|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$3.62 |
$3.62 |
$3.62 |
$129.54
|
|
Warde viscosity
|
$1.76 |
$1.76 |
$1.76 |
$49.47
|
|
Warde vitamin a
|
$17.17 |
$17.17 |
$17.17 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$25.33 |
$25.33 |
$25.33 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$1.36 |
$1.36 |
$1.36 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$1.49 |
$1.49 |
$1.49 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$5.64 |
$5.64 |
$5.64 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$2.04 |
$2.04 |
$2.04 |
$59.25
|
|
Warde zinc
|
$25.50 |
$25.50 |
$25.50 |
$62.50
|
|
Wbc automated
|
$36.21 |
$36.21 |
$36.21 |
$32.35
|
|
Wcd device interrogate
|
$14.28 |
$14.28 |
$14.28 |
$109.20
|
|
Wedge biopsy of liver 47100
|
$488.41 |
$488.41 |
$488.41 |
$1,584.00
|
|
Wet mounts/ w preparations
|
$7.65 |
$7.65 |
$7.65 |
$36.80
|
|
Whfo nontorsion joint prefab
|
$69.53 |
$69.53 |
$69.53 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$143.95 |
$143.95 |
$143.95 |
$465.50
|
|
Whole blood for transfusion
|
$42.84 |
$42.84 |
$42.84 |
$497.00
|
|
Whole mitochondrial genome
|
$30.94 |
$30.94 |
$30.94 |
$2,175.00
|
|
Whole mitochondrial genome
|
$22.44 |
$22.44 |
$22.44 |
$1,681.55
|
|
Wnd prep f/n/hf/g addl cm
|
$50.49 |
$50.49 |
$50.49 |
$811.00
|
|
Wound closure by adhesive
|
$5.78 |
$5.78 |
$5.78 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$98.77 |
$98.77 |
$98.77 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$98.77 |
$98.77 |
$98.77 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$61.54 |
$61.54 |
$61.54 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$96.73 |
$96.73 |
$96.73 |
$438.75
|
|
Wrist arthroscopy
|
$275.57 |
$275.57 |
$275.57 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$302.43 |
$302.43 |
$302.43 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$315.18 |
$315.18 |
$315.18 |
$3,839.54
|
|
Wrist endoscopy/surgery
|
$466.99 |
$466.99 |
$466.99 |
$3,452.80
|
|
Wrist X-ray
|
$190.40 |
$190.40 |
$190.40 |
$342.80
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$440.98 |
$440.98 |
$440.98 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$405.79 |
$405.79 |
$405.79 |
$6,311.00
|
|
Xe133 xenon 10mci
|
$69.70 |
$69.70 |
$69.70 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$945.54 |
$945.54 |
$945.54 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$630.19 |
$630.19 |
$630.19 |
$2,837.09
|
|
Xpos opn fmrl eprst aor uni add-on
|
$109.65 |
$109.65 |
$109.65 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$101.83 |
$101.83 |
$101.83 |
$258.50
|
|
X-ray abdomen 2 views
|
$112.88 |
$112.88 |
$112.88 |
$316.47
|
|
X-ray abdomen >=3 views
|
$142.46 |
$142.46 |
$142.46 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$150.45 |
$150.45 |
$150.45 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$113.73 |
$113.73 |
$113.73 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$139.40 |
$139.40 |
$139.40 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$278.29 |
$278.29 |
$278.29 |
$773.40
|
|
X-ray bone age studies
|
$87.04 |
$87.04 |
$87.04 |
$251.40
|
|
X-ray bone length studies
|
$159.80 |
$159.80 |
$159.80 |
$285.30
|
|
X-ray bone survey complete
|
$269.28 |
$269.28 |
$269.28 |
$660.00
|
|
X-ray bone survey infant
|
$129.03 |
$129.03 |
$129.03 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$135.66 |
$135.66 |
$135.66 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$210.97 |
$210.97 |
$210.97 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$235.62 |
$235.62 |
$235.62 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$152.15 |
$152.15 |
$152.15 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$221.51 |
$221.51 |
$221.51 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$269.62 |
$269.62 |
$269.62 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$139.23 |
$139.23 |
$139.23 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$185.47 |
$185.47 |
$185.47 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$150.96 |
$150.96 |
$150.96 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$230.01 |
$230.01 |
$230.01 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$263.67 |
$263.67 |
$263.67 |
$517.80
|
|
X-ray exam of arm infant
|
$66.98 |
$66.98 |
$66.98 |
$248.44
|
|
X-ray exam of eye sockets
|
$81.77 |
$81.77 |
$81.77 |
$328.35
|
|
X-ray exam of femur 1
|
$78.20 |
$78.20 |
$78.20 |
$240.00
|
|
X-ray exam of jaw joint
|
$5.78 |
$5.78 |
$5.78 |
$188.40
|
|
X-ray exam of mastoids
|
$38.08 |
$38.08 |
$38.08 |
$193.41
|
|
X-ray exam of middle ear
|
$264.35 |
$264.35 |
$264.35 |
$345.66
|
|
X-ray exam of salivary gland
|
$89.42 |
$89.42 |
$89.42 |
$162.60
|
|
X-ray exam of sinuses
|
$100.13 |
$100.13 |
$100.13 |
$214.50
|
|
X-ray exam si joints
|
$90.95 |
$90.95 |
$90.95 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$7.82 |
$7.82 |
$7.82 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$123.59 |
$123.59 |
$123.59 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$164.05 |
$164.05 |
$164.05 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$186.66 |
$186.66 |
$186.66 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$137.70 |
$137.70 |
$137.70 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$139.40 |
$139.40 |
$139.40 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$148.24 |
$148.24 |
$148.24 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$122.74 |
$122.74 |
$122.74 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$139.40 |
$139.40 |
$139.40 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$139.74 |
$139.74 |
$139.74 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$139.74 |
$139.74 |
$139.74 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$185.47 |
$185.47 |
$185.47 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$209.44 |
$209.44 |
$209.44 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$81.77 |
$81.77 |
$81.77 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$152.32 |
$152.32 |
$152.32 |
$309.31
|
|
X-ray joint survey 1 view
|
$81.77 |
$81.77 |
$81.77 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$163.37 |
$163.37 |
$163.37 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$181.90 |
$181.90 |
$181.90 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$104.72 |
$104.72 |
$104.72 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$66.98 |
$66.98 |
$66.98 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$118.15 |
$118.15 |
$118.15 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$248.71 |
$248.71 |
$248.71 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$231.20 |
$231.20 |
$231.20 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$151.81 |
$151.81 |
$151.81 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$90.95 |
$90.95 |
$90.95 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$100.13 |
$100.13 |
$100.13 |
$274.65
|
|
X-ray neck soft tissue
|
$81.77 |
$81.77 |
$81.77 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$71.23 |
$71.23 |
$71.23 |
$225.60
|
|
X-ray of mammary ducts
|
$175.27 |
$175.27 |
$175.27 |
$568.26
|
|
X-ray optic foramina
|
$115.77 |
$115.77 |
$115.77 |
$188.40
|
|
X-ray pelvis 1-2 views
|
$99.96 |
$99.96 |
$99.96 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$125.63 |
$125.63 |
$125.63 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$245.48 |
$245.48 |
$245.48 |
$755.50
|
|
X-ray ribs 2 views left
|
$99.28 |
$99.28 |
$99.28 |
$292.80
|