|
Prq cardiac angio addl art
|
$5,080.35 |
$5,080.35 |
$5,080.35 |
$5,655.72
|
|
Prq card revasc chronic addl
|
$9,208.10 |
$9,208.10 |
$9,208.10 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$8,467.25 |
$8,467.25 |
$8,467.25 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$10,420.85 |
$10,420.85 |
$10,420.85 |
$18,340.14
|
|
Prq card stent w/angio addl
|
$5,275.60 |
$5,275.60 |
$5,275.60 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$8,467.25 |
$8,467.25 |
$8,467.25 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$7,673.05 |
$7,673.05 |
$7,673.05 |
$11,251.88
|
|
Prq skel fix sprcndlr hum fx
|
$5,781.60 |
$5,781.60 |
$5,781.60 |
$6,731.17
|
|
Prq tcat plmt ntrac st 1 les
|
$13,547.05 |
$13,547.05 |
$13,547.05 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$11,723.25 |
$11,723.25 |
$11,723.25 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$8,490.35 |
$8,490.35 |
$8,490.35 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$11,072.05 |
$11,072.05 |
$11,072.05 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$9,769.65 |
$9,769.65 |
$9,769.65 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$623.70 |
$623.70 |
$623.70 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$302.50 |
$302.50 |
$302.50 |
$280.79
|
|
Pr removal intrauterine device
|
$531.85 |
$531.85 |
$531.85 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$697.40 |
$697.40 |
$697.40 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$756.25 |
$756.25 |
$756.25 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$581.35 |
$581.35 |
$581.35 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$667.70 |
$667.70 |
$667.70 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$4,580.95 |
$4,580.95 |
$4,580.95 |
$2,753.28
|
|
Prtl exchange transfuse nb
|
$537.90 |
$537.90 |
$537.90 |
$511.35
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,561.45 |
$1,561.45 |
$1,561.45 |
$1,790.60
|
|
PSA (Prostate) Test
|
$57.75 |
$57.75 |
$57.75 |
$109.35
|
|
Psychoeducation 45 min +
|
$218.90 |
$218.90 |
$218.90 |
$198.90
|
|
Psychotherapy group therapy
|
$394.90 |
$394.90 |
$394.90 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$178.75 |
$178.75 |
$178.75 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$167.75 |
$167.75 |
$167.75 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$234.85 |
$234.85 |
$234.85 |
$294.45
|
|
Psych test eval svc phys/qhp 1st hr
|
$335.50 |
$335.50 |
$335.50 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$262.35 |
$262.35 |
$262.35 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$429.00 |
$429.00 |
$429.00 |
$227.70
|
|
Psytx complex interactive
|
$26.40 |
$26.40 |
$26.40 |
$45.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$87.45 |
$87.45 |
$87.45 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$74.25 |
$74.25 |
$74.25 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$92.40 |
$92.40 |
$92.40 |
$82.55
|
|
Pt application of modality traction mechanical
|
$80.85 |
$80.85 |
$80.85 |
$88.20
|
|
Pten gene dup/delet variant
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$330.00
|
|
Pten gene full sequence
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$660.00
|
|
Pten gene known fam variant
|
$400.40 |
$400.40 |
$400.40 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$387.75 |
$387.75 |
$387.75 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$192.50 |
$192.50 |
$192.50 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$207.90 |
$207.90 |
$207.90 |
$263.90
|
|
Pt re-evaluation patient/family
|
$254.65 |
$254.65 |
$254.65 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$80.85 |
$80.85 |
$80.85 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$97.90 |
$97.90 |
$97.90 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$75.90 |
$75.90 |
$75.90 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$80.30 |
$80.30 |
$80.30 |
$80.85
|
|
Pulmonary vent imaging
|
$574.75 |
$574.75 |
$574.75 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$437.25 |
$437.25 |
$437.25 |
$368.00
|
|
Pulse ox multiple
|
$272.25 |
$272.25 |
$272.25 |
$194.33
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$327.44 |
$327.44 |
$327.44 |
$898.88
|
|
Punc of shunt for asp or inj
|
$1,606.55 |
$1,606.55 |
$1,606.55 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$188.65 |
$188.65 |
$188.65 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$954.80 |
$954.80 |
$954.80 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$2,323.75 |
$2,323.75 |
$2,323.75 |
$1,134.64
|
|
Puraply 1 sq cm
|
$2,733.30 |
$2,733.30 |
$2,733.30 |
$8,176.14
|
|
Pvb thoracic 2nd+ inj site
|
$1,736.90 |
$1,736.90 |
$1,736.90 |
$1,013.20
|
|
Pvb thoracic cont infusion
|
$1,467.40 |
$1,467.40 |
$1,467.40 |
$2,047.68
|
|
Pvb thoracic single inj site
|
$1,467.40 |
$1,467.40 |
$1,467.40 |
$1,189.08
|
|
Pyruvate
|
$33.00 |
$33.00 |
$33.00 |
$65.00
|
|
Pyruvate kinase
|
$40.70 |
$40.70 |
$40.70 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,014.75 |
$1,014.75 |
$1,014.75 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$950.95 |
$950.95 |
$950.95 |
$1,209.44
|
|
Quest t3 uptake
|
$61.60 |
$61.60 |
$61.60 |
$56.10
|
|
Radiation handling
|
$221.65 |
$221.65 |
$221.65 |
$331.89
|
|
Radiation physics consult
|
$574.75 |
$574.75 |
$574.75 |
$574.75
|
|
Radiation therapy dose plan
|
$572.00 |
$572.00 |
$572.00 |
$530.53
|
|
Radiation treatment aid(s)
|
$482.90 |
$482.90 |
$482.90 |
$541.45
|
|
Radiation treatment aid(s)
|
$745.80 |
$745.80 |
$745.80 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$366.30 |
$366.30 |
$366.30 |
$552.40
|
|
Radiation treatment delivery
|
$745.25 |
$745.25 |
$745.25 |
$909.98
|
|
Radiology port images(s)
|
$312.95 |
$312.95 |
$312.95 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$7,043.85 |
$7,043.85 |
$7,043.85 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$193.60 |
$193.60 |
$193.60 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,250.15 |
$1,250.15 |
$1,250.15 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,047.65 |
$2,047.65 |
$2,047.65 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,494.35 |
$1,494.35 |
$1,494.35 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$711.70 |
$711.70 |
$711.70 |
$1,139.40
|
|
Rapid Strep Test
|
$52.25 |
$52.25 |
$52.25 |
$74.10
|
|
Rbc count only automated
|
$9.35 |
$9.35 |
$9.35 |
$20.00
|
|
Rbc deglycerolized each unit
|
$627.00 |
$627.00 |
$627.00 |
$724.23
|
|
Rbc serum pretx incubj drugs
|
$252.45 |
$252.45 |
$252.45 |
$223.08
|
|
Reconstruction of nail bed
|
$2,319.35 |
$2,319.35 |
$2,319.35 |
$2,164.64
|
|
Red blood cells each unit
|
$214.50 |
$214.50 |
$214.50 |
$353.60
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$371.25 |
$371.25 |
$371.25 |
$618.80
|
|
Red blood cells leukocytes reduced each unit
|
$224.95 |
$224.95 |
$224.95 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$284.35 |
$284.35 |
$284.35 |
$489.60
|
|
Red blood cells washed each unit
|
$553.30 |
$553.30 |
$553.30 |
$494.40
|
|
Redo endovas vena cava filtr
|
$3,037.65 |
$3,037.65 |
$3,037.65 |
$4,397.96
|
|
Reduction of procidentia 45900
|
$1,075.80 |
$1,075.80 |
$1,075.80 |
$1,105.02
|
|
Relocation skin pocket aicd
|
$2,761.55 |
$2,761.55 |
$2,761.55 |
$3,153.93
|
|
Relocation skin pocket pm
|
$3,106.95 |
$3,106.95 |
$3,106.95 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$414.70 |
$414.70 |
$414.70 |
$370.80
|
|
Rem endovas vena cava filter
|
$4,736.05 |
$4,736.05 |
$4,736.05 |
$5,819.40
|
|
Rem interrog evl pm/ids
|
$144.65 |
$144.65 |
$144.65 |
$139.10
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$407.00 |
$407.00 |
$407.00 |
$153.27
|
