|
Radiotherapy dose plan imrt
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$39.40 |
$39.40 |
$39.40 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$407.20 |
$407.20 |
$407.20 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$964.80 |
$964.80 |
$964.80 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$677.00 |
$677.00 |
$677.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$316.20 |
$316.20 |
$316.20 |
$1,120.50
|
|
Rapid Strep Test
|
$50.40 |
$50.40 |
$50.40 |
$75.24
|
|
Rbc deglycerolized each unit
|
$747.20 |
$747.20 |
$747.20 |
$841.75
|
|
Rbc irradiated each unit
|
$747.20 |
$747.20 |
$747.20 |
$560.00
|
|
Rbc osmotic fragility
|
$89.60 |
$89.60 |
$89.60 |
$75.04
|
|
Rectal sensation test
|
$152.80 |
$152.80 |
$152.80 |
$474.92
|
|
Red blood cells each unit
|
$498.40 |
$498.40 |
$498.40 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$517.20 |
$517.20 |
$517.20 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$567.60 |
$567.60 |
$567.60 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$548.00 |
$548.00 |
$548.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$747.20 |
$747.20 |
$747.20 |
$528.45
|
|
Red blood cells washed each unit
|
$617.40 |
$617.40 |
$617.40 |
$572.46
|
|
Red cell mass multiple
|
$301.80 |
$301.80 |
$301.80 |
$636.97
|
|
Redo endovas vena cava filtr
|
$1,405.80 |
$1,405.80 |
$1,405.80 |
$4,435.43
|
|
Reduction of procidentia 45900
|
$89.00 |
$89.00 |
$89.00 |
$1,226.10
|
|
Refill/maint pump/resvr syst
|
$146.00 |
$146.00 |
$146.00 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$243.08 |
$243.08 |
$243.08 |
$364.47
|
|
Relocation skin pocket aicd
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$65.60 |
$65.60 |
$65.60 |
$320.79
|
|
Rem endovas vena cava filter
|
$1,339.60 |
$1,339.60 |
$1,339.60 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$28.20 |
$28.20 |
$28.20 |
$139.10
|
|
Removal biliary drg cath
|
$253.60 |
$253.60 |
$253.60 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$494.60 |
$494.60 |
$494.60 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$577.80 |
$577.80 |
$577.80 |
$2,356.71
|
|
Removal cerclage w/anes
|
$736.00 |
$736.00 |
$736.00 |
$3,762.53
|
|
Removal cerumen impacted (both sides)
|
$29.20 |
$29.20 |
$29.20 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$48.60 |
$48.60 |
$48.60 |
$249.60
|
|
Removal duct glbldr calculi
|
$488.00 |
$488.00 |
$488.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$253.80 |
$253.80 |
$253.80 |
$783.75
|
|
Removal foreign body foot cmplx
|
$880.00 |
$880.00 |
$880.00 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$346.40 |
$346.40 |
$346.40 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$845.80 |
$845.80 |
$845.80 |
$2,301.60
|
|
Removal foreign body mouth
|
$282.80 |
$282.80 |
$282.80 |
$1,424.80
|
|
Removal of foreign body
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$3,994.09
|
|
Removal of scrotum lesion
|
$1,119.80 |
$1,119.80 |
$1,119.80 |
$2,507.31
|
|
Removal/replacement ppm generator dual lead system
|
$9,344.60 |
$9,344.60 |
$9,344.60 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$43.20 |
$43.20 |
$43.20 |
$292.50
|
|
Removal sutr and stapl no anes
|
$56.40 |
$56.40 |
$56.40 |
$82.05
|
|
Removal sutr or stapl no anes
|
$52.20 |
$52.20 |
$52.20 |
$95.00
|
|
Removal tunnled intprtnl cath
|
$794.80 |
$794.80 |
$794.80 |
$4,195.00
|
|
Remove cva lumen obstruct
|
$138.60 |
$138.60 |
$138.60 |
$490.80
|
|
Remove hip foreign body 27086
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$2,094.26
|
|
Remove renal tube w/fluoro
|
$368.60 |
$368.60 |
$368.60 |
$1,141.31
|
|
Remove shoulder fb deep
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$389.20 |
$389.20 |
$389.20 |
$1,788.80
|
|
Remove ureter stent percut
|
$1,291.80 |
$1,291.80 |
$1,291.80 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$1,641.20 |
$1,641.20 |
$1,641.20 |
$3,762.53
|
|
Renal function panel
|
$108.80 |
$108.80 |
$108.80 |
$113.52
|
|
Renal venogram bil s&i
|
$1,637.60 |
$1,637.60 |
$1,637.60 |
$3,615.28
|
|
Repair blood vessel direct hand finger
|
$980.00 |
$980.00 |
$980.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$394.00 |
$394.00 |
$394.00 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$1,789.80 |
$1,789.80 |
$1,789.80 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$126.00 |
$126.00 |
$126.00 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$62.40 |
$62.40 |
$62.40 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$931.00 |
$931.00 |
$931.00 |
$2,224.00
|
|
Repair eyelid wound
|
$1,372.20 |
$1,372.20 |
$1,372.20 |
$2,760.73
|
|
Repair lip full thkns =<one-half vert height
|
$157.00 |
$157.00 |
$157.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$366.80 |
$366.80 |
$366.80 |
$1,928.07
|
|
Repair pm/icd lead dual
|
$3,629.80 |
$3,629.80 |
$3,629.80 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$3,629.80 |
$3,629.80 |
$3,629.80 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$189.40 |
$189.40 |
$189.40 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$296.80 |
$296.80 |
$296.80 |
$1,224.63
|
|
Repair throat wound
|
$570.00 |
$570.00 |
$570.00 |
$1,915.20
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$60.80 |
$60.80 |
$60.80 |
$478.00
|
|
Replace duod/jej tube perc
|
$347.00 |
$347.00 |
$347.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$329.60 |
$329.60 |
$329.60 |
$1,341.50
|
|
Replace g-j tube perc
|
$227.60 |
$227.60 |
$227.60 |
$1,498.53
|
|
Replace picvad cath
|
$1,400.20 |
$1,400.20 |
$1,400.20 |
$3,724.63
|
|
Replace tunneled cv cath
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,417.40 |
$1,417.40 |
$1,417.40 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$1,417.40 |
$1,417.40 |
$1,417.40 |
$3,724.63
|
|
Reptilase test
|
$50.00 |
$50.00 |
$50.00 |
$72.00
|
|
Respirator motion mgmt simul
|
$98.80 |
$98.80 |
$98.80 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$32.40 |
$32.40 |
$32.40 |
$45.80
|
|
#resp virpnl dfa-parainfluenza
|
$24.60 |
$24.60 |
$24.60 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$289.20 |
$289.20 |
$289.20 |
$764.40
|
|
Reticulated platelet assay
|
$24.60 |
$24.60 |
$24.60 |
$75.00
|
|
Reticulocyte automated
|
$47.20 |
$47.20 |
$47.20 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$6.40 |
$6.40 |
$6.40 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$11,193.20 |
$11,193.20 |
$11,193.20 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$12,451.80 |
$12,451.80 |
$12,451.80 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$6,069.20 |
$6,069.20 |
$6,069.20 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$12,590.80 |
$12,590.80 |
$12,590.80 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$16,916.80 |
$16,916.80 |
$16,916.80 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$6,069.20 |
$6,069.20 |
$6,069.20 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$12,500.40 |
$12,500.40 |
$12,500.40 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$19,029.00 |
$19,029.00 |
$19,029.00 |
$19,385.85
|
|
Revision of cervix
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$3,721.00
|
|
Revision of cervix
|
$736.00 |
$736.00 |
$736.00 |
$3,854.76
|
|
Revision tips
|
$5,884.20 |
$5,884.20 |
$5,884.20 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$8,302.20 |
$8,302.20 |
$8,302.20 |
$8,869.59
|
|
Rheumatoid factor quantitative
|
$59.20 |
$59.20 |
$59.20 |
$57.00
|
|
Rho d immune globulin inj
|
$159.80 |
$159.80 |
$159.80 |
$217.71
|
|
Right ventric recording
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$2,345.00
|
