|
Psytx pt w/e&m 16-37 min
|
$123.93 |
$123.93 |
$123.93 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$156.57 |
$156.57 |
$156.57 |
$158.40
|
|
Psytx pt w/e&m 53+ min
|
$206.04 |
$206.04 |
$206.04 |
$183.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$39.78 |
$39.78 |
$39.78 |
$82.55
|
|
Pt evaluation high complexity patient/family
|
$266.73 |
$266.73 |
$266.73 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$236.13 |
$236.13 |
$236.13 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$236.13 |
$236.13 |
$236.13 |
$263.90
|
|
Pt re-evaluation patient/family
|
$131.58 |
$131.58 |
$131.58 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$57.63 |
$57.63 |
$57.63 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$37.74 |
$37.74 |
$37.74 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$74.46 |
$74.46 |
$74.46 |
$85.68
|
|
Pt wheelchair management each 15 minutes
|
$78.03 |
$78.03 |
$78.03 |
$85.00
|
|
Pulse ox continuous overnight monitoring
|
$218.79 |
$218.79 |
$218.79 |
$368.00
|
|
Pulse ox multiple
|
$40.80 |
$40.80 |
$40.80 |
$194.33
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$953.70 |
$953.70 |
$953.70 |
$898.88
|
|
Punc of shunt for asp or inj
|
$792.03 |
$792.03 |
$792.03 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$298.86 |
$298.86 |
$298.86 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,395.36 |
$1,395.36 |
$1,395.36 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$1,715.13 |
$1,715.13 |
$1,715.13 |
$1,134.64
|
|
Puraply 1 sq cm
|
$8,226.20 |
$8,226.20 |
$8,226.20 |
$8,176.14
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,444.19 |
$5,444.19 |
$5,444.19 |
$3,213.80
|
|
Rapid Strep Test
|
$77.01 |
$77.01 |
$77.01 |
$74.10
|
|
Realignment of tendons
|
$1,398.93 |
$1,398.93 |
$1,398.93 |
$3,591.33
|
|
Reconstruct finger joint
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$4,017.51
|
|
Reconstruct head of radius
|
$1,067.43 |
$1,067.43 |
$1,067.43 |
$10,629.07
|
|
Reconstruction of nail bed
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,164.64
|
|
Reconstruct shoulder joint
|
$1,772.25 |
$1,772.25 |
$1,772.25 |
$7,160.00
|
|
Red blood cells leukocytes reduced each unit
|
$117.30 |
$117.30 |
$117.30 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$155.55 |
$155.55 |
$155.55 |
$540.00
|
|
Reduce bowel obstruction 44050
|
$1,681.47 |
$1,681.47 |
$1,681.47 |
$2,295.20
|
|
Reduce testis torsion
|
$3,269.10 |
$3,269.10 |
$3,269.10 |
$4,081.37
|
|
Reduction of procidentia 45900
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$1,105.02
|
|
Refill maint impl spine pump
|
$277.44 |
$277.44 |
$277.44 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$210.63 |
$210.63 |
$210.63 |
$369.63
|
|
Release of eye fluid
|
$2,863.65 |
$2,863.65 |
$2,863.65 |
$2,977.26
|
|
Release of foot tendon
|
$672.69 |
$672.69 |
$672.69 |
$2,214.14
|
|
Release palm contracture
|
$812.43 |
$812.43 |
$812.43 |
$3,839.54
|
|
Release palm contracture
|
$1,032.75 |
$1,032.75 |
$1,032.75 |
$4,112.00
|
|
Rem/biv cast full arm/leg
|
$294.78 |
$294.78 |
$294.78 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$294.78 |
$294.78 |
$294.78 |
$384.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,775.42 |
$1,775.42 |
$1,775.42 |
$1,560.00
|
|
Removal anal seton other marker 46030
|
$1,331.10 |
$1,331.10 |
$1,331.10 |
$1,486.10
|
|
Removal central venous catheter tunneled without port/pump
|
$710.94 |
$710.94 |
$710.94 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,828.35 |
$1,828.35 |
$1,828.35 |
$2,599.13
|
|
Removal cerclage w/anes
|
$3,474.63 |
$3,474.63 |
$3,474.63 |
$3,749.62
|
|
Removal cerumen impacted (both sides)
|
$167.79 |
$167.79 |
$167.79 |
$177.60
|
|
Removal clot in graft xcp 35876
|
$5,242.80 |
$5,242.80 |
$5,242.80 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$287.64 |
$287.64 |
$287.64 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,271.01
|
|
Removal foreign body foot cmplx
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$1,407.09 |
$1,407.09 |
$1,407.09 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$2,301.60
|
|
Removal foreign body mouth
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$1,375.15
|
|
Removal implant from finger/hand 26320
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,112.60
|
|
Removal implant superficial separate procedure
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,945.80
|
|
Removal of anal tags
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,402.97
|
|
Removal of finger lesion
|
$701.76 |
$701.76 |
$701.76 |
$1,893.86
|
|
Removal of foot lesion
|
$635.97 |
$635.97 |
$635.97 |
$3,594.44
|
|
Removal of foreign body
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$4,149.00
|
|
Removal of gallbladder 47600
|
$1,607.01 |
$1,607.01 |
$1,607.01 |
$2,622.40
|
|
Removal of hip foreign body 27087
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$4,499.12
|
|
Removal of hydrocele
|
$907.80 |
$907.80 |
$907.80 |
$4,156.03
|
|
Removal of implant deep
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,813.70
|
|
Removal of kneecap bursa
|
$447.78 |
$447.78 |
$447.78 |
$3,591.33
|
|
Removal of scrotum lesion
|
$2,279.70 |
$2,279.70 |
$2,279.70 |
$2,507.31
|
|
Removal of skin tags each add'l 10
|
$38.76 |
$38.76 |
$38.76 |
$138.45
|
|
Removal of tendon lesion
|
$136.68 |
$136.68 |
$136.68 |
$3,786.00
|
|
Removal of toe lesions
|
$637.50 |
$637.50 |
$637.50 |
$1,884.74
|
|
Removal of wrist lesion
|
$821.10 |
$821.10 |
$821.10 |
$3,839.54
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$483.99 |
$483.99 |
$483.99 |
$303.80
|
|
Removal sutr and stapl no anes
|
$30.60 |
$30.60 |
$30.60 |
$73.66
|
|
Removal sutr or stapl no anes
|
$35.70 |
$35.70 |
$35.70 |
$85.18
|
|
Removal sutr/staple req anes
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,164.64
|
|
Removal w/reinsrt nonbiogrdble
|
$1,074.57 |
$1,074.57 |
$1,074.57 |
$538.40
|
|
Remove anal fist inter
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,619.14
|
|
Remove anal fist subq
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,417.12
|
|
Remove bladder stone
|
$1,132.71 |
$1,132.71 |
$1,132.71 |
$4,350.00
|
|
Remove ear canal lesion(s)
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,334.38
|
|
Remove ext hem groups 2+
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,316.74
|
|
Remove eyelid lesion
|
$350.88 |
$350.88 |
$350.88 |
$496.50
|
|
Remove foreign body from eye
|
$2,863.65 |
$2,863.65 |
$2,863.65 |
$3,433.80
|
|
Remove hand bone lesion
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$1,919.13
|
|
Remove hip foreign body 27086
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,127.88
|
|
Remove in/ex hem groups 2+
|
$1,520.31 |
$1,520.31 |
$1,520.31 |
$3,245.23
|
|
Remove intact mammary implant
|
$3,506.76 |
$3,506.76 |
$3,506.76 |
$4,531.42
|
|
Remove int/ext hem 1 group
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,638.59
|
|
Remove knee cyst
|
$992.46 |
$992.46 |
$992.46 |
$3,839.54
|
|
Remove lower leg bone lesion
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,839.54
|
|
Remove nasal foreign body
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,837.72
|
|
Remove nasal foreign body
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$2,706.60
|
|
Remove pilonidal cyst compl
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,386.84
|
|
Remove shoulder fb deep
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,370.52
|
|
Remove shoulder foreign body subq 23330
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$1,917.33
|
|
Remove spinal lamina add-on 63048
|
$408.00 |
$408.00 |
$408.00 |
$586.20
|
|
Remove spine eltrd perq aray
|
$1,833.45 |
$1,833.45 |
$1,833.45 |
$2,882.60
|
|
Remove stent via transureth
|
$1,892.10 |
$1,892.10 |
$1,892.10 |
$3,332.80
|
|
Remove vaginal foreign body 57415
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,762.53
|
|
Remove wrist tendon lesion
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,211.05
|
