|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$282.73 |
$282.73 |
$282.73 |
$82.55
|
|
Pt application of modality traction mechanical
|
$168.00 |
$244.65 |
$261.75 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$928.55 |
$928.55 |
$1,875.63 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$759.72 |
$759.72 |
$1,875.63 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$844.12 |
$844.12 |
$1,875.63 |
$263.90
|
|
Pt re-evaluation patient/family
|
$571.11 |
$571.11 |
$973.18 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$155.95 |
$155.95 |
$235.50 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$183.59 |
$183.59 |
$183.59 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$284.51 |
$284.51 |
$284.51 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$324.90 |
$324.90 |
$324.90 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$297.26 |
$297.26 |
$297.26 |
$85.00
|
|
Pul art balloon repr percut
|
$17,824.09 |
$17,824.09 |
$17,824.09 |
$10,651.06
|
|
Pul art balloon repr percut
|
$7,247.46 |
$7,247.46 |
$7,247.46 |
$4,144.17
|
|
Pulmonary vent imaging
|
$2,433.31 |
$3,660.50 |
$3,789.00 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$415.05 |
$649.70 |
$1,495.25 |
$368.00
|
|
Pulse ox multiple
|
$1,063.72 |
$1,063.72 |
$1,063.72 |
$194.33
|
|
Pulse ox single
|
$541.41 |
$541.41 |
$541.41 |
$88.63
|
|
Punc of shunt for asp or inj
|
$1,758.12 |
$1,758.12 |
$1,758.12 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$327.09 |
$558.61 |
$782.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,787.38 |
$1,787.38 |
$1,787.38 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$2,107.87 |
$2,107.87 |
$2,107.87 |
$1,134.64
|
|
Puraply 1 sq cm
|
$517.91 |
$517.91 |
$1,581.00 |
$8,176.14
|
|
Pvb thoracic 2nd+ inj site
|
$2,796.68 |
$2,796.68 |
$2,796.68 |
$1,013.20
|
|
Pvb thoracic cont infusion
|
$4,231.26 |
$4,231.26 |
$4,231.26 |
$2,047.68
|
|
Pvb thoracic single inj site
|
$2,796.68 |
$2,796.68 |
$2,796.68 |
$1,189.08
|
|
Pyridoxine hcl 100 mg
|
$168.06 |
$201.75 |
$241.00 |
$43.51
|
|
Pyruvate
|
$172.70 |
$894.25 |
$2,044.00 |
$65.00
|
|
Pyruvate kinase
|
$150.03 |
$705.00 |
$1,062.75 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$3,879.26 |
$13,369.22 |
$15,516.50 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$2,433.31 |
$3,879.26 |
$11,731.00 |
$1,209.44
|
|
Quest t3 uptake
|
$89.47 |
$99.96 |
$1,308.50 |
$56.10
|
|
Quinupristin/dalfopristin
|
$1,500.76 |
$1,500.76 |
$2,713.50 |
$1,089.58
|
|
Rabies ig heat-treated human im/subq 90376
|
$5,230.00 |
$5,230.00 |
$5,230.00 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$2,119.25 |
$2,119.25 |
$11,628.10 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$9,059.20 |
$9,059.20 |
$11,635.77 |
$3,213.80
|
|
Radiation handling
|
$3,211.93 |
$3,211.93 |
$3,211.93 |
$331.89
|
|
Radiation physics consult
|
$2,531.29 |
$3,317.75 |
$3,323.00 |
$574.75
|
|
Radiation therapy dose plan
|
$2,075.38 |
$2,075.38 |
$2,396.00 |
$530.53
|
|
Radiation treatment aid(s)
|
$2,287.74 |
$2,770.00 |
$3,037.75 |
$541.45
|
|
Radiation treatment aid(s)
|
$2,946.06 |
$4,712.00 |
$5,174.25 |
$665.00
|
|
Radiation treatment aid(s)
|
$3,732.30 |
$6,067.00 |
$6,653.75 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,042.01 |
$1,042.01 |
$1,042.01 |
$257.01
|
|
Radiation treatment delivery
|
$1,304.06 |
$2,938.00 |
$2,950.00 |
$552.40
|
|
Radiation treatment delivery
|
$3,040.63 |
$5,728.75 |
$5,749.00 |
$909.98
|
|
Radiesse injection
|
$9,233.00 |
$9,233.00 |
$9,233.00 |
$333.42
|
|
Radiology port images(s)
|
$914.70 |
$914.70 |
$914.70 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$18,912.00 |
$26,572.32 |
$29,364.25 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,808.50 |
$10,888.25 |
$27,076.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$6,087.83 |
$14,763.50 |
$15,779.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,816.15 |
$7,006.75 |
$16,732.44 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,127.16 |
$6,528.98 |
$27,076.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,036.50 |
$4,014.43 |
$8,366.23 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$678.81
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$30,912.98 |
$30,912.98 |
$30,912.98 |
$9,831.50
|
|
Rapid Strep Test
|
$193.78 |
$193.78 |
$193.78 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$9,624.08 |
$9,624.08 |
$9,624.08 |
$2,789.64
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$26,902.43 |
$26,902.43 |
$26,902.43 |
$41,926.70
|
|
Rbc count only automated
|
$48.88 |
$214.76 |
$532.75 |
$20.00
|
|
Rbc deglycerolized each unit
|
$628.00 |
$4,303.92 |
$4,518.25 |
$785.20
|
|
Rbc serum pretx incubj drugs
|
$327.54 |
$337.08 |
$1,413.25 |
$223.08
|
|
Reconstruction knee
|
$38,029.94 |
$38,029.94 |
$38,029.94 |
$8,814.96
|
|
Rectal sensation test
|
$612.00 |
$612.00 |
$666.00 |
$564.48
|
|
Red blood cells each unit
|
$560.74 |
$560.74 |
$560.74 |
$389.40
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$4,163.61 |
$4,163.61 |
$4,163.61 |
$850.85
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$3,403.73 |
$3,403.73 |
$3,403.73 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$1,760.32 |
$1,760.32 |
$1,760.32 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$924.68 |
$1,469.00 |
$2,559.64 |
$540.00
|
|
Red blood cells washed each unit
|
$960.45 |
$960.45 |
$960.45 |
$583.68
|
|
Red cell mass multiple
|
$983.57 |
$983.57 |
$983.57 |
$636.97
|
|
Refill maint impl spine pump
|
$842.61 |
$842.61 |
$1,609.00 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$1,050.19 |
$1,050.19 |
$1,687.25 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,469.78 |
$2,038.00 |
$2,269.25 |
$468.96
|
|
Release finger contracture
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Release palm/finger tendon
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,211.05
|
|
Relocation skin pocket aicd
|
$15,246.65 |
$15,246.65 |
$15,246.65 |
$3,153.93
|
|
Relocation skin pocket pm
|
$12,602.75 |
$12,602.75 |
$12,602.75 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$2,502.32 |
$2,502.32 |
$2,502.32 |
$370.80
|
|
Rem endovas vena cava filter
|
$13,781.62 |
$13,781.62 |
$13,781.62 |
$5,819.40
|
|
Rem interrog evl pm/ids
|
$231.08 |
$231.08 |
$231.08 |
$139.10
|
|
Remote 30 day ecg tech supp
|
$1,487.60 |
$1,487.60 |
$1,487.60 |
$570.85
|
|
Removal biliary drg cath
|
$1,715.22 |
$1,715.22 |
$1,715.22 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$3,230.73 |
$3,230.73 |
$3,230.73 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$5,724.89 |
$5,724.89 |
$5,724.89 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$406.93 |
$406.93 |
$406.93 |
$177.60
|
|
Removal clot in graft oth/thn 35875
|
$3,751.92 |
$3,751.92 |
$3,751.92 |
$5,803.50
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$503.88 |
$503.88 |
$503.88 |
$245.60
|
|
Removal duct glbldr calculi
|
$7,182.16 |
$7,182.16 |
$7,182.16 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,224.63 |
$1,224.63 |
$1,224.63 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$689.17 |
$689.17 |
$689.17 |
$2,271.01
|
|
Removal foreign body foot cmplx
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$2,364.32 |
$2,364.32 |
$2,364.32 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$2,301.60
|
|
Removal foreign body mouth
|
$1,224.63 |
$1,224.63 |
$1,224.63 |
$1,375.15
|
|
Removal of adenoids
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,837.72
|
|
Removal of adenoids
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,589.62
|
|
Removal of adenoids
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,837.72
|
|
Removal of ankle/heel lesion
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,594.44
|
|
Removal of eye lesion
|
$6,162.10 |
$6,162.10 |
$6,162.10 |
$3,275.20
|
|
Removal of finger lesion
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Removal of foot lesion
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
