|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$211.20 |
$211.20 |
$211.20 |
$81.00
|
|
Pt application of modality traction mechanical
|
$167.40 |
$167.40 |
$167.40 |
$91.00
|
|
Pten gene dup/delet variant
|
$463.20 |
$463.20 |
$463.20 |
$330.00
|
|
Pten gene full sequence
|
$992.40 |
$992.40 |
$992.40 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$617.40 |
$617.40 |
$617.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$457.20 |
$457.20 |
$457.20 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$537.60 |
$537.60 |
$537.60 |
$254.88
|
|
Pt re-evaluation patient/family
|
$267.00 |
$267.00 |
$267.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$162.60 |
$162.60 |
$162.60 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$180.60 |
$180.60 |
$180.60 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$167.40 |
$167.40 |
$167.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$167.40 |
$167.40 |
$167.40 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$97.80 |
$97.80 |
$97.80 |
$87.50
|
|
Pulmonary vent imaging
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$476.40 |
$476.40 |
$476.40 |
$344.00
|
|
Pulse ox multiple
|
$238.20 |
$238.20 |
$238.20 |
$156.40
|
|
Pulse ox single
|
$166.20 |
$166.20 |
$166.20 |
$81.70
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,128.41 |
$1,128.41 |
$1,128.41 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$192.00 |
$192.00 |
$192.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$13,462.25 |
$13,462.25 |
$13,462.25 |
$304.50
|
|
Puraply xt 1 sq cm
|
$4,461.17 |
$4,461.17 |
$4,461.17 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$809.20
|
|
Pvb thoracic single inj site
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$47.28 |
$47.28 |
$47.28 |
$48.70
|
|
Pyruvate
|
$113.40 |
$113.40 |
$113.40 |
$66.00
|
|
Pyruvate kinase
|
$45.00 |
$45.00 |
$45.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$1,199.16
|
|
Quest t3 uptake
|
$58.20 |
$58.20 |
$58.20 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$12,800.10 |
$12,800.10 |
$12,800.10 |
$4,262.90
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,874.40 |
$1,874.40 |
$1,874.40 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,873.20 |
$1,873.20 |
$1,873.20 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$2,559.00 |
$2,559.00 |
$2,559.00 |
$1,120.50
|
|
Rapid Strep Test
|
$111.60 |
$111.60 |
$111.60 |
$75.24
|
|
Rbc count only automated
|
$15.00 |
$15.00 |
$15.00 |
$20.40
|
|
Rbc deglycerolized each unit
|
$489.00 |
$489.00 |
$489.00 |
$841.75
|
|
Rbc osmotic fragility
|
$49.80 |
$49.80 |
$49.80 |
$75.04
|
|
Red blood cells each unit
|
$214.80 |
$214.80 |
$214.80 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$339.00 |
$339.00 |
$339.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$600.00 |
$600.00 |
$600.00 |
$528.45
|
|
Red blood cells washed each unit
|
$339.00 |
$339.00 |
$339.00 |
$572.46
|
|
Refill/maint pump/resvr syst
|
$302.40 |
$302.40 |
$302.40 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,121.28 |
$1,121.28 |
$1,121.28 |
$364.47
|
|
Reinforced solid stirrup
|
$443.50 |
$443.50 |
$443.50 |
$405.22
|
|
Release palm contracture
|
$16,961.40 |
$16,961.40 |
$16,961.40 |
$4,112.00
|
|
Removal cerumen impacted (both sides)
|
$82.20 |
$82.20 |
$82.20 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$675.00 |
$675.00 |
$675.00 |
$249.60
|
|
Removal of implant deep
|
$18,313.92 |
$18,313.92 |
$18,313.92 |
$4,484.80
|
|
Removal sutr or stapl no anes
|
$124.20 |
$124.20 |
$124.20 |
$95.00
|
|
Remove foreign body from eye
|
$2,245.80 |
$2,245.80 |
$2,245.80 |
$3,364.50
|
|
Remove int/ext hem 1 group
|
$14,130.85 |
$14,130.85 |
$14,130.85 |
$3,816.64
|
|
Renal function panel
|
$174.60 |
$174.60 |
$174.60 |
$113.52
|
|
Repair blood vessel dir lower extr
|
$912.00 |
$912.00 |
$912.00 |
$1,705.04
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$741.60 |
$741.60 |
$741.60 |
$1,025.95
|
|
Repair finger/hand tendon
|
$5,161.20 |
$5,161.20 |
$5,161.20 |
$4,150.20
|
|
Repair of ruptured tendon
|
$24,716.36 |
$24,716.36 |
$24,716.36 |
$6,484.80
|
|
Repair rpr lip full thickness vermilion only
|
$824.40 |
$824.40 |
$824.40 |
$1,224.63
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$386.40 |
$386.40 |
$386.40 |
$478.00
|
|
Replace duod/jej tube perc
|
$1,498.80 |
$1,498.80 |
$1,498.80 |
$1,354.54
|
|
Repl trach puncture dilator
|
$244.05 |
$244.05 |
$244.05 |
$244.05
|
|
Reptilase test
|
$135.60 |
$135.60 |
$135.60 |
$72.00
|
|
Resp virus 6-11 targets
|
$533.40 |
$533.40 |
$533.40 |
$479.20
|
|
Restorigin 1 sq cm
|
$6,298.13 |
$6,298.13 |
$6,298.13 |
$171.12
|
|
Resuscitation cardiopulmonary
|
$391.80 |
$391.80 |
$391.80 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$966.60 |
$966.60 |
$966.60 |
$780.42
|
|
Reticulated platelet assay
|
$68.40 |
$68.40 |
$68.40 |
$75.00
|
|
Reticulocyte automated
|
$54.00 |
$54.00 |
$54.00 |
$52.57
|
|
Rheumatoid factor qualitative
|
$109.20 |
$109.20 |
$109.20 |
$57.20
|
|
Rheumatoid factor quantitative
|
$139.80 |
$139.80 |
$139.80 |
$57.00
|
|
Rho d immune globulin inj
|
$697.44 |
$697.44 |
$697.44 |
$217.71
|
|
Rib gusset (elastic) each
|
$206.74 |
$206.74 |
$206.74 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$670.38 |
$670.38 |
$670.38 |
$455.01
|
|
Ring flange plas/leather mol
|
$753.39 |
$753.39 |
$753.39 |
$669.31
|
|
Ring flange plastic/leather
|
$449.35 |
$449.35 |
$449.35 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$2,311.94 |
$2,311.94 |
$2,311.94 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,855.56 |
$4,855.56 |
$4,855.56 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$17,475.12 |
$17,475.12 |
$17,475.12 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$13,332.48 |
$13,332.48 |
$13,332.48 |
$5,309.20
|
|
Rmvl pq iabp
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$1,008.04
|
|
Rocker bottom, contact afo
|
$229.85 |
$229.85 |
$229.85 |
$210.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$5,178.54 |
$5,178.54 |
$5,178.54 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$9,890.04 |
$9,890.04 |
$9,890.04 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$82.26 |
$82.26 |
$82.26 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,434.80 |
$2,434.80 |
$2,434.80 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$3,139.20
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$16,187.46 |
$16,187.46 |
$16,187.46 |
$4,500.75
|
|
Rsv assay w/optic
|
$108.00 |
$108.00 |
$108.00 |
$79.38
|
|
Rubella antibody igg
|
$193.20 |
$193.20 |
$193.20 |
$77.03
|
|
Rubeola antibody igg
|
$150.60 |
$150.60 |
$150.60 |
$80.00
|
|
Russell viper venom diluted
|
$137.40 |
$137.40 |
$137.40 |
$72.54
|
|
Sarscov coronavirus ag ia
|
$46.80 |
$46.80 |
$46.80 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$664.80 |
$664.80 |
$664.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$254.40 |
$254.40 |
$254.40 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$373.20 |
$373.20 |
$373.20 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$1,571.40 |
$1,571.40 |
$1,571.40 |
$497.20
|
