|
Pt evaluation low complexity patient/family
|
$228.80 |
$228.80 |
$228.80 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$250.25 |
$250.25 |
$250.25 |
$263.90
|
|
Pt re-evaluation patient/family
|
$185.35 |
$185.35 |
$185.35 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$71.50 |
$71.50 |
$71.50 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$121.55 |
$121.55 |
$121.55 |
$74.10
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$92.95 |
$92.95 |
$92.95 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$94.05 |
$94.05 |
$94.05 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$97.35 |
$97.35 |
$97.35 |
$85.00
|
|
Pulse ox continuous overnight monitoring
|
$448.25 |
$448.25 |
$448.25 |
$368.00
|
|
Pulse ox multiple
|
$117.70 |
$117.70 |
$117.70 |
$194.33
|
|
Pulse ox single
|
$112.75 |
$112.75 |
$112.75 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$69.30 |
$69.30 |
$69.30 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$638.55 |
$638.55 |
$638.55 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$1,275.45 |
$1,275.45 |
$1,275.45 |
$1,134.64
|
|
Pvb thoracic single inj site
|
$675.95 |
$675.95 |
$675.95 |
$1,189.08
|
|
Pyruvate
|
$68.20 |
$68.20 |
$68.20 |
$65.00
|
|
Pyruvate kinase
|
$111.65 |
$111.65 |
$111.65 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$583.55 |
$583.55 |
$583.55 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$1,058.75 |
$1,058.75 |
$1,058.75 |
$1,209.44
|
|
Quest t3 uptake
|
$16.50 |
$16.50 |
$16.50 |
$56.10
|
|
Radiation physics consult
|
$775.50 |
$775.50 |
$775.50 |
$574.75
|
|
Radiation therapy dose plan
|
$821.15 |
$821.15 |
$821.15 |
$530.53
|
|
Radiation treatment aid(s)
|
$264.00 |
$264.00 |
$264.00 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,213.30 |
$1,213.30 |
$1,213.30 |
$1,103.09
|
|
Radiation treatment delivery
|
$332.20 |
$332.20 |
$332.20 |
$552.40
|
|
Radiation treatment delivery
|
$877.25 |
$877.25 |
$877.25 |
$909.98
|
|
Radiology port images(s)
|
$268.40 |
$268.40 |
$268.40 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$7,157.15 |
$7,157.15 |
$7,157.15 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$371.80 |
$371.80 |
$371.80 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,365.45 |
$3,365.45 |
$3,365.45 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,968.35 |
$2,968.35 |
$2,968.35 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,763.30 |
$1,763.30 |
$1,763.30 |
$1,139.40
|
|
Rapid Strep Test
|
$61.05 |
$61.05 |
$61.05 |
$74.10
|
|
Rbc serum pretx incubj drugs
|
$110.55 |
$110.55 |
$110.55 |
$223.08
|
|
Red blood cells each unit
|
$389.40 |
$389.40 |
$389.40 |
$389.40
|
|
Red blood cells leukocytes reduced each unit
|
$406.45 |
$406.45 |
$406.45 |
$409.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$653.40 |
$653.40 |
$653.40 |
$523.83
|
|
Redo endovas vena cava filtr
|
$3,148.75 |
$3,148.75 |
$3,148.75 |
$4,397.96
|
|
Relocation skin pocket aicd
|
$2,132.35 |
$2,132.35 |
$2,132.35 |
$3,153.93
|
|
Relocation skin pocket pm
|
$2,132.35 |
$2,132.35 |
$2,132.35 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$276.65 |
$276.65 |
$276.65 |
$370.80
|
|
Rem endovas vena cava filter
|
$3,326.95 |
$3,326.95 |
$3,326.95 |
$5,819.40
|
|
Removal biliary drg cath
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$2,657.60 |
$2,657.60 |
$2,657.60 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,425.05 |
$1,425.05 |
$1,425.05 |
$2,599.13
|
|
Removal cerclage w/anes
|
$2,644.95 |
$2,644.95 |
$2,644.95 |
$3,749.62
|
|
Removal cerclage without anes
|
$338.25 |
$338.25 |
$338.25 |
$563.09
|
|
Removal cerumen impacted (both sides)
|
$144.10 |
$144.10 |
$144.10 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$268.95 |
$268.95 |
$268.95 |
$245.60
|
|
Removal duct glbldr calculi
|
$3,314.30 |
$3,314.30 |
$3,314.30 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$428.45 |
$428.45 |
$428.45 |
$899.85
|
|
Removal foreign body foot subcutaneous right
|
$431.75 |
$431.75 |
$431.75 |
$1,256.00
|
|
Removal of foot lesion
|
$2,994.20 |
$2,994.20 |
$2,994.20 |
$2,336.00
|
|
Removal of skin tags each add'l 10
|
$135.30 |
$135.30 |
$135.30 |
$138.45
|
|
Removal/replacement ppm generator dual lead system
|
$17,741.90 |
$17,741.90 |
$17,741.90 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$238.15 |
$238.15 |
$238.15 |
$303.80
|
|
Removal tunnled intprtnl cath
|
$2,887.50 |
$2,887.50 |
$2,887.50 |
$4,293.90
|
|
Remove cva lumen obstruct
|
$498.85 |
$498.85 |
$498.85 |
$494.00
|
|
Remove renal tube w/fluoro
|
$947.65 |
$947.65 |
$947.65 |
$1,281.75
|
|
Remove ventricular device 33977
|
$1,660.45 |
$1,660.45 |
$1,660.45 |
$2,748.80
|
|
Renal function panel
|
$139.15 |
$139.15 |
$139.15 |
$110.10
|
|
Repair achilles tendon
|
$3,622.85 |
$3,622.85 |
$3,622.85 |
$7,233.80
|
|
Repair blood vessel dir lower extr
|
$1,933.25 |
$1,933.25 |
$1,933.25 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$3,732.85 |
$3,732.85 |
$3,732.85 |
$4,255.67
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$841.50 |
$841.50 |
$841.50 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$286.00 |
$286.00 |
$286.00 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$2,702.15
|
|
Repair finger/hand tendon
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$4,108.00
|
|
Repair lip full thkns =<one-half vert height
|
$619.30 |
$619.30 |
$619.30 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,248.50 |
$1,248.50 |
$1,248.50 |
$1,928.07
|
|
Repair pm/icd lead dual
|
$3,628.35 |
$3,628.35 |
$3,628.35 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$4,716.80 |
$4,716.80 |
$4,716.80 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,262.25 |
$1,262.25 |
$1,262.25 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$908.05 |
$908.05 |
$908.05 |
$1,268.80
|
|
Repair tendon extensor foot 1/2 each tendon
|
$3,219.70 |
$3,219.70 |
$3,219.70 |
$3,786.00
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$386.10 |
$386.10 |
$386.10 |
$504.12
|
|
Replace duod/jej tube perc
|
$987.80 |
$987.80 |
$987.80 |
$1,383.00
|
|
Replace g/c tube perc
|
$859.10 |
$859.10 |
$859.10 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,298.55 |
$1,298.55 |
$1,298.55 |
$1,600.45
|
|
Reposition pm/icd lead
|
$2,796.20 |
$2,796.20 |
$2,796.20 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$1,405.80 |
$1,405.80 |
$1,405.80 |
$1,905.00
|
|
Repos lv lead pm/icd
|
$2,819.85 |
$2,819.85 |
$2,819.85 |
$3,770.00
|
|
Reptilase test
|
$113.85 |
$113.85 |
$113.85 |
$65.65
|
|
Respirator motion mgmt simul
|
$429.55 |
$429.55 |
$429.55 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$42.35 |
$42.35 |
$42.35 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$42.35 |
$42.35 |
$42.35 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$691.90 |
$691.90 |
$691.90 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$868.45 |
$868.45 |
$868.45 |
$797.29
|
|
Reticulocyte automated
|
$81.95 |
$81.95 |
$81.95 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$44.55 |
$44.55 |
$44.55 |
$33.57
|
|
Revasc intra lithotrip-ather
|
$11,050.60 |
$11,050.60 |
$11,050.60 |
$19,250.53
|
|
Revasc intra lithotrip-stent
|
$11,050.60 |
$11,050.60 |
$11,050.60 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$5,454.35 |
$5,454.35 |
$5,454.35 |
$11,728.80
|
|
Revasc lithotr-ather tib/per
|
$17,675.35 |
$17,675.35 |
$17,675.35 |
$19,131.26
|
|
Revasc lithotrip-stent-ather
|
$17,675.35 |
$17,675.35 |
$17,675.35 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$11,050.60 |
$11,050.60 |
$11,050.60 |
$13,518.40
|
|
Revasc lithotr-stent tib/per
|
$17,675.35 |
$17,675.35 |
$17,675.35 |
$20,668.85
|
|
Revasc lith-sten-ath tib/per
|
$17,675.35 |
$17,675.35 |
$17,675.35 |
$18,789.86
|
|
Revision of cervix
|
$2,824.80 |
$2,824.80 |
$2,824.80 |
$3,762.53
|
