|
Pwr pck base combo vad, rep
|
$4,933.80 |
$4,933.80 |
$4,933.80 |
$19,344.64
|
|
Pyridoxine hcl 100 mg
|
$12.61 |
$12.61 |
$12.61 |
$48.70
|
|
Pyruvate
|
$6.00 |
$6.00 |
$6.00 |
$66.00
|
|
Pyruvate kinase
|
$60.90 |
$60.90 |
$60.90 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$479.85 |
$479.85 |
$479.85 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$313.80 |
$313.80 |
$313.80 |
$1,199.16
|
|
Quest t3 uptake
|
$17.70 |
$17.70 |
$17.70 |
$52.25
|
|
Radiation handling
|
$113.10 |
$113.10 |
$113.10 |
$324.80
|
|
Radiation physics consult
|
$178.95 |
$178.95 |
$178.95 |
$606.50
|
|
Radiation therapy dose plan
|
$113.85 |
$113.85 |
$113.85 |
$514.05
|
|
Radiation treatment aid(s)
|
$100.80 |
$100.80 |
$100.80 |
$520.00
|
|
Radiation treatment aid(s)
|
$114.90 |
$114.90 |
$114.90 |
$644.16
|
|
Radiation treatment aid(s)
|
$316.80 |
$316.80 |
$316.80 |
$1,076.78
|
|
Radiation treatment delivery
|
$119.40 |
$119.40 |
$119.40 |
$552.40
|
|
Radiation treatment delivery
|
$174.45 |
$174.45 |
$174.45 |
$920.00
|
|
Radiology port images(s)
|
$29.55 |
$29.55 |
$29.55 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$986.85 |
$986.85 |
$986.85 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$29.55 |
$29.55 |
$29.55 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$381.90 |
$381.90 |
$381.90 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$847.50 |
$847.50 |
$847.50 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$640.80 |
$640.80 |
$640.80 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$624.60 |
$624.60 |
$624.60 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$237.15 |
$237.15 |
$237.15 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$726.90 |
$726.90 |
$726.90 |
$711.20
|
|
Rapid Strep Test
|
$24.75 |
$24.75 |
$24.75 |
$75.24
|
|
Rbc deglycerolized each unit
|
$560.40 |
$560.40 |
$560.40 |
$841.75
|
|
Rbc depletion of harvest
|
$522.90 |
$522.90 |
$522.90 |
$1,803.18
|
|
Rbc irradiated each unit
|
$560.40 |
$560.40 |
$560.40 |
$560.00
|
|
Rbc osmotic fragility
|
$67.20 |
$67.20 |
$67.20 |
$75.04
|
|
Red blood cells each unit
|
$373.80 |
$373.80 |
$373.80 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$798.75 |
$798.75 |
$798.75 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$425.70 |
$425.70 |
$425.70 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$411.00 |
$411.00 |
$411.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$560.40 |
$560.40 |
$560.40 |
$528.45
|
|
Red blood cells washed each unit
|
$463.05 |
$463.05 |
$463.05 |
$572.46
|
|
Red cell mass multiple
|
$226.35 |
$226.35 |
$226.35 |
$636.97
|
|
Redo endovas vena cava filtr
|
$1,054.35 |
$1,054.35 |
$1,054.35 |
$4,435.43
|
|
Refill maint impl spine pump
|
$76.35 |
$76.35 |
$76.35 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$182.31 |
$182.31 |
$182.31 |
$364.47
|
|
Relocation skin pocket aicd
|
$831.15 |
$831.15 |
$831.15 |
$2,761.55
|
|
Relocation skin pocket pm
|
$831.15 |
$831.15 |
$831.15 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$49.20 |
$49.20 |
$49.20 |
$320.79
|
|
Rem endovas vena cava filter
|
$1,054.35 |
$1,054.35 |
$1,054.35 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$21.15 |
$21.15 |
$21.15 |
$139.10
|
|
Removal biliary drg cath
|
$190.20 |
$190.20 |
$190.20 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$464.10 |
$464.10 |
$464.10 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$454.95 |
$454.95 |
$454.95 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$12.60 |
$12.60 |
$12.60 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$136.50 |
$136.50 |
$136.50 |
$249.60
|
|
Removal duct glbldr calculi
|
$366.00 |
$366.00 |
$366.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$190.35 |
$190.35 |
$190.35 |
$783.75
|
|
Removal foreign body foot cmplx
|
$660.00 |
$660.00 |
$660.00 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$259.80 |
$259.80 |
$259.80 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$634.35 |
$634.35 |
$634.35 |
$2,301.60
|
|
Removal foreign body mouth
|
$212.10 |
$212.10 |
$212.10 |
$1,424.80
|
|
Removal implant superficial separate procedure
|
$652.05 |
$652.05 |
$652.05 |
$2,986.62
|
|
Removal of foreign body
|
$1,069.65 |
$1,069.65 |
$1,069.65 |
$3,994.09
|
|
Removal of hip foreign body 27087
|
$1,328.70 |
$1,328.70 |
$1,328.70 |
$4,313.40
|
|
Removal of scrotum lesion
|
$839.85 |
$839.85 |
$839.85 |
$2,507.31
|
|
Removal of shunt
|
$605.70 |
$605.70 |
$605.70 |
$4,341.66
|
|
Removal/replacement ppm generator dual lead system
|
$7,008.45 |
$7,008.45 |
$7,008.45 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$32.40 |
$32.40 |
$32.40 |
$292.50
|
|
Removal sutr and stapl no anes
|
$42.30 |
$42.30 |
$42.30 |
$82.05
|
|
Removal sutr or stapl no anes
|
$39.15 |
$39.15 |
$39.15 |
$95.00
|
|
Removal tunnled intprtnl cath
|
$605.70 |
$605.70 |
$605.70 |
$4,195.00
|
|
Remove cva lumen obstruct
|
$103.95 |
$103.95 |
$103.95 |
$490.80
|
|
Remove hip foreign body 27086
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$2,094.26
|
|
Remove renal tube w/fluoro
|
$290.25 |
$290.25 |
$290.25 |
$1,141.31
|
|
Remove shoulder fb deep
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$291.90 |
$291.90 |
$291.90 |
$1,788.80
|
|
Remove ureter stent percut
|
$968.85 |
$968.85 |
$968.85 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$1,230.90 |
$1,230.90 |
$1,230.90 |
$3,762.53
|
|
Renal function panel
|
$81.60 |
$81.60 |
$81.60 |
$113.52
|
|
Renal venogram bil s&i
|
$1,169.70 |
$1,169.70 |
$1,169.70 |
$3,615.28
|
|
Repair blood vessel direct hand finger
|
$735.00 |
$735.00 |
$735.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$295.50 |
$295.50 |
$295.50 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$1,342.35 |
$1,342.35 |
$1,342.35 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$94.50 |
$94.50 |
$94.50 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$46.80 |
$46.80 |
$46.80 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$698.25 |
$698.25 |
$698.25 |
$2,224.00
|
|
Repair eyelid wound
|
$1,029.15 |
$1,029.15 |
$1,029.15 |
$2,760.73
|
|
Repair lip full thkns =<one-half vert height
|
$113.25 |
$113.25 |
$113.25 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$275.10 |
$275.10 |
$275.10 |
$1,928.07
|
|
Repair of digit nerve hand/foot 1 nerve
|
$1,138.65 |
$1,138.65 |
$1,138.65 |
$3,505.32
|
|
Repair pm/icd lead dual
|
$2,722.35 |
$2,722.35 |
$2,722.35 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,722.35 |
$2,722.35 |
$2,722.35 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$142.05 |
$142.05 |
$142.05 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$222.60 |
$222.60 |
$222.60 |
$1,224.63
|
|
Repair throat wound
|
$427.50 |
$427.50 |
$427.50 |
$1,915.20
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$43.80 |
$43.80 |
$43.80 |
$478.00
|
|
Replace duod/jej tube perc
|
$247.20 |
$247.20 |
$247.20 |
$1,354.54
|
|
Replace g/c tube perc
|
$247.20 |
$247.20 |
$247.20 |
$1,341.50
|
|
Replace g-j tube perc
|
$247.20 |
$247.20 |
$247.20 |
$1,498.53
|
|
Replace tunneled cv cath
|
$491.55 |
$491.55 |
$491.55 |
$3,724.63
|
|
Replantation digit complete
|
$620.40 |
$620.40 |
$620.40 |
$3,045.29
|
|
Reposg phrnc nrv stim trnsvn
|
$1,368.60 |
$1,368.60 |
$1,368.60 |
$4,807.27
|
|
Reposition pm/icd lead
|
$1,063.05 |
$1,063.05 |
$1,063.05 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$1,382.70 |
$1,382.70 |
$1,382.70 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$1,063.05 |
$1,063.05 |
$1,063.05 |
$3,724.63
|
|
Repos sq defib eltrd
|
$902.10 |
$902.10 |
$902.10 |
$4,297.60
|
