|
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 electrical stimulation each 15 minutes
|
$230.67 |
$230.67 |
$230.67 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$142.80 |
$142.80 |
$142.80 |
$34.69
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$354.20 |
$354.20 |
$354.20 |
$82.55
|
|
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 therapeutic procedure >=1 area massage each 15 minutes
|
$238.26 |
$238.26 |
$238.26 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$126.52 |
$126.52 |
$126.52 |
$85.00
|
|
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 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
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$23,194.23 |
$23,194.23 |
$23,194.23 |
$8,319.60
|
|
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 |
$36,335.57
|
|
Red blood cells leukocytes reduced each unit
|
$628.27 |
$628.27 |
$628.27 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,406.87 |
$1,406.87 |
$1,406.87 |
$540.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$3,312.14 |
$3,312.14 |
$3,312.14 |
$468.96
|
|
Removal cerumen impacted (both sides)
|
$335.45 |
$335.45 |
$335.45 |
$177.60
|
|
Removal foreign body foot subcutaneous right
|
$6,065.14 |
$6,065.14 |
$6,065.14 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$8,563.63 |
$8,563.63 |
$8,563.63 |
$2,301.60
|
|
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 lip full thkns =<one-half vert height
|
$2,992.10 |
$2,992.10 |
$2,992.10 |
$1,326.51
|
|
Repair rpr lip full thickness vermilion only
|
$3,232.02 |
$3,232.02 |
$3,232.02 |
$1,268.80
|
|
#resp virpnl dfa-adenovirus
|
$40.40 |
$40.40 |
$40.40 |
$48.00
|
|
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
|
|
Reticulocyte automated
|
$135.51 |
$135.51 |
$135.51 |
$54.60
|
|
Rf abltj nrv nrvtg si jt
|
$11,436.00 |
$11,436.00 |
$11,436.00 |
$2,685.07
|
|
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 |
$232.21
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$14,822.56 |
$14,822.56 |
$14,822.56 |
$8,485.68
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$16,417.60 |
$16,417.60 |
$16,417.60 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$37,020.62 |
$37,020.62 |
$37,020.62 |
$4,035.58
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$35,216.68 |
$35,216.68 |
$35,216.68 |
$3,475.50
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$36,634.17 |
$36,634.17 |
$36,634.17 |
$5,309.20
|
|
Rmvl fecal impaction/fb spx under anes
|
$13,019.76 |
$13,019.76 |
$13,019.76 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$9,026.39 |
$9,026.39 |
$9,026.39 |
$1,917.33
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$37,546.80 |
$37,546.80 |
$37,546.80 |
$5,413.24
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$5,377.56 |
$5,377.56 |
$5,377.56 |
$178.80
|
|
Rubella antibody igg
|
$143.84 |
$143.84 |
$143.84 |
$73.10
|
|
Rubeola antibody igg
|
$266.93 |
$266.93 |
$266.93 |
$79.68
|
|
Russell viper venom diluted
|
$302.40 |
$302.40 |
$302.40 |
$70.16
|
|
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
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$786.16 |
$786.16 |
$786.16 |
$589.60
|
|
Scan duplex extremity veins unilateral/limited study
|
$2,153.57 |
$2,153.57 |
$2,153.57 |
$759.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,777.48 |
$1,777.48 |
$1,777.48 |
$1,006.85
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,179.65 |
$1,179.65 |
$1,179.65 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$790.90 |
$790.90 |
$790.90 |
$601.70
|
|
Screening Mammogram
|
$366.29 |
$366.29 |
$366.29 |
$303.55
|
|
Sedimentation rate erythrocyte automated
|
$218.74 |
$218.74 |
$218.74 |
$44.20
|
|
Shoulder MRI (with and without contrast)
|
$5,066.69 |
$5,066.69 |
$5,066.69 |
$2,705.30
|
|
Shoulder MRI (without contrast)
|
$4,668.43 |
$4,668.43 |
$4,668.43 |
$2,051.28
|
|
Shoulder X-ray
|
$380.30 |
$380.30 |
$380.30 |
$367.02
|
|
Sinus CT scan (with and without contrast)
|
$3,291.94 |
$3,291.94 |
$3,291.94 |
$1,815.00
|
|
Sinus CT scan (with contrast)
|
$3,027.57 |
$3,027.57 |
$3,027.57 |
$1,519.50
|
|
Sinus CT scan (without contrast)
|
$2,763.30 |
$2,763.30 |
$2,763.30 |
$1,279.50
|
|
Smear gram stain
|
$165.81 |
$165.81 |
$165.81 |
$57.85
|
|
Smear special stain inclusion bodies/parasites
|
$57.25 |
$57.25 |
$57.25 |
$64.35
|
|
Smear wet mount
|
$132.02 |
$132.02 |
$132.02 |
$68.63
|
|
Sodium 24 hour urine
|
$193.25 |
$193.25 |
$193.25 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$57.84 |
$57.84 |
$57.84 |
$46.43
|
|
Sodium chloride 3 % ivpb
|
$278.66 |
$278.66 |
$278.66 |
$45.01
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$1,001.49 |
$1,001.49 |
$1,001.49 |
$84.15
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$2,652.02 |
$2,652.02 |
$2,652.02 |
$539.57
|
|
Sodium serum/plasma/whole blood
|
$77.93 |
$77.93 |
$77.93 |
$42.70
|
|
Special teletx port plan
|
$1,667.45 |
$1,667.45 |
$1,667.45 |
$1,046.65
|
|
Srs multisource
|
$100,225.33 |
$100,225.33 |
$100,225.33 |
$31,800.00
|
|
St analysis behavior qualitative voice/resonance
|
$729.29 |
$729.29 |
$729.29 |
$300.00
|
|
St evaluate speech sound production
|
$703.16 |
$703.16 |
$703.16 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$703.16 |
$703.16 |
$703.16 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$452.31 |
$452.31 |
$452.31 |
$406.40
|
|
St evaluation swallow function
|
$520.16 |
$520.16 |
$520.16 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$973.41 |
$973.41 |
$973.41 |
$248.05
|
|
Strapping of elbow or wrist 29260
|
$415.89 |
$415.89 |
$415.89 |
$171.00
|
|
Strapping of knee
|
$737.51 |
$737.51 |
$737.51 |
$224.80
|
|
Strapping of toes 29550
|
$540.66 |
$540.66 |
$540.66 |
$185.36
|