|
Pt evaluation high complexity patient/family
|
$446.60 |
$446.60 |
$446.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$293.30 |
$293.30 |
$293.30 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$352.10 |
$352.10 |
$352.10 |
$254.88
|
|
Pt re-evaluation patient/family
|
$231.00 |
$231.00 |
$231.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$135.80 |
$135.80 |
$135.80 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$170.10 |
$170.10 |
$170.10 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$20.30 |
$20.30 |
$20.30 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$110.60 |
$110.60 |
$110.60 |
$87.50
|
|
Pul art balloon repr percut
|
$5,117.00 |
$5,117.00 |
$5,117.00 |
$9,760.40
|
|
Pul art balloon repr percut
|
$1,810.90 |
$1,810.90 |
$1,810.90 |
$3,965.20
|
|
Pulmonary vent imaging
|
$1,782.90 |
$1,782.90 |
$1,782.90 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$259.70 |
$259.70 |
$259.70 |
$344.00
|
|
Pulse ox multiple
|
$188.30 |
$188.30 |
$188.30 |
$156.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$36,812.15 |
$36,812.15 |
$36,812.15 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$269.50 |
$269.50 |
$269.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$535.50 |
$535.50 |
$535.50 |
$1,051.80
|
|
Pvb thoracic 2nd+ inj site
|
$319.20 |
$319.20 |
$319.20 |
$809.20
|
|
Pvb thoracic cont infusion
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,544.80
|
|
Pyridoxine hcl 100 mg
|
$400.75 |
$400.75 |
$400.75 |
$48.70
|
|
Pyruvate
|
$70.70 |
$70.70 |
$70.70 |
$66.00
|
|
Pyruvate kinase
|
$161.00 |
$161.00 |
$161.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$975.10 |
$975.10 |
$975.10 |
$1,542.40
|
|
Quest t3 uptake
|
$64.40 |
$64.40 |
$64.40 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$15,213.80 |
$15,213.80 |
$15,213.80 |
$4,262.90
|
|
Radiation handling
|
$639.10 |
$639.10 |
$639.10 |
$324.80
|
|
Radiation physics consult
|
$32,319.70 |
$32,319.70 |
$32,319.70 |
$606.50
|
|
Radiation therapy dose plan
|
$25,503.10 |
$25,503.10 |
$25,503.10 |
$514.05
|
|
Radiation treatment aid(s)
|
$25,719.40 |
$25,719.40 |
$25,719.40 |
$520.00
|
|
Radiation treatment aid(s)
|
$16,650.20 |
$16,650.20 |
$16,650.20 |
$1,076.78
|
|
Radiation treatment delivery
|
$12,164.60 |
$12,164.60 |
$12,164.60 |
$552.40
|
|
Radiation treatment delivery
|
$17,432.10 |
$17,432.10 |
$17,432.10 |
$920.00
|
|
Radiology port images(s)
|
$22,758.40 |
$22,758.40 |
$22,758.40 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$31,486.70 |
$31,486.70 |
$31,486.70 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$1,186.50 |
$1,186.50 |
$1,186.50 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,672.60 |
$2,672.60 |
$2,672.60 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,998.80 |
$2,998.80 |
$2,998.80 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,636.50 |
$3,636.50 |
$3,636.50 |
$2,177.00
|
|
Radphm quant measure sgl area add-on
|
$795.90 |
$795.90 |
$795.90 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$40,814.72 |
$40,814.72 |
$40,814.72 |
$13,136.04
|
|
Rapid Strep Test
|
$133.00 |
$133.00 |
$133.00 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$16,182.42 |
$16,182.42 |
$16,182.42 |
$4,331.80
|
|
Rb82 rubidium
|
$2,771.30 |
$2,771.30 |
$2,771.30 |
$866.88
|
|
Rbc count only automated
|
$16.80 |
$16.80 |
$16.80 |
$20.40
|
|
Rbc deglycerolized each unit
|
$882.70 |
$882.70 |
$882.70 |
$841.75
|
|
Rbc irradiated each unit
|
$648.90 |
$648.90 |
$648.90 |
$560.00
|
|
Rbc osmotic fragility
|
$109.20 |
$109.20 |
$109.20 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$138.60 |
$138.60 |
$138.60 |
$235.00
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$13,281.80 |
$13,281.80 |
$13,281.80 |
$9,706.55
|
|
Reconstruction of nose
|
$10,589.60 |
$10,589.60 |
$10,589.60 |
$6,839.00
|
|
Rectal sensation test
|
$860.30 |
$860.30 |
$860.30 |
$474.92
|
|
Red blood cells each unit
|
$449.40 |
$449.40 |
$449.40 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$1,045.10 |
$1,045.10 |
$1,045.10 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$588.00 |
$588.00 |
$588.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$882.00 |
$882.00 |
$882.00 |
$528.45
|
|
Red blood cells washed each unit
|
$808.50 |
$808.50 |
$808.50 |
$572.46
|
|
Redo endovas vena cava filtr
|
$4,610.90 |
$4,610.90 |
$4,610.90 |
$4,435.43
|
|
Refill/maint pump/resvr syst
|
$591.50 |
$591.50 |
$591.50 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,319.15 |
$1,319.15 |
$1,319.15 |
$364.47
|
|
Relieve bladder contracture
|
$20,341.64 |
$20,341.64 |
$20,341.64 |
$4,350.00
|
|
Rem/biv cast full arm/leg
|
$237.30 |
$237.30 |
$237.30 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$4,599.87 |
$4,599.87 |
$4,599.87 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$9,443.64 |
$9,443.64 |
$9,443.64 |
$5,509.05
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$162.40 |
$162.40 |
$162.40 |
$84.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$268.10 |
$268.10 |
$268.10 |
$183.07
|
|
Removal anal seton other marker 46030
|
$5,293.40 |
$5,293.40 |
$5,293.40 |
$1,525.44
|
|
Removal biliary drg cath
|
$1,250.90 |
$1,250.90 |
$1,250.90 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,341.20 |
$1,341.20 |
$1,341.20 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,771.50 |
$3,771.50 |
$3,771.50 |
$2,356.71
|
|
Removal cerclage w/anes
|
$5,912.20 |
$5,912.20 |
$5,912.20 |
$3,762.53
|
|
Removal cerclage without anes
|
$6,693.40 |
$6,693.40 |
$6,693.40 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$3,560.52 |
$3,560.52 |
$3,560.52 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$13,806.80 |
$13,806.80 |
$13,806.80 |
$5,988.54
|
|
Removal duct glbldr calculi
|
$2,319.10 |
$2,319.10 |
$2,319.10 |
$2,771.60
|
|
Removal foreign body extrn auditory canal with anes
|
$5,258.34 |
$5,258.34 |
$5,258.34 |
$2,446.00
|
|
Removal foreign body foot subcutaneous right
|
$1,120.70 |
$1,120.70 |
$1,120.70 |
$1,256.00
|
|
Removal of adenoids
|
$10,430.37 |
$10,430.37 |
$10,430.37 |
$3,837.72
|
|
Removal of adenoids
|
$25,315.00 |
$25,315.00 |
$25,315.00 |
$3,837.72
|
|
Removal of anal fissure
|
$18,830.57 |
$18,830.57 |
$18,830.57 |
$3,038.07
|
|
Removal of anal tags
|
$13,819.50 |
$13,819.50 |
$13,819.50 |
$3,481.77
|
|
Removal of hydrocele
|
$15,630.89 |
$15,630.89 |
$15,630.89 |
$4,176.15
|
|
Removal of lung lesion(s) 32150
|
$1,169.00 |
$1,169.00 |
$1,169.00 |
$2,300.73
|
|
Removal of lymph nodes neck
|
$47,426.32 |
$47,426.32 |
$47,426.32 |
$7,190.40
|
|
Removal of testis
|
$24,578.55 |
$24,578.55 |
$24,578.55 |
$4,081.37
|
|
Removal of testis
|
$17,780.42 |
$17,780.42 |
$17,780.42 |
$5,187.65
|
|
Removal of thyroid
|
$34,266.13 |
$34,266.13 |
$34,266.13 |
$6,904.15
|
|
Removal/replacement ppm generator dual lead system
|
$35,540.33 |
$35,540.33 |
$35,540.33 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$3,117.80 |
$3,117.80 |
$3,117.80 |
$4,195.00
|
|
Remove anal fist complex
|
$13,748.90 |
$13,748.90 |
$13,748.90 |
$3,229.60
|
|
Remove anal fist inter
|
$28,446.62 |
$28,446.62 |
$28,446.62 |
$3,545.60
|
|
Remove anal fist subq
|
$12,548.01 |
$12,548.01 |
$12,548.01 |
$3,721.44
|
|
Remove bladder stone
|
$16,959.34 |
$16,959.34 |
$16,959.34 |
$4,846.99
|
|
Remove bladder stone
|
$42,696.59 |
$42,696.59 |
$42,696.59 |
$6,311.00
|
|
Remove cva lumen obstruct
|
$763.70 |
$763.70 |
$763.70 |
$490.80
|
|
Remove epididymis lesion
|
$18,871.40 |
$18,871.40 |
$18,871.40 |
$3,923.56
|
|
Remove epididymis lesion
|
$18,121.24 |
$18,121.24 |
$18,121.24 |
$2,424.12
|
|
Remove ext hem groups 2+
|
$14,993.68 |
$14,993.68 |
$14,993.68 |
$3,245.23
|
|
Remove eyelid lesion
|
$6,512.51 |
$6,512.51 |
$6,512.51 |
$516.36
|
|
Remove eyelid lesion
|
$14,089.03 |
$14,089.03 |
$14,089.03 |
$1,371.20
|
|
Remove hip/pelvis lesion 27047
|
$6,335.00 |
$6,335.00 |
$6,335.00 |
$3,386.84
|
|
Remove in/ex hem groups 2+
|
$17,067.68 |
$17,067.68 |
$17,067.68 |
$4,185.98
|
