|
Pt evaluation high complexity patient/family
|
$192.85 |
$192.85 |
$192.85 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$184.80 |
$184.80 |
$184.80 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$189.35 |
$189.35 |
$189.35 |
$263.90
|
|
Pt re-evaluation patient/family
|
$52.85 |
$52.85 |
$52.85 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$249.90 |
$249.90 |
$249.90 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$94.50 |
$94.50 |
$94.50 |
$85.00
|
|
Pulmonary vent imaging
|
$625.80 |
$625.80 |
$625.80 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$81.90 |
$81.90 |
$81.90 |
$368.00
|
|
Pulse ox multiple
|
$19.25 |
$19.25 |
$19.25 |
$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
|
$569.80 |
$569.80 |
$569.80 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$64.75 |
$64.75 |
$64.75 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$485.10 |
$485.10 |
$485.10 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$364.00 |
$364.00 |
$364.00 |
$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
|
$532.35 |
$532.35 |
$532.35 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$625.80 |
$625.80 |
$625.80 |
$1,209.44
|
|
Quest t3 uptake
|
$97.65 |
$97.65 |
$97.65 |
$56.10
|
|
Quinupristin/dalfopristin
|
$1,687.65 |
$1,687.65 |
$1,687.65 |
$1,089.58
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,748.40 |
$1,748.40 |
$1,748.40 |
$3,213.80
|
|
Radiation handling
|
$543.20 |
$543.20 |
$543.20 |
$331.89
|
|
Radiation physics consult
|
$135.45 |
$135.45 |
$135.45 |
$574.75
|
|
Radiation therapy dose plan
|
$119.70 |
$119.70 |
$119.70 |
$530.53
|
|
Radiation treatment aid(s)
|
$286.65 |
$286.65 |
$286.65 |
$541.45
|
|
Radiation treatment aid(s)
|
$479.15 |
$479.15 |
$479.15 |
$665.00
|
|
Radiation treatment aid(s)
|
$667.80 |
$667.80 |
$667.80 |
$1,103.09
|
|
Radiation treatment delivery
|
$117.25 |
$117.25 |
$117.25 |
$552.40
|
|
Radiation treatment delivery
|
$142.10 |
$142.10 |
$142.10 |
$909.98
|
|
Radiology port images(s)
|
$262.50 |
$262.50 |
$262.50 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$992.95 |
$992.95 |
$992.95 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,420.65 |
$1,420.65 |
$1,420.65 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,588.30 |
$1,588.30 |
$1,588.30 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,960.35 |
$1,960.35 |
$1,960.35 |
$2,377.65
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$13,066.20 |
$13,066.20 |
$13,066.20 |
$9,831.50
|
|
Rapid Strep Test
|
$100.45 |
$100.45 |
$100.45 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,006.69 |
$4,006.69 |
$4,006.69 |
$2,789.64
|
|
Rbc deglycerolized each unit
|
$285.60 |
$285.60 |
$285.60 |
$841.75
|
|
Rbc serum pretx incubj drugs
|
$62.13 |
$62.13 |
$62.13 |
$223.08
|
|
Reconstruct finger joint
|
$3,930.50 |
$3,930.50 |
$3,930.50 |
$4,017.51
|
|
Reconstruction of nail bed
|
$1,494.50 |
$1,494.50 |
$1,494.50 |
$2,164.64
|
|
Red blood cells each unit
|
$136.50 |
$136.50 |
$136.50 |
$389.40
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$264.25 |
$264.25 |
$264.25 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$178.85 |
$178.85 |
$178.85 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$392.00 |
$392.00 |
$392.00 |
$534.15
|
|
Redo endovas vena cava filtr
|
$1,505.35 |
$1,505.35 |
$1,505.35 |
$4,397.96
|
|
Reduce testis torsion
|
$2,287.60 |
$2,287.60 |
$2,287.60 |
$4,081.37
|
|
Reduction of procidentia 45900
|
$761.95 |
$761.95 |
$761.95 |
$1,105.02
|
|
Refill/maint pump/resvr syst
|
$289.80 |
$289.80 |
$289.80 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$34.74 |
$34.74 |
$34.74 |
$468.96
|
|
Release of eye fluid
|
$1,185.80 |
$1,185.80 |
$1,185.80 |
$2,977.26
|
|
Relocation skin pocket aicd
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$3,153.93
|
|
Relocation skin pocket pm
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$156.80 |
$156.80 |
$156.80 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$140.00 |
$140.00 |
$140.00 |
$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
|
$1,672.65 |
$1,672.65 |
$1,672.65 |
$5,819.40
|
|
Rem interrog evl pm/ids
|
$31.15 |
$31.15 |
$31.15 |
$139.10
|
|
Removal anal seton other marker 46030
|
$888.65 |
$888.65 |
$888.65 |
$1,486.10
|
|
Removal biliary drg cath
|
$2,111.20 |
$2,111.20 |
$2,111.20 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$579.95 |
$579.95 |
$579.95 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,350.30 |
$1,350.30 |
$1,350.30 |
$2,599.13
|
|
Removal cerclage w/anes
|
$3,571.75 |
$3,571.75 |
$3,571.75 |
$3,749.62
|
|
Removal cerumen impacted (both sides)
|
$96.95 |
$96.95 |
$96.95 |
$177.60
|
|
Removal clot in graft oth/thn 35875
|
$3,987.90 |
$3,987.90 |
$3,987.90 |
$5,803.50
|
|
Removal clot in graft xcp 35876
|
$3,987.90 |
$3,987.90 |
$3,987.90 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$172.90 |
$172.90 |
$172.90 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$387.80 |
$387.80 |
$387.80 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,271.01
|
|
Removal foreign body foot cmplx
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$597.80 |
$597.80 |
$597.80 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
$2,301.60
|
|
Removal foreign body mouth
|
$777.00 |
$777.00 |
$777.00 |
$1,375.15
|
|
Removal implant from finger/hand 26320
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,112.60
|
|
Removal implant superficial separate procedure
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,945.80
|
|
Removal of anal tags
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$3,402.97
|
|
Removal of foreign body
|
$2,276.05 |
$2,276.05 |
$2,276.05 |
$4,149.00
|
|
Removal of heel bone
|
$2,662.10 |
$2,662.10 |
$2,662.10 |
$3,786.00
|
|
Removal of heel spur
|
$5,094.25 |
$5,094.25 |
$5,094.25 |
$3,839.54
|
|
Removal of hip foreign body 27087
|
$3,930.50 |
$3,930.50 |
$3,930.50 |
$4,499.12
|
|
Removal of implant deep
|
$2,031.75 |
$2,031.75 |
$2,031.75 |
$3,813.70
|
|
Removal of scrotum lesion
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$2,507.31
|
|
Removal of skin tags each add'l 10
|
$77.35 |
$77.35 |
$77.35 |
$138.45
|
|
Removal/replacement ppm generator dual lead system
|
$7,094.15 |
$7,094.15 |
$7,094.15 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$172.90 |
$172.90 |
$172.90 |
$303.80
|
|
Removal sutr and stapl no anes
|
$17.50 |
$17.50 |
$17.50 |
$73.66
|
|
Removal sutr or stapl no anes
|
$19.60 |
$19.60 |
$19.60 |
$85.18
|
|
Removal sutr/staple req anes
|
$1,494.50 |
$1,494.50 |
$1,494.50 |
$2,164.64
|
|
Removal tunnled intprtnl cath
|
$6,763.40 |
$6,763.40 |
$6,763.40 |
$4,293.90
|
|
Remove anal fist inter
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$3,619.14
|
|
Remove anal fist subq
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$3,417.12
|
|
Remove cva lumen obstruct
|
$1,447.95 |
$1,447.95 |
$1,447.95 |
$494.00
|
|
Remove ear canal lesion(s)
|
$2,031.75 |
$2,031.75 |
$2,031.75 |
$3,334.38
|
|
Remove ext hem groups 2+
|
$2,345.35 |
$2,345.35 |
$2,345.35 |
$3,316.74
|
|
Remove eyelid lesion
|
$196.70 |
$196.70 |
$196.70 |
$496.50
|
|
Remove foreign body from eye
|
$1,185.80 |
$1,185.80 |
$1,185.80 |
$3,433.80
|
|
Remove hand bone lesion
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$1,919.13
|
|
Remove hip foreign body 27086
|
$2,031.75 |
$2,031.75 |
$2,031.75 |
$3,127.88
|
