|
Warde topiramate therapeutic drug level
|
$63.90 |
$63.90 |
$127.75 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$157.41 |
$157.41 |
$235.31 |
$132.30
|
|
Warde viscosity
|
$87.08 |
$87.08 |
$87.08 |
$50.10
|
|
Warde vitamin a
|
$41.22 |
$41.22 |
$121.83 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$44.64 |
$44.64 |
$149.35 |
$83.99
|
|
Warde vitamin b6 (pyridoxine)
|
$25.92 |
$25.92 |
$273.00 |
$118.30
|
|
Warde vitamin c (ascorbic acid)
|
$32.67 |
$32.67 |
$84.37 |
$50.70
|
|
Warde vitamin d (1 25 dihydroxy)
|
$86.58 |
$86.58 |
$285.79 |
$140.32
|
|
Warde vitamin e (alpha-tocopherol)
|
$26.64 |
$26.64 |
$127.90 |
$61.15
|
|
Warde zinc
|
$15.84 |
$15.84 |
$89.48 |
$62.70
|
|
Wbc automated
|
$27.13 |
$27.13 |
$27.13 |
$32.50
|
|
Wedging of cast
|
$304.88 |
$304.88 |
$304.88 |
$314.28
|
|
Wedging of clubfoot cast
|
$224.92 |
$224.92 |
$224.92 |
$314.28
|
|
Western blot test
|
$247.50 |
$247.50 |
$247.50 |
$144.00
|
|
Wet mounts/ w preparations
|
$57.00 |
$57.00 |
$57.00 |
$36.80
|
|
Whfo nontorsion joint prefab
|
$193.67 |
$193.67 |
$193.67 |
$224.01
|
|
Whfo w/joint(s) custom fab
|
$465.88 |
$465.88 |
$465.88 |
$465.88
|
|
Whole blood for transfusion
|
$485.68 |
$485.68 |
$485.68 |
$491.50
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$714.99 |
$714.99 |
$714.99 |
$696.45
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$419.40 |
$419.40 |
$419.40 |
$491.04
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$962.01 |
$962.01 |
$1,823.30 |
$1,570.65
|
|
Whole mitochondrial genome
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$2,175.00
|
|
Whole mitochondrial genome
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,673.10
|
|
Whole Skeleton X-ray Survey
|
$341.82 |
$341.82 |
$826.19 |
$639.93
|
|
Wilate injection
|
$22.81 |
$22.81 |
$22.81 |
$4.58
|
|
Wnd prep f/n/hf/g addl cm
|
$455.40 |
$455.40 |
$1,056.41 |
$811.00
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$219.42 |
$219.42 |
$504.50 |
$351.60
|
|
Wound pouch each
|
$539.64 |
$539.64 |
$539.64 |
$40.48
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$632.77 |
$632.77 |
$632.77 |
$574.80
|
|
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
|
$179.91 |
$179.91 |
$426.82 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$534.93 |
$534.93 |
$534.93 |
$438.91
|
|
Wrist arthroscopy
|
$4,006.52 |
$4,006.52 |
$4,006.52 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,171.26 |
$4,171.26 |
$4,171.26 |
$3,839.54
|
|
Wrist arthroscopy/surgery
|
$4,022.93 |
$4,022.93 |
$4,022.93 |
$4,022.93
|
|
Wrist arthroscopy/surgery
|
$4,303.70 |
$4,303.70 |
$4,303.70 |
$3,986.00
|
|
Wrist arthroscopy/surgery
|
$6,010.63 |
$6,010.63 |
$6,010.63 |
$8,412.89
|
|
Wrist endoscopy/surgery
|
$3,798.33 |
$3,798.33 |
$3,798.33 |
$3,452.80
|
|
Wrist X-ray
|
$140.58 |
$140.58 |
$359.02 |
$350.40
|
|
Wrist X-ray (2 views, both wrists)
|
$140.58 |
$140.58 |
$268.49 |
$290.40
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$4,403.18 |
$4,403.18 |
$4,403.18 |
$3,786.00
|
|
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/<
|
$680.49 |
$680.49 |
$4,245.50 |
$2,830.00
|
|
Xfer tis s/a/l 10 sq cm/<
|
$680.49 |
$680.49 |
$3,965.17 |
$2,838.00
|
|
X-linked intellectual dblt
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$1,258.40
|
|
Xm archive tissue molec anal
|
$45.01 |
$45.01 |
$45.01 |
$48.38
|
|
Xpos opn fmrl eprst aor uni add-on
|
$2,234.27 |
$2,234.27 |
$2,234.27 |
$1,825.60
|
|
X-ray abdomen >=3 views
|
$149.22 |
$149.22 |
$331.54 |
$341.90
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$389.07 |
$389.07 |
$937.91 |
$789.36
|
|
X-ray assay calculus
|
$72.61 |
$72.61 |
$72.61 |
$33.60
|
|
X-ray bone length studies
|
$91.35 |
$91.35 |
$360.97 |
$285.30
|
|
X-ray bone survey infant
|
$141.93 |
$141.93 |
$394.69 |
$391.38
|
|
Xray endovasc thor ao repr
|
$1,525.88 |
$1,525.88 |
$1,525.88 |
$1,734.00
|
|
X-ray exam entire spi 4/5 vw
|
$228.24 |
$228.24 |
$560.57 |
$441.48
|
|
X-ray exam entire spi 6/> vw
|
$591.21 |
$591.21 |
$591.21 |
$517.80
|
|
X-ray exam of arm infant
|
$84.60 |
$84.60 |
$248.44 |
$248.50
|
|
X-ray exam of femur 1
|
$224.90 |
$224.90 |
$224.90 |
$236.40
|
|
X-ray exam of jaw joint
|
$251.32 |
$251.32 |
$251.32 |
$201.75
|
|
X-ray exam of jaw joint
|
$813.60 |
$813.60 |
$813.60 |
$452.00
|
|
X-ray exam of mastoids
|
$279.82 |
$279.82 |
$279.82 |
$193.41
|
|
X-ray exam of middle ear
|
$322.45 |
$322.45 |
$322.45 |
$349.35
|
|
X-ray exam of penis
|
$565.20 |
$565.20 |
$565.20 |
$593.46
|
|
X-ray exam of perineum
|
$603.14 |
$603.14 |
$603.14 |
$588.00
|
|
X-ray exam of salivary gland
|
$184.20 |
$184.20 |
$184.20 |
$162.60
|
|
X-ray exam of tear duct
|
$864.68 |
$864.68 |
$864.68 |
$467.50
|
|
X-ray exam of teeth
|
$138.40 |
$138.40 |
$138.40 |
$138.40
|
|
X-ray exam of teeth
|
$385.39 |
$385.39 |
$385.39 |
$385.39
|
|
X-ray exam si joints
|
$110.16 |
$110.16 |
$246.16 |
$247.80
|
|
X-ray exam thorac spine4/>vw
|
$133.56 |
$133.56 |
$369.36 |
$395.00
|
|
X-ray eye detection foreign body (both sides)
|
$135.99 |
$135.99 |
$183.98 |
$237.78
|
|
X-ray fallopian tube
|
$109.98 |
$109.98 |
$501.00 |
$565.40
|
|
X-ray head for orthodontia
|
$214.19 |
$214.19 |
$214.19 |
$158.50
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$445.39 |
$445.39 |
$445.39 |
$372.64
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$247.59 |
$247.59 |
$470.88 |
$500.28
|
|
X-ray joint survey 1 view
|
$181.62 |
$181.62 |
$181.62 |
$232.00
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$134.37 |
$134.37 |
$249.13 |
$251.74
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$151.11 |
$151.11 |
$468.26 |
$364.75
|
|
X-ray male genital tract
|
$817.69 |
$817.69 |
$817.69 |
$603.50
|
|
X-ray mandible ltd <4 views
|
$107.28 |
$107.28 |
$261.13 |
$238.00
|
|
X-ray measurement of pelvis
|
$267.52 |
$267.52 |
$267.52 |
$157.39
|
|
X-ray nose to rectum for foreign body child
|
$108.72 |
$108.72 |
$212.88 |
$229.00
|
|
X-ray of mammary ducts
|
$389.88 |
$389.88 |
$437.00 |
$568.26
|
|
X-ray optic foramina
|
$200.74 |
$200.74 |
$200.74 |
$188.40
|
|
Xray place dist ext thor ao
|
$2,496.60 |
$2,496.60 |
$2,496.60 |
$1,203.95
|
|
Xray place prox ext thor ao
|
$874.93 |
$874.93 |
$874.93 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$504.27 |
$504.27 |
$849.37 |
$769.50
|
|
X-ray ribs 2 views left
|
$173.07 |
$173.07 |
$362.86 |
$291.61
|
|
X-ray sella turcica
|
$63.90 |
$63.90 |
$200.74 |
$162.50
|
|
X-ray sinus tract/fistula/abscess
|
$188.10 |
$188.10 |
$601.93 |
$636.30
|
|
X-ray slg plne bdy sect without urogr
|
$209.16 |
$209.16 |
$370.64 |
$398.75
|
|
X-ray small intestine follow-through study
|
$347.13 |
$347.13 |
$1,224.58 |
$504.00
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$113.58 |
$113.58 |
$218.48 |
$267.50
|
|
X-ray surgical specimen
|
$349.38 |
$349.38 |
$638.62 |
$521.28
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$142.29 |
$142.29 |
$162.11 |
$257.04
|
|
X-ray upper gi delay w/kub
|
$533.99 |
$533.99 |
$533.99 |
$247.02
|
|
X-ray upper gi&small intest
|
$590.21 |
$590.21 |
$590.21 |
$692.45
|
|
X-ray xm phrnx&/crv esoph c+
|
$147.78 |
$147.78 |
$256.03 |
$362.98
|
|
Xyntha inj
|
$23.35 |
$23.35 |
$23.35 |
$6.65
|
|
Yersinia antibody
|
$79.20 |
$79.20 |
$79.20 |
$55.80
|
|
Ziconotide injection
|
$7,216.02 |
$7,216.02 |
$7,216.02 |
$7,216.02
|
