|
Prq card stent w/angio addl
|
$2,949.45 |
$2,949.45 |
$2,949.45 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$22,751.40 |
$22,751.40 |
$22,751.40 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$3,095.40 |
$3,095.40 |
$3,095.40 |
$11,251.88
|
|
Prq skel fix sprcndlr hum fx
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$6,731.17
|
|
Prq tcat plmt ntrac st 1 les
|
$21,668.15 |
$21,668.15 |
$21,668.15 |
$13,419.98
|
|
Prq tcat plmt ntrac st 2+les
|
$2,949.45 |
$2,949.45 |
$2,949.45 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$21,668.15 |
$21,668.15 |
$21,668.15 |
$18,127.95
|
|
Prq trl rvs ch occ ant&rtrgr
|
$23,835.00 |
$23,835.00 |
$23,835.00 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$11,114.60 |
$11,114.60 |
$11,114.60 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$10,838.45 |
$10,838.45 |
$10,838.45 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$23,454.90 |
$23,454.90 |
$23,454.90 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$242.20 |
$242.20 |
$242.20 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$189.00 |
$189.00 |
$189.00 |
$280.79
|
|
Pr removal intrauterine device
|
$242.20 |
$242.20 |
$242.20 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$275.80 |
$275.80 |
$275.80 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$275.80 |
$275.80 |
$275.80 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$275.80 |
$275.80 |
$275.80 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$275.80 |
$275.80 |
$275.80 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$275.80 |
$275.80 |
$275.80 |
$422.00
|
|
Pr robotic surgical system
|
$0.35 |
$0.35 |
$0.35 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,548.75 |
$1,548.75 |
$1,548.75 |
$1,790.60
|
|
PSA (Prostate) Test
|
$227.85 |
$227.85 |
$227.85 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$82.55
|
|
Pt application of modality traction mechanical
|
$80.85 |
$80.85 |
$80.85 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$268.80 |
$268.80 |
$268.80 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$258.65 |
$258.65 |
$258.65 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$263.90 |
$263.90 |
$263.90 |
$263.90
|
|
Pt re-evaluation patient/family
|
$175.70 |
$175.70 |
$175.70 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$285.25 |
$285.25 |
$285.25 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$83.30 |
$83.30 |
$83.30 |
$85.00
|
|
Pulmonary vent imaging
|
$1,242.15 |
$1,242.15 |
$1,242.15 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$214.20 |
$214.20 |
$214.20 |
$368.00
|
|
Pulse ox multiple
|
$455.00 |
$455.00 |
$455.00 |
$194.33
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$728.88 |
$728.88 |
$728.88 |
$898.88
|
|
Punc of shunt for asp or inj
|
$787.15 |
$787.15 |
$787.15 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$145.25 |
$145.25 |
$145.25 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$339.50 |
$339.50 |
$339.50 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$392.35 |
$392.35 |
$392.35 |
$1,134.64
|
|
Puraply 1 sq cm
|
$8,176.14 |
$8,176.14 |
$8,176.14 |
$8,176.14
|
|
Pyridoxine hcl 100 mg
|
$43.51 |
$43.51 |
$43.51 |
$43.51
|
|
Quant diff pulm perf and vent w/imaging
|
$880.25 |
$880.25 |
$880.25 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,209.44
|
|
Quest t3 uptake
|
$90.65 |
$90.65 |
$90.65 |
$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
|
$481.25 |
$481.25 |
$481.25 |
$331.89
|
|
Radiation physics consult
|
$267.75 |
$267.75 |
$267.75 |
$574.75
|
|
Radiation therapy dose plan
|
$197.75 |
$197.75 |
$197.75 |
$530.53
|
|
Radiation treatment aid(s)
|
$281.75 |
$281.75 |
$281.75 |
$541.45
|
|
Radiation treatment aid(s)
|
$401.80 |
$401.80 |
$401.80 |
$665.00
|
|
Radiation treatment aid(s)
|
$704.20 |
$704.20 |
$704.20 |
$1,103.09
|
|
Radiation treatment delivery
|
$322.00 |
$322.00 |
$322.00 |
$552.40
|
|
Radiation treatment delivery
|
$521.50 |
$521.50 |
$521.50 |
$909.98
|
|
Radiology port images(s)
|
$103.25 |
$103.25 |
$103.25 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$2,022.30 |
$2,022.30 |
$2,022.30 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$36,545.04 |
$36,545.04 |
$36,545.04 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,643.25 |
$1,643.25 |
$1,643.25 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,765.75 |
$1,765.75 |
$1,765.75 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,044.70 |
$2,044.70 |
$2,044.70 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,888.25 |
$1,888.25 |
$1,888.25 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,061.90 |
$1,061.90 |
$1,061.90 |
$1,139.40
|
|
Rapid Strep Test
|
$293.30 |
$293.30 |
$293.30 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$9,637.76 |
$9,637.76 |
$9,637.76 |
$2,789.64
|
|
Rbc deglycerolized each unit
|
$380.80 |
$380.80 |
$380.80 |
$785.20
|
|
Rbc irradiated each unit
|
$170.80 |
$170.80 |
$170.80 |
$490.75
|
|
Rbc serum pretx incubj drugs
|
$62.13 |
$62.13 |
$62.13 |
$223.08
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$8,650.95 |
$8,650.95 |
$8,650.95 |
$9,706.55
|
|
Reconstruct finger joint
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$4,017.51
|
|
Reconstruction of nail bed
|
$1,626.10 |
$1,626.10 |
$1,626.10 |
$2,164.64
|
|
Red blood cells each unit
|
$149.80 |
$149.80 |
$149.80 |
$389.40
|
|
Red blood cells leukocytes reduced each unit
|
$157.50 |
$157.50 |
$157.50 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$178.50 |
$178.50 |
$178.50 |
$540.00
|
|
Red blood cells washed each unit
|
$236.60 |
$236.60 |
$236.60 |
$583.68
|
|
Redo endovas vena cava filtr
|
$4,545.10 |
$4,545.10 |
$4,545.10 |
$4,397.96
|
|
Reduce testis torsion
|
$1,767.50 |
$1,767.50 |
$1,767.50 |
$4,081.37
|
|
Reduction of procidentia 45900
|
$438.20 |
$438.20 |
$438.20 |
$1,105.02
|
|
Refill/maint pump/resvr syst
|
$161.70 |
$161.70 |
$161.70 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$58.41 |
$58.41 |
$58.41 |
$468.96
|
|
Release of eye fluid
|
$1,246.35 |
$1,246.35 |
$1,246.35 |
$2,977.26
|
|
Relocation skin pocket aicd
|
$3,008.25 |
$3,008.25 |
$3,008.25 |
$3,153.93
|
|
Relocation skin pocket pm
|
$2,933.35 |
$2,933.35 |
$2,933.35 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$275.80 |
$275.80 |
$275.80 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$242.20 |
$242.20 |
$242.20 |
$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
|
$4,545.10 |
$4,545.10 |
$4,545.10 |
$5,819.40
|
|
Remote 30 day ecg tech supp
|
$375.90 |
$375.90 |
$375.90 |
$570.85
|
|
Removal anal seton other marker 46030
|
$787.85 |
$787.85 |
$787.85 |
$1,486.10
|
|
Removal biliary drg cath
|
$1,832.60 |
$1,832.60 |
$1,832.60 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$1,330.35 |
$1,330.35 |
$1,330.35 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,422.70 |
$2,422.70 |
$2,422.70 |
$2,599.13
|
|
Removal cerclage w/anes
|
$1,992.55 |
$1,992.55 |
$1,992.55 |
$3,749.62
|
|
Removal cerumen impacted (both sides)
|
$189.00 |
$189.00 |
$189.00 |
$177.60
|
|
Removal clot in graft oth/thn 35875
|
$6,384.35 |
$6,384.35 |
$6,384.35 |
$5,803.50
|
|
Removal clot in graft xcp 35876
|
$2,417.45 |
$2,417.45 |
$2,417.45 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$266.35 |
$266.35 |
$266.35 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$699.65 |
$699.65 |
$699.65 |
$899.85
|
