|
Psychotherapy patient individual therapy 30 minutes
|
$133.32 |
$133.32 |
$133.32 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$176.22 |
$176.22 |
$176.22 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$260.70 |
$260.70 |
$260.70 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$197.34 |
$197.34 |
$197.34 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$206.58 |
$206.58 |
$206.58 |
$221.42
|
|
Psy evaluation of records
|
$91.74 |
$91.74 |
$91.74 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$70.62 |
$70.62 |
$70.62 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$91.08 |
$91.08 |
$91.08 |
$153.75
|
|
Psytx complex interactive
|
$23.76 |
$23.76 |
$23.76 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$122.76 |
$122.76 |
$122.76 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$155.76 |
$155.76 |
$155.76 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$206.58 |
$206.58 |
$206.58 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$85.80 |
$85.80 |
$85.80 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$51.48 |
$51.48 |
$51.48 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$67.32 |
$67.32 |
$67.32 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.04 |
$62.04 |
$62.04 |
$81.00
|
|
Pt application of modality traction mechanical
|
$82.50 |
$82.50 |
$82.50 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$419.10 |
$419.10 |
$419.10 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$274.56 |
$274.56 |
$274.56 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$351.78 |
$351.78 |
$351.78 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$15.84 |
$15.84 |
$15.84 |
$57.85
|
|
Pt re-evaluation patient/family
|
$203.28 |
$203.28 |
$203.28 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$69.96 |
$69.96 |
$69.96 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$51.48 |
$51.48 |
$51.48 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$111.54 |
$111.54 |
$111.54 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$76.56 |
$76.56 |
$76.56 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$87.12 |
$87.12 |
$87.12 |
$87.50
|
|
Pul art balloon repr percut
|
$966.90 |
$966.90 |
$966.90 |
$9,760.40
|
|
Pul art balloon repr percut
|
$482.46 |
$482.46 |
$482.46 |
$3,965.20
|
|
Pulmonary decortication partial 32225
|
$2,165.46 |
$2,165.46 |
$2,165.46 |
$2,014.80
|
|
Pulmonary vent imaging
|
$58.08 |
$58.08 |
$58.08 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$161.04 |
$161.04 |
$161.04 |
$344.00
|
|
Pulse ox multiple
|
$178.86 |
$178.86 |
$178.86 |
$156.40
|
|
Pulse ox single
|
$141.90 |
$141.90 |
$141.90 |
$81.70
|
|
Punc of shunt for asp or inj
|
$126.72 |
$126.72 |
$126.72 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$93.72 |
$93.72 |
$93.72 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$946.44 |
$946.44 |
$946.44 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$106.92 |
$106.92 |
$106.92 |
$3,885.84
|
|
Puncture spinal lumbar diagnostic
|
$733.26 |
$733.26 |
$733.26 |
$1,051.80
|
|
Pyelotomy w/removal calculus
|
$2,325.18 |
$2,325.18 |
$2,325.18 |
$2,325.18
|
|
Pyloroplasty 43800
|
$2,050.62 |
$2,050.62 |
$2,050.62 |
$1,748.40
|
|
Quant diff pulm perf and vent w/imaging
|
$99.00 |
$99.00 |
$99.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$87.12 |
$87.12 |
$87.12 |
$1,199.16
|
|
Quest t3 uptake
|
$4.85 |
$4.85 |
$4.85 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$1,058.03 |
$1,058.03 |
$1,058.03 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$462.66 |
$462.66 |
$462.66 |
$4,262.90
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$15.84 |
$15.84 |
$15.84 |
$6.48
|
|
Radiation therapy dose plan
|
$87.12 |
$87.12 |
$87.12 |
$514.05
|
|
Radiation treatment aid(s)
|
$63.36 |
$63.36 |
$63.36 |
$520.00
|
|
Radiation treatment aid(s)
|
$105.60 |
$105.60 |
$105.60 |
$644.16
|
|
Radiation treatment aid(s)
|
$160.38 |
$160.38 |
$160.38 |
$1,076.78
|
|
Radiation tx management x5
|
$507.54 |
$507.54 |
$507.54 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$4,093.98 |
$4,093.98 |
$4,093.98 |
$3,429.60
|
|
Radical resection of elbow
|
$2,725.14 |
$2,725.14 |
$2,725.14 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$2,334.42 |
$2,334.42 |
$2,334.42 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$3,228.72 |
$3,228.72 |
$3,228.72 |
$4,460.78
|
|
Radiotherapy dose plan imrt
|
$1,116.72 |
$1,116.72 |
$1,116.72 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,291.62 |
$1,291.62 |
$1,291.62 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,500.18 |
$1,500.18 |
$1,500.18 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$901.56 |
$901.56 |
$901.56 |
$1,120.50
|
|
Rad rescj tum tiss a/e <5cm
|
$2,308.02 |
$2,308.02 |
$2,308.02 |
$3,994.09
|
|
Rad resect abd tumor 5 cm/>
|
$2,967.36 |
$2,967.36 |
$2,967.36 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$3,370.52
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$2,148.30 |
$2,148.30 |
$2,148.30 |
$3,386.84
|
|
Range of motion measurements
|
$57.42 |
$57.42 |
$57.42 |
$60.48
|
|
Rapid Strep Test
|
$143.22 |
$143.22 |
$143.22 |
$75.24
|
|
Rbc osmotic fragility
|
$48.00 |
$48.00 |
$48.00 |
$75.04
|
|
Realignment of knee
|
$2,180.64 |
$2,180.64 |
$2,180.64 |
$4,732.80
|
|
Realignment of tendons
|
$1,572.12 |
$1,572.12 |
$1,572.12 |
$3,821.05
|
|
Rebuild eardrum structures
|
$2,493.48 |
$2,493.48 |
$2,493.48 |
$6,553.49
|
|
Rebuild eardrum structures
|
$2,428.14 |
$2,428.14 |
$2,428.14 |
$6,547.81
|
|
Rebuild eardrum structures
|
$3,273.60 |
$3,273.60 |
$3,273.60 |
$6,966.64
|
|
Rebuild outer ear canal
|
$2,607.66 |
$2,607.66 |
$2,607.66 |
$6,017.08
|
|
Rechanneling of artery
|
$3,173.94 |
$3,173.94 |
$3,173.94 |
$3,173.94
|
|
Rechanneling of artery
|
$917.40 |
$917.40 |
$917.40 |
$501.50
|
|
Rechanneling of artery
|
$3,383.82 |
$3,383.82 |
$3,383.82 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$2,556.18 |
$2,556.18 |
$2,556.18 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$2,882.88 |
$2,882.88 |
$2,882.88 |
$2,109.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$2,663.76 |
$2,663.76 |
$2,663.76 |
$3,198.50
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$3,034.02 |
$3,034.02 |
$3,034.02 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$2,044.68 |
$2,044.68 |
$2,044.68 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$2,565.42 |
$2,565.42 |
$2,565.42 |
$3,029.35
|
|
Reconst lwr jaw w/fixation
|
$3,296.04 |
$3,296.04 |
$3,296.04 |
$5,415.80
|
|
Reconstruct ankle joint
|
$2,199.12 |
$2,199.12 |
$2,199.12 |
$4,768.00
|
|
Reconstruct elbow joint
|
$2,075.04 |
$2,075.04 |
$2,075.04 |
$5,886.74
|
|
Reconstruct elbow lat ligmnt
|
$2,544.96 |
$2,544.96 |
$2,544.96 |
$8,453.60
|
|
Reconstruct elbow med ligmnt
|
$2,544.96 |
$2,544.96 |
$2,544.96 |
$11,365.24
|
|
Reconstruct finger joint
|
$1,721.28 |
$1,721.28 |
$1,721.28 |
$3,839.54
|
|
Reconstruct finger joint
|
$1,873.74 |
$1,873.74 |
$1,873.74 |
$4,313.40
|
|
Reconstruct head of radius
|
$1,490.94 |
$1,490.94 |
$1,490.94 |
$11,971.85
|
|
Reconstruct head of radius
|
$1,582.68 |
$1,582.68 |
$1,582.68 |
$7,860.75
|
|
Reconstruction knee
|
$1,640.10 |
$1,640.10 |
$1,640.10 |
$5,855.00
|
|
Reconstruction knee
|
$2,570.04 |
$2,570.04 |
$2,570.04 |
$8,814.96
|
|
Reconstruction knee
|
$2,896.74 |
$2,896.74 |
$2,896.74 |
$10,629.07
|
|
Reconstruction of hip socket
|
$2,513.28 |
$2,513.28 |
$2,513.28 |
$2,710.40
|
|
Reconstruction of nail bed
|
$433.62 |
$433.62 |
$433.62 |
$2,164.64
|
|
Reconstruction of nose
|
$3,280.86 |
$3,280.86 |
$3,280.86 |
$5,925.35
|
|
Reconstruction of nose
|
$3,334.98 |
$3,334.98 |
$3,334.98 |
$6,839.00
|
|
Reconstruction tongue fold
|
$590.70 |
$590.70 |
$590.70 |
$2,258.61
|
