|
Warde hepatitis be antibody
|
$742.00 |
$742.00 |
$742.00 |
$50.00
|
|
Warde hepatitis delta agent antibody
|
$584.00 |
$584.00 |
$584.00 |
$92.30
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$698.00 |
$698.00 |
$698.00 |
$48.75
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$636.09
|
|
Warde lipoprotein (a)
|
$852.00 |
$852.00 |
$852.00 |
$69.96
|
|
Warde lipoprotein-associated phospholipase a2
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$97.00
|
|
Warde oxcarbazepine therapeutic drug level
|
$519.00 |
$519.00 |
$519.00 |
$64.50
|
|
Warde pancreatic elastase fecal quantitative
|
$1,663.00 |
$1,663.00 |
$1,663.00 |
$94.25
|
|
Warde protein c antigen
|
$357.00 |
$357.00 |
$357.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$294.00 |
$294.00 |
$294.00 |
$86.59
|
|
Warde somatomedin
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$111.80
|
|
Warde t3 (triiodothyronine) reverse
|
$273.00 |
$273.00 |
$273.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$933.00 |
$933.00 |
$933.00 |
$71.19
|
|
Warde viscosity
|
$221.00 |
$221.00 |
$221.00 |
$52.65
|
|
Warde vitamin a
|
$351.00 |
$351.00 |
$351.00 |
$59.66
|
|
Warde vitamin b6 (pyridoxine)
|
$387.00 |
$387.00 |
$387.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$139.00 |
$139.00 |
$139.00 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$889.00 |
$889.00 |
$889.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$462.00 |
$462.00 |
$462.00 |
$55.00
|
|
Warde zinc
|
$289.00 |
$289.00 |
$289.00 |
$62.50
|
|
Whole mitochondrial genome
|
$9,280.00 |
$9,280.00 |
$9,280.00 |
$1,776.06
|
|
Whole mitochondrial genome
|
$6,750.00 |
$6,750.00 |
$6,750.00 |
$1,524.90
|
|
X-ray abdomen 1 view
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$255.00
|
|
X-ray abdomen 2 views
|
$990.00 |
$990.00 |
$990.00 |
$312.36
|
|
X-ray abdomen >=3 views
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$1,784.00 |
$1,784.00 |
$1,784.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$271.44
|
|
X-ray bone age studies
|
$395.00 |
$395.00 |
$395.00 |
$246.75
|
|
X-ray bone survey complete
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$666.60
|
|
X-ray bone survey infant
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$2,043.00 |
$2,043.00 |
$2,043.00 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$2,717.00 |
$2,717.00 |
$2,717.00 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$3,508.00 |
$3,508.00 |
$3,508.00 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$486.24
|
|
X-ray exam entire spi 6/> vw
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$575.76
|
|
X-ray exam of eye sockets
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$349.05
|
|
X-ray exam of mastoids
|
$1,419.00 |
$1,419.00 |
$1,419.00 |
$191.91
|
|
X-ray exam thorac spine4/>vw
|
$2,449.00 |
$2,449.00 |
$2,449.00 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$1,527.00 |
$1,527.00 |
$1,527.00 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$645.00 |
$645.00 |
$645.00 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$645.00 |
$645.00 |
$645.00 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$508.00
|
|
X-ray lumbosacral spine >= 4 views
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$1,610.00 |
$1,610.00 |
$1,610.00 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$277.70
|
|
X-ray neck soft tissue
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$237.43
|
|
X-ray pelvis 1-2 views
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$270.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$2,606.00 |
$2,606.00 |
$2,606.00 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$339.00
|
|
X-ray skull < 4 views
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$291.78
|
|
X-ray skull > 4 views complete
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$557.70
|
|
X-ray small intestine follow-through study
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$504.14
|
|
X-ray spine single view
|
$958.00 |
$958.00 |
$958.00 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$793.00 |
$793.00 |
$793.00 |
$263.49
|
|
X-ray sternum > 2 views
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$645.00 |
$645.00 |
$645.00 |
$385.80
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$555.04
|
|
Yttrium y-90 ibritumomab ther
|
$215,923.00 |
$215,923.00 |
$215,923.00 |
$55,035.00
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$392.00 |
$392.00 |
$392.00 |
$106.94
|
|
Zika virus dna/rna amp probe
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$175.00
|
|
Zika virus igm antibody
|
$132.00 |
$132.00 |
$132.00 |
$75.40
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$121.56
|
