|
Warde sex hormone binding globulin
|
$48.75 |
$48.75 |
$48.75 |
$83.85
|
|
Warde somatomedin
|
$130.65 |
$130.65 |
$130.65 |
$115.20
|
|
Warde t3 (triiodothyronine) reverse
|
$16.25 |
$16.25 |
$16.25 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$57.85 |
$57.85 |
$57.85 |
$180.01
|
|
Warde topiramate therapeutic drug level
|
$26.00 |
$26.00 |
$26.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$48.75 |
$48.75 |
$48.75 |
$132.30
|
|
Warde viscosity
|
$61.75 |
$61.75 |
$61.75 |
$50.10
|
|
Warde vitamin a
|
$13.65 |
$13.65 |
$13.65 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$87.75 |
$87.75 |
$87.75 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$118.30 |
$118.30 |
$118.30 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$122.85 |
$122.85 |
$122.85 |
$50.70
|
|
Warde vitamin d (1 25 dihydroxy)
|
$38.35 |
$38.35 |
$38.35 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$13.65 |
$13.65 |
$13.65 |
$61.15
|
|
Warde zinc
|
$174.20 |
$174.20 |
$174.20 |
$62.70
|
|
Wbc automated
|
$33.15 |
$33.15 |
$33.15 |
$32.50
|
|
Wcd device interrogate
|
$174.20 |
$174.20 |
$174.20 |
$109.20
|
|
Wedge biopsy of liver 47100
|
$3,356.60 |
$3,356.60 |
$3,356.60 |
$1,584.00
|
|
Wedge resect of lung add-on 32506
|
$780.00 |
$780.00 |
$780.00 |
$381.60
|
|
Wedge resect of lung initial 32505
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$2,868.00
|
|
Wet mounts/ w preparations
|
$124.15 |
$124.15 |
$124.15 |
$36.80
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,570.65
|
|
Whole body photography
|
$438.10 |
$438.10 |
$438.10 |
$178.08
|
|
Whole Skeleton X-ray Survey
|
$596.70 |
$596.70 |
$596.70 |
$639.93
|
|
Wnd prep f/n/hf/g addl cm
|
$958.75 |
$958.75 |
$958.75 |
$811.00
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$742.95 |
$742.95 |
$742.95 |
$354.00
|
|
Wound closure by adhesive
|
$88.40 |
$88.40 |
$88.40 |
$138.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$1,493.70 |
$1,493.70 |
$1,493.70 |
$574.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$1,493.70 |
$1,493.70 |
$1,493.70 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$742.95 |
$742.95 |
$742.95 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$1,493.70 |
$1,493.70 |
$1,493.70 |
$442.58
|
|
Wrist arthroscopy/surgery
|
$1,791.40 |
$1,791.40 |
$1,791.40 |
$3,986.00
|
|
Wrist X-ray
|
$494.00 |
$494.00 |
$494.00 |
$351.00
|
|
Wrist X-ray (2 views, both wrists)
|
$494.00 |
$494.00 |
$494.00 |
$291.20
|
|
Xe133 xenon 10mci
|
$299.00 |
$299.00 |
$299.00 |
$207.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,838.00
|
|
Xm archive tissue molec anal
|
$33.80 |
$33.80 |
$33.80 |
$48.38
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$16,076.45 |
$16,076.45 |
$16,076.45 |
$3,135.84
|
|
Xpos opn fmrl eprst aor uni add-on
|
$15,161.25 |
$15,161.25 |
$15,161.25 |
$2,087.40
|
|
X-ray abdomen >=3 views
|
$596.70 |
$596.70 |
$596.70 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$794.00
|
|
X-ray bone length studies
|
$596.70 |
$596.70 |
$596.70 |
$285.30
|
|
X-ray bone survey infant
|
$778.70 |
$778.70 |
$778.70 |
$396.50
|
|
X-ray consultation
|
$1,498.90 |
$1,498.90 |
$1,498.90 |
$40.88
|
|
X-ray exam entire spi 4/5 vw
|
$596.70 |
$596.70 |
$596.70 |
$457.98
|
|
X-ray exam entire spi 6/> vw
|
$596.70 |
$596.70 |
$596.70 |
$519.00
|
|
X-ray exam of arm infant
|
$41.60 |
$41.60 |
$41.60 |
$248.82
|
|
X-ray exam of femur 1
|
$494.00 |
$494.00 |
$494.00 |
$237.78
|
|
X-ray exam of jaw joint
|
$494.00 |
$494.00 |
$494.00 |
$201.75
|
|
X-ray exam of jaw joint
|
$140.40 |
$140.40 |
$140.40 |
$452.00
|
|
X-ray exam of mastoids
|
$596.70 |
$596.70 |
$596.70 |
$193.41
|
|
X-ray exam of middle ear
|
$3,073.85 |
$3,073.85 |
$3,073.85 |
$349.35
|
|
X-ray exam of penis
|
$326.30 |
$326.30 |
$326.30 |
$593.46
|
|
X-ray exam of perineum
|
$177.45 |
$177.45 |
$177.45 |
$588.00
|
|
X-ray exam of salivary gland
|
$44.20 |
$44.20 |
$44.20 |
$162.60
|
|
X-ray exam of teeth
|
$26.00 |
$26.00 |
$26.00 |
$138.40
|
|
X-ray exam of teeth
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$385.39
|
|
X-ray exam si joints
|
$596.70 |
$596.70 |
$596.70 |
$246.98
|
|
X-ray exam thorac spine4/>vw
|
$596.70 |
$596.70 |
$596.70 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$494.00 |
$494.00 |
$494.00 |
$238.29
|
|
X-ray head for orthodontia
|
$494.00 |
$494.00 |
$494.00 |
$158.50
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$596.70 |
$596.70 |
$596.70 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$596.70 |
$596.70 |
$596.70 |
$513.60
|
|
X-ray joint survey 1 view
|
$596.70 |
$596.70 |
$596.70 |
$235.20
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$494.00 |
$494.00 |
$494.00 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$63.05 |
$63.05 |
$63.05 |
$364.75
|
|
X-ray mandible ltd <4 views
|
$494.00 |
$494.00 |
$494.00 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$494.00 |
$494.00 |
$494.00 |
$229.00
|
|
X-ray of mammary ducts
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$568.26
|
|
X-ray optic foramina
|
$494.00 |
$494.00 |
$494.00 |
$188.40
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$769.50
|
|
X-ray ribs 2 views left
|
$494.00 |
$494.00 |
$494.00 |
$296.32
|
|
X-ray sella turcica
|
$49.40 |
$49.40 |
$49.40 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$3,073.85 |
$3,073.85 |
$3,073.85 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$596.70 |
$596.70 |
$596.70 |
$398.75
|
|
X-ray small intestine follow-through study
|
$646.10 |
$646.10 |
$646.10 |
$504.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$494.00 |
$494.00 |
$494.00 |
$267.50
|
|
X-ray surgical specimen
|
$3,073.85 |
$3,073.85 |
$3,073.85 |
$521.28
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$494.00 |
$494.00 |
$494.00 |
$257.04
|
|
X-ray xm phrnx&/crv esoph c+
|
$997.75 |
$997.75 |
$997.75 |
$362.98
|
|
Xtrnl ecg rec>48hr<7d
|
$143.00 |
$143.00 |
$143.00 |
$789.60
|
|
Xtrnl ecg rec up to 48 hrs
|
$111.80 |
$111.80 |
$111.80 |
$232.98
|
|
Yttrium y-90 ibritumomab ther
|
$96,361.76 |
$96,361.76 |
$96,361.76 |
$56,824.55
|
|
Ziconotide injection
|
$2,938.53 |
$2,938.53 |
$2,938.53 |
$7,216.02
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$3.41 |
$3.41 |
$3.41 |
$83.25
|
|
Zika virus igm antibody
|
$87.75 |
$87.75 |
$87.75 |
$85.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$76.73 |
$76.73 |
$76.73 |
$123.21
|
|
Zolbetuximab-clzb 100 mg intravenous solution
|
$14,976.00 |
$14,976.00 |
$14,976.00 |
$7,810.92
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$276.12 |
$276.12 |
$276.12 |
$423.96
|
|
Zoster vaccine-live inj
|
$522.60 |
$522.60 |
$522.60 |
$333.34
|