|
Prq card revasc chronic addl
|
$2,118.30 |
$3,857.19 |
$14,763.58 |
|
|
Prq card revasc mi 1 vsl
|
$2,824.29 |
$5,142.72 |
$18,455.03 |
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$3,530.39 |
$6,428.45 |
$15,337.30 |
|
|
Prq card stent/ath/angio
|
$2,116.00 |
$3,882.40 |
$14,329.51 |
|
|
Prq card stent w/angio addl
|
$1,886.69 |
$3,461.67 |
$14,763.58 |
|
|
Prq revasc byp graft 1 art and/or branches
|
$2,515.51 |
$4,580.55 |
$17,586.15 |
|
|
Prq revasc byp graft addl
|
$1,886.69 |
$3,435.41 |
$14,763.58 |
|
|
Prq skel fix sprcndlr hum fx
|
$1,130.81 |
$1,130.81 |
$1,130.81 |
|
|
Prq tcat plmt ntrac st 1 les
|
$2,515.51 |
$4,580.55 |
$17,586.15 |
|
|
Prq trlml c athrc st angiop1
|
$2,821.30 |
$5,176.46 |
$21,711.67 |
|
|
Prq trluml c angiop 1art&/br
|
$1,820.57 |
$3,249.37 |
$12,592.49 |
|
|
Prq trluml c athrc 1 art&/br
|
$2,645.92 |
$4,868.00 |
$18,455.03 |
|
|
Prq trluml revsc ch occ ant
|
$2,824.29 |
$5,142.72 |
$17,586.15 |
|
|
Pr removal drug delivery implant
|
$191.41 |
$244.61 |
$675.97 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$624.03 |
$624.03 |
$624.03 |
|
|
Pr removal intrauterine device
|
$91.72 |
$129.00 |
$319.14 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$232.20 |
$341.82 |
$1,921.78 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$69.71 |
$209.66 |
$727.16 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$73.48 |
$256.05 |
$923.79 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$55.58 |
$183.55 |
$577.28 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$73.95 |
$205.41 |
$749.42 |
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$875.12 |
$1,256.95 |
$1,885.52 |
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$54.11 |
$54.11 |
$63.82 |
|
|
Prtl excision bone clavicle
|
$1,028.42 |
$1,028.42 |
$1,028.42 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$291.08 |
$664.80 |
$4,598.18 |
|
|
PSA (Prostate) Test
|
$5.88 |
$10.64 |
$166.21 |
|
|
Psychoeducation 45 min +
|
$223.74 |
$223.74 |
$223.74 |
|
|
Psychotherapy group therapy
|
$183.98 |
$205.76 |
$388.31 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$96.35 |
$96.35 |
$114.83 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$109.80 |
$109.80 |
$138.85 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$124.12 |
$124.12 |
$193.93 |
|
|
Psycl/nrpsyc tech 1st
|
$51.94 |
$51.94 |
$51.94 |
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$17.47 |
$19.03 |
$65.30 |
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$17.47 |
$19.03 |
$57.14 |
|
|
Psytx complex interactive
|
$23.01 |
$23.01 |
$23.01 |
|
|
Psytx pt w/e&m 16-37 min
|
$106.11 |
$106.11 |
$106.11 |
|
|
Psytx pt w/e&m 38-52 min
|
$133.56 |
$133.56 |
$133.56 |
|
|
Psytx pt w/e&m 53+ min
|
$175.12 |
$175.12 |
$175.12 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$5.43 |
$9.21 |
$43.55 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$12.29 |
$30.24 |
$57.30 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$10.86 |
$21.96 |
$89.04 |
|
|
Pt application of modality traction mechanical
|
$10.89 |
$18.27 |
$84.59 |
|
|
Pten gene dup/delet variant
|
$195.30 |
$267.02 |
$299.13 |
|
|
Pten gene full sequence
|
$120.60 |
$408.60 |
$2,086.20 |
|
|
Pt-focused hlth risk assmt
|
$157.31 |
$157.31 |
$157.31 |
|
|
Pt repositioning canalith procedure(s) per day
|
$24.65 |
$41.83 |
$133.70 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$8.57 |
$20.54 |
$74.49 |
|
|
Pt wheelchair management each 15 minutes
|
$14.33 |
$28.98 |
$75.69 |
|
|
Pul art balloon repr percut
|
$1,929.56 |
$3,352.66 |
$12,835.97 |
|
|
Pul art balloon repr percut
|
$974.03 |
$1,498.59 |
$2,189.48 |
|
|
Pulmonary decortication partial 32225
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
|
|
Pulmonary vent imaging
|
$41.86 |
$354.96 |
$730.77 |
|
|
Pulse ox continuous overnight monitoring
|
$105.29 |
$246.78 |
$406.32 |
|
|
Pulse ox multiple
|
$21.16 |
$75.35 |
$186.25 |
|
|
Pulse ox single
|
$13.78 |
$48.32 |
$88.63 |
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$478.97 |
$478.97 |
$521.80 |
|
|
Punc of shunt for asp or inj
|
$179.55 |
$334.53 |
$631.45 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$18.56 |
$49.74 |
$257.48 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$112.67 |
$209.92 |
$918.60 |
|
|
Puncture spinal lumbar diagnostic
|
$109.38 |
$484.99 |
$2,540.30 |
|
|
Pvb thoracic 2nd+ inj site
|
$75.69 |
$214.98 |
$773.11 |
|
|
Pvb thoracic single inj site
|
$120.95 |
$335.41 |
$1,208.94 |
|
|
Pyridoxine hcl 100 mg
|
$1.09 |
$23.62 |
$132.08 |
|
|
Pyruvate
|
$3.70 |
$7.61 |
$235.96 |
|
|
Pyruvate kinase
|
$9.29 |
$29.17 |
$166.17 |
|
|
Quant diff pulm perf and vent w/imaging
|
$70.89 |
$498.15 |
$1,201.30 |
|
|
Quant diff pulm perf w/imaging
|
$61.44 |
$445.20 |
$932.70 |
|
|
Quest t3 uptake
|
$4.70 |
$9.07 |
$140.44 |
|
|
Quinupristin/dalfopristin
|
$592.89 |
$592.89 |
$639.49 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,782.03 |
$3,117.38 |
$6,332.23 |
|
|
Radiation handling
|
$92.96 |
$152.02 |
$242.82 |
|
|
Radiation physics consult
|
$163.16 |
$348.06 |
$420.20 |
|
|
Radiation therapy dose plan
|
$91.16 |
$235.33 |
$350.30 |
|
|
Radiation treatment aid(s)
|
$116.72 |
$261.85 |
$278.10 |
|
|
Radiation treatment aid(s)
|
$164.01 |
$432.21 |
$494.25 |
|
|
Radiation treatment aid(s)
|
$251.13 |
$583.17 |
$794.56 |
|
|
Radiation treatment delivery
|
$139.13 |
$155.91 |
$172.33 |
|
|
Radiation treatment delivery
|
$161.88 |
$200.07 |
$361.76 |
|
|
Radiation treatment delivery
|
$235.15 |
$338.84 |
$758.27 |
|
|
Radical resection of elbow
|
$1,835.71 |
$1,835.71 |
$1,835.71 |
|
|
Radical resection sternum 21630
|
$2,035.31 |
$2,035.31 |
$2,035.31 |
|
|
Radiology port images(s)
|
$68.16 |
$144.75 |
$218.51 |
|
|
Radiotherapy dose plan imrt
|
$1,299.94 |
$3,222.17 |
$3,385.20 |
|
|
Radium ra223 dichl ther/uci
|
$112.55 |
$189.98 |
$648.77 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$219.89 |
$474.25 |
$2,358.08 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$467.79 |
$1,008.90 |
$3,847.27 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$505.31 |
$923.90 |
$2,125.83 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$276.04 |
$595.34 |
$3,102.31 |
|
|
Radphm lcl tumor plr sgl day
|
$146.06 |
$305.20 |
$1,458.03 |
|
|
Radphm quant measure sgl area add-on
|
$74.91 |
$156.52 |
$175.53 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$41.88 |
$10,173.81 |
$19,320.20 |
|
|
Range of motion measurements
|
$6.73 |
$6.73 |
$15.84 |
|
|
Rapid desensitization
|
$189.46 |
$189.46 |
$189.46 |
|
|
Rapid Strep Test
|
$8.15 |
$12.65 |
$318.12 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,566.59 |
$2,143.65 |
$12,944.94 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$26,430.70 |
$43,055.61 |
$87,134.55 |
|
|
Rb82 rubidium
|
$599.26 |
$599.26 |
$599.26 |
|
|
Rbc count only automated
|
$0.64 |
$1.91 |
$5.86 |
|
|
Rbc depletion of harvest
|
$435.71 |
$435.71 |
$435.71 |
|
|
Rbc irradiated each unit
|
$266.33 |
$287.27 |
$465.28 |
|
