|
Warde folic acid rbc
|
$24.00 |
$24.00 |
$24.00 |
$79.30
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$22.00 |
$22.00 |
$22.00 |
$43.55
|
|
Warde gastrin
|
$30.00 |
$30.00 |
$30.00 |
$73.60
|
|
Warde growth hormone (hgh)
|
$32.80 |
$32.80 |
$32.80 |
$77.55
|
|
Warde helminth antibody strongyloides igg
|
$42.40 |
$42.40 |
$42.40 |
$100.92
|
|
Warde hemoglobin fractionation/quantitation electrophoresis
|
$32.80 |
$32.80 |
$32.80 |
$80.16
|
|
Warde hepatitis a antibody
|
$75.60 |
$75.60 |
$75.60 |
$83.40
|
|
Warde hepatitis be antibody
|
$22.80 |
$22.80 |
$22.80 |
$52.20
|
|
Warde hepatitis delta agent antibody
|
$43.20 |
$43.20 |
$43.20 |
$97.20
|
|
Warde immunofixation electrophoresis urine
|
$69.20 |
$69.20 |
$69.20 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$22.80 |
$22.80 |
$22.80 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$156.00 |
$156.00 |
$156.00 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$63.20 |
$63.20 |
$63.20 |
$141.05
|
|
Warde lipoprotein (a)
|
$24.80 |
$24.80 |
$24.80 |
$67.00
|
|
Warde mitochondrial antibody each
|
$27.20 |
$27.20 |
$27.20 |
$59.28
|
|
Warde neutralization rabies
|
$27.20 |
$27.20 |
$27.20 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$15.60 |
$15.60 |
$15.60 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$28.40 |
$28.40 |
$28.40 |
$94.25
|
|
Warde protein c antigen
|
$34.40 |
$34.40 |
$34.40 |
$93.43
|
|
Warde sex hormone binding globulin
|
$45.60 |
$45.60 |
$45.60 |
$82.08
|
|
Warde somatomedin
|
$51.60 |
$51.60 |
$51.60 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$78.40 |
$78.40 |
$78.40 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$36.00 |
$36.00 |
$36.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$106.40 |
$106.40 |
$106.40 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$37.20 |
$37.20 |
$37.20 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$54.40 |
$54.40 |
$54.40 |
$129.54
|
|
Warde viscosity
|
$32.40 |
$32.40 |
$32.40 |
$49.47
|
|
Warde vitamin a
|
$34.00 |
$34.00 |
$34.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$50.80 |
$50.80 |
$50.80 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$34.40 |
$34.40 |
$34.40 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$39.60 |
$39.60 |
$39.60 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$38.80 |
$38.80 |
$38.80 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$29.60 |
$29.60 |
$29.60 |
$59.25
|
|
Warde zinc
|
$34.00 |
$34.00 |
$34.00 |
$62.50
|
|
Wbc automated
|
$15.20 |
$15.20 |
$15.20 |
$32.35
|
|
Whfo nontorsion joint prefab
|
$170.00 |
$170.00 |
$170.00 |
$224.01
|
|
Whole blood for transfusion
|
$504.00 |
$504.00 |
$504.00 |
$497.00
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$533.60 |
$533.60 |
$533.60 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$533.60 |
$533.60 |
$533.60 |
$491.04
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$461.60 |
$461.60 |
$461.60 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$461.60 |
$461.60 |
$461.60 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$228.80 |
$228.80 |
$228.80 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$440.00 |
$440.00 |
$440.00 |
$438.75
|
|
Wrist X-ray
|
$342.80 |
$342.80 |
$342.80 |
$342.80
|
|
Xm archive tissue molec anal
|
$71.20 |
$71.20 |
$71.20 |
$49.84
|
|
X-ray abdomen 1 view
|
$147.20 |
$147.20 |
$147.20 |
$258.50
|
|
X-ray abdomen 2 views
|
$282.80 |
$282.80 |
$282.80 |
$316.47
|
|
X-ray abdomen >=3 views
|
$282.80 |
$282.80 |
$282.80 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$282.80 |
$282.80 |
$282.80 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$161.20 |
$161.20 |
$161.20 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$253.20 |
$253.20 |
$253.20 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$548.00 |
$548.00 |
$548.00 |
$773.40
|
|
X-ray bone age studies
|
$138.40 |
$138.40 |
$138.40 |
$251.40
|
|
X-ray bone length studies
|
$244.40 |
$244.40 |
$244.40 |
$285.30
|
|
X-ray bone survey complete
|
$197.60 |
$197.60 |
$197.60 |
$660.00
|
|
X-ray bone survey infant
|
$138.40 |
$138.40 |
$138.40 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$460.80 |
$460.80 |
$460.80 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$626.80 |
$626.80 |
$626.80 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$774.00 |
$774.00 |
$774.00 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$225.20 |
$225.20 |
$225.20 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$371.20 |
$371.20 |
$371.20 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$519.60 |
$519.60 |
$519.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$197.20 |
$197.20 |
$197.20 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$346.00 |
$346.00 |
$346.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$384.00 |
$384.00 |
$384.00 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$297.60 |
$297.60 |
$297.60 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$297.60 |
$297.60 |
$297.60 |
$517.80
|
|
X-ray exam of arm infant
|
$146.40 |
$146.40 |
$146.40 |
$248.44
|
|
X-ray exam of eye sockets
|
$138.40 |
$138.40 |
$138.40 |
$328.35
|
|
X-ray exam of femur 1
|
$118.00 |
$118.00 |
$118.00 |
$240.00
|
|
X-ray exam of jaw joint
|
$402.00 |
$402.00 |
$402.00 |
$452.00
|
|
X-ray exam of mastoids
|
$138.40 |
$138.40 |
$138.40 |
$193.41
|
|
X-ray exam of sinuses
|
$117.20 |
$117.20 |
$117.20 |
$214.50
|
|
X-ray exam of teeth
|
$516.40 |
$516.40 |
$516.40 |
$328.08
|
|
X-ray exam si joints
|
$347.20 |
$347.20 |
$347.20 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$453.60 |
$453.60 |
$453.60 |
$387.40
|
|
X-ray facial bones complete > 3 views
|
$299.60 |
$299.60 |
$299.60 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$129.60 |
$129.60 |
$129.60 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$232.80 |
$232.80 |
$232.80 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$209.20 |
$209.20 |
$209.20 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$229.20 |
$229.20 |
$229.20 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$222.40 |
$222.40 |
$222.40 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$182.80 |
$182.80 |
$182.80 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$159.20 |
$159.20 |
$159.20 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$167.20 |
$167.20 |
$167.20 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$167.20 |
$167.20 |
$167.20 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$234.40 |
$234.40 |
$234.40 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$118.00 |
$118.00 |
$118.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$210.00 |
$210.00 |
$210.00 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$329.20 |
$329.20 |
$329.20 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$401.60 |
$401.60 |
$401.60 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$381.60 |
$381.60 |
$381.60 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$104.40 |
$104.40 |
$104.40 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$560.40 |
$560.40 |
$560.40 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$671.60 |
$671.60 |
$671.60 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$850.40 |
$850.40 |
$850.40 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$276.40 |
$276.40 |
$276.40 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$240.40 |
$240.40 |
$240.40 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$267.20 |
$267.20 |
$267.20 |
$274.65
|
|
X-ray neck soft tissue
|
$192.80 |
$192.80 |
$192.80 |
$237.43
|
