|
Warde sex hormone binding globulin
|
$91.50 |
$91.50 |
$91.50 |
$82.08
|
|
Warde somatomedin
|
$116.50 |
$116.50 |
$116.50 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$6.50 |
$6.50 |
$6.50 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$12.00 |
$12.00 |
$12.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$42.00 |
$42.00 |
$42.00 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$20.00 |
$20.00 |
$20.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$134.00 |
$134.00 |
$134.00 |
$129.54
|
|
Warde viscosity
|
$110.00 |
$110.00 |
$110.00 |
$49.47
|
|
Warde vitamin a
|
$10.00 |
$10.00 |
$10.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$12.00 |
$12.00 |
$12.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$11.00 |
$11.00 |
$11.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$7.00 |
$7.00 |
$7.00 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$14.00 |
$14.00 |
$14.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$50.50 |
$50.50 |
$50.50 |
$59.25
|
|
Warde zinc
|
$10.00 |
$10.00 |
$10.00 |
$62.50
|
|
Wbc automated
|
$53.50 |
$53.50 |
$53.50 |
$32.35
|
|
Western blot test
|
$297.00 |
$297.00 |
$297.00 |
$150.00
|
|
Whfo w/joint(s) custom fab
|
$513.00 |
$513.00 |
$513.00 |
$465.50
|
|
Whole blood for transfusion
|
$228.50 |
$228.50 |
$228.50 |
$497.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$739.00 |
$739.00 |
$739.00 |
$491.04
|
|
Wnd prep f/n/hf/g addl cm
|
$466.50 |
$466.50 |
$466.50 |
$811.00
|
|
Wound closure by adhesive
|
$50.00 |
$50.00 |
$50.00 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$701.00 |
$701.00 |
$701.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$577.00 |
$577.00 |
$577.00 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$387.50 |
$387.50 |
$387.50 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$777.00 |
$777.00 |
$777.00 |
$438.75
|
|
Wrist X-ray
|
$403.00 |
$403.00 |
$403.00 |
$342.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$3,035.34 |
$3,035.34 |
$3,035.34 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,837.09
|
|
Xpos opn fmrl eprst aor uni add-on
|
$167.00 |
$167.00 |
$167.00 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$194.50 |
$194.50 |
$194.50 |
$258.50
|
|
X-ray abdomen 2 views
|
$229.50 |
$229.50 |
$229.50 |
$316.47
|
|
X-ray abdomen >=3 views
|
$224.00 |
$224.00 |
$224.00 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$335.50 |
$335.50 |
$335.50 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$209.00 |
$209.00 |
$209.00 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$391.00 |
$391.00 |
$391.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,002.50 |
$1,002.50 |
$1,002.50 |
$773.40
|
|
X-ray bone age studies
|
$213.50 |
$213.50 |
$213.50 |
$251.40
|
|
X-ray bone length studies
|
$367.50 |
$367.50 |
$367.50 |
$285.30
|
|
X-ray bone survey complete
|
$367.50 |
$367.50 |
$367.50 |
$660.00
|
|
X-ray bone survey infant
|
$245.00 |
$245.00 |
$245.00 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$213.50 |
$213.50 |
$213.50 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$402.50 |
$402.50 |
$402.50 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$367.50 |
$367.50 |
$367.50 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$368.00 |
$368.00 |
$368.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$445.50 |
$445.50 |
$445.50 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$603.00 |
$603.00 |
$603.00 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$184.00 |
$184.00 |
$184.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$403.00 |
$403.00 |
$403.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$394.00 |
$394.00 |
$394.00 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$271.50 |
$271.50 |
$271.50 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$390.00 |
$390.00 |
$390.00 |
$517.80
|
|
X-ray exam of arm infant
|
$153.50 |
$153.50 |
$153.50 |
$248.44
|
|
X-ray exam of eye sockets
|
$241.50 |
$241.50 |
$241.50 |
$328.35
|
|
X-ray exam of femur 1
|
$194.00 |
$194.00 |
$194.00 |
$240.00
|
|
X-ray exam of jaw joint
|
$220.50 |
$220.50 |
$220.50 |
$188.40
|
|
X-ray exam of middle ear
|
$283.00 |
$283.00 |
$283.00 |
$345.66
|
|
X-ray exam of perineum
|
$537.00 |
$537.00 |
$537.00 |
$577.85
|
|
X-ray exam of sinuses
|
$213.50 |
$213.50 |
$213.50 |
$214.50
|
|
X-ray exam of tear duct
|
$460.00 |
$460.00 |
$460.00 |
$467.50
|
|
X-ray exam thorac spine4/>vw
|
$293.50 |
$293.50 |
$293.50 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$367.00 |
$367.00 |
$367.00 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$241.50 |
$241.50 |
$241.50 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$338.00 |
$338.00 |
$338.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$368.00 |
$368.00 |
$368.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$368.00 |
$368.00 |
$368.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$184.00 |
$184.00 |
$184.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$368.00 |
$368.00 |
$368.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$184.00 |
$184.00 |
$184.00 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$231.00 |
$231.00 |
$231.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$229.50 |
$229.50 |
$229.50 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$271.50 |
$271.50 |
$271.50 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$383.00 |
$383.00 |
$383.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$244.50 |
$244.50 |
$244.50 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$368.00 |
$368.00 |
$368.00 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$403.00 |
$403.00 |
$403.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$403.00 |
$403.00 |
$403.00 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$316.50 |
$316.50 |
$316.50 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$153.50 |
$153.50 |
$153.50 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$359.00 |
$359.00 |
$359.00 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$367.50 |
$367.50 |
$367.50 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$338.00 |
$338.00 |
$338.00 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$235.00 |
$235.00 |
$235.00 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$208.50 |
$208.50 |
$208.50 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$213.50 |
$213.50 |
$213.50 |
$274.65
|
|
X-ray neck soft tissue
|
$194.50 |
$194.50 |
$194.50 |
$237.43
|
|
X-ray of mammary ducts
|
$345.50 |
$345.50 |
$345.50 |
$568.26
|
|
X-ray optic foramina
|
$193.50 |
$193.50 |
$193.50 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$249.00 |
$249.00 |
$249.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$328.00 |
$328.00 |
$328.00 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$838.00 |
$838.00 |
$838.00 |
$755.50
|
|
X-ray ribs 2 views left
|
$220.50 |
$220.50 |
$220.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$329.00 |
$329.00 |
$329.00 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$247.00 |
$247.00 |
$247.00 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$367.50 |
$367.50 |
$367.50 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$213.50 |
$213.50 |
$213.50 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$213.50 |
$213.50 |
$213.50 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$368.00 |
$368.00 |
$368.00 |
$285.00
|
|
X-ray sella turcica
|
$130.50 |
$130.50 |
$130.50 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$220.50 |
$220.50 |
$220.50 |
$260.00
|
