|
Pyelotomy complicated
|
$731.86 |
$731.86 |
$731.86 |
$731.86
|
|
Pyelotomy w/drg pyelostomy
|
$633.42 |
$633.42 |
$633.42 |
$1,276.51
|
|
Pyelotomy w/exploration
|
$612.49 |
$612.49 |
$612.49 |
$1,235.32
|
|
Pyelotomy w/removal calculus
|
$665.62 |
$665.62 |
$665.62 |
$1,341.47
|
|
Pyloroplasty 43800
|
$601.91 |
$601.91 |
$601.91 |
$1,748.40
|
|
Pyridoxine hcl 100 mg
|
$17.49 |
$17.49 |
$17.49 |
$49.08
|
|
Pyruvate
|
$95.48 |
$95.48 |
$95.48 |
$66.00
|
|
Pyruvate kinase
|
$62.37 |
$62.37 |
$62.37 |
$78.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$6.21 |
$6.21 |
$6.21 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,538.60
|
|
Quant diff pulm perf w/imaging
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,199.16
|
|
Quest t3 uptake
|
$42.35 |
$42.35 |
$42.35 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,565.14 |
$1,565.14 |
$1,565.14 |
$3,848.39
|
|
Radiation handling
|
$1,085.70 |
$1,085.70 |
$1,085.70 |
$324.80
|
|
Radiation therapy dose plan
|
$21.39 |
$21.39 |
$21.39 |
$525.00
|
|
Radiation therapy management
|
$70.38 |
$70.38 |
$70.38 |
$199.20
|
|
Radiation treatment aid(s)
|
$582.89 |
$582.89 |
$582.89 |
$525.60
|
|
Radiation treatment aid(s)
|
$25.76 |
$25.76 |
$25.76 |
$655.52
|
|
Radiation treatment aid(s)
|
$39.33 |
$39.33 |
$39.33 |
$1,109.75
|
|
Radiation tx management x5
|
$124.89 |
$124.89 |
$124.89 |
$354.40
|
|
Radical abdominal hysterectomy 58210
|
$1,177.37 |
$1,177.37 |
$1,177.37 |
$3,429.60
|
|
Radical rescj tumor clavicle
|
$974.74 |
$974.74 |
$974.74 |
$9,290.00
|
|
Radical rescj tumor prox hum
|
$1,251.66 |
$1,251.66 |
$1,251.66 |
$3,724.00
|
|
Radical rescj tumor scapula
|
$1,142.87 |
$1,142.87 |
$1,142.87 |
$9,977.57
|
|
Radical resection of elbow
|
$768.20 |
$768.20 |
$768.20 |
$5,788.80
|
|
Radical resection sternum 21630
|
$848.93 |
$848.93 |
$848.93 |
$2,982.40
|
|
Radic resect abd tumor<5cm 22904
|
$676.20 |
$676.20 |
$676.20 |
$3,386.84
|
|
Radic resect shoulder tumor 5cm/> 23078
|
$933.11 |
$933.11 |
$933.11 |
$4,460.78
|
|
Radiotherapy dose plan imrt
|
$273.93 |
$273.93 |
$273.93 |
$5,786.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$3,342.57 |
$3,342.57 |
$3,342.57 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,342.57 |
$3,342.57 |
$3,342.57 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,342.57 |
$3,342.57 |
$3,342.57 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,342.57 |
$3,342.57 |
$3,342.57 |
$2,285.70
|
|
Radphm lcl tumor plr sgl day
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,120.40
|
|
Radphm quant measure sgl area add-on
|
$13.57 |
$13.57 |
$13.57 |
$711.20
|
|
Rad rescj tum dstl/shft hum
|
$999.81 |
$999.81 |
$999.81 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$733.24 |
$733.24 |
$733.24 |
$4,881.00
|
|
Rad rescj tum tiss a/e 5 cm+
|
$859.74 |
$859.74 |
$859.74 |
$5,339.00
|
|
Rad rescj tum tiss a/e <5cm
|
$665.16 |
$665.16 |
$665.16 |
$4,087.20
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$460.69 |
$460.69 |
$460.69 |
$3,620.80
|
|
Rad resect abd tumor 5 cm/>
|
$863.19 |
$863.19 |
$863.19 |
$3,495.54
|
|
Rad resect hand tumor < 3 cm
|
$487.83 |
$487.83 |
$487.83 |
$3,386.84
|
|
Rad resect hand tumor 3 cm/>
|
$685.86 |
$685.86 |
$685.86 |
$4,137.20
|
|
Rad resection tum radial h/n
|
$871.01 |
$871.01 |
$871.01 |
$8,453.60
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$617.09 |
$617.09 |
$617.09 |
$3,370.52
|
|
Range of motion measurements
|
$3.68 |
$3.68 |
$3.68 |
$60.48
|
|
Ranibizumab injection
|
$85.56 |
$85.56 |
$85.56 |
$3,409.84
|
|
Rapid desensitization
|
$65.78 |
$65.78 |
$65.78 |
$472.21
|
|
Rapid Strep Test
|
$109.34 |
$109.34 |
$109.34 |
$75.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,455.64 |
$4,455.64 |
$4,455.64 |
$4,325.07
|
|
Rbc count only automated
|
$20.02 |
$20.02 |
$20.02 |
$20.40
|
|
Rbc deglycerolized each unit
|
$3,019.94 |
$3,019.94 |
$3,019.94 |
$856.71
|
|
Rbc depletion of harvest
|
$31.97 |
$31.97 |
$31.97 |
$1,803.18
|
|
Rbc irradiated each unit
|
$689.15 |
$689.15 |
$689.15 |
$560.00
|
|
Rbc mechanical fragility
|
$5.98 |
$5.98 |
$5.98 |
$21.60
|
|
Rbc osmotic fragility
|
$5.06 |
$5.06 |
$5.06 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$2,626.47 |
$2,626.47 |
$2,626.47 |
$234.00
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$1,419.79 |
$1,419.79 |
$1,419.79 |
$6,547.81
|
|
Rcnstj forehead w/autograft
|
$1,093.42 |
$1,093.42 |
$1,093.42 |
$6,048.05
|
|
Rcnstj forehead with grafts
|
$978.88 |
$978.88 |
$978.88 |
$6,048.05
|
|
Rcnstj mdfc lefort i 1 w/grf
|
$995.44 |
$995.44 |
$995.44 |
$6,048.05
|
|
Rcnstj mdfc lefort i 2 w/grf
|
$1,039.37 |
$1,039.37 |
$1,039.37 |
$6,048.05
|
|
Rcnstj mdfc lefort iii w/i
|
$1,386.67 |
$1,386.67 |
$1,386.67 |
$6,048.05
|
|
Rcnstj mdfc lefort iii without i
|
$1,249.82 |
$1,249.82 |
$1,249.82 |
$6,048.05
|
|
Rcnstj mdfc lefrtii w/b1 grf
|
$1,160.58 |
$1,160.58 |
$1,160.58 |
$6,048.05
|
|
Rcnst mdfc lfrtiii advm w/i
|
$1,803.43 |
$1,803.43 |
$1,803.43 |
$6,048.05
|
|
Rcnst mdfc lfrtiii advm wo i
|
$1,662.67 |
$1,662.67 |
$1,662.67 |
$6,048.05
|
|
Rdctj forehead cntrg only
|
$486.68 |
$486.68 |
$486.68 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$591.79 |
$591.79 |
$591.79 |
$6,547.81
|
|
Rdctj forehead cntrg&setback
|
$701.73 |
$701.73 |
$701.73 |
$6,839.00
|
|
Realignment of knee
|
$621.00 |
$621.00 |
$621.00 |
$4,732.80
|
|
Realignment of knee
|
$623.76 |
$623.76 |
$623.76 |
$4,681.60
|
|
Realignment of tendons
|
$426.65 |
$426.65 |
$426.65 |
$3,839.54
|
|
Realignment of thigh bone
|
$839.04 |
$839.04 |
$839.04 |
$7,413.38
|
|
Rebuild eardrum structures
|
$687.70 |
$687.70 |
$687.70 |
$6,839.00
|
|
Rebuild eardrum structures
|
$669.53 |
$669.53 |
$669.53 |
$6,547.81
|
|
Rebuild eardrum structures
|
$895.85 |
$895.85 |
$895.85 |
$6,771.20
|
|
Rebuild outer ear canal
|
$708.63 |
$708.63 |
$708.63 |
$6,017.08
|
|
Rebuild outer ear canal
|
$991.30 |
$991.30 |
$991.30 |
$7,000.36
|
|
Rechanneling of artery
|
$965.31 |
$965.31 |
$965.31 |
$2,697.60
|
|
Rechanneling of artery
|
$281.75 |
$281.75 |
$281.75 |
$495.50
|
|
Rechanneling of artery
|
$984.63 |
$984.63 |
$984.63 |
$2,213.55
|
|
Rechanneling of artery
|
$1,029.94 |
$1,029.94 |
$1,029.94 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$773.49 |
$773.49 |
$773.49 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$870.55 |
$870.55 |
$870.55 |
$4,439.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$805.92 |
$805.92 |
$805.92 |
$6,219.20
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$915.63 |
$915.63 |
$915.63 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$616.63 |
$616.63 |
$616.63 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$775.56 |
$775.56 |
$775.56 |
$3,155.50
|
|
Recipient nephrectomy
|
$624.45 |
$624.45 |
$624.45 |
$1,392.38
|
|
Reconst lwr jaw w/fixation
|
$915.86 |
$915.86 |
$915.86 |
$5,339.00
|
|
Reconst lwr jaw w/graft
|
$914.71 |
$914.71 |
$914.71 |
$6,547.81
|
|
Reconst lwr jaw without fixation
|
$856.98 |
$856.98 |
$856.98 |
$6,547.81
|
|
Reconst lwr jaw without graft
|
$791.66 |
$791.66 |
$791.66 |
$6,547.81
|
|
Reconst major injured chest 32820
|
$892.17 |
$892.17 |
$892.17 |
$3,236.80
|
|
Reconst pectus excavatum/carinatum opn 21740
|
$659.41 |
$659.41 |
$659.41 |
$2,510.40
|
|
Reconstr lwr jaw segment
|
$651.13 |
$651.13 |
$651.13 |
$6,547.81
|
|
Reconstr lwr jaw w/advance
|
$655.96 |
$655.96 |
$655.96 |
$4,349.80
|
|
Reconstruct ankle joint
|
$624.45 |
$624.45 |
$624.45 |
$4,881.00
|
|
Reconstruct bronchus
|
$891.25 |
$891.25 |
$891.25 |
$2,000.38
|
