|
Prq card stent/ath/angio
|
$16,471.03 |
$16,471.03 |
$16,471.03 |
$9,418.65
|
|
Prq card stent w/angio addl
|
$10,181.04 |
$10,181.04 |
$10,181.04 |
$7,990.52
|
|
Prq revasc byp graft 1 art and/or branches
|
$9,696.06 |
$9,696.06 |
$9,696.06 |
$13,398.65
|
|
Prq revasc byp graft addl
|
$14,059.70 |
$14,059.70 |
$14,059.70 |
$8,940.00
|
|
Prq tcat plmt ntrac st 1 les
|
$13,574.72 |
$13,574.72 |
$13,574.72 |
$13,239.59
|
|
Prq trlml c athrc st angiop1
|
$17,869.33 |
$17,869.33 |
$17,869.33 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$8,565.03 |
$8,565.03 |
$8,565.03 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$18,957.29 |
$18,957.29 |
$18,957.29 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$9,012.25 |
$9,012.25 |
$9,012.25 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$169.33 |
$169.33 |
$169.33 |
$251.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$948.72 |
$948.72 |
$948.72 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$327.45 |
$327.45 |
$327.45 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$353.41 |
$353.41 |
$353.41 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$288.51 |
$288.51 |
$288.51 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$322.14 |
$322.14 |
$322.14 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$4,070.41 |
$4,070.41 |
$4,070.41 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,178.23 |
$1,178.23 |
$1,178.23 |
$1,720.93
|
|
PSA (Prostate) Test
|
$92.04 |
$92.04 |
$92.04 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$54.28 |
$54.28 |
$54.28 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$65.49 |
$65.49 |
$65.49 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$67.85 |
$67.85 |
$67.85 |
$81.00
|
|
Pt application of modality traction mechanical
|
$117.41 |
$117.41 |
$117.41 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$107.97 |
$107.97 |
$107.97 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$193.52 |
$193.52 |
$193.52 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$107.97 |
$107.97 |
$107.97 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$23,747.50 |
$23,747.50 |
$23,747.50 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$75.52 |
$75.52 |
$75.52 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$116.82 |
$116.82 |
$116.82 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$69.62 |
$69.62 |
$69.62 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$51.92 |
$51.92 |
$51.92 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$46.61 |
$46.61 |
$46.61 |
$87.50
|
|
Pul art balloon repr percut
|
$10,781.66 |
$10,781.66 |
$10,781.66 |
$9,760.40
|
|
Pulse ox continuous overnight monitoring
|
$331.58 |
$331.58 |
$331.58 |
$344.00
|
|
Pulse ox multiple
|
$194.70 |
$194.70 |
$194.70 |
$156.40
|
|
Pulse ox single
|
$66.08 |
$66.08 |
$66.08 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$99.12 |
$99.12 |
$99.12 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$331.58 |
$331.58 |
$331.58 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$805.35 |
$805.35 |
$805.35 |
$1,051.80
|
|
Pvb thoracic 2nd+ inj site
|
$178.77 |
$178.77 |
$178.77 |
$809.20
|
|
Pvb thoracic single inj site
|
$645.46 |
$645.46 |
$645.46 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$6.55 |
$6.55 |
$6.55 |
$48.70
|
|
Pyruvate
|
$92.04 |
$92.04 |
$92.04 |
$66.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,516.30 |
$1,516.30 |
$1,516.30 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$801.81 |
$801.81 |
$801.81 |
$1,199.16
|
|
Quest t3 uptake
|
$60.18 |
$60.18 |
$60.18 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$238.54 |
$238.54 |
$238.54 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$286.56 |
$286.56 |
$286.56 |
$4,262.90
|
|
Radiation physics consult
|
$1,008.90 |
$1,008.90 |
$1,008.90 |
$606.50
|
|
Radiation therapy dose plan
|
$664.34 |
$664.34 |
$664.34 |
$514.05
|
|
Radiation treatment aid(s)
|
$545.16 |
$545.16 |
$545.16 |
$520.00
|
|
Radiation treatment aid(s)
|
$623.04 |
$623.04 |
$623.04 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,298.59 |
$1,298.59 |
$1,298.59 |
$1,076.78
|
|
Radiation treatment delivery
|
$443.68 |
$443.68 |
$443.68 |
$552.40
|
|
Radiation treatment delivery
|
$1,422.49 |
$1,422.49 |
$1,422.49 |
$920.00
|
|
Radiesse injection
|
$1,587.16 |
$1,587.16 |
$1,587.16 |
$1,171.09
|
|
Radiology port images(s)
|
$368.16 |
$368.16 |
$368.16 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$8,046.42 |
$8,046.42 |
$8,046.42 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$185.26 |
$185.26 |
$185.26 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,285.07 |
$2,285.07 |
$2,285.07 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,150.55 |
$2,150.55 |
$2,150.55 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,103.94 |
$2,103.94 |
$2,103.94 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,299.18 |
$1,299.18 |
$1,299.18 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$86.30 |
$86.30 |
$86.30 |
$13,136.04
|
|
Range of motion measurements
|
$90.86 |
$90.86 |
$90.86 |
$60.48
|
|
Rapid Strep Test
|
$34.81 |
$34.81 |
$34.81 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,637.40 |
$2,637.40 |
$2,637.40 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$1,284.65 |
$1,284.65 |
$1,284.65 |
$41,926.70
|
|
Rbc count only automated
|
$38.94 |
$38.94 |
$38.94 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$300.90 |
$300.90 |
$300.90 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$346.92 |
$346.92 |
$346.92 |
$528.45
|
|
Redo endovas vena cava filtr
|
$5,828.02 |
$5,828.02 |
$5,828.02 |
$4,435.43
|
|
Refill maint impl spine pump
|
$284.97 |
$284.97 |
$284.97 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$276.71 |
$276.71 |
$276.71 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$27.82 |
$27.82 |
$27.82 |
$364.47
|
|
Relocation skin pocket aicd
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$2,761.55
|
|
Relocation skin pocket pm
|
$3,921.73 |
$3,921.73 |
$3,921.73 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$161.07 |
$161.07 |
$161.07 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$374.57 |
$374.57 |
$374.57 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$7,621.03 |
$7,621.03 |
$7,621.03 |
$5,509.05
|
|
Removal biliary drg cath
|
$624.81 |
$624.81 |
$624.81 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,705.69 |
$1,705.69 |
$1,705.69 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,391.86 |
$2,391.86 |
$2,391.86 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$70.80 |
$70.80 |
$70.80 |
$163.20
|
|
Removal duct glbldr calculi
|
$2,158.81 |
$2,158.81 |
$2,158.81 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$727.47 |
$727.47 |
$727.47 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$7,766.17 |
$7,766.17 |
$7,766.17 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$197.06 |
$197.06 |
$197.06 |
$292.50
|
|
Removal tunnled intprtnl cath
|
$5,351.89 |
$5,351.89 |
$5,351.89 |
$4,195.00
|
|
Remove cva lumen obstruct
|
$868.48 |
$868.48 |
$868.48 |
$490.80
|
|
Remove nasal foreign body
|
$3,226.12 |
$3,226.12 |
$3,226.12 |
$3,786.00
|
|
Remove renal tube w/fluoro
|
$555.78 |
$555.78 |
$555.78 |
$1,141.31
|
|
Remove spinal canal catheter 62355
|
$2,463.25 |
$2,463.25 |
$2,463.25 |
$2,300.50
|
|
Remove spine eltrd perq aray
|
$2,401.30 |
$2,401.30 |
$2,401.30 |
$3,325.40
|
|
Remove ureter stent percut
|
$1,067.31 |
$1,067.31 |
$1,067.31 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$3,727.62 |
$3,727.62 |
$3,727.62 |
$3,762.53
|
|
Renal cyst study s&i
|
$791.19 |
$791.19 |
$791.19 |
$751.34
|
|
Renal function panel
|
$106.20 |
$106.20 |
$106.20 |
$113.52
|
|
Renal venogram bil s&i
|
$2,230.20 |
$2,230.20 |
$2,230.20 |
$3,615.28
|
|
Repair achilles tendon
|
$4,195.49 |
$4,195.49 |
$4,195.49 |
$7,494.45
|
|
Repair blood vessel direct hand finger
|
$3,540.59 |
$3,540.59 |
$3,540.59 |
$3,898.50
|