|
Warde sugars single qualitative each specimen stool
|
$22.10 |
$22.10 |
$22.10 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$22.10 |
$22.10 |
$963.00 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$91.65 |
$91.65 |
$3,245.00 |
$183.60
|
|
Warde topiramate therapeutic drug level
|
$14.30 |
$14.30 |
$14.30 |
$71.50
|
|
Warde viscosity
|
$23.40 |
$23.40 |
$885.00 |
$50.16
|
|
Warde vitamin a
|
$29.25 |
$29.25 |
$481.00 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$42.25 |
$42.25 |
$42.25 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$34.45 |
$34.45 |
$816.00 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$27.30 |
$27.30 |
$27.30 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$43.55 |
$43.55 |
$2,061.00 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$27.30 |
$27.30 |
$27.30 |
$61.15
|
|
Warde zinc
|
$31.20 |
$31.20 |
$31.20 |
$62.70
|
|
Wash harvest stem cells
|
$641.55 |
$641.55 |
$641.55 |
$1,263.60
|
|
Wbc automated
|
$161.20 |
$161.20 |
$481.00 |
$32.74
|
|
Wcd device interrogate
|
$260.00 |
$260.00 |
$260.00 |
$109.20
|
|
Wedging of cast
|
$297.70 |
$297.70 |
$297.70 |
$314.28
|
|
Wedging of clubfoot cast
|
$595.40 |
$595.40 |
$595.40 |
$314.28
|
|
Whole blood for transfusion
|
$291.85 |
$291.85 |
$291.85 |
$504.00
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$2,538.25 |
$2,538.25 |
$7,951.00 |
$1,570.65
|
|
Whole body photography
|
$473.20 |
$473.20 |
$473.20 |
$178.08
|
|
Whole Skeleton X-ray Survey
|
$1,233.70 |
$1,233.70 |
$1,233.70 |
$636.46
|
|
Wilate injection
|
$5.20 |
$5.20 |
$5.20 |
$4.58
|
|
Wnd prep f/n/hf/g addl cm
|
$877.50 |
$877.50 |
$877.50 |
$811.00
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$546.00 |
$546.00 |
$966.55 |
$353.40
|
|
Woundfix biowound plus xplus
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Wound pouch each
|
$26.65 |
$26.65 |
$26.65 |
$40.48
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$501.80 |
$501.80 |
$501.80 |
$574.40
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$501.80 |
$501.80 |
$501.80 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$284.70 |
$284.70 |
$284.70 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$414.70 |
$414.70 |
$414.70 |
$442.22
|
|
Wrist X-ray
|
$640.25 |
$640.25 |
$640.25 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$437.45 |
$437.45 |
$483.60 |
$291.20
|
|
Xcellistem, 1 mg
|
$9,297.60 |
$9,297.60 |
$9,297.60 |
$2,859.19
|
|
Xe133 xenon 10mci
|
$336.05 |
$336.05 |
$810.00 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$5,307.90 |
$5,307.90 |
$5,307.90 |
$2,707.20
|
|
Xfer tis s/a/l 10 sq cm/<
|
$5,560.75 |
$5,560.75 |
$5,560.75 |
$2,838.00
|
|
Xm archive tissue molec anal
|
$31.85 |
$31.85 |
$31.85 |
$48.38
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$14,784.25 |
$14,784.25 |
$14,784.25 |
$3,025.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$2,746.90 |
$2,746.90 |
$2,746.90 |
$1,859.09
|
|
X-ray abdomen >=3 views
|
$674.70 |
$674.70 |
$674.70 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$1,155.05 |
$1,155.05 |
$1,155.05 |
$794.00
|
|
X-ray bone length studies
|
$631.80 |
$631.80 |
$631.80 |
$285.30
|
|
X-ray bone survey infant
|
$620.75 |
$620.75 |
$620.75 |
$394.80
|
|
Xray endovasc thor ao repr
|
$2,392.65 |
$2,392.65 |
$2,392.65 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$2,048.15 |
$2,048.15 |
$2,048.15 |
$1,622.18
|
|
X-ray exam entire spi 4/5 vw
|
$827.45 |
$827.45 |
$827.45 |
$455.91
|
|
X-ray exam entire spi 6/> vw
|
$827.45 |
$827.45 |
$827.45 |
$519.00
|
|
X-ray exam of arm infant
|
$372.45 |
$372.45 |
$483.60 |
$248.82
|
|
X-ray exam of femur 1
|
$504.40 |
$504.40 |
$504.40 |
$237.60
|
|
X-ray exam of penis
|
$612.95 |
$612.95 |
$612.95 |
$593.46
|
|
X-ray exam of teeth
|
$194.35 |
$194.35 |
$194.35 |
$138.40
|
|
X-ray exam of teeth
|
$570.70 |
$570.70 |
$570.70 |
$385.39
|
|
X-ray eye detection foreign body (both sides)
|
$408.20 |
$408.20 |
$408.20 |
$238.29
|
|
X-ray fallopian tube
|
$6,998.55 |
$6,998.55 |
$6,998.55 |
$565.40
|
|
X-ray head for orthodontia
|
$194.35 |
$194.35 |
$194.35 |
$158.50
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$895.05 |
$895.05 |
$895.05 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$1,898.65 |
$1,898.65 |
$1,898.65 |
$513.56
|
|
X-ray joint survey 1 view
|
$749.00 |
$1,365.65 |
$1,365.65 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$163.15 |
$163.15 |
$483.60 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$456.95 |
$456.95 |
$566.15 |
$364.75
|
|
X-ray mandible ltd <4 views
|
$260.00 |
$260.00 |
$260.00 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$332.15 |
$332.15 |
$372.45 |
$226.85
|
|
X-ray of mammary ducts
|
$776.75 |
$776.75 |
$776.75 |
$568.26
|
|
Xray place dist ext thor ao
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$1,203.95
|
|
Xray place prox ext thor ao
|
$1,367.60 |
$1,367.60 |
$1,367.60 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$1,134.25 |
$1,134.25 |
$1,134.25 |
$765.60
|
|
X-ray ribs 2 views left
|
$736.45 |
$736.45 |
$736.45 |
$296.32
|
|
X-ray sella turcica
|
$537.00 |
$537.00 |
$537.00 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$1,197.30 |
$1,197.30 |
$2,671.00 |
$398.75
|
|
X-ray small intestine follow-through study
|
$1,032.20 |
$1,032.20 |
$1,032.20 |
$501.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$316.55 |
$316.55 |
$521.95 |
$267.50
|
|
X-ray surgical specimen
|
$641.55 |
$641.55 |
$641.55 |
$520.00
|
|
X-ray xm phrnx&/crv esoph c+
|
$392.60 |
$392.60 |
$1,570.00 |
$362.98
|
|
Xwrap 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Xylose absorption test blood &/or urine
|
$91.65 |
$91.65 |
$816.00 |
$99.89
|
|
Yersinia antibody
|
$88.00 |
$88.00 |
$88.00 |
$55.80
|
|
Yttrium y-90 ibritumomab ther
|
$51,403.95 |
$51,403.95 |
$51,403.95 |
$56,824.55
|
|
Zenith amniotic membrane psc
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$232.70 |
$232.70 |
$232.70 |
$83.25
|
|
Zika virus igm antibody
|
$129.35 |
$129.35 |
$129.35 |
$85.00
|
|
Zinc paste band w >=3"<5"/yd
|
$34.45 |
$34.45 |
$34.45 |
$13.44
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$293.15 |
$293.15 |
$508.00 |
$123.21
|
|
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)
|
$152.10 |
$152.10 |
$152.10 |
$5,215.08
|
|
Zolbetuximab-clzb 100 mg intravenous solution
|
$137.15 |
$137.15 |
$137.15 |
$7,810.92
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$507.65 |
$507.65 |
$507.65 |
$423.96
|