|
Warde immunofixation electrophoresis urine
|
$150.50 |
$150.50 |
$150.50 |
$161.28
|
|
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn
|
$59.00 |
$59.00 |
$59.00 |
$57.50
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$1,299.50 |
$1,299.50 |
$1,299.50 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$144.00 |
$144.00 |
$144.00 |
$141.05
|
|
Warde lipoprotein (a)
|
$67.00 |
$67.00 |
$67.00 |
$67.00
|
|
Warde mitochondrial antibody each
|
$78.00 |
$78.00 |
$78.00 |
$59.28
|
|
Warde neutralization rabies
|
$72.50 |
$72.50 |
$72.50 |
$106.50
|
|
Warde oxcarbazepine therapeutic drug level
|
$107.50 |
$107.50 |
$107.50 |
$64.35
|
|
Warde pancreatic elastase fecal quantitative
|
$128.50 |
$128.50 |
$128.50 |
$94.25
|
|
Warde protein c antigen
|
$76.00 |
$76.00 |
$76.00 |
$93.43
|
|
Warde sex hormone binding globulin
|
$117.50 |
$117.50 |
$117.50 |
$82.08
|
|
Warde somatomedin
|
$109.50 |
$109.50 |
$109.50 |
$113.58
|
|
Warde t3 (triiodothyronine) reverse
|
$86.50 |
$86.50 |
$86.50 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$344.00 |
$344.00 |
$344.00 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$71.00 |
$71.00 |
$71.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$37.00 |
$37.00 |
$37.00 |
$129.54
|
|
Warde viscosity
|
$61.50 |
$61.50 |
$61.50 |
$49.47
|
|
Warde vitamin a
|
$111.50 |
$111.50 |
$111.50 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$133.00 |
$133.00 |
$133.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$144.50 |
$144.50 |
$144.50 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$57.50 |
$57.50 |
$57.50 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$243.50 |
$243.50 |
$243.50 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$72.00 |
$72.00 |
$72.00 |
$59.25
|
|
Warde zinc
|
$60.00 |
$60.00 |
$60.00 |
$62.50
|
|
Whole blood for transfusion
|
$609.50 |
$609.50 |
$609.50 |
$497.00
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$37.50 |
$37.50 |
$37.50 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$445.50 |
$445.50 |
$445.50 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$449.50 |
$449.50 |
$449.50 |
$438.75
|
|
Wrist X-ray
|
$193.00 |
$193.00 |
$193.00 |
$342.80
|
|
X-ray abdomen 1 view
|
$211.00 |
$211.00 |
$211.00 |
$258.50
|
|
X-ray abdomen 2 views
|
$289.00 |
$289.00 |
$289.00 |
$316.47
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$310.00 |
$310.00 |
$310.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$183.50 |
$183.50 |
$183.50 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$386.50 |
$386.50 |
$386.50 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$773.40
|
|
X-ray bone age studies
|
$289.00 |
$289.00 |
$289.00 |
$251.40
|
|
X-ray bone length studies
|
$177.50 |
$177.50 |
$177.50 |
$285.30
|
|
X-ray bone survey complete
|
$269.00 |
$269.00 |
$269.00 |
$660.00
|
|
X-ray bone survey infant
|
$322.50 |
$322.50 |
$322.50 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$201.00 |
$201.00 |
$201.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$288.00 |
$288.00 |
$288.00 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$289.00 |
$289.00 |
$289.00 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$201.00 |
$201.00 |
$201.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$625.00 |
$625.00 |
$625.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$581.50 |
$581.50 |
$581.50 |
$820.15
|
|
X-ray consultation
|
$42.50 |
$42.50 |
$42.50 |
$40.88
|
|
X-ray elbow 2 views (both sides)
|
$359.50 |
$359.50 |
$359.50 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$367.00 |
$367.00 |
$367.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$625.00 |
$625.00 |
$625.00 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$267.00 |
$267.00 |
$267.00 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$289.00 |
$289.00 |
$289.00 |
$517.80
|
|
X-ray exam of arm infant
|
$494.00 |
$494.00 |
$494.00 |
$248.44
|
|
X-ray exam of eye sockets
|
$269.00 |
$269.00 |
$269.00 |
$328.35
|
|
X-ray exam of femur 1
|
$168.00 |
$168.00 |
$168.00 |
$240.00
|
|
X-ray exam of sinuses
|
$201.00 |
$201.00 |
$201.00 |
$214.50
|
|
X-ray exam si joints
|
$267.00 |
$267.00 |
$267.00 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$307.00 |
$307.00 |
$307.00 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$197.50 |
$197.50 |
$197.50 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$284.00 |
$284.00 |
$284.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$374.00 |
$374.00 |
$374.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$374.00 |
$374.00 |
$374.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$359.50 |
$359.50 |
$359.50 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$359.50 |
$359.50 |
$359.50 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$528.00 |
$528.00 |
$528.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$374.00 |
$374.00 |
$374.00 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$264.00 |
$264.00 |
$264.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$284.00 |
$284.00 |
$284.00 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$322.50 |
$322.50 |
$322.50 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$284.00 |
$284.00 |
$284.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$171.50 |
$171.50 |
$171.50 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$201.00 |
$201.00 |
$201.00 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$374.00 |
$374.00 |
$374.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$377.00 |
$377.00 |
$377.00 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$197.50 |
$197.50 |
$197.50 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$367.00 |
$367.00 |
$367.00 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$289.00 |
$289.00 |
$289.00 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$281.50 |
$281.50 |
$281.50 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$269.00 |
$269.00 |
$269.00 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$289.00 |
$289.00 |
$289.00 |
$361.61
|
|
X-ray nasal bones complete > 3 views
|
$201.00 |
$201.00 |
$201.00 |
$274.65
|
|
X-ray neck soft tissue
|
$201.00 |
$201.00 |
$201.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$234.00 |
$234.00 |
$234.00 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$289.00 |
$289.00 |
$289.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$289.00 |
$289.00 |
$289.00 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,186.50 |
$1,186.50 |
$1,186.50 |
$755.50
|
|
X-ray ribs 2 views left
|
$197.50 |
$197.50 |
$197.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$322.50 |
$322.50 |
$322.50 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$284.00 |
$284.00 |
$284.00 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$289.00 |
$289.00 |
$289.00 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$289.00 |
$289.00 |
$289.00 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$281.50 |
$281.50 |
$281.50 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$284.00 |
$284.00 |
$284.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$197.50 |
$197.50 |
$197.50 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$180.50 |
$180.50 |
$180.50 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$628.00 |
$628.00 |
$628.00 |
$606.89
|
|
X-ray skull < 4 views
|
$289.00 |
$289.00 |
$289.00 |
$292.50
|
|
X-ray skull > 4 views complete
|
$289.00 |
$289.00 |
$289.00 |
$417.50
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$434.50 |
$434.50 |
$434.50 |
$557.70
|
|
X-ray small intestine follow-through study
|
$625.00 |
$625.00 |
$625.00 |
$499.50
|
|
X-ray spine single view
|
$201.00 |
$201.00 |
$201.00 |
$251.00
|
