|
Prq card stent w/angio addl
|
$2,763.86 |
$2,763.86 |
$5,025.20 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$2,615.80 |
$2,615.80 |
$4,756.00 |
$8,940.00
|
|
Prq trluml c angiop 1art&/br
|
$2,490.84 |
$2,490.84 |
$4,528.80 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$260.92 |
$260.92 |
$474.40 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$272.80 |
$272.80 |
$496.00 |
$251.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$170.50 |
$170.50 |
$310.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$85.58 |
$85.58 |
$155.60 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$74.80 |
$74.80 |
$136.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$280.72 |
$280.72 |
$510.40 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$74.80 |
$74.80 |
$136.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$287.98 |
$287.98 |
$523.60 |
$1,720.93
|
|
PSA (Prostate) Test
|
$16.94 |
$16.94 |
$30.80 |
$107.50
|
|
Psychotherapy group therapy
|
$30.58 |
$30.58 |
$55.60 |
$216.80
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$42.68 |
$42.68 |
$77.60 |
$87.45
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$26.40 |
$26.40 |
$48.00 |
$81.00
|
|
Pt application of modality traction mechanical
|
$28.38 |
$28.38 |
$51.60 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$53.02 |
$53.02 |
$96.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$53.02 |
$53.02 |
$96.40 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$53.02 |
$53.02 |
$96.40 |
$254.88
|
|
Pt re-evaluation patient/family
|
$35.86 |
$35.86 |
$65.20 |
$152.80
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$44.22 |
$44.22 |
$80.40 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$20.46 |
$20.46 |
$37.20 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$27.28 |
$27.28 |
$49.60 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$113.96 |
$113.96 |
$207.20 |
$344.00
|
|
Pulse ox multiple
|
$103.84 |
$103.84 |
$188.80 |
$156.40
|
|
Pulse ox single
|
$2.42 |
$2.42 |
$4.40 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$22.88 |
$22.88 |
$41.60 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$272.80 |
$272.80 |
$496.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$203.94 |
$203.94 |
$370.80 |
$1,051.80
|
|
Pvb thoracic single inj site
|
$232.98 |
$232.98 |
$423.60 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$37.00 |
$37.00 |
$67.27 |
$48.70
|
|
Quest t3 uptake
|
$18.26 |
$18.26 |
$33.20 |
$52.25
|
|
Radiation handling
|
$160.16 |
$160.16 |
$291.20 |
$324.80
|
|
Radiation physics consult
|
$312.40 |
$312.40 |
$568.00 |
$606.50
|
|
Radiation therapy dose plan
|
$226.16 |
$226.16 |
$411.20 |
$514.05
|
|
Radiation treatment aid(s)
|
$281.16 |
$281.16 |
$511.20 |
$520.00
|
|
Radiation treatment aid(s)
|
$281.16 |
$281.16 |
$511.20 |
$644.16
|
|
Radiation treatment aid(s)
|
$213.84 |
$213.84 |
$388.80 |
$1,076.78
|
|
Radiation treatment delivery
|
$242.44 |
$242.44 |
$440.80 |
$920.00
|
|
Radiology port images(s)
|
$133.54 |
$133.54 |
$242.80 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$1,030.26 |
$1,030.26 |
$1,873.20 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$653.18 |
$653.18 |
$1,187.60 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$666.16 |
$666.16 |
$1,211.20 |
$2,728.42
|
|
Radphm lcl tumor plr sgl day
|
$616.22 |
$616.22 |
$1,120.40 |
$1,120.50
|
|
Rapid Strep Test
|
$11.66 |
$11.66 |
$21.20 |
$75.24
|
|
Rbc irradiated each unit
|
$821.92 |
$821.92 |
$1,494.40 |
$560.00
|
|
Rectal sensation test
|
$119.02 |
$119.02 |
$216.40 |
$474.92
|
|
Red blood cells leukocytes reduced each unit
|
$56.76 |
$56.76 |
$103.20 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$181.28 |
$181.28 |
$329.60 |
$528.45
|
|
Refill maint impl spine pump
|
$125.18 |
$125.18 |
$227.60 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$534.78 |
$534.78 |
$972.33 |
$364.47
|
|
Relocation skin pocket pm
|
$688.82 |
$688.82 |
$1,252.40 |
$2,585.00
|
|
Rem endovas vena cava filter
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$5,509.05
|
|
Removal central venous catheter tunneled without port/pump
|
$392.48 |
$392.48 |
$713.60 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$447.26 |
$447.26 |
$813.20 |
$2,356.71
|
|
Removal cerclage w/anes
|
$539.22 |
$539.22 |
$980.40 |
$3,762.53
|
|
Removal cerclage without anes
|
$440.00 |
$440.00 |
$800.00 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$24.64 |
$24.64 |
$44.80 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$46.20 |
$46.20 |
$84.00 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$34.32 |
$34.32 |
$62.40 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$236.50 |
$236.50 |
$430.00 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$4,859.80 |
$4,859.80 |
$8,836.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$46.20 |
$46.20 |
$84.00 |
$292.50
|
|
Removal sutr or stapl no anes
|
$57.42 |
$57.42 |
$104.40 |
$95.00
|
|
Remove renal tube w/fluoro
|
$353.98 |
$353.98 |
$643.60 |
$1,141.31
|
|
Renal cyst study s&i
|
$307.12 |
$307.12 |
$558.40 |
$751.34
|
|
Renal function panel
|
$36.96 |
$36.96 |
$67.20 |
$113.52
|
|
Repair blood vessel direct hand finger
|
$1,078.00 |
$1,078.00 |
$1,960.00 |
$3,898.50
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$259.60 |
$259.60 |
$472.00 |
$1,025.95
|
|
Replace duod/jej tube perc
|
$342.10 |
$342.10 |
$622.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$801.46 |
$801.46 |
$1,457.20 |
$1,341.50
|
|
Replace g-j tube perc
|
$376.20 |
$376.20 |
$684.00 |
$1,498.53
|
|
Reposition pm/icd lead
|
$1,073.16 |
$1,073.16 |
$1,951.20 |
$3,790.00
|
|
Reptilase test
|
$18.26 |
$18.26 |
$33.20 |
$72.00
|
|
Respirator motion mgmt simul
|
$358.82 |
$358.82 |
$652.40 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$9.68 |
$9.68 |
$17.60 |
$45.80
|
|
Resuscitation cardiopulmonary
|
$188.32 |
$188.32 |
$342.40 |
$764.40
|
|
Reticulocyte automated
|
$43.34 |
$43.34 |
$78.80 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$9.68 |
$9.68 |
$17.60 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$5,159.66 |
$5,159.66 |
$9,381.20 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$5,159.66 |
$5,159.66 |
$9,381.20 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$3,226.96 |
$3,226.96 |
$5,867.20 |
$11,320.00
|
|
Revasc lithotrip tibi/perone
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$13,925.00
|
|
Revision tips
|
$3,019.94 |
$3,019.94 |
$5,490.80 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$717.20 |
$717.20 |
$1,304.00 |
$8,869.59
|
|
Rheumatoid factor quantitative
|
$12.32 |
$12.32 |
$22.40 |
$57.00
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,807.34 |
$2,807.34 |
$5,104.26 |
$2,429.37
|
|
Rmvl fb upr arm/elbow deep
|
$991.76 |
$991.76 |
$1,803.20 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$545.60 |
$545.60 |
$992.00 |
$1,822.05
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$11,357.28 |
$11,357.28 |
$20,649.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,759.04 |
$15,759.04 |
$28,652.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$11,357.28 |
$11,357.28 |
$20,649.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,468.28 |
$1,468.28 |
$2,669.60 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$801.46 |
$801.46 |
$1,457.20 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$3,601.62 |
$3,601.62 |
$6,548.40 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,655.68 |
$8,655.68 |
$15,737.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,601.62 |
$3,601.62 |
$6,548.40 |
$10,542.00
|
