|
Wcd device interrogate
|
$186.60 |
$186.60 |
$186.60 |
$109.20
|
|
Wedge resect of lung add-on 32506
|
$337.20 |
$337.20 |
$337.20 |
$558.40
|
|
Wedge resect of lung initial 32505
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$3,327.20
|
|
Western blot test
|
$400.20 |
$400.20 |
$400.20 |
$150.00
|
|
Whfo w/joint(s) custom fab
|
$240.60 |
$240.60 |
$240.60 |
$465.50
|
|
Whole blood for transfusion
|
$1,222.80 |
$1,222.80 |
$1,222.80 |
$497.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$853.80 |
$853.80 |
$853.80 |
$491.04
|
|
Whole mitochondrial genome
|
$5,638.20 |
$5,638.20 |
$5,638.20 |
$2,175.00
|
|
Whole mitochondrial genome
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$1,681.55
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$252.00 |
$252.00 |
$252.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$357.60 |
$357.60 |
$357.60 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$219.60 |
$219.60 |
$219.60 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$393.60 |
$393.60 |
$393.60 |
$438.75
|
|
Wrist X-ray
|
$621.00 |
$621.00 |
$621.00 |
$342.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$6,157.80 |
$6,157.80 |
$6,157.80 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$2,837.09
|
|
Xm archive tissue molec anal
|
$156.00 |
$156.00 |
$156.00 |
$49.84
|
|
Xpos opn fmrl eprst aor uni add-on
|
$486.60 |
$486.60 |
$486.60 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$326.40 |
$326.40 |
$326.40 |
$258.50
|
|
X-ray abdomen 2 views
|
$397.80 |
$397.80 |
$397.80 |
$316.47
|
|
X-ray abdomen >=3 views
|
$457.80 |
$457.80 |
$457.80 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$625.80 |
$625.80 |
$625.80 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$456.00 |
$456.00 |
$456.00 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$519.60 |
$519.60 |
$519.60 |
$282.50
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$976.20 |
$976.20 |
$976.20 |
$773.40
|
|
X-ray bone age studies
|
$353.40 |
$353.40 |
$353.40 |
$251.40
|
|
X-ray bone length studies
|
$497.40 |
$497.40 |
$497.40 |
$285.30
|
|
X-ray bone survey complete
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$660.00
|
|
X-ray bone survey infant
|
$341.40 |
$341.40 |
$341.40 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$486.00 |
$486.00 |
$486.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$599.40 |
$599.40 |
$599.40 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$659.40 |
$659.40 |
$659.40 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$553.20 |
$553.20 |
$553.20 |
$300.05
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$915.00 |
$915.00 |
$915.00 |
$657.03
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$1,212.60 |
$1,212.60 |
$1,212.60 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$507.00 |
$507.00 |
$507.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$634.80 |
$634.80 |
$634.80 |
$364.12
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$645.60 |
$645.60 |
$645.60 |
$483.50
|
|
X-ray exam entire spi 4/5 vw
|
$393.60 |
$393.60 |
$393.60 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$453.00 |
$453.00 |
$453.00 |
$517.80
|
|
X-ray exam of arm infant
|
$370.20 |
$370.20 |
$370.20 |
$248.44
|
|
X-ray exam of eye sockets
|
$573.00 |
$573.00 |
$573.00 |
$328.35
|
|
X-ray exam of femur 1
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$240.00
|
|
X-ray exam of jaw joint
|
$413.40 |
$413.40 |
$413.40 |
$188.40
|
|
X-ray exam of mastoids
|
$592.80 |
$592.80 |
$592.80 |
$193.41
|
|
X-ray exam of penis
|
$557.40 |
$557.40 |
$557.40 |
$593.46
|
|
X-ray exam of salivary gland
|
$280.80 |
$280.80 |
$280.80 |
$162.60
|
|
X-ray exam of sinuses
|
$278.40 |
$278.40 |
$278.40 |
$214.50
|
|
X-ray exam si joints
|
$403.20 |
$403.20 |
$403.20 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$591.60 |
$591.60 |
$591.60 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$376.20 |
$376.20 |
$376.20 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$601.20 |
$601.20 |
$601.20 |
$381.75
|
|
X-ray fallopian tube
|
$707.40 |
$707.40 |
$707.40 |
$532.38
|
|
X-ray femur >=2 views (both sides)
|
$985.80 |
$985.80 |
$985.80 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$460.20 |
$460.20 |
$460.20 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$525.00 |
$525.00 |
$525.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$551.40 |
$551.40 |
$551.40 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$529.80 |
$529.80 |
$529.80 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$510.60 |
$510.60 |
$510.60 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$563.40 |
$563.40 |
$563.40 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$474.60 |
$474.60 |
$474.60 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$556.80 |
$556.80 |
$556.80 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$710.40 |
$710.40 |
$710.40 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$333.00 |
$333.00 |
$333.00 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$571.80 |
$571.80 |
$571.80 |
$309.31
|
|
X-ray joint survey 1 view
|
$354.00 |
$354.00 |
$354.00 |
$232.00
|
|
X-ray knee 1-2 views (both sides)
|
$562.80 |
$562.80 |
$562.80 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$700.20 |
$700.20 |
$700.20 |
$363.20
|
|
X-ray knee ap standing bilateral
|
$520.80 |
$520.80 |
$520.80 |
$252.50
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$386.40 |
$386.40 |
$386.40 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$489.60 |
$489.60 |
$489.60 |
$369.15
|
|
X-ray lumbosacral spine >= 4 views
|
$562.80 |
$562.80 |
$562.80 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$636.00 |
$636.00 |
$636.00 |
$535.91
|
|
X-ray mandible complete > 4 views
|
$592.80 |
$592.80 |
$592.80 |
$361.61
|
|
X-ray mandible ltd <4 views
|
$429.00 |
$429.00 |
$429.00 |
$235.30
|
|
X-ray nasal bones complete > 3 views
|
$411.00 |
$411.00 |
$411.00 |
$274.65
|
|
X-ray neck soft tissue
|
$356.40 |
$356.40 |
$356.40 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$329.40 |
$329.40 |
$329.40 |
$225.60
|
|
X-ray of mammary ducts
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$568.26
|
|
X-ray pelvis 1-2 views
|
$453.00 |
$453.00 |
$453.00 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$505.20 |
$505.20 |
$505.20 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$976.20 |
$976.20 |
$976.20 |
$755.50
|
|
X-ray ribs 2 views left
|
$432.60 |
$432.60 |
$432.60 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$719.40 |
$719.40 |
$719.40 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$529.80 |
$529.80 |
$529.80 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$885.60 |
$885.60 |
$885.60 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$455.40 |
$455.40 |
$455.40 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$416.40 |
$416.40 |
$416.40 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$651.60 |
$651.60 |
$651.60 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$490.20 |
$490.20 |
$490.20 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$459.60 |
$459.60 |
$459.60 |
$345.60
|
|
X-ray sinus tract/fistula/abscess
|
$579.60 |
$579.60 |
$579.60 |
$606.89
|
|
X-ray skull < 4 views
|
$415.80 |
$415.80 |
$415.80 |
$292.50
|
|
X-ray skull > 4 views complete
|
$579.60 |
$579.60 |
$579.60 |
$417.50
|
|
X-ray slg plne bdy sect without urogr
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$399.82
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$787.80 |
$787.80 |
$787.80 |
$557.70
|
|
X-ray small intestine follow-through study
|
$514.80 |
$514.80 |
$514.80 |
$499.50
|
|
X-ray spine single view
|
$381.60 |
$381.60 |
$381.60 |
$251.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$432.60 |
$432.60 |
$432.60 |
$264.48
|
|
X-ray sternum > 2 views
|
$460.20 |
$460.20 |
$460.20 |
$274.65
|
