|
Whole body photography
|
$144.80 |
$144.80 |
$144.80 |
$178.08
|
|
Whole mitochondrial genome
|
$2,574.40 |
$2,574.40 |
$2,574.40 |
$2,175.00
|
|
Whole mitochondrial genome
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,673.10
|
|
Whole Skeleton X-ray Survey
|
$1,031.68 |
$1,031.68 |
$1,031.68 |
$639.93
|
|
Wilate injection
|
$1.60 |
$1.60 |
$1.60 |
$4.58
|
|
Wnd prep f/n/hf/g addl cm
|
$298.40 |
$298.40 |
$298.40 |
$811.00
|
|
Woman's shoe oxford brace
|
$162.40 |
$162.40 |
$162.40 |
$149.37
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$263.88 |
$263.88 |
$263.88 |
$351.60
|
|
Wound closure by adhesive
|
$258.40 |
$258.40 |
$258.40 |
$138.25
|
|
Woundfix biowound plus xplus
|
$837.60 |
$837.60 |
$837.60 |
$1.00
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$591.20 |
$591.20 |
$591.20 |
$574.80
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$616.00 |
$616.00 |
$616.00 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$238.58 |
$238.58 |
$238.58 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$438.91 |
$438.91 |
$438.91 |
$438.91
|
|
Wrist arthroscopy
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$2,382.40 |
$2,382.40 |
$2,382.40 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$4,022.93
|
|
Wrist arthroscopy/surgery
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$3,986.00
|
|
Wrist arthroscopy/surgery
|
$2,672.00 |
$2,672.00 |
$2,672.00 |
$8,412.89
|
|
Wrist endoscopy/surgery
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$3,452.80
|
|
Wrist X-ray
|
$224.98 |
$224.98 |
$224.98 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$149.20 |
$149.20 |
$149.20 |
$290.40
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$3,724.80 |
$3,724.80 |
$3,724.80 |
$3,786.00
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$1,868.00 |
$1,868.00 |
$1,868.00 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$2,838.00
|
|
Xm archive tissue molec anal
|
$70.00 |
$70.00 |
$70.00 |
$48.38
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
$3,143.58
|
|
Xpos opn fmrl eprst aor uni add-on
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$1,825.60
|
|
X-ray abdomen >=3 views
|
$315.19 |
$315.19 |
$315.19 |
$341.90
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$312.04 |
$312.04 |
$312.04 |
$789.36
|
|
X-ray assay calculus
|
$64.28 |
$64.28 |
$64.28 |
$33.60
|
|
X-ray bone length studies
|
$461.91 |
$461.91 |
$461.91 |
$285.30
|
|
X-ray bone survey infant
|
$472.36 |
$472.36 |
$472.36 |
$391.38
|
|
X-ray consultation
|
$36.00 |
$36.00 |
$36.00 |
$40.88
|
|
Xray endovasc thor ao repr
|
$2,688.80 |
$2,688.80 |
$2,688.80 |
$1,734.00
|
|
Xray endovasc thor ao repr
|
$3,518.40 |
$3,518.40 |
$3,518.40 |
$1,622.18
|
|
X-ray exam entire spi 4/5 vw
|
$419.92 |
$419.92 |
$419.92 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$574.96 |
$574.96 |
$574.96 |
$517.80
|
|
X-ray exam of arm infant
|
$182.76 |
$182.76 |
$182.76 |
$248.50
|
|
X-ray exam of femur 1
|
$232.36 |
$232.36 |
$232.36 |
$236.40
|
|
X-ray exam of jaw joint
|
$91.20 |
$91.20 |
$91.20 |
$201.75
|
|
X-ray exam of jaw joint
|
$176.80 |
$176.80 |
$176.80 |
$452.00
|
|
X-ray exam of mastoids
|
$84.00 |
$84.00 |
$84.00 |
$193.41
|
|
X-ray exam of middle ear
|
$114.40 |
$114.40 |
$114.40 |
$349.35
|
|
X-ray exam of penis
|
$606.40 |
$606.40 |
$606.40 |
$593.46
|
|
X-ray exam of perineum
|
$588.00 |
$588.00 |
$588.00 |
$588.00
|
|
X-ray exam of salivary gland
|
$82.40 |
$82.40 |
$82.40 |
$162.60
|
|
X-ray exam of tear duct
|
$728.80 |
$728.80 |
$728.80 |
$467.50
|
|
X-ray exam of teeth
|
$32.00 |
$32.00 |
$32.00 |
$138.40
|
|
X-ray exam of teeth
|
$82.40 |
$82.40 |
$82.40 |
$385.39
|
|
X-ray exam si joints
|
$225.08 |
$225.08 |
$225.08 |
$247.80
|
|
X-ray exam thorac spine4/>vw
|
$361.41 |
$361.41 |
$361.41 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$147.16 |
$147.16 |
$147.16 |
$237.78
|
|
X-ray fallopian tube
|
$264.00 |
$264.00 |
$264.00 |
$565.40
|
|
X-ray head for orthodontia
|
$41.60 |
$41.60 |
$41.60 |
$158.50
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$323.47 |
$323.47 |
$323.47 |
$372.64
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$559.44 |
$559.44 |
$559.44 |
$500.28
|
|
X-ray joint survey 1 view
|
$349.38 |
$349.38 |
$349.38 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$264.89 |
$264.89 |
$264.89 |
$251.74
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$261.31 |
$261.31 |
$261.31 |
$364.75
|
|
X-ray male genital tract
|
$182.40 |
$182.40 |
$182.40 |
$603.50
|
|
X-ray mandible ltd <4 views
|
$80.80 |
$80.80 |
$80.80 |
$238.00
|
|
X-ray nose to rectum for foreign body child
|
$200.42 |
$200.42 |
$200.42 |
$229.00
|
|
X-ray of mammary ducts
|
$1,170.24 |
$1,170.24 |
$1,170.24 |
$568.26
|
|
X-ray optic foramina
|
$159.69 |
$159.69 |
$159.69 |
$188.40
|
|
Xray place dist ext thor ao
|
$4,111.20 |
$4,111.20 |
$4,111.20 |
$1,203.95
|
|
Xray place prox ext thor ao
|
$3,684.00 |
$3,684.00 |
$3,684.00 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$625.87 |
$625.87 |
$625.87 |
$769.50
|
|
X-ray ribs 2 views left
|
$271.88 |
$271.88 |
$271.88 |
$291.61
|
|
X-ray sella turcica
|
$62.40 |
$62.40 |
$62.40 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$315.75 |
$315.75 |
$315.75 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$694.76 |
$694.76 |
$694.76 |
$398.75
|
|
X-ray small intestine follow-through study
|
$543.73 |
$543.73 |
$543.73 |
$504.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$270.08 |
$270.08 |
$270.08 |
$267.50
|
|
X-ray surgical specimen
|
$187.55 |
$187.55 |
$187.55 |
$521.28
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$155.04 |
$155.04 |
$155.04 |
$257.04
|
|
X-ray xm phrnx&/crv esoph c+
|
$178.40 |
$178.40 |
$178.40 |
$362.98
|
|
Xtrnl ecg rec up to 48 hrs
|
$253.60 |
$253.60 |
$253.60 |
$232.98
|
|
Xylose absorption test blood &/or urine
|
$64.28 |
$64.28 |
$64.28 |
$99.89
|
|
Yersinia antibody
|
$33.60 |
$33.60 |
$33.60 |
$55.80
|
|
Zika virus dna/rna amp probe
|
$103.20 |
$103.20 |
$103.20 |
$181.08
|
|
Zika virus igm antibody
|
$48.57 |
$48.57 |
$48.57 |
$85.00
|
|
Zinc paste band w >=3"<5"/yd
|
$4.00 |
$4.00 |
$4.00 |
$13.44
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$92.05 |
$92.05 |
$92.05 |
$123.21
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$432.92 |
$432.92 |
$432.92 |
$416.81
|
|
Zoster vaccine-live inj
|
$204.80 |
$204.80 |
$204.80 |
$333.34
|