|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$365.00 |
$365.00 |
$365.00 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$338.00 |
$338.00 |
$338.00 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$296.00 |
$296.00 |
$296.00 |
$124.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$19.00 |
$19.00 |
$19.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$164.00 |
$164.00 |
$164.00 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$115.00 |
$115.00 |
$115.00 |
$81.48
|
|
Pt application of modality traction mechanical
|
$122.00 |
$122.00 |
$122.00 |
$91.80
|
|
Pt-focused hlth risk assmt
|
$100.00 |
$100.00 |
$100.00 |
$57.85
|
|
Pt repositioning canalith procedure(s) per day
|
$146.00 |
$146.00 |
$146.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$61.00 |
$61.00 |
$61.00 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$185.00 |
$185.00 |
$185.00 |
$88.00
|
|
Pulse ox continuous overnight monitoring
|
$494.00 |
$494.00 |
$494.00 |
$347.11
|
|
Pulse ox multiple
|
$129.00 |
$129.00 |
$129.00 |
$157.30
|
|
Punc of shunt for asp or inj
|
$2,043.00 |
$2,043.00 |
$2,043.00 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$451.00 |
$451.00 |
$451.00 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,060.47
|
|
Pyruvate
|
$75.00 |
$75.00 |
$75.00 |
$66.00
|
|
Pyruvate kinase
|
$65.00 |
$65.00 |
$65.00 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,589.00 |
$1,589.00 |
$1,589.00 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$1,199.16
|
|
Radiation handling
|
$645.00 |
$645.00 |
$645.00 |
$324.80
|
|
Radiation physics consult
|
$987.00 |
$987.00 |
$987.00 |
$610.68
|
|
Radiation therapy dose plan
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$518.76
|
|
Radiation treatment aid(s)
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$526.80
|
|
Radiation treatment aid(s)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$655.50
|
|
Radiation treatment aid(s)
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$994.00 |
$994.00 |
$994.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$921.00
|
|
Radiology port images(s)
|
$534.00 |
$534.00 |
$534.00 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$10,266.00 |
$10,266.00 |
$10,266.00 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$492.30 |
$492.30 |
$492.30 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$5,151.00 |
$5,151.00 |
$5,151.00 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$1,126.32
|
|
Rapid Strep Test
|
$76.00 |
$76.00 |
$76.00 |
$76.00
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$672.00 |
$672.00 |
$672.00 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$672.00 |
$672.00 |
$672.00 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$672.00 |
$672.00 |
$672.00 |
$534.15
|
|
Red blood cells washed each unit
|
$672.00 |
$672.00 |
$672.00 |
$583.68
|
|
Relocation skin pocket pm
|
$5,738.00 |
$5,738.00 |
$5,738.00 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$951.00 |
$951.00 |
$951.00 |
$324.00
|
|
Rem endovas vena cava filter
|
$9,801.00 |
$9,801.00 |
$9,801.00 |
$5,509.05
|
|
Rem interrog dev eval icpms
|
$153.00 |
$153.00 |
$153.00 |
$103.20
|
|
Rem interrog dev eval scrms
|
$153.00 |
$153.00 |
$153.00 |
$109.50
|
|
Rem interrog evl pm/ids
|
$243.00 |
$243.00 |
$243.00 |
$139.10
|
|
Removal biliary drg cath
|
$2,780.00 |
$2,780.00 |
$2,780.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$2,421.09
|
|
Removal cerclage without anes
|
$586.00 |
$586.00 |
$586.00 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$229.00 |
$229.00 |
$229.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$724.00 |
$724.00 |
$724.00 |
$255.97
|
|
Removal duct glbldr calculi
|
$8,396.00 |
$8,396.00 |
$8,396.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$1,260.80
|
|
Removal of breast lesion
|
$12,531.00 |
$12,531.00 |
$12,531.00 |
$4,631.50
|
|
Removal of eye lesion
|
$4,186.00 |
$4,186.00 |
$4,186.00 |
$2,943.33
|
|
Removal of skin tags each add'l 10
|
$544.00 |
$544.00 |
$544.00 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$16,859.00 |
$16,859.00 |
$16,859.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$724.00 |
$724.00 |
$724.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$191.00 |
$191.00 |
$191.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$95.00 |
$95.00 |
$95.00 |
$93.88
|
|
Removal tunnled intprtnl cath
|
$11,463.00 |
$11,463.00 |
$11,463.00 |
$4,284.80
|
|
Removal w/reinsrt nonbiogrdble
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$530.40
|
|
Remove cva lumen obstruct
|
$526.00 |
$526.00 |
$526.00 |
$494.00
|
|
Remove eyelid lesion
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$536.76
|
|
Remove eyelid lesion
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$1,371.20
|
|
Remove eyelid lesions
|
$3,038.00 |
$3,038.00 |
$3,038.00 |
$1,381.88
|
|
Remove renal tube w/fluoro
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$1,172.80
|
|
Remove ureter stent percut
|
$3,092.00 |
$3,092.00 |
$3,092.00 |
$3,640.89
|
|
Renal function panel
|
$57.00 |
$57.00 |
$57.00 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$790.00 |
$790.00 |
$790.00 |
$442.48
|
|
Repair detached retina
|
$7,823.00 |
$7,823.00 |
$7,823.00 |
$3,468.40
|
|
Repair detached retina crtx
|
$7,609.00 |
$7,609.00 |
$7,609.00 |
$3,786.00
|
|
Repair detached retina pc
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$1,513.20
|
|
Repair elbow perc
|
$6,489.00 |
$6,489.00 |
$6,489.00 |
$4,350.00
|
|
Repair extns tendon finger without grft ea
|
$3,912.00 |
$3,912.00 |
$3,912.00 |
$2,340.00
|
|
Repair eyelid wound
|
$5,408.00 |
$5,408.00 |
$5,408.00 |
$3,254.34
|
|
Repair lip full thkns =<one-half vert height
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$5,471.00 |
$5,471.00 |
$5,471.00 |
$1,928.07
|
|
Repair of eye wound
|
$2,973.00 |
$2,973.00 |
$2,973.00 |
$2,760.73
|
|
Repair of eye wound
|
$7,609.00 |
$7,609.00 |
$7,609.00 |
$2,888.50
|
|
Repair pm/icd lead sgl
|
$10,500.00 |
$10,500.00 |
$10,500.00 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,244.09
|
|
Repair tear ducts
|
$7,577.00 |
$7,577.00 |
$7,577.00 |
$3,115.73
|
|
Repair vagina/perineum
|
$6,494.00 |
$6,494.00 |
$6,494.00 |
$4,096.68
|
|
Replace aortic valve open axillry 33363
|
$17,009.00 |
$17,009.00 |
$17,009.00 |
$17,009.00
|
|
Replace duod/jej tube perc
|
$7,031.00 |
$7,031.00 |
$7,031.00 |
$1,357.60
|
|
Replace eye fluid
|
$7,740.00 |
$7,740.00 |
$7,740.00 |
$3,905.20
|
|
Replace g/c tube perc
|
$6,496.00 |
$6,496.00 |
$6,496.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$7,717.00 |
$7,717.00 |
$7,717.00 |
$1,568.05
|
|
Replace tunneled cv cath
|
$12,036.00 |
$12,036.00 |
$12,036.00 |
$3,724.63
|
|
Reposition pm/icd lead
|
$4,233.00 |
$4,233.00 |
$4,233.00 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$1,905.00 |
$1,905.00 |
$1,905.00 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$4,906.00 |
$4,906.00 |
$4,906.00 |
$3,802.20
|
|
Repos sq defib eltrd
|
$10,552.00 |
$10,552.00 |
$10,552.00 |
$4,306.60
|
