|
Prothrombin time substitution plasma fractions each
|
$5.92 |
$5.92 |
$5.92 |
$42.00
|
|
Prq cardiac angio addl art
|
$6,243.20 |
$6,243.20 |
$6,243.20 |
$5,510.00
|
|
Prq card revasc chronic addl
|
$9,183.36 |
$9,183.36 |
$9,183.36 |
$10,633.50
|
|
Prq card revasc mi 1 vsl
|
$12,243.84 |
$12,243.84 |
$12,243.84 |
$14,817.50
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$15,304.96 |
$15,304.96 |
$15,304.96 |
$17,651.36
|
|
Prq card stent w/angio addl
|
$8,138.24 |
$8,138.24 |
$8,138.24 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$9,795.20 |
$9,795.20 |
$9,795.20 |
$13,355.34
|
|
Prq revasc byp graft addl
|
$7,346.56 |
$7,346.56 |
$7,346.56 |
$9,180.60
|
|
Prq tcat plmt ntrac st 1 les
|
$10,850.56 |
$10,850.56 |
$10,850.56 |
$13,127.50
|
|
Prq trluml c angiop 1art&/br
|
$8,323.84 |
$8,323.84 |
$8,323.84 |
$9,131.70
|
|
Prq trluml revsc ch occ ant
|
$12,243.84 |
$12,243.84 |
$12,243.84 |
$15,349.60
|
|
Pr removal intrauterine device
|
$284.80 |
$284.80 |
$284.80 |
$367.80
|
|
PSA (Prostate) Test
|
$12.71 |
$12.71 |
$12.71 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$1.74 |
$1.74 |
$1.74 |
$35.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$10.90 |
$10.90 |
$10.90 |
$81.48
|
|
Pt application of modality traction mechanical
|
$12.97 |
$12.97 |
$12.97 |
$91.80
|
|
Pten gene dup/delet variant
|
$125.10 |
$125.10 |
$125.10 |
$330.00
|
|
Pt repositioning canalith procedure(s) per day
|
$18.49 |
$18.49 |
$18.49 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$16.28 |
$16.28 |
$16.28 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$21.67 |
$21.67 |
$21.67 |
$88.00
|
|
Pulmonary vent imaging
|
$559.17 |
$559.17 |
$559.17 |
$933.75
|
|
Puncture arterial withdrawal blood for diagnosis
|
$87.62 |
$87.62 |
$87.62 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$237.58 |
$237.58 |
$237.58 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$412.52 |
$412.52 |
$412.52 |
$1,060.47
|
|
Pvb thoracic 2nd+ inj site
|
$725.75 |
$725.75 |
$725.75 |
$823.37
|
|
Pvb thoracic single inj site
|
$1,152.06 |
$1,152.06 |
$1,152.06 |
$1,320.80
|
|
Pyruvate
|
$9.99 |
$9.99 |
$9.99 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$997.35 |
$997.35 |
$997.35 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$963.56 |
$963.56 |
$963.56 |
$1,199.16
|
|
Quest t3 uptake
|
$12.71 |
$12.71 |
$12.71 |
$53.20
|
|
Radium ra223 dichl ther/uci
|
$122.54 |
$122.54 |
$122.54 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,074.20 |
$1,074.20 |
$1,074.20 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,922.22 |
$1,922.22 |
$1,922.22 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,529.27 |
$1,529.27 |
$1,529.27 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$668.72 |
$668.72 |
$668.72 |
$1,126.32
|
|
Rapid Strep Test
|
$7.25 |
$7.25 |
$7.25 |
$76.00
|
|
Rbc count only automated
|
$6.43 |
$6.43 |
$6.43 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$148.18 |
$148.18 |
$148.18 |
$231.12
|
|
Rectal sensation test
|
$500.36 |
$500.36 |
$500.36 |
$564.48
|
|
Red blood cells leukocytes reduced each unit
|
$278.46 |
$278.46 |
$278.46 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$136.50 |
$136.50 |
$136.50 |
$534.15
|
|
Red blood cells washed each unit
|
$171.99 |
$171.99 |
$171.99 |
$583.68
|
|
Relocation skin pocket aicd
|
$2,442.01 |
$2,442.01 |
$2,442.01 |
$2,935.84
|
|
Relocation skin pocket pm
|
$2,354.94 |
$2,354.94 |
$2,354.94 |
$2,673.12
|
|
Rem endovas vena cava filter
|
$3,079.90 |
$3,079.90 |
$3,079.90 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$62.37 |
$62.37 |
$62.37 |
$139.10
|
|
Removal central venous catheter tunneled without port/pump
|
$691.47 |
$691.47 |
$691.47 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$953.87 |
$953.87 |
$953.87 |
$2,421.09
|
|
Removal clot in graft oth/thn 35875
|
$2,986.13 |
$2,986.13 |
$2,986.13 |
$5,988.54
|
|
Removal/replacement ppm generator dual lead system
|
$5,324.52 |
$5,324.52 |
$5,324.52 |
$12,384.25
|
|
Removal sutr and stapl no anes
|
$86.52 |
$86.52 |
$86.52 |
$82.05
|
|
Removal sutr or stapl no anes
|
$64.89 |
$64.89 |
$64.89 |
$93.88
|
|
Removal tunnled intprtnl cath
|
$1,769.85 |
$1,769.85 |
$1,769.85 |
$4,284.80
|
|
Remove renal tube w/fluoro
|
$894.77 |
$894.77 |
$894.77 |
$1,172.80
|
|
Remove spine eltrd perq aray
|
$2,149.27 |
$2,149.27 |
$2,149.27 |
$3,636.18
|
|
Renal cyst study s&i
|
$431.39 |
$431.39 |
$431.39 |
$751.34
|
|
Renal function panel
|
$6.13 |
$6.13 |
$6.13 |
$114.37
|
|
Renal venogram bil s&i
|
$4,760.90 |
$4,760.90 |
$4,760.90 |
$3,615.28
|
|
Repair pm/icd lead dual
|
$2,894.72 |
$2,894.72 |
$2,894.72 |
$4,498.80
|
|
Repair pm/icd lead sgl
|
$2,865.96 |
$2,865.96 |
$2,865.96 |
$4,343.82
|
|
Replace duod/jej tube perc
|
$541.75 |
$541.75 |
$541.75 |
$1,357.60
|
|
Replace g/c tube perc
|
$483.83 |
$483.83 |
$483.83 |
$1,366.30
|
|
Replace g-j tube perc
|
$599.67 |
$599.67 |
$599.67 |
$1,568.05
|
|
Reposition pm/icd lead
|
$1,940.06 |
$1,940.06 |
$1,940.06 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$1,881.35 |
$1,881.35 |
$1,881.35 |
$3,802.20
|
|
Reptilase test
|
$3.06 |
$3.06 |
$3.06 |
$72.15
|
|
Resp virus 6-11 targets
|
$94.97 |
$94.97 |
$94.97 |
$479.20
|
|
Resuscitation delivery/birthing room
|
$393.47 |
$393.47 |
$393.47 |
$802.00
|
|
Reticulated platelet assay
|
$11.02 |
$11.02 |
$11.02 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$1.73 |
$1.73 |
$1.73 |
$36.57
|
|
Revasc intravasc lithotripsy
|
$5,648.38 |
$5,648.38 |
$5,648.38 |
$11,101.80
|
|
Revasc lithotrip tibi/perone
|
$6,551.83 |
$6,551.83 |
$6,551.83 |
$13,925.00
|
|
Revise spine eltrd perq aray
|
$2,302.93 |
$2,302.93 |
$2,302.93 |
$7,728.86
|
|
Revj/rmvl nea pn w/int nstim
|
$2,169.76 |
$2,169.76 |
$2,169.76 |
$5,682.40
|
|
Revsc opn/prq tib/pero stent
|
$5,209.07 |
$5,209.07 |
$5,209.07 |
$9,196.55
|
|
Rheumatoid factor quantitative
|
$10.18 |
$10.18 |
$10.18 |
$57.50
|
|
Rib and Chest X-ray (3 views, left side)
|
$101.60 |
$101.60 |
$101.60 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$111.49 |
$111.49 |
$111.49 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$94.30 |
$94.30 |
$94.30 |
$397.60
|
|
Rmvl icd by tv extr
|
$2,798.98 |
$2,798.98 |
$2,798.98 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$13,091.83 |
$13,091.83 |
$13,091.83 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$13,640.28 |
$13,640.28 |
$13,640.28 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$8,606.93 |
$8,606.93 |
$8,606.93 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$2,188.67 |
$2,188.67 |
$2,188.67 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$355.78 |
$355.78 |
$355.78 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$2,099.63 |
$2,099.63 |
$2,099.63 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$1,045.28 |
$1,045.28 |
$1,045.28 |
$1,784.51
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$7,911.13 |
$7,911.13 |
$7,911.13 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,273.32 |
$4,273.32 |
$4,273.32 |
$10,542.00
|
|
Rmvl pq vad left hrt vein sep session
|
$1,045.28 |
$1,045.28 |
$1,045.28 |
$2,553.60
|
|
Rmvl subq card rhythm mntr
|
$719.84 |
$719.84 |
$719.84 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,771.40 |
$2,771.40 |
$2,771.40 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$2,519.24 |
$2,519.24 |
$2,519.24 |
$4,225.20
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$763.18 |
$763.18 |
$763.18 |
$2,203.00
|
|
Rp loclzj tum 2+area 1+d img
|
$712.86 |
$712.86 |
$712.86 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,583.77 |
$1,583.77 |
$1,583.77 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$2,081.90 |
$2,081.90 |
$2,081.90 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,167.03 |
$1,167.03 |
$1,167.03 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,316.72 |
$2,316.72 |
$2,316.72 |
$4,738.00
|
