|
Pvb thoracic single inj site
|
$136.20 |
$136.20 |
$136.20 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$20.40 |
$20.40 |
$20.40 |
$49.08
|
|
Quant diff pulm perf and vent w/imaging
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$654.60 |
$654.60 |
$654.60 |
$1,199.16
|
|
Quest t3 uptake
|
$46.80 |
$46.80 |
$46.80 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,266.60 |
$4,266.60 |
$4,266.60 |
$3,848.39
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,051.70
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,448.40 |
$1,448.40 |
$1,448.40 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$631.20 |
$631.20 |
$631.20 |
$1,126.32
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$3,370.52
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$18,318.00 |
$18,318.00 |
$18,318.00 |
$13,136.04
|
|
Rapid Strep Test
|
$59.40 |
$59.40 |
$59.40 |
$76.00
|
|
Rbc count only automated
|
$22.80 |
$22.80 |
$22.80 |
$20.40
|
|
Rbc osmotic fragility
|
$49.80 |
$49.80 |
$49.80 |
$75.04
|
|
Realignment of tendons
|
$1,330.20 |
$1,330.20 |
$1,330.20 |
$3,839.54
|
|
Reconstruct ankle joint
|
$2,048.40 |
$2,048.40 |
$2,048.40 |
$4,881.00
|
|
Reconstruct elbow med ligmnt
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$10,385.60
|
|
Reconstruct head of radius
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$9,878.40
|
|
Reconstruction knee
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$7,222.25
|
|
Reconstruction knee
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$8,814.96
|
|
Reconstruction knee
|
$2,335.80 |
$2,335.80 |
$2,335.80 |
$10,629.07
|
|
Reconstruction of nail bed
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$2,164.64
|
|
Reconstruction of nose
|
$2,494.20 |
$2,494.20 |
$2,494.20 |
$6,966.64
|
|
Reconstruct shoulder joint
|
$2,881.80 |
$2,881.80 |
$2,881.80 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$5,886.74
|
|
Refill maint impl spine pump
|
$82.80 |
$82.80 |
$82.80 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$49.80 |
$49.80 |
$49.80 |
$357.91
|
|
Reinsertion of spinal fixation device 22849
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$3,148.00
|
|
Release of midfoot joint
|
$981.60 |
$981.60 |
$981.60 |
$3,839.54
|
|
Release of midfoot joint
|
$1,221.60 |
$1,221.60 |
$1,221.60 |
$4,238.61
|
|
Release palm contracture
|
$1,440.60 |
$1,440.60 |
$1,440.60 |
$4,112.00
|
|
Release palm contracture 26045
|
$891.60 |
$891.60 |
$891.60 |
$3,839.54
|
|
Release wrist/forearm tendon
|
$829.80 |
$829.80 |
$829.80 |
$3,839.54
|
|
Relieve bladder contracture
|
$456.00 |
$456.00 |
$456.00 |
$4,081.37
|
|
Rem/biv cast full arm/leg
|
$220.20 |
$220.20 |
$220.20 |
$324.00
|
|
Removal central venous catheter tunneled without port/pump
|
$194.40 |
$194.40 |
$194.40 |
$1,591.20
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$525.00 |
$525.00 |
$525.00 |
$2,422.70
|
|
Removal cerumen impacted (both sides)
|
$153.00 |
$153.00 |
$153.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$67.80 |
$67.80 |
$67.80 |
$255.97
|
|
Removal embedded foreign body vestibule mouth smpl
|
$140.40 |
$140.40 |
$140.40 |
$783.75
|
|
Removal foreign body extrn auditory canal with anes
|
$133.80 |
$133.80 |
$133.80 |
$2,624.30
|
|
Removal foreign body foot subcutaneous right
|
$816.60 |
$816.60 |
$816.60 |
$1,260.95
|
|
Removal foreign body mouth
|
$281.40 |
$281.40 |
$281.40 |
$1,424.80
|
|
Removal implant superficial separate procedure
|
$307.20 |
$307.20 |
$307.20 |
$3,065.04
|
|
Removal of adenoids
|
$409.80 |
$409.80 |
$409.80 |
$3,837.72
|
|
Removal of adenoids
|
$339.00 |
$339.00 |
$339.00 |
$4,089.82
|
|
Removal of anal tags
|
$298.20 |
$298.20 |
$298.20 |
$3,552.60
|
|
Removal of bone for graft
|
$895.80 |
$895.80 |
$895.80 |
$6,507.20
|
|
Removal of bone for graft
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$5,230.40
|
|
Removal of bone lesion
|
$973.20 |
$973.20 |
$973.20 |
$3,839.54
|
|
Removal of breast lesion
|
$620.40 |
$620.40 |
$620.40 |
$4,631.50
|
|
Removal of calcium deposits
|
$658.20 |
$658.20 |
$658.20 |
$3,386.84
|
|
Removal of epididymis
|
$727.80 |
$727.80 |
$727.80 |
$4,081.37
|
|
Removal of ethmoid sinus
|
$977.40 |
$977.40 |
$977.40 |
$5,507.00
|
|
Removal of ethmoid sinus
|
$1,273.80 |
$1,273.80 |
$1,273.80 |
$3,787.20
|
|
Removal of finger lesion
|
$753.00 |
$753.00 |
$753.00 |
$1,893.86
|
|
Removal of foot fascia
|
$753.00 |
$753.00 |
$753.00 |
$3,839.54
|
|
Removal of foot joint lining
|
$585.60 |
$585.60 |
$585.60 |
$5,419.00
|
|
Removal of foot lesion
|
$727.80 |
$727.80 |
$727.80 |
$2,385.98
|
|
Removal of foot lesion
|
$628.80 |
$628.80 |
$628.80 |
$3,692.93
|
|
Removal of forearm lesion
|
$979.20 |
$979.20 |
$979.20 |
$3,594.44
|
|
Removal of foreign body
|
$778.80 |
$778.80 |
$778.80 |
$4,149.00
|
|
Removal of gallbladder 47600
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$2,032.80
|
|
Removal of gum tissue
|
$531.60 |
$531.60 |
$531.60 |
$4,350.00
|
|
Removal of heel bone
|
$827.40 |
$827.40 |
$827.40 |
$3,839.54
|
|
Removal of heel spur
|
$690.00 |
$690.00 |
$690.00 |
$3,839.54
|
|
Removal of humerus lesion
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$4,246.54
|
|
Removal of hydrocele
|
$650.40 |
$650.40 |
$650.40 |
$4,176.15
|
|
Removal of hydroceles
|
$787.80 |
$787.80 |
$787.80 |
$4,176.15
|
|
Removal of impacted wax md
|
$48.00 |
$48.00 |
$48.00 |
$127.15
|
|
Removal of implant deep
|
$727.80 |
$727.80 |
$727.80 |
$4,511.50
|
|
Removal of intranasal lesion
|
$939.00 |
$939.00 |
$939.00 |
$3,811.00
|
|
Removal of kneecap bursa
|
$697.80 |
$697.80 |
$697.80 |
$3,839.54
|
|
Removal of metatarsal heads
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$4,336.00
|
|
Removal of nose polyp(s) 30115
|
$772.80 |
$772.80 |
$772.80 |
$3,589.62
|
|
Removal of ovary/tube(s)
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$1,388.40
|
|
Removal of sesamoid bone
|
$618.60 |
$618.60 |
$618.60 |
$3,821.05
|
|
Removal of skin tags each add'l 10
|
$24.00 |
$24.00 |
$24.00 |
$134.00
|
|
Removal of small intestine 44125
|
$2,036.40 |
$2,036.40 |
$2,036.40 |
$2,079.00
|
|
Removal of sperm cord lesion
|
$745.20 |
$745.20 |
$745.20 |
$4,081.37
|
|
Removal of tail bone
|
$946.80 |
$946.80 |
$946.80 |
$3,839.54
|
|
Removal of tendon for graft
|
$985.80 |
$985.80 |
$985.80 |
$5,886.74
|
|
Removal of tendon lesion
|
$733.20 |
$733.20 |
$733.20 |
$3,839.54
|
|
Removal of testis
|
$613.20 |
$613.20 |
$613.20 |
$4,081.37
|
|
Removal of testis
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$5,475.60
|
|
Removal of thyroid
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$6,904.15
|
|
Removal of toe lesions
|
$501.60 |
$501.60 |
$501.60 |
$1,895.06
|
|
Removal of toe lesions
|
$538.20 |
$538.20 |
$538.20 |
$1,771.43
|
|
Removal prosth radial head
|
$1,231.80 |
$1,231.80 |
$1,231.80 |
$3,986.00
|
|
Removal/replacement ppm generator dual lead system
|
$7,452.00 |
$7,452.00 |
$7,452.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$388.80 |
$388.80 |
$388.80 |
$292.50
|
|
Removal sutr and stapl no anes
|
$21.00 |
$21.00 |
$21.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$15.60 |
$15.60 |
$15.60 |
$90.04
|
|
Removal sutr/staple req anes
|
$2,391.60 |
$2,391.60 |
$2,391.60 |
$2,431.38
|
|
Removal tunnled intprtnl cath
|
$619.20 |
$619.20 |
$619.20 |
$4,284.80
|
|
Removal w/reinsrt nonbiogrdble
|
$293.40 |
$293.40 |
$293.40 |
$523.00
|
|
Remove anal fist complex
|
$848.40 |
$848.40 |
$848.40 |
$3,245.23
|
|
Remove anal fist inter
|
$672.00 |
$672.00 |
$672.00 |
$3,619.14
|
|
Remove anal fist subq
|
$670.80 |
$670.80 |
$670.80 |
$3,816.64
|
|
Remove armpit lymph nodes
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$6,376.26
|
