|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$5,721.60 |
$5,721.60 |
$5,721.60 |
$3,218.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$1,761.00
|
|
PSA (Prostate) Test
|
$307.80 |
$307.80 |
$307.80 |
$108.11
|
|
Pt application of modality traction mechanical
|
$187.80 |
$187.80 |
$187.80 |
$91.80
|
|
Pten gene known fam variant
|
$46.80 |
$46.80 |
$46.80 |
$127.86
|
|
Pt repositioning canalith procedure(s) per day
|
$202.20 |
$202.20 |
$202.20 |
$119.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$66.60 |
$66.60 |
$66.60 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$141.60 |
$141.60 |
$141.60 |
$88.20
|
|
Pulmonary vent imaging
|
$686.40 |
$686.40 |
$686.40 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$143.40 |
$143.40 |
$143.40 |
$349.86
|
|
Pulse ox multiple
|
$163.80 |
$163.80 |
$163.80 |
$159.16
|
|
Pulse ox single
|
$55.80 |
$55.80 |
$55.80 |
$84.80
|
|
Puncture arterial withdrawal blood for diagnosis
|
$91.20 |
$91.20 |
$91.20 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$566.40 |
$566.40 |
$566.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$1,082.90
|
|
Pvb thoracic 2nd+ inj site
|
$311.40 |
$311.40 |
$311.40 |
$859.30
|
|
Pvb thoracic single inj site
|
$550.20 |
$550.20 |
$550.20 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$82.40 |
$82.40 |
$82.40 |
$49.08
|
|
Pyruvate
|
$126.60 |
$126.60 |
$126.60 |
$66.00
|
|
Pyruvate kinase
|
$142.20 |
$142.20 |
$142.20 |
$78.00
|
|
Quant diff pulm perf w/imaging
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$1,199.16
|
|
Quest t3 uptake
|
$102.60 |
$102.60 |
$102.60 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$933.60 |
$933.60 |
$933.60 |
$3,848.39
|
|
Radium ra223 dichl ther/uci
|
$445.20 |
$445.20 |
$445.20 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,767.60 |
$1,767.60 |
$1,767.60 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,064.20 |
$3,064.20 |
$3,064.20 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$209.40 |
$209.40 |
$209.40 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$11,323.20 |
$11,323.20 |
$11,323.20 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$714.40 |
$714.40 |
$714.40 |
$41,926.70
|
|
Rbc count only automated
|
$36.60 |
$36.60 |
$36.60 |
$20.40
|
|
Rbc o2 co2 reduced
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$576.41
|
|
Red blood cells each unit
|
$360.00 |
$360.00 |
$360.00 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$831.60 |
$831.60 |
$831.60 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$837.60 |
$837.60 |
$837.60 |
$535.00
|
|
Red blood cells washed each unit
|
$783.60 |
$783.60 |
$783.60 |
$583.68
|
|
Redo endovas vena cava filtr
|
$6,852.00 |
$6,852.00 |
$6,852.00 |
$4,582.08
|
|
Reduction of procidentia 45900
|
$3,449.40 |
$3,449.40 |
$3,449.40 |
$1,226.10
|
|
Refill/maint pump/resvr syst
|
$428.40 |
$428.40 |
$428.40 |
$403.76
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$357.91
|
|
Relocation skin pocket aicd
|
$3,516.60 |
$3,516.60 |
$3,516.60 |
$2,935.84
|
|
Relocation skin pocket pm
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$2,671.72
|
|
Rem/biv cast full arm/leg
|
$555.00 |
$555.00 |
$555.00 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$17.40 |
$17.40 |
$17.40 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$7,189.20 |
$7,189.20 |
$7,189.20 |
$5,509.05
|
|
Rem interrog dev eval icpms
|
$257.40 |
$257.40 |
$257.40 |
$101.25
|
|
Rem interrog dev eval scrms
|
$294.60 |
$294.60 |
$294.60 |
$104.00
|
|
Rem interrog evl pm/ids
|
$345.00 |
$345.00 |
$345.00 |
$139.10
|
|
Remote 30 day ecg tech supp
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$683.25
|
|
Removal biliary drg cath
|
$2,349.00 |
$2,349.00 |
$2,349.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$1,591.20
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$2,422.70
|
|
Removal cerclage without anes
|
$2,788.20 |
$2,788.20 |
$2,788.20 |
$358.80
|
|
Removal cerumen impacted (both sides)
|
$139.80 |
$139.80 |
$139.80 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$180.00 |
$180.00 |
$180.00 |
$255.97
|
|
Removal implant superficial separate procedure
|
$3,037.80 |
$3,037.80 |
$3,037.80 |
$3,065.04
|
|
Removal mamma implant mat 19330
|
$2,992.80 |
$2,992.80 |
$2,992.80 |
$3,933.64
|
|
Removal of hip foreign body 27087
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$4,326.00
|
|
Removal/replacement ppm generator dual lead system
|
$9,586.80 |
$9,586.80 |
$9,586.80 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$292.50
|
|
Removal sutr and stapl no anes
|
$35.40 |
$35.40 |
$35.40 |
$82.05
|
|
Removal sutr or stapl no anes
|
$24.60 |
$24.60 |
$24.60 |
$90.04
|
|
Removal tunnled intprtnl cath
|
$2,014.80 |
$2,014.80 |
$2,014.80 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$454.20 |
$454.20 |
$454.20 |
$494.00
|
|
Remove foreign body from eye
|
$4,698.60 |
$4,698.60 |
$4,698.60 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$1,914.60 |
$1,914.60 |
$1,914.60 |
$1,172.80
|
|
Remove ureter stent percut
|
$14,562.60 |
$14,562.60 |
$14,562.60 |
$3,742.31
|
|
Renal function panel
|
$380.40 |
$380.40 |
$380.40 |
$113.52
|
|
Repair av fistula ext 35190
|
$7,765.20 |
$7,765.20 |
$7,765.20 |
$6,366.08
|
|
Repair blood vessel direct hand finger
|
$7,860.60 |
$7,860.60 |
$7,860.60 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$1,417.80 |
$1,417.80 |
$1,417.80 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$5,116.20 |
$5,116.20 |
$5,116.20 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,582.60 |
$3,582.60 |
$3,582.60 |
$1,059.20
|
|
Repair dental ellis ii fx
|
$297.00 |
$297.00 |
$297.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$4,410.60 |
$4,410.60 |
$4,410.60 |
$2,353.50
|
|
Repair finger/hand tendon
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$4,204.20
|
|
Repair finger/hand tendon
|
$5,983.20 |
$5,983.20 |
$5,983.20 |
$4,150.20
|
|
Repair lip full thkns =<one-half vert height
|
$4,755.00 |
$4,755.00 |
$4,755.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,856.40 |
$4,856.40 |
$4,856.40 |
$1,928.07
|
|
Repair palate
|
$4,104.60 |
$4,104.60 |
$4,104.60 |
$7,000.36
|
|
Repair pm/icd lead sgl
|
$3,993.00 |
$3,993.00 |
$3,993.00 |
$4,343.82
|
|
Repair radius or ulna
|
$4,809.60 |
$4,809.60 |
$4,809.60 |
$7,913.97
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,955.60 |
$2,955.60 |
$2,955.60 |
$949.41
|
|
Repair rpr lip full thickness vermilion only
|
$3,558.60 |
$3,558.60 |
$3,558.60 |
$1,244.09
|
|
Repair tendon extensor foot 1/2 each tendon
|
$4,998.60 |
$4,998.60 |
$4,998.60 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$4,410.60 |
$4,410.60 |
$4,410.60 |
$4,499.12
|
|
Replace aortic valve open axillry 33363
|
$24,406.80 |
$24,406.80 |
$24,406.80 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$12,090.00 |
$12,090.00 |
$12,090.00 |
$17,687.80
|
|
Replace aortic valve open iliac 33364
|
$7,987.80 |
$7,987.80 |
$7,987.80 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$8,781.60 |
$8,781.60 |
$8,781.60 |
$14,593.50
|
|
Replace duod/jej tube perc
|
$2,997.00 |
$2,997.00 |
$2,997.00 |
$1,360.63
|
|
Replace g/c tube perc
|
$2,828.40 |
$2,828.40 |
$2,828.40 |
$1,382.70
|
|
Replace g-j tube perc
|
$3,660.60 |
$3,660.60 |
$3,660.60 |
$1,583.04
|
|
Reposition pm/icd lead
|
$4,009.80 |
$4,009.80 |
$4,009.80 |
$3,802.20
|
|
Repos lv lead pm/icd
|
$4,972.20 |
$4,972.20 |
$4,972.20 |
$3,796.13
|
|
Repos sq defib eltrd
|
$7,385.40 |
$7,385.40 |
$7,385.40 |
$4,306.60
|
|
Reptilase test
|
$98.40 |
$98.40 |
$98.40 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$2,079.00
|
|
Resp virus 6-11 targets
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$479.20
|
