|
Warde viscosity
|
$12.84 |
$12.84 |
$12.84 |
$52.65
|
|
Warde vitamin a
|
$12.77 |
$12.77 |
$12.77 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$23.35 |
$23.35 |
$23.35 |
$78.65
|
|
Warde vitamin b6 (pyridoxine)
|
$30.91 |
$30.91 |
$30.91 |
$116.00
|
|
Warde vitamin c (ascorbic acid)
|
$10.88 |
$10.88 |
$10.88 |
$45.60
|
|
Warde vitamin d (1 25 dihydroxy)
|
$42.35 |
$42.35 |
$42.35 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$15.60 |
$15.60 |
$15.60 |
$55.00
|
|
Warde zinc
|
$12.53 |
$12.53 |
$12.53 |
$62.50
|
|
Warfarin respon genetic test
|
$132.79 |
$132.79 |
$132.79 |
$166.59
|
|
Wash harvest stem cells
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$815.00
|
|
Wbc automated
|
$2.79 |
$2.79 |
$2.79 |
$32.80
|
|
Wedge rescj/bisctj ovary uni/bi 58920
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,419.00
|
|
Wedging of cast
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$309.54
|
|
Wedging of clubfoot cast
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$304.98
|
|
Western blot test
|
$18.73 |
$18.73 |
$18.73 |
$153.18
|
|
Wet mounts/ w preparations
|
$19.54 |
$19.54 |
$19.54 |
$36.80
|
|
Whfo w/joint(s) custom fab
|
$409.21 |
$409.21 |
$409.21 |
$436.49
|
|
Whole mitochondrial genome
|
$1,415.70 |
$1,415.70 |
$1,415.70 |
$1,776.06
|
|
Whole mitochondrial genome
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,524.90
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$236.51 |
$236.51 |
$236.51 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$327.07 |
$327.07 |
$327.07 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$213.21 |
$213.21 |
$213.21 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$230.80 |
$230.80 |
$230.80 |
$436.15
|
|
Wrist arthroscopy
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,010.63
|
|
Wrist endoscopy/surgery
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,512.00
|
|
Xcapsl ctrc rmvl cplx w/ecp
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,760.49
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,724.80
|
|
Xcapsl ctrc rmvl insj 1+
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,105.79
|
|
Xcapsl ctrc rmvl w/ecp
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,760.49
|
|
Xcpsl ctrc rmvl cplx insj 1+
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,076.38
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,623.24
|
|
X-linked intellectual dblt
|
$1,005.40 |
$1,005.40 |
$1,005.40 |
$1,005.40
|
|
X-linked intellectual dblt
|
$1,005.40 |
$1,005.40 |
$1,005.40 |
$914.00
|
|
Xm archive tissue molec anal
|
$34.46 |
$34.46 |
$34.46 |
$47.85
|
|
X-ray abdomen 1 view
|
$103.63 |
$103.63 |
$103.63 |
$255.00
|
|
X-ray abdomen 2 views
|
$124.55 |
$124.55 |
$124.55 |
$312.36
|
|
X-ray abdomen >=3 views
|
$143.80 |
$143.80 |
$143.80 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$179.93 |
$179.93 |
$179.93 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$173.28 |
$173.28 |
$173.28 |
$271.44
|
|
X-ray assay calculus
|
$13.77 |
$13.77 |
$13.77 |
$13.77
|
|
X-ray bone age studies
|
$68.69 |
$68.69 |
$68.69 |
$246.75
|
|
X-ray bone length studies
|
$109.57 |
$109.57 |
$109.57 |
$287.25
|
|
X-ray bone survey complete
|
$183.02 |
$183.02 |
$183.02 |
$666.60
|
|
X-ray bone survey infant
|
$184.69 |
$184.69 |
$184.69 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$127.64 |
$127.64 |
$127.64 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$198.00 |
$198.00 |
$198.00 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$220.11 |
$220.11 |
$220.11 |
$515.35
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$260.99 |
$260.99 |
$260.99 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$399.33 |
$399.33 |
$399.33 |
$820.15
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$260.04 |
$260.04 |
$260.04 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$205.84 |
$205.84 |
$205.84 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$206.32 |
$206.32 |
$206.32 |
$575.76
|
|
X-ray exam of eye sockets
|
$151.89 |
$151.89 |
$151.89 |
$349.05
|
|
X-ray exam of jaw joint
|
$346.32 |
$346.32 |
$346.32 |
$192.39
|
|
X-ray exam of mastoids
|
$73.68 |
$73.68 |
$73.68 |
$191.91
|
|
X-ray exam of sinuses
|
$83.19 |
$83.19 |
$83.19 |
$211.00
|
|
X-ray exam si joints
|
$83.90 |
$83.90 |
$83.90 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$152.84 |
$152.84 |
$152.84 |
$395.59
|
|
X-ray facial bones complete > 3 views
|
$127.40 |
$127.40 |
$127.40 |
$366.60
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$107.67 |
$107.67 |
$107.67 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$133.11 |
$133.11 |
$133.11 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$207.51 |
$207.51 |
$207.51 |
$508.00
|
|
X-ray knee ap standing bilateral
|
$106.01 |
$106.01 |
$106.01 |
$276.25
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$115.28 |
$115.28 |
$115.28 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$187.30 |
$187.30 |
$187.30 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$202.52 |
$202.52 |
$202.52 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$127.40 |
$127.40 |
$127.40 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$101.97 |
$101.97 |
$101.97 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$104.11 |
$104.11 |
$104.11 |
$277.70
|
|
X-ray neck soft tissue
|
$96.03 |
$96.03 |
$96.03 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$79.86 |
$79.86 |
$79.86 |
$225.96
|
|
X-ray pelvis 1-2 views
|
$117.42 |
$117.42 |
$117.42 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$130.25 |
$130.25 |
$130.25 |
$342.30
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$336.34 |
$336.34 |
$336.34 |
$742.00
|
|
X-ray ribs 3 views bilateral
|
$150.22 |
$150.22 |
$150.22 |
$394.34
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$198.00 |
$198.00 |
$198.00 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$114.09 |
$114.09 |
$114.09 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$127.64 |
$127.64 |
$127.64 |
$285.60
|
|
X-ray sinuses paranasal complete > 3 views
|
$107.44 |
$107.44 |
$107.44 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$272.87 |
$272.87 |
$272.87 |
$601.30
|
|
X-ray skull < 4 views
|
$120.51 |
$120.51 |
$120.51 |
$291.78
|
|
X-ray skull > 4 views complete
|
$149.03 |
$149.03 |
$149.03 |
$414.60
|
|
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study
|
$243.16 |
$243.16 |
$243.16 |
$557.70
|
|
X-ray small intestine follow-through study
|
$277.15 |
$277.15 |
$277.15 |
$504.14
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$185.16 |
$185.16 |
$185.16 |
$263.49
|
|
X-ray sternum > 2 views
|
$144.99 |
$144.99 |
$144.99 |
$269.75
|
|
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study
|
$247.68 |
$247.68 |
$247.68 |
$514.00
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$115.99 |
$115.99 |
$115.99 |
$317.70
|
|
X-ray thoracic spine 2 views
|
$127.40 |
$127.40 |
$127.40 |
$318.50
|
|
X-ray thoracic spine 3 views
|
$138.81 |
$138.81 |
$138.81 |
$387.60
|
|
X-ray thoracolumbar spine >=2 views
|
$113.38 |
$113.38 |
$113.38 |
$294.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$96.74 |
$96.74 |
$96.74 |
$256.85
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$137.62 |
$137.62 |
$137.62 |
$385.80
|
|
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast
|
$272.40 |
$272.40 |
$272.40 |
$657.77
|
