|
Puncture/clear windpipe 31612
|
$29.92 |
$29.92 |
$29.92 |
$3,986.00
|
|
Puncture spinal lumbar diagnostic
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,087.80
|
|
Pvb thoracic 2nd+ inj site
|
$1,216.02 |
$1,216.02 |
$1,216.02 |
$859.30
|
|
Pvb thoracic cont infusion
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,620.84 |
$1,620.84 |
$1,620.84 |
$1,320.80
|
|
Pyelotomy complicated
|
$700.04 |
$700.04 |
$700.04 |
$731.86
|
|
Pyelotomy w/drg pyelostomy
|
$605.88 |
$605.88 |
$605.88 |
$1,276.51
|
|
Pyelotomy w/exploration
|
$585.86 |
$585.86 |
$585.86 |
$1,235.32
|
|
Pyelotomy w/removal calculus
|
$636.68 |
$636.68 |
$636.68 |
$1,341.47
|
|
Pyloroplasty 43800
|
$575.74 |
$575.74 |
$575.74 |
$1,748.40
|
|
Pyruvate
|
$9.68 |
$9.68 |
$9.68 |
$66.00
|
|
Pyruvate kinase
|
$6.16 |
$6.16 |
$6.16 |
$78.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$5.94 |
$5.94 |
$5.94 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$23.76 |
$23.76 |
$23.76 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$20.68 |
$20.68 |
$20.68 |
$1,199.16
|
|
Quest t3 uptake
|
$34.32 |
$34.32 |
$34.32 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$398.26 |
$398.26 |
$398.26 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,497.09 |
$1,497.09 |
$1,497.09 |
$3,848.39
|
|
Radiation therapy dose plan
|
$20.46 |
$20.46 |
$20.46 |
$525.00
|
|
Radiation therapy management
|
$67.32 |
$67.32 |
$67.32 |
$199.20
|
|
Radiation treatment aid(s)
|
$14.74 |
$14.74 |
$14.74 |
$525.60
|
|
Radiation treatment aid(s)
|
$24.64 |
$24.64 |
$24.64 |
$655.52
|
|
Radiation treatment aid(s)
|
$37.62 |
$37.62 |
$37.62 |
$1,109.75
|
|
Radiation tx management x5
|
$119.46 |
$119.46 |
$119.46 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$1,126.18 |
$1,126.18 |
$1,126.18 |
$3,429.60
|
|
Radical rescj tumor clavicle
|
$932.36 |
$932.36 |
$932.36 |
$9,290.00
|
|
Radical rescj tumor prox hum
|
$1,197.24 |
$1,197.24 |
$1,197.24 |
$3,724.00
|
|
Radical rescj tumor scapula
|
$1,093.18 |
$1,093.18 |
$1,093.18 |
$9,977.57
|
|
Radical resection of elbow
|
$734.80 |
$734.80 |
$734.80 |
$5,788.80
|
|
Radical resection sternum 21630
|
$812.02 |
$812.02 |
$812.02 |
$2,982.40
|
|
Radic resect abd tumor<5cm 22904
|
$646.80 |
$646.80 |
$646.80 |
$3,386.84
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$892.54 |
$892.54 |
$892.54 |
$4,460.78
|
|
Radiotherapy dose plan imrt
|
$262.02 |
$262.02 |
$262.02 |
$5,786.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$22.88 |
$22.88 |
$22.88 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$28.60 |
$28.60 |
$28.60 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,673.06 |
$2,673.06 |
$2,673.06 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$30.80 |
$30.80 |
$30.80 |
$2,285.70
|
|
Radphm lcl tumor plr sgl day
|
$18.92 |
$18.92 |
$18.92 |
$1,120.40
|
|
Radphm quant measure sgl area add-on
|
$2,004.60 |
$2,004.60 |
$2,004.60 |
$711.20
|
|
Rad rescj tum dstl/shft hum
|
$956.34 |
$956.34 |
$956.34 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$701.36 |
$701.36 |
$701.36 |
$4,881.00
|
|
Rad rescj tum tiss a/e 5 cm+
|
$822.36 |
$822.36 |
$822.36 |
$5,339.00
|
|
Rad rescj tum tiss a/e <5cm
|
$636.24 |
$636.24 |
$636.24 |
$4,087.20
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$440.66 |
$440.66 |
$440.66 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$825.66 |
$825.66 |
$825.66 |
$3,495.54
|
|
Rad resect hand tumor < 3 cm
|
$466.62 |
$466.62 |
$466.62 |
$3,386.84
|
|
Rad resect hand tumor 3 cm/>
|
$656.04 |
$656.04 |
$656.04 |
$4,137.20
|
|
Rad resection tum radial h/n
|
$833.14 |
$833.14 |
$833.14 |
$8,453.60
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$590.26 |
$590.26 |
$590.26 |
$3,370.52
|
|
Range of motion measurements
|
$3.52 |
$3.52 |
$3.52 |
$60.48
|
|
Ranibizumab injection
|
$81.84 |
$81.84 |
$81.84 |
$3,409.84
|
|
Rapid desensitization
|
$62.92 |
$62.92 |
$62.92 |
$472.21
|
|
Rapid Strep Test
|
$87.36 |
$87.36 |
$87.36 |
$75.00
|
|
Rbc count only automated
|
$15.60 |
$15.60 |
$15.60 |
$20.40
|
|
Rbc depletion of harvest
|
$30.58 |
$30.58 |
$30.58 |
$1,803.18
|
|
Rbc mechanical fragility
|
$5.72 |
$5.72 |
$5.72 |
$21.60
|
|
Rbc osmotic fragility
|
$4.84 |
$4.84 |
$4.84 |
$75.04
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$1,358.06 |
$1,358.06 |
$1,358.06 |
$6,547.81
|
|
Rcnstj forehead w/autograft
|
$1,045.88 |
$1,045.88 |
$1,045.88 |
$6,048.05
|
|
Rcnstj forehead with grafts
|
$936.32 |
$936.32 |
$936.32 |
$6,048.05
|
|
Rcnstj mdfc lefort i 1 w/grf
|
$952.16 |
$952.16 |
$952.16 |
$6,048.05
|
|
Rcnstj mdfc lefort i 2 w/grf
|
$994.18 |
$994.18 |
$994.18 |
$6,048.05
|
|
Rcnstj mdfc lefort iii w/i
|
$1,326.38 |
$1,326.38 |
$1,326.38 |
$6,048.05
|
|
Rcnstj mdfc lefort iii without i
|
$1,195.48 |
$1,195.48 |
$1,195.48 |
$6,048.05
|
|
Rcnstj mdfc lefrtii w/b1 grf
|
$1,110.12 |
$1,110.12 |
$1,110.12 |
$6,048.05
|
|
Rcnst mdfc lfrtiii advm w/i
|
$1,725.02 |
$1,725.02 |
$1,725.02 |
$6,048.05
|
|
Rcnst mdfc lfrtiii advm wo i
|
$1,590.38 |
$1,590.38 |
$1,590.38 |
$6,048.05
|
|
Rdctj forehead cntrg only
|
$465.52 |
$465.52 |
$465.52 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$566.06 |
$566.06 |
$566.06 |
$6,547.81
|
|
Rdctj forehead cntrg&setback
|
$671.22 |
$671.22 |
$671.22 |
$6,839.00
|
|
Realignment of knee
|
$594.00 |
$594.00 |
$594.00 |
$4,732.80
|
|
Realignment of knee
|
$596.64 |
$596.64 |
$596.64 |
$4,681.60
|
|
Realignment of tendons
|
$408.10 |
$408.10 |
$408.10 |
$3,839.54
|
|
Realignment of thigh bone
|
$802.56 |
$802.56 |
$802.56 |
$7,413.38
|
|
Rebuild eardrum structures
|
$657.80 |
$657.80 |
$657.80 |
$6,839.00
|
|
Rebuild eardrum structures
|
$640.42 |
$640.42 |
$640.42 |
$6,547.81
|
|
Rebuild eardrum structures
|
$856.90 |
$856.90 |
$856.90 |
$6,771.20
|
|
Rebuild outer ear canal
|
$677.82 |
$677.82 |
$677.82 |
$6,017.08
|
|
Rebuild outer ear canal
|
$948.20 |
$948.20 |
$948.20 |
$7,000.36
|
|
Rechanneling of artery
|
$923.34 |
$923.34 |
$923.34 |
$2,697.60
|
|
Rechanneling of artery
|
$269.50 |
$269.50 |
$269.50 |
$495.50
|
|
Rechanneling of artery
|
$941.82 |
$941.82 |
$941.82 |
$2,213.55
|
|
Rechanneling of artery
|
$985.16 |
$985.16 |
$985.16 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$739.86 |
$739.86 |
$739.86 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$832.70 |
$832.70 |
$832.70 |
$4,439.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$770.88 |
$770.88 |
$770.88 |
$6,219.20
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$10,987.86 |
$10,987.86 |
$10,987.86 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$589.82 |
$589.82 |
$589.82 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$741.84 |
$741.84 |
$741.84 |
$3,155.50
|
|
Recipient nephrectomy
|
$597.30 |
$597.30 |
$597.30 |
$1,392.38
|
|
Reconst lwr jaw w/fixation
|
$876.04 |
$876.04 |
$876.04 |
$5,339.00
|
|
Reconst lwr jaw w/graft
|
$874.94 |
$874.94 |
$874.94 |
$6,547.81
|
|
Reconst lwr jaw without fixation
|
$819.72 |
$819.72 |
$819.72 |
$6,547.81
|
|
Reconst lwr jaw without graft
|
$757.24 |
$757.24 |
$757.24 |
$6,547.81
|
|
Reconst major injured chest 32820
|
$853.38 |
$853.38 |
$853.38 |
$3,236.80
|
|
Reconst pectus excavatum/carinatum opn 21740
|
$630.74 |
$630.74 |
$630.74 |
$2,510.40
|
|
Reconstr lwr jaw segment
|
$622.82 |
$622.82 |
$622.82 |
$6,547.81
|
|
Reconstr lwr jaw w/advance
|
$627.44 |
$627.44 |
$627.44 |
$4,349.80
|
|
Reconstruct ankle joint
|
$597.30 |
$597.30 |
$597.30 |
$4,881.00
|
|
Reconstruct bronchus
|
$852.50 |
$852.50 |
$852.50 |
$2,000.38
|
