|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$72.50 |
$72.50 |
$72.50 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$81.48
|
|
Pt application of modality traction mechanical
|
$60.00 |
$60.00 |
$60.00 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$115.00 |
$115.00 |
$115.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$67.50 |
$67.50 |
$67.50 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$85.00 |
$85.00 |
$85.00 |
$88.00
|
|
Pulmonary vent imaging
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$282.50 |
$282.50 |
$282.50 |
$347.11
|
|
Pulse ox multiple
|
$80.00 |
$80.00 |
$80.00 |
$157.30
|
|
Puncture arterial withdrawal blood for diagnosis
|
$125.00 |
$125.00 |
$125.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$402.50 |
$402.50 |
$402.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$710.00 |
$710.00 |
$710.00 |
$1,060.47
|
|
Pyruvate
|
$60.00 |
$60.00 |
$60.00 |
$66.00
|
|
Pyruvate kinase
|
$60.00 |
$60.00 |
$60.00 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$1,199.16
|
|
Quest t3 uptake
|
$30.00 |
$30.00 |
$30.00 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$647.39 |
$647.39 |
$647.39 |
$4,017.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,495.00 |
$2,495.00 |
$2,495.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$820.00 |
$820.00 |
$820.00 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$179.89 |
$179.89 |
$179.89 |
$13,136.04
|
|
Rapid Strep Test
|
$47.50 |
$47.50 |
$47.50 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$692.46 |
$692.46 |
$692.46 |
$4,331.80
|
|
Rbc count only automated
|
$20.00 |
$20.00 |
$20.00 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$856.71
|
|
Rbc irradiated each unit
|
$560.00 |
$560.00 |
$560.00 |
$550.40
|
|
Rbc osmotic fragility
|
$82.50 |
$82.50 |
$82.50 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$370.00 |
$370.00 |
$370.00 |
$231.12
|
|
Red blood cells each unit
|
$382.50 |
$382.50 |
$382.50 |
$393.90
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$855.00 |
$855.00 |
$855.00 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$575.00 |
$575.00 |
$575.00 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$457.50 |
$457.50 |
$457.50 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$835.00 |
$835.00 |
$835.00 |
$534.15
|
|
Red blood cells washed each unit
|
$840.00 |
$840.00 |
$840.00 |
$583.68
|
|
Redo endovas vena cava filtr
|
$4,415.00 |
$4,415.00 |
$4,415.00 |
$4,545.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$58.47 |
$58.47 |
$58.47 |
$357.91
|
|
Relocation skin pocket aicd
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$2,935.84
|
|
Relocation skin pocket pm
|
$1,970.00 |
$1,970.00 |
$1,970.00 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$390.00 |
$390.00 |
$390.00 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$15.05 |
$15.05 |
$15.05 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$4,415.00 |
$4,415.00 |
$4,415.00 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$135.00 |
$135.00 |
$135.00 |
$139.10
|
|
Removal biliary drg cath
|
$3,215.00 |
$3,215.00 |
$3,215.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$150.00 |
$150.00 |
$150.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$235.00 |
$235.00 |
$235.00 |
$255.97
|
|
Removal duct glbldr calculi
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$800.00 |
$800.00 |
$800.00 |
$1,260.80
|
|
Removal of shunt
|
$2,510.00 |
$2,510.00 |
$2,510.00 |
$4,662.97
|
|
Removal/replacement ppm generator dual lead system
|
$9,285.00 |
$9,285.00 |
$9,285.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$267.50 |
$267.50 |
$267.50 |
$292.50
|
|
Removal sutr and stapl no anes
|
$50.00 |
$50.00 |
$50.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$50.00 |
$50.00 |
$50.00 |
$93.88
|
|
Removal sutr/staple req anes
|
$125.00 |
$125.00 |
$125.00 |
$2,431.38
|
|
Removal tunnled intprtnl cath
|
$2,355.00 |
$2,355.00 |
$2,355.00 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$505.00 |
$505.00 |
$505.00 |
$494.00
|
|
Remove renal tube w/fluoro
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,172.80
|
|
Remove spine eltrd perq aray
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$3,636.18
|
|
Remove ureter stent percut
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$3,640.89
|
|
Renal function panel
|
$82.50 |
$82.50 |
$82.50 |
$114.37
|
|
Renal venogram bil s&i
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$3,615.28
|
|
Repair blood vessel dir lower extr
|
$800.00 |
$800.00 |
$800.00 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$3,670.00 |
$3,670.00 |
$3,670.00 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$945.00 |
$945.00 |
$945.00 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$275.00 |
$275.00 |
$275.00 |
$442.48
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$1,928.07
|
|
Repair palate
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$7,000.36
|
|
Repair pm/icd lead dual
|
$3,190.00 |
$3,190.00 |
$3,190.00 |
$4,498.80
|
|
Repair pm/icd lead sgl
|
$2,945.00 |
$2,945.00 |
$2,945.00 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$275.00 |
$275.00 |
$275.00 |
$954.20
|
|
Replace duod/jej tube perc
|
$940.00 |
$940.00 |
$940.00 |
$1,357.60
|
|
Replace g/c tube perc
|
$940.00 |
$940.00 |
$940.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,568.05
|
|
Replace picvad cath
|
$2,510.00 |
$2,510.00 |
$2,510.00 |
$3,724.63
|
|
Replace tunneled cv cath
|
$2,725.00 |
$2,725.00 |
$2,725.00 |
$3,724.63
|
|
Reposition pm/icd lead
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$3,802.20
|
|
Reticulated platelet assay
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$32.50 |
$32.50 |
$32.50 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$12,710.00 |
$12,710.00 |
$12,710.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$6,565.00 |
$6,565.00 |
$6,565.00 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$13,925.00 |
$13,925.00 |
$13,925.00 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$20,300.00 |
$20,300.00 |
$20,300.00 |
$19,624.54
|
|
Revision open av fistula without thromb
|
$3,755.00 |
$3,755.00 |
$3,755.00 |
$8,672.00
|
|
Revision tips
|
$4,340.00 |
$4,340.00 |
$4,340.00 |
$10,311.70
|
|
Revsc opn/prq tib/pero stent
|
$7,950.00 |
$7,950.00 |
$7,950.00 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$37.50 |
$37.50 |
$37.50 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$17.50 |
$17.50 |
$17.50 |
$234.12
|
|
Rho d immune globulin inj
|
$265.00 |
$265.00 |
$265.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$480.00 |
$480.00 |
$480.00 |
$359.47
|
