|
Prq card revasc mi 1 vsl
|
$35,501.14 |
$35,501.14 |
$35,501.14 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$36,428.07 |
$36,428.07 |
$36,428.07 |
$18,340.14
|
|
Prq card stent w/angio addl
|
$26,625.84 |
$26,625.84 |
$26,625.84 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$35,501.14 |
$35,501.14 |
$35,501.14 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$17,818.50 |
$17,818.50 |
$17,818.50 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$35,501.14 |
$35,501.14 |
$35,501.14 |
$13,419.98
|
|
Prq trluml c angiop 1art&/br
|
$39,362.47 |
$39,362.47 |
$39,362.47 |
$9,131.70
|
|
Prq trluml revsc ch occ ant
|
$35,501.14 |
$35,501.14 |
$35,501.14 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$780.47 |
$780.47 |
$780.47 |
$280.79
|
|
Pr removal intrauterine device
|
$1,876.36 |
$1,876.36 |
$1,876.36 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$2,630.02 |
$2,630.02 |
$2,630.02 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,164.26 |
$1,164.26 |
$1,164.26 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,331.12 |
$1,331.12 |
$1,331.12 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,247.77 |
$1,247.77 |
$1,247.77 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$944.27 |
$944.27 |
$944.27 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,375.97 |
$2,375.97 |
$2,375.97 |
$1,790.60
|
|
PSA (Prostate) Test
|
$357.35 |
$357.35 |
$357.35 |
$109.35
|
|
Pt application of modality >=1 area hot/cold packs
|
$142.80 |
$142.80 |
$142.80 |
$34.69
|
|
Pt application of modality traction mechanical
|
$306.95 |
$306.95 |
$306.95 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$893.45 |
$893.45 |
$893.45 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$893.45 |
$893.45 |
$893.45 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$893.45 |
$893.45 |
$893.45 |
$263.90
|
|
Pt re-evaluation patient/family
|
$315.34 |
$315.34 |
$315.34 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$148.63 |
$148.63 |
$148.63 |
$123.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$219.48 |
$219.48 |
$219.48 |
$85.68
|
|
Pt wheelchair management each 15 minutes
|
$126.52 |
$126.52 |
$126.52 |
$85.00
|
|
Pulmonary vent imaging
|
$2,561.96 |
$2,561.96 |
$2,561.96 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$562.37 |
$562.37 |
$562.37 |
$368.00
|
|
Pulse ox multiple
|
$187.46 |
$187.46 |
$187.46 |
$194.33
|
|
Pulse ox single
|
$250.54 |
$250.54 |
$250.54 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$185.48 |
$185.48 |
$185.48 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$869.59 |
$869.59 |
$869.59 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$3,253.20 |
$3,253.20 |
$3,253.20 |
$1,134.64
|
|
Quest t3 uptake
|
$193.62 |
$193.62 |
$193.62 |
$56.10
|
|
Rabies ig ht&sol human im/sc
|
$46,319.10 |
$46,319.10 |
$46,319.10 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$46,349.72 |
$46,349.72 |
$46,349.72 |
$3,213.80
|
|
Radiation physics consult
|
$1,006.43 |
$1,006.43 |
$1,006.43 |
$574.75
|
|
Radiation therapy dose plan
|
$3,603.83 |
$3,603.83 |
$3,603.83 |
$530.53
|
|
Radiation treatment aid(s)
|
$660.18 |
$660.18 |
$660.18 |
$541.45
|
|
Radiation treatment aid(s)
|
$5,459.23 |
$5,459.23 |
$5,459.23 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,294.39 |
$1,294.39 |
$1,294.39 |
$257.01
|
|
Radiation treatment delivery
|
$1,330.34 |
$1,330.34 |
$1,330.34 |
$552.40
|
|
Radiation treatment delivery
|
$2,883.78 |
$2,883.78 |
$2,883.78 |
$909.98
|
|
Radiology port images(s)
|
$1,843.30 |
$1,843.30 |
$1,843.30 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$12,499.97 |
$12,499.97 |
$12,499.97 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,596.45 |
$4,596.45 |
$4,596.45 |
$2,014.64
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$23,194.23 |
$23,194.23 |
$23,194.23 |
$16,029.45
|
|
Rapid Strep Test
|
$363.47 |
$363.47 |
$363.47 |
$74.10
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$91,438.96 |
$91,438.96 |
$91,438.96 |
$35,836.29
|
|
Red blood cells each unit
|
$1,298.57 |
$1,298.57 |
$1,298.57 |
$353.60
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$2,300.31 |
$2,300.31 |
$2,300.31 |
$618.80
|
|
Red blood cells leukocytes reduced each unit
|
$628.27 |
$628.27 |
$628.27 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,406.87 |
$1,406.87 |
$1,406.87 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$3,312.14 |
$3,312.14 |
$3,312.14 |
$656.83
|
|
Removal central venous catheter tunneled without port/pump
|
$4,796.43 |
$4,796.43 |
$4,796.43 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,697.98 |
$3,697.98 |
$3,697.98 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$335.45 |
$335.45 |
$335.45 |
$177.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$4,692.36 |
$4,692.36 |
$4,692.36 |
$899.85
|
|
Removal foreign body foot subcutaneous right
|
$6,065.14 |
$6,065.14 |
$6,065.14 |
$1,256.00
|
|
Removal tunnled intprtnl cath
|
$3,899.61 |
$3,899.61 |
$3,899.61 |
$4,293.90
|
|
Renal function panel
|
$374.86 |
$374.86 |
$374.86 |
$110.10
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,620.77 |
$3,620.77 |
$3,620.77 |
$1,193.40
|
|
Repair extns tendon finger without grft ea
|
$3,925.96 |
$3,925.96 |
$3,925.96 |
$2,702.15
|
|
Repair lip full thkns =<one-half vert height
|
$2,992.10 |
$2,992.10 |
$2,992.10 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,891.54 |
$3,891.54 |
$3,891.54 |
$1,928.07
|
|
Repair rpr lip full thickness vermilion only
|
$3,232.02 |
$3,232.02 |
$3,232.02 |
$1,268.80
|
|
Replace duod/jej tube perc
|
$1,783.79 |
$1,783.79 |
$1,783.79 |
$1,383.00
|
|
Replace g/c tube perc
|
$2,520.85 |
$2,520.85 |
$2,520.85 |
$1,413.60
|
|
Replace g-j tube perc
|
$2,342.07 |
$2,342.07 |
$2,342.07 |
$1,600.45
|
|
Reptilase test
|
$158.71 |
$158.71 |
$158.71 |
$65.65
|
|
Respirator motion mgmt simul
|
$1,766.76 |
$1,766.76 |
$1,766.76 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$40.40 |
$40.40 |
$40.40 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$126.00 |
$126.00 |
$126.00 |
$35.20
|
|
Resp virus 6-11 targets
|
$1,630.08 |
$1,630.08 |
$1,630.08 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$708.44 |
$708.44 |
$708.44 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$4,783.23 |
$4,783.23 |
$4,783.23 |
$797.29
|
|
Reticulated platelet assay
|
$95.08 |
$95.08 |
$95.08 |
$63.08
|
|
Reticulocyte automated
|
$135.51 |
$135.51 |
$135.51 |
$54.60
|
|
Revasc intra lithotrip-stent
|
$31,548.14 |
$31,548.14 |
$31,548.14 |
$19,768.00
|
|
Revasc lithotrip tibi/perone
|
$33,920.57 |
$33,920.57 |
$33,920.57 |
$13,419.98
|
|
Rheumatoid factor qualitative
|
$233.58 |
$233.58 |
$233.58 |
$54.60
|
|
Rheumatoid factor quantitative
|
$512.38 |
$512.38 |
$512.38 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$115.50 |
$115.50 |
$115.50 |
$255.26
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$14,822.56 |
$14,822.56 |
$14,822.56 |
$10,693.54
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$16,417.60 |
$16,417.60 |
$16,417.60 |
$17,898.95
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$37,020.62 |
$37,020.62 |
$37,020.62 |
$6,877.90
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$35,216.68 |
$35,216.68 |
$35,216.68 |
$4,200.39
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$36,634.17 |
$36,634.17 |
$36,634.17 |
$7,582.77
|
|
Rmvl ndwellg tun pleural cath
|
$3,769.11 |
$3,769.11 |
$3,769.11 |
$1,217.97
|
|
Rmvl subq card rhythm mntr
|
$3,656.81 |
$3,656.81 |
$3,656.81 |
$1,991.00
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$37,546.80 |
$37,546.80 |
$37,546.80 |
$7,269.05
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$5,377.56 |
$5,377.56 |
$5,377.56 |
$180.55
|
|
Rsv assay w/optic
|
$243.32 |
$243.32 |
$243.32 |
$73.80
|
|
Rubella antibody igg
|
$143.84 |
$143.84 |
$143.84 |
$73.10
|
|
Rubeola antibody igg
|
$143.84 |
$143.84 |
$143.84 |
$79.68
|
|
Russell viper venom diluted
|
$302.40 |
$302.40 |
$302.40 |
$70.16
|
|
Salmonella antibody
|
$150.06 |
$150.06 |
$150.06 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$378.74 |
$378.74 |
$378.74 |
$60.40
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,995.97 |
$2,995.97 |
$2,995.97 |
$1,012.55
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,927.90 |
$1,927.90 |
$1,927.90 |
$670.00
|
