|
Psychotherapy patient individual therapy 45 minutes
|
$582.40 |
$582.40 |
$582.40 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$403.20 |
$403.20 |
$403.20 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$828.80 |
$828.80 |
$828.80 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$255.36 |
$255.36 |
$255.36 |
$221.42
|
|
Psychthrp grp 45-50min mcr
|
$632.80 |
$632.80 |
$632.80 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$321.60
|
|
Psy evaluation of records
|
$78.40 |
$78.40 |
$78.40 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$369.60 |
$369.60 |
$369.60 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$261.52 |
$261.52 |
$261.52 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$929.60 |
$929.60 |
$929.60 |
$123.63
|
|
Psytx complex interactive
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$174.72 |
$174.72 |
$174.72 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$212.24 |
$212.24 |
$212.24 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$236.32 |
$236.32 |
$236.32 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$124.88 |
$124.88 |
$124.88 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$38.08 |
$38.08 |
$38.08 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$118.16 |
$118.16 |
$118.16 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$104.72 |
$104.72 |
$104.72 |
$81.00
|
|
Pt application of modality traction mechanical
|
$100.80 |
$100.80 |
$100.80 |
$91.00
|
|
Pt/caregiver traing home inr
|
$212.24 |
$212.24 |
$212.24 |
$137.60
|
|
Pten gene dup/delet variant
|
$683.20 |
$683.20 |
$683.20 |
$330.00
|
|
Pten gene full sequence
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$826.00
|
|
Pten gene known fam variant
|
$425.60 |
$425.60 |
$425.60 |
$127.86
|
|
Pterygomaxillary fossa surg any appr 31040
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,839.00
|
|
Pt evaluation high complexity patient/family
|
$453.60 |
$453.60 |
$453.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$336.00 |
$336.00 |
$336.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$380.80 |
$380.80 |
$380.80 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$0.01 |
$0.01 |
$0.01 |
$57.85
|
|
Pt prgrm for implt neurostim
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$324.80 |
$324.80 |
$324.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$233.52 |
$233.52 |
$233.52 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$20.16 |
$20.16 |
$20.16 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$190.96 |
$190.96 |
$190.96 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$127.68 |
$127.68 |
$127.68 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$168.56 |
$168.56 |
$168.56 |
$87.50
|
|
Pul art balloon repr percut
|
$16,335.20 |
$16,335.20 |
$16,335.20 |
$9,760.40
|
|
Pul art balloon repr percut
|
$7,548.80 |
$7,548.80 |
$7,548.80 |
$3,965.20
|
|
Pulm ds ipf mrna 190 gen alg
|
$9,150.40 |
$9,150.40 |
$9,150.40 |
$6,926.45
|
|
Pulmonary vent imaging
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$963.20 |
$963.20 |
$963.20 |
$344.00
|
|
Pulse ox multiple
|
$154.56 |
$154.56 |
$154.56 |
$156.40
|
|
Pulse ox single
|
$168.56 |
$168.56 |
$168.56 |
$81.70
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$969.00
|
|
Punc of shunt for asp or inj
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$213.36 |
$213.36 |
$213.36 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$11,776.80 |
$11,776.80 |
$11,776.80 |
$3,885.84
|
|
Puncture spinal lumbar diagnostic
|
$2,066.40 |
$2,066.40 |
$2,066.40 |
$1,051.80
|
|
Puraply 1 sq cm
|
$119.84 |
$119.84 |
$119.84 |
$304.50
|
|
Puraply xt 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$716.80 |
$716.80 |
$716.80 |
$809.20
|
|
Pvb thoracic cont infusion
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,825.60 |
$1,825.60 |
$1,825.60 |
$1,320.80
|
|
Pwr adpt pneum vad, rep veh
|
$817.04 |
$817.04 |
$817.04 |
$817.04
|
|
Pwr pck base combo vad, rep
|
$19,344.64 |
$19,344.64 |
$19,344.64 |
$19,344.64
|
|
Pyridoxine hcl 100 mg
|
$52.45 |
$52.45 |
$52.45 |
$48.70
|
|
Pyruvate
|
$38.08 |
$38.08 |
$38.08 |
$66.00
|
|
Pyruvate kinase
|
$116.48 |
$116.48 |
$116.48 |
$80.64
|
|
Quadrilateral brim
|
$316.40 |
$316.40 |
$316.40 |
$316.40
|
|
Quan puplmtry phy/qhp uni/bi
|
$247.52 |
$247.52 |
$247.52 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$3,175.20 |
$3,175.20 |
$3,175.20 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
$1,199.16
|
|
Quest t3 uptake
|
$42.56 |
$42.56 |
$42.56 |
$52.25
|
|
Quick disconn hook adapter o
|
$540.40 |
$540.40 |
$540.40 |
$540.40
|
|
Rabies ig heat-treated human im/subq 90376
|
$5,948.94 |
$5,948.94 |
$5,948.94 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$6,066.55 |
$6,066.55 |
$6,066.55 |
$4,262.90
|
|
Rabies vaccine id
|
$566.72 |
$566.72 |
$566.72 |
$340.80
|
|
Radial keratotomy
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$1,282.40
|
|
Radiation handling
|
$324.80 |
$324.80 |
$324.80 |
$324.80
|
|
Radiation physics consult
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$606.50
|
|
Radiation therapy dose plan
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$935.20 |
$935.20 |
$935.20 |
$520.00
|
|
Radiation treatment aid(s)
|
$929.60 |
$929.60 |
$929.60 |
$644.16
|
|
Radiation treatment aid(s)
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$552.40
|
|
Radiation treatment delivery
|
$1,556.80 |
$1,556.80 |
$1,556.80 |
$920.00
|
|
Radical rescj tumor prox hum
|
$3,724.00 |
$3,724.00 |
$3,724.00 |
$3,724.00
|
|
Radical resection of elbow
|
$5,376.00 |
$5,376.00 |
$5,376.00 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$4,460.78
|
|
Radiesse injection
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$1,171.09
|
|
Radiofq trsmtr for implt neu
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$6,081.60
|
|
Radiof trsmtr implt scrl neu
|
$887.60 |
$887.60 |
$887.60 |
$887.60
|
|
Radiology port images(s)
|
$470.40 |
$470.40 |
$470.40 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$14,526.40 |
$14,526.40 |
$14,526.40 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$48,524.80 |
$48,524.80 |
$48,524.80 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$5,269.60 |
$5,269.60 |
$5,269.60 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$5,555.20 |
$5,555.20 |
$5,555.20 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$711.20 |
$711.20 |
$711.20 |
$711.20
|
|
Rad rescj tum dstl/shft hum
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Rad rescj tum shoulder<5 cm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$4,591.60
|
|
Rad rescj tum tiss a/e 5 cm+
|
$9,626.40 |
$9,626.40 |
$9,626.40 |
$4,881.00
|
|
Rad rescj tum tiss a/e <5cm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,994.09
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$6,406.40 |
$6,406.40 |
$6,406.40 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,370.52
|
|
Rad resect hand tumor 3 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,994.09
|
