|
Psych test eval svc phys/qhp 1st hr
|
$731.90 |
$731.90 |
$731.90 |
$316.50
|
|
Psych test eval svc phys/qhp ea addl hr
|
$560.30 |
$560.30 |
$560.30 |
$207.20
|
|
Psychthrp grp 45-50min mcr
|
$194.35 |
$194.35 |
$194.35 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$778.05 |
$778.05 |
$778.05 |
$328.80
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$251.55 |
$251.55 |
$251.55 |
$206.40
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$253.50 |
$253.50 |
$253.50 |
$156.00
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$512.20 |
$512.20 |
$512.20 |
$123.63
|
|
Psytx complex interactive
|
$99.45 |
$99.45 |
$99.45 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$426.40 |
$426.40 |
$426.40 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$540.80 |
$540.80 |
$540.80 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$712.40 |
$712.40 |
$712.40 |
$235.20
|
|
Pt application of modality >=1 area hot/cold packs
|
$15.60 |
$15.60 |
$15.60 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$122.85 |
$122.85 |
$122.85 |
$103.20
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$113.10 |
$113.10 |
$113.10 |
$81.48
|
|
Pt application of modality traction mechanical
|
$126.10 |
$126.10 |
$126.10 |
$91.80
|
|
Pt/caregiver traing home inr
|
$347.75 |
$347.75 |
$347.75 |
$137.60
|
|
Pt-focused hlth risk assmt
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Pt repositioning canalith procedure(s) per day
|
$195.00 |
$195.00 |
$195.00 |
$119.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$94.25 |
$94.25 |
$94.25 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$131.30 |
$131.30 |
$131.30 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$165.10 |
$165.10 |
$165.10 |
$88.20
|
|
Pul art balloon repr percut
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$9,760.40
|
|
Pul art balloon repr percut
|
$3,766.10 |
$3,766.10 |
$3,766.10 |
$3,766.10
|
|
Pulmonary decortication partial 32225
|
$4,355.00 |
$4,355.00 |
$4,355.00 |
$1,741.80
|
|
Pulmonary vent imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$468.00 |
$468.00 |
$468.00 |
$349.86
|
|
Pulse ox multiple
|
$226.20 |
$226.20 |
$226.20 |
$159.16
|
|
Pulse ox single
|
$226.20 |
$226.20 |
$226.20 |
$84.80
|
|
Punc of shunt for asp or inj
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$974.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$481.65 |
$481.65 |
$481.65 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$779.35 |
$779.35 |
$779.35 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,082.90
|
|
Puraply 1 sq cm
|
$207.47 |
$207.47 |
$207.47 |
$301.80
|
|
Puraply xt 1 sq cm
|
$99.16 |
$99.16 |
$99.16 |
$151.20
|
|
Pvb thoracic 2nd+ inj site
|
$859.30 |
$859.30 |
$859.30 |
$859.30
|
|
Pvb thoracic cont infusion
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,320.80
|
|
Pyloroplasty 43800
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$1,748.40
|
|
Pyridoxine hcl 100 mg
|
$50.86 |
$50.86 |
$50.86 |
$49.08
|
|
Pyruvate
|
$65.00 |
$65.00 |
$65.00 |
$66.00
|
|
Pyruvate kinase
|
$42.25 |
$42.25 |
$42.25 |
$78.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$46.80 |
$46.80 |
$46.80 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,199.16
|
|
Quest t3 uptake
|
$29.25 |
$29.25 |
$29.25 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,059.01 |
$1,059.01 |
$1,059.01 |
$1,291.55
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,624.21 |
$1,624.21 |
$1,624.21 |
$3,848.39
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$6.48
|
|
Radiation handling
|
$914.55 |
$914.55 |
$914.55 |
$324.80
|
|
Radiation physics consult
|
$709.15 |
$709.15 |
$709.15 |
$610.68
|
|
Radiation therapy dose plan
|
$772.85 |
$772.85 |
$772.85 |
$518.76
|
|
Radiation therapy management
|
$517.40 |
$517.40 |
$517.40 |
$199.20
|
|
Radiation treatment aid(s)
|
$724.10 |
$724.10 |
$724.10 |
$526.80
|
|
Radiation treatment aid(s)
|
$595.40 |
$595.40 |
$595.40 |
$655.50
|
|
Radiation treatment aid(s)
|
$1,970.80 |
$1,970.80 |
$1,970.80 |
$1,100.38
|
|
Radiation treatment delivery
|
$583.05 |
$583.05 |
$583.05 |
$552.40
|
|
Radiation treatment delivery
|
$3,155.75 |
$3,155.75 |
$3,155.75 |
$921.00
|
|
Radiation tx management x5
|
$963.95 |
$963.95 |
$963.95 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$8,036.60 |
$8,036.60 |
$8,036.60 |
$3,429.60
|
|
Radical rescj tumor scapula
|
$7,074.60 |
$7,074.60 |
$7,074.60 |
$9,977.57
|
|
Radical resection of elbow
|
$4,639.05 |
$4,639.05 |
$4,639.05 |
$5,788.80
|
|
Radic resect abd tumor<5cm 22904
|
$4,339.40 |
$4,339.40 |
$4,339.40 |
$3,386.84
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$5,863.00 |
$5,863.00 |
$5,863.00 |
$4,460.78
|
|
Radiology port images(s)
|
$380.90 |
$380.90 |
$380.90 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$8,422.05 |
$8,422.05 |
$8,422.05 |
$5,750.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$6,084.00 |
$6,084.00 |
$6,084.00 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$6,167.20 |
$6,167.20 |
$6,167.20 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,968.85 |
$1,968.85 |
$1,968.85 |
$1,126.32
|
|
Radphm quant measure sgl area add-on
|
$388.70 |
$388.70 |
$388.70 |
$711.20
|
|
Rad rescj tum shoulder<5 cm
|
$4,591.60 |
$4,591.60 |
$4,591.60 |
$4,881.00
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$5,610.80 |
$5,610.80 |
$5,610.80 |
$3,495.54
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$1,328.60 |
$1,328.60 |
$1,328.60 |
$3,370.52
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$468.26 |
$468.26 |
$468.26 |
$13,136.04
|
|
Range of motion measurements
|
$40.95 |
$40.95 |
$40.95 |
$64.50
|
|
Ranibizumab injection
|
$91,260.00 |
$91,260.00 |
$91,260.00 |
$3,409.84
|
|
Rapid desensitization
|
$778.05 |
$778.05 |
$778.05 |
$472.21
|
|
Rapid Strep Test
|
$74.10 |
$74.10 |
$74.10 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$13,081.32 |
$13,081.32 |
$13,081.32 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$6,963.19 |
$6,963.19 |
$6,963.19 |
$41,926.70
|
|
Rbc count only automated
|
$13.65 |
$13.65 |
$13.65 |
$20.40
|
|
Rbc deglycerolized each unit
|
$2,932.15 |
$2,932.15 |
$2,932.15 |
$856.71
|
|
Rbc irradiated each unit
|
$669.50 |
$669.50 |
$669.50 |
$560.00
|
|
Rbc osmotic fragility
|
$33.80 |
$33.80 |
$33.80 |
$75.04
|
|
Rcnstj forehead with grafts
|
$5,889.00 |
$5,889.00 |
$5,889.00 |
$6,048.05
|
|
Realignment of tendons
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$3,839.54
|
|
Rebuild eardrum structures
|
$4,011.80 |
$4,011.80 |
$4,011.80 |
$6,771.20
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$18,083.65 |
$18,083.65 |
$18,083.65 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$6,136.00 |
$6,136.00 |
$6,136.00 |
$3,143.32
|
|
Reconstruct cleft palate
|
$3,907.80 |
$3,907.80 |
$3,907.80 |
$6,523.41
|
|
Reconstruct elbow joint
|
$3,623.75 |
$3,623.75 |
$3,623.75 |
$7,807.24
|
|
Reconstruct elbow lat ligmnt
|
$3,954.60 |
$3,954.60 |
$3,954.60 |
$7,907.11
|
|
Reconstruct finger joint
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$3,839.54
|
|
Reconstruct finger joint
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$4,326.00
|
|
Reconstruct head of radius
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$9,878.40
|
|
Reconstruction knee
|
$2,545.40 |
$2,545.40 |
$2,545.40 |
$7,222.25
|
|
Reconstruction knee
|
$4,050.80 |
$4,050.80 |
$4,050.80 |
$8,814.96
|
|
Reconstruction of hip socket
|
$4,183.40 |
$4,183.40 |
$4,183.40 |
$2,710.40
|
