|
Puraply xt 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Pvb thoracic 2nd+ inj site
|
$1,129.76 |
$1,129.76 |
$1,390.48 |
|
|
Pvb thoracic cont infusion
|
$819.50 |
$819.50 |
$1,620.84 |
|
|
Pvb thoracic single inj site
|
$819.50 |
$819.50 |
$1,620.84 |
|
|
Pyelotomy complicated
|
$700.04 |
$700.04 |
$700.04 |
|
|
Pyelotomy w/drg pyelostomy
|
$605.88 |
$605.88 |
$605.88 |
|
|
Pyelotomy w/exploration
|
$585.86 |
$585.86 |
$585.86 |
|
|
Pyelotomy w/removal calculus
|
$636.68 |
$636.68 |
$636.68 |
|
|
Pyloroplasty 43800
|
$575.74 |
$575.74 |
$575.74 |
|
|
Pyridoxine hcl 100 mg
|
$39.63 |
$39.63 |
$39.63 |
|
|
Pyruvate
|
$9.68 |
$14.48 |
$497.00 |
|
|
Pyruvate kinase
|
$6.16 |
$9.44 |
$48.00 |
|
|
Quan puplmtry phy/qhp uni/bi
|
$5.94 |
$152.54 |
$152.54 |
|
|
Quant diff pulm perf and vent w/imaging
|
$23.76 |
$636.97 |
$4,696.00 |
|
|
Quant diff pulm perf w/imaging
|
$20.68 |
$475.51 |
$3,588.00 |
|
|
Quest t3 uptake
|
$6.47 |
$12.62 |
$164.00 |
|
|
Quinupristin/dalfopristin
|
$2.66 |
$4.26 |
$4.26 |
|
|
Rabies ig heat-treated human im/subq 90376
|
$398.26 |
$479.72 |
$479.72 |
|
|
Rabies ig ht&sol human im/sc
|
$265.51 |
$265.51 |
$767.58 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$287.71 |
$287.71 |
$2,204.86 |
|
|
Rabies vaccine id
|
$264.47 |
$264.47 |
$264.47 |
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$0.76 |
$0.76 |
$6.60 |
|
|
Radiation handling
|
$852.00 |
$1,195.53 |
$4,690.00 |
|
|
Radiation physics consult
|
$157.11 |
$157.11 |
$1,978.00 |
|
|
Radiation therapy dose plan
|
$20.46 |
$157.11 |
$1,812.00 |
|
|
Radiation therapy management
|
$67.32 |
$67.32 |
$67.32 |
|
|
Radiation treatment aid(s)
|
$14.74 |
$157.11 |
$2,058.00 |
|
|
Radiation treatment aid(s)
|
$24.64 |
$157.11 |
$2,528.00 |
|
|
Radiation treatment aid(s)
|
$37.62 |
$433.19 |
$3,756.00 |
|
|
Radiation treatment delivery
|
$101.00 |
$129.58 |
$129.58 |
|
|
Radiation treatment delivery
|
$129.58 |
$129.58 |
$1,685.00 |
|
|
Radiation treatment delivery
|
$311.20 |
$564.51 |
$2,384.00 |
|
|
Radiation tx management x5
|
$119.46 |
$119.46 |
$119.46 |
|
|
Radical abdominal hysterectomy 58210
|
$1,126.18 |
$1,126.18 |
$1,126.18 |
|
|
Radical rescj tumor clavicle
|
$932.36 |
$7,413.38 |
$7,413.38 |
|
|
Radical rescj tumor prox hum
|
$1,197.24 |
$7,413.38 |
$7,413.38 |
|
|
Radical rescj tumor scapula
|
$1,093.18 |
$7,413.38 |
$7,413.38 |
|
|
Radical resection of elbow
|
$734.80 |
$8,453.60 |
$8,453.60 |
|
|
Radical resection sternum 21630
|
$812.02 |
$7,413.38 |
$7,413.38 |
|
|
Radic resect abd tumor<5cm 22904
|
$646.80 |
$3,386.84 |
$3,386.84 |
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$892.54 |
$3,386.84 |
$3,386.84 |
|
|
Radiesse injection
|
$333.42 |
$333.42 |
$333.42 |
|
|
Radiofq trsmtr for implt neu
|
$9,845.61 |
$9,845.61 |
$12,117.67 |
|
|
Radiology port images(s)
|
$27.80 |
$204.59 |
$1,191.00 |
|
|
Radiotherapy dose plan imrt
|
$262.02 |
$1,619.14 |
$17,384.00 |
|
|
Radium ra223 dichl ther/uci
|
$165.25 |
$165.25 |
$535.99 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$22.88 |
$1,544.85 |
$5,485.00 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$28.60 |
$1,544.85 |
$5,676.00 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,544.85 |
$1,544.85 |
$6,428.00 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$30.80 |
$1,544.85 |
$5,450.00 |
|
|
Radphm lcl tumor plr sgl day
|
$18.92 |
$475.51 |
$2,459.00 |
|
|
Radphm quant measure sgl area add-on
|
$2,004.60 |
$2,004.60 |
$3,214.00 |
|
|
Rad rescj tum dstl/shft hum
|
$956.34 |
$8,453.60 |
$8,453.60 |
|
|
Rad rescj tum shoulder<5 cm
|
$701.36 |
$3,386.84 |
$3,386.84 |
|
|
Rad rescj tum tiss a/e 5 cm+
|
$822.36 |
$3,386.84 |
$3,386.84 |
|
|
Rad rescj tum tiss a/e <5cm
|
$636.24 |
$3,386.84 |
$3,386.84 |
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$440.66 |
$3,386.84 |
$3,386.84 |
|
|
Rad resect abd tumor 5 cm/>
|
$825.66 |
$3,386.84 |
$3,386.84 |
|
|
Rad resect hand tumor < 3 cm
|
$466.62 |
$3,386.84 |
$3,386.84 |
|
|
Rad resect hand tumor 3 cm/>
|
$656.04 |
$3,386.84 |
$3,386.84 |
|
|
Rad resection tum radial h/n
|
$833.14 |
$8,453.60 |
$8,453.60 |
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$590.26 |
$3,386.84 |
$3,386.84 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$71.07 |
$71.07 |
$509.88 |
|
|
Range of motion measurements
|
$3.52 |
$6.35 |
$6.35 |
|
|
Ranibizumab injection
|
$81.84 |
$137.14 |
$136,500.00 |
|
|
Rapid desensitization
|
$62.92 |
$472.21 |
$568.93 |
|
|
Rapid Strep Test
|
$16.53 |
$16.53 |
$222.00 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$371.29 |
$371.29 |
$18,804.00 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$220.75 |
$220.75 |
$7,471.33 |
|
|
Rb82 rubidium
|
$0.35 |
$0.35 |
$0.35 |
|
|
Rbc count only automated
|
$3.00 |
$3.02 |
$52.29 |
|
|
Rbc deglycerolized each unit
|
$562.09 |
$773.61 |
$1,614.68 |
|
|
Rbc depletion of harvest
|
$30.58 |
$517.34 |
$4,183.00 |
|
|
Rbc irradiated each unit
|
$176.58 |
$176.58 |
$176.58 |
|
|
Rbc mechanical fragility
|
$5.72 |
$8.60 |
$8.60 |
|
|
Rbc o2 co2 reduced
|
$576.41 |
$576.41 |
$1,213.20 |
|
|
Rbc osmotic fragility
|
$4.84 |
$7.47 |
$93.00 |
|
|
Rbc serum pretx incubj drugs
|
$472.21 |
$472.21 |
$472.21 |
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$1,358.06 |
$7,000.36 |
$7,000.36 |
|
|
Rcnstj forehead w/autograft
|
$1,045.88 |
$6,048.05 |
$6,048.05 |
|
|
Rcnstj forehead with grafts
|
$936.32 |
$6,048.05 |
$6,048.05 |
|
|
Rcnstj mdfc lefort i 1 w/grf
|
$952.16 |
$6,048.05 |
$6,048.05 |
|
|
Rcnstj mdfc lefort i 2 w/grf
|
$994.18 |
$6,048.05 |
$6,048.05 |
|
|
Rcnstj mdfc lefort iii w/i
|
$1,326.38 |
$6,048.05 |
$6,048.05 |
|
|
Rcnstj mdfc lefort iii without i
|
$1,195.48 |
$6,048.05 |
$6,048.05 |
|
|
Rcnstj mdfc lefrtii w/b1 grf
|
$1,110.12 |
$6,048.05 |
$6,048.05 |
|
|
Rcnst mdfc lfrtiii advm w/i
|
$1,725.02 |
$6,048.05 |
$6,048.05 |
|
|
Rcnst mdfc lfrtiii advm wo i
|
$1,590.38 |
$6,048.05 |
$6,048.05 |
|
|
Rdctj forehead cntrg only
|
$465.52 |
$3,837.72 |
$3,837.72 |
|
|
Rdctj forehead cntrg&prostc
|
$566.06 |
$7,000.36 |
$7,000.36 |
|
|
Rdctj forehead cntrg&setback
|
$671.22 |
$7,000.36 |
$7,000.36 |
|
|
Realignment of knee
|
$594.00 |
$7,413.38 |
$7,413.38 |
|
|
Realignment of knee
|
$596.64 |
$7,413.38 |
$7,413.38 |
|
|
Realignment of tendons
|
$408.10 |
$3,839.54 |
$3,839.54 |
|
|
Realignment of thigh bone
|
$802.56 |
$7,413.38 |
$7,413.38 |
|
|
Rebuild eardrum structures
|
$657.80 |
$7,000.36 |
$7,000.36 |
|
|
Rebuild eardrum structures
|
$640.42 |
$7,000.36 |
$7,000.36 |
|
|
Rebuild eardrum structures
|
$856.90 |
$7,000.36 |
$7,000.36 |
|
|
Rebuild outer ear canal
|
$677.82 |
$7,000.36 |
$7,000.36 |
|
|
Rebuild outer ear canal
|
$948.20 |
$7,000.36 |
$7,000.36 |
|
