|
Proton trmt simple without comp
|
$2,715.75 |
$2,715.75 |
$2,715.75 |
|
|
Protoporphyrin rbc screen
|
$52.50 |
$52.50 |
$52.50 |
|
|
Prp i/hern init block >5 yr
|
$464.32 |
$464.32 |
$2,519.25 |
|
|
Pr planning advance care 1st 30 minutes
|
$60.16 |
$60.16 |
$232.50 |
|
|
Prq card revasc mi 1 vsl
|
$2,100.00 |
$2,100.00 |
$5,868.16 |
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$6,784.00 |
$6,784.00 |
$19,196.25 |
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,868.16 |
$5,868.16 |
$7,350.00 |
|
|
Prq tcat plmt ntrac st 1 les
|
$8,083.84 |
$8,083.84 |
$18,000.00 |
|
|
Prq tcat plmt ntrac st 2+les
|
$17,324.80 |
$17,324.80 |
$33,711.75 |
|
|
Prq trlml c athrc st angiop1
|
$8,802.24 |
$8,802.24 |
$11,700.00 |
|
|
Prq trl rvs ch occ ant&rtrgr
|
$10,910.08 |
$10,910.08 |
$21,229.50 |
|
|
Prq trluml c angiop 1art&/br
|
$5,378.56 |
$5,378.56 |
$9,375.00 |
|
|
Prq trluml c athrc 1 art&/br
|
$6,603.20 |
$6,603.20 |
$7,350.00 |
|
|
Prq trluml revsc ch occ ant
|
$7,350.00 |
$7,350.00 |
$8,760.00 |
|
|
Pr removal drug delivery implant
|
$153.60 |
$153.60 |
$315.75 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$56.64 |
$56.64 |
$238.50 |
|
|
Pr removal intrauterine device
|
$123.84 |
$123.84 |
$318.00 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$179.84 |
$179.84 |
$917.25 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$88.64 |
$88.64 |
$359.25 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$118.08 |
$118.08 |
$405.75 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$148.80 |
$148.80 |
$263.25 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$88.64 |
$88.64 |
$367.50 |
|
|
Pr robotic surgical system
|
$44.80 |
$44.80 |
$44.80 |
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$579.20 |
$579.20 |
$579.20 |
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$32.32 |
$32.32 |
$32.32 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$624.64 |
$624.64 |
$3,534.00 |
|
|
Pr visit complexity e&m service serious/complex condition
|
$11.20 |
$11.20 |
$11.20 |
|
|
PSA (Prostate) Test
|
$48.32 |
$48.32 |
$85.50 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$54.08 |
$54.08 |
$54.08 |
|
|
Psytx complex interactive
|
$10.24 |
$10.24 |
$10.24 |
|
|
Psytx pt w/e&m 16-37 min
|
$50.56 |
$50.56 |
$50.56 |
|
|
Psytx pt w/e&m 38-52 min
|
$64.00 |
$64.00 |
$64.00 |
|
|
Psytx pt w/e&m 53+ min
|
$85.12 |
$85.12 |
$85.12 |
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$37.50 |
$37.50 |
$53.12 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$15.36 |
$15.36 |
$15.36 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$33.92 |
$33.92 |
$33.92 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$41.60 |
$41.60 |
$41.60 |
|
|
Pt application of modality traction mechanical
|
$42.88 |
$42.88 |
$42.88 |
|
|
Pt evaluation high complexity patient/family
|
$162.88 |
$162.88 |
$318.75 |
|
|
Pt evaluation low complexity patient/family
|
$115.20 |
$115.20 |
$236.25 |
|
|
Pt evaluation moderate complexity patient/family
|
$127.68 |
$127.68 |
$322.50 |
|
|
Pt prgrm for implt neurostim
|
$2.25 |
$2.25 |
$2,741.76 |
|
|
Pt re-evaluation patient/family
|
$83.84 |
$83.84 |
$175.50 |
|
|
Pt repositioning canalith procedure(s) per day
|
$52.48 |
$52.48 |
$52.48 |
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$44.80 |
$44.80 |
$97.50 |
|
|
Pt wheelchair management each 15 minutes
|
$50.24 |
$50.24 |
$90.00 |
|
|
Pulmonary decortication partial 32225
|
$360.64 |
$360.64 |
$360.64 |
|
|
Pulmonary vent imaging
|
$220.48 |
$220.48 |
$997.50 |
|
|
Pulse ox continuous overnight monitoring
|
$125.12 |
$125.12 |
$417.00 |
|
|
Pulse ox multiple
|
$39.00 |
$39.00 |
$118.72 |
|
|
Pulse ox single
|
$15.04 |
$15.04 |
$15.04 |
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$637.50 |
$637.50 |
$637.50 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$140.80 |
$140.80 |
$265.50 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$227.20 |
$227.20 |
$917.25 |
|
|
Puncture spinal lumbar diagnostic
|
$396.48 |
$396.48 |
$1,928.25 |
|
|
Pvb thoracic 2nd+ inj site
|
$621.75 |
$621.75 |
$621.75 |
|
|
Pvb thoracic single inj site
|
$1,846.50 |
$1,846.50 |
$1,846.50 |
|
|
Pyloroplasty 43800
|
$717.44 |
$717.44 |
$717.44 |
|
|
Pyridoxine hcl 100 mg
|
$70.25 |
$70.25 |
$70.25 |
|
|
Pyruvate
|
$70.40 |
$70.40 |
$73.50 |
|
|
Pyruvate kinase
|
$9.28 |
$9.28 |
$57.00 |
|
|
Quant diff pulm perf and vent w/imaging
|
$321.92 |
$321.92 |
$1,335.00 |
|
|
Quant diff pulm perf w/imaging
|
$218.56 |
$218.56 |
$997.50 |
|
|
Quest t3 uptake
|
$40.50 |
$40.50 |
$63.04 |
|
|
Rabies ig heat-treated human im/subq 90376
|
$7,967.34 |
$7,967.34 |
$7,967.34 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$8,124.84 |
$8,124.84 |
$8,124.84 |
|
|
Radiation handling
|
$46.50 |
$46.50 |
$46.50 |
|
|
Radiation physics consult
|
$431.36 |
$431.36 |
$727.50 |
|
|
Radiation therapy dose plan
|
$197.12 |
$197.12 |
$649.50 |
|
|
Radiation therapy management
|
$294.75 |
$294.75 |
$294.75 |
|
|
Radiation treatment aid(s)
|
$597.75 |
$597.75 |
$597.75 |
|
|
Radiation treatment aid(s)
|
$384.00 |
$384.00 |
$384.00 |
|
|
Radiation treatment aid(s)
|
$468.16 |
$468.16 |
$1,743.00 |
|
|
Radiation treatment delivery
|
$556.50 |
$556.50 |
$556.50 |
|
|
Radiation treatment delivery
|
$431.36 |
$431.36 |
$1,072.50 |
|
|
Radiation tx management x5
|
$528.75 |
$528.75 |
$528.75 |
|
|
Radiesse injection
|
$726.00 |
$726.00 |
$726.00 |
|
|
Radiology port images(s)
|
$61.50 |
$61.50 |
$74.88 |
|
|
Radiotherapy dose plan imrt
|
$1,225.28 |
$1,225.28 |
$6,261.00 |
|
|
Radium ra223 dichl ther/uci
|
$64,988.57 |
$64,988.57 |
$64,988.57 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$745.60 |
$745.60 |
$3,396.00 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$770.88 |
$770.88 |
$3,396.00 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,017.60 |
$1,017.60 |
$3,396.00 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,441.60 |
$1,441.60 |
$3,311.25 |
|
|
Radphm lcl tumor plr sgl day
|
$347.84 |
$347.84 |
$997.50 |
|
|
Radphm quant measure sgl area add-on
|
$33.92 |
$33.92 |
$557.25 |
|
|
Rad resect abd tumor 5 cm/>
|
$1,040.64 |
$1,040.64 |
$1,040.64 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$6,051.17 |
$6,051.17 |
$17,592.92 |
|
|
Ranibizumab injection
|
$4,566.75 |
$4,566.75 |
$4,566.75 |
|
|
Rapid desensitization
|
$397.50 |
$397.50 |
$397.50 |
|
|
Rapid Strep Test
|
$32.00 |
$32.00 |
$55.50 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$12,955.56 |
$12,955.56 |
$12,955.56 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$4,138.73 |
$4,138.73 |
$51,737.82 |
|
|
Rbc count only automated
|
$18.00 |
$18.00 |
$18.00 |
|
|
Rbc deglycerolized each unit
|
$265.60 |
$265.60 |
$1,616.25 |
|
|
Rbc irradiated each unit
|
$680.25 |
$680.25 |
$680.25 |
|
|
Rbc mechanical fragility
|
$52.50 |
$52.50 |
$52.50 |
|
|
Rbc osmotic fragility
|
$40.50 |
$40.50 |
$46.72 |
|
|
Rbc serum pretx incubj drugs
|
$114.24 |
$114.24 |
$281.25 |
|
|
Recon, cta for surg plan
|
$120.00 |
$120.00 |
$120.00 |
|
