|
Prq card revasc chronic addl
|
$10,915.45 |
$10,915.45 |
$10,915.45 |
$12,141.09
|
|
Prq card revasc mi 1 vsl
|
$15,190.50 |
$15,190.50 |
$15,190.50 |
$16,535.80
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$16,299.40 |
$16,299.40 |
$16,299.40 |
$16,675.68
|
|
Prq card stent w/angio addl
|
$11,118.90 |
$11,118.90 |
$11,118.90 |
$9,180.60
|
|
Prq revasc byp graft 1 art and/or branches
|
$12,684.10 |
$12,684.10 |
$12,684.10 |
$13,419.98
|
|
Prq revasc byp graft addl
|
$11,118.90 |
$11,118.90 |
$11,118.90 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$12,790.70 |
$12,790.70 |
$12,790.70 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$13,969.80 |
$13,969.80 |
$13,969.80 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$5,698.55 |
$5,698.55 |
$5,698.55 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$13,969.80 |
$13,969.80 |
$13,969.80 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$21,085.35 |
$21,085.35 |
$21,085.35 |
$16,678.62
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$314.60 |
$314.60 |
$314.60 |
$280.79
|
|
Pr removal intrauterine device
|
$537.55 |
$537.55 |
$537.55 |
$447.78
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$1,790.60
|
|
PSA (Prostate) Test
|
$40.95 |
$40.95 |
$40.95 |
$109.35
|
|
Psychoanalysis
|
$541.45 |
$541.45 |
$541.45 |
$221.60
|
|
Psychoeducation 45 min +
|
$212.55 |
$212.55 |
$212.55 |
$265.85
|
|
Psychotherapy group therapy
|
$482.30 |
$482.30 |
$482.30 |
$264.32
|
|
Psychotherapy patient individual therapy 30 minutes
|
$157.95 |
$157.95 |
$157.95 |
$200.00
|
|
Psychotherapy patient individual therapy 45 minutes
|
$282.75 |
$282.75 |
$282.75 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$315.25 |
$315.25 |
$315.25 |
$294.45
|
|
Psychthrp grp 45-50min mcr
|
$130.00 |
$130.00 |
$130.00 |
$227.70
|
|
Psytx complex interactive
|
$31.85 |
$31.85 |
$31.85 |
$45.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$172.90 |
$172.90 |
$172.90 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$183.95 |
$183.95 |
$183.95 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$35.75 |
$35.75 |
$35.75 |
$82.55
|
|
Pt application of modality traction mechanical
|
$91.00 |
$91.00 |
$91.00 |
$88.20
|
|
Pten gene full sequence
|
$4,414.15 |
$4,414.15 |
$4,414.15 |
$660.00
|
|
Pten gene known fam variant
|
$921.05 |
$921.05 |
$921.05 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$280.15 |
$280.15 |
$280.15 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$258.05 |
$258.05 |
$258.05 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$275.60 |
$275.60 |
$275.60 |
$263.90
|
|
Pt re-evaluation patient/family
|
$175.50 |
$175.50 |
$175.50 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$65.65 |
$65.65 |
$65.65 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$48.75 |
$48.75 |
$48.75 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$78.00 |
$78.00 |
$78.00 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$133.90 |
$133.90 |
$133.90 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$157.30 |
$157.30 |
$157.30 |
$85.00
|
|
Pul art balloon repr percut
|
$12,330.50 |
$12,330.50 |
$12,330.50 |
$10,651.06
|
|
Pul art balloon repr percut
|
$5,979.35 |
$5,979.35 |
$5,979.35 |
$4,144.17
|
|
Pulmonary vent imaging
|
$915.20 |
$915.20 |
$915.20 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$347.10 |
$347.10 |
$347.10 |
$368.00
|
|
Punc of shunt for asp or inj
|
$607.10 |
$607.10 |
$607.10 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$75.40 |
$75.40 |
$75.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$434.85 |
$434.85 |
$434.85 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$443.30 |
$443.30 |
$443.30 |
$1,134.64
|
|
Pvb thoracic 2nd+ inj site
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$1,013.20
|
|
Pvb thoracic single inj site
|
$2,914.60 |
$2,914.60 |
$2,914.60 |
$1,189.08
|
|
Pyridoxine hcl 100 mg
|
$35.30 |
$35.30 |
$35.30 |
$43.24
|
|
Pyruvate
|
$152.75 |
$152.75 |
$152.75 |
$65.00
|
|
Pyruvate kinase
|
$470.60 |
$470.60 |
$470.60 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$2,052.70 |
$2,052.70 |
$2,052.70 |
$1,209.44
|
|
Quest t3 uptake
|
$82.55 |
$82.55 |
$82.55 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$7,466.29 |
$7,466.29 |
$7,466.29 |
$3,213.80
|
|
Radiation physics consult
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$574.75
|
|
Radiation therapy dose plan
|
$2,902.90 |
$2,902.90 |
$2,902.90 |
$530.53
|
|
Radiation treatment aid(s)
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$541.45
|
|
Radiation treatment aid(s)
|
$2,074.80 |
$2,074.80 |
$2,074.80 |
$665.00
|
|
Radiation treatment aid(s)
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$1,103.09
|
|
Radiation treatment delivery
|
$1,853.15 |
$1,853.15 |
$1,853.15 |
$552.40
|
|
Radiation treatment delivery
|
$2,167.10 |
$2,167.10 |
$2,167.10 |
$909.98
|
|
Radiology port images(s)
|
$880.10 |
$880.10 |
$880.10 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$21,166.60 |
$21,166.60 |
$21,166.60 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,567.50 |
$2,567.50 |
$2,567.50 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,705.95 |
$2,705.95 |
$2,705.95 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,845.05 |
$2,845.05 |
$2,845.05 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$2,266.55 |
$2,266.55 |
$2,266.55 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$2,130.70 |
$2,130.70 |
$2,130.70 |
$678.81
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$20,285.95 |
$20,285.95 |
$20,285.95 |
$16,592.73
|
|
Rapid Strep Test
|
$50.70 |
$50.70 |
$50.70 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$3,038.10 |
$3,038.10 |
$3,038.10 |
$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
|
$676.65 |
$676.65 |
$676.65 |
$223.08
|
|
Red blood cells each unit
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$365.30
|
|
Red blood cells leukocytes reduced each unit
|
$574.60 |
$574.60 |
$574.60 |
$406.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$708.50 |
$708.50 |
$708.50 |
$534.15
|
|
Red blood cells washed each unit
|
$1,213.55 |
$1,213.55 |
$1,213.55 |
$553.30
|
|
Red cell sequestration
|
$978.25 |
$978.25 |
$978.25 |
$475.51
|
|
Redo endovas vena cava filtr
|
$5,592.60 |
$5,592.60 |
$5,592.60 |
$4,397.96
|
|
Refill maint impl spine pump
|
$1,465.75 |
$1,465.75 |
$1,465.75 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$196.30 |
$196.30 |
$196.30 |
$369.63
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$96.78 |
$96.78 |
$96.78 |
$566.53
|
|
Relocation skin pocket aicd
|
$15,323.75 |
$15,323.75 |
$15,323.75 |
$3,153.93
|
|
Relocation skin pocket pm
|
$15,229.50 |
$15,229.50 |
$15,229.50 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$1,621.10 |
$1,621.10 |
$1,621.10 |
$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
|
$10,603.45 |
$10,603.45 |
$10,603.45 |
$5,819.40
|
|
Rem interrog dev eval icpms
|
$114.40 |
$114.40 |
$114.40 |
$109.50
|
|
Rem interrog dev eval scrms
|
$114.40 |
$114.40 |
$114.40 |
$139.10
|
|
Rem interrog evl pm/ids
|
$89.05 |
$89.05 |
$89.05 |
$139.10
|
|
Removal biliary drg cath
|
$406.25 |
$406.25 |
$406.25 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$2,553.85 |
$2,553.85 |
$2,553.85 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,086.85 |
$3,086.85 |
$3,086.85 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$218.40 |
$218.40 |
$218.40 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$400.40 |
$400.40 |
$400.40 |
$245.60
|
|
Removal duct glbldr calculi
|
$7,495.15 |
$7,495.15 |
$7,495.15 |
$2,946.00
|
|
Removal foreign body foot subcutaneous right
|
$872.30 |
$872.30 |
$872.30 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$3,246.10 |
$3,246.10 |
$3,246.10 |
$2,945.80
|
|
Removal of metatarsal
|
$629.20 |
$629.20 |
$629.20 |
$3,430.19
|