|
Prq av fstl crtj uxtr 1 acs
|
$14,573.00 |
$14,573.00 |
$14,573.00 |
|
|
Prq av fstl crt uxtr sep acs
|
$14,901.25 |
$14,901.25 |
$58,223.20 |
|
|
Prq card revasc mi 1 vsl
|
$10,676.25 |
$10,676.25 |
$25,589.85 |
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$20,244.90 |
$20,244.90 |
$20,244.90 |
|
|
Prq revasc byp graft 1 art and/or branches
|
$11,482.90 |
$11,482.90 |
$20,140.90 |
|
|
Prq tcat plmt ntrac st 1 les
|
$14,674.40 |
$14,674.40 |
$15,092.35 |
|
|
Prq tcat plmt ntrac st 2+les
|
$4,106.70 |
$4,106.70 |
$4,407.00 |
|
|
Prq trlml c athrc st angiop1
|
$20,140.90 |
$20,140.90 |
$21,406.45 |
|
|
Prq trl rvs ch occ ant&rtrgr
|
$7,471.75 |
$7,471.75 |
$16,601.00 |
|
|
Prq trluml c angiop 1art&/br
|
$1,294.80 |
$1,294.80 |
$10,999.30 |
|
|
Prq trluml c athrc 1 art&/br
|
$6,930.30 |
$6,930.30 |
$13,135.85 |
|
|
Prq trluml revsc ch occ ant
|
$17,640.35 |
$17,640.35 |
$21,434.40 |
|
|
Pr removal drug delivery implant
|
$301.60 |
$334.10 |
$3,806.40 |
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$129.75 |
$219.05 |
$310.70 |
|
|
Pr removal intrauterine device
|
$165.00 |
$213.85 |
$16,480.70 |
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$333.75 |
$706.55 |
$15,917.41 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$121.50 |
$357.50 |
$828.45 |
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$98.25 |
$410.80 |
$761.65 |
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$35.75 |
$249.60 |
$899.13 |
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$117.00 |
$352.95 |
$931.45 |
|
|
Pr robotic surgical system
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,847.95 |
$1,847.95 |
$3,218.80 |
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$70.85 |
$70.85 |
$70.85 |
|
|
Pr tube thoracostomy w/connection to drainage open
|
$274.50 |
$611.65 |
$21,931.74 |
|
|
Pr visit complexity e&m service serious/complex condition
|
$18.00 |
$29.25 |
$32.50 |
|
|
PSA (Prostate) Test
|
$46.50 |
$143.65 |
$162.50 |
|
|
Psychotherapy group therapy
|
$30.75 |
$30.75 |
$271.70 |
|
|
Psychotherapy patient individual therapy 30 minutes
|
$78.75 |
$143.65 |
$206.05 |
|
|
Psychotherapy patient individual therapy 45 minutes
|
$102.00 |
$143.65 |
$263.90 |
|
|
Psychotherapy patient individual therapy 60 minutes
|
$146.90 |
$146.90 |
$356.20 |
|
|
Psytx complex interactive
|
$9.75 |
$9.75 |
$9.75 |
|
|
Psytx pt w/e&m 16-37 min
|
$53.25 |
$53.25 |
$115.70 |
|
|
Psytx pt w/e&m 38-52 min
|
$86.25 |
$86.25 |
$154.05 |
|
|
Psytx pt w/e&m 53+ min
|
$138.75 |
$138.75 |
$138.75 |
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$66.30 |
$70.85 |
$99.45 |
|
|
Pt application of modality >=1 area hot/cold packs
|
$31.20 |
$31.20 |
$34.45 |
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$81.90 |
$101.40 |
$161.20 |
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.40 |
$72.15 |
$99.45 |
|
|
Pt application of modality traction mechanical
|
$51.35 |
$81.25 |
$111.80 |
|
|
Pt evaluation high complexity patient/family
|
$105.30 |
$338.00 |
$593.45 |
|
|
Pt evaluation low complexity patient/family
|
$105.30 |
$310.70 |
$479.05 |
|
|
Pt evaluation moderate complexity patient/family
|
$105.30 |
$324.35 |
$503.75 |
|
|
Pt init/spiromet rec/review/interp 94016
|
$66.00 |
$66.00 |
$66.00 |
|
|
Pt re-evaluation patient/family
|
$74.75 |
$247.65 |
$406.90 |
|
|
Pt repositioning canalith procedure(s) per day
|
$102.05 |
$102.05 |
$102.05 |
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$89.70 |
$89.70 |
$89.70 |
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$66.95 |
$80.60 |
$118.30 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$44.20 |
$62.40 |
$79.30 |
|
|
Pt wheelchair management each 15 minutes
|
$52.00 |
$79.30 |
$90.35 |
|
|
Pulmonary vent imaging
|
$724.10 |
$921.05 |
$1,206.40 |
|
|
Pulse ox continuous overnight monitoring
|
$69.75 |
$240.50 |
$482.30 |
|
|
Pulse ox multiple
|
$13.50 |
$128.05 |
$163.15 |
|
|
Pulse ox single
|
$59.80 |
$66.95 |
$68.90 |
|
|
Punc of shunt for asp or inj
|
$427.05 |
$1,221.87 |
$2,224.71 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$425.10 |
$999.05 |
$4,221.10 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$76.70 |
$263.25 |
$466.05 |
|
|
Puncture/clear windpipe 31612
|
$11,705.30 |
$11,705.30 |
$11,705.30 |
|
|
Puncture spinal lumbar diagnostic
|
$313.30 |
$399.75 |
$34,770.67 |
|
|
Pvb thoracic 2nd+ inj site
|
$1,535.95 |
$1,535.95 |
$1,535.95 |
|
|
Pyridoxine hcl 100 mg
|
$74.87 |
$74.87 |
$80.50 |
|
|
Pyruvate
|
$74.75 |
$97.50 |
$153.40 |
|
|
Quant diff pulm perf and vent w/imaging
|
$1,845.35 |
$1,845.35 |
$3,924.05 |
|
|
Quant diff pulm perf w/imaging
|
$834.60 |
$1,277.25 |
$1,985.75 |
|
|
Quest t3 uptake
|
$22.50 |
$68.25 |
$72.15 |
|
|
Rabies ig ht&sol human im/sc
|
$1,696.29 |
$1,696.29 |
$1,696.29 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,358.03 |
$1,691.90 |
$6,767.57 |
|
|
Radiation handling
|
$315.25 |
$315.25 |
$315.25 |
|
|
Radiation physics consult
|
$31,252.00 |
$31,252.00 |
$44,606.25 |
|
|
Radiation therapy dose plan
|
$34,808.15 |
$34,808.15 |
$46,314.58 |
|
|
Radiation treatment aid(s)
|
$28,679.95 |
$28,679.95 |
$61,327.50 |
|
|
Radiation treatment aid(s)
|
$30,334.85 |
$30,334.85 |
$30,334.85 |
|
|
Radiation treatment aid(s)
|
$32,559.80 |
$32,559.80 |
$43,001.40 |
|
|
Radiation treatment delivery
|
$5,985.20 |
$5,985.20 |
$5,985.20 |
|
|
Radiation treatment delivery
|
$619.45 |
$619.45 |
$10,626.85 |
|
|
Radiation treatment delivery
|
$21,721.70 |
$21,721.70 |
$23,122.45 |
|
|
Radiology port images(s)
|
$23,399.35 |
$23,399.35 |
$35,483.71 |
|
|
Radiotherapy dose plan imrt
|
$36,631.40 |
$36,631.40 |
$48,826.70 |
|
|
Radium ra223 dichl ther/uci
|
$265.20 |
$265.20 |
$300.30 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,015.95 |
$1,015.95 |
$3,965.00 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,161.55 |
$1,161.55 |
$1,866.15 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,710.50 |
$2,710.50 |
$3,162.90 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,307.80 |
$1,692.60 |
$29,489.78 |
|
|
Radphm lcl tumor plr sgl day
|
$3,680.95 |
$3,680.95 |
$7,293.65 |
|
|
Radphm quant measure sgl area add-on
|
$1,270.10 |
$1,270.10 |
$1,270.10 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$3,987.54 |
$12,384.61 |
$18,573.02 |
|
|
Rapid Strep Test
|
$29.25 |
$72.15 |
$106.60 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,180.22 |
$2,725.28 |
$10,937.45 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$14,586.99 |
$14,586.99 |
$39,901.12 |
|
|
Rbc count only automated
|
$9.75 |
$28.60 |
$40.95 |
|
|
Rbc deglycerolized each unit
|
$455.65 |
$915.20 |
$1,859.00 |
|
|
Rbc irradiated each unit
|
$343.85 |
$350.35 |
$510.25 |
|
|
Rbc serum pretx incubj drugs
|
$130.65 |
$130.65 |
$197.60 |
|
|
Rebuild eardrum structures
|
$12,597.77 |
$12,597.77 |
$12,597.77 |
|
|
Rebuild eardrum structures
|
$13,799.64 |
$13,799.64 |
$13,799.64 |
|
|
Rebuild outer ear canal
|
$14,269.72 |
$14,269.72 |
$14,269.72 |
|
|
Rebuild outer ear canal
|
$19,711.46 |
$19,711.46 |
$19,711.46 |
|
|
Reconstruction of nose
|
$4,984.95 |
$4,984.95 |
$4,984.95 |
|
|
Reconstruction of throat
|
$12,635.08 |
$12,635.08 |
$12,635.08 |
|
|
Reconstruct lip w/local flap 40525
|
$12,024.17 |
$12,024.17 |
$12,024.17 |
|
|
Red blood cells each unit
|
$299.00 |
$353.60 |
$380.25 |
|
