|
Prq av fstl crtj uxtr 1 acs
|
$17,722.40 |
$30,866.59 |
$30,866.59 |
|
|
Prq av fstl crt uxtr sep acs
|
$18,397.60 |
$30,866.59 |
$30,866.59 |
|
|
Prq card revasc mi 1 vsl
|
$22,596.00 |
$32,350.80 |
$32,350.80 |
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$28,688.00 |
$32,350.80 |
$32,350.80 |
|
|
Prq revasc byp graft 1 art and/or branches
|
$20,723.20 |
$23,119.73 |
$23,119.73 |
|
|
Prq tcat plmt ntrac st 1 les
|
$17,416.80 |
$23,132.78 |
$23,132.78 |
|
|
Prq tcat plmt ntrac st 2+les
|
$21,600.00 |
$31,464.19 |
$31,464.19 |
|
|
Prq trlml c athrc st angiop1
|
$32,285.81 |
$32,285.81 |
$32,285.81 |
|
|
Prq trluml c angiop 1art&/br
|
$9,818.02 |
$9,818.02 |
$13,866.40 |
|
|
Prq trluml c athrc 1 art&/br
|
$21,934.40 |
$25,716.86 |
$25,716.86 |
|
|
Prq trluml revsc ch occ ant
|
$19,342.40 |
$32,350.80 |
$32,350.80 |
|
|
Pr removal drug delivery implant
|
$950.40 |
$3,093.26 |
$3,093.26 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$188.80 |
$268.80 |
$328.00 |
|
|
Pr removal intrauterine device
|
$434.40 |
$626.40 |
$802.40 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$526.40 |
$818.40 |
$1,038.40 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$321.60 |
$374.40 |
$489.60 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$339.20 |
$394.40 |
$509.60 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$308.80 |
$405.79 |
$475.20 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$326.40 |
$451.30 |
$506.40 |
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$5,840.00 |
$5,840.00 |
$5,840.00 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$773.81 |
$1,150.40 |
$1,650.40 |
|
|
PSA (Prostate) Test
|
$29.23 |
$31.73 |
$89.60 |
|
|
Psych/neuropsych test admin automated result 96146
|
$77.90 |
$77.90 |
$77.90 |
|
|
Psychoeducation 45 min +
|
$97.44 |
$112.39 |
$113.12 |
|
|
Psychophysiological therapy
|
$136.90 |
$136.90 |
$136.90 |
|
|
Psychotherapy group therapy
|
$99.85 |
$99.85 |
$1,400.00 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$114.97 |
$114.97 |
$480.00 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$114.97 |
$114.97 |
$520.00 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$114.97 |
$128.80 |
$528.00 |
|
|
Psych test eval svc phys/qhp 1st hr
|
$150.10 |
$221.42 |
$221.42 |
|
|
Psych test eval svc phys/qhp ea addl hr
|
$150.10 |
$221.42 |
$221.42 |
|
|
Psychthrp grp 45-50min mcr
|
$130.03 |
$198.52 |
$198.52 |
|
|
Psycl/nrpsyc tech 1st
|
$75.02 |
$110.66 |
$110.66 |
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$75.02 |
$110.66 |
$110.66 |
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$75.02 |
$110.66 |
$110.66 |
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$75.02 |
$110.66 |
$110.66 |
|
|
Psytx complex interactive
|
$19.44 |
$19.44 |
$19.44 |
|
|
Psytx pt w/e&m 16-37 min
|
$98.83 |
$98.83 |
$98.83 |
|
|
Psytx pt w/e&m 38-52 min
|
$161.86 |
$161.86 |
$161.86 |
|
|
Psytx pt w/e&m 53+ min
|
$259.92 |
$259.92 |
$259.92 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$65.46 |
$81.48 |
$81.48 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$65.46 |
$86.40 |
$144.00 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.40 |
$81.48 |
$117.60 |
|
|
Pt application of modality traction mechanical
|
$65.46 |
$81.48 |
$123.20 |
|
|
Pt repositioning canalith procedure(s) per day
|
$65.46 |
$139.20 |
$164.00 |
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$65.46 |
$81.48 |
$81.48 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$65.46 |
$83.66 |
$118.40 |
|
|
Pt wheelchair management each 15 minutes
|
$65.46 |
$102.40 |
$134.40 |
|
|
Pul art balloon repr percut
|
$5,537.28 |
$5,537.28 |
$5,537.28 |
|
|
Pul art balloon repr percut
|
$2,770.94 |
$2,770.94 |
$2,770.94 |
|
|
Pulmonary vent imaging
|
$576.69 |
$799.29 |
$799.29 |
|
|
Pulse ox continuous overnight monitoring
|
$260.69 |
$368.00 |
$485.60 |
|
|
Pulse ox multiple
|
$121.60 |
$221.23 |
$256.54 |
|
|
Pulse ox single
|
$31.15 |
$46.59 |
$118.40 |
|
|
Punc of shunt for asp or inj
|
$1,400.00 |
$1,790.50 |
$1,790.50 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$57.85 |
$125.60 |
$179.42 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$459.60 |
$536.00 |
$720.00 |
|
|
Puncture spinal lumbar diagnostic
|
$503.47 |
$904.29 |
$1,302.40 |
|
|
Puraply xt 1 sq cm
|
$129.60 |
$151.20 |
$151.20 |
|
|
Pvb thoracic single inj site
|
$1,746.40 |
$1,746.40 |
$1,746.40 |
|
|
Pwr pck base combo vad, rep
|
$12,030.77 |
$14,035.90 |
$14,035.90 |
|
|
Pyridoxine hcl 100 mg
|
$26.55 |
$30.97 |
$69.16 |
|
|
Pyruvate
|
$57.60 |
$57.60 |
$57.60 |
|
|
Quadrilateral brim
|
$443.13 |
$588.62 |
$588.62 |
|
|
Quant diff pulm perf and vent w/imaging
|
$595.10 |
$1,035.16 |
$1,854.40 |
|
|
Quant diff pulm perf w/imaging
|
$1,074.14 |
$1,806.73 |
$1,806.73 |
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
|
|
Quick disconn hook adapter o
|
$902.44 |
$1,198.74 |
$1,198.74 |
|
|
Quinupristin/dalfopristin
|
$783.60 |
$914.20 |
$914.20 |
|
|
Rabies ig heat-treated human im/subq 90376
|
$728.74 |
$1,036.28 |
$1,036.28 |
|
|
Rabies ig ht&sol human im/sc
|
$828.00 |
$4,321.71 |
$4,321.71 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$510.56 |
$4,339.46 |
$5,294.62 |
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$3.60 |
$5.24 |
$12.33 |
|
|
Radiation handling
|
$43.58 |
$75.38 |
$580.80 |
|
|
Radiation physics consult
|
$279.98 |
$488.82 |
$987.20 |
|
|
Radiation therapy dose plan
|
$279.98 |
$489.05 |
$778.40 |
|
|
Radiation treatment aid(s)
|
$279.98 |
$489.05 |
$768.00 |
|
|
Radiation treatment aid(s)
|
$365.47 |
$638.51 |
$953.60 |
|
|
Radiation treatment aid(s)
|
$559.97 |
$978.26 |
$1,766.40 |
|
|
Radiation treatment delivery
|
$513.31 |
$752.80 |
$896.78 |
|
|
Radiation treatment delivery
|
$748.13 |
$1,306.82 |
$4,083.20 |
|
|
Radiology port images(s)
|
$186.72 |
$326.09 |
$572.80 |
|
|
Radiotherapy dose plan imrt
|
$8,612.00 |
$12,885.79 |
$22,491.67 |
|
|
Radium ra223 dichl ther/uci
|
$188.80 |
$306.48 |
$357.56 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,587.12 |
$1,587.12 |
$2,800.00 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,884.77 |
$3,278.24 |
$3,861.60 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$744.00 |
$1,294.05 |
$2,836.80 |
|
|
Radphm lcl tumor plr sgl day
|
$396.82 |
$857.70 |
$1,514.40 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$7,978.48 |
$11,755.20 |
$11,927.14 |
|
|
Range of motion measurements
|
$70.40 |
$139.44 |
$146.61 |
|
|
Rapid desensitization
|
$253.49 |
$253.49 |
$253.49 |
|
|
Rapid Strep Test
|
$25.76 |
$28.22 |
$80.00 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,165.00 |
$7,500.22 |
$8,750.25 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$32,770.01 |
$32,770.01 |
$32,770.01 |
|
|
Rb82 rubidium
|
$673.82 |
$786.13 |
$786.13 |
|
|
Rbc count only automated
|
$12.80 |
$43.01 |
$56.62 |
|
|
Rbc deglycerolized each unit
|
$2,273.71 |
$2,794.12 |
$2,794.12 |
|
|
Rbc irradiated each unit
|
$512.80 |
$1,109.81 |
$1,317.34 |
|
|
Rbc serum pretx incubj drugs
|
$270.72 |
$331.63 |
$350.78 |
|
|
Rechanneling of artery
|
$3,769.63 |
$3,769.63 |
$3,769.63 |
|
