|
Psych test eval svc phys/qhp 1st hr
|
$3.10 |
$3.10 |
$3.10 |
$316.50
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$3.10 |
$3.10 |
$3.10 |
$203.40
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$44.10 |
$44.10 |
$44.10 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$74.55 |
$74.55 |
$74.55 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$28.35 |
$28.35 |
$28.35 |
$82.55
|
|
Pt application of modality traction mechanical
|
$35.70 |
$35.70 |
$35.70 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$202.30 |
$202.30 |
$202.30 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$194.95 |
$194.95 |
$194.95 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$198.45 |
$198.45 |
$198.45 |
$263.90
|
|
Pt re-evaluation patient/family
|
$93.10 |
$93.10 |
$93.10 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$170.45 |
$170.45 |
$170.45 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$59.15 |
$59.15 |
$59.15 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$51.80 |
$51.80 |
$51.80 |
$85.00
|
|
Pulmonary vent imaging
|
$1,025.15 |
$1,025.15 |
$1,025.15 |
$845.28
|
|
Pulse ox multiple
|
$18.55 |
$18.55 |
$18.55 |
$194.33
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$728.88 |
$728.88 |
$728.88 |
$842.61
|
|
Punc of shunt for asp or inj
|
$1,746.50 |
$1,746.50 |
$1,746.50 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$271.95 |
$271.95 |
$271.95 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$888.65 |
$888.65 |
$888.65 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$980.00 |
$980.00 |
$980.00 |
$1,134.64
|
|
Puraply 1 sq cm
|
$8,176.14 |
$8,176.14 |
$8,176.14 |
$3,953.40
|
|
Pyridoxine hcl 100 mg
|
$43.51 |
$43.51 |
$43.51 |
$43.51
|
|
Quant diff pulm perf and vent w/imaging
|
$525.35 |
$525.35 |
$525.35 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$375.20 |
$375.20 |
$375.20 |
$1,209.44
|
|
Quest t3 uptake
|
$84.00 |
$84.00 |
$84.00 |
$56.10
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,803.04 |
$1,803.04 |
$1,803.04 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$8,568.65 |
$8,568.65 |
$8,568.65 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$8,741.91 |
$8,741.91 |
$8,741.91 |
$3,213.80
|
|
Radiation handling
|
$545.65 |
$545.65 |
$545.65 |
$331.89
|
|
Radiation physics consult
|
$391.65 |
$391.65 |
$391.65 |
$574.75
|
|
Radiation therapy dose plan
|
$593.25 |
$593.25 |
$593.25 |
$530.53
|
|
Radiation treatment aid(s)
|
$417.90 |
$417.90 |
$417.90 |
$541.45
|
|
Radiation treatment aid(s)
|
$419.30 |
$419.30 |
$419.30 |
$665.00
|
|
Radiation treatment aid(s)
|
$914.20 |
$914.20 |
$914.20 |
$1,103.09
|
|
Radiation treatment delivery
|
$260.05 |
$260.05 |
$260.05 |
$257.01
|
|
Radiation treatment delivery
|
$436.45 |
$436.45 |
$436.45 |
$552.40
|
|
Radiation treatment delivery
|
$679.35 |
$679.35 |
$679.35 |
$909.98
|
|
Radiology port images(s)
|
$293.30 |
$293.30 |
$293.30 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$3,014.55 |
$3,014.55 |
$3,014.55 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,085.30 |
$2,085.30 |
$2,085.30 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,210.95 |
$2,210.95 |
$2,210.95 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,397.50 |
$2,397.50 |
$2,397.50 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$743.05 |
$743.05 |
$743.05 |
$1,139.40
|
|
Rad resect abd tumor 5 cm/>
|
$7,536.55 |
$7,536.55 |
$7,536.55 |
$3,386.84
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$13,066.20 |
$13,066.20 |
$13,066.20 |
$9,831.50
|
|
Ranibizumab injection
|
$4,563.47 |
$4,563.47 |
$4,563.47 |
$3,552.12
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,006.69 |
$4,006.69 |
$4,006.69 |
$2,789.64
|
|
Rbc deglycerolized each unit
|
$382.20 |
$382.20 |
$382.20 |
$841.75
|
|
Rbc irradiated each unit
|
$167.30 |
$167.30 |
$167.30 |
$490.75
|
|
Rbc serum pretx incubj drugs
|
$62.13 |
$62.13 |
$62.13 |
$223.08
|
|
Reconstruct finger joint
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$4,017.51
|
|
Reconstruction of nail bed
|
$2,292.50 |
$2,292.50 |
$2,292.50 |
$2,164.64
|
|
Red blood cells each unit
|
$150.85 |
$150.85 |
$150.85 |
$389.40
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$189.35 |
$189.35 |
$189.35 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$167.30 |
$167.30 |
$167.30 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$183.75 |
$183.75 |
$183.75 |
$534.15
|
|
Reduce testis torsion
|
$1,914.50 |
$1,914.50 |
$1,914.50 |
$4,081.37
|
|
Reduction of procidentia 45900
|
$1,322.30 |
$1,322.30 |
$1,322.30 |
$1,105.02
|
|
Refill/maint pump/resvr syst
|
$244.65 |
$244.65 |
$244.65 |
$369.63
|
|
Release of eye fluid
|
$1,754.55 |
$1,754.55 |
$1,754.55 |
$2,977.26
|
|
Relocation skin pocket aicd
|
$917.35 |
$917.35 |
$917.35 |
$3,153.93
|
|
Relocation skin pocket pm
|
$917.35 |
$917.35 |
$917.35 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$222.25 |
$222.25 |
$222.25 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$330.40 |
$330.40 |
$330.40 |
$384.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,538.08 |
$2,538.08 |
$2,538.08 |
$1,560.00
|
|
Rem endovas vena cava filter
|
$1,408.75 |
$1,408.75 |
$1,408.75 |
$5,819.40
|
|
Removal anal seton other marker 46030
|
$1,486.10 |
$1,486.10 |
$1,486.10 |
$1,486.10
|
|
Removal biliary drg cath
|
$1,812.65 |
$1,812.65 |
$1,812.65 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$2,941.75 |
$2,941.75 |
$2,941.75 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,956.45 |
$2,956.45 |
$2,956.45 |
$2,599.13
|
|
Removal cerclage w/anes
|
$3,679.90 |
$3,679.90 |
$3,679.90 |
$3,749.62
|
|
Removal cerumen impacted (both sides)
|
$249.90 |
$249.90 |
$249.90 |
$177.60
|
|
Removal clot in graft xcp 35876
|
$2,257.85 |
$2,257.85 |
$2,257.85 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$390.25 |
$390.25 |
$390.25 |
$245.60
|
|
Removal duct glbldr calculi
|
$538.65 |
$538.65 |
$538.65 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,348.90 |
$1,348.90 |
$1,348.90 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$1,724.10 |
$1,724.10 |
$1,724.10 |
$2,271.01
|
|
Removal foreign body foot cmplx
|
$2,344.30 |
$2,344.30 |
$2,344.30 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$918.75 |
$918.75 |
$918.75 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,657.95 |
$1,657.95 |
$1,657.95 |
$2,301.60
|
|
Removal foreign body mouth
|
$566.30 |
$566.30 |
$566.30 |
$1,375.15
|
|
Removal implant from finger/hand 26320
|
$1,724.10 |
$1,724.10 |
$1,724.10 |
$2,112.60
|
|
Removal implant superficial separate procedure
|
$1,724.10 |
$1,724.10 |
$1,724.10 |
$2,945.80
|
|
Removal of anal tags
|
$2,067.10 |
$2,067.10 |
$2,067.10 |
$3,402.97
|
|
Removal of breast lesion
|
$3,583.65 |
$3,583.65 |
$3,583.65 |
$4,631.50
|
|
Removal of foreign body
|
$2,448.95 |
$2,448.95 |
$2,448.95 |
$4,149.00
|
|
Removal of hip foreign body 27087
|
$3,607.45 |
$3,607.45 |
$3,607.45 |
$4,499.12
|
|
Removal of implant deep
|
$2,115.40 |
$2,115.40 |
$2,115.40 |
$3,813.70
|
|
Removal of scrotum lesion
|
$2,193.80 |
$2,193.80 |
$2,193.80 |
$2,507.31
|
|
Removal of skin tags each add'l 10
|
$274.05 |
$274.05 |
$274.05 |
$138.45
|
|
Removal/replacement ppm generator dual lead system
|
$6,463.10 |
$6,463.10 |
$6,463.10 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$358.05 |
$358.05 |
$358.05 |
$303.80
|
|
Removal sutr and stapl no anes
|
$43.75 |
$43.75 |
$43.75 |
$73.66
|
|
Removal sutr or stapl no anes
|
$43.75 |
$43.75 |
$43.75 |
$85.18
|
|
Removal sutr/staple req anes
|
$2,292.50 |
$2,292.50 |
$2,292.50 |
$2,164.64
|
|
Removal tunnled intprtnl cath
|
$5,254.90 |
$5,254.90 |
$5,254.90 |
$4,293.90
|
|
Remove anal fist inter
|
$2,067.10 |
$2,067.10 |
$2,067.10 |
$3,619.14
|
|
Remove anal fist subq
|
$2,067.10 |
$2,067.10 |
$2,067.10 |
$3,417.12
|
|
Remove cva lumen obstruct
|
$596.75 |
$596.75 |
$596.75 |
$494.00
|