|
Warde somatomedin
|
$139.64 |
$139.64 |
$290.34 |
$115.82
|
|
Warde sugars single qualitative each specimen stool
|
$63.26 |
$63.26 |
$63.26 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$110.63 |
$110.63 |
$1,277.02 |
$70.00
|
|
Warde thyroid stimulating immunoglobulins
|
$275.40 |
$275.40 |
$1,757.98 |
$183.60
|
|
Warde topiramate therapeutic drug level
|
$124.52 |
$124.52 |
$1,623.64 |
$71.50
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$235.31 |
$235.31 |
$235.31 |
$129.80
|
|
Warde viscosity
|
$85.35 |
$85.35 |
$85.35 |
$50.16
|
|
Warde vitamin a
|
$101.99 |
$101.99 |
$2,522.55 |
$59.66
|
|
Warde vitamin b-1 (thiamine)
|
$149.35 |
$149.35 |
$791.09 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$273.00 |
$273.00 |
$4,393.30 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$89.62 |
$89.62 |
$845.82 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$239.03 |
$239.03 |
$2,467.81 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$96.47 |
$96.47 |
$452.76 |
$61.15
|
|
Warde zinc
|
$94.80 |
$94.80 |
$791.09 |
$62.70
|
|
Wbc automated
|
$48.08 |
$48.08 |
$48.08 |
$32.74
|
|
Wedging of cast
|
$251.98 |
$251.98 |
$251.98 |
$314.28
|
|
Wedging of clubfoot cast
|
$278.22 |
$278.22 |
$278.22 |
$314.28
|
|
Western blot test
|
$247.50 |
$247.50 |
$247.50 |
$148.85
|
|
Whfo w/joint(s) custom fab
|
$465.88 |
$465.88 |
$465.88 |
$452.38
|
|
Whole blood for transfusion
|
$487.92 |
$487.92 |
$487.92 |
$504.00
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$501.89 |
$501.89 |
$2,498.27 |
$491.04
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$1,823.30 |
$1,823.30 |
$8,335.77 |
$1,570.65
|
|
Whole mitochondrial genome
|
$2,913.78 |
$2,913.78 |
$2,913.78 |
$2,175.00
|
|
Whole mitochondrial genome
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,673.10
|
|
Whole Skeleton X-ray Survey
|
$810.79 |
$810.79 |
$810.79 |
$636.46
|
|
Wilate injection
|
$22.81 |
$22.81 |
$22.81 |
$4.58
|
|
Woman's shoe oxford brace
|
$149.37 |
$149.37 |
$149.37 |
$149.37
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$350.98 |
$350.98 |
$350.98 |
$353.40
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$632.77 |
$632.77 |
$632.77 |
$574.40
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$663.39 |
$663.39 |
$663.39 |
$594.00
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$316.82 |
$316.82 |
$316.82 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$496.18 |
$496.18 |
$496.18 |
$442.22
|
|
Wrist X-ray
|
$309.46 |
$309.46 |
$309.46 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$292.17 |
$292.17 |
$292.17 |
$291.20
|
|
Xcellistem, 1 mg
|
$7.55 |
$7.55 |
$7.55 |
$2,859.19
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$2,830.00 |
$2,830.00 |
$2,830.00 |
$2,707.20
|
|
Xm archive tissue molec anal
|
$41.66 |
$41.66 |
$41.66 |
$48.38
|
|
Xpos opn fmrl eprst aor uni add-on
|
$1,742.24 |
$1,742.24 |
$8,924.23 |
$1,859.09
|
|
X-ray abdomen >=3 views
|
$244.51 |
$244.51 |
$1,890.70 |
$344.12
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$261.79 |
$261.79 |
$261.79 |
$794.00
|
|
X-ray bone length studies
|
$312.91 |
$312.91 |
$1,421.12 |
$285.30
|
|
X-ray bone survey infant
|
$233.11 |
$233.11 |
$233.11 |
$394.80
|
|
Xray endovasc thor ao repr
|
$1,357.65 |
$1,357.65 |
$1,357.65 |
$1,734.00
|
|
X-ray exam entire spi 4/5 vw
|
$539.81 |
$539.81 |
$3,407.89 |
$455.91
|
|
X-ray exam entire spi 6/> vw
|
$575.76 |
$575.76 |
$4,013.84 |
$519.00
|
|
X-ray exam of arm infant
|
$113.43 |
$113.43 |
$113.43 |
$248.82
|
|
X-ray exam of femur 1
|
$158.96 |
$158.96 |
$158.96 |
$237.60
|
|
X-ray exam of jaw joint
|
$115.69 |
$115.69 |
$115.69 |
$194.36
|
|
X-ray exam of jaw joint
|
$255.35 |
$255.35 |
$255.35 |
$452.00
|
|
X-ray exam of mastoids
|
$193.41 |
$193.41 |
$193.41 |
$193.41
|
|
X-ray exam of penis
|
$565.20 |
$565.20 |
$565.20 |
$593.46
|
|
X-ray exam of salivary gland
|
$124.24 |
$124.24 |
$124.24 |
$162.60
|
|
X-ray exam of teeth
|
$69.80 |
$69.80 |
$69.80 |
$138.40
|
|
X-ray exam of teeth
|
$152.17 |
$152.17 |
$152.17 |
$385.39
|
|
X-ray exam si joints
|
$162.73 |
$162.73 |
$162.73 |
$246.98
|
|
X-ray exam thorac spine4/>vw
|
$432.22 |
$432.22 |
$432.22 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$276.00 |
$276.00 |
$276.00 |
$238.29
|
|
X-ray fallopian tube
|
$458.68 |
$458.68 |
$458.68 |
$565.40
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$300.00 |
$300.00 |
$300.00 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$545.64 |
$545.64 |
$3,091.75 |
$513.56
|
|
X-ray joint survey 1 view
|
$124.24 |
$124.24 |
$124.24 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$113.43 |
$113.43 |
$113.43 |
$254.12
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$341.30 |
$341.30 |
$2,603.57 |
$364.75
|
|
X-ray mandible ltd <4 views
|
$121.12 |
$121.12 |
$121.12 |
$238.00
|
|
X-ray measurement of pelvis
|
$157.39 |
$157.39 |
$157.39 |
$157.39
|
|
X-ray nose to rectum for foreign body child
|
$113.43 |
$113.43 |
$113.43 |
$226.85
|
|
X-ray optic foramina
|
$138.73 |
$138.73 |
$138.73 |
$185.95
|
|
Xray place prox ext thor ao
|
$1,005.84 |
$1,005.84 |
$1,005.84 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$719.37 |
$719.37 |
$719.37 |
$765.60
|
|
X-ray ribs 2 views left
|
$296.32 |
$296.32 |
$296.32 |
$296.32
|
|
X-ray sella turcica
|
$92.48 |
$92.48 |
$92.48 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$492.03 |
$492.03 |
$492.03 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$300.00 |
$300.00 |
$300.00 |
$398.75
|
|
X-ray small intestine follow-through study
|
$847.71 |
$847.71 |
$1,234.59 |
$501.60
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$218.48 |
$218.48 |
$218.48 |
$267.50
|
|
X-ray surgical specimen
|
$458.88 |
$458.88 |
$3,147.29 |
$520.00
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$187.70 |
$187.70 |
$1,603.99 |
$256.85
|
|
X-ray upper gi delay w/kub
|
$231.32 |
$231.32 |
$231.32 |
$247.02
|
|
X-ray upper gi&small intest
|
$721.42 |
$721.42 |
$721.42 |
$692.45
|
|
X-ray xm phrnx&/crv esoph c+
|
$200.39 |
$200.39 |
$200.39 |
$362.98
|
|
Xylose absorption test blood &/or urine
|
$99.89 |
$99.89 |
$1,822.66 |
$99.89
|
|
Xyntha inj
|
$23.35 |
$23.35 |
$23.35 |
$6.65
|
|
Yersinia antibody
|
$124.80 |
$124.80 |
$124.80 |
$55.80
|
|
Ziconotide injection
|
$7,216.02 |
$7,216.02 |
$31,609.84 |
$7,216.02
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$108.12 |
$108.12 |
$108.12 |
$83.25
|
|
Zidovudine, oral, 100 mg
|
$78.15 |
$78.15 |
$78.15 |
$11.67
|
|
Zika virus dna/rna amp probe
|
$387.70 |
$387.70 |
$387.70 |
$181.08
|
|
Zika virus igm antibody
|
$146.60 |
$146.60 |
$146.60 |
$85.00
|
|
Ziprasidone 20 mg/ml (final concentration) intramuscular solution
|
$173.96 |
$173.96 |
$375.49 |
$123.21
|
|
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)
|
$5,790.00 |
$5,790.00 |
$5,790.00 |
$5,215.08
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$390.61 |
$390.61 |
$2,356.38 |
$423.96
|