|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$520.80 |
$520.80 |
$520.80 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$520.80 |
$520.80 |
$520.80 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$6,954.00 |
$6,954.00 |
$6,954.00 |
$3,247.19
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,761.00
|
|
PSA (Prostate) Test
|
$109.80 |
$109.80 |
$109.80 |
$107.50
|
|
Psychotherapy patient individual therapy 60 minutes
|
$302.40 |
$302.40 |
$302.40 |
$287.95
|
|
Pt application of modality >=1 area hot/cold packs
|
$78.60 |
$78.60 |
$78.60 |
$35.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$132.00 |
$132.00 |
$132.00 |
$81.48
|
|
Pt repositioning canalith procedure(s) per day
|
$78.60 |
$78.60 |
$78.60 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$108.60 |
$108.60 |
$108.60 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$60.60 |
$60.60 |
$60.60 |
$88.00
|
|
Pulmonary vent imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$350.40 |
$350.40 |
$350.40 |
$347.11
|
|
Pulse ox multiple
|
$102.00 |
$102.00 |
$102.00 |
$157.30
|
|
Pulse ox single
|
$98.40 |
$98.40 |
$98.40 |
$84.00
|
|
Punc of shunt for asp or inj
|
$2,015.40 |
$2,015.40 |
$2,015.40 |
$970.61
|
|
Puncture arterial withdrawal blood for diagnosis
|
$248.40 |
$248.40 |
$248.40 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,020.80 |
$2,020.80 |
$2,020.80 |
$1,060.47
|
|
Pyridoxine hcl 100 mg
|
$12.60 |
$12.60 |
$12.60 |
$49.08
|
|
Pyruvate
|
$73.80 |
$73.80 |
$73.80 |
$66.00
|
|
Pyruvate kinase
|
$33.60 |
$33.60 |
$33.60 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,199.16
|
|
Quest t3 uptake
|
$32.40 |
$32.40 |
$32.40 |
$53.20
|
|
Quinupristin/dalfopristin
|
$279.60 |
$279.60 |
$279.60 |
$922.70
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$408.00 |
$408.00 |
$408.00 |
$4,017.00
|
|
Radiation handling
|
$296.40 |
$296.40 |
$296.40 |
$324.80
|
|
Radiation physics consult
|
$744.00 |
$744.00 |
$744.00 |
$610.68
|
|
Radiation therapy dose plan
|
$546.60 |
$546.60 |
$546.60 |
$518.76
|
|
Radiation treatment aid(s)
|
$489.00 |
$489.00 |
$489.00 |
$526.80
|
|
Radiation treatment aid(s)
|
$501.00 |
$501.00 |
$501.00 |
$655.50
|
|
Radiation treatment aid(s)
|
$715.80 |
$715.80 |
$715.80 |
$1,100.38
|
|
Radiation treatment delivery
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$552.40
|
|
Radiation treatment delivery
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$921.00
|
|
Radiology port images(s)
|
$236.40 |
$236.40 |
$236.40 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$5,755.75
|
|
Radium ra223 dichl ther/uci
|
$17,014.80 |
$17,014.80 |
$17,014.80 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,719.20
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,126.32
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$85.20 |
$85.20 |
$85.20 |
$13,136.04
|
|
Rapid Strep Test
|
$93.00 |
$93.00 |
$93.00 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$644.40 |
$644.40 |
$644.40 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$41,926.70
|
|
Rbc count only automated
|
$6.60 |
$6.60 |
$6.60 |
$20.40
|
|
Rbc irradiated each unit
|
$273.00 |
$273.00 |
$273.00 |
$550.40
|
|
Red blood cells each unit
|
$200.40 |
$200.40 |
$200.40 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$269.40 |
$269.40 |
$269.40 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$376.80 |
$376.80 |
$376.80 |
$534.15
|
|
Redo endovas vena cava filtr
|
$7,195.20 |
$7,195.20 |
$7,195.20 |
$4,545.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$30.60 |
$30.60 |
$30.60 |
$357.91
|
|
Relocation skin pocket aicd
|
$3,487.20 |
$3,487.20 |
$3,487.20 |
$2,935.84
|
|
Relocation skin pocket pm
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$2,673.12
|
|
Rem/biv cast full arm/leg
|
$370.80 |
$370.80 |
$370.80 |
$324.00
|
|
Rem endovas vena cava filter
|
$5,819.40 |
$5,819.40 |
$5,819.40 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,457.20 |
$3,457.20 |
$3,457.20 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$120.60 |
$120.60 |
$120.60 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$6,966.60 |
$6,966.60 |
$6,966.60 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$265.20 |
$265.20 |
$265.20 |
$255.97
|
|
Removal duct glbldr calculi
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$1,260.80
|
|
Removal implant superficial separate procedure
|
$4,161.60 |
$4,161.60 |
$4,161.60 |
$3,065.04
|
|
Removal of anal tags
|
$3,552.60 |
$3,552.60 |
$3,552.60 |
$3,552.60
|
|
Removal of skin tags each add'l 10
|
$351.00 |
$351.00 |
$351.00 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$19,161.00 |
$19,161.00 |
$19,161.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$819.00 |
$819.00 |
$819.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$187.20 |
$187.20 |
$187.20 |
$82.05
|
|
Removal sutr or stapl no anes
|
$187.20 |
$187.20 |
$187.20 |
$93.88
|
|
Removal sutr/staple req anes
|
$3,784.80 |
$3,784.80 |
$3,784.80 |
$2,431.38
|
|
Removal tunnled intprtnl cath
|
$10,505.40 |
$10,505.40 |
$10,505.40 |
$4,284.80
|
|
Remove brain canal fluid
|
$961.20 |
$961.20 |
$961.20 |
$859.60
|
|
Remove cva lumen obstruct
|
$682.80 |
$682.80 |
$682.80 |
$494.00
|
|
Remove ext hem groups 2+
|
$3,552.60 |
$3,552.60 |
$3,552.60 |
$3,425.94
|
|
Remove foreign body from eye
|
$3,433.80 |
$3,433.80 |
$3,433.80 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$3,200.40 |
$3,200.40 |
$3,200.40 |
$1,172.80
|
|
Remove stent via transureth
|
$5,276.40 |
$5,276.40 |
$5,276.40 |
$3,398.00
|
|
Remove ureter stent percut
|
$6,318.00 |
$6,318.00 |
$6,318.00 |
$3,640.89
|
|
Remove vaginal foreign body 57415
|
$3,786.60 |
$3,786.60 |
$3,786.60 |
$3,762.53
|
|
Remvl peritoneal fb frm cavity
|
$5,151.00 |
$5,151.00 |
$5,151.00 |
$4,156.03
|
|
Renal function panel
|
$56.40 |
$56.40 |
$56.40 |
$114.37
|
|
Renal venogram bil s&i
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,664.40 |
$1,664.40 |
$1,664.40 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$777.60 |
$777.60 |
$777.60 |
$442.48
|
|
Repair elbow perc
|
$6,362.40 |
$6,362.40 |
$6,362.40 |
$4,350.00
|
|
Repair extns tendon finger without grft ea
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,340.00
|
|
Repair finger/hand tendon
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$4,289.04
|
|
Repair lac palate<2 cm
|
$1,673.40 |
$1,673.40 |
$1,673.40 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$2,079.60 |
$2,079.60 |
$2,079.60 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,928.07
|
|
Repair of achilles tendon
|
$9,067.20 |
$9,067.20 |
$9,067.20 |
$5,741.00
|
|
Repair pm/icd lead sgl
|
$4,523.40 |
$4,523.40 |
$4,523.40 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$993.00 |
$993.00 |
$993.00 |
$1,244.09
|
