|
Puncture spinal lumbar diagnostic
|
$819.50 |
$819.50 |
$819.50 |
$1,087.80
|
|
Pvb thoracic cont infusion
|
$819.50 |
$819.50 |
$819.50 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$819.50 |
$819.50 |
$819.50 |
$1,320.80
|
|
Pyruvate
|
$14.48 |
$14.48 |
$14.48 |
$66.00
|
|
Pyruvate kinase
|
$9.44 |
$9.44 |
$9.44 |
$78.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$152.54 |
$152.54 |
$152.54 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$636.97 |
$636.97 |
$636.97 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$475.51 |
$475.51 |
$475.51 |
$1,200.00
|
|
Quest t3 uptake
|
$6.47 |
$6.47 |
$6.47 |
$52.25
|
|
Quinupristin/dalfopristin
|
$4.26 |
$4.26 |
$4.26 |
$922.70
|
|
Rabies ig heat-treated human im/subq 90376
|
$479.72 |
$479.72 |
$479.72 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$265.51 |
$265.51 |
$265.51 |
$2,658.73
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$287.71 |
$287.71 |
$287.71 |
$3,848.39
|
|
Rabies vaccine id
|
$264.47 |
$264.47 |
$264.47 |
$340.80
|
|
Radiation physics consult
|
$157.11 |
$157.11 |
$157.11 |
$610.68
|
|
Radiation therapy dose plan
|
$157.11 |
$157.11 |
$157.11 |
$521.30
|
|
Radiation treatment aid(s)
|
$157.11 |
$157.11 |
$157.11 |
$530.88
|
|
Radiation treatment aid(s)
|
$157.11 |
$157.11 |
$157.11 |
$655.52
|
|
Radiation treatment aid(s)
|
$433.19 |
$433.19 |
$433.19 |
$1,103.85
|
|
Radiation treatment delivery
|
$129.58 |
$129.58 |
$129.58 |
$245.50
|
|
Radiation treatment delivery
|
$129.58 |
$129.58 |
$129.58 |
$552.40
|
|
Radiation treatment delivery
|
$311.20 |
$311.20 |
$311.20 |
$935.55
|
|
Radical resection of elbow
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,460.78
|
|
Radiesse injection
|
$333.42 |
$333.42 |
$333.42 |
$1,171.09
|
|
Radiotherapy dose plan imrt
|
$1,619.14 |
$1,619.14 |
$1,619.14 |
$5,786.00
|
|
Radium ra223 dichl ther/uci
|
$165.25 |
$165.25 |
$165.25 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,544.85 |
$1,544.85 |
$1,544.85 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,544.85 |
$1,544.85 |
$1,544.85 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,544.85 |
$1,544.85 |
$1,544.85 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,544.85 |
$1,544.85 |
$1,544.85 |
$2,285.70
|
|
Radphm lcl tumor plr sgl day
|
$475.51 |
$475.51 |
$475.51 |
$1,127.50
|
|
Rad rescj tum dstl/shft hum
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,881.00
|
|
Rad rescj tum tiss a/e 5 cm+
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$5,339.00
|
|
Rad rescj tum tiss a/e <5cm
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,087.20
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,495.54
|
|
Rad resect hand tumor < 3 cm
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,386.84
|
|
Rad resect hand tumor 3 cm/>
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$4,137.20
|
|
Rad resection tum radial h/n
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,370.52
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$71.07 |
$71.07 |
$71.07 |
$13,136.04
|
|
Range of motion measurements
|
$6.35 |
$6.35 |
$6.35 |
$64.50
|
|
Ranibizumab injection
|
$137.14 |
$137.14 |
$137.14 |
$3,409.84
|
|
Rapid desensitization
|
$472.21 |
$472.21 |
$472.21 |
$472.21
|
|
Rapid Strep Test
|
$16.53 |
$16.53 |
$16.53 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$371.29 |
$371.29 |
$371.29 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$220.75 |
$220.75 |
$220.75 |
$41,926.70
|
|
Rbc count only automated
|
$3.02 |
$3.02 |
$3.02 |
$20.40
|
|
Rbc deglycerolized each unit
|
$773.61 |
$773.61 |
$773.61 |
$856.71
|
|
Rbc depletion of harvest
|
$517.34 |
$517.34 |
$517.34 |
$1,803.18
|
|
Rbc irradiated each unit
|
$176.58 |
$176.58 |
$176.58 |
$560.00
|
|
Rbc mechanical fragility
|
$8.60 |
$8.60 |
$8.60 |
$21.60
|
|
Rbc o2 co2 reduced
|
$576.41 |
$576.41 |
$576.41 |
$576.41
|
|
Rbc osmotic fragility
|
$7.47 |
$7.47 |
$7.47 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$472.21 |
$472.21 |
$472.21 |
$231.12
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Rdctj forehead cntrg only
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Rdctj forehead cntrg&setback
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Realignment of tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Rebuild eardrum structures
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Rebuild eardrum structures
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Rebuild eardrum structures
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,771.20
|
|
Rebuild outer ear canal
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,017.08
|
|
Rebuild outer ear canal
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Reconst lwr jaw w/fixation
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$5,339.00
|
|
Reconst lwr jaw w/graft
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconst lwr jaw without fixation
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconst lwr jaw without graft
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstr lwr jaw segment
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstr lwr jaw w/advance
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$4,349.80
|
|
Reconstruct ankle joint
|
$21,762.05 |
$21,762.05 |
$21,762.05 |
$4,881.00
|
|
Reconstruct cleft foot
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Reconstruct cleft palate
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$5,493.56
|
|
Reconstruct cleft palate
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$4,558.89
|
|
Reconstruct cleft palate
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,523.41
|
|
Reconstruct cleft palate
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruct cleft palate
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruct cleft palate
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruct elbow joint
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Reconstruct elbow joint
|
$21,762.05 |
$21,762.05 |
$21,762.05 |
$20,355.21
|
|
Reconstruct elbow joint
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$14,241.77
|
|
Reconstruct elbow lat ligmnt
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Reconstruct elbow med ligmnt
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$10,385.60
|
|
Reconstruct extra finger
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,591.33
|
|
Reconstruct finger joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Reconstruct finger joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,326.00
|
|
Reconstruct head of radius
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$11,148.00
|
|
Reconstruct head of radius
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$9,878.40
|
|
Reconstruction knee
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,222.25
|
|
Reconstruction knee
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$8,814.96
|
|
Reconstruction knee
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$10,629.07
|
|
Reconstruction of anus
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,245.23
|
|
Reconstruction of eyelid
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,786.00
|
|
Reconstruction of eyelid
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$4,194.40
|
|
Reconstruction of eyelid
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
$4,462.45
|
|
Reconstruction of eyelid
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,398.40
|