|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$452.50 |
$452.50 |
$452.50 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$410.00 |
$410.00 |
$410.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$452.50 |
$452.50 |
$452.50 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$2,530.00 |
$2,530.00 |
$2,530.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$107.50 |
$107.50 |
$107.50 |
$107.50
|
|
Psychoeducation 45 min +
|
$127.50 |
$127.50 |
$127.50 |
$201.45
|
|
Psychophysiological therapy
|
$140.00 |
$140.00 |
$140.00 |
$106.20
|
|
Psychophysiological therapy
|
$295.00 |
$295.00 |
$295.00 |
$175.28
|
|
Psychotherapy group therapy
|
$362.50 |
$362.50 |
$362.50 |
$225.39
|
|
Psychotherapy patient individual therapy 30 minutes
|
$187.50 |
$187.50 |
$187.50 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$312.50 |
$312.50 |
$312.50 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$312.50 |
$312.50 |
$312.50 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$315.00 |
$315.00 |
$315.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$235.00 |
$235.00 |
$235.00 |
$221.42
|
|
Psychthrp grp 45-50min mcr
|
$90.00 |
$90.00 |
$90.00 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$167.50 |
$167.50 |
$167.50 |
$330.00
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$167.50 |
$167.50 |
$167.50 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$125.00 |
$125.00 |
$125.00 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$125.00 |
$125.00 |
$125.00 |
$124.50
|
|
Psytx complex interactive
|
$75.00 |
$75.00 |
$75.00 |
$47.60
|
|
Pt application of modality >=1 area hot/cold packs
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
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
|
$107.50 |
$107.50 |
$107.50 |
$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
|
|
Pulse ox single
|
$60.00 |
$60.00 |
$60.00 |
$84.00
|
|
Punc of shunt for asp or inj
|
$1,445.00 |
$1,445.00 |
$1,445.00 |
$970.61
|
|
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
|
$720.00 |
$720.00 |
$720.00 |
$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
|
$612.86 |
$612.86 |
$612.86 |
$4,017.00
|
|
Radiation handling
|
$580.00 |
$580.00 |
$580.00 |
$324.80
|
|
Radiation physics consult
|
$525.00 |
$525.00 |
$525.00 |
$610.68
|
|
Radiation therapy dose plan
|
$515.00 |
$515.00 |
$515.00 |
$518.76
|
|
Radiation treatment aid(s)
|
$595.00 |
$595.00 |
$595.00 |
$526.80
|
|
Radiation treatment aid(s)
|
$710.00 |
$710.00 |
$710.00 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$590.00 |
$590.00 |
$590.00 |
$552.40
|
|
Radiation treatment delivery
|
$920.00 |
$920.00 |
$920.00 |
$921.00
|
|
Radiology port images(s)
|
$155.00 |
$155.00 |
$155.00 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$7,020.00 |
$7,020.00 |
$7,020.00 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$215.00 |
$215.00 |
$215.00 |
$217.50
|
|
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
|
|
Radphm quant measure sgl area add-on
|
$665.00 |
$665.00 |
$665.00 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$179.87 |
$179.87 |
$179.87 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$853.79 |
$853.79 |
$853.79 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$364.71 |
$364.71 |
$364.71 |
$41,926.70
|
|
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
|
$4,190.00 |
$4,190.00 |
$4,190.00 |
$4,545.10
|
|
Refill maint impl spine pump
|
$427.50 |
$427.50 |
$427.50 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$58.18 |
$58.18 |
$58.18 |
$357.91
|
|
Relocation skin pocket aicd
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,935.84
|
|
Relocation skin pocket pm
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$390.00 |
$390.00 |
$390.00 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$14.96 |
$14.96 |
$14.96 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$4,405.00 |
$4,405.00 |
$4,405.00 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$135.00 |
$135.00 |
$135.00 |
$139.10
|
|
Removal biliary drg cath
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$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 cerclage w/anes
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$3,790.00
|
|
Removal cerclage without anes
|
$380.00 |
$380.00 |
$380.00 |
$361.50
|
|
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
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$800.00 |
$800.00 |
$800.00 |
$1,260.80
|
|
Removal foreign body mouth
|
$800.00 |
$800.00 |
$800.00 |
$1,424.80
|
|
Removal of scrotum lesion
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$2,519.55
|
|
Removal/replacement ppm generator dual lead system
|
$9,105.00 |
$9,105.00 |
$9,105.00 |
$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
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$4,284.80
|
|
Remove brain canal fluid
|
$835.00 |
$835.00 |
$835.00 |
$859.60
|
