|
Psychotherapy patient individual therapy 60 minutes
|
$300.00 |
$300.00 |
$300.00 |
$287.95
|
|
Psych test eval svc phys/qhp 1st hr
|
$292.00 |
$292.00 |
$292.00 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$227.20 |
$227.20 |
$227.20 |
$221.42
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$172.80 |
$172.80 |
$172.80 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$127.20 |
$127.20 |
$127.20 |
$156.00
|
|
Psytx complex interactive
|
$147.20 |
$147.20 |
$147.20 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$181.60 |
$181.60 |
$181.60 |
$126.14
|
|
Psytx pt w/e&m 38-52 min
|
$236.80 |
$236.80 |
$236.80 |
$170.50
|
|
Psytx pt w/e&m 53+ min
|
$292.00 |
$292.00 |
$292.00 |
$236.32
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$125.60 |
$125.60 |
$125.60 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$101.60 |
$101.60 |
$101.60 |
$81.48
|
|
Pt application of modality traction mechanical
|
$114.40 |
$114.40 |
$114.40 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$140.80 |
$140.80 |
$140.80 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$114.40 |
$114.40 |
$114.40 |
$88.00
|
|
Pul art balloon repr percut
|
$15,597.60 |
$15,597.60 |
$15,597.60 |
$9,760.40
|
|
Pulmonary vent imaging
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$424.00 |
$424.00 |
$424.00 |
$347.11
|
|
Pulse ox multiple
|
$264.80 |
$264.80 |
$264.80 |
$157.30
|
|
Pulse ox single
|
$121.60 |
$121.60 |
$121.60 |
$84.00
|
|
Punc of shunt for asp or inj
|
$938.40 |
$938.40 |
$938.40 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$196.80 |
$196.80 |
$196.80 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$19.28 |
$19.28 |
$19.28 |
$49.08
|
|
Quant diff pulm perf and vent w/imaging
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,718.40 |
$1,718.40 |
$1,718.40 |
$1,199.16
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,598.88 |
$3,598.88 |
$3,598.88 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$3.03 |
$3.03 |
$3.03 |
$6.48
|
|
Radiation handling
|
$451.20 |
$451.20 |
$451.20 |
$324.80
|
|
Radiation physics consult
|
$923.20 |
$923.20 |
$923.20 |
$610.68
|
|
Radiation therapy dose plan
|
$760.80 |
$760.80 |
$760.80 |
$518.76
|
|
Radiation treatment aid(s)
|
$707.20 |
$707.20 |
$707.20 |
$526.80
|
|
Radiation treatment aid(s)
|
$928.80 |
$928.80 |
$928.80 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
$1,100.38
|
|
Radiation treatment delivery
|
$752.80 |
$752.80 |
$752.80 |
$552.40
|
|
Radiation treatment delivery
|
$4,083.20 |
$4,083.20 |
$4,083.20 |
$921.00
|
|
Radiology port images(s)
|
$414.40 |
$414.40 |
$414.40 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$8,612.00 |
$8,612.00 |
$8,612.00 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$188.80 |
$188.80 |
$188.80 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,826.40 |
$2,826.40 |
$2,826.40 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,619.20 |
$3,619.20 |
$3,619.20 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,757.60 |
$2,757.60 |
$2,757.60 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$1,126.32
|
|
Range of motion measurements
|
$106.40 |
$106.40 |
$106.40 |
$64.50
|
|
Ranibizumab injection
|
$5,772.00 |
$5,772.00 |
$5,772.00 |
$3,409.84
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,770.25 |
$1,770.25 |
$1,770.25 |
$4,331.80
|
|
Rb82 rubidium
|
$760.00 |
$760.00 |
$760.00 |
$866.88
|
|
Rbc depletion of harvest
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,803.18
|
|
Rbc irradiated each unit
|
$550.40 |
$550.40 |
$550.40 |
$550.40
|
|
Rechanneling of artery 35305
|
$5,948.00 |
$5,948.00 |
$5,948.00 |
$3,029.35
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$9,706.55
|
|
Reconstruction of mouth
|
$6,700.80 |
$6,700.80 |
$6,700.80 |
$6,740.73
|
|
Red blood cells each unit
|
$615.52 |
$615.52 |
$615.52 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$406.40 |
$406.40 |
$406.40 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$550.40 |
$550.40 |
$550.40 |
$534.15
|
|
Red blood cells washed each unit
|
$523.20 |
$523.20 |
$523.20 |
$583.68
|
|
Red cell mass multiple
|
$912.00 |
$912.00 |
$912.00 |
$636.97
|
|
Redo endovas vena cava filtr
|
$5,388.00 |
$5,388.00 |
$5,388.00 |
$4,545.10
|
|
Reduction of procidentia 45900
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,226.10
|
|
Refill maint impl spine pump
|
$414.40 |
$414.40 |
$414.40 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$735.85 |
$735.85 |
$735.85 |
$357.91
|
|
Release finger contracture
|
$3,264.00 |
$3,264.00 |
$3,264.00 |
$1,893.86
|
|
Release palm contracture
|
$2,178.40 |
$2,178.40 |
$2,178.40 |
$2,211.05
|
|
Release palm contracture
|
$5,242.40 |
$5,242.40 |
$5,242.40 |
$3,839.54
|
|
Release palm contracture
|
$6,640.80 |
$6,640.80 |
$6,640.80 |
$4,350.00
|
|
Release palm contracture
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
$1,196.00
|
|
Release palm contracture 26045
|
$6,005.60 |
$6,005.60 |
$6,005.60 |
$3,839.54
|
|
Relocation skin pocket aicd
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,935.84
|
|
Relocation skin pocket pm
|
$4,856.80 |
$4,856.80 |
$4,856.80 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$578.40 |
$578.40 |
$578.40 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$880.00 |
$880.00 |
$880.00 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$8,021.60 |
$8,021.60 |
$8,021.60 |
$5,509.05
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$89.60 |
$89.60 |
$89.60 |
$84.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$158.40 |
$158.40 |
$158.40 |
$183.07
|
|
Removable soft interface le
|
$216.44 |
$216.44 |
$216.44 |
$100.80
|
|
Removal anal seton other marker 46030
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$1,645.43
|
|
Removal biliary drg cath
|
$2,111.20 |
$2,111.20 |
$2,111.20 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,003.20 |
$2,003.20 |
$2,003.20 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,705.60 |
$2,705.60 |
$2,705.60 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$443.20 |
$443.20 |
$443.20 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$6,732.80 |
$6,732.80 |
$6,732.80 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$408.00 |
$408.00 |
$408.00 |
$255.97
|
|
Removal duct glbldr calculi
|
$4,584.80 |
$4,584.80 |
$4,584.80 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$760.00 |
$760.00 |
$760.00 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,581.60 |
$1,581.60 |
$1,581.60 |
$1,260.80
|
|
Removal foreign body gum 41805
|
$1,730.40 |
$1,730.40 |
$1,730.40 |
$2,301.60
|
|
Removal implant superficial separate procedure
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$3,065.04
|
|
Removal of artery clot 34101
|
$7,009.60 |
$7,009.60 |
$7,009.60 |
$6,590.12
|
|
Removal of eye lesion
|
$3,361.60 |
$3,361.60 |
$3,361.60 |
$4,211.99
|
|
Removal of finger lesion
|
$2,803.20 |
$2,803.20 |
$2,803.20 |
$1,893.86
|
|
Removal of finger tendon
|
$3,337.60 |
$3,337.60 |
$3,337.60 |
$1,893.86
|
|
Removal of forearm lesion
|
$4,249.60 |
$4,249.60 |
$4,249.60 |
$3,594.44
|
|
Removal of foreign body
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
$4,149.00
|
|
Removal of implant deep
|
$3,479.20 |
$3,479.20 |
$3,479.20 |
$4,520.60
|
|
Removal of palm tendon each
|
$2,807.20 |
$2,807.20 |
$2,807.20 |
$2,167.61
|
|
Removal of scrotum lesion
|
$4,564.00 |
$4,564.00 |
$4,564.00 |
$2,519.55
|
|
Removal of vein clot
|
$5,655.20 |
$5,655.20 |
$5,655.20 |
$4,485.45
|
|
Removal of vein clot 34490
|
$5,995.20 |
$5,995.20 |
$5,995.20 |
$4,729.24
|
