|
Vasopressin 20 unit/ml intravenous solution
|
$593.54 |
$593.54 |
$593.54 |
$362.93
|
|
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)
|
$4,790.94 |
$4,790.94 |
$4,790.94 |
$188.65
|
|
Venipuncture <3 yrs other vein
|
$118.83 |
$118.83 |
$118.83 |
$82.11
|
|
Ventilator each subsequent day
|
$757.86 |
$757.86 |
$757.86 |
$1,305.92
|
|
Ventilator initial day
|
$757.86 |
$757.86 |
$757.86 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,107.21 |
$1,107.21 |
$1,107.21 |
$1,081.00
|
|
Version cephalic external
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$2,598.57
|
|
Vest large holster
|
$957.29 |
$957.29 |
$957.29 |
$1,012.50
|
|
Visit established high 40-54 minutes/level 5
|
$520.20 |
$520.20 |
$520.20 |
$287.73
|
|
Vital capacity test
|
$159.63 |
$159.63 |
$159.63 |
$173.33
|
|
Vitamin b-12
|
$93.84 |
$93.84 |
$93.84 |
$94.90
|
|
Vitamin D Test
|
$94.35 |
$94.35 |
$94.35 |
$132.00
|
|
Volume measurement urine timed
|
$33.66 |
$33.66 |
$33.66 |
$21.45
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$259.21 |
$259.21 |
$259.21 |
$215.60
|
|
Vulvectomy simple partial
|
$1,221.45 |
$1,221.45 |
$1,221.45 |
$3,762.53
|
|
Warde 1015200 kappa light chain free
|
$22.95 |
$22.95 |
$22.95 |
$64.28
|
|
Warde clozapine therapeutic drug level
|
$26.52 |
$26.52 |
$26.52 |
$63.00
|
|
Wbc automated
|
$15.30 |
$15.30 |
$15.30 |
$32.80
|
|
Wedging of cast
|
$294.78 |
$294.78 |
$294.78 |
$309.54
|
|
Whole blood for transfusion
|
$306.00 |
$306.00 |
$306.00 |
$479.50
|
|
Wnd prep f/n/hf/g addl cm
|
$1,546.32 |
$1,546.32 |
$1,546.32 |
$865.80
|
|
Wound closure by adhesive
|
$125.97 |
$125.97 |
$125.97 |
$170.95
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$762.96 |
$762.96 |
$762.96 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$830.79 |
$830.79 |
$830.79 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$233.58 |
$233.58 |
$233.58 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$509.49 |
$509.49 |
$509.49 |
$436.15
|
|
Wrist arthroscopy/surgery
|
$561.51 |
$561.51 |
$561.51 |
$3,839.54
|
|
Wrist X-ray
|
$425.85 |
$425.85 |
$425.85 |
$343.70
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,760.52 |
$1,760.52 |
$1,760.52 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,623.24
|
|
X-ray abdomen 1 view
|
$292.23 |
$292.23 |
$292.23 |
$255.00
|
|
X-ray abdomen 2 views
|
$369.24 |
$369.24 |
$369.24 |
$312.36
|
|
X-ray abdomen >=3 views
|
$410.55 |
$410.55 |
$410.55 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$459.51 |
$459.51 |
$459.51 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$347.31 |
$347.31 |
$347.31 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,258.17 |
$1,258.17 |
$1,258.17 |
$768.30
|
|
X-ray bone age studies
|
$479.91 |
$479.91 |
$479.91 |
$246.75
|
|
X-ray bone length studies
|
$597.72 |
$597.72 |
$597.72 |
$287.25
|
|
X-ray cervical spine 2-3 views
|
$379.95 |
$379.95 |
$379.95 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$597.72 |
$597.72 |
$597.72 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$597.72 |
$597.72 |
$597.72 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$379.95 |
$379.95 |
$379.95 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$706.35 |
$706.35 |
$706.35 |
$647.40
|
|
X-ray elbow 2 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$342.00
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$747.15 |
$747.15 |
$747.15 |
$486.24
|
|
X-ray exam of eye sockets
|
$108.63 |
$108.63 |
$108.63 |
$349.05
|
|
X-ray exam of femur 1
|
$88.74 |
$88.74 |
$88.74 |
$232.36
|
|
X-ray exam of jaw joint
|
$88.74 |
$88.74 |
$88.74 |
$192.39
|
|
X-ray exam si joints
|
$479.91 |
$479.91 |
$479.91 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$597.72 |
$597.72 |
$597.72 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$327.42 |
$327.42 |
$327.42 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$551.82 |
$551.82 |
$551.82 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$379.95 |
$379.95 |
$379.95 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$347.31 |
$347.31 |
$347.31 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$379.95 |
$379.95 |
$379.95 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$551.82 |
$551.82 |
$551.82 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$551.82 |
$551.82 |
$551.82 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,046.52 |
$1,046.52 |
$1,046.52 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$379.95 |
$379.95 |
$379.95 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$425.85 |
$425.85 |
$425.85 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$379.95 |
$379.95 |
$379.95 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$379.95 |
$379.95 |
$379.95 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$425.85 |
$425.85 |
$425.85 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$379.95 |
$379.95 |
$379.95 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$597.72 |
$597.72 |
$597.72 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$597.72 |
$597.72 |
$597.72 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$597.72 |
$597.72 |
$597.72 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$551.82 |
$551.82 |
$551.82 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$90.27 |
$90.27 |
$90.27 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$347.31 |
$347.31 |
$347.31 |
$277.70
|
|
X-ray neck soft tissue
|
$327.42 |
$327.42 |
$327.42 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$267.24 |
$267.24 |
$267.24 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$594.66 |
$594.66 |
$594.66 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$594.66 |
$594.66 |
$594.66 |
$342.30
|
|
X-ray ribs 2 views left
|
$425.85 |
$425.85 |
$425.85 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$395.76 |
$395.76 |
$395.76 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$597.72 |
$597.72 |
$597.72 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$551.82 |
$551.82 |
$551.82 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$479.91 |
$479.91 |
$479.91 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$425.85 |
$425.85 |
$425.85 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$479.91 |
$479.91 |
$479.91 |
$292.50
|
|
X-ray shoulder 1 view (both sides)
|
$425.85 |
$425.85 |
$425.85 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$347.31 |
$347.31 |
$347.31 |
$339.00
|
|
X-ray skull < 4 views
|
$479.91 |
$479.91 |
$479.91 |
$291.78
|
|
X-ray skull > 4 views complete
|
$551.82 |
$551.82 |
$551.82 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$600.27 |
$600.27 |
$600.27 |
$557.70
|
|
X-ray small intestine follow-through study
|
$706.35 |
$706.35 |
$706.35 |
$504.14
|
|
X-ray spine single view
|
$379.95 |
$379.95 |
$379.95 |
$252.60
|
|
X-ray sternum > 2 views
|
$425.85 |
$425.85 |
$425.85 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$600.27 |
$600.27 |
$600.27 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$260.61 |
$260.61 |
$260.61 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$533.97 |
$533.97 |
$533.97 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$597.72 |
$597.72 |
$597.72 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$347.31 |
$347.31 |
$347.31 |
$294.00
|