|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$33.90 |
$33.90 |
$33.90 |
$81.00
|
|
Pt application of modality traction mechanical
|
$43.80 |
$43.80 |
$43.80 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$149.40 |
$149.40 |
$149.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$121.80 |
$121.80 |
$121.80 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$137.40 |
$137.40 |
$137.40 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$7.20 |
$7.20 |
$7.20 |
$57.85
|
|
Pt re-evaluation patient/family
|
$82.50 |
$82.50 |
$82.50 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$59.70 |
$59.70 |
$59.70 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$23.40 |
$23.40 |
$23.40 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$62.40 |
$62.40 |
$62.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$42.30 |
$42.30 |
$42.30 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$39.30 |
$39.30 |
$39.30 |
$87.50
|
|
Pul art balloon repr percut
|
$439.50 |
$439.50 |
$439.50 |
$9,760.40
|
|
Pul art balloon repr percut
|
$219.30 |
$219.30 |
$219.30 |
$3,965.20
|
|
Pulmonary decortication partial 32225
|
$984.30 |
$984.30 |
$984.30 |
$2,014.80
|
|
Pulmonary vent imaging
|
$26.40 |
$26.40 |
$26.40 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$184.80 |
$184.80 |
$184.80 |
$344.00
|
|
Pulse ox multiple
|
$179.70 |
$179.70 |
$179.70 |
$156.40
|
|
Pulse ox single
|
$61.80 |
$61.80 |
$61.80 |
$81.70
|
|
Punc of shunt for asp or inj
|
$57.60 |
$57.60 |
$57.60 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$128.10 |
$128.10 |
$128.10 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$420.60 |
$420.60 |
$420.60 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$48.60 |
$48.60 |
$48.60 |
$3,885.84
|
|
Puncture spinal lumbar diagnostic
|
$680.40 |
$680.40 |
$680.40 |
$1,051.80
|
|
Pyelotomy w/removal calculus
|
$1,056.90 |
$1,056.90 |
$1,056.90 |
$2,325.18
|
|
Pyloroplasty 43800
|
$932.10 |
$932.10 |
$932.10 |
$1,748.40
|
|
Pyruvate kinase
|
$2.52 |
$2.52 |
$2.52 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$45.00 |
$45.00 |
$45.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$39.60 |
$39.60 |
$39.60 |
$1,199.16
|
|
Quest t3 uptake
|
$65.40 |
$65.40 |
$65.40 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$4,655.87 |
$4,655.87 |
$4,655.87 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$678.00 |
$678.00 |
$678.00 |
$4,262.90
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$7.20 |
$7.20 |
$7.20 |
$6.48
|
|
Radiation therapy dose plan
|
$39.60 |
$39.60 |
$39.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$28.80 |
$28.80 |
$28.80 |
$520.00
|
|
Radiation treatment aid(s)
|
$48.00 |
$48.00 |
$48.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$72.90 |
$72.90 |
$72.90 |
$1,076.78
|
|
Radiation tx management x5
|
$230.70 |
$230.70 |
$230.70 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$1,860.90 |
$1,860.90 |
$1,860.90 |
$3,429.60
|
|
Radical resection of elbow
|
$1,238.70 |
$1,238.70 |
$1,238.70 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$1,061.10 |
$1,061.10 |
$1,061.10 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$1,467.60 |
$1,467.60 |
$1,467.60 |
$4,460.78
|
|
Radiotherapy dose plan imrt
|
$507.60 |
$507.60 |
$507.60 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$43.50 |
$43.50 |
$43.50 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$54.60 |
$54.60 |
$54.60 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$58.50 |
$58.50 |
$58.50 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$35.70 |
$35.70 |
$35.70 |
$1,120.50
|
|
Rad rescj tum tiss a/e <5cm
|
$1,049.10 |
$1,049.10 |
$1,049.10 |
$3,994.09
|
|
Rad resect abd tumor 5 cm/>
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$787.50 |
$787.50 |
$787.50 |
$3,370.52
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$976.50 |
$976.50 |
$976.50 |
$3,386.84
|
|
Rapid Strep Test
|
$96.60 |
$96.60 |
$96.60 |
$75.24
|
|
Rbc osmotic fragility
|
$21.82 |
$21.82 |
$21.82 |
$75.04
|
|
Realignment of knee
|
$991.20 |
$991.20 |
$991.20 |
$4,732.80
|
|
Realignment of tendons
|
$714.60 |
$714.60 |
$714.60 |
$3,821.05
|
|
Rebuild eardrum structures
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$6,553.49
|
|
Rebuild eardrum structures
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$6,547.81
|
|
Rebuild eardrum structures
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$6,966.64
|
|
Rebuild outer ear canal
|
$1,185.30 |
$1,185.30 |
$1,185.30 |
$6,017.08
|
|
Rechanneling of artery
|
$1,442.70 |
$1,442.70 |
$1,442.70 |
$3,173.94
|
|
Rechanneling of artery
|
$417.00 |
$417.00 |
$417.00 |
$501.50
|
|
Rechanneling of artery
|
$1,538.10 |
$1,538.10 |
$1,538.10 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$1,161.90 |
$1,161.90 |
$1,161.90 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$2,109.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$1,210.80 |
$1,210.80 |
$1,210.80 |
$3,198.50
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$1,379.10 |
$1,379.10 |
$1,379.10 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$929.40 |
$929.40 |
$929.40 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$1,166.10 |
$1,166.10 |
$1,166.10 |
$3,029.35
|
|
Reconst lwr jaw w/fixation
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$5,415.80
|
|
Reconstruct ankle joint
|
$999.60 |
$999.60 |
$999.60 |
$4,768.00
|
|
Reconstruct elbow joint
|
$943.20 |
$943.20 |
$943.20 |
$5,886.74
|
|
Reconstruct elbow lat ligmnt
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$8,453.60
|
|
Reconstruct elbow med ligmnt
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$11,365.24
|
|
Reconstruct finger joint
|
$782.40 |
$782.40 |
$782.40 |
$3,839.54
|
|
Reconstruct finger joint
|
$851.70 |
$851.70 |
$851.70 |
$4,313.40
|
|
Reconstruct head of radius
|
$677.70 |
$677.70 |
$677.70 |
$11,971.85
|
|
Reconstruct head of radius
|
$719.40 |
$719.40 |
$719.40 |
$7,860.75
|
|
Reconstruction knee
|
$745.50 |
$745.50 |
$745.50 |
$5,855.00
|
|
Reconstruction knee
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$8,814.96
|
|
Reconstruction knee
|
$1,316.70 |
$1,316.70 |
$1,316.70 |
$10,629.07
|
|
Reconstruction of hip socket
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$2,710.40
|
|
Reconstruction of nail bed
|
$197.10 |
$197.10 |
$197.10 |
$2,164.64
|
|
Reconstruction of nose
|
$1,491.30 |
$1,491.30 |
$1,491.30 |
$5,925.35
|
|
Reconstruction of nose
|
$1,515.90 |
$1,515.90 |
$1,515.90 |
$6,839.00
|
|
Reconstruction tongue fold
|
$268.50 |
$268.50 |
$268.50 |
$2,258.61
|
|
Reconstruct lip with flap
|
$657.90 |
$657.90 |
$657.90 |
$6,839.00
|
|
Reconstruct shoulder joint
|
$1,238.10 |
$1,238.10 |
$1,238.10 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$943.50 |
$943.50 |
$943.50 |
$5,886.74
|
|
Red blood cells each unit
|
$81.40 |
$81.40 |
$81.40 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$88.60 |
$88.60 |
$88.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$106.61 |
$106.61 |
$106.61 |
$528.45
|
|
Red blood cells washed each unit
|
$122.70 |
$122.70 |
$122.70 |
$572.46
|
|
Red cell mass single
|
$11.10 |
$11.10 |
$11.10 |
$545.61
|
|
Redo endovas vena cava filtr
|
$323.70 |
$323.70 |
$323.70 |
$4,435.43
|
|
Reduce bowel obstruction 44050
|
$939.90 |
$939.90 |
$939.90 |
$1,761.00
|
|
Reduce testis torsion
|
$471.60 |
$471.60 |
$471.60 |
$4,350.00
|
|
Reduction of procidentia 45900
|
$218.40 |
$218.40 |
$218.40 |
$1,226.10
|
|
Re-exploration of chest 32120
|
$869.10 |
$869.10 |
$869.10 |
$2,126.40
|
|
Re-explore parathyroids
|
$210.90 |
$210.90 |
$210.90 |
$6,465.11
|
