|
Warde vitamin d (1 25 dihydroxy)
|
$68.75 |
$155.00 |
$410.17 |
|
|
Warde vitamin e (alpha-tocopherol)
|
$13.75 |
$80.00 |
$299.83 |
|
|
Warde zinc
|
$25.65 |
$77.50 |
$128.36 |
|
|
Wbc automated
|
$11.40 |
$30.00 |
$150.18 |
|
|
Wcd device interrogate
|
$30.74 |
$30.74 |
$30.74 |
|
|
Wedge biopsy of liver 47100
|
$1,459.20 |
$1,459.20 |
$2,575.20 |
|
|
Wedge resect of lung add-on 32506
|
$558.40 |
$558.40 |
$558.40 |
|
|
Wedge resect of lung diag 32507
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
|
|
Wedge resect of lung initial 32505
|
$3,327.20 |
$3,327.20 |
$3,327.20 |
|
|
Wedging of cast
|
$805.60 |
$805.60 |
$805.60 |
|
|
Wedging of clubfoot cast
|
$1,199.20 |
$1,199.20 |
$1,199.20 |
|
|
Western blot test
|
$48.17 |
$82.50 |
$127.38 |
|
|
Wet mounts/ w preparations
|
$14.31 |
$14.31 |
$14.31 |
|
|
Whfo nontorsion joint prefab
|
$148.93 |
$152.46 |
$152.46 |
|
|
Whfo w/joint(s) custom fab
|
$295.00 |
$436.49 |
$1,135.44 |
|
|
Whole blood for transfusion
|
$294.12 |
$585.00 |
$980.10 |
|
|
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit
|
$249.15 |
$278.30 |
$734.25 |
|
|
Whole blood/red blood cells leukocytes reduced cmv negative each unit
|
$156.75 |
$432.50 |
$491.04 |
|
|
Whole-Body Bone Scan (Nuclear Medicine)
|
$820.23 |
$1,400.00 |
$3,828.09 |
|
|
Whole mitochondrial genome
|
$2,272.38 |
$2,272.38 |
$2,272.38 |
|
|
Whole Skeleton X-ray Survey
|
$107.16 |
$733.70 |
$2,231.72 |
|
|
Who nontorsion jnts pre cst
|
$347.50 |
$347.50 |
$347.50 |
|
|
Wilate injection
|
$2.91 |
$2.91 |
$2.98 |
|
|
Wnd prep f/n/hf/g addl cm
|
$424.80 |
$424.80 |
$424.80 |
|
|
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm)
|
$205.70 |
$265.05 |
$615.78 |
|
|
Wound closure by adhesive
|
$13.68 |
$196.00 |
$410.30 |
|
|
Wound therapy negative pressure per session <= 50 sq cm
|
$205.70 |
$585.00 |
$2,226.95 |
|
|
Wound therapy negative pressure per session > 50 sq cm
|
$225.60 |
$885.00 |
$885.00 |
|
|
Wound therapy negative pressure per session <= 50 sq cm dme
|
$77.55 |
$220.00 |
$565.52 |
|
|
Wound therapy negative pressure per session > 50 sq cm dme
|
$229.71 |
$330.00 |
$1,543.64 |
|
|
Wrist arthroscopy
|
$4,267.20 |
$4,267.20 |
$4,267.20 |
|
|
Wrist arthroscopy/surgery
|
$5,332.80 |
$5,332.80 |
$5,332.80 |
|
|
Wrist arthroscopy/surgery
|
$6,396.80 |
$6,396.80 |
$6,396.80 |
|
|
Wrist arthroscopy/surgery
|
$7,468.00 |
$7,468.00 |
$7,468.00 |
|
|
Wrist arthroscopy/surgery
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
|
|
Wrist arthroscopy/surgery
|
$7,997.60 |
$7,997.60 |
$7,997.60 |
|
|
Wrist X-ray
|
$103.74 |
$318.78 |
$815.00 |
|
|
Wrist X-ray (2 views, both wrists)
|
$54.72 |
$315.48 |
$715.00 |
|
|
Xe133 xenon 10mci
|
$46.20 |
$65.00 |
$170.66 |
|
|
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<
|
$2,444.00 |
$2,444.00 |
$3,976.50 |
|
|
Xfer tis s/a/l 10 sq cm/<
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
|
|
Xm archive tissue molec anal
|
$36.57 |
$110.88 |
$255.20 |
|
|
Xpos opn axillary/sbclvn art w/cndt crtn
|
$2,736.39 |
$3,025.00 |
$12,712.58 |
|
|
Xpos opn fmrl eprst aor uni add-on
|
$1,100.00 |
$3,295.00 |
$5,988.18 |
|
|
X-ray abdomen >=3 views
|
$185.00 |
$287.50 |
$1,067.72 |
|
|
X-ray arthrogram shoulder supervision & interpretation (both sides)
|
$218.89 |
$965.00 |
$2,735.96 |
|
|
X-ray assay calculus
|
$54.59 |
$54.59 |
$54.59 |
|
|
X-ray bone length studies
|
$60.99 |
$350.00 |
$1,793.00 |
|
|
X-ray bone survey infant
|
$75.81 |
$391.38 |
$925.86 |
|
|
X-ray consultation
|
$64.00 |
$64.00 |
$64.00 |
|
|
Xray endovasc thor ao repr
|
$709.50 |
$1,461.21 |
$6,463.60 |
|
|
Xray endovasc thor ao repr
|
$391.47 |
$1,411.39 |
$3,833.94 |
|
|
X-ray exam entire spi 4/5 vw
|
$148.77 |
$347.82 |
$565.00 |
|
|
X-ray exam entire spi 6/> vw
|
$202.99 |
$365.64 |
$845.00 |
|
|
X-ray exam of arm infant
|
$60.99 |
$220.00 |
$601.04 |
|
|
X-ray exam of femur 1
|
$89.65 |
$315.48 |
$542.11 |
|
|
X-ray exam of jaw joint
|
$148.40 |
$260.00 |
$260.00 |
|
|
X-ray exam of jaw joint
|
$175.45 |
$470.64 |
$1,312.72 |
|
|
X-ray exam of mastoids
|
$75.26 |
$160.00 |
$288.32 |
|
|
X-ray exam of middle ear
|
$391.38 |
$391.38 |
$420.82 |
|
|
X-ray exam of penis
|
$505.00 |
$505.00 |
$505.00 |
|
|
X-ray exam of perineum
|
$747.78 |
$747.78 |
$747.78 |
|
|
X-ray exam of salivary gland
|
$280.00 |
$302.63 |
$394.90 |
|
|
X-ray exam of tear duct
|
$217.80 |
$467.50 |
$576.84 |
|
|
X-ray exam of teeth
|
$80.30 |
$80.30 |
$80.30 |
|
|
X-ray exam of teeth
|
$222.50 |
$222.50 |
$231.00 |
|
|
X-ray exam si joints
|
$112.89 |
$252.50 |
$346.18 |
|
|
X-ray exam thorac spine4/>vw
|
$122.55 |
$347.82 |
$2,004.86 |
|
|
X-ray eye detection foreign body (both sides)
|
$50.73 |
$275.00 |
$534.47 |
|
|
X-ray fallopian tube
|
$432.50 |
$626.34 |
$626.34 |
|
|
X-ray head for orthodontia
|
$167.50 |
$167.50 |
$167.50 |
|
|
X-ray hip uni w/wo pelvis min 4 views
|
$180.40 |
$391.38 |
$432.50 |
|
|
X-ray hip with pelvis when performed bilateral >= 5 views
|
$119.13 |
$515.46 |
$1,628.84 |
|
|
X-ray joint survey 1 view
|
$66.12 |
$259.05 |
$859.38 |
|
|
X-ray lower extremities infant > 2 views (both sides)
|
$50.73 |
$315.48 |
$601.04 |
|
|
X-ray l/s-spine bend vw only 2-3 vw
|
$63.84 |
$395.00 |
$859.38 |
|
|
X-ray mandible ltd <4 views
|
$50.73 |
$292.50 |
$612.48 |
|
|
X-ray nose to rectum for foreign body child
|
$33.63 |
$147.50 |
$534.47 |
|
|
X-ray of mammary ducts
|
$281.58 |
$443.30 |
$697.95 |
|
|
X-ray optic foramina
|
$239.03 |
$315.48 |
$315.48 |
|
|
Xray place dist ext thor ao
|
$915.75 |
$3,177.35 |
$3,833.94 |
|
|
Xray place prox ext thor ao
|
$373.28 |
$1,818.43 |
$3,833.94 |
|
|
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation
|
$217.30 |
$708.84 |
$2,142.95 |
|
|
X-ray ribs 2 views left
|
$98.04 |
$304.15 |
$601.04 |
|
|
X-ray sella turcica
|
$160.05 |
$298.92 |
$315.48 |
|
|
X-ray sinus tract/fistula/abscess
|
$292.56 |
$417.50 |
$2,289.28 |
|
|
X-ray slg plne bdy sect without urogr
|
$299.20 |
$580.00 |
$943.25 |
|
|
X-ray small intestine follow-through study
|
$74.67 |
$352.50 |
$1,741.56 |
|
|
X-ray sternoclavicular joint(s) > 3 views
|
$49.59 |
$267.50 |
$601.04 |
|
|
X-ray surgical specimen
|
$123.75 |
$375.00 |
$3,905.40 |
|
|
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view
|
$50.73 |
$247.50 |
$793.65 |
|
|
X-ray xm phrnx&/crv esoph c+
|
$276.65 |
$276.65 |
$276.65 |
|
|
Xtrnl ecg rec up to 48 hrs
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
|
|
Xylose absorption test blood &/or urine
|
$40.28 |
$108.90 |
$182.50 |
|
|
Yersinia antibody
|
$95.15 |
$95.15 |
$95.15 |
|
|
Yttrium y-90 ibritumomab ther
|
$51,605.95 |
$63,895.15 |
$63,895.15 |
|
|
Ziconotide injection
|
$9.62 |
$37.88 |
$38.53 |
|
|
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr
|
$2.51 |
$2.89 |
$4.12 |
|
|
Zika virus dna/rna amp probe
|
$212.50 |
$212.50 |
$495.00 |
|
|
Zika virus igm antibody
|
$50.56 |
$170.00 |
$170.00 |
|
