|
Whole mitochondrial genome
|
$12.74 |
$12.74 |
$12.74 |
$2,175.00
|
|
Wnd prep f/n/hf/g addl cm
|
$20.79 |
$20.79 |
$20.79 |
$811.00
|
|
Wound closure by adhesive
|
$2.38 |
$2.38 |
$2.38 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$65.24 |
$65.24 |
$65.24 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$4.06 |
$4.06 |
$4.06 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$63.28 |
$63.28 |
$63.28 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$64.96 |
$64.96 |
$64.96 |
$438.75
|
|
Wrist arthroscopy
|
$113.47 |
$113.47 |
$113.47 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$124.53 |
$124.53 |
$124.53 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$129.78 |
$129.78 |
$129.78 |
$3,839.54
|
|
Wrist endoscopy/surgery
|
$192.29 |
$192.29 |
$192.29 |
$3,452.80
|
|
Wrist X-ray
|
$148.47 |
$148.47 |
$148.47 |
$342.80
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$181.58 |
$181.58 |
$181.58 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$167.09 |
$167.09 |
$167.09 |
$6,311.00
|
|
Xe133 xenon 10mci
|
$55.79 |
$55.79 |
$55.79 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$189.35 |
$189.35 |
$189.35 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$175.63 |
$175.63 |
$175.63 |
$2,837.09
|
|
Xpos opn fmrl eprst aor uni add-on
|
$45.15 |
$45.15 |
$45.15 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$85.89 |
$85.89 |
$85.89 |
$258.50
|
|
X-ray abdomen 2 views
|
$115.22 |
$115.22 |
$115.22 |
$316.47
|
|
X-ray abdomen >=3 views
|
$129.50 |
$129.50 |
$129.50 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$115.50 |
$115.50 |
$115.50 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$95.48 |
$95.48 |
$95.48 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$118.86 |
$118.86 |
$118.86 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$202.58 |
$202.58 |
$202.58 |
$773.40
|
|
X-ray assay calculus
|
$0.88 |
$0.88 |
$0.88 |
$33.60
|
|
X-ray bone age studies
|
$106.75 |
$106.75 |
$106.75 |
$251.40
|
|
X-ray bone length studies
|
$128.80 |
$128.80 |
$128.80 |
$285.30
|
|
X-ray bone survey complete
|
$275.10 |
$275.10 |
$275.10 |
$660.00
|
|
X-ray bone survey infant
|
$91.35 |
$91.35 |
$91.35 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$147.84 |
$147.84 |
$147.84 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$194.39 |
$194.39 |
$194.39 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$214.76 |
$214.76 |
$214.76 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$111.72 |
$111.72 |
$111.72 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$212.31 |
$212.31 |
$212.31 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$250.25 |
$250.25 |
$250.25 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$115.29 |
$115.29 |
$115.29 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$152.39 |
$152.39 |
$152.39 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$185.78 |
$185.78 |
$185.78 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$87.01 |
$87.01 |
$87.01 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$5.53 |
$5.53 |
$5.53 |
$517.80
|
|
X-ray exam of arm infant
|
$123.48 |
$123.48 |
$123.48 |
$248.44
|
|
X-ray exam of eye sockets
|
$108.64 |
$108.64 |
$108.64 |
$328.35
|
|
X-ray exam of femur 1
|
$212.10 |
$212.10 |
$212.10 |
$240.00
|
|
X-ray exam of jaw joint
|
$19.25 |
$19.25 |
$19.25 |
$188.40
|
|
X-ray exam of mastoids
|
$99.82 |
$99.82 |
$99.82 |
$193.41
|
|
X-ray exam of salivary gland
|
$74.90 |
$74.90 |
$74.90 |
$162.60
|
|
X-ray exam of sinuses
|
$85.26 |
$85.26 |
$85.26 |
$214.50
|
|
X-ray exam si joints
|
$65.87 |
$65.87 |
$65.87 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$191.66 |
$191.66 |
$191.66 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$2.38 |
$2.38 |
$2.38 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$124.67 |
$124.67 |
$124.67 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$215.25 |
$215.25 |
$215.25 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$81.13 |
$81.13 |
$81.13 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$113.61 |
$113.61 |
$113.61 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$145.53 |
$145.53 |
$145.53 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$113.61 |
$113.61 |
$113.61 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$129.50 |
$129.50 |
$129.50 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$131.74 |
$131.74 |
$131.74 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$119.42 |
$119.42 |
$119.42 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$78.40 |
$78.40 |
$78.40 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$4.13 |
$4.13 |
$4.13 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$81.76 |
$81.76 |
$81.76 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$143.29 |
$143.29 |
$143.29 |
$309.31
|
|
X-ray joint survey 1 view
|
$4.55 |
$4.55 |
$4.55 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$112.07 |
$112.07 |
$112.07 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$148.19 |
$148.19 |
$148.19 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$94.50 |
$94.50 |
$94.50 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$123.48 |
$123.48 |
$123.48 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$214.76 |
$214.76 |
$214.76 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$194.39 |
$194.39 |
$194.39 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$214.76 |
$214.76 |
$214.76 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$127.12 |
$127.12 |
$127.12 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$106.47 |
$106.47 |
$106.47 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$112.56 |
$112.56 |
$112.56 |
$274.65
|
|
X-ray neck soft tissue
|
$81.76 |
$81.76 |
$81.76 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$92.75 |
$92.75 |
$92.75 |
$225.60
|
|
X-ray of mammary ducts
|
$5.81 |
$5.81 |
$5.81 |
$568.26
|
|
X-ray optic foramina
|
$82.67 |
$82.67 |
$82.67 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$91.70 |
$91.70 |
$91.70 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$96.25 |
$96.25 |
$96.25 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$6.79 |
$6.79 |
$6.79 |
$755.50
|
|
X-ray ribs 2 views left
|
$107.10 |
$107.10 |
$107.10 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$128.45 |
$128.45 |
$128.45 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$117.95 |
$117.95 |
$117.95 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$114.52 |
$114.52 |
$114.52 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$105.91 |
$105.91 |
$105.91 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$96.18 |
$96.18 |
$96.18 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$143.22 |
$143.22 |
$143.22 |
$285.00
|
|
X-ray sella turcica
|
$2.52 |
$2.52 |
$2.52 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$74.27 |
$74.27 |
$74.27 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$124.95 |
$124.95 |
$124.95 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$143.85 |
$143.85 |
$143.85 |
$606.89
|
|
X-ray skull < 4 views
|
$95.69 |
$95.69 |
$95.69 |
$292.50
|
|
X-ray skull > 4 views complete
|
$156.31 |
$156.31 |
$156.31 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$7.56 |
$7.56 |
$7.56 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$153.23 |
$153.23 |
$153.23 |
$557.70
|
|
X-ray small intestine follow-through study
|
$116.06 |
$116.06 |
$116.06 |
$499.50
|
|
X-ray spine single view
|
$63.70 |
$63.70 |
$63.70 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$95.13 |
$95.13 |
$95.13 |
$264.48
|