|
Wbc automated
|
$27.03 |
$27.03 |
$27.03 |
$32.80
|
|
Wcd device interrogate
|
$30.74 |
$30.74 |
$30.74 |
$128.40
|
|
Western blot test
|
$87.45 |
$87.45 |
$87.45 |
$153.18
|
|
Wet mounts/ w preparations
|
$14.31 |
$14.31 |
$14.31 |
$36.80
|
|
Whfo nontorsion joint prefab
|
$148.93 |
$148.93 |
$148.93 |
$188.80
|
|
Whfo w/joint(s) custom fab
|
$1,055.76 |
$1,055.76 |
$1,055.76 |
$436.49
|
|
Whole blood for transfusion
|
$396.44 |
$396.44 |
$396.44 |
$479.50
|
|
Wilate injection
|
$2.91 |
$2.91 |
$2.91 |
$2.94
|
|
Wound closure by adhesive
|
$129.32 |
$129.32 |
$129.32 |
$170.95
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$467.46 |
$467.46 |
$467.46 |
$558.97
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$467.46 |
$467.46 |
$467.46 |
$611.25
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$170.66 |
$170.66 |
$170.66 |
$288.91
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$333.37 |
$333.37 |
$333.37 |
$436.15
|
|
Wrist X-ray
|
$162.18 |
$162.18 |
$162.18 |
$343.70
|
|
Xm archive tissue molec anal
|
$141.51 |
$141.51 |
$141.51 |
$47.85
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$12,712.58 |
$12,712.58 |
$12,712.58 |
$1,819.20
|
|
Xpos opn fmrl eprst aor uni add-on
|
$3,120.64 |
$3,120.64 |
$3,120.64 |
$2,160.89
|
|
X-ray abdomen 1 view
|
$184.97 |
$184.97 |
$184.97 |
$255.00
|
|
X-ray abdomen 2 views
|
$208.29 |
$208.29 |
$208.29 |
$312.36
|
|
X-ray abdomen >=3 views
|
$239.56 |
$239.56 |
$239.56 |
$332.15
|
|
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest
|
$298.92 |
$298.92 |
$298.92 |
$418.63
|
|
X-ray acromioclavicular joints without or w/weighted distraction bilateral
|
$201.40 |
$201.40 |
$201.40 |
$271.44
|
|
X-ray ankle 2 views (both sides)
|
$348.21 |
$348.21 |
$348.21 |
$283.00
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$558.62 |
$558.62 |
$558.62 |
$768.30
|
|
X-ray assay calculus
|
$54.59 |
$54.59 |
$54.59 |
$13.77
|
|
X-ray bone age studies
|
$117.13 |
$117.13 |
$117.13 |
$246.75
|
|
X-ray bone length studies
|
$268.18 |
$268.18 |
$268.18 |
$287.25
|
|
X-ray bone survey complete
|
$491.84 |
$491.84 |
$491.84 |
$666.60
|
|
X-ray bone survey infant
|
$200.34 |
$200.34 |
$200.34 |
$410.73
|
|
X-ray cervical spine 2-3 views
|
$187.62 |
$187.62 |
$187.62 |
$326.04
|
|
X-ray cervical spine 4-5 views
|
$249.63 |
$249.63 |
$249.63 |
$455.65
|
|
X-ray cervical spine >= 6 views
|
$405.45 |
$405.45 |
$405.45 |
$515.35
|
|
X-ray clavicle complete (both sides)
|
$164.83 |
$164.83 |
$164.83 |
$299.65
|
|
X-ray colon abdominal radiograph(s) & delayed images single contrast study
|
$334.96 |
$334.96 |
$334.96 |
$647.40
|
|
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study
|
$849.59 |
$849.59 |
$849.59 |
$820.15
|
|
X-ray elbow 2 views (both sides)
|
$237.44 |
$237.44 |
$237.44 |
$291.94
|
|
X-ray elbow >= 3 views (both sides)
|
$163.77 |
$163.77 |
$163.77 |
$342.00
|
|
Xray endovasc thor ao repr
|
$1,461.21 |
$1,461.21 |
$1,461.21 |
$1,889.01
|
|
Xray endovasc thor ao repr
|
$1,461.21 |
$1,461.21 |
$1,461.21 |
$2,266.32
|
|
X-ray esophogram chest radiograph(s) & delayed images single contrast study
|
$256.52 |
$256.52 |
$256.52 |
$486.24
|
|
X-ray exam entire spi 4/5 vw
|
$180.20 |
$180.20 |
$180.20 |
$486.01
|
|
X-ray exam entire spi 6/> vw
|
$202.99 |
$202.99 |
$202.99 |
$575.76
|
|
X-ray exam of arm infant
|
$227.90 |
$227.90 |
$227.90 |
$248.82
|
|
X-ray exam of eye sockets
|
$228.96 |
$228.96 |
$228.96 |
$349.05
|
|
X-ray exam of femur 1
|
$131.44 |
$131.44 |
$131.44 |
$232.36
|
|
X-ray exam of jaw joint
|
$192.39 |
$192.39 |
$192.39 |
$192.39
|
|
X-ray exam of jaw joint
|
$470.64 |
$470.64 |
$470.64 |
$354.79
|
|
X-ray exam of mastoids
|
$288.32 |
$288.32 |
$288.32 |
$191.91
|
|
X-ray exam of middle ear
|
$420.82 |
$420.82 |
$420.82 |
$341.25
|
|
X-ray exam of salivary gland
|
$302.63 |
$302.63 |
$302.63 |
$124.24
|
|
X-ray exam of sinuses
|
$232.14 |
$232.14 |
$232.14 |
$211.00
|
|
X-ray exam of tear duct
|
$257.58 |
$257.58 |
$257.58 |
$340.70
|
|
X-ray exam si joints
|
$328.07 |
$328.07 |
$328.07 |
$246.16
|
|
X-ray exam thorac spine4/>vw
|
$312.70 |
$312.70 |
$312.70 |
$395.59
|
|
X-ray eye detection foreign body (both sides)
|
$242.74 |
$242.74 |
$242.74 |
$235.00
|
|
X-ray facial bones complete > 3 views
|
$281.96 |
$281.96 |
$281.96 |
$366.60
|
|
X-ray femur >=2 views (both sides)
|
$245.92 |
$245.92 |
$245.92 |
$304.15
|
|
X-ray finger(s) >= 2 views (both sides)
|
$196.63 |
$196.63 |
$196.63 |
$262.40
|
|
X-ray foot 2 views (both sides)
|
$173.84 |
$173.84 |
$173.84 |
$288.40
|
|
X-ray forearm 2 views (both sides)
|
$157.94 |
$157.94 |
$157.94 |
$319.00
|
|
X-ray hand 2 views (both sides)
|
$246.98 |
$246.98 |
$246.98 |
$316.50
|
|
X-ray heel/calcaneus > 2 views (both sides)
|
$180.73 |
$180.73 |
$180.73 |
$270.00
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$344.50 |
$344.50 |
$344.50 |
$370.80
|
|
X-ray hip with pelvis when performed bilateral 2 views
|
$351.39 |
$351.39 |
$351.39 |
$350.35
|
|
X-ray hip with pelvis when performed bilateral 3-4 views
|
$374.71 |
$374.71 |
$374.71 |
$409.24
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$449.97 |
$449.97 |
$449.97 |
$508.00
|
|
X-ray hip with pelvis when performed unilateral 1 view left
|
$269.24 |
$269.24 |
$269.24 |
$207.35
|
|
X-ray humerus >= 2 views left
|
$253.34 |
$253.34 |
$253.34 |
$304.15
|
|
X-ray joint survey 1 view
|
$112.89 |
$112.89 |
$112.89 |
$211.00
|
|
X-ray knee 1-2 views (both sides)
|
$153.17 |
$153.17 |
$153.17 |
$283.50
|
|
X-ray knee 3 views (both sides)
|
$169.60 |
$169.60 |
$169.60 |
$353.25
|
|
X-ray knee ap standing bilateral
|
$192.39 |
$192.39 |
$192.39 |
$276.25
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$345.56 |
$345.56 |
$345.56 |
$249.13
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$368.88 |
$368.88 |
$368.88 |
$364.75
|
|
X-ray lumbosacral spine >= 4 views
|
$293.09 |
$293.09 |
$293.09 |
$505.83
|
|
X-ray lumbosacral spine complete including bending views >= 6 views
|
$478.59 |
$478.59 |
$478.59 |
$559.65
|
|
X-ray mandible complete > 4 views
|
$267.65 |
$267.65 |
$267.65 |
$352.83
|
|
X-ray mandible ltd <4 views
|
$154.23 |
$154.23 |
$154.23 |
$238.00
|
|
X-ray nasal bones complete > 3 views
|
$243.27 |
$243.27 |
$243.27 |
$277.70
|
|
X-ray neck soft tissue
|
$196.10 |
$196.10 |
$196.10 |
$237.43
|
|
X-ray nose to rectum for foreign body child
|
$94.34 |
$94.34 |
$94.34 |
$225.96
|
|
X-ray of mammary ducts
|
$361.46 |
$361.46 |
$361.46 |
$473.55
|
|
X-ray optic foramina
|
$239.03 |
$239.03 |
$239.03 |
$171.00
|
|
X-ray pelvis 1-2 views
|
$178.08 |
$178.08 |
$178.08 |
$270.84
|
|
X-ray pelvis complete > 3 views
|
$237.97 |
$237.97 |
$237.97 |
$342.30
|
|
Xray place dist ext thor ao
|
$1,818.43 |
$1,818.43 |
$1,818.43 |
$1,323.14
|
|
Xray place prox ext thor ao
|
$1,818.43 |
$1,818.43 |
$1,818.43 |
$1,005.84
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$541.66 |
$541.66 |
$541.66 |
$742.00
|
|
X-ray ribs 2 views left
|
$250.16 |
$250.16 |
$250.16 |
$296.32
|
|
X-ray ribs 3 views bilateral
|
$271.36 |
$271.36 |
$271.36 |
$394.34
|
|
X-ray ribs w/posterior anterior chest 3 views left
|
$286.73 |
$286.73 |
$286.73 |
$359.47
|
|
X-ray ribs w/posterior anterior chest > 4 views bilateral
|
$312.70 |
$312.70 |
$312.70 |
$497.00
|
|
X-ray sacroiliac joints >= 3 views
|
$242.74 |
$242.74 |
$242.74 |
$313.95
|
|
X-ray sacrum/coccyx >= 2 views
|
$182.32 |
$182.32 |
$182.32 |
$285.60
|
|
X-ray scapula complete (both sides)
|
$445.73 |
$445.73 |
$445.73 |
$292.50
|
|
X-ray sella turcica
|
$298.92 |
$298.92 |
$298.92 |
$162.50
|
|
X-ray shoulder 1 view (both sides)
|
$178.61 |
$178.61 |
$178.61 |
$264.48
|
|
X-ray sinuses paranasal complete > 3 views
|
$396.44 |
$396.44 |
$396.44 |
$339.00
|
|
X-ray sinus tract/fistula/abscess
|
$493.43 |
$493.43 |
$493.43 |
$601.30
|
|
X-ray skull < 4 views
|
$199.28 |
$199.28 |
$199.28 |
$291.78
|