|
Prq card revasc mi 1 vsl drug-eluting
|
$26,853.45 |
$26,853.45 |
$26,853.45 |
$17,651.36
|
|
Prq revasc byp graft 1 art and/or branches
|
$36,297.95 |
$36,297.95 |
$36,297.95 |
$13,355.34
|
|
Prq skel fix talus fx w/mnpj
|
$14,554.15 |
$14,554.15 |
$14,554.15 |
$7,907.11
|
|
Prq skel fix tarsl fx w/mnpj
|
$743.60 |
$743.60 |
$743.60 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$34,353.15 |
$34,353.15 |
$34,353.15 |
$13,127.50
|
|
Prq tcat plmt ntrac st 2+les
|
$104,997.75 |
$104,997.75 |
$104,997.75 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$36,736.70 |
$36,736.70 |
$36,736.70 |
$15,296.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$66,121.25 |
$66,121.25 |
$66,121.25 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$26,637.00 |
$26,637.00 |
$26,637.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$24,540.75 |
$24,540.75 |
$24,540.75 |
$13,410.10
|
|
Prq trluml revsc ch occ ant
|
$31,153.20 |
$31,153.20 |
$31,153.20 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$972.40 |
$972.40 |
$972.40 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$419.25 |
$419.25 |
$419.25 |
$252.00
|
|
Pr removal intrauterine device
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$974.35 |
$974.35 |
$974.35 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$484.25 |
$484.25 |
$484.25 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$484.25 |
$484.25 |
$484.25 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$484.25 |
$484.25 |
$484.25 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$484.25 |
$484.25 |
$484.25 |
$397.80
|
|
Pr robotic surgical system
|
$341.90 |
$341.90 |
$341.90 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$3,218.80
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$218.40 |
$218.40 |
$218.40 |
$71.20
|
|
Prtl exc bone olecrn process
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$3,208.80
|
|
Prtl excision bone scapula
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$7,285.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$5,806.45 |
$5,806.45 |
$5,806.45 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$94.25 |
$94.25 |
$94.25 |
$26.65
|
|
PSA (Prostate) Test
|
$72.15 |
$72.15 |
$72.15 |
$108.11
|
|
Psychoanalysis
|
$598.00 |
$598.00 |
$598.00 |
$250.85
|
|
Psychotherapy group therapy
|
$678.60 |
$678.60 |
$678.60 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$421.00 |
$421.00 |
$483.60 |
$189.21
|
|
Psychotherapy patient individual therapy 45 minutes
|
$637.00 |
$637.00 |
$753.00 |
$249.44
|
|
Psychotherapy patient individual therapy 60 minutes
|
$753.00 |
$753.00 |
$943.80 |
$287.47
|
|
Psycl/nrpsyc tech 1st
|
$972.40 |
$972.40 |
$972.40 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$314.60 |
$314.60 |
$314.60 |
$206.40
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$512.20 |
$512.20 |
$512.20 |
$123.63
|
|
Psytx complex interactive
|
$94.25 |
$94.25 |
$94.25 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$426.40 |
$426.40 |
$426.40 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$540.80 |
$540.80 |
$540.80 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$712.40 |
$712.40 |
$712.40 |
$235.20
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$153.40 |
$153.40 |
$153.40 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$141.70 |
$141.70 |
$141.70 |
$81.48
|
|
Pt application of modality traction mechanical
|
$157.95 |
$157.95 |
$157.95 |
$91.80
|
|
Pt/caregiver traing home inr
|
$347.75 |
$347.75 |
$347.75 |
$137.60
|
|
Pten gene full sequence
|
$1,446.25 |
$1,446.25 |
$1,446.25 |
$826.00
|
|
Pt-focused hlth risk assmt
|
$72.15 |
$72.15 |
$72.15 |
$57.85
|
|
Pt init/spiromet rec/review/interp 94016
|
$135.20 |
$135.20 |
$135.20 |
$46.20
|
|
Pt repositioning canalith procedure(s) per day
|
$195.00 |
$195.00 |
$195.00 |
$119.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$117.65 |
$117.65 |
$117.65 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$164.45 |
$164.45 |
$164.45 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$206.70 |
$206.70 |
$206.70 |
$88.20
|
|
Pul art balloon repr percut
|
$52,981.50 |
$52,981.50 |
$52,981.50 |
$9,760.40
|
|
Pul art balloon repr percut
|
$4,707.95 |
$4,707.95 |
$4,707.95 |
$3,766.10
|
|
Pulmonary decortication partial 32225
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$1,741.80
|
|
Pulmonary vent imaging
|
$2,252.90 |
$2,252.90 |
$6,898.00 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$585.00 |
$585.00 |
$1,940.00 |
$349.86
|
|
Pulse ox multiple
|
$282.75 |
$282.75 |
$1,090.00 |
$159.16
|
|
Pulse ox single
|
$282.75 |
$282.75 |
$395.00 |
$84.80
|
|
Punc of shunt for asp or inj
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$974.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$601.90 |
$601.90 |
$601.90 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$974.35 |
$974.35 |
$974.35 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,082.90
|
|
Puraply 1 sq cm
|
$1.00 |
$1.00 |
$253.50 |
$301.80
|
|
Puraply xt 1 sq cm
|
$1.00 |
$1.00 |
$1.00 |
$151.20
|
|
Pvb thoracic cont infusion
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,320.80
|
|
Pyloroplasty 43800
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$1,748.40
|
|
Pyridoxine hcl 100 mg
|
$50.86 |
$50.86 |
$102.00 |
$49.08
|
|
Pyruvate
|
$19.00 |
$19.00 |
$57.85 |
$66.00
|
|
Pyruvate kinase
|
$43.55 |
$43.55 |
$71.00 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$3,017.95 |
$3,017.95 |
$9,654.00 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$2,252.90 |
$2,252.90 |
$6,898.00 |
$1,199.16
|
|
Quest t3 uptake
|
$44.20 |
$44.20 |
$333.00 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,059.01 |
$1,059.01 |
$1,059.01 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,624.21 |
$1,624.21 |
$1,624.21 |
$3,848.39
|
|
Radiation handling
|
$1,070.55 |
$1,070.55 |
$1,070.55 |
$324.80
|
|
Radiation physics consult
|
$744.25 |
$744.25 |
$744.25 |
$610.68
|
|
Radiation therapy dose plan
|
$921.70 |
$921.70 |
$921.70 |
$518.76
|
|
Radiation therapy management
|
$517.40 |
$517.40 |
$517.40 |
$199.20
|
|
Radiation treatment aid(s)
|
$872.95 |
$872.95 |
$2,051.00 |
$526.80
|
|
Radiation treatment aid(s)
|
$958.75 |
$958.75 |
$958.75 |
$655.50
|
|
Radiation treatment aid(s)
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$1,100.38
|
|
Radiation treatment delivery
|
$728.65 |
$728.65 |
$728.65 |
$552.40
|
|
Radiation treatment delivery
|
$3,944.20 |
$3,944.20 |
$3,944.20 |
$921.00
|
|
Radiation tx management x5
|
$963.95 |
$963.95 |
$963.95 |
$354.40
|
|
Radical resection of elbow
|
$4,639.05 |
$4,639.05 |
$4,639.05 |
$5,788.80
|
|
Radical resection sternum 21630
|
$4,986.80 |
$4,986.80 |
$4,986.80 |
$2,982.40
|
|
Radic resect abd tumor<5cm 22904
|
$4,339.40 |
$4,339.40 |
$4,339.40 |
$3,386.84
|
|
Radiology port images(s)
|
$392.60 |
$392.60 |
$392.60 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$9,956.05 |
$9,956.05 |
$9,956.05 |
$5,750.25
|
|
Radium ra223 dichl ther/uci
|
$198.90 |
$198.90 |
$198.90 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$7,319.00 |
$7,319.00 |
$9,667.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$7,319.00 |
$7,319.00 |
$9,667.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$473.20 |
$473.20 |
$473.20 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$7,319.00 |
$7,319.00 |
$8,068.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$2,252.90 |
$2,252.90 |
$4,636.00 |
$1,126.32
|
|
Radphm quant measure sgl area add-on
|
$122.20 |
$122.20 |
$122.20 |
$711.20
|
|
Rad rescj tum dstl/shft hum
|
$6,099.60 |
$6,099.60 |
$6,099.60 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$4,591.60 |
$4,591.60 |
$4,591.60 |
$4,881.00
|
|
Rad resect abd tumor 5 cm/>
|
$5,610.80 |
$5,610.80 |
$5,610.80 |
$3,495.54
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$3,370.52
|
