|
Prq trluml revsc ch occ ant
|
$4,506.18 |
$5,034.48 |
$13,524.50 |
|
|
Pr removal drug delivery implant
|
$93.20 |
$183.68 |
$474.40 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$38.60 |
$71.61 |
$496.00 |
|
|
Pr removal intrauterine device
|
$38.72 |
$109.94 |
$197.40 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$107.40 |
$208.95 |
$526.08 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$48.00 |
$121.95 |
$335.92 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$48.00 |
$121.77 |
$335.92 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$65.60 |
$114.30 |
$510.40 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$50.00 |
$114.75 |
$335.92 |
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,052.80 |
$1,052.80 |
$1,095.15 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$250.40 |
$489.72 |
$1,831.68 |
|
|
PSA (Prostate) Test
|
$16.94 |
$76.13 |
$142.08 |
|
|
Psychotherapy group therapy
|
$30.58 |
$91.84 |
$116.48 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$58.56 |
$134.89 |
$171.08 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$58.56 |
$161.54 |
$204.88 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$58.56 |
$58.56 |
$58.56 |
|
|
Psychthrp grp 45-50min mcr
|
$86.50 |
$86.50 |
$86.50 |
|
|
Psycl/nrpsyc tech 1st
|
$76.44 |
$76.44 |
$76.44 |
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$71.61 |
$71.61 |
$71.61 |
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$34.86 |
$34.86 |
$34.86 |
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$38.22 |
$38.22 |
$38.22 |
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$19.74 |
$42.68 |
$85.80 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$15.42 |
$15.42 |
$15.42 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$19.32 |
$50.80 |
$83.25 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$21.84 |
$41.40 |
$56.70 |
|
|
Pt application of modality traction mechanical
|
$19.32 |
$38.16 |
$54.28 |
|
|
Pten gene dup/delet variant
|
$202.40 |
$242.88 |
$526.24 |
|
|
Pten gene full sequence
|
$405.00 |
$486.00 |
$1,053.00 |
|
|
Pten gene known fam variant
|
$31.60 |
$37.92 |
$82.16 |
|
|
Pt evaluation high complexity patient/family
|
$53.02 |
$116.85 |
$223.75 |
|
|
Pt evaluation low complexity patient/family
|
$53.02 |
$116.85 |
$223.75 |
|
|
Pt evaluation moderate complexity patient/family
|
$53.02 |
$116.85 |
$223.75 |
|
|
Pt re-evaluation patient/family
|
$34.44 |
$67.24 |
$113.00 |
|
|
Pt repositioning canalith procedure(s) per day
|
$46.80 |
$49.14 |
$53.82 |
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$22.26 |
$45.84 |
$80.40 |
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$20.46 |
$53.28 |
$104.00 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$23.73 |
$41.40 |
$50.85 |
|
|
Pt wheelchair management each 15 minutes
|
$25.83 |
$44.20 |
$55.35 |
|
|
Pulmonary vent imaging
|
$221.80 |
$327.39 |
$532.80 |
|
|
Pulse ox continuous overnight monitoring
|
$25.60 |
$99.84 |
$207.20 |
|
|
Pulse ox multiple
|
$15.12 |
$108.56 |
$188.80 |
|
|
Pulse ox single
|
$2.42 |
$41.60 |
$52.00 |
|
|
Punc of shunt for asp or inj
|
$188.14 |
$250.60 |
$362.88 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$22.88 |
$37.50 |
$105.30 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$133.00 |
$215.00 |
$526.08 |
|
|
Puncture spinal lumbar diagnostic
|
$203.94 |
$362.88 |
$1,002.88 |
|
|
Pvb thoracic single inj site
|
$232.98 |
$267.96 |
$423.60 |
|
|
Pyridoxine hcl 100 mg
|
$16.82 |
$20.18 |
$67.27 |
|
|
Pyruvate
|
$9.60 |
$22.68 |
$48.60 |
|
|
Pyruvate kinase
|
$7.82 |
$83.79 |
$179.55 |
|
|
Quant diff pulm perf and vent w/imaging
|
$609.80 |
$767.76 |
$839.58 |
|
|
Quant diff pulm perf w/imaging
|
$398.80 |
$458.62 |
$523.00 |
|
|
Quest t3 uptake
|
$13.52 |
$33.20 |
$49.45 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$8,367.11 |
$8,367.11 |
$8,367.11 |
|
|
Radiation handling
|
$150.80 |
$175.26 |
$291.20 |
|
|
Radiation physics consult
|
$215.25 |
$257.00 |
$568.00 |
|
|
Radiation therapy dose plan
|
$151.80 |
$189.75 |
$411.20 |
|
|
Radiation treatment aid(s)
|
$134.40 |
$150.42 |
$511.20 |
|
|
Radiation treatment aid(s)
|
$126.25 |
$172.73 |
$511.20 |
|
|
Radiation treatment aid(s)
|
$213.84 |
$422.40 |
$611.94 |
|
|
Radiation treatment delivery
|
$128.00 |
$150.65 |
$250.53 |
|
|
Radiation treatment delivery
|
$238.60 |
$257.00 |
$547.05 |
|
|
Radiology port images(s)
|
$39.40 |
$48.25 |
$242.80 |
|
|
Radiotherapy dose plan imrt
|
$1,030.26 |
$1,513.17 |
$1,873.20 |
|
|
Radium ra223 dichl ther/uci
|
$39.40 |
$43.47 |
$49.25 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$407.20 |
$653.18 |
$1,187.60 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$546.24 |
$1,056.39 |
$2,388.33 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$871.50 |
$968.30 |
$1,025.00 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$496.96 |
$957.72 |
$1,126.02 |
|
|
Radphm lcl tumor plr sgl day
|
$294.63 |
$379.44 |
$1,120.40 |
|
|
Radphm quant measure sgl area add-on
|
$988.68 |
$1,098.48 |
$1,162.50 |
|
|
Rapid Strep Test
|
$11.66 |
$50.40 |
$100.50 |
|
|
Rb82 rubidium
|
$181.44 |
$181.44 |
$181.44 |
|
|
Rbc count only automated
|
$5.72 |
$13.44 |
$34.23 |
|
|
Rbc deglycerolized each unit
|
$543.03 |
$747.20 |
$754.32 |
|
|
Rbc irradiated each unit
|
$747.20 |
$859.28 |
$1,867.84 |
|
|
Rbc osmotic fragility
|
$5.04 |
$89.60 |
$112.00 |
|
|
Reconstruct shoulder joint
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
|
|
Rectal sensation test
|
$119.02 |
$152.80 |
$216.40 |
|
|
Red blood cells each unit
|
$87.36 |
$252.54 |
$1,245.92 |
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$517.20 |
$517.20 |
$522.27 |
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$240.24 |
$240.24 |
$567.60 |
|
|
Red blood cells leukocytes reduced each unit
|
$56.76 |
$295.78 |
$564.30 |
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$181.28 |
$396.25 |
$824.20 |
|
|
Red blood cells washed each unit
|
$171.08 |
$447.81 |
$672.00 |
|
|
Red cell mass multiple
|
$301.80 |
$301.80 |
$301.80 |
|
|
Redo endovas vena cava filtr
|
$1,405.80 |
$1,616.67 |
$1,757.25 |
|
|
Reduction of procidentia 45900
|
$89.00 |
$89.00 |
$110.75 |
|
|
Refill maint impl spine pump
|
$125.18 |
$125.18 |
$227.60 |
|
|
Refill/maint pump/resvr syst
|
$146.00 |
$167.90 |
$182.50 |
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$243.08 |
$291.70 |
$972.33 |
|
|
Reinforce thigh
|
$1,815.20 |
$1,815.20 |
$1,815.20 |
|
|
Release palm contracture
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
|
|
Relocation skin pocket aicd
|
$1,001.28 |
$1,108.20 |
$1,638.98 |
|
|
Relocation skin pocket pm
|
$688.82 |
$1,001.28 |
$1,561.01 |
|
|
Rem/biv cast full arm/leg
|
$65.60 |
$76.95 |
$394.24 |
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,589.45 |
$1,589.45 |
$1,589.45 |
|
|
Rem endovas vena cava filter
|
$1,339.60 |
$1,616.67 |
$2,462.00 |
|
|
Rem interrog dev eval icpms
|
$24.99 |
$24.99 |
$24.99 |
|
|
Rem interrog dev eval scrms
|
$14.07 |
$14.07 |
$14.07 |
|
