|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$3,211.80 |
$3,211.80 |
$3,211.80 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$43.20 |
$43.20 |
$43.20 |
$71.40
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$1,720.93
|
|
PSA (Prostate) Test
|
$183.60 |
$183.60 |
$183.60 |
$107.50
|
|
Psychophysiological therapy
|
$220.80 |
$220.80 |
$220.80 |
$106.20
|
|
Psychotherapy group therapy
|
$405.00 |
$405.00 |
$405.00 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$200.40 |
$200.40 |
$200.40 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$249.60 |
$249.60 |
$249.60 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$277.80 |
$277.80 |
$277.80 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$414.60 |
$414.60 |
$414.60 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$309.00 |
$309.00 |
$309.00 |
$221.42
|
|
Psycl/nrpsyc tech 1st
|
$251.40 |
$251.40 |
$251.40 |
$321.60
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$206.40 |
$206.40 |
$206.40 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$155.40 |
$155.40 |
$155.40 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$155.40 |
$155.40 |
$155.40 |
$123.63
|
|
Psytx complex interactive
|
$83.40 |
$83.40 |
$83.40 |
$47.60
|
|
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
|
$4,266.60 |
$4,266.60 |
$4,266.60 |
$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-focused hlth risk assmt
|
$31.80 |
$31.80 |
$31.80 |
$57.85
|
|
Pt re-evaluation patient/family
|
$160.80 |
$160.80 |
$160.80 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$130.20 |
$130.20 |
$130.20 |
$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
|
$9,384.60 |
$9,384.60 |
$9,384.60 |
$9,760.40
|
|
Pul art balloon repr percut
|
$9,384.60 |
$9,384.60 |
$9,384.60 |
$3,965.20
|
|
Pulmonary vent imaging
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$711.00 |
$711.00 |
$711.00 |
$344.00
|
|
Pulse ox multiple
|
$18.60 |
$18.60 |
$18.60 |
$156.40
|
|
Pulse ox single
|
$70.80 |
$70.80 |
$70.80 |
$81.70
|
|
Punc of shunt for asp or inj
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$110.40 |
$110.40 |
$110.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$1,051.80
|
|
Puraply 1 sq cm
|
$256.20 |
$256.20 |
$256.20 |
$304.50
|
|
Puraply xt 1 sq cm
|
$256.20 |
$256.20 |
$256.20 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
$809.20
|
|
Pyruvate
|
$127.20 |
$127.20 |
$127.20 |
$66.00
|
|
Pyruvate kinase
|
$127.20 |
$127.20 |
$127.20 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$2,252.40 |
$2,252.40 |
$2,252.40 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$1,199.16
|
|
Quest t3 uptake
|
$94.80 |
$94.80 |
$94.80 |
$52.25
|
|
Radiation handling
|
$698.40 |
$698.40 |
$698.40 |
$324.80
|
|
Radiation physics consult
|
$615.00 |
$615.00 |
$615.00 |
$606.50
|
|
Radiation therapy dose plan
|
$615.00 |
$615.00 |
$615.00 |
$514.05
|
|
Radiation therapy management
|
$636.00 |
$636.00 |
$636.00 |
$199.20
|
|
Radiation treatment aid(s)
|
$549.60 |
$549.60 |
$549.60 |
$520.00
|
|
Radiation treatment aid(s)
|
$808.20 |
$808.20 |
$808.20 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,123.80 |
$1,123.80 |
$1,123.80 |
$1,076.78
|
|
Radiation treatment delivery
|
$735.00 |
$735.00 |
$735.00 |
$552.40
|
|
Radiation treatment delivery
|
$2,778.60 |
$2,778.60 |
$2,778.60 |
$920.00
|
|
Radiation tx management x5
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$354.40
|
|
Radiology port images(s)
|
$220.20 |
$220.20 |
$220.20 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$6,525.60 |
$6,525.60 |
$6,525.60 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,825.60 |
$3,825.60 |
$3,825.60 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,946.60 |
$2,946.60 |
$2,946.60 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,964.40 |
$1,964.40 |
$1,964.40 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$952.20 |
$952.20 |
$952.20 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$913.80 |
$913.80 |
$913.80 |
$711.20
|
|
Rapid Strep Test
|
$98.40 |
$98.40 |
$98.40 |
$75.24
|
|
Rbc count only automated
|
$37.20 |
$37.20 |
$37.20 |
$20.40
|
|
Rbc deglycerolized each unit
|
$997.20 |
$997.20 |
$997.20 |
$841.75
|
|
Rbc irradiated each unit
|
$673.20 |
$673.20 |
$673.20 |
$560.00
|
|
Recon, cta for surg plan
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$713.50
|
|
Red blood cells each unit
|
$561.00 |
$561.00 |
$561.00 |
$387.36
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$622.20 |
$622.20 |
$622.20 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$737.40 |
$737.40 |
$737.40 |
$528.45
|
|
Red blood cells washed each unit
|
$973.80 |
$973.80 |
$973.80 |
$572.46
|
|
Redo endovas vena cava filtr
|
$4,017.60 |
$4,017.60 |
$4,017.60 |
$4,435.43
|
|
Reduction of procidentia 45900
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$1,226.10
|
|
Refill maint impl spine pump
|
$175.80 |
$175.80 |
$175.80 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$809.40 |
$809.40 |
$809.40 |
$397.60
|
|
Relocation skin pocket aicd
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$2,761.55
|
|
Relocation skin pocket pm
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$328.80 |
$328.80 |
$328.80 |
$320.79
|
|
Rem endovas vena cava filter
|
$4,169.40 |
$4,169.40 |
$4,169.40 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$238.80 |
$238.80 |
$238.80 |
$139.10
|
|
Removal biliary drg cath
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$2,356.71
|
|
Removal cerclage w/anes
|
$3,309.60 |
$3,309.60 |
$3,309.60 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$306.00 |
$306.00 |
$306.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$286.20 |
$286.20 |
$286.20 |
$249.60
|
|
Removal duct glbldr calculi
|
$546.00 |
$546.00 |
$546.00 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$3,436.80 |
$3,436.80 |
$3,436.80 |
$2,986.62
|
|
Removal of anal tags
|
$2,940.60 |
$2,940.60 |
$2,940.60 |
$3,481.77
|
|
Removal of implant deep
|
$3,436.80 |
$3,436.80 |
$3,436.80 |
$4,484.80
|
|
Removal of shunt
|
$5,876.40 |
$5,876.40 |
$5,876.40 |
$4,341.66
|
|
Removal of skin tags each add'l 10
|
$61.80 |
$61.80 |
$61.80 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$17,812.80 |
$17,812.80 |
$17,812.80 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$212.40 |
$212.40 |
$212.40 |
$292.50
|
|
Removal sutr/staple req anes
|
$957.00 |
$957.00 |
$957.00 |
$2,381.60
|
