|
Prq card revasc mi 1 vsl drug-eluting
|
$8,387.99 |
$8,387.99 |
$8,387.99 |
$20,854.53
|
|
Prq card stent/ath/angio
|
$6,878.16 |
$6,878.16 |
$6,878.16 |
$9,161.65
|
|
Prq card stent w/angio addl
|
$7,708.00 |
$7,708.00 |
$7,708.00 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$6,878.16 |
$6,878.16 |
$6,878.16 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$6,878.16 |
$6,878.16 |
$6,878.16 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$7,708.00 |
$7,708.00 |
$7,708.00 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$6,878.16 |
$6,878.16 |
$6,878.16 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$4,781.01 |
$4,781.01 |
$4,781.01 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$9,562.23 |
$9,562.23 |
$9,562.23 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$6,878.16 |
$6,878.16 |
$6,878.16 |
$16,678.62
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$91.43 |
$91.43 |
$91.43 |
$377.45
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,167.68 |
$1,167.68 |
$1,167.68 |
$2,753.28
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,143.29 |
$1,143.29 |
$1,143.29 |
$1,790.60
|
|
PSA (Prostate) Test
|
$81.59 |
$81.59 |
$81.59 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$28.29 |
$28.29 |
$28.29 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$47.36 |
$47.36 |
$47.36 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$75.65 |
$75.65 |
$75.65 |
$82.55
|
|
Pt application of modality traction mechanical
|
$47.97 |
$47.97 |
$47.97 |
$88.20
|
|
Pten gene dup/delet variant
|
$115.62 |
$115.62 |
$115.62 |
$330.00
|
|
Pten gene full sequence
|
$115.62 |
$115.62 |
$115.62 |
$660.00
|
|
Pt evaluation high complexity patient/family
|
$187.37 |
$187.37 |
$187.37 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$122.39 |
$122.39 |
$122.39 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$149.24 |
$149.24 |
$149.24 |
$263.90
|
|
Pt re-evaluation patient/family
|
$99.84 |
$99.84 |
$99.84 |
$157.30
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$31.57 |
$31.57 |
$31.57 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$28.29 |
$28.29 |
$28.29 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$29.73 |
$29.73 |
$29.73 |
$85.00
|
|
Pulmonary vent imaging
|
$638.78 |
$638.78 |
$638.78 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$1,039.97 |
$1,039.97 |
$1,039.97 |
$368.00
|
|
Pulse ox multiple
|
$208.08 |
$208.08 |
$208.08 |
$194.33
|
|
Pulse ox single
|
$135.10 |
$135.10 |
$135.10 |
$88.63
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$362.24 |
$362.24 |
$362.24 |
$842.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$74.01 |
$74.01 |
$74.01 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$682.24 |
$682.24 |
$682.24 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$720.37 |
$720.37 |
$720.37 |
$1,134.64
|
|
Puraply 1 sq cm
|
$6,553.44 |
$6,553.44 |
$6,553.44 |
$3,953.40
|
|
Pyridoxine hcl 100 mg
|
$10.46 |
$10.46 |
$10.46 |
$43.51
|
|
Pyruvate
|
$56.58 |
$56.58 |
$56.58 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$521.73 |
$521.73 |
$521.73 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$273.06 |
$273.06 |
$273.06 |
$1,209.44
|
|
Quest t3 uptake
|
$20.71 |
$20.71 |
$20.71 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,196.18 |
$1,196.18 |
$1,196.18 |
$3,213.80
|
|
Radiation physics consult
|
$101.89 |
$101.89 |
$101.89 |
$574.75
|
|
Radiation therapy dose plan
|
$101.89 |
$101.89 |
$101.89 |
$530.53
|
|
Radiation treatment aid(s)
|
$190.86 |
$190.86 |
$190.86 |
$1,103.09
|
|
Radiation treatment delivery
|
$51.66 |
$51.66 |
$51.66 |
$552.40
|
|
Radiation treatment delivery
|
$99.84 |
$99.84 |
$99.84 |
$909.98
|
|
Radiology port images(s)
|
$31.78 |
$31.78 |
$31.78 |
$260.07
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,041.20 |
$1,041.20 |
$1,041.20 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,830.24 |
$1,830.24 |
$1,830.24 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,095.93 |
$1,095.93 |
$1,095.93 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,095.93 |
$1,095.93 |
$1,095.93 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$1,095.93 |
$1,095.93 |
$1,095.93 |
$678.81
|
|
Rapid Strep Test
|
$37.93 |
$37.93 |
$37.93 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,151.90 |
$1,151.90 |
$1,151.90 |
$2,789.64
|
|
Rb82 rubidium
|
$59.66 |
$59.66 |
$59.66 |
$520.00
|
|
Rbc count only automated
|
$4.72 |
$4.72 |
$4.72 |
$20.00
|
|
Rbc osmotic fragility
|
$4.72 |
$4.72 |
$4.72 |
$79.66
|
|
Rbc serum pretx incubj drugs
|
$112.96 |
$112.96 |
$112.96 |
$223.08
|
|
Red blood cells each unit
|
$219.97 |
$219.97 |
$219.97 |
$389.40
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$359.57 |
$359.57 |
$359.57 |
$850.85
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$664.82 |
$664.82 |
$664.82 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$164.21 |
$164.21 |
$164.21 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$185.53 |
$185.53 |
$185.53 |
$534.15
|
|
Red blood cells washed each unit
|
$219.97 |
$219.97 |
$219.97 |
$583.68
|
|
Redo endovas vena cava filtr
|
$6,021.47 |
$6,021.47 |
$6,021.47 |
$4,397.96
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$237.39 |
$237.39 |
$237.39 |
$468.96
|
|
Relocation skin pocket aicd
|
$1,403.64 |
$1,403.64 |
$1,403.64 |
$3,153.93
|
|
Relocation skin pocket pm
|
$1,647.18 |
$1,647.18 |
$1,647.18 |
$2,939.25
|
|
Remdesivir 100 mg intravenous powder for solution
|
$574.41 |
$574.41 |
$574.41 |
$1,560.00
|
|
Rem endovas vena cava filter
|
$5,868.95 |
$5,868.95 |
$5,868.95 |
$5,819.40
|
|
Removal biliary drg cath
|
$2,128.93 |
$2,128.93 |
$2,128.93 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$1,709.91 |
$1,709.91 |
$1,709.91 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,941.14 |
$2,941.14 |
$2,941.14 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$110.09 |
$110.09 |
$110.09 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$64.78 |
$64.78 |
$64.78 |
$245.60
|
|
Removal duct glbldr calculi
|
$1,136.32 |
$1,136.32 |
$1,136.32 |
$2,946.00
|
|
Removal foreign body foot subcutaneous right
|
$547.97 |
$547.97 |
$547.97 |
$1,256.00
|
|
Removal of foreign body
|
$2,181.61 |
$2,181.61 |
$2,181.61 |
$4,149.00
|
|
Removal/replacement ppm generator dual lead system
|
$16,794.63 |
$16,794.63 |
$16,794.63 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$1,796.42 |
$1,796.42 |
$1,796.42 |
$4,293.90
|
|
Remove cva lumen obstruct
|
$572.77 |
$572.77 |
$572.77 |
$494.00
|
|
Remove electrode/thoracotomy
|
$1,402.82 |
$1,402.82 |
$1,402.82 |
$3,598.40
|
|
Remove electrode/thoracotomy
|
$1,402.82 |
$1,402.82 |
$1,402.82 |
$2,293.60
|
|
Remove electrode/thoracotomy 33236
|
$1,402.82 |
$1,402.82 |
$1,402.82 |
$1,273.80
|
|
Remove eltrd/thoracotomy 33243
|
$2,284.93 |
$2,284.93 |
$2,284.93 |
$3,344.00
|
|
Remove renal tube w/fluoro
|
$605.16 |
$605.16 |
$605.16 |
$1,281.75
|
|
Remove ureter stent percut
|
$1,717.90 |
$1,717.90 |
$1,717.90 |
$3,525.30
|
|
Renal cyst study s&i
|
$291.31 |
$291.31 |
$291.31 |
$648.84
|
|
Renal function panel
|
$93.89 |
$93.89 |
$93.89 |
$110.10
|
|
Renal venogram bil s&i
|
$1,301.96 |
$1,301.96 |
$1,301.96 |
$3,615.28
|
|
Repair pm/icd lead dual
|
$2,357.30 |
$2,357.30 |
$2,357.30 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$2,357.30 |
$2,357.30 |
$2,357.30 |
$4,343.82
|
|
Replace duod/jej tube perc
|
$373.92 |
$373.92 |
$373.92 |
$1,383.00
|
|
Replace g/c tube perc
|
$601.68 |
$601.68 |
$601.68 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,979.69 |
$1,979.69 |
$1,979.69 |
$1,600.45
|
|
Replace picvad cath
|
$1,029.31 |
$1,029.31 |
$1,029.31 |
$3,724.63
|
|
Replace tunneled cv cath
|
$1,488.10 |
$1,488.10 |
$1,488.10 |
$4,001.25
|
|
Reposition pm/icd lead
|
$1,603.10 |
$1,603.10 |
$1,603.10 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$1,231.44 |
$1,231.44 |
$1,231.44 |
$1,905.00
|