|
Warde sugars single qualitative each specimen stool
|
$11.14 |
$11.14 |
$11.14 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$134.60 |
$134.60 |
$134.60 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$220.07 |
$220.07 |
$220.07 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$83.41 |
$83.41 |
$83.41 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$143.91 |
$143.91 |
$143.91 |
$129.54
|
|
Warde viscosity
|
$86.17 |
$86.17 |
$86.17 |
$49.47
|
|
Warde vitamin a
|
$60.37 |
$60.37 |
$60.37 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$82.04 |
$82.04 |
$82.04 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$145.62 |
$145.62 |
$145.62 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$38.11 |
$38.11 |
$38.11 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$96.42 |
$96.42 |
$96.42 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$68.53 |
$68.53 |
$68.53 |
$59.25
|
|
Warde zinc
|
$48.13 |
$48.13 |
$48.13 |
$62.50
|
|
Wbc automated
|
$17.95 |
$17.95 |
$17.95 |
$32.35
|
|
Western blot test
|
$113.07 |
$113.07 |
$113.07 |
$150.00
|
|
Whfo nontorsion joint prefab
|
$154.37 |
$154.37 |
$154.37 |
$224.01
|
|
Whole body photography
|
$104.72 |
$104.72 |
$104.72 |
$178.08
|
|
Wilate injection
|
$8,947.09 |
$8,947.09 |
$8,947.09 |
$4.58
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$356.49 |
$356.49 |
$356.49 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$438.48 |
$438.48 |
$438.48 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$184.67 |
$184.67 |
$184.67 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$184.67 |
$184.67 |
$184.67 |
$438.75
|
|
Xpos opn fmrl eprst aor uni add-on
|
$1,526.56 |
$1,526.56 |
$1,526.56 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$213.12 |
$213.12 |
$213.12 |
$258.50
|
|
X-ray abdomen 2 views
|
$269.62 |
$269.62 |
$269.62 |
$316.47
|
|
X-ray abdomen >=3 views
|
$304.76 |
$304.76 |
$304.76 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$334.60 |
$334.60 |
$334.60 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$241.00 |
$241.00 |
$241.00 |
$270.20
|
|
X-ray bone age studies
|
$205.45 |
$205.45 |
$205.45 |
$251.40
|
|
X-ray bone length studies
|
$252.55 |
$252.55 |
$252.55 |
$285.30
|
|
X-ray bone survey complete
|
$437.63 |
$437.63 |
$437.63 |
$660.00
|
|
X-ray bone survey infant
|
$244.35 |
$244.35 |
$244.35 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$271.24 |
$271.24 |
$271.24 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$381.99 |
$381.99 |
$381.99 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$424.94 |
$424.94 |
$424.94 |
$508.50
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$465.94 |
$465.94 |
$465.94 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$566.89 |
$566.89 |
$566.89 |
$820.15
|
|
Xray endovasc thor ao repr
|
$1,489.70 |
$1,489.70 |
$1,489.70 |
$1,622.18
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$561.88 |
$561.88 |
$561.88 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$1,066.38 |
$1,066.38 |
$1,066.38 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$517.80
|
|
X-ray exam of eye sockets
|
$264.08 |
$264.08 |
$264.08 |
$328.35
|
|
X-ray exam of mastoids
|
$186.81 |
$186.81 |
$186.81 |
$193.41
|
|
X-ray exam of penis
|
$332.20 |
$332.20 |
$332.20 |
$593.46
|
|
X-ray exam of perineum
|
$329.88 |
$329.88 |
$329.88 |
$577.85
|
|
X-ray exam of salivary gland
|
$137.98 |
$137.98 |
$137.98 |
$162.60
|
|
X-ray exam of sinuses
|
$198.05 |
$198.05 |
$198.05 |
$214.50
|
|
X-ray exam si joints
|
$165.05 |
$165.05 |
$165.05 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$312.56 |
$312.56 |
$312.56 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$174.90 |
$174.90 |
$174.90 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$248.67 |
$248.67 |
$248.67 |
$381.75
|
|
X-ray fallopian tube
|
$366.88 |
$366.88 |
$366.88 |
$532.38
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$210.61 |
$210.61 |
$210.61 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$234.37 |
$234.37 |
$234.37 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$258.12 |
$258.12 |
$258.12 |
$505.60
|
|
X-ray joint survey 1 view
|
$167.11 |
$167.11 |
$167.11 |
$232.00
|
|
X-ray knee ap standing bilateral
|
$193.58 |
$193.58 |
$193.58 |
$252.50
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$300.62 |
$300.62 |
$300.62 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$334.53 |
$334.53 |
$334.53 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$409.12 |
$409.12 |
$409.12 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$283.90 |
$283.90 |
$283.90 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$176.02 |
$176.02 |
$176.02 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$234.36 |
$234.36 |
$234.36 |
$274.65
|
|
X-ray neck soft tissue
|
$176.34 |
$176.34 |
$176.34 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$164.47 |
$164.47 |
$164.47 |
$225.60
|
|
X-ray of mammary ducts
|
$483.64 |
$483.64 |
$483.64 |
$568.26
|
|
X-ray optic foramina
|
$116.64 |
$116.64 |
$116.64 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$252.34 |
$252.34 |
$252.34 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$285.14 |
$285.14 |
$285.14 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$696.37 |
$696.37 |
$696.37 |
$755.50
|
|
X-ray ribs 3 views bilateral
|
$242.87 |
$242.87 |
$242.87 |
$395.76
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$305.98 |
$305.98 |
$305.98 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$247.57 |
$247.57 |
$247.57 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$220.75 |
$220.75 |
$220.75 |
$288.80
|
|
X-ray sella turcica
|
$90.00 |
$90.00 |
$90.00 |
$162.50
|
|
X-ray sinuses paranasal complete > 3 views
|
$237.65 |
$237.65 |
$237.65 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$345.28 |
$345.28 |
$345.28 |
$606.89
|
|
X-ray skull < 4 views
|
$250.04 |
$250.04 |
$250.04 |
$292.50
|
|
X-ray skull > 4 views complete
|
$352.13 |
$352.13 |
$352.13 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$340.29 |
$340.29 |
$340.29 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$638.06 |
$638.06 |
$638.06 |
$557.70
|
|
X-ray small intestine follow-through study
|
$507.37 |
$507.37 |
$507.37 |
$499.50
|
|
X-ray spine single view
|
$186.47 |
$186.47 |
$186.47 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$188.62 |
$188.62 |
$188.62 |
$264.48
|
|
X-ray sternum > 2 views
|
$198.55 |
$198.55 |
$198.55 |
$274.65
|
|
X-ray surgical specimen
|
$303.04 |
$303.04 |
$303.04 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$587.83 |
$587.83 |
$587.83 |
$523.25
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$259.68 |
$259.68 |
$259.68 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$248.39 |
$248.39 |
$248.39 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$283.58 |
$283.58 |
$283.58 |
$381.60
|
|
X-ray thoracolumbar spine >=2 views
|
$212.33 |
$212.33 |
$212.33 |
$282.50
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$675.12 |
$675.12 |
$675.12 |
$257.04
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$920.61 |
$920.61 |
$920.61 |
$352.95
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$553.10 |
$553.10 |
$553.10 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$637.44 |
$637.44 |
$637.44 |
$603.20
|
|
X-ray xm phrnx&/crv esoph c+
|
$513.70 |
$513.70 |
$513.70 |
$354.00
|
|
Xylose absorption test blood &/or urine
|
$57.82 |
$57.82 |
$57.82 |
$99.89
|
|
Xyntha inj
|
$2.56 |
$2.56 |
$2.56 |
$6.65
|
|
Yersinia antibody
|
$77.60 |
$77.60 |
$77.60 |
$55.80
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$1,449.56 |
$1,449.56 |
$1,449.56 |
$93.06
|