|
Warde t3 (triiodothyronine) reverse
|
$54.12 |
$54.12 |
$70.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$220.00 |
$220.00 |
$233.64 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$77.88 |
$77.88 |
$105.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$178.86 |
$178.86 |
$178.86 |
$129.54
|
|
Warde viscosity
|
$75.00 |
$75.00 |
$89.10 |
$49.47
|
|
Warde vitamin a
|
$72.60 |
$72.60 |
$97.50 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$100.00 |
$100.00 |
$107.58 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$130.00 |
$130.00 |
$170.94 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$62.70 |
$62.70 |
$70.00 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$155.00 |
$155.00 |
$233.64 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$80.00 |
$80.00 |
$89.76 |
$59.25
|
|
Warde zinc
|
$62.70 |
$62.70 |
$77.50 |
$62.50
|
|
Wbc automated
|
$17.16 |
$17.16 |
$30.00 |
$32.35
|
|
Western blot test
|
$82.50 |
$82.50 |
$127.38 |
$150.00
|
|
Whfo nontorsion joint prefab
|
$152.46 |
$152.46 |
$152.46 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$295.00 |
$295.00 |
$615.12 |
$465.50
|
|
Whole blood for transfusion
|
$980.10 |
$980.10 |
$980.10 |
$497.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$432.50 |
$432.50 |
$432.50 |
$491.04
|
|
Whole mitochondrial genome
|
$2,272.38 |
$2,272.38 |
$2,272.38 |
$2,175.00
|
|
Who nontorsion jnts pre cst
|
$347.50 |
$347.50 |
$347.50 |
$706.80
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$585.00 |
$585.00 |
$585.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$885.00 |
$885.00 |
$885.00 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$199.32 |
$199.32 |
$220.00 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$330.00 |
$330.00 |
$401.28 |
$438.75
|
|
Wrist X-ray
|
$318.78 |
$318.78 |
$510.00 |
$342.80
|
|
Xm archive tissue molec anal
|
$110.88 |
$110.88 |
$110.88 |
$49.84
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$3,025.00 |
$3,025.00 |
$3,025.00 |
$3,025.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$205.00 |
$205.00 |
$310.86 |
$258.50
|
|
X-ray abdomen 2 views
|
$247.50 |
$247.50 |
$332.64 |
$316.47
|
|
X-ray abdomen >=3 views
|
$297.50 |
$297.50 |
$297.50 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$347.50 |
$347.50 |
$391.38 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$295.00 |
$295.00 |
$315.48 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$315.48 |
$315.48 |
$530.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$965.00 |
$965.00 |
$1,657.92 |
$773.40
|
|
X-ray bone age studies
|
$292.50 |
$292.50 |
$506.22 |
$251.40
|
|
X-ray bone length studies
|
$350.00 |
$350.00 |
$450.12 |
$285.30
|
|
X-ray bone survey complete
|
$516.12 |
$516.12 |
$885.00 |
$660.00
|
|
X-ray bone survey infant
|
$391.38 |
$391.38 |
$525.00 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$280.00 |
$280.00 |
$420.42 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$407.50 |
$407.50 |
$467.28 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$467.50 |
$467.50 |
$582.78 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$333.96 |
$333.96 |
$575.00 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$472.50 |
$472.50 |
$636.24 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$615.00 |
$615.00 |
$916.08 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$315.48 |
$315.48 |
$475.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$337.92 |
$337.92 |
$595.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$505.00 |
$505.00 |
$516.12 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$347.82 |
$347.82 |
$347.82 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$365.64 |
$365.64 |
$365.64 |
$517.80
|
|
X-ray exam of arm infant
|
$220.00 |
$220.00 |
$315.48 |
$248.44
|
|
X-ray exam of eye sockets
|
$327.50 |
$327.50 |
$391.38 |
$328.35
|
|
X-ray exam of femur 1
|
$315.48 |
$315.48 |
$470.00 |
$240.00
|
|
X-ray exam of perineum
|
$747.78 |
$747.78 |
$747.78 |
$577.85
|
|
X-ray exam of sinuses
|
$282.50 |
$282.50 |
$315.48 |
$214.50
|
|
X-ray exam si joints
|
$252.50 |
$252.50 |
$252.50 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$347.82 |
$347.82 |
$367.50 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$268.62 |
$268.62 |
$275.00 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$391.38 |
$391.38 |
$402.50 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$322.74 |
$322.74 |
$695.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$315.48 |
$315.48 |
$545.00 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$319.44 |
$319.44 |
$435.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$315.48 |
$315.48 |
$560.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$310.20 |
$310.20 |
$450.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$316.80 |
$316.80 |
$510.00 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$391.38 |
$391.38 |
$432.50 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$391.38 |
$391.38 |
$432.50 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$494.34 |
$494.34 |
$515.00 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$515.46 |
$515.46 |
$655.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$287.50 |
$287.50 |
$363.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$315.48 |
$315.48 |
$590.00 |
$309.31
|
|
X-ray joint survey 1 view
|
$151.14 |
$151.14 |
$151.14 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$315.48 |
$315.48 |
$450.00 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$327.36 |
$327.36 |
$540.00 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$252.50 |
$252.50 |
$315.48 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$315.48 |
$315.48 |
$445.00 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$395.00 |
$395.00 |
$582.78 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$420.00 |
$420.00 |
$582.78 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$550.00 |
$550.00 |
$582.78 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$391.38 |
$391.38 |
$392.50 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$292.50 |
$292.50 |
$315.48 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$315.48 |
$315.48 |
$332.50 |
$274.65
|
|
X-ray neck soft tissue
|
$280.00 |
$280.00 |
$316.80 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$147.50 |
$147.50 |
$279.84 |
$225.60
|
|
X-ray of mammary ducts
|
$691.68 |
$691.68 |
$691.68 |
$568.26
|
|
X-ray optic foramina
|
$315.48 |
$315.48 |
$315.48 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$270.00 |
$270.00 |
$326.04 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$360.00 |
$360.00 |
$394.68 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$708.84 |
$708.84 |
$925.00 |
$755.50
|
|
X-ray ribs 2 views left
|
$322.74 |
$322.74 |
$332.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$391.38 |
$391.38 |
$510.00 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$477.18 |
$477.18 |
$497.50 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$498.30 |
$498.30 |
$575.00 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$322.50 |
$322.50 |
$363.00 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$330.00 |
$330.00 |
$332.50 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$285.00 |
$285.00 |
$353.10 |
$285.00
|
|
X-ray sella turcica
|
$315.48 |
$315.48 |
$315.48 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$222.50 |
$222.50 |
$315.48 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$391.38 |
$391.38 |
$425.00 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$417.50 |
$417.50 |
$687.72 |
$606.89
|
