|
Psych test eval svc phys/qhp ea addl hr
|
$207.20 |
$207.20 |
$207.20 |
$207.20
|
|
Psycl/nrpsyc tech 1st
|
$80.00 |
$80.00 |
$80.00 |
$330.00
|
|
Psy evaluation of records
|
$112.00 |
$112.00 |
$112.00 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$103.20 |
$103.20 |
$103.20 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$94.40 |
$94.40 |
$94.40 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$80.00 |
$80.00 |
$80.00 |
$124.50
|
|
Psytx complex interactive
|
$35.20 |
$35.20 |
$35.20 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$161.60 |
$161.60 |
$161.60 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$204.00 |
$204.00 |
$204.00 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$268.00 |
$268.00 |
$268.00 |
$235.20
|
|
Pt application of modality >=1 area hot/cold packs
|
$12.00 |
$12.00 |
$12.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$108.65 |
$108.65 |
$108.65 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$107.08 |
$107.08 |
$107.08 |
$80.85
|
|
Pt application of modality traction mechanical
|
$87.19 |
$87.19 |
$87.19 |
$89.95
|
|
Pt/caregiver traing home inr
|
$137.60 |
$137.60 |
$137.60 |
$137.60
|
|
Pten gene dup/delet variant
|
$288.00 |
$288.00 |
$288.00 |
$330.00
|
|
Pten gene full sequence
|
$576.00 |
$576.00 |
$576.00 |
$826.00
|
|
Pten gene known fam variant
|
$127.86 |
$127.86 |
$127.86 |
$127.86
|
|
Pterygomaxillary fossa surg any appr 31040
|
$3,875.20 |
$3,875.20 |
$3,875.20 |
$6,966.64
|
|
Pt-focused hlth risk assmt
|
$120.00 |
$120.00 |
$120.00 |
$57.85
|
|
Pt init/spiromet rec/review/interp 94016
|
$57.60 |
$57.60 |
$57.60 |
$46.20
|
|
Pt repositioning canalith procedure(s) per day
|
$235.11 |
$235.11 |
$235.11 |
$119.34
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$107.08 |
$107.08 |
$107.08 |
$82.80
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$116.15 |
$116.15 |
$116.15 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$71.40 |
$71.40 |
$71.40 |
$87.60
|
|
Pul art balloon repr percut
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$9,760.40
|
|
Pul art balloon repr percut
|
$696.80 |
$696.80 |
$696.80 |
$3,766.10
|
|
Pulmonary decortication partial 32225
|
$4,844.80 |
$4,844.80 |
$4,844.80 |
$1,741.80
|
|
Pulmonary vent imaging
|
$967.14 |
$967.14 |
$967.14 |
$909.35
|
|
Pulse ox continuous overnight monitoring
|
$708.00 |
$708.00 |
$708.00 |
$350.40
|
|
Pulse ox multiple
|
$290.49 |
$290.49 |
$290.49 |
$157.30
|
|
Pulse ox single
|
$55.07 |
$55.07 |
$55.07 |
$84.80
|
|
Punc of shunt for asp or inj
|
$140.00 |
$140.00 |
$140.00 |
$987.81
|
|
Puncture arterial withdrawal blood for diagnosis
|
$80.94 |
$80.94 |
$80.94 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$320.80 |
$320.80 |
$320.80 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$212.80 |
$212.80 |
$212.80 |
$3,986.00
|
|
Puncture spinal lumbar diagnostic
|
$424.92 |
$424.92 |
$424.92 |
$1,087.80
|
|
Puraply 1 sq cm
|
$140.80 |
$140.80 |
$140.80 |
$301.80
|
|
Puraply xt 1 sq cm
|
$211.08 |
$211.08 |
$211.08 |
$151.20
|
|
Pvb thoracic 2nd+ inj site
|
$371.20 |
$371.20 |
$371.20 |
$859.30
|
|
Pvb thoracic cont infusion
|
$992.00 |
$992.00 |
$992.00 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$659.20 |
$659.20 |
$659.20 |
$1,320.80
|
|
Pyelotomy w/removal calculus
|
$5,219.20 |
$5,219.20 |
$5,219.20 |
$1,341.47
|
|
Pyloroplasty 43800
|
$2,285.60 |
$2,285.60 |
$2,285.60 |
$1,748.40
|
|
Pyruvate
|
$64.28 |
$64.28 |
$64.28 |
$66.00
|
|
Pyruvate kinase
|
$33.57 |
$33.57 |
$33.57 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$967.14 |
$967.14 |
$967.14 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$967.14 |
$967.14 |
$967.14 |
$1,199.16
|
|
Quest t3 uptake
|
$55.00 |
$55.00 |
$55.00 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$422.40 |
$422.40 |
$422.40 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$551.40 |
$551.40 |
$551.40 |
$3,848.39
|
|
Rabies vaccine id
|
$340.80 |
$340.80 |
$340.80 |
$340.80
|
|
Radiation handling
|
$170.40 |
$170.40 |
$170.40 |
$324.80
|
|
Radiation physics consult
|
$160.00 |
$160.00 |
$160.00 |
$610.68
|
|
Radiation therapy dose plan
|
$155.20 |
$155.20 |
$155.20 |
$525.00
|
|
Radiation therapy management
|
$199.20 |
$199.20 |
$199.20 |
$199.20
|
|
Radiation treatment aid(s)
|
$160.80 |
$160.80 |
$160.80 |
$525.60
|
|
Radiation treatment aid(s)
|
$255.20 |
$255.20 |
$255.20 |
$655.52
|
|
Radiation treatment aid(s)
|
$300.80 |
$300.80 |
$300.80 |
$1,109.75
|
|
Radiation treatment delivery
|
$74.40 |
$74.40 |
$74.40 |
$245.50
|
|
Radiation tx management x5
|
$354.40 |
$354.40 |
$354.40 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$4,511.20 |
$4,511.20 |
$4,511.20 |
$3,429.60
|
|
Radical resection of elbow
|
$5,788.80 |
$5,788.80 |
$5,788.80 |
$5,788.80
|
|
Radical resection sternum 21630
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$2,982.40
|
|
Radic resect abd tumor<5cm 22904
|
$2,582.40 |
$2,582.40 |
$2,582.40 |
$3,386.84
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$7,052.80 |
$7,052.80 |
$7,052.80 |
$4,460.78
|
|
Radiesse injection
|
$239.20 |
$239.20 |
$239.20 |
$1,171.09
|
|
Radiology port images(s)
|
$28.80 |
$28.80 |
$28.80 |
$258.72
|
|
Radiotherapy dose plan imrt
|
$3,496.80 |
$3,496.80 |
$3,496.80 |
$5,786.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$710.40 |
$710.40 |
$710.40 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,620.43 |
$1,620.43 |
$1,620.43 |
$2,285.70
|
|
Radphm lcl tumor plr sgl day
|
$420.80 |
$420.80 |
$420.80 |
$1,120.40
|
|
Radphm quant measure sgl area add-on
|
$220.80 |
$220.80 |
$220.80 |
$711.20
|
|
Rad rescj tum dstl/shft hum
|
$7,628.80 |
$7,628.80 |
$7,628.80 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$5,532.80 |
$5,532.80 |
$5,532.80 |
$4,881.00
|
|
Rad rescj tum tiss a/e 5 cm+
|
$6,504.00 |
$6,504.00 |
$6,504.00 |
$5,339.00
|
|
Rad rescj tum tiss a/e <5cm
|
$5,102.40 |
$5,102.40 |
$5,102.40 |
$4,087.20
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$3,620.80 |
$3,620.80 |
$3,620.80 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$3,262.40 |
$3,262.40 |
$3,262.40 |
$3,495.54
|
|
Rad resect hand tumor < 3 cm
|
$1,830.40 |
$1,830.40 |
$1,830.40 |
$3,386.84
|
|
Rad resect hand tumor 3 cm/>
|
$2,593.60 |
$2,593.60 |
$2,593.60 |
$4,137.20
|
|
Rad resection tum radial h/n
|
$6,625.60 |
$6,625.60 |
$6,625.60 |
$8,453.60
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$2,348.00 |
$2,348.00 |
$2,348.00 |
$3,370.52
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$76.80 |
$76.80 |
$76.80 |
$13,136.04
|
|
Range of motion measurements
|
$41.60 |
$41.60 |
$41.60 |
$60.48
|
|
Ranibizumab injection
|
$462.40 |
$462.40 |
$462.40 |
$3,409.84
|
|
Rapid desensitization
|
$424.00 |
$424.00 |
$424.00 |
$472.21
|
|
Rapid Strep Test
|
$38.58 |
$38.58 |
$38.58 |
$75.00
|
|
Rbc count only automated
|
$33.57 |
$33.57 |
$33.57 |
$20.40
|
|
Rbc deglycerolized each unit
|
$302.84 |
$302.84 |
$302.84 |
$856.71
|
|
Rbc irradiated each unit
|
$302.84 |
$302.84 |
$302.84 |
$560.00
|
|
Rbc mechanical fragility
|
$21.60 |
$21.60 |
$21.60 |
$21.60
|
|
Rbc osmotic fragility
|
$31.22 |
$31.22 |
$31.22 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$364.45 |
$364.45 |
$364.45 |
$234.00
|
|
Rcm img acquisj&i&r 1st les
|
$371.20 |
$371.20 |
$371.20 |
$371.20
|
|
Rcm img acquisj&i&r ea addl
|
$233.60 |
$233.60 |
$233.60 |
$233.60
|
|
Rcm img acquisj only 1st les
|
$268.00 |
$268.00 |
$268.00 |
$193.96
|
|
Rcm img acquisj only ea addl
|
$135.20 |
$135.20 |
$135.20 |
$204.40
|
