|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,338.89 |
$1,338.89 |
$1,338.89 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$1,758.54 |
$1,758.54 |
$1,758.54 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$2,753.28
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,994.42 |
$3,994.42 |
$3,994.42 |
$1,790.60
|
|
PSA (Prostate) Test
|
$317.23 |
$317.23 |
$317.23 |
$109.35
|
|
Psychotherapy group therapy
|
$926.54 |
$926.54 |
$926.54 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$1,649.95 |
$1,649.95 |
$1,649.95 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$1,649.95 |
$1,649.95 |
$1,649.95 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$1,649.95 |
$1,649.95 |
$1,649.95 |
$294.45
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$276.13 |
$276.13 |
$276.13 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$296.84 |
$296.84 |
$296.84 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$272.51 |
$272.51 |
$272.51 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$317.81 |
$317.81 |
$317.81 |
$82.55
|
|
Pt application of modality traction mechanical
|
$203.47 |
$203.47 |
$203.47 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$750.11 |
$750.11 |
$750.11 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$579.30 |
$579.30 |
$579.30 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$660.51 |
$660.51 |
$660.51 |
$263.90
|
|
Pt re-evaluation patient/family
|
$288.10 |
$288.10 |
$288.10 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$190.58 |
$190.58 |
$190.58 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$246.17 |
$246.17 |
$246.17 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$219.68 |
$219.68 |
$219.68 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$135.88 |
$135.88 |
$135.88 |
$85.00
|
|
Pul art balloon repr percut
|
$70,590.18 |
$70,590.18 |
$70,590.18 |
$10,651.06
|
|
Pul art balloon repr percut
|
$8,010.24 |
$8,010.24 |
$8,010.24 |
$4,144.17
|
|
Pulmonary vent imaging
|
$3,951.75 |
$3,951.75 |
$3,951.75 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$1,527.21 |
$1,527.21 |
$1,527.21 |
$368.00
|
|
Pulse ox multiple
|
$763.25 |
$763.25 |
$763.25 |
$194.33
|
|
Pulse ox single
|
$361.55 |
$361.55 |
$361.55 |
$88.63
|
|
Punc of shunt for asp or inj
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$389.59 |
$389.59 |
$389.59 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,342.12 |
$1,342.12 |
$1,342.12 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$2,409.99 |
$2,409.99 |
$2,409.99 |
$1,134.64
|
|
Puraply 1 sq cm
|
$696.34 |
$696.34 |
$696.34 |
$8,176.14
|
|
Pyruvate
|
$223.50 |
$223.50 |
$223.50 |
$65.00
|
|
Pyruvate kinase
|
$145.71 |
$145.71 |
$145.71 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$4,661.02 |
$4,661.02 |
$4,661.02 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$3,951.75 |
$3,951.75 |
$3,951.75 |
$1,209.44
|
|
Quest t3 uptake
|
$32.09 |
$32.09 |
$32.09 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$51,197.89 |
$51,197.89 |
$51,197.89 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$51,231.74 |
$51,231.74 |
$51,231.74 |
$3,213.80
|
|
Radiation physics consult
|
$1,162.11 |
$1,162.11 |
$1,162.11 |
$574.75
|
|
Radiation therapy dose plan
|
$817.14 |
$817.14 |
$817.14 |
$530.53
|
|
Radiation treatment aid(s)
|
$711.32 |
$711.32 |
$711.32 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,022.18 |
$1,022.18 |
$1,022.18 |
$665.00
|
|
Radiation treatment aid(s)
|
$3,681.61 |
$3,681.61 |
$3,681.61 |
$1,103.09
|
|
Radiation treatment delivery
|
$582.45 |
$582.45 |
$582.45 |
$257.01
|
|
Radiation treatment delivery
|
$703.14 |
$703.14 |
$703.14 |
$552.40
|
|
Radiation treatment delivery
|
$1,516.22 |
$1,516.22 |
$1,516.22 |
$909.98
|
|
Radiology port images(s)
|
$280.23 |
$280.23 |
$280.23 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$16,618.24 |
$16,618.24 |
$16,618.24 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,887.12 |
$2,887.12 |
$2,887.12 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,104.69 |
$3,104.69 |
$3,104.69 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,329.67 |
$3,329.67 |
$3,329.67 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,047.30 |
$2,047.30 |
$2,047.30 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$30,330.91 |
$30,330.91 |
$30,330.91 |
$16,029.45
|
|
Rapid Strep Test
|
$273.96 |
$273.96 |
$273.96 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$116,988.56 |
$116,988.56 |
$116,988.56 |
$35,836.29
|
|
Rbc count only automated
|
$46.61 |
$46.61 |
$46.61 |
$20.00
|
|
Red blood cells each unit
|
$1,704.28 |
$1,704.28 |
$1,704.28 |
$353.60
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$3,019.62 |
$3,019.62 |
$3,019.62 |
$618.80
|
|
Red blood cells leukocytes reduced each unit
|
$815.87 |
$815.87 |
$815.87 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$872.14 |
$872.14 |
$872.14 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$4,232.68 |
$4,232.68 |
$4,232.68 |
$656.83
|
|
Relocation skin pocket aicd
|
$6,776.23 |
$6,776.23 |
$6,776.23 |
$3,153.93
|
|
Relocation skin pocket pm
|
$10,717.20 |
$10,717.20 |
$10,717.20 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$930.90 |
$930.90 |
$930.90 |
$370.80
|
|
Rem endovas vena cava filter
|
$8,646.52 |
$8,646.52 |
$8,646.52 |
$5,819.40
|
|
Removal biliary drg cath
|
$3,169.16 |
$3,169.16 |
$3,169.16 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$3,198.51 |
$3,198.51 |
$3,198.51 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$12,975.70 |
$12,975.70 |
$12,975.70 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$232.84 |
$232.84 |
$232.84 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$245.60
|
|
Removal duct glbldr calculi
|
$5,928.94 |
$5,928.94 |
$5,928.94 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$8,175.03 |
$8,175.03 |
$8,175.03 |
$899.85
|
|
Removal foreign body foot cmplx
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$3,563.00 |
$3,563.00 |
$3,563.00 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$2,301.60
|
|
Removal foreign body mouth
|
$3,587.88 |
$3,587.88 |
$3,587.88 |
$1,375.15
|
|
Removal of adenoids
|
$33,427.05 |
$33,427.05 |
$33,427.05 |
$3,837.72
|
|
Removal/replacement ppm generator dual lead system
|
$20,620.06 |
$20,620.06 |
$20,620.06 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$303.80
|
|
Remove foreign body from eye
|
$18,704.12 |
$18,704.12 |
$18,704.12 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$3,522.62 |
$3,522.62 |
$3,522.62 |
$1,281.75
|
|
Remove tonsils and adenoids
|
$61,055.01 |
$61,055.01 |
$61,055.01 |
$5,419.00
|
|
Remove ureter stent percut
|
$6,046.81 |
$6,046.81 |
$6,046.81 |
$3,525.30
|
|
Renal function panel
|
$743.59 |
$743.59 |
$743.59 |
$110.10
|
|
Renal venogram bil s&i
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$2,776.47 |
$2,776.47 |
$2,776.47 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$5,180.25 |
$5,180.25 |
$5,180.25 |
$2,702.15
|
|
Repair lip full thkns =<one-half vert height
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,777.98 |
$4,777.98 |
$4,777.98 |
$1,928.07
|
|
Repair of nasal septum
|
$30,746.36 |
$30,746.36 |
$30,746.36 |
$3,837.72
|
|
Repair palate
|
$56,158.69 |
$56,158.69 |
$56,158.69 |
$6,966.64
|
|
Repair pm/icd lead sgl
|
$29,420.22 |
$29,420.22 |
$29,420.22 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,776.47 |
$2,776.47 |
$2,776.47 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$3,587.88 |
$3,587.88 |
$3,587.88 |
$1,268.80
|
|
Replace duod/jej tube perc
|
$2,798.84 |
$2,798.84 |
$2,798.84 |
$1,383.00
|
|
Replace g/c tube perc
|
$2,798.84 |
$2,798.84 |
$2,798.84 |
$1,413.60
|
|
Replace g-j tube perc
|
$2,798.84 |
$2,798.84 |
$2,798.84 |
$1,600.45
|
