|
Pr removal foreign body external auditory canal without anesthesia
|
$360.00 |
$360.00 |
$360.00 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$627.00 |
$627.00 |
$627.00 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$756.00 |
$756.00 |
$756.00 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,662.00 |
$3,662.00 |
$3,662.00 |
$1,790.60
|
|
PSA (Prostate) Test
|
$392.00 |
$392.00 |
$392.00 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$216.00 |
$216.00 |
$216.00 |
$90.00
|
|
Pt application of modality >=1 area hot/cold packs
|
$124.00 |
$124.00 |
$124.00 |
$34.69
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$101.00 |
$101.00 |
$101.00 |
$82.55
|
|
Pt application of modality traction mechanical
|
$227.00 |
$227.00 |
$227.00 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$383.00 |
$383.00 |
$383.00 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$347.00 |
$347.00 |
$347.00 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$359.00 |
$359.00 |
$359.00 |
$263.90
|
|
Pt re-evaluation patient/family
|
$201.00 |
$201.00 |
$201.00 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$244.00 |
$244.00 |
$244.00 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$117.00 |
$117.00 |
$117.00 |
$87.26
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$149.00 |
$149.00 |
$149.00 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$149.00 |
$149.00 |
$149.00 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$149.00 |
$149.00 |
$149.00 |
$85.00
|
|
Pulmonary vent imaging
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$368.00
|
|
Pulse ox multiple
|
$896.00 |
$896.00 |
$896.00 |
$194.33
|
|
Pulse ox single
|
$791.00 |
$791.00 |
$791.00 |
$88.63
|
|
Punc of shunt for asp or inj
|
$2,285.00 |
$2,285.00 |
$2,285.00 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$768.00 |
$768.00 |
$768.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$6,319.61 |
$6,319.61 |
$6,319.61 |
$525.50
|
|
Pyridoxine hcl 100 mg
|
$39.63 |
$39.63 |
$39.63 |
$43.51
|
|
Pyruvate
|
$497.00 |
$497.00 |
$497.00 |
$65.00
|
|
Pyruvate kinase
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$1,209.44
|
|
Quest t3 uptake
|
$164.00 |
$164.00 |
$164.00 |
$56.10
|
|
Quinupristin/dalfopristin
|
$2.66 |
$2.66 |
$2.66 |
$1,089.58
|
|
Rabies ig ht&sol human im/sc
|
$767.58 |
$767.58 |
$767.58 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$2,204.86 |
$2,204.86 |
$2,204.86 |
$3,213.80
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$0.76 |
$0.76 |
$0.76 |
$6.60
|
|
Radiation handling
|
$4,690.00 |
$4,690.00 |
$4,690.00 |
$331.89
|
|
Radiation physics consult
|
$942.00 |
$942.00 |
$942.00 |
$574.75
|
|
Radiation therapy dose plan
|
$909.00 |
$909.00 |
$909.00 |
$530.53
|
|
Radiation treatment aid(s)
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$827.00 |
$827.00 |
$827.00 |
$552.40
|
|
Radiation treatment delivery
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$909.98
|
|
Radiology port images(s)
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$9,740.00 |
$9,740.00 |
$9,740.00 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$535.99 |
$535.99 |
$535.99 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,597.00 |
$3,597.00 |
$3,597.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$509.88 |
$509.88 |
$509.88 |
$9,831.50
|
|
Ranibizumab injection
|
$136,500.00 |
$136,500.00 |
$136,500.00 |
$3,552.12
|
|
Rapid Strep Test
|
$131.00 |
$131.00 |
$131.00 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$18,804.00 |
$18,804.00 |
$18,804.00 |
$2,789.64
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$7,471.33 |
$7,471.33 |
$7,471.33 |
$41,926.70
|
|
Rbc count only automated
|
$3.00 |
$3.00 |
$3.00 |
$20.00
|
|
Rbc osmotic fragility
|
$93.00 |
$93.00 |
$93.00 |
$65.52
|
|
Reconstruction knee
|
$9,013.15 |
$9,013.15 |
$9,013.15 |
$5,741.00
|
|
Reconstruction knee
|
$9,765.89 |
$9,765.89 |
$9,765.89 |
$8,814.96
|
|
Reconstruction of nail bed
|
$1,487.00 |
$1,487.00 |
$1,487.00 |
$2,164.64
|
|
Reconstruct shoulder joint
|
$9,143.62 |
$9,143.62 |
$9,143.62 |
$7,160.00
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$20.69 |
$20.69 |
$20.69 |
$468.96
|
|
Release palm contracture
|
$8,427.68 |
$8,427.68 |
$8,427.68 |
$4,112.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,098.18 |
$2,098.18 |
$2,098.18 |
$1,560.00
|
|
Removal biliary drg cath
|
$2,787.00 |
$2,787.00 |
$2,787.00 |
$1,427.25
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$6,651.41 |
$6,651.41 |
$6,651.41 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$578.00 |
$578.00 |
$578.00 |
$177.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$2,890.00 |
$2,890.00 |
$2,890.00 |
$899.85
|
|
Removal of breast lesion
|
$5,249.42 |
$5,249.42 |
$5,249.42 |
$4,631.50
|
|
Removal of hydrocele
|
$6,002.17 |
$6,002.17 |
$6,002.17 |
$4,156.03
|
|
Removal of implant deep
|
$5,894.63 |
$5,894.63 |
$5,894.63 |
$3,813.70
|
|
Removal/replacement ppm generator dual lead system
|
$36,570.46 |
$36,570.46 |
$36,570.46 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$311.00 |
$311.00 |
$311.00 |
$303.80
|
|
Removal tunnled intprtnl cath
|
$12,101.00 |
$12,101.00 |
$12,101.00 |
$4,293.90
|
|
Remove anal fist complex
|
$5,082.14 |
$5,082.14 |
$5,082.14 |
$3,245.23
|
|
Remove anal fist subq
|
$4,914.87 |
$4,914.87 |
$4,914.87 |
$3,417.12
|
|
Remove bladder stone
|
$5,450.15 |
$5,450.15 |
$5,450.15 |
$4,350.00
|
|
Remove in/ex hem groups 2+
|
$5,444.58 |
$5,444.58 |
$5,444.58 |
$3,245.23
|
|
Remove int/ext hem 1 group
|
$5,450.15 |
$5,450.15 |
$5,450.15 |
$3,638.59
|
|
Remove nasal foreign body
|
$6,340.00 |
$6,340.00 |
$6,340.00 |
$3,837.72
|
|
Remove pilonidal cyst exten
|
$5,563.06 |
$5,563.06 |
$5,563.06 |
$3,386.84
|
|
Renal function panel
|
$107.00 |
$107.00 |
$107.00 |
$110.10
|
|
Repair achilles tendon
|
$6,855.28 |
$6,855.28 |
$6,855.28 |
$7,233.80
|
|
Repair anal fistula
|
$6,052.35 |
$6,052.35 |
$6,052.35 |
$3,035.44
|
|
Repair biceps tendon
|
$7,340.38 |
$7,340.38 |
$7,340.38 |
$6,055.92
|
|
Repair bladder defect
|
$6,420.36 |
$6,420.36 |
$6,420.36 |
$5,553.40
|
|
Repair eyelid wound
|
$7,488.00 |
$7,488.00 |
$7,488.00 |
$3,254.34
|
|
Repair fibula nonunion
|
$13,278.70 |
$13,278.70 |
$13,278.70 |
$6,879.60
|
|
Repair hand joint
|
$7,256.74 |
$7,256.74 |
$7,256.74 |
$3,839.54
|
|
Repair humerus with graft
|
$15,286.02 |
$15,286.02 |
$15,286.02 |
$11,718.66
|
|
Repair of achilles tendon
|
$8,661.86 |
$8,661.86 |
$8,661.86 |
$5,110.00
|
|
Repair of ankle ligament
|
$9,765.89 |
$9,765.89 |
$9,765.89 |
$5,741.00
|
|
Repair of foot bones
|
$18,297.00 |
$18,297.00 |
$18,297.00 |
$8,062.48
|
|
Repair of knee ligament
|
$8,260.40 |
$8,260.40 |
$8,260.40 |
$5,886.74
|
|
Repair of ruptured tendon
|
$6,880.37 |
$6,880.37 |
$6,880.37 |
$5,886.74
|
|
Repair rotator cuff acute
|
$14,282.36 |
$14,282.36 |
$14,282.36 |
$5,855.00
|
|
Replace tissue expander w/perm prost 11970
|
$6,587.63 |
$6,587.63 |
$6,587.63 |
$6,943.04
|
|
Repr elbw med ligmnt w/tissu
|
$14,282.36 |
$14,282.36 |
$14,282.36 |
$4,919.44
|
