|
Prq trl rvs ch occ ant&rtrgr
|
$85,971.62 |
$85,971.62 |
$85,971.62 |
|
|
Prq trluml c angiop 1art&/br
|
$10,047.60 |
$13,979.40 |
$32,537.36 |
|
|
Prq trluml c athrc 1 art&/br
|
$16,400.40 |
$18,565.20 |
$66,352.70 |
|
|
Prq trluml revsc ch occ ant
|
$22,244.00 |
$47,221.80 |
$89,496.45 |
|
|
Pr removal drug delivery implant
|
$61.08 |
$61.08 |
$1,707.78 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$174.00 |
$254.40 |
$1,896.60 |
|
|
Pr removal intrauterine device
|
$65.28 |
$65.28 |
$1,602.62 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$106.58 |
$106.58 |
$402.50 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$188.50 |
$188.50 |
$223.50 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$226.50 |
$226.50 |
$229.00 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$154.50 |
$180.50 |
$498.60 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$209.50 |
$361.80 |
$444.60 |
|
|
Pr robotic surgical system
|
$0.00 |
$0.00 |
$0.01 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,546.50 |
$1,593.50 |
$4,592.84 |
|
|
PSA (Prostate) Test
|
$69.12 |
$178.80 |
$352.80 |
|
|
Psych/neuropsych test admin automated result 96146
|
$141.74 |
$141.74 |
$141.74 |
|
|
Psychoeducation 45 min +
|
$224.51 |
$224.51 |
$224.51 |
|
|
Psychotherapy group therapy
|
$13.30 |
$201.60 |
$3,588.71 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$23.45 |
$108.00 |
$312.32 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$37.28 |
$143.50 |
$605.51 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$55.30 |
$247.00 |
$559.78 |
|
|
Psych test eval svc phys/qhp 1st hr
|
$60.20 |
$60.20 |
$60.20 |
|
|
Psych test eval svc phys/qhp ea addl hr
|
$45.85 |
$45.85 |
$45.85 |
|
|
Psychthrp grp 45-50min mcr
|
$605.51 |
$605.51 |
$605.51 |
|
|
Psycl/nrpsyc tech 1st
|
$53.50 |
$53.50 |
$53.50 |
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$23.62 |
$23.62 |
$23.62 |
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$21.88 |
$21.88 |
$21.88 |
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$53.50 |
$53.50 |
$53.50 |
|
|
Psytx complex interactive
|
$5.60 |
$97.20 |
$417.68 |
|
|
Psytx pt w/e&m 16-37 min
|
$23.62 |
$23.62 |
$240.00 |
|
|
Psytx pt w/e&m 38-52 min
|
$120.60 |
$137.40 |
$274.20 |
|
|
Psytx pt w/e&m 53+ min
|
$140.40 |
$140.40 |
$140.40 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$9.00 |
$18.00 |
$108.92 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$60.60 |
$100.50 |
$346.32 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$60.00 |
$70.20 |
$303.49 |
|
|
Pt application of modality traction mechanical
|
$57.12 |
$86.40 |
$301.04 |
|
|
Pten gene dup/delet variant
|
$899.59 |
$923.40 |
$923.40 |
|
|
Pten gene full sequence
|
$899.59 |
$899.59 |
$899.59 |
|
|
Pten gene known fam variant
|
$161.40 |
$161.40 |
$165.60 |
|
|
Pt-focused hlth risk assmt
|
$7.50 |
$7.50 |
$7.50 |
|
|
Pt prgrm for implt neurostim
|
$2,205.00 |
$2,205.00 |
$3,559.20 |
|
|
Pt repositioning canalith procedure(s) per day
|
$61.20 |
$133.50 |
$195.80 |
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$72.00 |
$73.00 |
$274.11 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$46.00 |
$86.40 |
$199.47 |
|
|
Pt wheelchair management each 15 minutes
|
$56.40 |
$79.80 |
$303.49 |
|
|
Pul art balloon repr percut
|
$14,353.80 |
$14,353.80 |
$22,035.28 |
|
|
Pul art balloon repr percut
|
$10,766.40 |
$10,766.40 |
$10,766.40 |
|
|
Pulmonary vent imaging
|
$560.50 |
$1,416.92 |
$1,828.20 |
|
|
Pulse ox continuous overnight monitoring
|
$198.60 |
$395.40 |
$582.00 |
|
|
Pulse ox multiple
|
$25.00 |
$231.60 |
$339.00 |
|
|
Pulse ox single
|
$17.40 |
$99.50 |
$213.60 |
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$764.80 |
$764.80 |
$2,304.95 |
|
|
Punc of shunt for asp or inj
|
$611.40 |
$1,280.00 |
$2,300.75 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$71.40 |
$124.80 |
$207.95 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$51.45 |
$663.60 |
$1,383.79 |
|
|
Puncture spinal lumbar diagnostic
|
$80.50 |
$1,224.60 |
$1,941.00 |
|
|
Puraply 1 sq cm
|
$517.20 |
$517.20 |
$517.20 |
|
|
Puraply xt 1 sq cm
|
$5,440.00 |
$5,440.00 |
$14,955.75 |
|
|
Pwr adpt pneum vad, rep veh
|
$4,133.40 |
$4,133.40 |
$4,133.40 |
|
|
Pyridoxine hcl 100 mg
|
$43.24 |
$43.24 |
$82.80 |
|
|
Pyruvate
|
$67.80 |
$154.20 |
$233.40 |
|
|
Pyruvate kinase
|
$110.68 |
$110.68 |
$110.68 |
|
|
Quant diff pulm perf and vent w/imaging
|
$2,046.00 |
$2,852.40 |
$3,846.00 |
|
|
Quant diff pulm perf w/imaging
|
$1,120.50 |
$1,842.60 |
$4,592.23 |
|
|
Quest t3 uptake
|
$51.75 |
$123.60 |
$190.80 |
|
|
Quinupristin/dalfopristin
|
$1,066.32 |
$1,559.68 |
$1,559.68 |
|
|
Rabies ig ht&sol human im/sc
|
$1,073.82 |
$5,401.91 |
$5,401.91 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,401.91 |
$5,401.91 |
$33,643.45 |
|
|
Radiation handling
|
$360.44 |
$604.80 |
$677.40 |
|
|
Radiation physics consult
|
$371.25 |
$904.50 |
$1,466.62 |
|
|
Radiation therapy dose plan
|
$255.25 |
$566.50 |
$1,938.29 |
|
|
Radiation treatment aid(s)
|
$298.88 |
$706.20 |
$1,623.40 |
|
|
Radiation treatment aid(s)
|
$289.50 |
$876.00 |
$2,147.77 |
|
|
Radiation treatment aid(s)
|
$629.12 |
$1,186.80 |
$3,306.71 |
|
|
Radiation treatment delivery
|
$561.60 |
$561.60 |
$561.60 |
|
|
Radiation treatment delivery
|
$309.50 |
$600.00 |
$7,593.75 |
|
|
Radiation treatment delivery
|
$454.88 |
$1,201.80 |
$7,593.75 |
|
|
Radiesse injection
|
$1,584.60 |
$1,584.60 |
$1,584.60 |
|
|
Radiology port images(s)
|
$86.88 |
$333.60 |
$523.20 |
|
|
Radiotherapy dose plan imrt
|
$4,588.80 |
$8,479.80 |
$24,146.63 |
|
|
Radium ra223 dichl ther/uci
|
$286.80 |
$38,192.49 |
$273,929.03 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,766.40 |
$2,772.60 |
$5,237.70 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,249.50 |
$3,321.00 |
$5,237.70 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,808.00 |
$2,874.00 |
$5,237.70 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,122.38 |
$2,494.80 |
$5,788.85 |
|
|
Radphm lcl tumor plr sgl day
|
$692.00 |
$880.20 |
$1,927.80 |
|
|
Radphm quant measure sgl area add-on
|
$2,618.86 |
$2,618.86 |
$2,618.86 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$783.80 |
$18,235.88 |
$18,235.88 |
|
|
Range of motion measurements
|
$34.80 |
$43.80 |
$88.11 |
|
|
Ranibizumab injection
|
$5,599.91 |
$5,599.91 |
$5,599.91 |
|
|
Rapid desensitization
|
$54.78 |
$54.78 |
$54.78 |
|
|
Rapid Strep Test
|
$49.50 |
$120.00 |
$143.36 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,712.30 |
$2,712.30 |
$3,851.48 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$2,260.10 |
$35,222.00 |
$58,729.34 |
|
|
Rb82 rubidium
|
$2,366.85 |
$2,366.85 |
$2,366.85 |
|
|
Rbc count only automated
|
$18.88 |
$36.60 |
$59.40 |
|
|
Rbc deglycerolized each unit
|
$940.20 |
$1,046.40 |
$1,985.15 |
|
|
Rbc irradiated each unit
|
$250.20 |
$589.80 |
$1,654.29 |
|
|
Rbc osmotic fragility
|
$203.90 |
$203.90 |
$203.90 |
|
|
Rbc serum pretx incubj drugs
|
$234.00 |
$234.00 |
$290.21 |
|