|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$81.80 |
$81.80 |
$81.80 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,100.20 |
$1,100.20 |
$1,100.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$249.80 |
$249.80 |
$249.80 |
$396.00
|
|
Pr robotic surgical system
|
$29.80 |
$29.80 |
$29.80 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$495.60 |
$495.60 |
$495.60 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$43.20 |
$43.20 |
$43.20 |
$71.40
|
|
Prtl exc bone olecrn process
|
$2,968.20 |
$2,968.20 |
$2,968.20 |
$3,208.80
|
|
Prtl excision bone clavicle
|
$487.20 |
$487.20 |
$487.20 |
$6,311.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,090.20 |
$1,090.20 |
$1,090.20 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$7.80 |
$7.80 |
$7.80 |
$27.30
|
|
PSA (Prostate) Test
|
$55.00 |
$55.00 |
$55.00 |
$107.50
|
|
Psychotherapy group therapy
|
$14.40 |
$14.40 |
$14.40 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$40.40 |
$40.40 |
$40.40 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$53.40 |
$53.40 |
$53.40 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$79.00 |
$79.00 |
$79.00 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$59.80 |
$59.80 |
$59.80 |
$316.50
|
|
Psy evaluation of records
|
$27.80 |
$27.80 |
$27.80 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$21.40 |
$21.40 |
$21.40 |
$203.20
|
|
Psytx complex interactive
|
$7.20 |
$7.20 |
$7.20 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$37.20 |
$37.20 |
$37.20 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$47.20 |
$47.20 |
$47.20 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$62.60 |
$62.60 |
$62.60 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$15.60 |
$15.60 |
$15.60 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$18.00 |
$18.00 |
$18.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$38.20 |
$38.20 |
$38.20 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$30.80 |
$30.80 |
$30.80 |
$81.00
|
|
Pt application of modality traction mechanical
|
$41.20 |
$41.20 |
$41.20 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$108.60 |
$108.60 |
$108.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$90.60 |
$90.60 |
$90.60 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$95.40 |
$95.40 |
$95.40 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$4.80 |
$4.80 |
$4.80 |
$57.85
|
|
Pt prgrm for implt neurostim
|
$1,492.60 |
$1,492.60 |
$1,492.60 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$59.60 |
$59.60 |
$59.60 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$48.60 |
$48.60 |
$48.60 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$15.60 |
$15.60 |
$15.60 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$47.40 |
$47.40 |
$47.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$39.60 |
$39.60 |
$39.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$29.40 |
$29.40 |
$29.40 |
$87.50
|
|
Pul art balloon repr percut
|
$293.00 |
$293.00 |
$293.00 |
$9,760.40
|
|
Pul art balloon repr percut
|
$146.20 |
$146.20 |
$146.20 |
$3,965.20
|
|
Pulmonary decortication partial 32225
|
$656.20 |
$656.20 |
$656.20 |
$2,014.80
|
|
Pulmonary vent imaging
|
$470.40 |
$470.40 |
$470.40 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$168.80 |
$168.80 |
$168.80 |
$344.00
|
|
Pulse ox multiple
|
$87.00 |
$87.00 |
$87.00 |
$156.40
|
|
Pulse ox single
|
$30.00 |
$30.00 |
$30.00 |
$81.70
|
|
Punc of shunt for asp or inj
|
$559.80 |
$559.80 |
$559.80 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$157.60 |
$157.60 |
$157.60 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$307.60 |
$307.60 |
$307.60 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$32.40 |
$32.40 |
$32.40 |
$3,885.84
|
|
Puncture spinal lumbar diagnostic
|
$604.80 |
$604.80 |
$604.80 |
$1,051.80
|
|
Puraply 1 sq cm
|
$14.20 |
$14.20 |
$14.20 |
$304.50
|
|
Pyelotomy w/removal calculus
|
$704.60 |
$704.60 |
$704.60 |
$2,325.18
|
|
Pyloroplasty 43800
|
$621.40 |
$621.40 |
$621.40 |
$1,748.40
|
|
Quant diff pulm perf and vent w/imaging
|
$742.40 |
$742.40 |
$742.40 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$470.40 |
$470.40 |
$470.40 |
$1,199.16
|
|
Quest t3 uptake
|
$24.00 |
$24.00 |
$24.00 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$515.87 |
$515.87 |
$515.87 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$140.20 |
$140.20 |
$140.20 |
$4,262.90
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$4.80 |
$4.80 |
$4.80 |
$6.48
|
|
Radiation handling
|
$146.80 |
$146.80 |
$146.80 |
$324.80
|
|
Radiation therapy dose plan
|
$323.40 |
$323.40 |
$323.40 |
$514.05
|
|
Radiation treatment aid(s)
|
$272.20 |
$272.20 |
$272.20 |
$520.00
|
|
Radiation treatment aid(s)
|
$32.00 |
$32.00 |
$32.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$48.60 |
$48.60 |
$48.60 |
$1,076.78
|
|
Radiation tx management x5
|
$153.80 |
$153.80 |
$153.80 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$1,240.60 |
$1,240.60 |
$1,240.60 |
$3,429.60
|
|
Radical resection of elbow
|
$825.80 |
$825.80 |
$825.80 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$707.40 |
$707.40 |
$707.40 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$978.40 |
$978.40 |
$978.40 |
$4,460.78
|
|
Radiotherapy dose plan imrt
|
$338.40 |
$338.40 |
$338.40 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$0.67 |
$0.67 |
$0.67 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,225.40 |
$1,225.40 |
$1,225.40 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,156.40 |
$1,156.40 |
$1,156.40 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$551.60 |
$551.60 |
$551.60 |
$1,120.50
|
|
Rad rescj tum tiss a/e <5cm
|
$699.40 |
$699.40 |
$699.40 |
$3,994.09
|
|
Rad resect abd tumor 5 cm/>
|
$899.20 |
$899.20 |
$899.20 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$525.00 |
$525.00 |
$525.00 |
$3,370.52
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$651.00 |
$651.00 |
$651.00 |
$3,386.84
|
|
Rapid Strep Test
|
$57.80 |
$57.80 |
$57.80 |
$75.24
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$14,083.16 |
$14,083.16 |
$14,083.16 |
$41,926.70
|
|
Rbc irradiated each unit
|
$56.30 |
$56.30 |
$56.30 |
$560.00
|
|
Rbc osmotic fragility
|
$14.55 |
$14.55 |
$14.55 |
$75.04
|
|
Realignment of knee
|
$660.80 |
$660.80 |
$660.80 |
$4,732.80
|
|
Realignment of tendons
|
$476.40 |
$476.40 |
$476.40 |
$3,821.05
|
|
Rebuild eardrum structures
|
$755.60 |
$755.60 |
$755.60 |
$6,553.49
|
|
Rebuild eardrum structures
|
$735.80 |
$735.80 |
$735.80 |
$6,547.81
|
|
Rebuild eardrum structures
|
$992.00 |
$992.00 |
$992.00 |
$6,966.64
|
|
Rebuild outer ear canal
|
$790.20 |
$790.20 |
$790.20 |
$6,017.08
|
|
Rechanneling of artery
|
$961.80 |
$961.80 |
$961.80 |
$3,173.94
|
|
Rechanneling of artery
|
$278.00 |
$278.00 |
$278.00 |
$501.50
|
|
Rechanneling of artery
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$774.60 |
$774.60 |
$774.60 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$873.60 |
$873.60 |
$873.60 |
$2,109.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$807.20 |
$807.20 |
$807.20 |
$3,198.50
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$919.40 |
$919.40 |
$919.40 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$619.60 |
$619.60 |
$619.60 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$777.40 |
$777.40 |
$777.40 |
$3,029.35
|
|
Reconst lwr jaw w/fixation
|
$998.80 |
$998.80 |
$998.80 |
$5,415.80
|
|
Reconstruct ankle joint
|
$666.40 |
$666.40 |
$666.40 |
$4,768.00
|
