|
Prq tcat plmt ntrac st 1 les
|
$8,878.24 |
$8,878.24 |
$8,878.24 |
$13,054.80
|
|
Prq trlml c athrc st angiop1
|
$8,878.24 |
$8,878.24 |
$8,878.24 |
$19,875.58
|
|
Prq trluml c angiop 1art&/br
|
$5,845.45 |
$5,845.45 |
$5,845.45 |
$9,255.50
|
|
Prq trluml c athrc 1 art&/br
|
$12,319.24 |
$12,319.24 |
$12,319.24 |
$14,212.25
|
|
Prq trluml revsc ch occ ant
|
$8,878.24 |
$8,878.24 |
$8,878.24 |
$17,474.24
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$150.31 |
$150.31 |
$150.31 |
$278.20
|
|
Pr removal intrauterine device
|
$113.31 |
$113.31 |
$113.31 |
$411.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$243.18 |
$243.18 |
$243.18 |
$742.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$120.81 |
$120.81 |
$120.81 |
$365.60
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$125.34 |
$125.34 |
$125.34 |
$387.40
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$129.50 |
$129.50 |
$129.50 |
$365.00
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$146.43 |
$146.43 |
$146.43 |
$370.93
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,074.85 |
$1,074.85 |
$1,074.85 |
$1,653.31
|
|
PSA (Prostate) Test
|
$76.96 |
$76.96 |
$76.96 |
$103.85
|
|
Psychoeducation 45 min +
|
$210.44 |
$210.44 |
$210.44 |
$113.10
|
|
Psychotherapy group therapy
|
$210.44 |
$210.44 |
$210.44 |
$268.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$210.44 |
$210.44 |
$210.44 |
$196.80
|
|
Psychotherapy patient individual therapy 45 minutes
|
$210.44 |
$210.44 |
$210.44 |
$267.00
|
|
Psychotherapy patient individual therapy 60 minutes
|
$210.44 |
$210.44 |
$210.44 |
$294.00
|
|
Psychthrp grp 45-50min mcr
|
$210.44 |
$210.44 |
$210.44 |
$210.44
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$25.07 |
$25.07 |
$25.07 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$7.59 |
$7.59 |
$7.59 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$32.38 |
$32.38 |
$32.38 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$29.05 |
$29.05 |
$29.05 |
$82.55
|
|
Pt application of modality traction mechanical
|
$23.87 |
$23.87 |
$23.87 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$74.56 |
$74.56 |
$74.56 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$74.56 |
$74.56 |
$74.56 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$74.56 |
$74.56 |
$74.56 |
$247.20
|
|
Pt re-evaluation patient/family
|
$40.89 |
$40.89 |
$40.89 |
$141.93
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$32.38 |
$32.38 |
$32.38 |
$43.92
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$30.43 |
$30.43 |
$30.43 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$19.61 |
$19.61 |
$19.61 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$29.60 |
$29.60 |
$29.60 |
$84.90
|
|
Pulmonary vent imaging
|
$328.56 |
$328.56 |
$328.56 |
$828.73
|
|
Pulse ox continuous overnight monitoring
|
$78.07 |
$78.07 |
$78.07 |
$351.20
|
|
Pulse ox multiple
|
$52.91 |
$52.91 |
$52.91 |
$190.25
|
|
Pulse ox single
|
$24.88 |
$24.88 |
$24.88 |
$78.99
|
|
Punc of shunt for asp or inj
|
$668.13 |
$668.13 |
$668.13 |
$877.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$69.01 |
$69.01 |
$69.01 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$191.94 |
$191.94 |
$191.94 |
$478.80
|
|
Puncture/clear windpipe 31612
|
$2,427.76 |
$2,427.76 |
$2,427.76 |
$3,592.74
|
|
Puncture spinal lumbar diagnostic
|
$507.55 |
$507.55 |
$507.55 |
$1,087.80
|
|
Pvb thoracic single inj site
|
$514.58 |
$514.58 |
$514.58 |
$1,021.03
|
|
Pyridoxine hcl 100 mg
|
$9.79 |
$9.79 |
$9.79 |
$29.11
|
|
Pyruvate
|
$81.03 |
$81.03 |
$81.03 |
$65.00
|
|
Pyruvate kinase
|
$46.16 |
$46.16 |
$46.16 |
$84.50
|
|
Quant diff pulm perf and vent w/imaging
|
$664.15 |
$664.15 |
$664.15 |
$1,507.40
|
|
Quant diff pulm perf w/imaging
|
$328.56 |
$328.56 |
$328.56 |
$1,228.80
|
|
Quest t3 uptake
|
$37.28 |
$37.28 |
$37.28 |
$55.00
|
|
Quinupristin/dalfopristin
|
$358.62 |
$358.62 |
$358.62 |
$358.62
|
|
Rabies ig heat-treated human im/subq 90376
|
$815.67 |
$815.67 |
$815.67 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,350.89 |
$4,350.89 |
$4,350.89 |
$1,624.21
|
|
Radiation handling
|
$104.80 |
$104.80 |
$104.80 |
$328.50
|
|
Radiation physics consult
|
$147.45 |
$147.45 |
$147.45 |
$595.40
|
|
Radiation therapy dose plan
|
$139.21 |
$139.21 |
$139.21 |
$514.05
|
|
Radiation treatment aid(s)
|
$244.76 |
$244.76 |
$244.76 |
$525.04
|
|
Radiation treatment aid(s)
|
$298.50 |
$298.50 |
$298.50 |
$644.36
|
|
Radiation treatment aid(s)
|
$447.24 |
$447.24 |
$447.24 |
$1,075.03
|
|
Radiation treatment delivery
|
$129.69 |
$129.69 |
$129.69 |
$130.96
|
|
Radiation treatment delivery
|
$89.73 |
$89.73 |
$89.73 |
$573.52
|
|
Radiation treatment delivery
|
$214.88 |
$214.88 |
$214.88 |
$920.00
|
|
Radiesse injection
|
$1,171.09 |
$1,171.09 |
$1,171.09 |
$1,112.56
|
|
Radiology port images(s)
|
$83.44 |
$83.44 |
$83.44 |
$236.40
|
|
Radiotherapy dose plan imrt
|
$2,138.05 |
$2,138.05 |
$2,138.05 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$265.66 |
$265.66 |
$265.66 |
$286.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$587.75 |
$587.75 |
$587.75 |
$1,646.00
|
|
Radphm lcl tmr plnr bdy two day img
|
$809.28 |
$809.28 |
$809.28 |
$2,582.32
|
|
Radphm lcl tomogr sgl area sgl day
|
$727.51 |
$727.51 |
$727.51 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$398.21 |
$398.21 |
$398.21 |
$1,075.78
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$188.33 |
$188.33 |
$188.33 |
$115.89
|
|
Rapid desensitization
|
$412.09 |
$412.09 |
$412.09 |
$442.06
|
|
Rapid Strep Test
|
$48.56 |
$48.56 |
$48.56 |
$67.80
|
|
Rasburicase 1.5 mg intravenous solution
|
$294.71 |
$294.71 |
$294.71 |
$568.06
|
|
Rbc count only automated
|
$13.41 |
$13.41 |
$13.41 |
$20.00
|
|
Reconstruct extra finger
|
$1,848.61 |
$1,848.61 |
$1,848.61 |
$2,558.40
|
|
Reconstruction of nail bed
|
$1,694.60 |
$1,694.60 |
$1,694.60 |
$2,066.10
|
|
Redo endovas vena cava filtr
|
$3,481.89 |
$3,481.89 |
$3,481.89 |
$4,732.80
|
|
Reduction of procidentia 45900
|
$657.12 |
$657.12 |
$657.12 |
$1,056.92
|
|
Refill/maint pump/resvr syst
|
$111.93 |
$111.93 |
$111.93 |
$403.76
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$82.61 |
$82.61 |
$82.61 |
$115.07
|
|
Relocation skin pocket aicd
|
$1,107.32 |
$1,107.32 |
$1,107.32 |
$3,153.93
|
|
Relocation skin pocket pm
|
$1,078.37 |
$1,078.37 |
$1,078.37 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$471.57 |
$471.57 |
$471.57 |
$320.25
|
|
Rem endovas vena cava filter
|
$4,756.07 |
$4,756.07 |
$4,756.07 |
$5,866.00
|
|
Rem interrog evl pm/ids
|
$29.42 |
$29.42 |
$29.42 |
$139.10
|
|
Removal biliary drg cath
|
$653.79 |
$653.79 |
$653.79 |
$1,324.89
|
|
Removal central venous catheter tunneled without port/pump
|
$871.17 |
$871.17 |
$871.17 |
$1,538.15
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,296.20 |
$1,296.20 |
$1,296.20 |
$2,164.52
|
|
Removal cerclage w/anes
|
$1,394.81 |
$1,394.81 |
$1,394.81 |
$3,522.35
|
|
Removal cerumen impacted (both sides)
|
$113.96 |
$113.96 |
$113.96 |
$161.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$112.85 |
$112.85 |
$112.85 |
$236.64
|
|
Removal duct glbldr calculi
|
$245.22 |
$245.22 |
$245.22 |
$2,393.85
|
|
Removal embedded foreign body vestibule mouth smpl
|
$838.33 |
$838.33 |
$838.33 |
$838.33
|
|
Removal foreign body extrn auditory canal with anes
|
$1,036.83 |
$1,036.83 |
$1,036.83 |
$1,793.38
|
|
Removal foreign body foot cmplx
|
$1,907.07 |
$1,907.07 |
$1,907.07 |
$2,117.25
|
|
Removal foreign body foot subcutaneous right
|
$1,433.57 |
$1,433.57 |
$1,433.57 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,079.48 |
$1,079.48 |
$1,079.48 |
$1,735.00
|
|
Removal implant from finger/hand 26320
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$1,794.93
|
|
Removal implant superficial separate procedure
|
$1,108.06 |
$1,108.06 |
$1,108.06 |
$2,880.30
|
|
Removal of intranasal lesion
|
$1,733.17 |
$1,733.17 |
$1,733.17 |
$2,265.60
|