|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$107.25 |
$107.25 |
$107.25 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$109.85 |
$109.85 |
$109.85 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$57.85 |
$57.85 |
$57.85 |
$82.55
|
|
Pt application of modality traction mechanical
|
$55.90 |
$55.90 |
$55.90 |
$88.20
|
|
Pten gene full sequence
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$660.00
|
|
Pten gene known fam variant
|
$633.10 |
$633.10 |
$633.10 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$266.50 |
$266.50 |
$266.50 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$226.85 |
$226.85 |
$226.85 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$246.35 |
$246.35 |
$246.35 |
$263.90
|
|
Pt re-evaluation patient/family
|
$147.55 |
$147.55 |
$147.55 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$161.20 |
$161.20 |
$161.20 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$61.75 |
$61.75 |
$61.75 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$100.75 |
$100.75 |
$100.75 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$66.95 |
$66.95 |
$66.95 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$72.80 |
$72.80 |
$72.80 |
$85.00
|
|
Pul art balloon repr percut
|
$11,278.80 |
$11,278.80 |
$11,278.80 |
$10,651.06
|
|
Pul art balloon repr percut
|
$5,174.00 |
$5,174.00 |
$5,174.00 |
$4,144.17
|
|
Pulmonary vent imaging
|
$717.60 |
$717.60 |
$717.60 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$291.85 |
$291.85 |
$291.85 |
$368.00
|
|
Punc of shunt for asp or inj
|
$773.50 |
$773.50 |
$773.50 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$109.85 |
$109.85 |
$109.85 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$553.80 |
$553.80 |
$553.80 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$564.20 |
$564.20 |
$564.20 |
$1,134.64
|
|
Pvb thoracic 2nd+ inj site
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$1,013.20
|
|
Pvb thoracic single inj site
|
$3,708.90 |
$3,708.90 |
$3,708.90 |
$1,189.08
|
|
Pyridoxine hcl 100 mg
|
$36.61 |
$36.61 |
$36.61 |
$43.24
|
|
Pyruvate
|
$144.95 |
$144.95 |
$144.95 |
$65.00
|
|
Pyruvate kinase
|
$445.90 |
$445.90 |
$445.90 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$889.20 |
$889.20 |
$889.20 |
$1,209.44
|
|
Quest t3 uptake
|
$42.90 |
$42.90 |
$42.90 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,510.37 |
$1,510.37 |
$1,510.37 |
$3,213.80
|
|
Radiation physics consult
|
$2,375.75 |
$2,375.75 |
$2,375.75 |
$574.75
|
|
Radiation therapy dose plan
|
$2,165.80 |
$2,165.80 |
$2,165.80 |
$530.53
|
|
Radiation treatment aid(s)
|
$1,721.85 |
$1,721.85 |
$1,721.85 |
$541.45
|
|
Radiation treatment aid(s)
|
$1,807.65 |
$1,807.65 |
$1,807.65 |
$665.00
|
|
Radiation treatment aid(s)
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,823.90 |
$1,823.90 |
$1,823.90 |
$552.40
|
|
Radiation treatment delivery
|
$2,011.10 |
$2,011.10 |
$2,011.10 |
$909.98
|
|
Radiology port images(s)
|
$820.30 |
$820.30 |
$820.30 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$14,203.80 |
$14,203.80 |
$14,203.80 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,349.10 |
$2,349.10 |
$2,349.10 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,720.25 |
$2,720.25 |
$2,720.25 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,029.95 |
$2,029.95 |
$2,029.95 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$1,665.95 |
$1,665.95 |
$1,665.95 |
$678.81
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$4,099.91 |
$4,099.91 |
$4,099.91 |
$16,592.73
|
|
Rapid Strep Test
|
$42.25 |
$42.25 |
$42.25 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$17,972.63 |
$17,972.63 |
$17,972.63 |
$3,833.40
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$64,631.52 |
$64,631.52 |
$64,631.52 |
$42,463.34
|
|
Rbc serum pretx incubj drugs
|
$585.65 |
$585.65 |
$585.65 |
$223.08
|
|
Red blood cells each unit
|
$904.80 |
$904.80 |
$904.80 |
$365.30
|
|
Red blood cells leukocytes reduced each unit
|
$638.30 |
$638.30 |
$638.30 |
$406.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$786.50 |
$786.50 |
$786.50 |
$534.15
|
|
Red blood cells washed each unit
|
$1,348.10 |
$1,348.10 |
$1,348.10 |
$553.30
|
|
Red cell sequestration
|
$853.45 |
$853.45 |
$853.45 |
$475.51
|
|
Redo endovas vena cava filtr
|
$5,114.20 |
$5,114.20 |
$5,114.20 |
$4,397.96
|
|
Refill maint impl spine pump
|
$1,277.25 |
$1,277.25 |
$1,277.25 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$390.00 |
$390.00 |
$390.00 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$181.67 |
$181.67 |
$181.67 |
$566.53
|
|
Relocation skin pocket aicd
|
$10,977.85 |
$10,977.85 |
$10,977.85 |
$3,153.93
|
|
Relocation skin pocket pm
|
$10,910.25 |
$10,910.25 |
$10,910.25 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$2,063.10 |
$2,063.10 |
$2,063.10 |
$370.80
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,131.87 |
$2,131.87 |
$2,131.87 |
$1,888.50
|
|
Rem endovas vena cava filter
|
$9,699.95 |
$9,699.95 |
$9,699.95 |
$5,819.40
|
|
Rem interrog dev eval icpms
|
$83.20 |
$83.20 |
$83.20 |
$109.50
|
|
Rem interrog dev eval scrms
|
$83.20 |
$83.20 |
$83.20 |
$139.10
|
|
Rem interrog evl pm/ids
|
$58.50 |
$58.50 |
$58.50 |
$139.10
|
|
Removal biliary drg cath
|
$666.25 |
$666.25 |
$666.25 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,927.30 |
$3,927.30 |
$3,927.30 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$639.60 |
$639.60 |
$639.60 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$267.80 |
$267.80 |
$267.80 |
$245.60
|
|
Removal duct glbldr calculi
|
$4,185.35 |
$4,185.35 |
$4,185.35 |
$2,946.00
|
|
Removal foreign body foot subcutaneous right
|
$991.90 |
$991.90 |
$991.90 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$4,129.45 |
$4,129.45 |
$4,129.45 |
$2,945.80
|
|
Removal of metatarsal
|
$2,566.85 |
$2,566.85 |
$2,566.85 |
$3,430.19
|
|
Removal/replacement ppm generator dual lead system
|
$16,075.15 |
$16,075.15 |
$16,075.15 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$270.40 |
$270.40 |
$270.40 |
$303.80
|
|
Removal sutr and stapl no anes
|
$39.00 |
$39.00 |
$39.00 |
$73.66
|
|
Removal sutr or stapl no anes
|
$44.43 |
$44.43 |
$44.43 |
$85.18
|
|
Removal tunnled intprtnl cath
|
$2,273.05 |
$2,273.05 |
$2,273.05 |
$4,293.90
|
|
Remove anal fist subq
|
$3,975.40 |
$3,975.40 |
$3,975.40 |
$3,417.12
|
|
Remove brain canal fluid
|
$66.30 |
$66.30 |
$66.30 |
$783.48
|
|
Remove cva lumen obstruct
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$494.00
|
|
Remove esophagus obstruction
|
$560.95 |
$560.95 |
$560.95 |
$351.20
|
|
Remove renal tube w/fluoro
|
$1,979.90 |
$1,979.90 |
$1,979.90 |
$1,281.75
|
|
Remove spinal canal catheter 62355
|
$1,756.95 |
$1,756.95 |
$1,756.95 |
$2,286.90
|
|
Remove spine eltrd perq aray
|
$5,187.65 |
$5,187.65 |
$5,187.65 |
$2,882.60
|
|
Remove spine infusion device
|
$5,815.55 |
$5,815.55 |
$5,815.55 |
$5,788.94
|
|
Remove stent via transureth
|
$4,664.40 |
$4,664.40 |
$4,664.40 |
$3,332.80
|
|
Remove ureter stent percut
|
$12,311.00 |
$12,311.00 |
$12,311.00 |
$3,525.30
|
|
Remove ventricular device 33977
|
$3,773.25 |
$3,773.25 |
$3,773.25 |
$2,748.80
|
|
Renal cyst study s&i
|
$1,751.75 |
$1,751.75 |
$1,751.75 |
$648.84
|
|
Renal function panel
|
$45.50 |
$45.50 |
$45.50 |
$110.10
|
|
Renal venogram bil s&i
|
$4,633.20 |
$4,633.20 |
$4,633.20 |
$3,615.28
|
|
Reopen fallopian tube
|
$13,244.40 |
$13,244.40 |
$13,244.40 |
$5,463.96
|
|
Repair dental ellis ii fx
|
$362.70 |
$362.70 |
$362.70 |
$432.55
|
|
Repair elbow perc
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$4,499.12
|
|
Repair extns tendon finger without grft ea
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$2,702.15
|
