|
Warde islet cell antibody zinc transporter 8
|
$232.20 |
$232.20 |
$232.20 |
$141.05
|
|
Warde lipoprotein (a)
|
$108.60 |
$108.60 |
$108.60 |
$67.00
|
|
Warde mitochondrial antibody each
|
$15.00 |
$15.00 |
$15.00 |
$59.28
|
|
Warde oxcarbazepine therapeutic drug level
|
$334.20 |
$334.20 |
$334.20 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$219.00 |
$219.00 |
$219.00 |
$94.25
|
|
Warde protein c antigen
|
$196.20 |
$196.20 |
$196.20 |
$93.43
|
|
Warde sex hormone binding globulin
|
$100.80 |
$100.80 |
$100.80 |
$82.08
|
|
Warde somatomedin
|
$164.40 |
$164.40 |
$164.40 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$197.40 |
$197.40 |
$197.40 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$382.20 |
$382.20 |
$382.20 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$163.20 |
$163.20 |
$163.20 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$67.20 |
$67.20 |
$67.20 |
$129.54
|
|
Warde vitamin a
|
$67.20 |
$67.20 |
$67.20 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$265.80 |
$265.80 |
$265.80 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$207.00 |
$207.00 |
$207.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$121.20 |
$121.20 |
$121.20 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$156.00 |
$156.00 |
$156.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$87.00 |
$87.00 |
$87.00 |
$59.25
|
|
Warde zinc
|
$156.00 |
$156.00 |
$156.00 |
$62.50
|
|
Wbc automated
|
$58.20 |
$58.20 |
$58.20 |
$32.35
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$406.20 |
$406.20 |
$406.20 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$108.00 |
$108.00 |
$108.00 |
$284.70
|
|
Wrist X-ray
|
$540.60 |
$540.60 |
$540.60 |
$342.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,081.80 |
$1,081.80 |
$1,081.80 |
$2,692.80
|
|
X-ray abdomen 1 view
|
$243.00 |
$243.00 |
$243.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$320.40 |
$320.40 |
$320.40 |
$316.47
|
|
X-ray abdomen >=3 views
|
$332.40 |
$332.40 |
$332.40 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$556.20 |
$556.20 |
$556.20 |
$418.63
|
|
X-ray ankle 2 views (both sides)
|
$444.60 |
$444.60 |
$444.60 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$411.60 |
$411.60 |
$411.60 |
$773.40
|
|
X-ray bone age studies
|
$243.00 |
$243.00 |
$243.00 |
$251.40
|
|
X-ray bone length studies
|
$327.60 |
$327.60 |
$327.60 |
$285.30
|
|
X-ray bone survey complete
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$660.00
|
|
X-ray cervical spine 2-3 views
|
$273.60 |
$273.60 |
$273.60 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$355.80 |
$355.80 |
$355.80 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$477.60 |
$477.60 |
$477.60 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$486.60 |
$486.60 |
$486.60 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$877.80 |
$877.80 |
$877.80 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$954.00 |
$954.00 |
$954.00 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$208.80 |
$208.80 |
$208.80 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$545.40 |
$545.40 |
$545.40 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$574.20 |
$574.20 |
$574.20 |
$483.50
|
|
X-ray exam of eye sockets
|
$404.40 |
$404.40 |
$404.40 |
$328.35
|
|
X-ray exam of femur 1
|
$240.00 |
$240.00 |
$240.00 |
$240.00
|
|
X-ray exam of jaw joint
|
$223.80 |
$223.80 |
$223.80 |
$188.40
|
|
X-ray exam of sinuses
|
$243.00 |
$243.00 |
$243.00 |
$214.50
|
|
X-ray exam si joints
|
$161.40 |
$161.40 |
$161.40 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$464.40 |
$464.40 |
$464.40 |
$387.40
|
|
X-ray facial bones complete > 3 views
|
$355.20 |
$355.20 |
$355.20 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$486.60 |
$486.60 |
$486.60 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$394.20 |
$394.20 |
$394.20 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$441.60 |
$441.60 |
$441.60 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$463.80 |
$463.80 |
$463.80 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$404.40 |
$404.40 |
$404.40 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$463.80 |
$463.80 |
$463.80 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$250.20 |
$250.20 |
$250.20 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$475.20 |
$475.20 |
$475.20 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$469.80 |
$469.80 |
$469.80 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$34.80 |
$34.80 |
$34.80 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$235.20 |
$235.20 |
$235.20 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$486.60 |
$486.60 |
$486.60 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$458.40 |
$458.40 |
$458.40 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$511.80 |
$511.80 |
$511.80 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$418.20 |
$418.20 |
$418.20 |
$252.50
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$382.20 |
$382.20 |
$382.20 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$466.20 |
$466.20 |
$466.20 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$679.80 |
$679.80 |
$679.80 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$393.60 |
$393.60 |
$393.60 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$124.20 |
$124.20 |
$124.20 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$243.00 |
$243.00 |
$243.00 |
$274.65
|
|
X-ray neck soft tissue
|
$222.60 |
$222.60 |
$222.60 |
$237.43
|
|
X-ray pelvis 1-2 views
|
$243.00 |
$243.00 |
$243.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$320.40 |
$320.40 |
$320.40 |
$348.19
|
|
X-ray ribs 2 views left
|
$477.60 |
$477.60 |
$477.60 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$477.60 |
$477.60 |
$477.60 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$379.80 |
$379.80 |
$379.80 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$542.40 |
$542.40 |
$542.40 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$351.60 |
$351.60 |
$351.60 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$273.60 |
$273.60 |
$273.60 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$486.60 |
$486.60 |
$486.60 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$418.20 |
$418.20 |
$418.20 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$393.00 |
$393.00 |
$393.00 |
$345.60
|
|
X-ray skull < 4 views
|
$243.00 |
$243.00 |
$243.00 |
$292.50
|
|
X-ray skull > 4 views complete
|
$393.60 |
$393.60 |
$393.60 |
$417.50
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$466.20 |
$466.20 |
$466.20 |
$557.70
|
|
X-ray small intestine follow-through study
|
$141.60 |
$141.60 |
$141.60 |
$499.50
|
|
X-ray spine single view
|
$243.00 |
$243.00 |
$243.00 |
$251.00
|
|
X-ray sternum > 2 views
|
$243.00 |
$243.00 |
$243.00 |
$274.65
|
|
X-ray surgical specimen
|
$702.00 |
$702.00 |
$702.00 |
$504.00
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$579.60 |
$579.60 |
$579.60 |
$523.25
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$393.60 |
$393.60 |
$393.60 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$328.80 |
$328.80 |
$328.80 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$370.80 |
$370.80 |
$370.80 |
$381.60
|
|
X-ray thoracolumbar spine >=2 views
|
$108.00 |
$108.00 |
$108.00 |
$282.50
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$487.80 |
$487.80 |
$487.80 |
$352.95
|
|
X-ray tibia/fibula 2 views (both sides)
|
$501.60 |
$501.60 |
$501.60 |
$332.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$183.00 |
$183.00 |
$183.00 |
$258.50
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$603.20
|
|
X-ray wrist 2 views (both sides)
|
$441.60 |
$441.60 |
$441.60 |
$290.40
|
