|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$422.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,753.28
|
|
Prtl exc bone olecrn process
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,819.82
|
|
Prtl exc bone radial h/n
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,855.00
|
|
Prtl exchange transfuse nb
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$511.35
|
|
Prtl excision bone clavicle
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Prtl excision bone scapula
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,110.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,790.60
|
|
PSA (Prostate) Test
|
$20.23 |
$20.23 |
$20.23 |
$109.35
|
|
Psychotherapy group therapy
|
$87.51 |
$87.51 |
$87.51 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$97.68 |
$97.68 |
$97.68 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$109.76 |
$109.76 |
$109.76 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$120.14 |
$120.14 |
$120.14 |
$294.45
|
|
Psytx pt w/e&m 16-37 min
|
$61.02 |
$61.02 |
$61.02 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$77.55 |
$77.55 |
$77.55 |
$158.40
|
|
Psytx pt w/e&m 53+ min
|
$84.54 |
$84.54 |
$84.54 |
$183.00
|
|
Pten gene dup/delet variant
|
$330.00 |
$330.00 |
$330.00 |
$330.00
|
|
Pten gene full sequence
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Pten gene known fam variant
|
$51.26 |
$51.26 |
$51.26 |
$127.86
|
|
Pterygomaxillary fossa surg any appr 31040
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,741.00
|
|
Pul art balloon repr percut
|
$3,449.52 |
$3,449.52 |
$3,449.52 |
$10,651.06
|
|
Pul art balloon repr percut
|
$776.18 |
$776.18 |
$776.18 |
$4,144.17
|
|
Pulm ds ipf mrna 190 gen alg
|
$6,050.00 |
$6,050.00 |
$6,050.00 |
$5,445.00
|
|
Pulmonary vent imaging
|
$299.41 |
$299.41 |
$299.41 |
$845.28
|
|
Punc of shunt for asp or inj
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$525.50
|
|
Puncture/clear windpipe 31612
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,837.72
|
|
Puncture spinal lumbar diagnostic
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,134.64
|
|
Puraply 1 sq cm
|
$590.59 |
$590.59 |
$590.59 |
$1,431.49
|
|
Pvb thoracic cont infusion
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,047.68
|
|
Pvb thoracic single inj site
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,189.08
|
|
Pyruvate
|
$15.93 |
$15.93 |
$15.93 |
$65.00
|
|
Pyruvate kinase
|
$10.38 |
$10.38 |
$10.38 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$536.95 |
$536.95 |
$536.95 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$501.35 |
$501.35 |
$501.35 |
$1,209.44
|
|
Quest t3 uptake
|
$7.12 |
$7.12 |
$7.12 |
$56.10
|
|
Radiation handling
|
$183.08 |
$183.08 |
$183.08 |
$331.89
|
|
Radiation physics consult
|
$355.78 |
$355.78 |
$355.78 |
$574.75
|
|
Radiation therapy dose plan
|
$248.34 |
$248.34 |
$248.34 |
$530.53
|
|
Radiation treatment aid(s)
|
$268.90 |
$268.90 |
$268.90 |
$541.45
|
|
Radiation treatment aid(s)
|
$369.97 |
$369.97 |
$369.97 |
$665.00
|
|
Radiation treatment aid(s)
|
$691.00 |
$691.00 |
$691.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$154.26 |
$154.26 |
$154.26 |
$552.40
|
|
Radiation treatment delivery
|
$607.72 |
$607.72 |
$607.72 |
$909.98
|
|
Radical resection of elbow
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$7,626.53
|
|
Radic resect abd tumor<5cm 22904
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,386.84
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,460.78
|
|
Radiology port images(s)
|
$176.30 |
$176.30 |
$176.30 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$3,459.26 |
$3,459.26 |
$3,459.26 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$89.63 |
$89.63 |
$89.63 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$544.79 |
$544.79 |
$544.79 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,197.02 |
$1,197.02 |
$1,197.02 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$903.11 |
$903.11 |
$903.11 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$659.85 |
$659.85 |
$659.85 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$451.77 |
$451.77 |
$451.77 |
$1,139.40
|
|
Rad rescj tum dstl/shft hum
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,994.09
|
|
Rad rescj tum tiss a/e 5 cm+
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,460.78
|
|
Rad rescj tum tiss a/e <5cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,986.00
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,386.84
|
|
Rad resect abd tumor 5 cm/>
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,167.89
|
|
Rad resect hand tumor 3 cm/>
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,386.84
|
|
Rad resection tum radial h/n
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$7,807.24
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,167.89
|
|
Rapid Strep Test
|
$18.18 |
$18.18 |
$18.18 |
$74.10
|
|
Rbc count only automated
|
$3.32 |
$3.32 |
$3.32 |
$20.00
|
|
Rbc deglycerolized each unit
|
$339.25 |
$339.25 |
$339.25 |
$841.75
|
|
Rbc depletion of harvest
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,673.75
|
|
Rbc mechanical fragility
|
$9.46 |
$9.46 |
$9.46 |
$9.46
|
|
Rbc osmotic fragility
|
$8.22 |
$8.22 |
$8.22 |
$65.52
|
|
Rbc serum pretx incubj drugs
|
$109.76 |
$109.76 |
$109.76 |
$223.08
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,741.00
|
|
Rdctj forehead cntrg only
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Rdctj forehead cntrg&setback
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,311.00
|
|
Realignment of tendons
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,591.33
|
|
Rebuild eardrum structures
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,553.49
|
|
Rebuild eardrum structures
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,547.81
|
|
Rebuild eardrum structures
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,771.20
|
|
Rebuild outer ear canal
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,017.08
|
|
Rebuild outer ear canal
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,839.00
|
|
Reconst lwr jaw w/fixation
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,553.49
|
|
Reconst lwr jaw w/graft
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,553.49
|
|
Reconst lwr jaw without fixation
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,419.00
|
|
Reconst lwr jaw without graft
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Reconstr lwr jaw segment
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Reconstr lwr jaw w/advance
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,311.00
|
|
Reconstruct ankle joint
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,741.00
|
|
Reconstruct cleft foot
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$7,907.11
|
|
Reconstruct cleft palate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,493.56
|
|
Reconstruct cleft palate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,837.72
|
|
Reconstruct cleft palate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,289.89
|
|
Reconstruct cleft palate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,419.00
|
|
Reconstruct cleft palate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Reconstruct cleft palate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,419.00
|
|
Reconstruct elbow joint
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,855.00
|
