|
Warde sex hormone binding globulin
|
$13.50 |
$13.50 |
$13.50 |
$82.08
|
|
Warde somatomedin
|
$19.00 |
$19.00 |
$19.00 |
$113.58
|
|
Warde sugars single qualitative each specimen stool
|
$6.50 |
$6.50 |
$6.50 |
$30.24
|
|
Warde t3 (triiodothyronine) reverse
|
$12.00 |
$12.00 |
$12.00 |
$69.50
|
|
Warde thyroid stimulating immunoglobulins
|
$43.50 |
$43.50 |
$43.50 |
$178.53
|
|
Warde topiramate therapeutic drug level
|
$20.00 |
$20.00 |
$20.00 |
$71.20
|
|
Warde virus isolation tissue culture innoculation presumptive id herpes simplex
|
$37.00 |
$37.00 |
$37.00 |
$129.54
|
|
Warde viscosity
|
$11.00 |
$11.00 |
$11.00 |
$49.47
|
|
Warde vitamin a
|
$10.00 |
$10.00 |
$10.00 |
$58.80
|
|
Warde vitamin b-1 (thiamine)
|
$12.00 |
$12.00 |
$12.00 |
$82.04
|
|
Warde vitamin b6 (pyridoxine)
|
$11.00 |
$11.00 |
$11.00 |
$116.20
|
|
Warde vitamin c (ascorbic acid)
|
$7.00 |
$7.00 |
$7.00 |
$50.00
|
|
Warde vitamin d (1 25 dihydroxy)
|
$14.00 |
$14.00 |
$14.00 |
$138.50
|
|
Warde vitamin e (alpha-tocopherol)
|
$14.00 |
$14.00 |
$14.00 |
$59.25
|
|
Warde zinc
|
$10.00 |
$10.00 |
$10.00 |
$62.50
|
|
Wedge biopsy of liver 47100
|
$942.00 |
$942.00 |
$942.00 |
$1,584.00
|
|
Whole blood for transfusion
|
$638.00 |
$638.00 |
$638.00 |
$497.00
|
|
Wnd prep f/n/hf/g addl cm
|
$93.00 |
$93.00 |
$93.00 |
$811.00
|
|
Wound closure by adhesive
|
$17.00 |
$17.00 |
$17.00 |
$149.25
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$22.00 |
$22.00 |
$22.00 |
$554.01
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$25.50 |
$25.50 |
$25.50 |
$579.70
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$192.50 |
$192.50 |
$192.50 |
$284.70
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$26.00 |
$26.00 |
$26.00 |
$438.75
|
|
Wrist endoscopy/surgery
|
$540.50 |
$540.50 |
$540.50 |
$3,452.80
|
|
Wrist X-ray
|
$139.00 |
$139.00 |
$139.00 |
$342.80
|
|
Xcapsl ctrc rmvl cplx wo ecp
|
$695.00 |
$695.00 |
$695.00 |
$3,724.80
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$608.50 |
$608.50 |
$608.50 |
$2,692.80
|
|
Xfer tis s/a/l 10 sq cm/<
|
$558.50 |
$558.50 |
$558.50 |
$2,837.09
|
|
Xm archive tissue molec anal
|
$17.50 |
$17.50 |
$17.50 |
$49.84
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$409.00 |
$409.00 |
$409.00 |
$3,025.00
|
|
Xpos opn fmrl eprst aor uni add-on
|
$226.50 |
$226.50 |
$226.50 |
$2,087.40
|
|
X-ray abdomen 1 view
|
$83.50 |
$83.50 |
$83.50 |
$258.50
|
|
X-ray abdomen 2 views
|
$159.50 |
$159.50 |
$159.50 |
$316.47
|
|
X-ray abdomen >=3 views
|
$176.50 |
$176.50 |
$176.50 |
$342.50
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$247.50 |
$247.50 |
$247.50 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$126.00 |
$126.00 |
$126.00 |
$270.20
|
|
X-ray ankle 2 views (both sides)
|
$104.00 |
$104.00 |
$104.00 |
$282.50
|
|
X-ray bone age studies
|
$183.50 |
$183.50 |
$183.50 |
$251.40
|
|
X-ray bone survey complete
|
$342.50 |
$342.50 |
$342.50 |
$660.00
|
|
X-ray bone survey infant
|
$185.50 |
$185.50 |
$185.50 |
$394.69
|
|
X-ray cervical spine 2-3 views
|
$121.00 |
$121.00 |
$121.00 |
$333.83
|
|
X-ray cervical spine 4-5 views
|
$220.50 |
$220.50 |
$220.50 |
$457.05
|
|
X-ray cervical spine >= 6 views
|
$220.50 |
$220.50 |
$220.50 |
$508.50
|
|
X-ray clavicle complete (both sides)
|
$121.00 |
$121.00 |
$121.00 |
$300.05
|
|
X-ray elbow 2 views (both sides)
|
$121.00 |
$121.00 |
$121.00 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$139.00 |
$139.00 |
$139.00 |
$364.12
|
|
X-ray exam entire spi 6/> vw
|
$354.00 |
$354.00 |
$354.00 |
$517.80
|
|
X-ray exam of eye sockets
|
$220.00 |
$220.00 |
$220.00 |
$328.35
|
|
X-ray exam of femur 1
|
$205.50 |
$205.50 |
$205.50 |
$240.00
|
|
X-ray exam of sinuses
|
$119.00 |
$119.00 |
$119.00 |
$214.50
|
|
X-ray exam thorac spine4/>vw
|
$232.50 |
$232.50 |
$232.50 |
$387.40
|
|
X-ray eye detection foreign body (both sides)
|
$34.00 |
$34.00 |
$34.00 |
$238.29
|
|
X-ray facial bones complete > 3 views
|
$229.00 |
$229.00 |
$229.00 |
$381.75
|
|
X-ray femur >=2 views (both sides)
|
$126.00 |
$126.00 |
$126.00 |
$317.25
|
|
X-ray finger(s) >= 2 views (both sides)
|
$83.50 |
$83.50 |
$83.50 |
$241.05
|
|
X-ray foot 2 views (both sides)
|
$104.00 |
$104.00 |
$104.00 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$121.00 |
$121.00 |
$121.00 |
$322.20
|
|
X-ray hand 2 views (both sides)
|
$104.00 |
$104.00 |
$104.00 |
$291.20
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$109.50 |
$109.50 |
$109.50 |
$274.95
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$203.50 |
$203.50 |
$203.50 |
$376.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$203.50 |
$203.50 |
$203.50 |
$374.40
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$331.00 |
$331.00 |
$331.00 |
$424.05
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$331.00 |
$331.00 |
$331.00 |
$505.60
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$120.50 |
$120.50 |
$120.50 |
$231.00
|
|
X-ray humerus >= 2 views left
|
$156.00 |
$156.00 |
$156.00 |
$309.31
|
|
X-ray knee 1-2 views (both sides)
|
$120.50 |
$120.50 |
$120.50 |
$285.00
|
|
X-ray knee 3 views (both sides)
|
$164.00 |
$164.00 |
$164.00 |
$363.20
|
|
X-ray lumbosacral spine >= 4 views
|
$284.00 |
$284.00 |
$284.00 |
$505.83
|
|
X-ray mandible complete > 4 views
|
$220.00 |
$220.00 |
$220.00 |
$361.61
|
|
X-ray nasal bones complete > 3 views
|
$121.00 |
$121.00 |
$121.00 |
$274.65
|
|
X-ray neck soft tissue
|
$121.00 |
$121.00 |
$121.00 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$116.50 |
$116.50 |
$116.50 |
$225.60
|
|
X-ray pelvis 1-2 views
|
$100.50 |
$100.50 |
$100.50 |
$280.80
|
|
X-ray pelvis complete > 3 views
|
$208.50 |
$208.50 |
$208.50 |
$348.19
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$27.50 |
$27.50 |
$27.50 |
$755.50
|
|
X-ray ribs 2 views left
|
$129.50 |
$129.50 |
$129.50 |
$292.80
|
|
X-ray ribs 3 views bilateral
|
$166.50 |
$166.50 |
$166.50 |
$395.76
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$152.50 |
$152.50 |
$152.50 |
$356.20
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$184.00 |
$184.00 |
$184.00 |
$491.70
|
|
X-ray sacroiliac joints >= 3 views
|
$205.50 |
$205.50 |
$205.50 |
$312.75
|
|
X-ray sacrum/coccyx >= 2 views
|
$126.00 |
$126.00 |
$126.00 |
$288.80
|
|
X-ray scapula complete (both sides)
|
$166.00 |
$166.00 |
$166.00 |
$285.00
|
|
X-ray shoulder 1 view (both sides)
|
$121.00 |
$121.00 |
$121.00 |
$260.00
|
|
X-ray sinuses paranasal complete > 3 views
|
$220.00 |
$220.00 |
$220.00 |
$345.60
|
|
X-ray skull < 4 views
|
$208.00 |
$208.00 |
$208.00 |
$292.50
|
|
X-ray skull > 4 views complete
|
$234.50 |
$234.50 |
$234.50 |
$417.50
|
|
X-ray spine single view
|
$8.50 |
$8.50 |
$8.50 |
$251.00
|
|
X-ray sternum > 2 views
|
$126.00 |
$126.00 |
$126.00 |
$274.65
|
|
X-ray temporomandibular joint open/closed mouth bilateral
|
$156.00 |
$156.00 |
$156.00 |
$327.80
|
|
X-ray thoracic spine 2 views
|
$126.00 |
$126.00 |
$126.00 |
$320.45
|
|
X-ray thoracic spine 3 views
|
$209.50 |
$209.50 |
$209.50 |
$381.60
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$83.50 |
$83.50 |
$83.50 |
$257.04
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views
|
$126.00 |
$126.00 |
$126.00 |
$352.95
|
|
X-ray tibia/fibula 2 views (both sides)
|
$126.00 |
$126.00 |
$126.00 |
$332.00
|
|
X-ray toe(s) > 2 views (both sides)
|
$233.00 |
$233.00 |
$233.00 |
$258.50
|
|
X-ray wrist 2 views (both sides)
|
$121.00 |
$121.00 |
$121.00 |
$290.40
|
|
Ziconotide injection
|
$17.50 |
$17.50 |
$17.50 |
$7,216.02
|
|
Zoledronic acid 4 mg/5 ml intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$452.69
|
