|
Prq card revasc mi 1 vsl drug-eluting
|
$8,595.84 |
$8,595.84 |
$8,595.84 |
$20,854.53
|
|
Prq card stent/ath/angio
|
$8,595.84 |
$8,595.84 |
$8,595.84 |
$9,161.65
|
|
Prq card stent w/angio addl
|
$7,896.96 |
$7,896.96 |
$7,896.96 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$8,595.84 |
$8,595.84 |
$8,595.84 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$8,595.84 |
$8,595.84 |
$8,595.84 |
$11,251.88
|
|
Prq skel fix sprcndlr hum fx
|
$4,258.08 |
$4,258.08 |
$4,258.08 |
$6,731.17
|
|
Prq tcat plmt ntrac st 1 les
|
$7,896.96 |
$7,896.96 |
$7,896.96 |
$13,419.98
|
|
Prq tcat plmt ntrac st 2+les
|
$7,896.96 |
$7,896.96 |
$7,896.96 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$8,595.84 |
$8,595.84 |
$8,595.84 |
$18,127.95
|
|
Prq trl rvs ch occ ant&rtrgr
|
$8,904.48 |
$8,904.48 |
$8,904.48 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$4,722.24 |
$4,722.24 |
$4,722.24 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$9,003.84 |
$9,003.84 |
$9,003.84 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$8,595.84 |
$8,595.84 |
$8,595.84 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$717.60 |
$717.60 |
$717.60 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$221.28 |
$221.28 |
$221.28 |
$280.79
|
|
Pr removal intrauterine device
|
$513.60 |
$513.60 |
$513.60 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,056.48 |
$1,056.48 |
$1,056.48 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,056.48 |
$1,056.48 |
$1,056.48 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,056.48 |
$1,056.48 |
$1,056.48 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$1,056.48 |
$1,056.48 |
$1,056.48 |
$422.00
|
|
Pr robotic surgical system
|
$0.48 |
$0.48 |
$0.48 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,738.08 |
$1,738.08 |
$1,738.08 |
$1,790.60
|
|
PSA (Prostate) Test
|
$77.28 |
$77.28 |
$77.28 |
$109.35
|
|
Psychotherapy group therapy
|
$197.28 |
$197.28 |
$197.28 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$144.48 |
$144.48 |
$144.48 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$212.64 |
$212.64 |
$212.64 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$280.80 |
$280.80 |
$280.80 |
$294.45
|
|
Psych test eval svc phys/qhp 1st hr
|
$205.44 |
$205.44 |
$205.44 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$205.44 |
$205.44 |
$205.44 |
$207.20
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$81.12 |
$81.12 |
$81.12 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$84.96 |
$84.96 |
$84.96 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$78.24 |
$78.24 |
$78.24 |
$82.55
|
|
Pt application of modality traction mechanical
|
$78.24 |
$78.24 |
$78.24 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$273.12 |
$273.12 |
$273.12 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$125.76 |
$125.76 |
$125.76 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$187.68 |
$187.68 |
$187.68 |
$263.90
|
|
Pt re-evaluation patient/family
|
$121.92 |
$121.92 |
$121.92 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$80.16 |
$80.16 |
$80.16 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$43.20 |
$43.20 |
$43.20 |
$87.26
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$104.16 |
$104.16 |
$104.16 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$121.92 |
$121.92 |
$121.92 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$79.68 |
$79.68 |
$79.68 |
$85.00
|
|
Pulmonary vent imaging
|
$768.96 |
$768.96 |
$768.96 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$195.36 |
$195.36 |
$195.36 |
$368.00
|
|
Pulse ox multiple
|
$128.16 |
$128.16 |
$128.16 |
$194.33
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,248.48 |
$1,248.48 |
$1,248.48 |
$842.61
|
|
Punc of shunt for asp or inj
|
$1,280.64 |
$1,280.64 |
$1,280.64 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$180.48 |
$180.48 |
$180.48 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$960.48 |
$960.48 |
$960.48 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$1,651.68 |
$1,651.68 |
$1,651.68 |
$1,134.64
|
|
Puraply 1 sq cm
|
$13,215.31 |
$13,215.31 |
$13,215.31 |
$3,953.40
|
|
Pyridoxine hcl 100 mg
|
$45.29 |
$45.29 |
$45.29 |
$43.51
|
|
Pyruvate
|
$48.70 |
$48.70 |
$48.70 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,410.72 |
$1,410.72 |
$1,410.72 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$987.84 |
$987.84 |
$987.84 |
$1,209.44
|
|
Quest t3 uptake
|
$53.76 |
$53.76 |
$53.76 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,352.19 |
$5,352.19 |
$5,352.19 |
$3,213.80
|
|
Radiation handling
|
$687.36 |
$687.36 |
$687.36 |
$331.89
|
|
Radiation physics consult
|
$523.68 |
$523.68 |
$523.68 |
$574.75
|
|
Radiation therapy dose plan
|
$556.80 |
$556.80 |
$556.80 |
$530.53
|
|
Radiation treatment aid(s)
|
$530.88 |
$530.88 |
$530.88 |
$541.45
|
|
Radiation treatment aid(s)
|
$530.88 |
$530.88 |
$530.88 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,313.76 |
$1,313.76 |
$1,313.76 |
$1,103.09
|
|
Radiation treatment delivery
|
$92.16 |
$92.16 |
$92.16 |
$552.40
|
|
Radiation treatment delivery
|
$1,107.36 |
$1,107.36 |
$1,107.36 |
$909.98
|
|
Radiology port images(s)
|
$218.88 |
$218.88 |
$218.88 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$5,299.68 |
$5,299.68 |
$5,299.68 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,217.28 |
$1,217.28 |
$1,217.28 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$866.40 |
$866.40 |
$866.40 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$8,959.68 |
$8,959.68 |
$8,959.68 |
$9,831.50
|
|
Rapid Strep Test
|
$76.32 |
$76.32 |
$76.32 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,665.40 |
$1,665.40 |
$1,665.40 |
$2,789.64
|
|
Rbc count only automated
|
$2.24 |
$2.24 |
$2.24 |
$20.00
|
|
Rbc serum pretx incubj drugs
|
$144.00 |
$144.00 |
$144.00 |
$223.08
|
|
Reconstruct finger joint
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$4,017.51
|
|
Reconstruction of nail bed
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$2,164.64
|
|
Red blood cells leukocytes reduced each unit
|
$215.52 |
$215.52 |
$215.52 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$234.72 |
$234.72 |
$234.72 |
$534.15
|
|
Red blood cells washed each unit
|
$385.44 |
$385.44 |
$385.44 |
$583.68
|
|
Reduce testis torsion
|
$2,376.96 |
$2,376.96 |
$2,376.96 |
$4,081.37
|
|
Reduction of procidentia 45900
|
$1,764.96 |
$1,764.96 |
$1,764.96 |
$1,105.02
|
|
Refill maint impl spine pump
|
$462.72 |
$462.72 |
$462.72 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$304.32 |
$304.32 |
$304.32 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$60.79 |
$60.79 |
$60.79 |
$468.96
|
|
Release of eye fluid
|
$5,063.04 |
$5,063.04 |
$5,063.04 |
$2,977.26
|
|
Relocation skin pocket aicd
|
$1,189.92 |
$1,189.92 |
$1,189.92 |
$3,153.93
|
|
Relocation skin pocket pm
|
$1,403.52 |
$1,403.52 |
$1,403.52 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$384.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,864.71 |
$1,864.71 |
$1,864.71 |
$1,560.00
|
|
Rem endovas vena cava filter
|
$2,534.40 |
$2,534.40 |
$2,534.40 |
$5,819.40
|
|
Removal anal seton other marker 46030
|
$3,301.92 |
$3,301.92 |
$3,301.92 |
$1,486.10
|
|
Removal biliary drg cath
|
$2,065.44 |
$2,065.44 |
$2,065.44 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$3,167.52 |
$3,167.52 |
$3,167.52 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,925.92 |
$3,925.92 |
$3,925.92 |
$2,599.13
|
|
Removal cerclage w/anes
|
$6,157.92 |
$6,157.92 |
$6,157.92 |
$3,749.62
|
|
Removal cerumen impacted (both sides)
|
$221.28 |
$221.28 |
$221.28 |
$177.60
|