|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$372.96 |
$372.96 |
$372.96 |
$380.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$372.96 |
$372.96 |
$372.96 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$372.96 |
$372.96 |
$372.96 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$372.96 |
$372.96 |
$372.96 |
$397.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,917.44 |
$2,917.44 |
$2,917.44 |
$1,719.44
|
|
PSA (Prostate) Test
|
$146.16 |
$146.16 |
$146.16 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$137.52 |
$137.52 |
$137.52 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$111.60 |
$111.60 |
$111.60 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$147.60 |
$147.60 |
$147.60 |
$100.89
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$212.40 |
$212.40 |
$212.40 |
$80.40
|
|
Pt application of modality traction mechanical
|
$110.88 |
$110.88 |
$110.88 |
$87.00
|
|
Pten gene dup/delet variant
|
$648.00 |
$648.00 |
$648.00 |
$330.00
|
|
Pten gene full sequence
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$828.00
|
|
Pt evaluation low complexity patient/family
|
$218.88 |
$218.88 |
$218.88 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$273.60 |
$273.60 |
$273.60 |
$250.25
|
|
Pt re-evaluation patient/family
|
$165.60 |
$165.60 |
$165.60 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$159.12 |
$159.12 |
$159.12 |
$116.82
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$339.84 |
$339.84 |
$339.84 |
$79.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$115.92 |
$115.92 |
$115.92 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$142.56 |
$142.56 |
$142.56 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$134.64 |
$134.64 |
$134.64 |
$87.50
|
|
Pulse ox single
|
$96.48 |
$96.48 |
$96.48 |
$83.32
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$680.40 |
$680.40 |
$680.40 |
$969.00
|
|
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 |
$514.64
|
|
Puncture spinal lumbar diagnostic
|
$1,301.04 |
$1,301.04 |
$1,301.04 |
$1,060.47
|
|
Puraply xt 1 sq cm
|
$404.64 |
$404.64 |
$404.64 |
$171.12
|
|
Pyruvate
|
$126.72 |
$126.72 |
$126.72 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$2,763.36 |
$2,763.36 |
$2,763.36 |
$1,206.60
|
|
Quest t3 uptake
|
$31.68 |
$31.68 |
$31.68 |
$54.40
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$3,848.39
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,164.40 |
$3,164.40 |
$3,164.40 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,164.40 |
$3,164.40 |
$3,164.40 |
$2,796.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,164.40 |
$3,164.40 |
$3,164.40 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$2,234.88 |
$2,234.88 |
$2,234.88 |
$1,126.32
|
|
Rapid Strep Test
|
$259.92 |
$259.92 |
$259.92 |
$74.25
|
|
Rbc count only automated
|
$7.92 |
$7.92 |
$7.92 |
$20.03
|
|
Reconstruct finger joint
|
$7,564.32 |
$7,564.32 |
$7,564.32 |
$3,839.54
|
|
Reconstruction knee
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$5,855.00
|
|
Red blood cells leukocytes reduced each unit
|
$862.56 |
$862.56 |
$862.56 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$907.92 |
$907.92 |
$907.92 |
$525.60
|
|
Reduce testis torsion
|
$7,449.84 |
$7,449.84 |
$7,449.84 |
$4,627.00
|
|
Refill/maint pump/resvr syst
|
$586.08 |
$586.08 |
$586.08 |
$400.86
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$222.70 |
$222.70 |
$222.70 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$20.72 |
$20.72 |
$20.72 |
$1,524.70
|
|
Removal central venous catheter tunneled without port/pump
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$1,588.50
|
|
Removal cerumen impacted (both sides)
|
$128.16 |
$128.16 |
$128.16 |
$166.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$428.40 |
$428.40 |
$428.40 |
$245.60
|
|
Removal foreign body foot subcutaneous right
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$1,256.00
|
|
Removal of kneecap bursa
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Removal sutr and stapl no anes
|
$0.72 |
$0.72 |
$0.72 |
$78.00
|
|
Removal sutr or stapl no anes
|
$0.72 |
$0.72 |
$0.72 |
$93.88
|
|
Remove femur lesion/bursa
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Renal function panel
|
$198.72 |
$198.72 |
$198.72 |
$114.37
|
|
Repair biceps tendon
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$6,839.00
|
|
Repair blood vessel dir upper extr
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,059.20
|
|
Repair dental ellis ii fx
|
$501.84 |
$501.84 |
$501.84 |
$442.48
|
|
Repair eyelid wound
|
$5,039.28 |
$5,039.28 |
$5,039.28 |
$3,254.34
|
|
Repair finger tendon
|
$1,239.84 |
$1,239.84 |
$1,239.84 |
$3,657.72
|
|
Replace duod/jej tube perc
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,354.54
|
|
Replace g/c tube perc
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,320.00
|
|
Replace g-j tube perc
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,493.53
|
|
Resp virus 6-11 targets
|
$950.40 |
$950.40 |
$950.40 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$856.08 |
$856.08 |
$856.08 |
$753.00
|
|
Reticulocyte direct measurement automated
|
$67.68 |
$67.68 |
$67.68 |
$36.00
|
|
Rheumatoid factor quantitative
|
$236.88 |
$236.88 |
$236.88 |
$56.58
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$39.20 |
$39.20 |
$39.20 |
$247.55
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$262.90 |
$262.90 |
$262.90 |
$4,921.10
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,876.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,757.33 |
$4,757.33 |
$4,757.33 |
$8,950.11
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1.04 |
$1.04 |
$1.04 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$2,502.72 |
$2,502.72 |
$2,502.72 |
$1,343.22
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,173.60
|
|
Rsv assay w/optic
|
$495.36 |
$495.36 |
$495.36 |
$82.68
|
|
Rubella antibody igg
|
$145.44 |
$145.44 |
$145.44 |
$76.86
|
|
Rubeola antibody igg
|
$136.08 |
$136.08 |
$136.08 |
$80.00
|
|
Russell viper venom diluted
|
$45.36 |
$45.36 |
$45.36 |
$72.45
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$61.94 |
$61.94 |
$61.94 |
$5,051.50
|
|
Sarscov coronavirus ag ia
|
$88.56 |
$88.56 |
$88.56 |
$59.50
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,324.08 |
$1,324.08 |
$1,324.08 |
$978.02
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$2,389.68 |
$2,389.68 |
$2,389.68 |
$661.65
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,191.60 |
$1,191.60 |
$1,191.60 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$252.00 |
$252.00 |
$252.00 |
$477.88
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$613.44 |
$613.44 |
$613.44 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$789.84 |
$789.84 |
$789.84 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$640.08 |
$640.08 |
$640.08 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$599.04 |
$599.04 |
$599.04 |
$573.86
|
|
Screening Mammogram
|
$460.08 |
$460.08 |
$460.08 |
$313.35
|
|
Screening prostate cancer PSA
|
$200.88 |
$200.88 |
$200.88 |
$98.28
|
|
Screw cortex 2.0 x 10mm
|
$4,847.04 |
$4,847.04 |
$4,847.04 |
$28,563.75
|
|
Sc ther infusion reset pump
|
$203.76 |
$203.76 |
$203.76 |
$140.15
|
|
Sedimentation rate erythrocyte automated
|
$66.24 |
$66.24 |
$66.24 |
$42.48
|
|
Serpina1 gene
|
$565.20 |
$565.20 |
$565.20 |
$197.00
|
|
Sho arthrs srg capsulorraphy
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$5,886.74
|
|
Shoulder Arthroscopy (Rotator Cuff Repair)
|
$15,430.32 |
$15,430.32 |
$15,430.32 |
$7,091.15
|
|
Shoulder MRI (with and without contrast)
|
$4,219.20 |
$4,219.20 |
$4,219.20 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,487.68 |
$3,487.68 |
$3,487.68 |
$2,456.30
|
|
Shoulder MRI (without contrast)
|
$2,957.76 |
$2,957.76 |
$2,957.76 |
$2,102.80
|