|
Pulse ox single
|
$45.60 |
$45.60 |
$52.80 |
$81.70
|
|
Punc of shunt for asp or inj
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$82.80 |
$82.80 |
$122.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,841.40 |
$1,841.40 |
$1,841.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$1,051.80
|
|
Puraply 1 sq cm
|
$307.20 |
$307.20 |
$307.20 |
$304.50
|
|
Puraply xt 1 sq cm
|
$307.20 |
$307.20 |
$307.20 |
$171.12
|
|
Pwr pck base combo vad, rep
|
$20,627.40 |
$20,627.40 |
$20,627.40 |
$19,344.64
|
|
Pyruvate
|
$153.00 |
$153.00 |
$153.00 |
$66.00
|
|
Pyruvate kinase
|
$171.60 |
$171.60 |
$171.60 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,230.60 |
$1,230.60 |
$2,069.40 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$2,069.40 |
$2,069.40 |
$2,069.40 |
$1,199.16
|
|
Quest t3 uptake
|
$112.80 |
$112.80 |
$112.80 |
$52.25
|
|
Radiation handling
|
$445.80 |
$445.80 |
$445.80 |
$324.80
|
|
Radiation physics consult
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$606.50
|
|
Radiation therapy dose plan
|
$762.60 |
$762.60 |
$762.60 |
$514.05
|
|
Radiation therapy management
|
$750.00 |
$750.00 |
$750.00 |
$199.20
|
|
Radiation treatment aid(s)
|
$586.80 |
$586.80 |
$586.80 |
$520.00
|
|
Radiation treatment aid(s)
|
$928.20 |
$928.20 |
$928.20 |
$644.16
|
|
Radiation treatment aid(s)
|
$2,092.20 |
$2,092.20 |
$2,092.20 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$552.40
|
|
Radiation treatment delivery
|
$4,749.00 |
$4,749.00 |
$4,749.00 |
$920.00
|
|
Radiation tx management x5
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$354.40
|
|
Radiology port images(s)
|
$522.00 |
$522.00 |
$522.00 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$7,473.00 |
$7,473.00 |
$7,473.00 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,739.40 |
$1,739.40 |
$2,719.20 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,485.20 |
$2,485.20 |
$4,605.60 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,546.60 |
$3,546.60 |
$3,546.60 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,341.00 |
$1,341.00 |
$2,364.60 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$711.20
|
|
Rapid Strep Test
|
$141.60 |
$141.60 |
$141.60 |
$75.24
|
|
Rbc count only automated
|
$63.60 |
$63.60 |
$63.60 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$841.75
|
|
Rbc irradiated each unit
|
$537.00 |
$537.00 |
$1,914.00 |
$560.00
|
|
Rbc serum pretx incubj drugs
|
$251.40 |
$251.40 |
$251.40 |
$235.00
|
|
Recon, cta for surg plan
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$713.50
|
|
Red blood cells each unit
|
$256.80 |
$256.80 |
$963.60 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$447.00 |
$447.00 |
$447.00 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$612.00 |
$612.00 |
$1,914.00 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$320.40 |
$320.40 |
$963.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$435.00 |
$435.00 |
$1,128.60 |
$528.45
|
|
Red blood cells washed each unit
|
$672.00 |
$672.00 |
$1,422.60 |
$572.46
|
|
Redo endovas vena cava filtr
|
$3,931.80 |
$3,931.80 |
$3,931.80 |
$4,435.43
|
|
Reduction of procidentia 45900
|
$2,031.00 |
$2,031.00 |
$2,031.00 |
$1,226.10
|
|
Refill maint impl spine pump
|
$651.60 |
$651.60 |
$651.60 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$397.60
|
|
Relocation skin pocket aicd
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$2,761.55
|
|
Relocation skin pocket pm
|
$4,063.20 |
$4,063.20 |
$4,063.20 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$485.40 |
$485.40 |
$485.40 |
$320.79
|
|
Rem endovas vena cava filter
|
$6,631.80 |
$6,631.80 |
$6,631.80 |
$5,509.05
|
|
Rem interrog dev eval scrms
|
$131.40 |
$131.40 |
$131.40 |
$101.25
|
|
Rem interrog evl pm/ids
|
$146.40 |
$146.40 |
$146.40 |
$139.10
|
|
Removal biliary drg cath
|
$4,791.60 |
$4,791.60 |
$4,791.60 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$608.40 |
$608.40 |
$685.20 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$7,536.60 |
$7,536.60 |
$7,536.60 |
$2,356.71
|
|
Removal cerclage w/anes
|
$3,453.60 |
$3,453.60 |
$3,453.60 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$345.00 |
$345.00 |
$345.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$364.80 |
$364.80 |
$364.80 |
$249.60
|
|
Removal duct glbldr calculi
|
$7,242.00 |
$7,242.00 |
$7,242.00 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$4,426.20 |
$4,426.20 |
$4,426.20 |
$2,986.62
|
|
Removal of implant deep
|
$5,035.80 |
$5,035.80 |
$5,035.80 |
$4,484.80
|
|
Removal of shunt
|
$8,115.60 |
$8,115.60 |
$8,115.60 |
$4,341.66
|
|
Removal of skin tags each add'l 10
|
$99.60 |
$99.60 |
$99.60 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$30,948.60 |
$30,948.60 |
$30,948.60 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$294.60 |
$294.60 |
$294.60 |
$292.50
|
|
Removal sutr/staple req anes
|
$1,771.20 |
$1,771.20 |
$1,771.20 |
$2,381.60
|
|
Removal tunnled intprtnl cath
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$4,195.00
|
|
Remove brain canal fluid
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$825.60
|
|
Remove cva lumen obstruct
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$490.80
|
|
Remove hip foreign body 27086
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$2,094.26
|
|
Remove renal tube w/fluoro
|
$3,107.40 |
$3,107.40 |
$3,107.40 |
$1,141.31
|
|
Remove shoulder foreign body subq 23330
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,788.80
|
|
Remove spine eltrd perq aray
|
$2,128.20 |
$2,128.20 |
$2,128.20 |
$3,325.40
|
|
Remove stent via transureth
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$3,332.80
|
|
Remove ureter stent percut
|
$17,928.60 |
$17,928.60 |
$17,928.60 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$5,940.60 |
$5,940.60 |
$5,940.60 |
$3,762.53
|
|
Remove ventricular device
|
$11,372.40 |
$11,372.40 |
$11,372.40 |
$1,964.30
|
|
Remove ventricular device 33977
|
$9,523.80 |
$9,523.80 |
$9,523.80 |
$3,014.39
|
|
Renal cyst study s&i
|
$4,382.40 |
$4,382.40 |
$4,382.40 |
$751.34
|
|
Renal function panel
|
$128.40 |
$128.40 |
$483.00 |
$113.52
|
|
Renal venogram bil s&i
|
$3,874.20 |
$3,874.20 |
$3,874.20 |
$3,615.28
|
|
Repair artery rupture aorta
|
$6,824.40 |
$6,824.40 |
$6,824.40 |
$3,846.40
|
|
Repair art rupture aorta 35082
|
$3,945.60 |
$3,945.60 |
$3,945.60 |
$4,366.80
|
|
Repair blood vessel dir lower extr
|
$6,708.60 |
$6,708.60 |
$6,708.60 |
$1,705.04
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$688.80 |
$688.80 |
$688.80 |
$1,025.95
|
|
Repair defect of artery 35081
|
$3,945.60 |
$3,945.60 |
$3,945.60 |
$3,497.40
|
|
Repair defect of artery 35102
|
$6,824.40 |
$6,824.40 |
$6,824.40 |
$3,772.80
|
|
Repair dental ellis ii fx
|
$3,277.20 |
$3,277.20 |
$3,277.20 |
$442.48
|
|
Repair lip full thkns =<one-half vert height
|
$338.40 |
$338.40 |
$338.40 |
$1,308.00
|
|
Repair of aneurysm
|
$2,159.40 |
$2,159.40 |
$2,159.40 |
$4,013.30
|
|
Repair pm/icd lead dual
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$935.40 |
$935.40 |
$935.40 |
$1,006.50
|
|
Replace aortic valve open axillry 33363
|
$43,194.60 |
$43,194.60 |
$43,194.60 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$43,194.60 |
$43,194.60 |
$43,194.60 |
$15,454.40
|
|
Replace aortic valve open iliac 33364
|
$43,194.60 |
$43,194.60 |
$43,194.60 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$43,194.60 |
$43,194.60 |
$43,194.60 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$21,598.20 |
$21,598.20 |
$21,598.20 |
$2,399.20
|
