|
Ventilator initial day
|
$7,851.97 |
$7,851.97 |
$7,851.97 |
$1,540.80
|
|
Vinblastine 1 mg/ml intravenous solution
|
$31.80 |
$31.80 |
$31.80 |
$186.71
|
|
Vincristine 1 mg/ml intravenous solution
|
$157.50 |
$157.50 |
$157.50 |
$104.79
|
|
Vinorelbine 10 mg/ml intravenous solution (wrapper)
|
$704.75 |
$704.75 |
$704.75 |
$245.36
|
|
Vital capacity test
|
$272.53 |
$272.53 |
$272.53 |
$173.33
|
|
Volume measurement urine timed
|
$163.98 |
$163.98 |
$163.98 |
$21.45
|
|
Warde 1005020 citrate 24 hour urine
|
$143.00 |
$143.00 |
$143.00 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$10.00 |
$10.00 |
$10.00 |
$72.50
|
|
Warde 1006955 catecholamines fractionated 24 hour urine
|
$20.70 |
$20.70 |
$20.70 |
$113.10
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$11.96 |
$11.96 |
$11.96 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$12.91 |
$12.91 |
$12.91 |
$40.70
|
|
Warde 3708165 mercury urine
|
$9.81 |
$9.81 |
$9.81 |
$72.80
|
|
Warde adenosine deaminase pleural fluid
|
$862.36 |
$862.36 |
$862.36 |
$91.76
|
|
Warde adrenocorticotropic hormone (acth)
|
$13.00 |
$13.00 |
$13.00 |
$129.75
|
|
Warde aldolase
|
$2.54 |
$2.54 |
$2.54 |
$49.20
|
|
Warde amino acids 6 or more quantitative each specimen
|
$115.00 |
$115.00 |
$115.00 |
$176.20
|
|
Warde amiodarone therapeutic drug level
|
$15.00 |
$15.00 |
$15.00 |
$53.95
|
|
Warde analysis gene hfe common variants
|
$61.09 |
$61.09 |
$61.09 |
$260.94
|
|
Warde bile acids
|
$11.88 |
$11.88 |
$11.88 |
$64.28
|
|
Warde calcitonin
|
$19.04 |
$19.04 |
$19.04 |
$89.40
|
|
Warde calculus (stone) infrared
|
$15.00 |
$15.00 |
$15.00 |
$61.73
|
|
Warde cobalt heavy metal quantitative each nes
|
$176.00 |
$176.00 |
$176.00 |
$122.50
|
|
Warde complement total hemolytic
|
$4.00 |
$4.00 |
$4.00 |
$105.00
|
|
Warde cryoglobulin
|
$3.50 |
$3.50 |
$3.50 |
$43.45
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$10.00 |
$10.00 |
$10.00 |
$43.55
|
|
Warde gastrin
|
$5.80 |
$5.80 |
$5.80 |
$75.25
|
|
Warde helminth antibody strongyloides igg
|
$37.90 |
$37.90 |
$37.90 |
$96.80
|
|
Warde hepatitis delta agent antibody
|
$60.00 |
$60.00 |
$60.00 |
$92.30
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$81.45 |
$81.45 |
$81.45 |
$636.09
|
|
Warde t3 (triiodothyronine) reverse
|
$25.00 |
$25.00 |
$25.00 |
$70.85
|
|
Warde topiramate therapeutic drug level
|
$44.16 |
$44.16 |
$44.16 |
$71.19
|
|
Warde viscosity
|
$12.88 |
$12.88 |
$12.88 |
$52.65
|
|
Warde vitamin a
|
$13.80 |
$13.80 |
$13.80 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$16.56 |
$16.56 |
$16.56 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$26.68 |
$26.68 |
$26.68 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$19.03 |
$19.03 |
$19.03 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$25.00 |
$25.00 |
$25.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$9.20 |
$9.20 |
$9.20 |
$55.00
|
|
Warde zinc
|
$9.20 |
$9.20 |
$9.20 |
$62.50
|
|
Wilate injection
|
$7.27 |
$7.27 |
$7.27 |
$1.28
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$972.00 |
$972.00 |
$972.00 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$436.15
|
|
Xe133 xenon 10mci
|
$613.81 |
$613.81 |
$613.81 |
$299.00
|
|
X-ray abdomen 1 view
|
$2,699.80 |
$2,699.80 |
$2,699.80 |
$255.00
|
|
X-ray abdomen 2 views
|
$3,972.10 |
$3,972.10 |
$3,972.10 |
$312.36
|
|
X-ray abdomen >=3 views
|
$5,244.40 |
$5,244.40 |
$5,244.40 |
$332.15
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$2,351.35 |
$2,351.35 |
$2,351.35 |
$271.44
|
|
X-ray bone age studies
|
$805.26 |
$805.26 |
$805.26 |
$246.75
|
|
X-ray bone length studies
|
$5,371.78 |
$5,371.78 |
$5,371.78 |
$287.25
|
|
X-ray bone survey complete
|
$3,245.91 |
$3,245.91 |
$3,245.91 |
$666.60
|
|
X-ray bone survey infant
|
$2,844.74 |
$2,844.74 |
$2,844.74 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$3,052.65 |
$3,052.65 |
$3,052.65 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$4,046.77 |
$4,046.77 |
$4,046.77 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$3,645.61 |
$3,645.61 |
$3,645.61 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$4,390.84 |
$4,390.84 |
$4,390.84 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$6,001.35 |
$6,001.35 |
$6,001.35 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$2,566.56 |
$2,566.56 |
$2,566.56 |
$486.24
|
|
X-ray exam of eye sockets
|
$3,301.55 |
$3,301.55 |
$3,301.55 |
$349.05
|
|
X-ray exam of femur 1
|
$1,285.48 |
$1,285.48 |
$1,285.48 |
$232.36
|
|
X-ray facial bones complete > 3 views
|
$3,513.84 |
$3,513.84 |
$3,513.84 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$5,803.69 |
$5,803.69 |
$5,803.69 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$5,808.09 |
$5,808.09 |
$5,808.09 |
$409.24
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$4,374.73 |
$4,374.73 |
$4,374.73 |
$207.35
|
|
X-ray knee ap standing bilateral
|
$1,607.58 |
$1,607.58 |
$1,607.58 |
$276.25
|
|
X-ray lumbosacral spine >= 4 views
|
$4,106.81 |
$4,106.81 |
$4,106.81 |
$505.83
|
|
X-ray mandible complete > 4 views
|
$2,893.07 |
$2,893.07 |
$2,893.07 |
$352.83
|
|
X-ray nasal bones complete > 3 views
|
$2,351.35 |
$2,351.35 |
$2,351.35 |
$277.70
|
|
X-ray neck soft tissue
|
$2,108.30 |
$2,108.30 |
$2,108.30 |
$237.43
|
|
X-ray pelvis 1-2 views
|
$2,494.82 |
$2,494.82 |
$2,494.82 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$2,494.82 |
$2,494.82 |
$2,494.82 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$5,125.81 |
$5,125.81 |
$5,125.81 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$3,513.84 |
$3,513.84 |
$3,513.84 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$4,305.92 |
$4,305.92 |
$4,305.92 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$2,108.30 |
$2,108.30 |
$2,108.30 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$3,301.55 |
$3,301.55 |
$3,301.55 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$3,449.42 |
$3,449.42 |
$3,449.42 |
$339.00
|
|
X-ray skull < 4 views
|
$2,494.82 |
$2,494.82 |
$2,494.82 |
$291.78
|
|
X-ray skull > 4 views complete
|
$3,513.84 |
$3,513.84 |
$3,513.84 |
$414.60
|
|
X-ray slg plne bdy sect without urogr
|
$5,392.28 |
$5,392.28 |
$5,392.28 |
$387.00
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$4,390.84 |
$4,390.84 |
$4,390.84 |
$557.70
|
|
X-ray small intestine follow-through study
|
$1,414.33 |
$1,414.33 |
$1,414.33 |
$504.14
|
|
X-ray spine single view
|
$2,156.62 |
$2,156.62 |
$2,156.62 |
$252.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$1,691.04 |
$1,691.04 |
$1,691.04 |
$263.49
|
|
X-ray sternum > 2 views
|
$2,566.56 |
$2,566.56 |
$2,566.56 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$1,818.41 |
$1,818.41 |
$1,818.41 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$3,301.55 |
$3,301.55 |
$3,301.55 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$2,699.80 |
$2,699.80 |
$2,699.80 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$3,052.65 |
$3,052.65 |
$3,052.65 |
$387.60
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$3,052.65 |
$3,052.65 |
$3,052.65 |
$385.80
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$4,509.43 |
$4,509.43 |
$4,509.43 |
$657.77
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study
|
$4,390.84 |
$4,390.84 |
$4,390.84 |
$555.04
|
|
Xylose absorption test blood &/or urine
|
$26.73 |
$26.73 |
$26.73 |
$64.28
|
|
Zika virus dna/rna amp probe
|
$350.00 |
$350.00 |
$350.00 |
$175.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$258.50 |
$258.50 |
$258.50 |
$128.10
|
