|
Prq card stent/ath/angio
|
$4,729.14 |
$4,729.14 |
$4,729.14 |
$9,161.65
|
|
Prq card stent w/angio addl
|
$4,729.14 |
$4,729.14 |
$4,729.14 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$4,650.34 |
$4,650.34 |
$4,650.34 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$4,650.34 |
$4,650.34 |
$4,650.34 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$4,729.14 |
$4,729.14 |
$4,729.14 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$4,729.14 |
$4,729.14 |
$4,729.14 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$3,152.85 |
$3,152.85 |
$3,152.85 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$4,729.14 |
$4,729.14 |
$4,729.14 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$4,650.34 |
$4,650.34 |
$4,650.34 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$84.15 |
$84.15 |
$84.15 |
$280.79
|
|
Pr removal intrauterine device
|
$104.99 |
$104.99 |
$104.99 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$281.91 |
$281.91 |
$281.91 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$164.47 |
$164.47 |
$164.47 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$164.47 |
$164.47 |
$164.47 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$161.42 |
$161.42 |
$161.42 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$161.42 |
$161.42 |
$161.42 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$491.63 |
$491.63 |
$491.63 |
$1,790.60
|
|
PSA (Prostate) Test
|
$56.18 |
$56.18 |
$56.18 |
$109.35
|
|
Pulmonary vent imaging
|
$335.29 |
$335.29 |
$335.29 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$273.02 |
$273.02 |
$273.02 |
$368.00
|
|
Pulse ox multiple
|
$35.34 |
$35.34 |
$35.34 |
$194.33
|
|
Punc of shunt for asp or inj
|
$464.68 |
$464.68 |
$464.68 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$85.92 |
$85.92 |
$85.92 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$377.24 |
$377.24 |
$377.24 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$461.12 |
$461.12 |
$461.12 |
$1,134.64
|
|
Pvb thoracic single inj site
|
$501.03 |
$501.03 |
$501.03 |
$1,189.08
|
|
Pyruvate
|
$35.59 |
$35.59 |
$35.59 |
$65.00
|
|
Pyruvate kinase
|
$14.49 |
$14.49 |
$14.49 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$455.02 |
$455.02 |
$455.02 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$427.06 |
$427.06 |
$427.06 |
$1,209.44
|
|
Quest t3 uptake
|
$21.36 |
$21.36 |
$21.36 |
$56.10
|
|
Radiation handling
|
$27.46 |
$27.46 |
$27.46 |
$331.89
|
|
Radiation physics consult
|
$195.48 |
$195.48 |
$195.48 |
$574.75
|
|
Radiation therapy dose plan
|
$159.13 |
$159.13 |
$159.13 |
$530.53
|
|
Radiation treatment aid(s)
|
$174.64 |
$174.64 |
$174.64 |
$541.45
|
|
Radiation treatment aid(s)
|
$234.63 |
$234.63 |
$234.63 |
$665.00
|
|
Radiation treatment aid(s)
|
$345.21 |
$345.21 |
$345.21 |
$1,103.09
|
|
Radiation treatment delivery
|
$86.94 |
$86.94 |
$86.94 |
$257.01
|
|
Radiation treatment delivery
|
$301.74 |
$301.74 |
$301.74 |
$552.40
|
|
Radiation treatment delivery
|
$497.47 |
$497.47 |
$497.47 |
$909.98
|
|
Radiology port images(s)
|
$51.10 |
$51.10 |
$51.10 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,157.12 |
$1,157.12 |
$1,157.12 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,376.75 |
$1,376.75 |
$1,376.75 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,132.21 |
$1,132.21 |
$1,132.21 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$842.93 |
$842.93 |
$842.93 |
$1,139.40
|
|
Rbc deglycerolized each unit
|
$790.31 |
$790.31 |
$790.31 |
$841.75
|
|
Red blood cells each unit
|
$303.27 |
$303.27 |
$303.27 |
$389.40
|
|
Red blood cells leukocytes reduced each unit
|
$383.59 |
$383.59 |
$383.59 |
$446.55
|
|
Redo endovas vena cava filtr
|
$2,264.93 |
$2,264.93 |
$2,264.93 |
$4,397.96
|
|
Reduction of procidentia 45900
|
$416.38 |
$416.38 |
$416.38 |
$1,105.02
|
|
Rem/biv cast full arm/leg
|
$96.09 |
$96.09 |
$96.09 |
$370.80
|
|
Rem endovas vena cava filter
|
$2,264.93 |
$2,264.93 |
$2,264.93 |
$5,819.40
|
|
Remote 30 day ecg tech supp
|
$403.42 |
$403.42 |
$403.42 |
$570.85
|
|
Removal biliary drg cath
|
$444.85 |
$444.85 |
$444.85 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$224.46 |
$224.46 |
$224.46 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,068.41 |
$1,068.41 |
$1,068.41 |
$2,599.13
|
|
Removal cerclage without anes
|
$233.36 |
$233.36 |
$233.36 |
$563.09
|
|
Removal cerumen impacted (both sides)
|
$69.91 |
$69.91 |
$69.91 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$128.38 |
$128.38 |
$128.38 |
$245.60
|
|
Removal duct glbldr calculi
|
$3,524.23 |
$3,524.23 |
$3,524.23 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$53.64 |
$53.64 |
$53.64 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$1,595.36 |
$1,595.36 |
$1,595.36 |
$2,271.01
|
|
Removal foreign body foot subcutaneous right
|
$294.62 |
$294.62 |
$294.62 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$873.94 |
$873.94 |
$873.94 |
$2,301.60
|
|
Removal of foreign body
|
$1,519.36 |
$1,519.36 |
$1,519.36 |
$4,149.00
|
|
Removal of scrotum lesion
|
$1,949.72 |
$1,949.72 |
$1,949.72 |
$2,507.31
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$94.57 |
$94.57 |
$94.57 |
$303.80
|
|
Remove brain canal fluid
|
$504.59 |
$504.59 |
$504.59 |
$783.48
|
|
Remove foreign body from eye
|
$1,099.17 |
$1,099.17 |
$1,099.17 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$361.48 |
$361.48 |
$361.48 |
$1,281.75
|
|
Remove shoulder foreign body subq 23330
|
$561.53 |
$561.53 |
$561.53 |
$1,917.33
|
|
Remove spinal canal catheter 62355
|
$1,135.01 |
$1,135.01 |
$1,135.01 |
$2,286.90
|
|
Renal function panel
|
$32.80 |
$32.80 |
$32.80 |
$110.10
|
|
Renal venogram bil s&i
|
$1,183.05 |
$1,183.05 |
$1,183.05 |
$3,615.28
|
|
Repair blood vessel direct hand finger
|
$934.70 |
$934.70 |
$934.70 |
$4,083.20
|
|
Repair blood vessel dir lower extr
|
$1,609.09 |
$1,609.09 |
$1,609.09 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$1,609.09 |
$1,609.09 |
$1,609.09 |
$4,255.67
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$430.11 |
$430.11 |
$430.11 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$108.29 |
$108.29 |
$108.29 |
$432.55
|
|
Repair eyelid wound
|
$1,272.02 |
$1,272.02 |
$1,272.02 |
$2,917.20
|
|
Repair eyelid wound
|
$1,272.02 |
$1,272.02 |
$1,272.02 |
$3,254.34
|
|
Repair finger/hand tendon
|
$1,890.49 |
$1,890.49 |
$1,890.49 |
$4,108.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$479.43 |
$479.43 |
$479.43 |
$1,928.07
|
|
Repair of eye wound
|
$1,272.02 |
$1,272.02 |
$1,272.02 |
$2,747.43
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$532.55 |
$532.55 |
$532.55 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$479.43 |
$479.43 |
$479.43 |
$1,268.80
|
|
Repair stomach opening
|
$647.71 |
$647.71 |
$647.71 |
$4,211.08
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$210.48 |
$210.48 |
$210.48 |
$504.12
|
|
Replace duod/jej tube perc
|
$280.39 |
$280.39 |
$280.39 |
$1,383.00
|
|
Replace g/c tube perc
|
$280.39 |
$280.39 |
$280.39 |
$1,413.60
|
|
Replace g-j tube perc
|
$280.39 |
$280.39 |
$280.39 |
$1,600.45
|
|
Replace/irrigate catheter
|
$1,849.31 |
$1,849.31 |
$1,849.31 |
$5,110.00
|
|
Replace/revise brain shunt
|
$4,064.15 |
$4,064.15 |
$4,064.15 |
$7,094.56
|
|
Replace tunneled cv cath
|
$708.46 |
$708.46 |
$708.46 |
$4,001.25
|
|
Replantation digit complete
|
$2,284.25 |
$2,284.25 |
$2,284.25 |
$2,609.20
|
|
Reposition vad w/image rt/lt sep session
|
$1,987.34 |
$1,987.34 |
$1,987.34 |
$1,905.00
|
|
Repos lv lead pm/icd
|
$1,076.29 |
$1,076.29 |
$1,076.29 |
$3,770.00
|
|
Reptilase test
|
$32.80 |
$32.80 |
$32.80 |
$65.65
|
|
Resp virus 6-11 targets
|
$8.39 |
$8.39 |
$8.39 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$323.60 |
$323.60 |
$323.60 |
$847.29
|
