|
Prq tcat plmt ntrac st 1 les
|
$21,300.48 |
$21,300.48 |
$21,300.48 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$38,786.40 |
$38,786.40 |
$38,786.40 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$12,315.60 |
$12,315.60 |
$12,315.60 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$1,048.32 |
$1,048.32 |
$1,048.32 |
$251.43
|
|
Pr removal intrauterine device
|
$657.36 |
$657.36 |
$657.36 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$910.08 |
$910.08 |
$910.08 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$503.28 |
$503.28 |
$503.28 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$583.92 |
$583.92 |
$583.92 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$482.40 |
$482.40 |
$482.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$605.52 |
$605.52 |
$605.52 |
$396.00
|
|
Pr robotic surgical system
|
$0.01 |
$0.01 |
$0.01 |
$0.52
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$1,720.93
|
|
PSA (Prostate) Test
|
$192.96 |
$192.96 |
$192.96 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$353.52 |
$353.52 |
$353.52 |
$51.15
|
|
Psychotherapy group therapy
|
$246.24 |
$246.24 |
$246.24 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$347.04 |
$347.04 |
$347.04 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$347.04 |
$347.04 |
$347.04 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$372.96 |
$372.96 |
$372.96 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$672.48 |
$672.48 |
$672.48 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$176.40 |
$176.40 |
$176.40 |
$221.42
|
|
Psytx complex interactive
|
$115.20 |
$115.20 |
$115.20 |
$47.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$171.36 |
$171.36 |
$171.36 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$65.52 |
$65.52 |
$65.52 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$240.48 |
$240.48 |
$240.48 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$223.92 |
$223.92 |
$223.92 |
$81.00
|
|
Pt application of modality traction mechanical
|
$189.36 |
$189.36 |
$189.36 |
$91.00
|
|
Pten gene dup/delet variant
|
$954.00 |
$954.00 |
$954.00 |
$330.00
|
|
Pten gene full sequence
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$511.20 |
$511.20 |
$511.20 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$332.64 |
$332.64 |
$332.64 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$434.16 |
$434.16 |
$434.16 |
$254.88
|
|
Pt re-evaluation patient/family
|
$158.40 |
$158.40 |
$158.40 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$114.48 |
$114.48 |
$114.48 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$397.44 |
$397.44 |
$397.44 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$183.60 |
$183.60 |
$183.60 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$149.76 |
$149.76 |
$149.76 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$364.32 |
$364.32 |
$364.32 |
$344.00
|
|
Pulse ox multiple
|
$172.08 |
$172.08 |
$172.08 |
$156.40
|
|
Pulse ox single
|
$105.84 |
$105.84 |
$105.84 |
$81.70
|
|
Punc of shunt for asp or inj
|
$2,154.96 |
$2,154.96 |
$2,154.96 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$241.92 |
$241.92 |
$241.92 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$750.24 |
$750.24 |
$750.24 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,301.04 |
$1,301.04 |
$1,301.04 |
$1,051.80
|
|
Pyridoxine hcl 100 mg
|
$167.47 |
$167.47 |
$167.47 |
$48.70
|
|
Pyruvate
|
$141.12 |
$141.12 |
$141.12 |
$66.00
|
|
Quant diff pulm perf w/imaging
|
$1,595.52 |
$1,595.52 |
$1,595.52 |
$1,199.16
|
|
Quest t3 uptake
|
$120.96 |
$120.96 |
$120.96 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$587.95 |
$587.95 |
$587.95 |
$4,262.90
|
|
Radiation physics consult
|
$726.48 |
$726.48 |
$726.48 |
$606.50
|
|
Radiation therapy dose plan
|
$740.16 |
$740.16 |
$740.16 |
$514.05
|
|
Radiation treatment aid(s)
|
$1,833.12 |
$1,833.12 |
$1,833.12 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,010.16 |
$1,010.16 |
$1,010.16 |
$920.00
|
|
Radiotherapy dose plan imrt
|
$6,810.48 |
$6,810.48 |
$6,810.48 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,894.40 |
$2,894.40 |
$2,894.40 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,894.40 |
$2,894.40 |
$2,894.40 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,828.08 |
$1,828.08 |
$1,828.08 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$115.26 |
$115.26 |
$115.26 |
$13,136.04
|
|
Rbc count only automated
|
$70.56 |
$70.56 |
$70.56 |
$20.40
|
|
Rbc serum pretx incubj drugs
|
$502.56 |
$502.56 |
$502.56 |
$235.00
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$1,248.48 |
$1,248.48 |
$1,248.48 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$5,410.80 |
$5,410.80 |
$5,410.80 |
$3,029.35
|
|
Red blood cells each unit
|
$388.80 |
$388.80 |
$388.80 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$342.00 |
$342.00 |
$342.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$480.24 |
$480.24 |
$480.24 |
$528.45
|
|
Red blood cells washed each unit
|
$906.48 |
$906.48 |
$906.48 |
$572.46
|
|
Redo endovas vena cava filtr
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$4,435.43
|
|
Refill maint impl spine pump
|
$984.24 |
$984.24 |
$984.24 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$54.36 |
$54.36 |
$54.36 |
$364.47
|
|
Relocation skin pocket aicd
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,761.55
|
|
Relocation skin pocket pm
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$573.84 |
$573.84 |
$573.84 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$11.25 |
$11.25 |
$11.25 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$5,509.05
|
|
Removal central venous catheter tunneled without port/pump
|
$4,718.16 |
$4,718.16 |
$4,718.16 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$6,066.00 |
$6,066.00 |
$6,066.00 |
$2,356.71
|
|
Removal cerclage w/anes
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$293.04 |
$293.04 |
$293.04 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,988.54
|
|
Removal clot in graft xcp 35876
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$622.80 |
$622.80 |
$622.80 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$1,256.00
|
|
Removal of arm artery clot 34111
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,983.35
|
|
Removal of artery clot 34101
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$6,590.12
|
|
Removal/replacement ppm generator dual lead system
|
$20,528.64 |
$20,528.64 |
$20,528.64 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$1,892.88 |
$1,892.88 |
$1,892.88 |
$292.50
|
|
Removal sutr and stapl no anes
|
$0.72 |
$0.72 |
$0.72 |
$82.05
|
|
Removal sutr or stapl no anes
|
$0.72 |
$0.72 |
$0.72 |
$95.00
|
|
Remove nasal foreign body
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,786.00
|
|
Remove spinal canal catheter 62355
|
$7,022.88 |
$7,022.88 |
$7,022.88 |
$2,300.50
|
|
Renal function panel
|
$202.32 |
$202.32 |
$202.32 |
$113.52
|
|
Renal venogram bil s&i
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,615.28
|
|
Repair av fistula ext 35190
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$6,366.08
|
|
Repair blood vessel dir lower extr
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,879.03
|
|
Repair blood vessel lesion
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$5,983.35
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,149.84 |
$1,149.84 |
$1,149.84 |
$1,025.95
|
|
Repair defect of artery
|
$1,457.28 |
$1,457.28 |
$1,457.28 |
$2,168.66
|
