|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$355.20 |
$355.20 |
$355.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$355.20 |
$355.20 |
$355.20 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$121.60 |
$121.60 |
$121.60 |
$107.50
|
|
Psychoeducation 45 min +
|
$520.00 |
$520.00 |
$520.00 |
$201.45
|
|
Psychotherapy group therapy
|
$588.00 |
$588.00 |
$588.00 |
$225.39
|
|
Psychotherapy patient individual therapy 30 minutes
|
$488.00 |
$488.00 |
$488.00 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$604.00 |
$604.00 |
$604.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$616.00 |
$616.00 |
$616.00 |
$287.95
|
|
Psychthrp grp 45-50min mcr
|
$588.00 |
$588.00 |
$588.00 |
$243.88
|
|
Pt application of modality >=1 area hot/cold packs
|
$20.00 |
$20.00 |
$20.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$108.80 |
$108.80 |
$108.80 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$73.60 |
$73.60 |
$73.60 |
$81.48
|
|
Pt application of modality traction mechanical
|
$61.60 |
$61.60 |
$61.60 |
$91.80
|
|
Pt repositioning canalith procedure(s) per day
|
$164.00 |
$164.00 |
$164.00 |
$118.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$76.80 |
$76.80 |
$76.80 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$101.60 |
$101.60 |
$101.60 |
$88.00
|
|
Pulse ox multiple
|
$203.20 |
$203.20 |
$203.20 |
$157.30
|
|
Puncture arterial withdrawal blood for diagnosis
|
$186.40 |
$186.40 |
$186.40 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$460.00 |
$460.00 |
$460.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$1,060.47
|
|
Pyruvate
|
$57.60 |
$57.60 |
$57.60 |
$66.00
|
|
Quest t3 uptake
|
$48.80 |
$48.80 |
$48.80 |
$53.20
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$4.11 |
$4.11 |
$4.11 |
$6.48
|
|
Rapid Strep Test
|
$56.80 |
$56.80 |
$56.80 |
$76.00
|
|
Rbc count only automated
|
$14.40 |
$14.40 |
$14.40 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$459.20 |
$459.20 |
$459.20 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$641.60 |
$641.60 |
$641.60 |
$534.15
|
|
Rem/biv cast full arm/leg
|
$370.40 |
$370.40 |
$370.40 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$880.00 |
$880.00 |
$880.00 |
$1,555.39
|
|
Removal central venous catheter tunneled without port/pump
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$1,588.50
|
|
Removal cerumen impacted (both sides)
|
$177.60 |
$177.60 |
$177.60 |
$163.20
|
|
Removal embedded foreign body vestibule mouth smpl
|
$751.20 |
$751.20 |
$751.20 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$1,260.80
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$230.40 |
$230.40 |
$230.40 |
$292.50
|
|
Remove foreign body from eye
|
$3,682.40 |
$3,682.40 |
$3,682.40 |
$3,433.80
|
|
Renal function panel
|
$65.60 |
$65.60 |
$65.60 |
$114.37
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$830.40 |
$830.40 |
$830.40 |
$1,055.69
|
|
Repair eyelid defect
|
$3,581.60 |
$3,581.60 |
$3,581.60 |
$3,649.60
|
|
Repair eyelid defect
|
$2,924.80 |
$2,924.80 |
$2,924.80 |
$2,760.73
|
|
Repair eyelid defect
|
$2,856.80 |
$2,856.80 |
$2,856.80 |
$3,176.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,571.20 |
$1,571.20 |
$1,571.20 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,026.40 |
$1,026.40 |
$1,026.40 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
$1,244.09
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$623.20 |
$623.20 |
$623.20 |
$478.00
|
|
Reptilase test
|
$50.40 |
$50.40 |
$50.40 |
$72.15
|
|
Reticulocyte automated
|
$43.20 |
$43.20 |
$43.20 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$32.00 |
$32.00 |
$32.00 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$30.36 |
$30.36 |
$30.36 |
$15.56
|
|
Rheumatoid factor qualitative
|
$32.00 |
$32.00 |
$32.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$38.40 |
$38.40 |
$38.40 |
$57.50
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$192.00 |
$192.00 |
$192.00 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$260.80 |
$260.80 |
$260.80 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$549.60 |
$549.60 |
$549.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$524.80 |
$524.80 |
$524.80 |
$397.60
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$9,116.52 |
$9,116.52 |
$9,116.52 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,043.40 |
$4,043.40 |
$4,043.40 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$877.19 |
$877.19 |
$877.19 |
$5,004.42
|
|
Romiplostim 125 mcg subcutaneous solution
|
$1,580.10 |
$1,580.10 |
$1,580.10 |
$8,935.57
|
|
Rsv assay w/optic
|
$73.60 |
$73.60 |
$73.60 |
$76.32
|
|
Rubella antibody igg
|
$72.80 |
$72.80 |
$72.80 |
$77.40
|
|
Rubeola antibody igg
|
$83.20 |
$83.20 |
$83.20 |
$80.00
|
|
Russell viper venom diluted
|
$56.80 |
$56.80 |
$56.80 |
$73.03
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
$1,008.79
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$363.20 |
$363.20 |
$363.20 |
$314.26
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
$60.40
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$647.20 |
$647.20 |
$647.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$604.00 |
$604.00 |
$604.00 |
$726.18
|
|
Screening Colonoscopy (average risk)
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$1,816.36
|
|
Screening Colonoscopy (high risk)
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$2,249.00
|
|
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Screening hepatitis c antibody high risk
|
$122.40 |
$122.40 |
$122.40 |
$93.60
|
|
Screening Mammogram
|
$403.20 |
$403.20 |
$403.20 |
$310.20
|
|
Screening prostate cancer PSA
|
$136.00 |
$136.00 |
$136.00 |
$101.60
|
|
Scrotal (Testicle) Ultrasound
|
$554.40 |
$554.40 |
$554.40 |
$611.91
|
|
Sedimentation rate erythrocyte automated
|
$18.40 |
$18.40 |
$18.40 |
$42.00
|
|
Self-Care and Home Skills Training (each 15 minutes)
|
$119.20 |
$119.20 |
$119.20 |
$96.00
|
|
Semen analysis presence/motility
|
$60.80 |
$60.80 |
$60.80 |
$70.40
|
|
Semen analysis w/count
|
$59.20 |
$59.20 |
$59.20 |
$56.44
|
|
Serial casting application 97139app
|
$52.80 |
$52.80 |
$52.80 |
$78.39
|
|
Shot (Injection into Muscle or Under the Skin)
|
$136.00 |
$136.00 |
$136.00 |
$136.20
|
|
Shoulder AC Joint X-ray (both sides)
|
$330.40 |
$330.40 |
$330.40 |
$270.20
|
|
Shoulder Blade (Scapula) X-ray (both sides)
|
$264.80 |
$264.80 |
$264.80 |
$286.89
|
|
Shoulder MRI (with and without contrast)
|
$3,566.40 |
$3,566.40 |
$3,566.40 |
$2,743.02
|
|
Shoulder MRI (with contrast)
|
$3,084.00 |
$3,084.00 |
$3,084.00 |
$2,476.20
|
|
Shoulder MRI (without contrast)
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$2,096.84
|
|
Shoulder X-ray
|
$240.00 |
$240.00 |
$240.00 |
$340.10
|
|
Shoulder X-ray (single view, both shoulders)
|
$212.00 |
$212.00 |
$212.00 |
$263.25
|
|
Sickling rbc
|
$32.80 |
$32.80 |
$32.80 |
$59.40
|
|
Sigmoidoscopy and biopsy
|
$1,578.40 |
$1,578.40 |
$1,578.40 |
$1,446.90
|
|
Sinus CT scan (with and without contrast)
|
$2,582.40 |
$2,582.40 |
$2,582.40 |
$1,796.30
|
|
Sinus CT scan (with contrast)
|
$1,566.40 |
$1,566.40 |
$1,566.40 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$1,289.00
|
|
Sinus X-ray (complete)
|
$296.80 |
$296.80 |
$296.80 |
$346.45
|
|
Sinus X-ray (limited)
|
$263.20 |
$263.20 |
$263.20 |
$215.40
|
|
Sirolimus, oral
|
$15.50 |
$15.50 |
$15.50 |
$41.70
|
|
Skull X-ray (1 to 3 views)
|
$383.20 |
$383.20 |
$383.20 |
$294.45
|
|
Skull X-ray (complete)
|
$545.60 |
$545.60 |
$545.60 |
$417.50
|
|
Sleep Study (Polysomnography)
|
$3,964.80 |
$3,964.80 |
$3,964.80 |
$3,734.50
|
|
Sleep study unattended
|
$544.80 |
$544.80 |
$544.80 |
$594.00
|
