|
Warde somatomedin
|
$36.96 |
$36.96 |
$36.96 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$30.24 |
$30.24 |
$30.24 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$42.00 |
$42.00 |
$42.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$89.60 |
$89.60 |
$89.60 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$21.84 |
$21.84 |
$21.84 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$67.20 |
$67.20 |
$67.20 |
$129.54
|
|
Warde viscosity
|
$26.88 |
$26.88 |
$26.88 |
$49.47
|
|
Warde vitamin a
|
$21.84 |
$21.84 |
$21.84 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$36.96 |
$36.96 |
$36.96 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$49.28 |
$49.28 |
$49.28 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$18.48 |
$18.48 |
$18.48 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$67.76 |
$67.76 |
$67.76 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$24.64 |
$24.64 |
$24.64 |
$59.25
|
|
Warde zinc
|
$21.28 |
$21.28 |
$21.28 |
$62.50
|
|
Warfarin respon genetic test
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$879.32
|
|
Wash harvest stem cells
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$1,263.60
|
|
Wbc automated
|
$72.24 |
$72.24 |
$72.24 |
$32.35
|
|
Wcd device interrogate
|
$211.68 |
$211.68 |
$211.68 |
$109.20
|
|
Wedge rescj/bisctj ovary uni/bi 58920
|
$11,093.60 |
$11,093.60 |
$11,093.60 |
$8,185.02
|
|
Wedge resect of lung add-on 32506
|
$912.80 |
$912.80 |
$912.80 |
$558.40
|
|
Wedge resect of lung diag 32507
|
$812.00 |
$812.00 |
$812.00 |
$381.60
|
|
Wedge resect of lung initial 32505
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$3,327.20
|
|
Wedging of cast
|
$772.80 |
$772.80 |
$772.80 |
$314.28
|
|
Wedging of clubfoot cast
|
$772.80 |
$772.80 |
$772.80 |
$314.28
|
|
Western blot test
|
$92.96 |
$92.96 |
$92.96 |
$150.00
|
|
Wet mounts/ w preparations
|
$58.24 |
$58.24 |
$58.24 |
$36.80
|
|
Whfo electric custom fitted
|
$4,032.00 |
$4,032.00 |
$4,032.00 |
$5,209.82
|
|
Whfo nontorsion joint prefab
|
$246.96 |
$246.96 |
$246.96 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$491.12 |
$491.12 |
$491.12 |
$465.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$337.12 |
$337.12 |
$337.12 |
$696.45
|
|
Whole body photography
|
$178.08 |
$178.08 |
$178.08 |
$178.08
|
|
Whole mitochondrial genome
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$2,175.00
|
|
Whole mitochondrial genome
|
$2,139.20 |
$2,139.20 |
$2,139.20 |
$1,681.55
|
|
Who nontorsion jnts pre cst
|
$575.12 |
$575.12 |
$575.12 |
$706.80
|
|
Wilate injection
|
$6.80 |
$6.80 |
$6.80 |
$4.58
|
|
Wnd prep f/n/hf/g addl cm
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$811.00
|
|
Woman's shoe oxford brace
|
$84.00 |
$84.00 |
$84.00 |
$149.37
|
|
Wound closure by adhesive
|
$273.84 |
$273.84 |
$273.84 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$565.60 |
$565.60 |
$565.60 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$526.40 |
$526.40 |
$526.40 |
$438.75
|
|
Wrist arthroscopy
|
$5,196.80 |
$5,196.80 |
$5,196.80 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$6,171.20 |
$6,171.20 |
$6,171.20 |
$4,022.93
|
|
Wrist arthroscopy/surgery
|
$9,822.40 |
$9,822.40 |
$9,822.40 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$11,037.60 |
$11,037.60 |
$11,037.60 |
$7,913.97
|
|
Wrist/elbow bowden cable mol
|
$2,010.40 |
$2,010.40 |
$2,010.40 |
$2,010.40
|
|
Wrist/elbow bowden cbl dir f
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$1,548.40
|
|
Wrist endoscopy/surgery
|
$4,939.20 |
$4,939.20 |
$4,939.20 |
$3,452.80
|
|
Wrist X-ray
|
$632.80 |
$632.80 |
$632.80 |
$342.80
|
|
Wrst mld sck flx hng tri pad
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$2,839.20
|
|
Xcapsl ctrc rmvl cplx w/ecp
|
$10,466.40 |
$10,466.40 |
$10,466.40 |
$4,760.49
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$10,740.80 |
$10,740.80 |
$10,740.80 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,311.00
|
|
Xcapsl ctrc rmvl w/ecp
|
$8,439.20 |
$8,439.20 |
$8,439.20 |
$4,760.49
|
|
Xcellistem, 1 mg
|
$44.80 |
$44.80 |
$44.80 |
$2,859.19
|
|
Xcpsl ctrc rmvl cplx insj 1+
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,316.99
|
|
Xe133 xenon 10mci
|
$1,003.42 |
$1,003.42 |
$1,003.42 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$7,453.60 |
$7,453.60 |
$7,453.60 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,837.09
|
|
X-linked intellectual dblt
|
$2,088.80 |
$2,088.80 |
$2,088.80 |
$1,258.40
|
|
X-linked intellectual dblt
|
$2,088.80 |
$2,088.80 |
$2,088.80 |
$1,173.00
|
|
Xm archive tissue molec anal
|
$61.60 |
$61.60 |
$61.60 |
$49.84
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$8,965.60 |
$8,965.60 |
$8,965.60 |
$3,025.00
|
|
X-ray abdomen 1 view
|
$442.40 |
$442.40 |
$442.40 |
$258.50
|
|
X-ray abdomen 2 views
|
$504.00 |
$504.00 |
$504.00 |
$316.47
|
|
X-ray abdomen >=3 views
|
$772.80 |
$772.80 |
$772.80 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$896.00 |
$896.00 |
$896.00 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$576.80 |
$576.80 |
$576.80 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$560.00 |
$560.00 |
$560.00 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,366.40 |
$1,366.40 |
$1,366.40 |
$773.40
|
|
X-ray assay calculus
|
$33.60 |
$33.60 |
$33.60 |
$33.60
|
|
X-ray bone age studies
|
$716.80 |
$716.80 |
$716.80 |
$251.40
|
|
X-ray bone length studies
|
$532.00 |
$532.00 |
$532.00 |
$285.30
|
|
X-ray bone survey complete
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$660.00
|
|
X-ray bone survey infant
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$537.60 |
$537.60 |
$537.60 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$677.60 |
$677.60 |
$677.60 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$739.20 |
$739.20 |
$739.20 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$610.40 |
$610.40 |
$610.40 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$820.15
|
|
X-ray consultation
|
$40.88 |
$40.88 |
$40.88 |
$40.88
|
|
X-ray elbow 2 views (both sides)
|
$532.00 |
$532.00 |
$532.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$616.00 |
$616.00 |
$616.00 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$733.60 |
$733.60 |
$733.60 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$517.80
|
|
X-ray exam of arm infant
|
$716.80 |
$716.80 |
$716.80 |
$248.44
|
|
X-ray exam of eye sockets
|
$784.00 |
$784.00 |
$784.00 |
$328.35
|
|
X-ray exam of femur 1
|
$464.80 |
$464.80 |
$464.80 |
$240.00
|
|
X-ray exam of jaw joint
|
$380.80 |
$380.80 |
$380.80 |
$188.40
|
|
X-ray exam of jaw joint
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$452.00
|
|
X-ray exam of mastoids
|
$739.20 |
$739.20 |
$739.20 |
$193.41
|
|
X-ray exam of middle ear
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$345.66
|
|
X-ray exam of penis
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$593.46
|
|
X-ray exam of perineum
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$577.85
|
|
X-ray exam of salivary gland
|
$319.20 |
$319.20 |
$319.20 |
$162.60
|
