|
Psychotherapy patient individual therapy 30 minutes
|
$134.89 |
$134.89 |
$134.89 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$161.54 |
$161.54 |
$161.54 |
$250.95
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$38.54 |
$38.54 |
$38.54 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$75.85 |
$75.85 |
$75.85 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$51.66 |
$51.66 |
$51.66 |
$80.40
|
|
Pt application of modality traction mechanical
|
$37.72 |
$37.72 |
$37.72 |
$87.00
|
|
Pten gene dup/delet variant
|
$414.92 |
$414.92 |
$414.92 |
$300.00
|
|
Pten gene full sequence
|
$830.25 |
$830.25 |
$830.25 |
$826.00
|
|
Pten gene known fam variant
|
$64.78 |
$64.78 |
$64.78 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$116.85 |
$116.85 |
$116.85 |
$289.50
|
|
Pt evaluation low complexity patient/family
|
$116.85 |
$116.85 |
$116.85 |
$222.56
|
|
Pt evaluation moderate complexity patient/family
|
$116.85 |
$116.85 |
$116.85 |
$249.26
|
|
Pt re-evaluation patient/family
|
$67.24 |
$67.24 |
$67.24 |
$151.51
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$46.33 |
$46.33 |
$46.33 |
$81.34
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$64.37 |
$64.37 |
$64.37 |
$87.10
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$46.33 |
$46.33 |
$46.33 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$50.43 |
$50.43 |
$50.43 |
$86.40
|
|
Pulmonary vent imaging
|
$485.44 |
$485.44 |
$485.44 |
$909.35
|
|
Pulse ox continuous overnight monitoring
|
$63.96 |
$63.96 |
$63.96 |
$350.40
|
|
Punc of shunt for asp or inj
|
$322.67 |
$322.67 |
$322.67 |
$960.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$95.94 |
$95.94 |
$95.94 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$352.60 |
$352.60 |
$352.60 |
$505.20
|
|
Puncture spinal lumbar diagnostic
|
$370.64 |
$370.64 |
$370.64 |
$1,060.47
|
|
Pyruvate
|
$44.28 |
$44.28 |
$44.28 |
$65.00
|
|
Pyruvate kinase
|
$163.59 |
$163.59 |
$163.59 |
$81.20
|
|
Quest t3 uptake
|
$33.21 |
$33.21 |
$33.21 |
$54.60
|
|
Rapid Strep Test
|
$66.83 |
$66.83 |
$66.83 |
$74.52
|
|
Red blood cells each unit
|
$170.56 |
$170.56 |
$170.56 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$514.14 |
$514.14 |
$514.14 |
$437.25
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$434.19 |
$434.19 |
$434.19 |
$523.83
|
|
Rem/biv cast full arm/leg
|
$70.11 |
$70.11 |
$70.11 |
$334.56
|
|
Removal central venous catheter tunneled without port/pump
|
$956.94 |
$956.94 |
$956.94 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$399.34 |
$399.34 |
$399.34 |
$2,412.80
|
|
Removal cerumen impacted (both sides)
|
$23.78 |
$23.78 |
$23.78 |
$166.40
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$583.43 |
$583.43 |
$583.43 |
$241.74
|
|
Removal embedded foreign body vestibule mouth smpl
|
$80.77 |
$80.77 |
$80.77 |
$783.75
|
|
Removal foreign body foot cmplx
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$449.36 |
$449.36 |
$449.36 |
$1,232.40
|
|
Removal foreign body gum 41805
|
$1,733.89 |
$1,733.89 |
$1,733.89 |
$2,199.08
|
|
Removal foreign body mouth
|
$579.74 |
$579.74 |
$579.74 |
$1,424.80
|
|
Removal of breast lesion
|
$2,783.90 |
$2,783.90 |
$2,783.90 |
$4,631.50
|
|
Removal of foreign body
|
$2,923.71 |
$2,923.71 |
$2,923.71 |
$3,994.09
|
|
Removal of hip foreign body 27087
|
$3,631.78 |
$3,631.78 |
$3,631.78 |
$4,313.40
|
|
Removal of scrotum lesion
|
$2,295.59 |
$2,295.59 |
$2,295.59 |
$2,507.31
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$46.33 |
$46.33 |
$46.33 |
$292.50
|
|
Remove hip foreign body 27086
|
$3,040.56 |
$3,040.56 |
$3,040.56 |
$2,292.15
|
|
Remove shoulder fb deep
|
$3,040.56 |
$3,040.56 |
$3,040.56 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$797.86 |
$797.86 |
$797.86 |
$1,788.80
|
|
Remove vaginal foreign body 57415
|
$3,364.46 |
$3,364.46 |
$3,364.46 |
$3,762.53
|
|
Renal function panel
|
$51.25 |
$51.25 |
$51.25 |
$114.37
|
|
Repair blood vessel direct hand finger
|
$1,667.06 |
$1,667.06 |
$1,667.06 |
$3,786.00
|
|
Repair blood vessel dir lower extr
|
$784.74 |
$784.74 |
$784.74 |
$1,694.40
|
|
Repair blood vessel dir upper extr
|
$3,563.72 |
$3,563.72 |
$3,563.72 |
$3,848.26
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$121.36 |
$121.36 |
$121.36 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$123.00 |
$123.00 |
$123.00 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$1,908.55 |
$1,908.55 |
$1,908.55 |
$2,269.00
|
|
Repair eyelid wound
|
$2,813.01 |
$2,813.01 |
$2,813.01 |
$2,760.73
|
|
Repair lip full thkns =<one-half vert height
|
$716.68 |
$716.68 |
$716.68 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$722.83 |
$722.83 |
$722.83 |
$1,910.30
|
|
Repair of digit nerve hand/foot 1 nerve
|
$995.89 |
$995.89 |
$995.89 |
$3,398.40
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$373.51 |
$373.51 |
$373.51 |
$1,026.40
|
|
Repair rpr lip full thickness vermilion only
|
$589.99 |
$589.99 |
$589.99 |
$1,224.63
|
|
Repair throat wound
|
$1,123.40 |
$1,123.40 |
$1,123.40 |
$1,915.20
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$113.57 |
$113.57 |
$113.57 |
$478.00
|
|
Replace duod/jej tube perc
|
$487.08 |
$487.08 |
$487.08 |
$1,354.54
|
|
Replace g/c tube perc
|
$956.94 |
$956.94 |
$956.94 |
$1,273.20
|
|
Reptilase test
|
$78.31 |
$78.31 |
$78.31 |
$74.00
|
|
#resp virpnl dfa-adenovirus
|
$14.35 |
$14.35 |
$14.35 |
$46.80
|
|
Resuscitation cardiopulmonary
|
$431.32 |
$431.32 |
$431.32 |
$751.00
|
|
Reticulocyte automated
|
$80.77 |
$80.77 |
$80.77 |
$52.80
|
|
Revision of cervix
|
$3,341.09 |
$3,341.09 |
$3,341.09 |
$3,760.68
|
|
Rev-rem impl neurostim gen-rec
|
$2,719.94 |
$2,719.94 |
$2,719.94 |
$4,069.59
|
|
Rheumatoid factor qualitative
|
$36.49 |
$36.49 |
$36.49 |
$57.20
|
|
Rheumatoid factor quantitative
|
$36.49 |
$36.49 |
$36.49 |
$56.58
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,615.93 |
$2,615.93 |
$2,615.93 |
$2,429.37
|
|
Rmvl fb upr arm/elbow deep
|
$3,040.56 |
$3,040.56 |
$3,040.56 |
$3,386.84
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$458.79 |
$458.79 |
$458.79 |
$1,822.05
|
|
Rmvl subq card rhythm mntr
|
$803.19 |
$803.19 |
$803.19 |
$1,758.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$3,584.31 |
$3,584.31 |
$3,584.31 |
$6,333.33
|
|
Rsv assay w/optic
|
$36.08 |
$36.08 |
$36.08 |
$82.68
|
|
Rubella antibody igg
|
$88.15 |
$88.15 |
$88.15 |
$76.86
|
|
Rubeola antibody igg
|
$52.89 |
$52.89 |
$52.89 |
$80.00
|
|
Russell viper venom diluted
|
$45.92 |
$45.92 |
$45.92 |
$71.88
|
|
Rx metab gen seq alys pnl 6
|
$217.71 |
$217.71 |
$217.71 |
$917.08
|
|
Salmonella antibody
|
$18.04 |
$18.04 |
$18.04 |
$39.60
|
|
Sarscov coronavirus ag ia
|
$76.26 |
$76.26 |
$76.26 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$205.41 |
$205.41 |
$205.41 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$278.80 |
$278.80 |
$278.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$392.37 |
$392.37 |
$392.37 |
$662.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$290.69 |
$290.69 |
$290.69 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$291.51 |
$291.51 |
$291.51 |
$721.20
|
|
Scan duplex lower extremity arteries complete bilateral
|
$418.20 |
$418.20 |
$418.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$242.72 |
$242.72 |
$242.72 |
$658.45
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$242.72 |
$242.72 |
$242.72 |
$583.20
|
|
Scr c/v cyto,thinlayer,rescr
|
$46.33 |
$46.33 |
$46.33 |
$83.40
|
|
Screening Colonoscopy (average risk)
|
$1,060.26 |
$1,060.26 |
$1,060.26 |
$1,700.40
|
|
Screening Colonoscopy (high risk)
|
$706.43 |
$706.43 |
$706.43 |
$1,864.80
|
|
Screening hepatitis c antibody high risk
|
$137.35 |
$137.35 |
$137.35 |
$90.35
|
|
Screening Mammogram
|
$198.85 |
$198.85 |
$198.85 |
$313.35
|
|
Screening prostate cancer PSA
|
$108.65 |
$108.65 |
$108.65 |
$98.28
|