|
Puraply 1 sq cm
|
$15,282.89 |
$15,282.89 |
$15,282.89 |
$304.50
|
|
Puraply xt 1 sq cm
|
$5,064.50 |
$5,064.50 |
$5,064.50 |
$172.80
|
|
Pvb thoracic 2nd+ inj site
|
$947.40 |
$947.40 |
$947.40 |
$859.30
|
|
Pvb thoracic single inj site
|
$630.60 |
$630.60 |
$630.60 |
$1,312.00
|
|
Pyruvate
|
$39.00 |
$39.00 |
$39.00 |
$66.00
|
|
Pyruvate kinase
|
$52.80 |
$52.80 |
$52.80 |
$84.50
|
|
Quant diff pulm perf w/imaging
|
$3,013.20 |
$3,013.20 |
$3,013.20 |
$1,199.16
|
|
Quest t3 uptake
|
$79.20 |
$79.20 |
$79.20 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$9,492.90 |
$9,492.90 |
$9,492.90 |
$3,770.01
|
|
Radiation handling
|
$744.60 |
$744.60 |
$744.60 |
$324.80
|
|
Radiation physics consult
|
$927.60 |
$927.60 |
$927.60 |
$602.12
|
|
Radiation therapy dose plan
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$125,963.40 |
$125,963.40 |
$125,963.40 |
$526.80
|
|
Radiation treatment aid(s)
|
$986.40 |
$986.40 |
$986.40 |
$644.36
|
|
Radiation treatment aid(s)
|
$4,256.40 |
$4,256.40 |
$4,256.40 |
$1,075.03
|
|
Radiation treatment delivery
|
$651.00 |
$651.00 |
$651.00 |
$552.40
|
|
Radiation treatment delivery
|
$6,897.00 |
$6,897.00 |
$6,897.00 |
$911.04
|
|
Radiology port images(s)
|
$279.00 |
$279.00 |
$279.00 |
$259.70
|
|
Radiotherapy dose plan imrt
|
$4,926.60 |
$4,926.60 |
$4,926.60 |
$5,718.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$2,014.64
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,850.40 |
$1,850.40 |
$1,850.40 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,500.20 |
$2,500.20 |
$2,500.20 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$675.60 |
$675.60 |
$675.60 |
$1,102.80
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$20,845.98 |
$20,845.98 |
$20,845.98 |
$13,136.04
|
|
Rapid Strep Test
|
$57.60 |
$57.60 |
$57.60 |
$74.25
|
|
Rbc count only automated
|
$17.40 |
$17.40 |
$17.40 |
$20.00
|
|
Rbc deglycerolized each unit
|
$633.00 |
$633.00 |
$633.00 |
$767.00
|
|
Rbc irradiated each unit
|
$200.40 |
$200.40 |
$200.40 |
$517.86
|
|
Reconstruct shoulder joint
|
$57,753.82 |
$57,753.82 |
$57,753.82 |
$11,340.00
|
|
Red blood cells each unit
|
$273.60 |
$273.60 |
$273.60 |
$382.50
|
|
Red blood cells leukocytes reduced each unit
|
$448.80 |
$448.80 |
$448.80 |
$422.84
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$597.00 |
$597.00 |
$597.00 |
$523.83
|
|
Red blood cells washed each unit
|
$324.60 |
$324.60 |
$324.60 |
$559.00
|
|
Redo endovas vena cava filtr
|
$8,850.60 |
$8,850.60 |
$8,850.60 |
$4,341.66
|
|
Refill/maint pump/resvr syst
|
$463.20 |
$463.20 |
$463.20 |
$384.15
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,051.68 |
$1,051.68 |
$1,051.68 |
$378.22
|
|
Reinforced solid stirrup
|
$503.47 |
$503.47 |
$503.47 |
$443.50
|
|
Release of foot tendons
|
$43,073.98 |
$43,073.98 |
$43,073.98 |
$3,839.54
|
|
Release of lower leg tendon
|
$65,076.08 |
$65,076.08 |
$65,076.08 |
$3,821.05
|
|
Relocation skin pocket pm
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$2,581.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$3,532.20 |
$3,532.20 |
$3,532.20 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,171.80 |
$1,171.80 |
$1,171.80 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,545.00
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$11,474.16 |
$11,474.16 |
$11,474.16 |
$2,422.70
|
|
Removal cerumen impacted (both sides)
|
$9,048.18 |
$9,048.18 |
$9,048.18 |
$161.85
|
|
Removal clot in graft oth/thn 35875
|
$11,906.40 |
$11,906.40 |
$11,906.40 |
$5,983.35
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$228.00 |
$228.00 |
$228.00 |
$236.64
|
|
Removal duct glbldr calculi
|
$3,330.00 |
$3,330.00 |
$3,330.00 |
$2,946.00
|
|
Removal foreign body extrn auditory canal with anes
|
$5,602.20 |
$5,602.20 |
$5,602.20 |
$2,552.50
|
|
Removal implant from finger/hand 26320
|
$9,192.66 |
$9,192.66 |
$9,192.66 |
$1,999.20
|
|
Removal mamma implant mat 19330
|
$13,727.52 |
$13,727.52 |
$13,727.52 |
$3,786.00
|
|
Removal of adenoids
|
$6,986.75 |
$6,986.75 |
$6,986.75 |
$3,837.72
|
|
Removal of ankle/heel lesion
|
$36,608.85 |
$36,608.85 |
$36,608.85 |
$3,594.44
|
|
Removal of breast lesion
|
$9,801.84 |
$9,801.84 |
$9,801.84 |
$4,627.00
|
|
Removal of foot lesion
|
$7,330.08 |
$7,330.08 |
$7,330.08 |
$3,821.05
|
|
Removal of heel bone
|
$36,608.85 |
$36,608.85 |
$36,608.85 |
$3,594.44
|
|
Removal of implant deep
|
$21,993.83 |
$21,993.83 |
$21,993.83 |
$4,520.60
|
|
Removal of intranasal lesion
|
$6,423.48 |
$6,423.48 |
$6,423.48 |
$3,732.00
|
|
Removal of thyroid
|
$24,366.79 |
$24,366.79 |
$24,366.79 |
$6,870.89
|
|
Removal tunnled intprtnl cath
|
$2,602.80 |
$2,602.80 |
$2,602.80 |
$3,950.00
|
|
Remove anal fist subq
|
$10,073.94 |
$10,073.94 |
$10,073.94 |
$3,640.00
|
|
Remove cva lumen obstruct
|
$620.40 |
$620.40 |
$620.40 |
$490.80
|
|
Remove in/ex hem groups 2+
|
$11,431.23 |
$11,431.23 |
$11,431.23 |
$3,816.64
|
|
Remove int/ext hem 1 group
|
$9,365.25 |
$9,365.25 |
$9,365.25 |
$3,816.64
|
|
Remove lower leg bone lesion
|
$25,282.74 |
$25,282.74 |
$25,282.74 |
$3,839.54
|
|
Remove renal tube w/fluoro
|
$969.00 |
$969.00 |
$969.00 |
$1,164.60
|
|
Remove spinal canal catheter 62355
|
$8,286.24 |
$8,286.24 |
$8,286.24 |
$2,300.50
|
|
Remove spinal lamina add-on 63048
|
$45,062.16 |
$45,062.16 |
$45,062.16 |
$1,430.00
|
|
Remove spine eltrd perq aray
|
$8,276.34 |
$8,276.34 |
$8,276.34 |
$3,168.75
|
|
Remove spine infusion device
|
$8,286.24 |
$8,286.24 |
$8,286.24 |
$7,133.75
|
|
Remove tonsils and adenoids
|
$9,048.18 |
$9,048.18 |
$9,048.18 |
$5,419.00
|
|
Remove tonsils and adenoids
|
$7,721.76 |
$7,721.76 |
$7,721.76 |
$3,780.25
|
|
Remove ureter stent percut
|
$7,372.20 |
$7,372.20 |
$7,372.20 |
$3,580.80
|
|
Remove wrist/forearm lesion
|
$23,456.11 |
$23,456.11 |
$23,456.11 |
$2,623.40
|
|
Remove wrist/forearm lesion
|
$11,194.62 |
$11,194.62 |
$11,194.62 |
$3,839.54
|
|
Remove wrist tendon lesion
|
$7,335.78 |
$7,335.78 |
$7,335.78 |
$3,107.43
|
|
Renal cyst study s&i
|
$466.20 |
$466.20 |
$466.20 |
$751.34
|
|
Renal function panel
|
$157.80 |
$157.80 |
$157.80 |
$113.52
|
|
Renal venogram bil s&i
|
$3,169.80 |
$3,169.80 |
$3,169.80 |
$3,615.28
|
|
Repair achilles tendon
|
$28,423.38 |
$28,423.38 |
$28,423.38 |
$6,839.00
|
|
Repair biceps tendon
|
$60,762.94 |
$60,762.94 |
$60,762.94 |
$6,445.38
|
|
Repair bladder defect
|
$18,883.09 |
$18,883.09 |
$18,883.09 |
$5,841.60
|
|
Repair blood vess/direct/intra/abd 35221
|
$765.00 |
$765.00 |
$765.00 |
$2,042.30
|
|
Repair blood vessel dir lower extr
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$1,664.40
|
|
Repair degenerated kneecap
|
$58,681.24 |
$58,681.24 |
$58,681.24 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$8,289.92 |
$8,289.92 |
$8,289.92 |
$432.55
|
|
Repair hand joint
|
$9,776.86 |
$9,776.86 |
$9,776.86 |
$3,839.54
|
|
Repair of achilles tendon
|
$36,608.85 |
$36,608.85 |
$36,608.85 |
$5,326.50
|
|
Repair of ankle ligament
|
$42,282.55 |
$42,282.55 |
$42,282.55 |
$7,913.97
|
|
Repair of ankle ligament
|
$65,076.08 |
$65,076.08 |
$65,076.08 |
$5,741.00
|
|
Repair of digit nerve hand/foot 1 nerve
|
$7,305.90 |
$7,305.90 |
$7,305.90 |
$3,398.40
|
|
Repair of foot bones
|
$102,368.41 |
$102,368.41 |
$102,368.41 |
$14,061.89
|
|
Repair of foot tendon
|
$21,573.01 |
$21,573.01 |
$21,573.01 |
$3,839.54
|
|
Repair of kneecap tendon
|
$16,522.50 |
$16,522.50 |
$16,522.50 |
$7,907.11
|
|
Repair of nasal septum
|
$20,164.43 |
$20,164.43 |
$20,164.43 |
$4,627.00
|
|
Repair of ruptured tendon
|
$21,878.06 |
$21,878.06 |
$21,878.06 |
$6,484.80
|
|
Repair of thigh muscle
|
$14,135.73 |
$14,135.73 |
$14,135.73 |
$6,727.70
|
|
Repair rectum & vagina
|
$34,056.55 |
$34,056.55 |
$34,056.55 |
$5,339.00
|
|
Repair/revise wrist joint
|
$20,081.48 |
$20,081.48 |
$20,081.48 |
$5,886.74
|
