|
Prq skel fix sprcndlr hum fx
|
$751.14 |
$751.14 |
$751.14 |
$6,990.61
|
|
Prq skel fix tarsl fx w/mnpj
|
$366.12 |
$366.12 |
$366.12 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$363.42 |
$363.42 |
$363.42 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$407.70 |
$407.70 |
$407.70 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$326.97 |
$326.97 |
$326.97 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$389.34 |
$389.34 |
$389.34 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$407.97 |
$407.97 |
$407.97 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$103.68 |
$103.68 |
$103.68 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$115.56 |
$115.56 |
$115.56 |
$251.43
|
|
Pr removal intrauterine device
|
$103.14 |
$103.14 |
$103.14 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$292.95 |
$292.95 |
$292.95 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$106.65 |
$106.65 |
$106.65 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$110.43 |
$110.43 |
$110.43 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$183.33 |
$183.33 |
$183.33 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$108.27 |
$108.27 |
$108.27 |
$396.00
|
|
Pr robotic surgical system
|
$40.23 |
$40.23 |
$40.23 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$669.06 |
$669.06 |
$669.06 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$26.46 |
$26.46 |
$26.46 |
$71.40
|
|
Prtl exc bone olecrn process
|
$603.99 |
$603.99 |
$603.99 |
$3,208.80
|
|
Prtl excision bone clavicle
|
$657.72 |
$657.72 |
$657.72 |
$6,311.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$137.97 |
$137.97 |
$137.97 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$10.53 |
$10.53 |
$10.53 |
$27.30
|
|
PSA (Prostate) Test
|
$83.97 |
$83.97 |
$83.97 |
$107.50
|
|
Psychotherapy group therapy
|
$19.44 |
$19.44 |
$19.44 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$54.54 |
$54.54 |
$54.54 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$72.09 |
$72.09 |
$72.09 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$106.65 |
$106.65 |
$106.65 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$80.73 |
$80.73 |
$80.73 |
$316.50
|
|
Psy evaluation of records
|
$37.53 |
$37.53 |
$37.53 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$28.89 |
$28.89 |
$28.89 |
$203.20
|
|
Psytx complex interactive
|
$9.72 |
$9.72 |
$9.72 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$50.22 |
$50.22 |
$50.22 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$63.72 |
$63.72 |
$63.72 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$84.51 |
$84.51 |
$84.51 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$61.29 |
$61.29 |
$61.29 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$21.06 |
$21.06 |
$21.06 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$61.56 |
$61.56 |
$61.56 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$38.34 |
$38.34 |
$38.34 |
$81.00
|
|
Pt application of modality traction mechanical
|
$75.33 |
$75.33 |
$75.33 |
$91.00
|
|
Pten gene dup/delet variant
|
$49.21 |
$49.21 |
$49.21 |
$330.00
|
|
Pten gene full sequence
|
$99.09 |
$99.09 |
$99.09 |
$826.00
|
|
Pten gene known fam variant
|
$10.27 |
$10.27 |
$10.27 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$177.93 |
$177.93 |
$177.93 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$134.46 |
$134.46 |
$134.46 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$147.96 |
$147.96 |
$147.96 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$6.48 |
$6.48 |
$6.48 |
$57.85
|
|
Pt re-evaluation patient/family
|
$157.68 |
$157.68 |
$157.68 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$28.62 |
$28.62 |
$28.62 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$21.06 |
$21.06 |
$21.06 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$63.18 |
$63.18 |
$63.18 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$39.15 |
$39.15 |
$39.15 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$32.40 |
$32.40 |
$32.40 |
$87.50
|
|
Pul art balloon repr percut
|
$395.55 |
$395.55 |
$395.55 |
$9,760.40
|
|
Pul art balloon repr percut
|
$197.37 |
$197.37 |
$197.37 |
$3,965.20
|
|
Pulmonary decortication partial 32225
|
$885.87 |
$885.87 |
$885.87 |
$2,014.80
|
|
Pulmonary vent imaging
|
$23.76 |
$23.76 |
$23.76 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$46.44 |
$46.44 |
$46.44 |
$344.00
|
|
Pulse ox multiple
|
$76.68 |
$76.68 |
$76.68 |
$156.40
|
|
Pulse ox single
|
$47.25 |
$47.25 |
$47.25 |
$81.70
|
|
Punc of shunt for asp or inj
|
$51.84 |
$51.84 |
$51.84 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$110.16 |
$110.16 |
$110.16 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$125.01 |
$125.01 |
$125.01 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$43.74 |
$43.74 |
$43.74 |
$3,885.84
|
|
Puncture spinal lumbar diagnostic
|
$138.78 |
$138.78 |
$138.78 |
$1,051.80
|
|
Pyelotomy w/removal calculus
|
$951.21 |
$951.21 |
$951.21 |
$2,325.18
|
|
Pyloroplasty 43800
|
$838.89 |
$838.89 |
$838.89 |
$1,748.40
|
|
Pyruvate
|
$3.13 |
$3.13 |
$3.13 |
$66.00
|
|
Pyruvate kinase
|
$2.27 |
$2.27 |
$2.27 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$40.50 |
$40.50 |
$40.50 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$35.64 |
$35.64 |
$35.64 |
$1,199.16
|
|
Quest t3 uptake
|
$30.78 |
$30.78 |
$30.78 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$765.21 |
$765.21 |
$765.21 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$880.19 |
$880.19 |
$880.19 |
$4,262.90
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$6.48 |
$6.48 |
$6.48 |
$6.48
|
|
Radiation therapy dose plan
|
$35.64 |
$35.64 |
$35.64 |
$514.05
|
|
Radiation treatment aid(s)
|
$25.92 |
$25.92 |
$25.92 |
$520.00
|
|
Radiation treatment aid(s)
|
$43.20 |
$43.20 |
$43.20 |
$644.16
|
|
Radiation treatment aid(s)
|
$65.61 |
$65.61 |
$65.61 |
$1,076.78
|
|
Radiation tx management x5
|
$207.63 |
$207.63 |
$207.63 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$1,674.81 |
$1,674.81 |
$1,674.81 |
$3,429.60
|
|
Radical resection of elbow
|
$1,114.83 |
$1,114.83 |
$1,114.83 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$954.99 |
$954.99 |
$954.99 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$1,320.84 |
$1,320.84 |
$1,320.84 |
$4,460.78
|
|
Radiotherapy dose plan imrt
|
$456.84 |
$456.84 |
$456.84 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$39.15 |
$39.15 |
$39.15 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$49.14 |
$49.14 |
$49.14 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$52.65 |
$52.65 |
$52.65 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$32.13 |
$32.13 |
$32.13 |
$1,120.50
|
|
Rad rescj tum tiss a/e <5cm
|
$944.19 |
$944.19 |
$944.19 |
$3,994.09
|
|
Rad resect abd tumor 5 cm/>
|
$1,213.92 |
$1,213.92 |
$1,213.92 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$708.75 |
$708.75 |
$708.75 |
$3,370.52
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$878.85 |
$878.85 |
$878.85 |
$3,386.84
|
|
Range of motion measurements
|
$19.98 |
$19.98 |
$19.98 |
$60.48
|
|
Rapid Strep Test
|
$49.14 |
$49.14 |
$49.14 |
$75.24
|
|
Rbc count only automated
|
$0.72 |
$0.72 |
$0.72 |
$20.40
|
|
Rbc osmotic fragility
|
$19.64 |
$19.64 |
$19.64 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$81.00 |
$81.00 |
$81.00 |
$235.00
|
|
Realignment of knee
|
$892.08 |
$892.08 |
$892.08 |
$4,732.80
|
|
Realignment of tendons
|
$643.14 |
$643.14 |
$643.14 |
$3,821.05
|
|
Rebuild eardrum structures
|
$1,020.06 |
$1,020.06 |
$1,020.06 |
$6,553.49
|
