|
Pt re-evaluation patient/family
|
$86.04 |
$86.04 |
$86.04 |
$154.40
|
|
Pt repositioning canalith procedure(s) per day
|
$46.75 |
$46.75 |
$46.75 |
$129.46
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$15.57 |
$15.57 |
$15.57 |
$76.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$37.06 |
$37.06 |
$37.06 |
$86.80
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$38.63 |
$38.63 |
$38.63 |
$80.40
|
|
Pt wheelchair management each 15 minutes
|
$39.57 |
$39.57 |
$39.57 |
$85.00
|
|
Pul art balloon repr percut
|
$12,563.31 |
$12,563.31 |
$12,563.31 |
$10,367.50
|
|
Pulmonary vent imaging
|
$445.16 |
$445.16 |
$445.16 |
$828.73
|
|
Pulse ox continuous overnight monitoring
|
$173.33 |
$173.33 |
$173.33 |
$364.65
|
|
Punc of shunt for asp or inj
|
$767.19 |
$767.19 |
$767.19 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$142.80 |
$142.80 |
$142.80 |
$126.00
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$442.61 |
$442.61 |
$442.61 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,723.23
|
|
Puncture spinal lumbar diagnostic
|
$767.19 |
$767.19 |
$767.19 |
$1,115.18
|
|
Pvb thoracic cont infusion
|
$767.19 |
$767.19 |
$767.19 |
$2,170.80
|
|
Pvb thoracic single inj site
|
$767.19 |
$767.19 |
$767.19 |
$1,208.94
|
|
Pyruvate
|
$14.48 |
$14.48 |
$14.48 |
$65.00
|
|
Pyruvate kinase
|
$9.44 |
$9.44 |
$9.44 |
$65.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$142.80 |
$142.80 |
$142.80 |
$147.72
|
|
Quant diff pulm perf and vent w/imaging
|
$596.31 |
$596.31 |
$596.31 |
$1,456.68
|
|
Quant diff pulm perf w/imaging
|
$445.16 |
$445.16 |
$445.16 |
$1,209.44
|
|
Quest t3 uptake
|
$6.47 |
$6.47 |
$6.47 |
$58.95
|
|
Quinupristin/dalfopristin
|
$4.26 |
$4.26 |
$4.26 |
$647.41
|
|
Rabies ig heat-treated human im/subq 90376
|
$347.32 |
$347.32 |
$347.32 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$237.10 |
$237.10 |
$237.10 |
$5,893.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$266.44 |
$266.44 |
$266.44 |
$3,213.80
|
|
Rabies vaccine id
|
$264.47 |
$264.47 |
$264.47 |
$326.87
|
|
Radiation physics consult
|
$147.09 |
$147.09 |
$147.09 |
$595.40
|
|
Radiation therapy dose plan
|
$147.09 |
$147.09 |
$147.09 |
$530.53
|
|
Radiation treatment aid(s)
|
$147.09 |
$147.09 |
$147.09 |
$546.15
|
|
Radiation treatment aid(s)
|
$147.09 |
$147.09 |
$147.09 |
$708.04
|
|
Radiation treatment aid(s)
|
$405.54 |
$405.54 |
$405.54 |
$1,095.00
|
|
Radiation treatment delivery
|
$121.31 |
$121.31 |
$121.31 |
$257.01
|
|
Radiation treatment delivery
|
$121.31 |
$121.31 |
$121.31 |
$552.40
|
|
Radiation treatment delivery
|
$291.33 |
$291.33 |
$291.33 |
$919.00
|
|
Radical resection of elbow
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,311.00
|
|
Radic resect abd tumor<5cm 22904
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,786.00
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$4,460.78
|
|
Radiesse injection
|
$333.42 |
$333.42 |
$333.42 |
$1,171.09
|
|
Radiotherapy dose plan imrt
|
$1,515.79 |
$1,515.79 |
$1,515.79 |
$5,996.41
|
|
Radium ra223 dichl ther/uci
|
$171.78 |
$171.78 |
$171.78 |
$246.81
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,446.24 |
$1,446.24 |
$1,446.24 |
$1,936.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,446.24 |
$1,446.24 |
$1,446.24 |
$2,536.70
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,446.24 |
$1,446.24 |
$1,446.24 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,446.24 |
$1,446.24 |
$1,446.24 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$445.16 |
$445.16 |
$445.16 |
$1,088.75
|
|
Rad rescj tum dstl/shft hum
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,994.09
|
|
Rad rescj tum tiss a/e 5 cm+
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$4,683.82
|
|
Rad rescj tum tiss a/e <5cm
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,994.09
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,370.52
|
|
Rad resect abd tumor 5 cm/>
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,786.00
|
|
Rad resect hand tumor < 3 cm
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,127.88
|
|
Rad resect hand tumor 3 cm/>
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,850.60
|
|
Rad resection tum radial h/n
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,625.60
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,136.80
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$74.45 |
$74.45 |
$74.45 |
$16,811.00
|
|
Ranibizumab injection
|
$91.11 |
$91.11 |
$91.11 |
$3,552.12
|
|
Rapid desensitization
|
$442.06 |
$442.06 |
$442.06 |
$441.68
|
|
Rapid Strep Test
|
$16.53 |
$16.53 |
$16.53 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$376.48 |
$376.48 |
$376.48 |
$2,725.28
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$225.19 |
$225.19 |
$225.19 |
$35,222.00
|
|
Rbc count only automated
|
$3.02 |
$3.02 |
$3.02 |
$20.00
|
|
Rbc deglycerolized each unit
|
$724.23 |
$724.23 |
$724.23 |
$723.60
|
|
Rbc depletion of harvest
|
$484.32 |
$484.32 |
$484.32 |
$1,803.18
|
|
Rbc irradiated each unit
|
$165.31 |
$165.31 |
$165.31 |
$443.10
|
|
Rbc serum pretx incubj drugs
|
$442.06 |
$442.06 |
$442.06 |
$223.08
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,514.40
|
|
Rdctj forehead cntrg only
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,685.50
|
|
Rdctj forehead cntrg&prostc
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,289.89
|
|
Rdctj forehead cntrg&setback
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,419.00
|
|
Realignment of tendons
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,545.97
|
|
Rebuild eardrum structures
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Rebuild eardrum structures
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,311.00
|
|
Rebuild eardrum structures
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,771.20
|
|
Rebuild outer ear canal
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,017.08
|
|
Rebuild outer ear canal
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Reconst lwr jaw w/fixation
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Reconst lwr jaw w/graft
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Reconst lwr jaw without fixation
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$4,881.00
|
|
Reconst lwr jaw without graft
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,289.89
|
|
Reconstr lwr jaw segment
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$4,832.78
|
|
Reconstr lwr jaw w/advance
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,419.00
|
|
Reconstruct ankle joint
|
$20,372.87 |
$20,372.87 |
$20,372.87 |
$5,110.00
|
|
Reconstruct cleft foot
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,807.24
|
|
Reconstruct cleft palate
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,493.56
|
|
Reconstruct cleft palate
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,819.23
|
|
Reconstruct cleft palate
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,289.89
|
|
Reconstruct cleft palate
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,289.89
|
|
Reconstruct cleft palate
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,289.89
|
|
Reconstruct cleft palate
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$4,627.00
|
|
Reconstruct elbow joint
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,110.00
|
|
Reconstruct elbow joint
|
$20,372.87 |
$20,372.87 |
$20,372.87 |
$11,540.00
|
|
Reconstruct elbow joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$9,787.28
|
|
Reconstruct elbow lat ligmnt
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,807.24
|
|
Reconstruct elbow med ligmnt
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$6,839.00
|
|
Reconstruct extra finger
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,128.83
|
|
Reconstruct finger joint
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,743.15
|
|
Reconstruct finger joint
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,743.15
|
|
Reconstruct head of radius
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$6,311.00
|
