|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$475.15 |
$475.15 |
$475.15 |
$742.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$397.15 |
$397.15 |
$397.15 |
$365.60
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$442.65 |
$442.65 |
$442.65 |
$387.40
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$319.15 |
$319.15 |
$319.15 |
$365.00
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$393.25 |
$393.25 |
$393.25 |
$370.93
|
|
Pr tube thoracostomy w/connection to drainage open
|
$630.50 |
$630.50 |
$630.50 |
$1,653.31
|
|
PSA (Prostate) Test
|
$109.85 |
$109.85 |
$109.85 |
$103.85
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$63.70 |
$63.70 |
$63.70 |
$87.49
|
|
Pt application of modality >=1 area hot/cold packs
|
$32.50 |
$32.50 |
$32.50 |
$25.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$105.30 |
$105.30 |
$105.30 |
$105.95
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$75.40 |
$75.40 |
$75.40 |
$82.55
|
|
Pt application of modality traction mechanical
|
$94.25 |
$94.25 |
$94.25 |
$87.19
|
|
Pt evaluation high complexity patient/family
|
$426.40 |
$426.40 |
$426.40 |
$274.20
|
|
Pt evaluation low complexity patient/family
|
$369.20 |
$369.20 |
$369.20 |
$218.03
|
|
Pt evaluation moderate complexity patient/family
|
$394.55 |
$394.55 |
$394.55 |
$247.20
|
|
Pt re-evaluation patient/family
|
$297.70 |
$297.70 |
$297.70 |
$141.93
|
|
Pt repositioning canalith procedure(s) per day
|
$109.20 |
$109.20 |
$109.20 |
$140.80
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$83.20 |
$83.20 |
$83.20 |
$83.20
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$70.20 |
$70.20 |
$70.20 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$48.75 |
$48.75 |
$48.75 |
$84.90
|
|
Pulse ox continuous overnight monitoring
|
$297.05 |
$297.05 |
$297.05 |
$351.20
|
|
Pulse ox multiple
|
$135.20 |
$135.20 |
$135.20 |
$190.25
|
|
Pulse ox single
|
$54.60 |
$54.60 |
$54.60 |
$78.99
|
|
Puncture arterial withdrawal blood for diagnosis
|
$60.45 |
$60.45 |
$60.45 |
$113.75
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$227.50 |
$227.50 |
$227.50 |
$478.80
|
|
Puncture spinal lumbar diagnostic
|
$350.35 |
$350.35 |
$350.35 |
$1,087.80
|
|
Pyruvate
|
$63.05 |
$63.05 |
$63.05 |
$65.00
|
|
Quest t3 uptake
|
$63.70 |
$63.70 |
$63.70 |
$55.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$10,151.36 |
$10,151.36 |
$10,151.36 |
$1,624.21
|
|
Rapid Strep Test
|
$57.20 |
$57.20 |
$57.20 |
$67.80
|
|
Rbc count only automated
|
$18.85 |
$18.85 |
$18.85 |
$20.00
|
|
Red blood cells each unit
|
$356.85 |
$356.85 |
$356.85 |
$380.25
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$650.00 |
$650.00 |
$650.00 |
$624.65
|
|
Red blood cells leukocytes reduced each unit
|
$574.60 |
$574.60 |
$574.60 |
$519.35
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$614.25 |
$614.25 |
$614.25 |
$645.45
|
|
Rem/biv cast full arm/leg
|
$144.95 |
$144.95 |
$144.95 |
$320.25
|
|
Remdesivir 100 mg intravenous powder for solution
|
$2,072.75 |
$2,072.75 |
$2,072.75 |
$1,888.50
|
|
Removal central venous catheter tunneled without port/pump
|
$496.60 |
$496.60 |
$496.60 |
$1,538.15
|
|
Removal cerumen impacted (both sides)
|
$161.85 |
$161.85 |
$161.85 |
$161.25
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$236.60 |
$236.60 |
$236.60 |
$236.64
|
|
Removal foreign body foot subcutaneous right
|
$526.50 |
$526.50 |
$526.50 |
$1,256.00
|
|
Removal sutr or stapl no anes
|
$104.65 |
$104.65 |
$104.65 |
$89.70
|
|
Renal function panel
|
$124.80 |
$124.80 |
$124.80 |
$95.76
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$670.80 |
$670.80 |
$670.80 |
$1,156.00
|
|
Repair extns tendon finger without grft ea
|
$1,482.65 |
$1,482.65 |
$1,482.65 |
$2,479.03
|
|
Reptilase test
|
$62.40 |
$62.40 |
$62.40 |
$65.72
|
|
#resp virpnl dfa-adenovirus
|
$70.85 |
$70.85 |
$70.85 |
$62.40
|
|
#resp virpnl dfa-parainfluenza
|
$48.10 |
$48.10 |
$48.10 |
$44.40
|
|
Resuscitation cardiopulmonary
|
$670.80 |
$670.80 |
$670.80 |
$895.44
|
|
Reticulocyte automated
|
$54.60 |
$54.60 |
$54.60 |
$54.27
|
|
Reticulocyte direct measurement automated
|
$35.10 |
$35.10 |
$35.10 |
$32.50
|
|
Rheumatoid factor quantitative
|
$51.35 |
$51.35 |
$51.35 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$517.61 |
$517.61 |
$517.61 |
$345.07
|
|
Rsv assay w/optic
|
$83.85 |
$83.85 |
$83.85 |
$64.13
|
|
Rubella antibody igg
|
$76.70 |
$76.70 |
$76.70 |
$73.05
|
|
Rubeola antibody igg
|
$76.70 |
$76.70 |
$76.70 |
$80.00
|
|
Russell viper venom diluted
|
$82.55 |
$82.55 |
$82.55 |
$73.03
|
|
Sarscov coronavirus ag ia
|
$71.50 |
$71.50 |
$71.50 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$128.70 |
$128.70 |
$128.70 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$214.50 |
$214.50 |
$214.50 |
$259.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$113.75 |
$113.75 |
$113.75 |
$133.20
|
|
Sbsq nursing facil care/day new problem 25 min
|
$144.30 |
$144.30 |
$144.30 |
$187.65
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$78.00 |
$78.00 |
$78.00 |
$79.20
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$976.95 |
$976.95 |
$976.95 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$602.55 |
$602.55 |
$602.55 |
$662.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$504.40 |
$504.40 |
$504.40 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$909.35 |
$909.35 |
$909.35 |
$957.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$495.95 |
$495.95 |
$495.95 |
$612.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$562.25 |
$562.25 |
$562.25 |
$527.80
|
|
Screening prostate cancer PSA
|
$96.20 |
$96.20 |
$96.20 |
$96.00
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$194.35 |
$194.35 |
$194.35 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$41.60 |
$41.60 |
$41.60 |
$37.80
|
|
Semen analysis presence/motility
|
$120.90 |
$120.90 |
$120.90 |
$79.92
|
|
Shoulder MRI (with and without contrast)
|
$2,821.65 |
$2,821.65 |
$2,821.65 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$2,292.55 |
$2,292.55 |
$2,292.55 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$1,795.30 |
$1,795.30 |
$1,795.30 |
$1,938.28
|
|
Shoulder X-ray
|
$564.20 |
$564.20 |
$564.20 |
$307.20
|
|
Sickling rbc
|
$75.40 |
$75.40 |
$75.40 |
$53.40
|
|
Sinus CT scan (with and without contrast)
|
$2,081.95 |
$2,081.95 |
$2,081.95 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$1,935.05 |
$1,935.05 |
$1,935.05 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$1,148.55 |
$1,148.55 |
$1,148.55 |
$1,151.00
|
|
Smear fluorescent and/or acid fast stain
|
$55.25 |
$55.25 |
$55.25 |
$50.70
|
|
Smear gram stain
|
$52.65 |
$52.65 |
$52.65 |
$48.00
|
|
Smear nasal eosinophil
|
$45.50 |
$45.50 |
$45.50 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$69.55 |
$69.55 |
$69.55 |
$60.00
|
|
Smear wet mount
|
$65.00 |
$65.00 |
$65.00 |
$56.13
|
|
Snrpn/ube3a gene
|
$380.90 |
$380.90 |
$380.90 |
$228.80
|
|
Sodium 24 hour urine
|
$50.70 |
$50.70 |
$50.70 |
$47.25
|
|
Sodium chloride 0.9 % intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium chloride 0.9 % IV bolus
|
$42.25 |
$42.25 |
$42.25 |
$42.25
|
|
Sodium chloride 3 % ivpb
|
$42.25 |
$42.25 |
$42.25 |
$37.50
|
|
Sodium serum/plasma/whole blood
|
$33.15 |
$33.15 |
$33.15 |
$42.43
|
|
Specific gravity body fluid
|
$26.00 |
$26.00 |
$26.00 |
$21.55
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$590.20 |
$590.20 |
$590.20 |
$526.80
|
|
St analysis behavior qualitative voice/resonance
|
$430.30 |
$430.30 |
$430.30 |
$295.10
|
|
Staph a dna amp probe
|
$104.00 |
$104.00 |
$104.00 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$263.25 |
$263.25 |
$263.25 |
$313.96
|
|
St evaluate speech sound production
|
$430.30 |
$430.30 |
$430.30 |
$298.41
|
|
St evaluate speech sound production comprehensive/expressive
|
$430.30 |
$430.30 |
$430.30 |
$387.00
|