.00 |
$299.00 |
$299.00 |
$342.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$4,148.00 |
$4,148.00 |
$4,148.00 |
$2,837.09
|
|
X-ray abdomen 1 view
|
$277.00 |
$277.00 |
$277.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$400.50 |
$400.50 |
$400.50 |
$316.47
|
|
X-ray abdomen >=3 views
|
$455.00 |
$455.00 |
$455.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$494.50 |
$494.50 |
$494.50 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$308.50 |
$308.50 |
$308.50 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$269.00 |
$269.00 |
$269.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$917.00 |
$917.00 |
$917.00 |
$773.40
|
|
X-ray bone age studies
|
$91.50 |
$91.50 |
$91.50 |
$251.40
|
|
X-ray bone length studies
|
$130.00 |
$130.00 |
$130.00 |
$285.30
|
|
X-ray bone survey complete
|
$897.00 |
$897.00 |
$897.00 |
$660.00
|
|
X-ray bone survey infant
|
$226.50 |
$226.50 |
$226.50 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$402.00 |
$402.00 |
$402.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$444.00 |
$444.00 |
$444.00 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$597.50 |
$597.50 |
$597.50 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$296.50 |
$296.50 |
$296.50 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$975.00 |
$975.00 |
$975.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,120.50 |
$1,120.50 |
$1,120.50 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$268.50 |
$268.50 |
$268.50 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$451.00 |
$451.00 |
$451.00 |
$364.12
|
|
Xray endovasc thor ao repr
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$1,307.00 |
$1,307.00 |
$1,307.00 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$587.50 |
$587.50 |
$587.50 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$322.00 |
$322.00 |
$322.00 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$322.00 |
$322.00 |
$322.00 |
$517.80
|
|
X-ray exam of arm infant
|
$163.00 |
$163.00 |
$163.00 |
$248.44
|
|
X-ray exam of eye sockets
|
$533.50 |
$533.50 |
$533.50 |
$328.35
|
|
X-ray exam of femur 1
|
$380.00 |
$380.00 |
$380.00 |
$240.00
|
|
X-ray exam of jaw joint
|
$341.50 |
$341.50 |
$341.50 |
$188.40
|
|
X-ray exam of mastoids
|
$140.00 |
$140.00 |
$140.00 |
$193.41
|
|
X-ray exam of sinuses
|
$476.50 |
$476.50 |
$476.50 |
$214.50
|
|
X-ray exam of tear duct
|
$367.50 |
$367.50 |
$367.50 |
$467.50
|
|
X-ray exam of teeth
|
$74.00 |
$74.00 |
$74.00 |
$119.66
|
|
X-ray exam of teeth
|
$165.50 |
$165.50 |
$165.50 |
$328.08
|
|
X-ray exam si joints
|
$244.50 |
$244.50 |
$244.50 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$588.50 |
$588.50 |
$588.50 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$181.50 |
$181.50 |
$181.50 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$534.00 |
$534.00 |
$534.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$334.00 |
$334.00 |
$334.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$202.00 |
$202.00 |
$202.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$296.00 |
$296.00 |
$296.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$329.50 |
$329.50 |
$329.50 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$244.00 |
$244.00 |
$244.00 |
$291.20
|
|
X-ray head for orthodontia
|
$158.50 |
$158.50 |
$158.50 |
$158.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$340.50 |
$340.50 |
$340.50 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$352.00 |
$352.00 |
$352.00 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$357.50 |
$357.50 |
$357.50 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$417.50 |
$417.50 |
$417.50 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$219.50 |
$219.50 |
$219.50 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$337.00 |
$337.00 |
$337.00 |
$309.31
|
|
X-ray joint survey 1 view
|
$386.50 |
$386.50 |
$386.50 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$262.00 |
$262.00 |
$262.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$335.00 |
$335.00 |
$335.00 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$216.00 |
$216.00 |
$216.00 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$238.50 |
$238.50 |
$238.50 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$570.50 |
$570.50 |
$570.50 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$528.00 |
$528.00 |
$528.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$779.50 |
$779.50 |
$779.50 |
$535.91
|
|
X-ray male genital tract
|
$603.50 |
$603.50 |
$603.50 |
$603.50
|
|
X-ray mandible complete > 4 views
|
$411.00 |
$411.00 |
$411.00 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$193.50 |
$193.50 |
$193.50 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$298.00 |
$298.00 |
$298.00 |
$274.65
|
|
X-ray neck soft tissue
|
$438.50 |
$438.50 |
$438.50 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$165.50 |
$165.50 |
$165.50 |
$225.60
|
|
X-ray of mammary ducts
|
$715.00 |
$715.00 |
$715.00 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$328.00 |
$328.00 |
$328.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$434.00 |
$434.00 |
$434.00 |
$348.19
|
|
Xray place dist ext thor ao
|
$868.00 |
$868.00 |
$868.00 |
$1,194.70
|
|
Xray place prox ext thor ao
|
$820.00 |
$820.00 |
$820.00 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$965.00 |
$965.00 |
$965.00 |
$755.50
|
|
X-ray ribs 2 views left
|
$336.50 |
$336.50 |
$336.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$612.50 |
$612.50 |
$612.50 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$446.50 |
$446.50 |
$446.50 |
$356.20
|
