|
Warde sugars single qualitative each specimen stool
|
$11.50 |
$11.50 |
$11.50 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$138.88 |
$138.88 |
$138.88 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$227.07 |
$227.07 |
$227.07 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$86.06 |
$86.06 |
$86.06 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$148.49 |
$148.49 |
$148.49 |
$129.54
|
|
Warde viscosity
|
$88.91 |
$88.91 |
$88.91 |
$49.47
|
|
Warde vitamin a
|
$62.29 |
$62.29 |
$62.29 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$84.65 |
$84.65 |
$84.65 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$150.25 |
$150.25 |
$150.25 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$39.33 |
$39.33 |
$39.33 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$99.49 |
$99.49 |
$99.49 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$70.71 |
$70.71 |
$70.71 |
$59.25
|
|
Warde zinc
|
$49.66 |
$49.66 |
$49.66 |
$62.50
|
|
Wbc automated
|
$18.52 |
$18.52 |
$18.52 |
$32.35
|
|
Western blot test
|
$116.66 |
$116.66 |
$116.66 |
$150.00
|
|
Whfo nontorsion joint prefab
|
$159.28 |
$159.28 |
$159.28 |
$224.01
|
|
Whole body photography
|
$108.05 |
$108.05 |
$108.05 |
$178.08
|
|
Wilate injection
|
$9,231.68 |
$9,231.68 |
$9,231.68 |
$4.58
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$367.83 |
$367.83 |
$367.83 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$452.43 |
$452.43 |
$452.43 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$190.55 |
$190.55 |
$190.55 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$190.55 |
$190.55 |
$190.55 |
$438.75
|
|
Xpos opn fmrl eprst aor uni add-on
|
$1,575.12 |
$1,575.12 |
$1,575.12 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$219.90 |
$219.90 |
$219.90 |
$258.50
|
|
X-ray abdomen 2 views
|
$278.19 |
$278.19 |
$278.19 |
$316.47
|
|
X-ray abdomen >=3 views
|
$314.46 |
$314.46 |
$314.46 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$345.24 |
$345.24 |
$345.24 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$248.66 |
$248.66 |
$248.66 |
$270.20
|
|
X-ray bone age studies
|
$211.99 |
$211.99 |
$211.99 |
$251.40
|
|
X-ray bone length studies
|
$260.58 |
$260.58 |
$260.58 |
$285.30
|
|
X-ray bone survey complete
|
$451.55 |
$451.55 |
$451.55 |
$660.00
|
|
X-ray bone survey infant
|
$252.12 |
$252.12 |
$252.12 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$279.87 |
$279.87 |
$279.87 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$394.14 |
$394.14 |
$394.14 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$438.45 |
$438.45 |
$438.45 |
$508.50
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$480.76 |
$480.76 |
$480.76 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$584.92 |
$584.92 |
$584.92 |
$820.15
|
|
Xray endovasc thor ao repr
|
$1,537.08 |
$1,537.08 |
$1,537.08 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$579.76 |
$579.76 |
$579.76 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$1,100.30 |
$1,100.30 |
$1,100.30 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$1,179.46 |
$1,179.46 |
$1,179.46 |
$517.80
|
|
X-ray exam of eye sockets
|
$272.48 |
$272.48 |
$272.48 |
$328.35
|
|
X-ray exam of mastoids
|
$192.76 |
$192.76 |
$192.76 |
$193.41
|
|
X-ray exam of penis
|
$342.77 |
$342.77 |
$342.77 |
$593.46
|
|
X-ray exam of perineum
|
$340.38 |
$340.38 |
$340.38 |
$577.85
|
|
X-ray exam of salivary gland
|
$142.36 |
$142.36 |
$142.36 |
$162.60
|
|
X-ray exam of sinuses
|
$204.34 |
$204.34 |
$204.34 |
$214.50
|
|
X-ray exam si joints
|
$170.29 |
$170.29 |
$170.29 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$322.51 |
$322.51 |
$322.51 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$180.46 |
$180.46 |
$180.46 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$256.58 |
$256.58 |
$256.58 |
$381.75
|
|
X-ray fallopian tube
|
$378.55 |
$378.55 |
$378.55 |
$532.38
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$217.31 |
$217.31 |
$217.31 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$241.82 |
$241.82 |
$241.82 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$266.33 |
$266.33 |
$266.33 |
$505.60
|
|
X-ray joint survey 1 view
|
$172.43 |
$172.43 |
$172.43 |
$232.00
|
|
X-ray knee ap standing bilateral
|
$199.74 |
$199.74 |
$199.74 |
$252.50
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$310.18 |
$310.18 |
$310.18 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$345.17 |
$345.17 |
$345.17 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$422.13 |
$422.13 |
$422.13 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$292.93 |
$292.93 |
$292.93 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$181.61 |
$181.61 |
$181.61 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$241.81 |
$241.81 |
$241.81 |
$274.65
|
|
X-ray neck soft tissue
|
$181.95 |
$181.95 |
$181.95 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$169.70 |
$169.70 |
$169.70 |
$225.60
|
|
X-ray of mammary ducts
|
$499.02 |
$499.02 |
$499.02 |
$568.26
|
|
X-ray optic foramina
|
$120.35 |
$120.35 |
$120.35 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$260.36 |
$260.36 |
$260.36 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$294.21 |
$294.21 |
$294.21 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$718.52 |
$718.52 |
$718.52 |
$755.50
|
|
X-ray ribs 3 views bilateral
|
$250.60 |
$250.60 |
$250.60 |
$395.76
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$315.71 |
$315.71 |
$315.71 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$255.44 |
$255.44 |
$255.44 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$227.77 |
$227.77 |
$227.77 |
$288.80
|
|
X-ray sella turcica
|
$92.86 |
$92.86 |
$92.86 |
$162.50
|
|
X-ray sinuses paranasal complete > 3 views
|
$245.21 |
$245.21 |
$245.21 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$356.26 |
$356.26 |
$356.26 |
$606.89
|
|
X-ray skull < 4 views
|
$257.99 |
$257.99 |
$257.99 |
$292.50
|
|
X-ray skull > 4 views complete
|
$363.33 |
$363.33 |
$363.33 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$351.12 |
$351.12 |
$351.12 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$658.35 |
$658.35 |
$658.35 |
$557.70
|
|
X-ray small intestine follow-through study
|
$523.51 |
$523.51 |
$523.51 |
$499.50
|
|
X-ray spine single view
|
$192.40 |
$192.40 |
$192.40 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$194.62 |
$194.62 |
$194.62 |
$264.48
|
|
X-ray sternum > 2 views
|
$204.87 |
$204.87 |
$204.87 |
$274.65
|
|
X-ray surgical specimen
|
$312.68 |
$312.68 |
$312.68 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$606.53 |
$606.53 |
$606.53 |
$523.25
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$267.94 |
$267.94 |
$267.94 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$256.29 |
$256.29 |
$256.29 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$292.60 |
$292.60 |
$292.60 |
$381.60
|
|
X-ray thoracolumbar spine >=2 views
|
$219.09 |
$219.09 |
$219.09 |
$282.50
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$696.59 |
$696.59 |
$696.59 |
$257.04
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$949.90 |
$949.90 |
$949.90 |
$352.95
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$570.69 |
$570.69 |
$570.69 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$657.72 |
$657.72 |
$657.72 |
$603.20
|
|
X-ray xm phrnx&/crv esoph c+
|
$530.04 |
$530.04 |
$530.04 |
$354.00
|
|
Xylose absorption test blood &/or urine
|
$59.66 |
$59.66 |
$59.66 |
$99.89
|
|
Xyntha inj
|
$2.64 |
$2.64 |
$2.64 |
$6.65
|
|
Yersinia antibody
|
$80.07 |
$80.07 |
$80.07 |
$55.80
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$1,495.67 |
$1,495.67 |
$1,495.67 |
$93.06
|