|
Vein x-ray liver w/hemodynam
|
$10,485.99 |
$10,485.99 |
$10,485.99 |
$3,413.25
|
|
Vein x-ray liver w/hemodynam
|
$9,742.24 |
$9,742.24 |
$9,742.24 |
$3,439.84
|
|
Vein x-ray liver without hemodyn
|
$14,342.11 |
$14,342.11 |
$14,342.11 |
$2,489.25
|
|
Vein x-ray spleen/liver
|
$11,079.77 |
$11,079.77 |
$11,079.77 |
$3,450.30
|
|
Venogram ext bil s&i
|
$548.89 |
$548.89 |
$548.89 |
$1,838.28
|
|
Venous sampling s&i
|
$5,589.18 |
$5,589.18 |
$5,589.18 |
$4,416.78
|
|
Ven thrombosis images bilat
|
$6,447.93 |
$6,447.93 |
$6,447.93 |
$779.56
|
|
Ventilator each subsequent day
|
$5,928.35 |
$5,928.35 |
$5,928.35 |
$1,305.92
|
|
Ventilator initial day
|
$6,638.87 |
$6,638.87 |
$6,638.87 |
$1,540.80
|
|
Vest large holster
|
$2,014.28 |
$2,014.28 |
$2,014.28 |
$1,050.21
|
|
Vinblastine 1 mg/ml intravenous solution
|
$331.25 |
$331.25 |
$331.25 |
$186.71
|
|
Visual audiometry (vra)
|
$189.29 |
$189.29 |
$189.29 |
$202.50
|
|
Vital capacity test
|
$345.96 |
$345.96 |
$345.96 |
$173.33
|
|
Voiding pressure study/intra-abd 51797
|
$1,345.15 |
$1,345.15 |
$1,345.15 |
$463.40
|
|
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr
|
$2,424.02 |
$2,424.02 |
$2,424.02 |
$224.40
|
|
Warde 1003990 aldosterone
|
$17.10 |
$17.10 |
$17.10 |
$145.60
|
|
Warde 1005020 citrate 24 hour urine
|
$19.32 |
$19.32 |
$19.32 |
$97.61
|
|
Warde 1005055 5-hiaa 24 hour urine
|
$10.00 |
$10.00 |
$10.00 |
$72.50
|
|
Warde 1007138 vanillymandelic acid 24 hour urine
|
$7.00 |
$7.00 |
$7.00 |
$69.55
|
|
Warde 3004000 immunoglobulin subclass 1
|
$24.00 |
$24.00 |
$24.00 |
$40.70
|
|
Warde 3400652 smear complex special stain ova/parasites
|
$130.02 |
$130.02 |
$130.02 |
$78.57
|
|
Warde actin (smooth muscle) antibody each
|
$3.67 |
$3.67 |
$3.67 |
$45.58
|
|
Warde adrenocorticotropic hormone (acth)
|
$13.00 |
$13.00 |
$13.00 |
$129.75
|
|
Warde aldolase
|
$2.25 |
$2.25 |
$2.25 |
$49.20
|
|
Warde amiodarone therapeutic drug level
|
$10.00 |
$10.00 |
$10.00 |
$53.95
|
|
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative
|
$81.45 |
$81.45 |
$81.45 |
$381.50
|
|
Warde calcitonin
|
$15.00 |
$15.00 |
$15.00 |
$89.40
|
|
Warde calculus (stone) infrared
|
$10.82 |
$10.82 |
$10.82 |
$61.73
|
|
Warde clozapine therapeutic drug level
|
$27.73 |
$27.73 |
$27.73 |
$63.00
|
|
Warde complement total hemolytic
|
$4.00 |
$4.00 |
$4.00 |
$105.00
|
|
Warde cryoglobulin
|
$5.00 |
$5.00 |
$5.00 |
$43.45
|
|
Warde estrogen fractionated
|
$40.53 |
$40.53 |
$40.53 |
$112.18
|
|
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative
|
$9.00 |
$9.00 |
$9.00 |
$43.55
|
|
Warde gastrin
|
$5.80 |
$5.80 |
$5.80 |
$75.25
|
|
Warde helminth antibody strongyloides igg
|
$132.00 |
$132.00 |
$132.00 |
$96.80
|
|
Warde hepatitis delta agent antibody
|
$121.00 |
$121.00 |
$121.00 |
$92.30
|
|
Warde infectious agent nucleic acid genotype hepatitis c
|
$100.00 |
$100.00 |
$100.00 |
$636.09
|
|
Warde islet cell antibody zinc transporter 8
|
$22.00 |
$22.00 |
$22.00 |
$137.55
|
|
Warde lipoprotein-associated phospholipase a2
|
$444.00 |
$444.00 |
$444.00 |
$97.00
|
|
Warde sex hormone binding globulin
|
$370.36 |
$370.36 |
$370.36 |
$86.59
|
|
Warde t3 (triiodothyronine) reverse
|
$7.00 |
$7.00 |
$7.00 |
$70.85
|
|
Warde thyroid stimulating immunoglobulins
|
$30.00 |
$30.00 |
$30.00 |
$173.50
|
|
Warde topiramate therapeutic drug level
|
$12.00 |
$12.00 |
$12.00 |
$71.19
|
|
Warde viscosity
|
$12.88 |
$12.88 |
$12.88 |
$52.65
|
|
Warde vitamin a
|
$14.18 |
$14.18 |
$14.18 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$14.90 |
$14.90 |
$14.90 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$18.00 |
$18.00 |
$18.00 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$13.80 |
$13.80 |
$13.80 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$12.00 |
$12.00 |
$12.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$9.20 |
$9.20 |
$9.20 |
$55.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$481.78 |
$481.78 |
$481.78 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$792.47 |
$792.47 |
$792.47 |
$436.15
|
|
Xe133 xenon 10mci
|
$1,264.74 |
$1,264.74 |
$1,264.74 |
$299.00
|
|
X-ray abdomen 1 view
|
$1,678.36 |
$1,678.36 |
$1,678.36 |
$255.00
|
|
X-ray abdomen 2 views
|
$2,452.13 |
$2,452.13 |
$2,452.13 |
$312.36
|
|
X-ray abdomen >=3 views
|
$2,737.59 |
$2,737.59 |
$2,737.59 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$2,472.88 |
$2,472.88 |
$2,472.88 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$1,279.37 |
$1,279.37 |
$1,279.37 |
$271.44
|
|
X-ray bone age studies
|
$1,521.70 |
$1,521.70 |
$1,521.70 |
$246.75
|
|
X-ray bone survey complete
|
$4,181.60 |
$4,181.60 |
$4,181.60 |
$666.60
|
|
X-ray bone survey infant
|
$2,544.04 |
$2,544.04 |
$2,544.04 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$2,713.76 |
$2,713.76 |
$2,713.76 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$3,074.82 |
$3,074.82 |
$3,074.82 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$3,416.59 |
$3,416.59 |
$3,416.59 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$3,576.90 |
$3,576.90 |
$3,576.90 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$4,835.79 |
$4,835.79 |
$4,835.79 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$2,059.88 |
$2,059.88 |
$2,059.88 |
$486.24
|
|
X-ray exam of eye sockets
|
$3,322.29 |
$3,322.29 |
$3,322.29 |
$349.05
|
|
X-ray exam of femur 1
|
$1,486.61 |
$1,486.61 |
$1,486.61 |
$232.36
|
|
X-ray exam of middle ear
|
$1,260.18 |
$1,260.18 |
$1,260.18 |
$341.25
|
|
X-ray exam of penis
|
$1,328.77 |
$1,328.77 |
$1,328.77 |
$565.20
|
|
X-ray exam of sinuses
|
$2,742.15 |
$2,742.15 |
$2,742.15 |
$211.00
|
|
X-ray exam of tear duct
|
$5,203.70 |
$5,203.70 |
$5,203.70 |
$340.70
|
|
X-ray facial bones complete > 3 views
|
$3,356.62 |
$3,356.62 |
$3,356.62 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$1,723.24 |
$1,723.24 |
$1,723.24 |
$304.15
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$2,034.12 |
$2,034.12 |
$2,034.12 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$3,811.46 |
$3,811.46 |
$3,811.46 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$4,048.07 |
$4,048.07 |
$4,048.07 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$4,284.68 |
$4,284.68 |
$4,284.68 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$1,857.24 |
$1,857.24 |
$1,857.24 |
$207.35
|
|
X-ray knee ap standing bilateral
|
$2,001.71 |
$2,001.71 |
$2,001.71 |
$276.25
|
|
X-ray lumbosacral spine >= 4 views
|
$2,576.23 |
$2,576.23 |
$2,576.23 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$1,607.68 |
$1,607.68 |
$1,607.68 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$2,232.21 |
$2,232.21 |
$2,232.21 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$1,441.15 |
$1,441.15 |
$1,441.15 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$1,585.65 |
$1,585.65 |
$1,585.65 |
$277.70
|
|
X-ray neck soft tissue
|
$1,833.29 |
$1,833.29 |
$1,833.29 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$4,814.96 |
$4,814.96 |
$4,814.96 |
$225.96
|
|
X-ray optic foramina
|
$450.02 |
$450.02 |
$450.02 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$1,678.36 |
$1,678.36 |
$1,678.36 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$1,678.36 |
$1,678.36 |
$1,678.36 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$2,785.90 |
$2,785.90 |
$2,785.90 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$2,188.67 |
$2,188.67 |
$2,188.67 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$3,270.64 |
$3,270.64 |
$3,270.64 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$2,933.84 |
$2,933.84 |
$2,933.84 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$161.48 |
$161.48 |
$161.48 |
$601.30
|
|
X-ray skull < 4 views
|
$1,537.28 |
$1,537.28 |
$1,537.28 |
$291.78
|
|
X-ray skull > 4 views complete
|
$2,672.29 |
$2,672.29 |
$2,672.29 |
$414.60
|
