|
Warde pancreatic elastase fecal quantitative
|
$100.10 |
$100.10 |
$100.10 |
$94.25
|
|
Warde protein c antigen
|
$33.00 |
$33.00 |
$33.00 |
$88.80
|
|
Warde sex hormone binding globulin
|
$26.95 |
$26.95 |
$26.95 |
$86.59
|
|
Warde somatomedin
|
$26.40 |
$26.40 |
$26.40 |
$111.80
|
|
Warde sugars single qualitative each specimen stool
|
$75.90 |
$75.90 |
$75.90 |
$35.75
|
|
Warde t3 (triiodothyronine) reverse
|
$31.90 |
$31.90 |
$31.90 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$90.20 |
$90.20 |
$90.20 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$76.45 |
$76.45 |
$76.45 |
$71.19
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$129.80 |
$129.80 |
$129.80 |
$127.20
|
|
Warde viscosity
|
$13.75 |
$13.75 |
$13.75 |
$52.65
|
|
Warde vitamin a
|
$14.85 |
$14.85 |
$14.85 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$31.90 |
$31.90 |
$31.90 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$15.95 |
$15.95 |
$15.95 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$37.95 |
$37.95 |
$37.95 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$81.95 |
$81.95 |
$81.95 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$15.95 |
$15.95 |
$15.95 |
$55.00
|
|
Warde zinc
|
$78.10 |
$78.10 |
$78.10 |
$62.50
|
|
Wbc automated
|
$40.15 |
$40.15 |
$40.15 |
$32.80
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$734.25 |
$734.25 |
$734.25 |
$740.15
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$487.30 |
$487.30 |
$487.30 |
$495.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$205.70 |
$205.70 |
$205.70 |
$558.97
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$205.70 |
$205.70 |
$205.70 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$268.40 |
$268.40 |
$268.40 |
$436.15
|
|
Wrist X-ray
|
$298.10 |
$298.10 |
$298.10 |
$343.70
|
|
X-ray abdomen 1 view
|
$334.95 |
$334.95 |
$334.95 |
$255.00
|
|
X-ray abdomen 2 views
|
$346.50 |
$346.50 |
$346.50 |
$312.36
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$424.05 |
$424.05 |
$424.05 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$355.85 |
$355.85 |
$355.85 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$244.75 |
$244.75 |
$244.75 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$609.40 |
$609.40 |
$609.40 |
$768.30
|
|
X-ray bone age studies
|
$1,195.15 |
$1,195.15 |
$1,195.15 |
$246.75
|
|
X-ray bone length studies
|
$1,793.00 |
$1,793.00 |
$1,793.00 |
$287.25
|
|
X-ray bone survey complete
|
$641.30 |
$641.30 |
$641.30 |
$666.60
|
|
X-ray bone survey infant
|
$470.25 |
$470.25 |
$470.25 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$326.70 |
$326.70 |
$326.70 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$360.25 |
$360.25 |
$360.25 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$668.80 |
$668.80 |
$668.80 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$209.55 |
$209.55 |
$209.55 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$561.55 |
$561.55 |
$561.55 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$874.50 |
$874.50 |
$874.50 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$207.35 |
$207.35 |
$207.35 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$282.15 |
$282.15 |
$282.15 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$369.05 |
$369.05 |
$369.05 |
$486.24
|
|
X-ray exam of arm infant
|
$264.00 |
$264.00 |
$264.00 |
$248.82
|
|
X-ray exam of femur 1
|
$149.05 |
$149.05 |
$149.05 |
$232.36
|
|
X-ray exam of sinuses
|
$106.70 |
$106.70 |
$106.70 |
$211.00
|
|
X-ray eye detection foreign body (both sides)
|
$128.70 |
$128.70 |
$128.70 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$352.00 |
$352.00 |
$352.00 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$289.85 |
$289.85 |
$289.85 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$264.00 |
$264.00 |
$264.00 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$257.95 |
$257.95 |
$257.95 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$248.60 |
$248.60 |
$248.60 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$244.75 |
$244.75 |
$244.75 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$196.90 |
$196.90 |
$196.90 |
$270.00
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$283.80 |
$283.80 |
$283.80 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$300.85 |
$300.85 |
$300.85 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$357.50 |
$357.50 |
$357.50 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$283.80 |
$283.80 |
$283.80 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$190.85 |
$190.85 |
$190.85 |
$304.15
|
|
X-ray joint survey 1 view
|
$259.05 |
$259.05 |
$259.05 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$234.85 |
$234.85 |
$234.85 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$242.55 |
$242.55 |
$242.55 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$262.35 |
$262.35 |
$262.35 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$128.70 |
$128.70 |
$128.70 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$335.50 |
$335.50 |
$335.50 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$609.95 |
$609.95 |
$609.95 |
$505.83
|
|
X-ray mandible complete > 4 views
|
$347.05 |
$347.05 |
$347.05 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$278.30 |
$278.30 |
$278.30 |
$277.70
|
|
X-ray neck soft tissue
|
$239.80 |
$239.80 |
$239.80 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$316.25 |
$316.25 |
$316.25 |
$225.96
|
|
X-ray of mammary ducts
|
$634.15 |
$634.15 |
$634.15 |
$473.55
|
|
X-ray pelvis 1-2 views
|
$294.25 |
$294.25 |
$294.25 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$311.85 |
$311.85 |
$311.85 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$467.50 |
$467.50 |
$467.50 |
$742.00
|
|
X-ray ribs 2 views left
|
$338.25 |
$338.25 |
$338.25 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$441.10 |
$441.10 |
$441.10 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$406.45 |
$406.45 |
$406.45 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$627.00 |
$627.00 |
$627.00 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$272.25 |
$272.25 |
$272.25 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$284.35 |
$284.35 |
$284.35 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$301.40 |
$301.40 |
$301.40 |
$292.50
|
|
X-ray shoulder 1 view (both sides)
|
$135.30 |
$135.30 |
$135.30 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$411.95 |
$411.95 |
$411.95 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$430.65 |
$430.65 |
$430.65 |
$601.30
|
|
X-ray skull < 4 views
|
$272.25 |
$272.25 |
$272.25 |
$291.78
|
|
X-ray skull > 4 views complete
|
$474.10 |
$474.10 |
$474.10 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$584.10 |
$584.10 |
$584.10 |
$557.70
|
|
X-ray small intestine follow-through study
|
$583.55 |
$583.55 |
$583.55 |
$504.14
|
|
X-ray spine single view
|
$295.90 |
$295.90 |
$295.90 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$237.60 |
$237.60 |
$237.60 |
$263.49
|
|
X-ray sternum > 2 views
|
$268.40 |
$268.40 |
$268.40 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$385.55 |
$385.55 |
$385.55 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$546.70 |
$546.70 |
$546.70 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$288.20 |
$288.20 |
$288.20 |
$318.50
|
|
X-ray thoracolumbar spine >=2 views
|
$271.70 |
$271.70 |
$271.70 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$955.35 |
$955.35 |
$955.35 |
$385.80
|
|
X-ray tibia/fibula 2 views (both sides)
|
$287.10 |
$287.10 |
$287.10 |
$328.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$167.75 |
$167.75 |
$167.75 |
$264.00
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$716.65 |
$716.65 |
$716.65 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$572.55 |
$572.55 |
$572.55 |
$555.04
|