|
Prq card stent w/angio addl
|
$771.00 |
$771.00 |
$14,510.58 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$10,400.00 |
$10,400.00 |
$14,510.58 |
$13,098.36
|
|
Prq revasc byp graft addl
|
$14,510.58 |
$14,510.58 |
$14,510.58 |
$9,180.60
|
|
Prq skel fix clcnl fx w/mnpj
|
$2,665.60 |
$2,665.60 |
$2,665.60 |
$6,025.60
|
|
Prq skel fix epcndylr hum fx
|
$3,526.40 |
$3,526.40 |
$3,526.40 |
$3,526.40
|
|
Prq skel fix sprcndlr hum fx
|
$3,747.20 |
$3,747.20 |
$3,747.20 |
$6,990.61
|
|
Prq skel fix talus fx w/mnpj
|
$2,292.80 |
$2,292.80 |
$2,292.80 |
$7,907.11
|
|
Prq skel fix tarsl fx w/mnpj
|
$830.40 |
$830.40 |
$830.40 |
$5,886.74
|
|
Prq tcat plmt ntrac st 1 les
|
$14,510.58 |
$14,510.58 |
$49,612.31 |
$13,239.59
|
|
Prq tcat plmt ntrac st 2+les
|
$36,520.90 |
$36,520.90 |
$36,520.90 |
$22,098.20
|
|
Prq trlml c athrc st angiop1
|
$14,436.29 |
$14,436.29 |
$20,463.95 |
$14,975.00
|
|
Prq trl rvs ch occ ant&rtrgr
|
$22,998.30 |
$22,998.30 |
$22,998.30 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$11,464.52 |
$11,464.52 |
$32,923.61 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$18,217.10 |
$18,217.10 |
$18,217.10 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$1,983.00 |
$1,983.00 |
$14,510.58 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$287.20 |
$287.20 |
$897.00 |
$544.12
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$438.40 |
$438.40 |
$2,145.00 |
$252.80
|
|
Pr removal intrauterine device
|
$330.72 |
$330.72 |
$1,653.00 |
$380.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$742.40 |
$742.40 |
$6,352.00 |
$716.10
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$268.80 |
$268.80 |
$785.00 |
$382.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$280.80 |
$280.80 |
$877.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$220.80 |
$220.80 |
$911.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$269.60 |
$269.60 |
$975.00 |
$400.20
|
|
Pr robotic surgical system
|
$668.80 |
$668.80 |
$59,594.64 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$2,119.20 |
$2,119.20 |
$2,334.00 |
$3,247.19
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$76.00 |
$76.00 |
$101.00 |
$71.20
|
|
Prtl exc bone olecrn process
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$3,208.80
|
|
Prtl exc bone radial h/n
|
$2,915.20 |
$2,915.20 |
$2,915.20 |
$7,907.11
|
|
Prtl exchange transfuse nb
|
$260.00 |
$260.00 |
$260.00 |
$537.90
|
|
Prtl excision bone clavicle
|
$3,262.40 |
$3,262.40 |
$3,262.40 |
$7,807.24
|
|
Prtl excision bone scapula
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$7,285.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$488.00 |
$488.00 |
$833.95 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$32.00 |
$32.00 |
$44.85 |
$26.65
|
|
PSA (Prostate) Test
|
$64.28 |
$64.28 |
$936.00 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$4.80 |
$4.80 |
$4.80 |
$51.15
|
|
Psychoanalysis
|
$221.60 |
$221.60 |
$221.60 |
$250.85
|
|
Psychoeducation 45 min +
|
$542.31 |
$542.31 |
$542.31 |
$201.45
|
|
Psychophysiological therapy
|
$138.40 |
$138.40 |
$138.40 |
$101.40
|
|
Psychophysiological therapy
|
$240.00 |
$240.00 |
$240.00 |
$175.28
|
|
Psychotherapy group therapy
|
$466.80 |
$466.80 |
$547.95 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$196.34 |
$196.34 |
$204.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$251.00 |
$251.00 |
$261.14 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$313.60 |
$313.60 |
$376.00 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$270.40 |
$270.40 |
$270.40 |
$318.50
|
|
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 |
$141.00 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$94.40 |
$94.40 |
$129.00 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$80.00 |
$80.00 |
$106.00 |
$124.50
|
|
Psytx complex interactive
|
$35.20 |
$35.20 |
$42.00 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$161.60 |
$161.60 |
$195.00 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$204.00 |
$204.00 |
$247.00 |
$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 |
$52.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$85.89 |
$85.89 |
$98.15 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$63.05 |
$63.05 |
$69.48 |
$80.85
|
|
Pt application of modality traction mechanical
|
$70.85 |
$70.85 |
$75.32 |
$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
|
$99.20 |
$99.20 |
$204.75 |
$119.34
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$70.20 |
$70.20 |
$110.56 |
$82.80
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$73.28 |
$73.28 |
$144.30 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$93.48 |
$93.48 |
$96.20 |
$87.50
|
|
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
|
$340.00 |
$340.00 |
$340.00 |
$909.35
|
|
Pulse ox continuous overnight monitoring
|
$236.36 |
$236.36 |
$1,317.00 |
$350.40
|
|
Pulse ox multiple
|
$75.40 |
$75.40 |
$172.15 |
$157.30
|
|
Pulse ox single
|
$39.97 |
$39.97 |
$1,058.00 |
$84.80
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$367.13 |
$367.13 |
$367.13 |
$969.00
|
|
Punc of shunt for asp or inj
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$987.81
|
|
Puncture arterial withdrawal blood for diagnosis
|
$75.20 |
$75.20 |
$658.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$320.80 |
$320.80 |
$1,305.00 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$212.80 |
$212.80 |
$212.80 |
$3,986.00
|
|
Puncture spinal lumbar diagnostic
|
$444.15 |
$444.15 |
$2,325.70 |
$1,087.80
|
|
Puraply 1 sq cm
|
$140.80 |
$140.80 |
$140.80 |
$301.80
|
|
Puraply xt 1 sq cm
|
$172.80 |
$172.80 |
$172.80 |
$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
|
|
Pyridoxine hcl 100 mg
|
$19.55 |
$19.55 |
$19.55 |
$49.08
|
|
Pyruvate
|
$64.28 |
$64.28 |
$90.35 |
$66.00
|
|
Pyruvate kinase
|
$33.57 |
$33.57 |
$33.57 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$562.40 |
$562.40 |
$1,296.10 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$857.99 |
$857.99 |
$919.75 |
$1,199.16
|
|
Quest t3 uptake
|
$55.00 |
$55.00 |
$84.50 |
$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
|
$546.16 |
$546.16 |
$3,213.80 |
$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 |
$70,766.00 |
$610.68
|
