|
Psycl/nrpsyc tech 1st
|
$335.20 |
$335.20 |
$335.20 |
$321.60
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$100.89
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$107.20 |
$107.20 |
$107.20 |
$80.40
|
|
Pt application of modality traction mechanical
|
$107.20 |
$107.20 |
$107.20 |
$87.00
|
|
Pten gene full sequence
|
$5,082.40 |
$5,082.40 |
$5,082.40 |
$828.00
|
|
Pt evaluation high complexity patient/family
|
$371.20 |
$371.20 |
$371.20 |
$292.00
|
|
Pt evaluation low complexity patient/family
|
$308.80 |
$308.80 |
$308.80 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$329.60 |
$329.60 |
$329.60 |
$250.25
|
|
Pt re-evaluation patient/family
|
$214.40 |
$214.40 |
$214.40 |
$152.40
|
|
Pt repositioning canalith procedure(s) per day
|
$157.60 |
$157.60 |
$157.60 |
$116.82
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$329.60 |
$329.60 |
$329.60 |
$350.40
|
|
Pulse ox multiple
|
$206.40 |
$206.40 |
$206.40 |
$162.00
|
|
Pulse ox single
|
$44.00 |
$44.00 |
$44.00 |
$83.32
|
|
Puncture arterial withdrawal blood for diagnosis
|
$137.60 |
$137.60 |
$137.60 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$445.60 |
$445.60 |
$445.60 |
$514.64
|
|
Puncture spinal lumbar diagnostic
|
$1,107.20 |
$1,107.20 |
$1,107.20 |
$1,060.47
|
|
Puraply 1 sq cm
|
$402.40 |
$402.40 |
$402.40 |
$307.20
|
|
Puraply xt 1 sq cm
|
$402.40 |
$402.40 |
$402.40 |
$171.12
|
|
Pwr pck base combo vad, rep
|
$27,503.20 |
$27,503.20 |
$27,503.20 |
$19,344.64
|
|
Pyruvate kinase
|
$143.20 |
$143.20 |
$143.20 |
$81.20
|
|
Quant diff pulm perf w/imaging
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,206.60
|
|
Quest t3 uptake
|
$140.00 |
$140.00 |
$140.00 |
$54.40
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,440.80 |
$4,440.80 |
$4,440.80 |
$2,796.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,410.40 |
$2,410.40 |
$2,410.40 |
$2,631.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,535.20 |
$1,535.20 |
$1,535.20 |
$1,126.32
|
|
Rapid Strep Test
|
$124.00 |
$124.00 |
$124.00 |
$74.25
|
|
Rbc count only automated
|
$48.80 |
$48.80 |
$48.80 |
$20.03
|
|
Red blood cells leukocytes reduced each unit
|
$638.40 |
$638.40 |
$638.40 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$739.20 |
$739.20 |
$739.20 |
$525.60
|
|
Refill maint impl spine pump
|
$450.40 |
$450.40 |
$450.40 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$580.00 |
$580.00 |
$580.00 |
$400.86
|
|
Rem/biv cast full arm/leg
|
$227.20 |
$227.20 |
$227.20 |
$334.56
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,347.20 |
$1,347.20 |
$1,347.20 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$261.60 |
$261.60 |
$261.60 |
$166.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$340.80 |
$340.80 |
$340.80 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$787.20 |
$787.20 |
$787.20 |
$838.33
|
|
Removal foreign body foot subcutaneous right
|
$832.00 |
$832.00 |
$832.00 |
$1,256.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$271.20 |
$271.20 |
$271.20 |
$292.50
|
|
Remove shoulder foreign body subq 23330
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,788.80
|
|
Remove spine eltrd perq aray
|
$3,922.40 |
$3,922.40 |
$3,922.40 |
$3,636.18
|
|
Renal function panel
|
$234.40 |
$234.40 |
$234.40 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$716.80 |
$716.80 |
$716.80 |
$1,059.20
|
|
Repair extns tendon finger without grft ea
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$2,269.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,315.20 |
$2,315.20 |
$2,315.20 |
$1,026.40
|
|
Replace g/c tube perc
|
$1,251.20 |
$1,251.20 |
$1,251.20 |
$1,320.00
|
|
Replace/revise brain shunt
|
$9,200.80 |
$9,200.80 |
$9,200.80 |
$7,592.10
|
|
Reptilase test
|
$142.40 |
$142.40 |
$142.40 |
$74.00
|
|
Resuscitation cardiopulmonary
|
$859.20 |
$859.20 |
$859.20 |
$753.00
|
|
Reticulocyte automated
|
$109.60 |
$109.60 |
$109.60 |
$52.57
|
|
Revise spine eltrd perq aray
|
$5,512.80 |
$5,512.80 |
$5,512.80 |
$7,496.58
|
|
Rheumatoid factor qualitative
|
$110.40 |
$110.40 |
$110.40 |
$57.07
|
|
Rheumatoid factor quantitative
|
$72.80 |
$72.80 |
$72.80 |
$56.58
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$20,884.80 |
$20,884.80 |
$20,884.80 |
$24,530.99
|
|
Rmvl perm pm pulse gen
|
$7,388.80 |
$7,388.80 |
$7,388.80 |
$6,217.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$16,904.00 |
$16,904.00 |
$16,904.00 |
$15,354.00
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,650.40 |
$1,650.40 |
$1,650.40 |
$1,343.22
|
|
Rp loclzj tum spect w/ct 1
|
$2,141.60 |
$2,141.60 |
$2,141.60 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$3,186.00
|
|
Rsv assay w/optic
|
$424.80 |
$424.80 |
$424.80 |
$82.68
|
|
Rtm 1st set-up&pt educaj eqp
|
$313.60 |
$313.60 |
$313.60 |
$175.56
|
|
Rtm dev sply mscskl 16-30 d
|
$90.40 |
$90.40 |
$90.40 |
$96.85
|
|
Rtm dev sply resp sys 16-30d
|
$90.40 |
$90.40 |
$90.40 |
$72.96
|
|
Rubella antibody igg
|
$216.80 |
$216.80 |
$216.80 |
$76.86
|
|
Rubeola antibody igg
|
$115.20 |
$115.20 |
$115.20 |
$80.00
|
|
Russell viper venom diluted
|
$301.60 |
$301.60 |
$301.60 |
$72.45
|
|
Rx metab gen seq alys pnl 6
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$917.08
|
|
Sarscov coronavirus ag ia
|
$75.20 |
$75.20 |
$75.20 |
$59.50
|
|
Sarscov & inf vir a&b ag ia
|
$379.20 |
$379.20 |
$379.20 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$978.02
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$661.65
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$855.20 |
$855.20 |
$855.20 |
$761.15
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$477.88
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$843.20 |
$843.20 |
$843.20 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,373.60 |
$1,373.60 |
$1,373.60 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$1,129.60 |
$1,129.60 |
$1,129.60 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$1,149.60 |
$1,149.60 |
$1,149.60 |
$573.86
|
|
Scr c/v cyto,thinlayer,rescr
|
$171.20 |
$171.20 |
$171.20 |
$83.40
|
|
Screening Mammogram
|
$468.80 |
$468.80 |
$468.80 |
$313.35
|
|
Screening prostate cancer PSA
|
$237.60 |
$237.60 |
$237.60 |
$98.28
|
|
Screen pap by tech w md supv
|
$120.00 |
$120.00 |
$120.00 |
$52.65
|
|
Sedimentation rate erythrocyte automated
|
$76.00 |
$76.00 |
$76.00 |
$42.48
|
|
Semen analysis presence/motility
|
$96.00 |
$96.00 |
$96.00 |
$75.24
|
|
Shoe post-op mens m
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$49.25
|
|
Shoulder MRI (with and without contrast)
|
$5,399.20 |
$5,399.20 |
$5,399.20 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$4,799.20 |
$4,799.20 |
$4,799.20 |
$2,456.30
|
|
Shoulder MRI (without contrast)
|
$4,634.40 |
$4,634.40 |
$4,634.40 |
$2,102.80
|
|
Shoulder X-ray
|
$824.00 |
$824.00 |
$824.00 |
$341.40
|
|
Shrinker prosth above knee
|
$780.80 |
$780.80 |
$780.80 |
$168.89
|
|
Sialography s&i
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$527.58
|
|
Sickling rbc
|
$98.40 |
$98.40 |
$98.40 |
$57.00
|
|
Sincalide 5 mcg solution for injection
|
$230.40 |
$230.40 |
$230.40 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
$1,796.50
|
|
Sinus CT scan (with contrast)
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$1,527.60
|
