|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$61.25 |
$61.25 |
$61.25 |
$381.50
|
|
Warde hepatitis a antibody
|
$147.00 |
$147.00 |
$147.00 |
$83.70
|
|
Warde immunofixation electrophoresis urine
|
$494.20 |
$494.20 |
$494.20 |
$155.20
|
|
Warde sex hormone binding globulin
|
$77.00 |
$77.00 |
$77.00 |
$86.59
|
|
Warde viscosity
|
$37.10 |
$37.10 |
$37.10 |
$52.65
|
|
Wedging of cast
|
$330.40 |
$330.40 |
$330.40 |
$309.54
|
|
Wnd prep f/n/hf/g addl cm
|
$238.00 |
$238.00 |
$238.00 |
$865.80
|
|
Wound closure by adhesive
|
$79.80 |
$79.80 |
$79.80 |
$170.95
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$592.90 |
$592.90 |
$592.90 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$458.50 |
$458.50 |
$458.50 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$256.55 |
$256.55 |
$256.55 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$576.45 |
$576.45 |
$576.45 |
$436.15
|
|
Wrist X-ray
|
$341.60 |
$341.60 |
$341.60 |
$343.70
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$2,131.85 |
$2,131.85 |
$2,131.85 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,486.75 |
$2,486.75 |
$2,486.75 |
$2,623.24
|
|
X-ray abdomen 1 view
|
$281.75 |
$281.75 |
$281.75 |
$255.00
|
|
X-ray abdomen 2 views
|
$329.70 |
$329.70 |
$329.70 |
$312.36
|
|
X-ray abdomen >=3 views
|
$416.15 |
$416.15 |
$416.15 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$539.70 |
$539.70 |
$539.70 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$317.80 |
$317.80 |
$317.80 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$230.30 |
$230.30 |
$230.30 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$508.55 |
$508.55 |
$508.55 |
$768.30
|
|
X-ray bone age studies
|
$163.80 |
$163.80 |
$163.80 |
$246.75
|
|
X-ray bone length studies
|
$408.80 |
$408.80 |
$408.80 |
$287.25
|
|
X-ray bone survey complete
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$666.60
|
|
X-ray cervical spine 2-3 views
|
$437.50 |
$437.50 |
$437.50 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$577.50 |
$577.50 |
$577.50 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$689.85 |
$689.85 |
$689.85 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$329.00 |
$329.00 |
$329.00 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,032.85 |
$1,032.85 |
$1,032.85 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$300.30 |
$300.30 |
$300.30 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$383.25 |
$383.25 |
$383.25 |
$342.00
|
|
Xray endovasc thor ao repr
|
$1,139.60 |
$1,139.60 |
$1,139.60 |
$1,889.01
|
|
Xray endovasc thor ao repr
|
$1,139.60 |
$1,139.60 |
$1,139.60 |
$2,266.32
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$487.90 |
$487.90 |
$487.90 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$510.30 |
$510.30 |
$510.30 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$677.95 |
$677.95 |
$677.95 |
$575.76
|
|
X-ray exam of arm infant
|
$163.10 |
$163.10 |
$163.10 |
$248.82
|
|
X-ray exam of eye sockets
|
$412.30 |
$412.30 |
$412.30 |
$349.05
|
|
X-ray exam of femur 1
|
$256.20 |
$256.20 |
$256.20 |
$232.36
|
|
X-ray exam of jaw joint
|
$289.80 |
$289.80 |
$289.80 |
$192.39
|
|
X-ray exam of mastoids
|
$98.00 |
$98.00 |
$98.00 |
$191.91
|
|
X-ray exam of salivary gland
|
$256.55 |
$256.55 |
$256.55 |
$124.24
|
|
X-ray exam of sinuses
|
$312.90 |
$312.90 |
$312.90 |
$211.00
|
|
X-ray exam thorac spine4/>vw
|
$570.85 |
$570.85 |
$570.85 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$195.65 |
$195.65 |
$195.65 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$603.05 |
$603.05 |
$603.05 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$341.60 |
$341.60 |
$341.60 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$192.85 |
$192.85 |
$192.85 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$275.10 |
$275.10 |
$275.10 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$334.95 |
$334.95 |
$334.95 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$297.85 |
$297.85 |
$297.85 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$297.15 |
$297.15 |
$297.15 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$470.75 |
$470.75 |
$470.75 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$557.90 |
$557.90 |
$557.90 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$613.90 |
$613.90 |
$613.90 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$674.45 |
$674.45 |
$674.45 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$260.75 |
$260.75 |
$260.75 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$383.25 |
$383.25 |
$383.25 |
$304.15
|
|
X-ray joint survey 1 view
|
$212.80 |
$212.80 |
$212.80 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$305.90 |
$305.90 |
$305.90 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$383.25 |
$383.25 |
$383.25 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$317.80 |
$317.80 |
$317.80 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$245.70 |
$245.70 |
$245.70 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$417.90 |
$417.90 |
$417.90 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$765.45 |
$765.45 |
$765.45 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$781.20 |
$781.20 |
$781.20 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$627.20 |
$627.20 |
$627.20 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$268.45 |
$268.45 |
$268.45 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$466.90 |
$466.90 |
$466.90 |
$277.70
|
|
X-ray neck soft tissue
|
$297.50 |
$297.50 |
$297.50 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$318.50 |
$318.50 |
$318.50 |
$225.96
|
|
X-ray of mammary ducts
|
$449.75 |
$449.75 |
$449.75 |
$473.55
|
|
X-ray pelvis 1-2 views
|
$327.95 |
$327.95 |
$327.95 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$399.00 |
$399.00 |
$399.00 |
$342.30
|
|
Xray place dist ext thor ao
|
$1,139.60 |
$1,139.60 |
$1,139.60 |
$1,323.14
|
|
Xray place prox ext thor ao
|
$1,139.60 |
$1,139.60 |
$1,139.60 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$736.40 |
$736.40 |
$736.40 |
$742.00
|
|
X-ray ribs 2 views left
|
$366.10 |
$366.10 |
$366.10 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$501.55 |
$501.55 |
$501.55 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$557.90 |
$557.90 |
$557.90 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$588.70 |
$588.70 |
$588.70 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$411.25 |
$411.25 |
$411.25 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$411.60 |
$411.60 |
$411.60 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$354.20 |
$354.20 |
$354.20 |
$292.50
|
|
X-ray sella turcica
|
$197.05 |
$197.05 |
$197.05 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$227.50 |
$227.50 |
$227.50 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$627.20 |
$627.20 |
$627.20 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$531.30 |
$531.30 |
$531.30 |
$601.30
|
|
X-ray skull < 4 views
|
$369.25 |
$369.25 |
$369.25 |
$291.78
|
|
X-ray skull > 4 views complete
|
$700.35 |
$700.35 |
$700.35 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$448.70 |
$448.70 |
$448.70 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$619.85 |
$619.85 |
$619.85 |
$557.70
|
|
X-ray small intestine follow-through study
|
$207.20 |
$207.20 |
$207.20 |
$504.14
|
|
X-ray spine single view
|
$330.75 |
$330.75 |
$330.75 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$282.10 |
$282.10 |
$282.10 |
$263.49
|
|
X-ray sternum > 2 views
|
$407.05 |
$407.05 |
$407.05 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$521.85 |
$521.85 |
$521.85 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$386.05 |
$386.05 |
$386.05 |
$317.70
|