|
Pt evaluation high complexity patient/family
|
$518.40 |
$518.40 |
$518.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$470.40 |
$470.40 |
$470.40 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$480.80 |
$480.80 |
$480.80 |
$254.88
|
|
Pt re-evaluation patient/family
|
$271.20 |
$271.20 |
$271.20 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$204.00 |
$204.00 |
$204.00 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$186.40 |
$186.40 |
$186.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$173.60 |
$173.60 |
$173.60 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$98.40 |
$98.40 |
$98.40 |
$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
|
$391.20 |
$391.20 |
$391.20 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$634.40 |
$634.40 |
$634.40 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,051.80
|
|
Pyridoxine hcl 100 mg
|
$131.60 |
$131.60 |
$131.60 |
$48.70
|
|
Pyruvate
|
$60.00 |
$60.00 |
$60.00 |
$66.00
|
|
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
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$606.50
|
|
Radiation therapy dose plan
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$2,071.20 |
$2,071.20 |
$2,071.20 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$920.00
|
|
Radiology port images(s)
|
$673.60 |
$673.60 |
$673.60 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$8,673.60 |
$8,673.60 |
$8,673.60 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,048.87
|
|
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
|
|
Radphm lcl tumor plr sgl day
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,120.50
|
|
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
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$119.20 |
$119.20 |
$119.20 |
$364.47
|
|
Relocation skin pocket aicd
|
$7,968.00 |
$7,968.00 |
$7,968.00 |
$2,761.55
|
|
Remdesivir 100 mg intravenous powder for solution
|
$7,576.00 |
$7,576.00 |
$7,576.00 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$5,162.40 |
$5,162.40 |
$5,162.40 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$1,380.82
|
|
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)
|
$280.80 |
$280.80 |
$280.80 |
$163.20
|
|
Removal foreign body foot subcutaneous right
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$33,458.40 |
$33,458.40 |
$33,458.40 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$5,223.20 |
$5,223.20 |
$5,223.20 |
$4,195.00
|
|
Remove renal tube w/fluoro
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$1,141.31
|
|
Renal function panel
|
$36.00 |
$36.00 |
$36.00 |
$113.52
|
|
Renal venogram bil s&i
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
$3,615.28
|
|
Repair lip full thkns =<one-half vert height
|
$1,976.80 |
$1,976.80 |
$1,976.80 |
$1,308.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,224.63
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$390.40 |
$390.40 |
$390.40 |
$478.00
|
|
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
|
|
Replace g-j tube perc
|
$1,558.40 |
$1,558.40 |
$1,558.40 |
$1,498.53
|
|
Reposition pm/icd lead
|
$9,317.60 |
$9,317.60 |
$9,317.60 |
$3,790.00
|
|
Respirator motion mgmt simul
|
$985.60 |
$985.60 |
$985.60 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$889.60 |
$889.60 |
$889.60 |
$764.40
|
|
Reticulated platelet assay
|
$220.80 |
$220.80 |
$220.80 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$42.40 |
$42.40 |
$42.40 |
$36.57
|
|
Rheumatoid factor quantitative
|
$23.20 |
$23.20 |
$23.20 |
$57.00
|
|
Rho d immune globulin inj
|
$330.40 |
$330.40 |
$330.40 |
$217.71
|
|
Rmvl icd by tv extr
|
$7,868.00 |
$7,868.00 |
$7,868.00 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$49,040.00 |
$49,040.00 |
$49,040.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$64,808.00 |
$64,808.00 |
$64,808.00 |
$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
|
$11,155.20 |
$11,155.20 |
$11,155.20 |
$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
|
$9,761.60 |
$9,761.60 |
$9,761.60 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$33,458.40 |
$33,458.40 |
$33,458.40 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$30,504.80 |
$30,504.80 |
$30,504.80 |
$10,542.00
|
|
Rmvl subq card rhythm mntr
|
$3,167.20 |
$3,167.20 |
$3,167.20 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$27,104.80 |
$27,104.80 |
$27,104.80 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$15,964.80 |
$15,964.80 |
$15,964.80 |
$4,031.69
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$222.80 |
$222.80 |
$222.80 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,220.00 |
$3,220.00 |
$3,220.00 |
$2,173.60
|
|
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
|
$72.00 |
$72.00 |
$72.00 |
$72.54
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$857.60 |
$857.60 |
$857.60 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$857.60 |
$857.60 |
$857.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$642.40 |
$642.40 |
$642.40 |
$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
|
$863.20 |
$863.20 |
$863.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$820.80 |
$820.80 |
$820.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$824.00 |
$824.00 |
$824.00 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$980.00 |
$980.00 |
$980.00 |
$2,114.45
|
|
Scope uretscp lithovue dig disp
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$4,490.64
|
|
Screening hepatitis b non-obstetric high risk
|
$117.60 |
$117.60 |
$117.60 |
$60.00
|
|
Screening hepatitis c antibody high risk
|
$108.80 |
$108.80 |
$108.80 |
$99.66
|
|
Screening Mammogram
|
$225.00 |
$225.00 |
$225.00 |
$312.55
|
|
Screening prostate cancer PSA
|
$45.00 |
$45.00 |
$45.00 |
$100.63
|
|
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
|
$217.60 |
$217.60 |
$217.60 |
$197.00
|
|
Set radiation therapy field
|
$1,745.60 |
$1,745.60 |
$1,745.60 |
$762.40
|
|
Set radiation therapy field
|
$2,716.80 |
$2,716.80 |
$2,716.80 |
$1,636.36
|
