|
Prq trluml c angiop 1art&/br
|
$6,652.80 |
$6,652.80 |
$6,652.80 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$16,808.40 |
$16,808.40 |
$16,808.40 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$31,588.20 |
$31,588.20 |
$31,588.20 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$298.80 |
$298.80 |
$298.80 |
$251.43
|
|
Pr removal intrauterine device
|
$199.20 |
$199.20 |
$199.20 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$252.00 |
$252.00 |
$252.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$334.80 |
$334.80 |
$334.80 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$334.80 |
$334.80 |
$334.80 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$510.60 |
$510.60 |
$510.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$345.00 |
$345.00 |
$345.00 |
$396.00
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$80.40 |
$80.40 |
$80.40 |
$71.40
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$1,720.93
|
|
PSA (Prostate) Test
|
$192.60 |
$192.60 |
$192.60 |
$107.50
|
|
Psychotherapy patient individual therapy 30 minutes
|
$96.60 |
$96.60 |
$96.60 |
$189.14
|
|
Psycl/nrpsyc tech 1st
|
$248.40 |
$248.40 |
$248.40 |
$321.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$86.40 |
$86.40 |
$86.40 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$81.00
|
|
Pt application of modality traction mechanical
|
$80.40 |
$80.40 |
$80.40 |
$91.00
|
|
Pten gene full sequence
|
$4,429.80 |
$4,429.80 |
$4,429.80 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$278.40 |
$278.40 |
$278.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$231.60 |
$231.60 |
$231.60 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$247.20 |
$247.20 |
$247.20 |
$254.88
|
|
Pt re-evaluation patient/family
|
$160.80 |
$160.80 |
$160.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$138.60 |
$138.60 |
$138.60 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$87.50
|
|
Pul art balloon repr percut
|
$7,306.20 |
$7,306.20 |
$7,306.20 |
$9,760.40
|
|
Pulmonary vent imaging
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$743.40 |
$743.40 |
$743.40 |
$344.00
|
|
Pulse ox multiple
|
$148.20 |
$148.20 |
$148.20 |
$156.40
|
|
Pulse ox single
|
$46.80 |
$46.80 |
$46.80 |
$81.70
|
|
Punc of shunt for asp or inj
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$88.20 |
$88.20 |
$88.20 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,422.60 |
$1,422.60 |
$1,422.60 |
$1,051.80
|
|
Puraply 1 sq cm
|
$301.80 |
$301.80 |
$301.80 |
$304.50
|
|
Puraply xt 1 sq cm
|
$301.80 |
$301.80 |
$301.80 |
$171.12
|
|
Pwr pck base combo vad, rep
|
$20,627.40 |
$20,627.40 |
$20,627.40 |
$19,344.64
|
|
Pyruvate
|
$179.40 |
$179.40 |
$179.40 |
$66.00
|
|
Pyruvate kinase
|
$174.60 |
$174.60 |
$174.60 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$2,371.80 |
$2,371.80 |
$2,371.80 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$1,199.16
|
|
Quest t3 uptake
|
$138.00 |
$138.00 |
$138.00 |
$52.25
|
|
Radiation handling
|
$463.80 |
$463.80 |
$463.80 |
$324.80
|
|
Radiation physics consult
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$606.50
|
|
Radiation therapy dose plan
|
$475.20 |
$475.20 |
$475.20 |
$514.05
|
|
Radiation therapy management
|
$472.20 |
$472.20 |
$472.20 |
$199.20
|
|
Radiation treatment aid(s)
|
$535.80 |
$535.80 |
$535.80 |
$520.00
|
|
Radiation treatment aid(s)
|
$693.60 |
$693.60 |
$693.60 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$1,076.78
|
|
Radiation treatment delivery
|
$844.20 |
$844.20 |
$844.20 |
$552.40
|
|
Radiation treatment delivery
|
$4,308.60 |
$4,308.60 |
$4,308.60 |
$920.00
|
|
Radiation tx management x5
|
$909.00 |
$909.00 |
$909.00 |
$354.40
|
|
Radiology port images(s)
|
$276.00 |
$276.00 |
$276.00 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$6,723.00 |
$6,723.00 |
$6,723.00 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,325.80 |
$3,325.80 |
$3,325.80 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,288.40 |
$2,288.40 |
$2,288.40 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$2,177.00
|
|
Rapid Strep Test
|
$90.60 |
$90.60 |
$90.60 |
$75.24
|
|
Rbc count only automated
|
$39.00 |
$39.00 |
$39.00 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$841.75
|
|
Rbc irradiated each unit
|
$1,981.80 |
$1,981.80 |
$1,981.80 |
$560.00
|
|
Red blood cells each unit
|
$895.80 |
$895.80 |
$895.80 |
$387.36
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$1,981.80 |
$1,981.80 |
$1,981.80 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$903.60 |
$903.60 |
$903.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$528.45
|
|
Red blood cells washed each unit
|
$1,156.20 |
$1,156.20 |
$1,156.20 |
$572.46
|
|
Refill maint impl spine pump
|
$802.80 |
$802.80 |
$802.80 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$305.40 |
$305.40 |
$305.40 |
$397.60
|
|
Relocation skin pocket aicd
|
$4,375.20 |
$4,375.20 |
$4,375.20 |
$2,761.55
|
|
Relocation skin pocket pm
|
$4,375.20 |
$4,375.20 |
$4,375.20 |
$2,585.00
|
|
Rem endovas vena cava filter
|
$6,610.80 |
$6,610.80 |
$6,610.80 |
$5,509.05
|
|
Removal anal seton other marker 46030
|
$946.20 |
$946.20 |
$946.20 |
$1,525.44
|
|
Removal biliary drg cath
|
$737.40 |
$737.40 |
$737.40 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$4,611.60 |
$4,611.60 |
$4,611.60 |
$2,356.71
|
|
Removal cerclage w/anes
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$378.00 |
$378.00 |
$378.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$273.60 |
$273.60 |
$273.60 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$590.40 |
$590.40 |
$590.40 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$2,306.40 |
$2,306.40 |
$2,306.40 |
$1,256.00
|
|
Removal of anal tags
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$3,481.77
|
|
Removal of breast lesion
|
$3,495.60 |
$3,495.60 |
$3,495.60 |
$4,631.50
|
|
Removal of skin tags each add'l 10
|
$93.60 |
$93.60 |
$93.60 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$253.20 |
$253.20 |
$253.20 |
$292.50
|
|
Removal tunnled intprtnl cath
|
$6,186.00 |
$6,186.00 |
$6,186.00 |
$4,195.00
|
|
Remove renal tube w/fluoro
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$1,141.31
|
|
Remove spine eltrd perq aray
|
$4,191.00 |
$4,191.00 |
$4,191.00 |
$3,325.40
|
|
Renal function panel
|
$207.60 |
$207.60 |
$207.60 |
$113.52
|
|
Repair art rupture aorta 35082
|
$3,966.60 |
$3,966.60 |
$3,966.60 |
$4,366.80
|
|
Repair blood vessel direct hand finger
|
$4,114.20 |
$4,114.20 |
$4,114.20 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$2,999.40 |
$2,999.40 |
$2,999.40 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$4,114.20 |
$4,114.20 |
$4,114.20 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$535.20 |
$535.20 |
$535.20 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$309.00 |
$309.00 |
$309.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$3,212.40 |
$3,212.40 |
$3,212.40 |
$2,224.00
|
|
Repair finger/hand tendon
|
$5,546.40 |
$5,546.40 |
$5,546.40 |
$4,150.20
|
