|
Pt evaluation low complexity patient/family
|
$464.00 |
$464.00 |
$464.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$505.60 |
$505.60 |
$505.60 |
$254.88
|
|
Pt re-evaluation patient/family
|
$293.60 |
$293.60 |
$293.60 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$157.60 |
$157.60 |
$157.60 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$148.80 |
$148.80 |
$148.80 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$176.00 |
$176.00 |
$176.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$188.80 |
$188.80 |
$188.80 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$180.80 |
$180.80 |
$180.80 |
$344.00
|
|
Pulse ox multiple
|
$109.60 |
$109.60 |
$109.60 |
$156.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$206.40 |
$206.40 |
$206.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$634.40 |
$634.40 |
$634.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,463.20 |
$1,463.20 |
$1,463.20 |
$1,051.80
|
|
Pyridoxine hcl 100 mg
|
$115.20 |
$115.20 |
$115.20 |
$48.70
|
|
Quant diff pulm perf w/imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,199.16
|
|
Quest t3 uptake
|
$26.40 |
$26.40 |
$26.40 |
$52.25
|
|
Rabies ig ht&sol human im/sc
|
$1,850.40 |
$1,850.40 |
$1,850.40 |
$2,756.77
|
|
Radiation physics consult
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$606.50
|
|
Radiation therapy dose plan
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$520.00
|
|
Radiation treatment aid(s)
|
$2,216.80 |
$2,216.80 |
$2,216.80 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,647.20 |
$1,647.20 |
$1,647.20 |
$920.00
|
|
Radiology port images(s)
|
$630.40 |
$630.40 |
$630.40 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$7,141.60 |
$7,141.60 |
$7,141.60 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,177.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,331.80 |
$4,331.80 |
$4,331.80 |
$4,331.80
|
|
Rbc count only automated
|
$12.80 |
$12.80 |
$12.80 |
$20.40
|
|
Red blood cells leukocytes reduced each unit
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$528.45
|
|
Red blood cells washed each unit
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$572.46
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,167.40 |
$1,167.40 |
$1,167.40 |
$364.47
|
|
Relocation skin pocket pm
|
$4,170.40 |
$4,170.40 |
$4,170.40 |
$2,585.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$4,029.60 |
$4,029.60 |
$4,029.60 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$5,162.40 |
$5,162.40 |
$5,162.40 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$234.40 |
$234.40 |
$234.40 |
$139.10
|
|
Removal central venous catheter tunneled without port/pump
|
$2,853.60 |
$2,853.60 |
$2,853.60 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$2,356.71
|
|
Removal cerclage without anes
|
$192.80 |
$192.80 |
$192.80 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$366.40 |
$366.40 |
$366.40 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$18,232.80 |
$18,232.80 |
$18,232.80 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$410.40 |
$410.40 |
$410.40 |
$292.50
|
|
Remove renal tube w/fluoro
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$1,141.31
|
|
Renal function panel
|
$36.00 |
$36.00 |
$36.00 |
$113.52
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$1,928.07
|
|
Repair pm/icd lead sgl
|
$4,884.80 |
$4,884.80 |
$4,884.80 |
$4,339.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$1,224.63
|
|
Replace duod/jej tube perc
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$1,808.80 |
$1,808.80 |
$1,808.80 |
$1,341.50
|
|
Reposition pm/icd lead
|
$4,572.00 |
$4,572.00 |
$4,572.00 |
$3,790.00
|
|
Resp virus 6-11 targets
|
$907.20 |
$907.20 |
$907.20 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$1,253.60 |
$1,253.60 |
$1,253.60 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$2,302.40 |
$2,302.40 |
$2,302.40 |
$780.42
|
|
Reticulated platelet assay
|
$148.80 |
$148.80 |
$148.80 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$63.20 |
$63.20 |
$63.20 |
$36.57
|
|
Revasc intra lithotrip-stent
|
$22,022.40 |
$22,022.40 |
$22,022.40 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$10,652.80 |
$10,652.80 |
$10,652.80 |
$11,320.00
|
|
Revasc lithotrip tibi/perone
|
$5,476.00 |
$5,476.00 |
$5,476.00 |
$13,925.00
|
|
Revision of cervix
|
$4,396.80 |
$4,396.80 |
$4,396.80 |
$3,721.00
|
|
Rheumatoid factor quantitative
|
$23.20 |
$23.20 |
$23.20 |
$57.00
|
|
Rho d immune globulin inj
|
$456.00 |
$456.00 |
$456.00 |
$217.71
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$42,608.80 |
$42,608.80 |
$42,608.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$59,126.40 |
$59,126.40 |
$59,126.40 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$19,912.00 |
$19,912.00 |
$19,912.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,956.80 |
$4,956.80 |
$4,956.80 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$13,512.80 |
$13,512.80 |
$13,512.80 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$32,476.00 |
$32,476.00 |
$32,476.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,512.80 |
$13,512.80 |
$13,512.80 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$24,584.80 |
$24,584.80 |
$24,584.80 |
$4,028.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$237.40 |
$237.40 |
$237.40 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$727.20 |
$727.20 |
$727.20 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$4,105.60 |
$4,105.60 |
$4,105.60 |
$3,687.00
|
|
Rubella antibody igg
|
$60.00 |
$60.00 |
$60.00 |
$77.03
|
|
Rubeola antibody igg
|
$53.60 |
$53.60 |
$53.60 |
$80.00
|
|
Russell viper venom diluted
|
$295.20 |
$295.20 |
$295.20 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,608.80 |
$1,608.80 |
$1,608.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,608.80 |
$1,608.80 |
$1,608.80 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$303.20 |
$303.20 |
$303.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$555.20 |
$555.20 |
$555.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$709.60 |
$709.60 |
$709.60 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,356.80 |
$1,356.80 |
$1,356.80 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$919.20 |
$919.20 |
$919.20 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$983.20 |
$983.20 |
$983.20 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$960.80 |
$960.80 |
$960.80 |
$2,114.45
|
|
Screening hepatitis b non-obstetric high risk
|
$117.60 |
$117.60 |
$117.60 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$206.40 |
$206.40 |
$206.40 |
$99.66
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$45.00 |
$45.00 |
$45.00 |
$100.63
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$244.00 |
$244.00 |
$244.00 |
$237.19
|
|
Sedimentation rate erythrocyte automated
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Semen analysis presence/motility
|
$49.60 |
$49.60 |
$49.60 |
$71.05
|
|
Serpina1 gene
|
$181.60 |
$181.60 |
$181.60 |
$197.00
|
|
Set radiation therapy field
|
$1,868.80 |
$1,868.80 |
$1,868.80 |
$762.40
|
|
Set radiation therapy field
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$1,636.36
|
|
Shoulder MRI (with and without contrast)
|
$712.50 |
$712.50 |
$712.50 |
$2,713.80
|
