|
Venogram extremity supervision & interpretation unilateral
|
$1,752.80 |
$1,752.80 |
$1,752.80 |
$1,326.00
|
|
Venous mech thrombectomy
|
$11,364.15 |
$11,364.15 |
$11,364.15 |
$8,869.50
|
|
Venous m-thrombectomy add-on
|
$11,081.35 |
$11,081.35 |
$11,081.35 |
$5,352.00
|
|
Venous sampling s&i
|
$3,413.90 |
$3,413.90 |
$3,413.90 |
$4,416.78
|
|
Ventilator each subsequent day
|
$1,905.75 |
$1,905.75 |
$1,905.75 |
$1,305.92
|
|
Ventilator initial day
|
$1,905.75 |
$1,905.75 |
$1,905.75 |
$1,540.80
|
|
Ventricular puncture prev burr hole without inj 61020
|
$1,138.90 |
$1,138.90 |
$1,138.90 |
$1,081.00
|
|
Version cephalic external
|
$2,372.65 |
$2,372.65 |
$2,372.65 |
$2,598.57
|
|
Vest large holster
|
$731.62 |
$731.62 |
$731.62 |
$1,012.50
|
|
Vinblastine 1 mg/ml intravenous solution
|
$230.69 |
$230.69 |
$230.69 |
$177.38
|
|
Vincristine 1 mg/ml intravenous solution
|
$101.37 |
$101.37 |
$101.37 |
$100.19
|
|
Visc & infraren abd 1 prosth
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$11,467.68
|
|
Visc & infraren abd 2 prosth
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$14,123.24
|
|
Visc & infraren abd 3 prosth
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$16,560.51
|
|
Visc & infraren abd 4+ prost
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$13,023.85
|
|
Visit established high 40-54 minutes/level 5
|
$999.60 |
$999.60 |
$999.60 |
$287.73
|
|
Vital capacity test
|
$112.00 |
$112.00 |
$112.00 |
$173.33
|
|
Vitamin b-12
|
$142.80 |
$142.80 |
$142.80 |
$94.90
|
|
Vitamin D Test
|
$35.35 |
$35.35 |
$35.35 |
$132.00
|
|
Vol reduction of blood/prod
|
$103.60 |
$103.60 |
$103.60 |
$131.25
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$215.60 |
$215.60 |
$215.60 |
$215.60
|
|
Warde 3008005 oligoclonal bands
|
$20.13 |
$20.13 |
$20.13 |
$102.60
|
|
Warde 3400652 ova & parasites direct smear concentration and id
|
$372.40 |
$372.40 |
$372.40 |
$63.05
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$189.00 |
$189.00 |
$189.00 |
$78.57
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$61.25 |
$61.25 |
$61.25 |
$381.50
|
|
Warde calculus (stone) infrared
|
$24.19 |
$24.19 |
$24.19 |
$61.73
|
|
Warde cryoglobulin
|
$79.10 |
$79.10 |
$79.10 |
$43.45
|
|
Warde hepatitis a antibody
|
$127.40 |
$127.40 |
$127.40 |
$83.70
|
|
Warde immunofixation electrophoresis urine
|
$345.80 |
$345.80 |
$345.80 |
$155.20
|
|
Warde sex hormone binding globulin
|
$48.30 |
$48.30 |
$48.30 |
$86.59
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$47.75 |
$47.75 |
$47.75 |
$127.20
|
|
Warde vitamin b-1 (thiamine)
|
$50.63 |
$50.63 |
$50.63 |
$78.65
|
|
Wbc automated
|
$22.75 |
$22.75 |
$22.75 |
$32.80
|
|
Wedging of cast
|
$242.20 |
$242.20 |
$242.20 |
$309.54
|
|
Whfo w/joint(s) custom fab
|
$175.00 |
$175.00 |
$175.00 |
$436.49
|
|
Whole blood for transfusion
|
$173.95 |
$173.95 |
$173.95 |
$479.50
|
|
Wnd prep f/n/hf/g addl cm
|
$234.15 |
$234.15 |
$234.15 |
$865.80
|
|
Wound closure by adhesive
|
$53.20 |
$53.20 |
$53.20 |
$170.95
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$444.15 |
$444.15 |
$444.15 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$444.15 |
$444.15 |
$444.15 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$266.35 |
$266.35 |
$266.35 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$317.45 |
$317.45 |
$317.45 |
$436.15
|
|
Wrist X-ray
|
$305.20 |
$305.20 |
$305.20 |
$343.70
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$1,480.50 |
$1,480.50 |
$1,480.50 |
$2,623.24
|
|
Xpos opn fmrl eprst aor uni add-on
|
$5,404.70 |
$5,404.70 |
$5,404.70 |
$2,160.89
|
|
X-ray abdomen 1 view
|
$290.15 |
$290.15 |
$290.15 |
$255.00
|
|
X-ray abdomen 2 views
|
$304.50 |
$304.50 |
$304.50 |
$312.36
|
|
X-ray abdomen >=3 views
|
$319.90 |
$319.90 |
$319.90 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$347.20 |
$347.20 |
$347.20 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$268.80 |
$268.80 |
$268.80 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$206.15 |
$206.15 |
$206.15 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$768.30
|
|
X-ray bone age studies
|
$248.85 |
$248.85 |
$248.85 |
$246.75
|
|
X-ray bone length studies
|
$353.50 |
$353.50 |
$353.50 |
$287.25
|
|
X-ray bone survey complete
|
$665.00 |
$665.00 |
$665.00 |
$666.60
|
|
X-ray bone survey infant
|
$617.05 |
$617.05 |
$617.05 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$269.85 |
$269.85 |
$269.85 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$455.00 |
$455.00 |
$455.00 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$562.80 |
$562.80 |
$562.80 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$178.15 |
$178.15 |
$178.15 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$738.50 |
$738.50 |
$738.50 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$837.20 |
$837.20 |
$837.20 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$206.15 |
$206.15 |
$206.15 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$269.85 |
$269.85 |
$269.85 |
$342.00
|
|
Xray endovasc thor ao repr
|
$4,909.80 |
$4,909.80 |
$4,909.80 |
$1,963.50
|
|
Xray endovasc thor ao repr
|
$4,909.80 |
$4,909.80 |
$4,909.80 |
$2,269.47
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$384.30 |
$384.30 |
$384.30 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$339.15 |
$339.15 |
$339.15 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$450.10 |
$450.10 |
$450.10 |
$575.76
|
|
X-ray exam of arm infant
|
$171.85 |
$171.85 |
$171.85 |
$248.82
|
|
X-ray exam of eye sockets
|
$464.10 |
$464.10 |
$464.10 |
$349.05
|
|
X-ray exam of femur 1
|
$221.55 |
$221.55 |
$221.55 |
$232.36
|
|
X-ray exam of jaw joint
|
$203.00 |
$203.00 |
$203.00 |
$192.39
|
|
X-ray exam of sinuses
|
$187.95 |
$187.95 |
$187.95 |
$211.00
|
|
X-ray exam si joints
|
$159.25 |
$159.25 |
$159.25 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$346.15 |
$346.15 |
$346.15 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$173.60 |
$173.60 |
$173.60 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$417.90 |
$417.90 |
$417.90 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$295.40 |
$295.40 |
$295.40 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$156.10 |
$156.10 |
$156.10 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$206.15 |
$206.15 |
$206.15 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$258.30 |
$258.30 |
$258.30 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$206.15 |
$206.15 |
$206.15 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$171.85 |
$171.85 |
$171.85 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$341.60 |
$341.60 |
$341.60 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$344.75 |
$344.75 |
$344.75 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$379.05 |
$379.05 |
$379.05 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$416.50 |
$416.50 |
$416.50 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$172.20 |
$172.20 |
$172.20 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$258.30 |
$258.30 |
$258.30 |
$304.15
|
|
X-ray knee 1-2 views (both sides)
|
$206.15 |
$206.15 |
$206.15 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$269.85 |
$269.85 |
$269.85 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$205.45 |
$205.45 |
$205.45 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$171.85 |
$171.85 |
$171.85 |
$249.13
|
|
X-ray lumbosacral spine >= 4 views
|
$592.90 |
$592.90 |
$592.90 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$592.90 |
$592.90 |
$592.90 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$371.35 |
$371.35 |
$371.35 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$203.00 |
$203.00 |
$203.00 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$328.30 |
$328.30 |
$328.30 |
$277.70
|