|
Warde vitamin d (1 25 dihydroxy)
|
$16.30 |
$16.30 |
$16.30 |
$138.50
|
|
Wbc automated
|
$36.96 |
$36.96 |
$36.96 |
$32.35
|
|
Wcd device interrogate
|
$33.00 |
$33.00 |
$33.00 |
$109.20
|
|
Wedge biopsy of liver 47100
|
$1,896.18 |
$1,896.18 |
$1,896.18 |
$1,584.00
|
|
Wet mounts/ w preparations
|
$29.70 |
$29.70 |
$29.70 |
$36.80
|
|
Whole mitochondrial genome
|
$120.12 |
$120.12 |
$120.12 |
$2,175.00
|
|
Wnd prep f/n/hf/g addl cm
|
$196.02 |
$196.02 |
$196.02 |
$811.00
|
|
Wound closure by adhesive
|
$22.44 |
$22.44 |
$22.44 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$33.66 |
$33.66 |
$33.66 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$38.28 |
$38.28 |
$38.28 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$392.04 |
$392.04 |
$392.04 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$87.78 |
$87.78 |
$87.78 |
$438.75
|
|
Wrist arthroscopy
|
$1,069.86 |
$1,069.86 |
$1,069.86 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$1,174.14 |
$1,174.14 |
$1,174.14 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$1,223.64 |
$1,223.64 |
$1,223.64 |
$3,839.54
|
|
Wrist endoscopy/surgery
|
$1,813.02 |
$1,813.02 |
$1,813.02 |
$3,452.80
|
|
Wrist X-ray
|
$718.08 |
$718.08 |
$718.08 |
$342.80
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$1,712.04 |
$1,712.04 |
$1,712.04 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$1,575.42 |
$1,575.42 |
$1,575.42 |
$6,311.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,785.30 |
$1,785.30 |
$1,785.30 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$1,655.94 |
$1,655.94 |
$1,655.94 |
$2,837.09
|
|
Xpos opn fmrl eprst aor uni add-on
|
$425.70 |
$425.70 |
$425.70 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$312.18 |
$312.18 |
$312.18 |
$258.50
|
|
X-ray abdomen 2 views
|
$447.48 |
$447.48 |
$447.48 |
$316.47
|
|
X-ray abdomen >=3 views
|
$271.26 |
$271.26 |
$271.26 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$447.48 |
$447.48 |
$447.48 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$285.78 |
$285.78 |
$285.78 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$353.76 |
$353.76 |
$353.76 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$718.74 |
$718.74 |
$718.74 |
$773.40
|
|
X-ray bone age studies
|
$116.82 |
$116.82 |
$116.82 |
$251.40
|
|
X-ray bone length studies
|
$395.34 |
$395.34 |
$395.34 |
$285.30
|
|
X-ray bone survey complete
|
$829.62 |
$829.62 |
$829.62 |
$660.00
|
|
X-ray bone survey infant
|
$242.88 |
$242.88 |
$242.88 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$525.36 |
$525.36 |
$525.36 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$591.36 |
$591.36 |
$591.36 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$755.70 |
$755.70 |
$755.70 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$443.52 |
$443.52 |
$443.52 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$578.82 |
$578.82 |
$578.82 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$758.34 |
$758.34 |
$758.34 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$397.98 |
$397.98 |
$397.98 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$506.22 |
$506.22 |
$506.22 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$396.00 |
$396.00 |
$396.00 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$480.48 |
$480.48 |
$480.48 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$601.26 |
$601.26 |
$601.26 |
$517.80
|
|
X-ray exam of arm infant
|
$132.66 |
$132.66 |
$132.66 |
$248.44
|
|
X-ray exam of eye sockets
|
$605.22 |
$605.22 |
$605.22 |
$328.35
|
|
X-ray exam of femur 1
|
$252.12 |
$252.12 |
$252.12 |
$240.00
|
|
X-ray exam of jaw joint
|
$100.98 |
$100.98 |
$100.98 |
$188.40
|
|
X-ray exam of mastoids
|
$22.44 |
$22.44 |
$22.44 |
$193.41
|
|
X-ray exam of middle ear
|
$397.98 |
$397.98 |
$397.98 |
$345.66
|
|
X-ray exam of salivary gland
|
$149.16 |
$149.16 |
$149.16 |
$162.60
|
|
X-ray exam of sinuses
|
$258.06 |
$258.06 |
$258.06 |
$214.50
|
|
X-ray exam si joints
|
$227.04 |
$227.04 |
$227.04 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$576.84 |
$576.84 |
$576.84 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$446.16 |
$446.16 |
$446.16 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$469.92 |
$469.92 |
$469.92 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$477.18 |
$477.18 |
$477.18 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$520.74 |
$520.74 |
$520.74 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$347.82 |
$347.82 |
$347.82 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$397.98 |
$397.98 |
$397.98 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$569.58 |
$569.58 |
$569.58 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$516.12 |
$516.12 |
$516.12 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$417.78 |
$417.78 |
$417.78 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$679.14 |
$679.14 |
$679.14 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$982.08 |
$982.08 |
$982.08 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$279.18 |
$279.18 |
$279.18 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$526.02 |
$526.02 |
$526.02 |
$309.31
|
|
X-ray joint survey 1 view
|
$71.28 |
$71.28 |
$71.28 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$658.68 |
$658.68 |
$658.68 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$730.62 |
$730.62 |
$730.62 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$211.20 |
$211.20 |
$211.20 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$427.68 |
$427.68 |
$427.68 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$302.28 |
$302.28 |
$302.28 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$694.98 |
$694.98 |
$694.98 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$592.02 |
$592.02 |
$592.02 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$429.66 |
$429.66 |
$429.66 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$233.64 |
$233.64 |
$233.64 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$260.04 |
$260.04 |
$260.04 |
$274.65
|
|
X-ray neck soft tissue
|
$371.58 |
$371.58 |
$371.58 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$124.08 |
$124.08 |
$124.08 |
$225.60
|
|
X-ray of mammary ducts
|
$54.78 |
$54.78 |
$54.78 |
$568.26
|
|
X-ray optic foramina
|
$312.18 |
$312.18 |
$312.18 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$328.68 |
$328.68 |
$328.68 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$363.00 |
$363.00 |
$363.00 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$341.22 |
$341.22 |
$341.22 |
$755.50
|
|
X-ray ribs 2 views left
|
$385.44 |
$385.44 |
$385.44 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$429.00 |
$429.00 |
$429.00 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$490.38 |
$490.38 |
$490.38 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$475.20 |
$475.20 |
$475.20 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$330.66 |
$330.66 |
$330.66 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$301.62 |
$301.62 |
$301.62 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$443.52 |
$443.52 |
$443.52 |
$285.00
|
|
X-ray sella turcica
|
$142.56 |
$142.56 |
$142.56 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$330.66 |
$330.66 |
$330.66 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$417.12 |
$417.12 |
$417.12 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$397.98 |
$397.98 |
$397.98 |
$606.89
|
|
X-ray skull < 4 views
|
$353.10 |
$353.10 |
$353.10 |
$292.50
|
|
X-ray skull > 4 views complete
|
$591.36 |
$591.36 |
$591.36 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$351.78 |
$351.78 |
$351.78 |
$399.82
|