|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$182.88 |
$182.88 |
$182.88 |
$81.00
|
|
Pt application of modality traction mechanical
|
$150.48 |
$150.48 |
$150.48 |
$90.60
|
|
Pt evaluation high complexity patient/family
|
$717.12 |
$717.12 |
$717.12 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$441.36 |
$441.36 |
$441.36 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$513.36 |
$513.36 |
$513.36 |
$254.88
|
|
Pt re-evaluation patient/family
|
$247.68 |
$247.68 |
$247.68 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$82.08 |
$82.08 |
$82.08 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$54.00 |
$54.00 |
$54.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$102.96 |
$102.96 |
$102.96 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$175.68 |
$175.68 |
$175.68 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$210.24 |
$210.24 |
$210.24 |
$344.00
|
|
Pulse ox single
|
$61.20 |
$61.20 |
$61.20 |
$79.38
|
|
Puncture arterial withdrawal blood for diagnosis
|
$131.04 |
$131.04 |
$131.04 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$471.60 |
$471.60 |
$471.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,099.44 |
$1,099.44 |
$1,099.44 |
$1,051.80
|
|
Pvb thoracic single inj site
|
$1,675.44 |
$1,675.44 |
$1,675.44 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$230.04 |
$230.04 |
$230.04 |
$48.70
|
|
Pyruvate
|
$18.00 |
$18.00 |
$18.00 |
$66.00
|
|
Quant diff pulm perf w/imaging
|
$1,493.28 |
$1,493.28 |
$1,493.28 |
$1,199.16
|
|
Quest t3 uptake
|
$109.44 |
$109.44 |
$109.44 |
$51.70
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$4,250.55
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,250.72 |
$2,250.72 |
$2,250.72 |
$2,041.20
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,208.32 |
$3,208.32 |
$3,208.32 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,904.48 |
$2,904.48 |
$2,904.48 |
$2,167.98
|
|
Radphm lcl tumor plr sgl day
|
$988.56 |
$988.56 |
$988.56 |
$1,120.40
|
|
Rbc count only automated
|
$24.48 |
$24.48 |
$24.48 |
$20.03
|
|
Reconstruct finger joint
|
$5,688.72 |
$5,688.72 |
$5,688.72 |
$3,839.54
|
|
Red blood cells each unit
|
$356.40 |
$356.40 |
$356.40 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$362.88 |
$362.88 |
$362.88 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$422.64 |
$422.64 |
$422.64 |
$528.45
|
|
Redo endovas vena cava filtr
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$4,435.43
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$79.38 |
$79.38 |
$79.38 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$22.49 |
$22.49 |
$22.49 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$5,509.05
|
|
Removal central venous catheter tunneled without port/pump
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,817.28 |
$1,817.28 |
$1,817.28 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$200.88 |
$200.88 |
$200.88 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$375.12 |
$375.12 |
$375.12 |
$247.00
|
|
Removal/replacement ppm generator dual lead system
|
$24,157.44 |
$24,157.44 |
$24,157.44 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$362.88 |
$362.88 |
$362.88 |
$292.50
|
|
Removal sutr and stapl no anes
|
$0.68 |
$0.68 |
$0.68 |
$82.05
|
|
Removal sutr or stapl no anes
|
$0.78 |
$0.78 |
$0.78 |
$95.00
|
|
Removal tunnled intprtnl cath
|
$4,014.72 |
$4,014.72 |
$4,014.72 |
$4,195.00
|
|
Remove renal tube w/fluoro
|
$1,132.56 |
$1,132.56 |
$1,132.56 |
$1,141.31
|
|
Renal function panel
|
$219.60 |
$219.60 |
$219.60 |
$113.52
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,764.72 |
$1,764.72 |
$1,764.72 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$568.80 |
$568.80 |
$568.80 |
$442.48
|
|
Repair eyelid wound
|
$4,868.64 |
$4,868.64 |
$4,868.64 |
$3,254.34
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,584.72 |
$1,584.72 |
$1,584.72 |
$1,006.50
|
|
Replace duod/jej tube perc
|
$1,734.48 |
$1,734.48 |
$1,734.48 |
$1,354.54
|
|
Replace g/c tube perc
|
$1,326.24 |
$1,326.24 |
$1,326.24 |
$1,326.24
|
|
Replace g-j tube perc
|
$1,583.28 |
$1,583.28 |
$1,583.28 |
$1,498.53
|
|
Repos lv lead pm/icd
|
$6,535.44 |
$6,535.44 |
$6,535.44 |
$3,724.63
|
|
Resp virus 6-11 targets
|
$950.40 |
$950.40 |
$950.40 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$596.16 |
$596.16 |
$596.16 |
$764.40
|
|
Reticulocyte direct measurement automated
|
$47.52 |
$47.52 |
$47.52 |
$36.57
|
|
Revise spine eltrd perq aray
|
$12,988.08 |
$12,988.08 |
$12,988.08 |
$7,496.58
|
|
Revision of cervix
|
$5,621.76 |
$5,621.76 |
$5,621.76 |
$3,854.76
|
|
Rheumatoid factor quantitative
|
$165.60 |
$165.60 |
$165.60 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$120.06 |
$120.06 |
$120.06 |
$243.11
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$324.70 |
$324.70 |
$324.70 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$247.72 |
$247.72 |
$247.72 |
$5,309.20
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$27,231.84 |
$27,231.84 |
$27,231.84 |
$26,317.20
|
|
Rmvl ndwellg tun pleural cath
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$1,156.80
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$44,061.84 |
$44,061.84 |
$44,061.84 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,447.04 |
$17,447.04 |
$17,447.04 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$2,453.04 |
$2,453.04 |
$2,453.04 |
$1,734.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.63 |
$0.63 |
$0.63 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,342.16 |
$2,342.16 |
$2,342.16 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,211.76 |
$1,211.76 |
$1,211.76 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,208.32 |
$3,208.32 |
$3,208.32 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,817.28 |
$1,817.28 |
$1,817.28 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$4,837.68 |
$4,837.68 |
$4,837.68 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,682.80 |
$3,682.80 |
$3,682.80 |
$3,687.00
|
|
Rsv assay w/optic
|
$113.04 |
$113.04 |
$113.04 |
$76.61
|
|
Rubella antibody igg
|
$113.76 |
$113.76 |
$113.76 |
$77.03
|
|
Rubeola antibody igg
|
$123.84 |
$123.84 |
$123.84 |
$80.00
|
|
Russell viper venom diluted
|
$41.76 |
$41.76 |
$41.76 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,797.12 |
$1,797.12 |
$1,797.12 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,152.72 |
$1,152.72 |
$1,152.72 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,241.28 |
$1,241.28 |
$1,241.28 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$905.04 |
$905.04 |
$905.04 |
$496.60
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$747.36 |
$747.36 |
$747.36 |
$582.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$943.92 |
$943.92 |
$943.92 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$2,172.96 |
$2,172.96 |
$2,172.96 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$984.96 |
$984.96 |
$984.96 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$872.64 |
$872.64 |
$872.64 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$4,490.64
|
|
Scr c/v cyto,thinlayer,rescr
|
$208.08 |
$208.08 |
$208.08 |
$85.15
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$72.72 |
$72.72 |
$72.72 |
$57.60
|
|
Screening Mammogram
|
$488.16 |
$488.16 |
$488.16 |
$312.55
|
|
Screening prostate cancer PSA
|
$345.60 |
$345.60 |
$345.60 |
$99.20
|
|
Screw cortex 2.0 x 10mm
|
$10,584.00 |
$10,584.00 |
$10,584.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$36.72 |
$36.72 |
$36.72 |
$42.00
|
|
Semen analysis presence/motility
|
$125.28 |
$125.28 |
$125.28 |
$71.05
|
|
Semen analysis w/count
|
$226.80 |
$226.80 |
$226.80 |
$56.44
|
|
Serpina1 gene
|
$271.44 |
$271.44 |
$271.44 |
$195.65
|
|
Shoulder MRI (with and without contrast)
|
$4,810.32 |
$4,810.32 |
$4,810.32 |
$2,713.80
|