|
Prq card revasc chronic addl
|
$4,009.95 |
$4,009.95 |
$4,009.95 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$5,346.39 |
$5,346.39 |
$5,346.39 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$6,683.04 |
$6,683.04 |
$6,683.04 |
$17,651.36
|
|
Prq card stent/ath/angio
|
$4,005.75 |
$4,005.75 |
$4,005.75 |
$9,836.07
|
|
Prq card stent w/angio addl
|
$3,571.47 |
$3,571.47 |
$3,571.47 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,761.96 |
$4,761.96 |
$4,761.96 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$3,571.47 |
$3,571.47 |
$3,571.47 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$4,761.96 |
$4,761.96 |
$4,761.96 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$5,340.93 |
$5,340.93 |
$5,340.93 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$3,378.06 |
$3,378.06 |
$3,378.06 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$5,111.40 |
$5,111.40 |
$5,111.40 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$5,346.39 |
$5,346.39 |
$5,346.39 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$212.83 |
$212.83 |
$212.83 |
$533.00
|
|
Pr removal intrauterine device
|
$129.00 |
$129.00 |
$129.00 |
$367.80
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$147.22 |
$147.22 |
$147.22 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$166.63 |
$166.63 |
$166.63 |
$396.00
|
|
PSA (Prostate) Test
|
$8.85 |
$8.85 |
$8.85 |
$107.50
|
|
Psychoeducation 45 min +
|
$223.74 |
$223.74 |
$223.74 |
$201.45
|
|
Psychotherapy group therapy
|
$386.05 |
$386.05 |
$386.05 |
$225.39
|
|
Pt application of modality >=1 area hot/cold packs
|
$9.21 |
$9.21 |
$9.21 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$29.44 |
$29.44 |
$29.44 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$18.42 |
$18.42 |
$18.42 |
$81.48
|
|
Pt application of modality traction mechanical
|
$13.92 |
$13.92 |
$13.92 |
$91.80
|
|
Pten gene dup/delet variant
|
$195.30 |
$195.30 |
$195.30 |
$330.00
|
|
Pten gene full sequence
|
$390.60 |
$390.60 |
$390.60 |
$826.00
|
|
Pt repositioning canalith procedure(s) per day
|
$41.83 |
$41.83 |
$41.83 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$20.54 |
$20.54 |
$20.54 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$24.31 |
$24.31 |
$24.31 |
$88.00
|
|
Pul art balloon repr percut
|
$2,977.83 |
$2,977.83 |
$2,977.83 |
$9,760.40
|
|
Pul art balloon repr percut
|
$1,331.04 |
$1,331.04 |
$1,331.04 |
$3,766.10
|
|
Pulmonary vent imaging
|
$301.84 |
$301.84 |
$301.84 |
$933.75
|
|
Punc of shunt for asp or inj
|
$291.06 |
$291.06 |
$291.06 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$49.74 |
$49.74 |
$49.74 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$182.64 |
$182.64 |
$182.64 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$389.00 |
$389.00 |
$389.00 |
$1,060.47
|
|
Pvb thoracic 2nd+ inj site
|
$214.98 |
$214.98 |
$214.98 |
$823.37
|
|
Pvb thoracic single inj site
|
$335.41 |
$335.41 |
$335.41 |
$1,320.80
|
|
Pyruvate
|
$6.95 |
$6.95 |
$6.95 |
$66.00
|
|
Pyruvate kinase
|
$29.55 |
$29.55 |
$29.55 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$451.29 |
$451.29 |
$451.29 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$389.55 |
$389.55 |
$389.55 |
$1,199.16
|
|
Quest t3 uptake
|
$8.85 |
$8.85 |
$8.85 |
$53.20
|
|
Radiation handling
|
$212.34 |
$212.34 |
$212.34 |
$324.80
|
|
Radiation physics consult
|
$315.59 |
$315.59 |
$315.59 |
$610.68
|
|
Radiation therapy dose plan
|
$235.33 |
$235.33 |
$235.33 |
$518.76
|
|
Radiation treatment aid(s)
|
$237.42 |
$237.42 |
$237.42 |
$526.80
|
|
Radiation treatment aid(s)
|
$432.21 |
$432.21 |
$432.21 |
$655.50
|
|
Radiation treatment aid(s)
|
$528.77 |
$528.77 |
$528.77 |
$1,100.38
|
|
Radiation treatment delivery
|
$155.91 |
$155.91 |
$155.91 |
$245.50
|
|
Radiation treatment delivery
|
$181.41 |
$181.41 |
$181.41 |
$552.40
|
|
Radiation treatment delivery
|
$307.23 |
$307.23 |
$307.23 |
$921.00
|
|
Radiology port images(s)
|
$131.25 |
$131.25 |
$131.25 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$2,960.28 |
$2,960.28 |
$2,960.28 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$189.98 |
$189.98 |
$189.98 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$402.04 |
$402.04 |
$402.04 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$855.30 |
$855.30 |
$855.30 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$923.90 |
$923.90 |
$923.90 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$504.70 |
$504.70 |
$504.70 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$267.05 |
$267.05 |
$267.05 |
$1,126.32
|
|
Rapid Strep Test
|
$12.65 |
$12.65 |
$12.65 |
$76.00
|
|
Rbc count only automated
|
$1.84 |
$1.84 |
$1.84 |
$20.40
|
|
Rbc osmotic fragility
|
$22.63 |
$22.63 |
$22.63 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$126.35 |
$126.35 |
$126.35 |
$231.12
|
|
Recon, cta for surg plan
|
$511.77 |
$511.77 |
$511.77 |
$713.50
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$206.50 |
$206.50 |
$206.50 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$210.63 |
$210.63 |
$210.63 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$103.25 |
$103.25 |
$103.25 |
$534.15
|
|
Red blood cells washed each unit
|
$146.61 |
$146.61 |
$146.61 |
$583.68
|
|
Refill/maint pump/resvr syst
|
$121.23 |
$121.23 |
$121.23 |
$402.48
|
|
Relocation skin pocket aicd
|
$1,470.70 |
$1,470.70 |
$1,470.70 |
$2,935.84
|
|
Relocation skin pocket pm
|
$1,386.31 |
$1,386.31 |
$1,386.31 |
$2,673.12
|
|
Rem endovas vena cava filter
|
$3,061.21 |
$3,061.21 |
$3,061.21 |
$5,509.05
|
|
Removal biliary drg cath
|
$648.03 |
$648.03 |
$648.03 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$527.91 |
$527.91 |
$527.91 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$728.42 |
$728.42 |
$728.42 |
$2,421.09
|
|
Removal clot in graft oth/thn 35875
|
$2,108.26 |
$2,108.26 |
$2,108.26 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$48.61 |
$48.61 |
$48.61 |
$255.97
|
|
Removal duct glbldr calculi
|
$1,224.61 |
$1,224.61 |
$1,224.61 |
$2,771.60
|
|
Removal of arm artery clot 34111
|
$3,343.96 |
$3,343.96 |
$3,343.96 |
$5,983.35
|
|
Removal of artery clot 34101
|
$1,132.52 |
$1,132.52 |
$1,132.52 |
$6,590.12
|
|
Removal/replacement ppm generator dual lead system
|
$5,663.20 |
$5,663.20 |
$5,663.20 |
$12,384.25
|
|
Removal sutr and stapl no anes
|
$92.41 |
$92.41 |
$92.41 |
$82.05
|
|
Removal sutr or stapl no anes
|
$73.98 |
$73.98 |
$73.98 |
$93.88
|
|
Removal tunnled intprtnl cath
|
$1,262.49 |
$1,262.49 |
$1,262.49 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$116.74 |
$116.74 |
$116.74 |
$494.00
|
|
Remove esophagus obstruction
|
$176.13 |
$176.13 |
$176.13 |
$560.00
|
|
Remove renal tube w/fluoro
|
$490.64 |
$490.64 |
$490.64 |
$1,172.80
|
|
Remove ureter stent percut
|
$1,839.68 |
$1,839.68 |
$1,839.68 |
$3,640.89
|
|
Remove ventricular device 33977
|
$820.82 |
$820.82 |
$820.82 |
$3,014.39
|
|
Renal cyst study s&i
|
$358.91 |
$358.91 |
$358.91 |
$751.34
|
|
Renal function panel
|
$42.66 |
$42.66 |
$42.66 |
$114.37
|
|
Renal venogram bil s&i
|
$1,124.61 |
$1,124.61 |
$1,124.61 |
$3,615.28
|
|
Repair pm/icd lead sgl
|
$1,425.42 |
$1,425.42 |
$1,425.42 |
$4,343.82
|
|
Replace aortic valve open axillry 33363
|
$5,160.54 |
$5,160.54 |
$5,160.54 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$4,961.88 |
$4,961.88 |
$4,961.88 |
$18,056.00
|
|
Replace aortic valve open iliac 33364
|
$5,137.44 |
$5,137.44 |
$5,137.44 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$5,375.83 |
$5,375.83 |
$5,375.83 |
$14,782.60
|
|
Replace duod/jej tube perc
|
$383.46 |
$383.46 |
$383.46 |
$1,357.60
|
|
Replace g/c tube perc
|
$283.36 |
$283.36 |
$283.36 |
$1,366.30
|
|
Replace g-j tube perc
|
$471.86 |
$471.86 |
$471.86 |
$1,568.05
|
