|
Prothrombin complex kcentra
|
$7.80 |
$7.80 |
$7.80 |
$6.98
|
|
Prothrombin time substitution plasma fractions each
|
$125.40 |
$125.40 |
$125.40 |
$41.50
|
|
Prq cardiac angio addl art
|
$15,562.20 |
$15,562.20 |
$15,562.20 |
$5,574.15
|
|
Prq card revasc mi 1 vsl
|
$23,637.00 |
$23,637.00 |
$23,637.00 |
$14,928.16
|
|
Prq card revasc mi 1 vsl drug-eluting
|
$12,302.40 |
$12,302.40 |
$12,302.40 |
$17,651.36
|
|
Prq card stent w/angio addl
|
$23,637.00 |
$23,637.00 |
$23,637.00 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$23,637.00 |
$23,637.00 |
$23,637.00 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$23,637.00 |
$23,637.00 |
$23,637.00 |
$13,127.50
|
|
Prq trluml c angiop 1art&/br
|
$15,562.20 |
$15,562.20 |
$15,562.20 |
$9,131.70
|
|
Prq trluml revsc ch occ ant
|
$23,637.00 |
$23,637.00 |
$23,637.00 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$436.20 |
$436.20 |
$436.20 |
$252.00
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$951.00 |
$951.00 |
$951.00 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$606.60 |
$606.60 |
$606.60 |
$381.16
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$606.60 |
$606.60 |
$606.60 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$606.60 |
$606.60 |
$606.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$606.60 |
$606.60 |
$606.60 |
$397.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$3,408.60 |
$3,408.60 |
$3,408.60 |
$1,761.00
|
|
PSA (Prostate) Test
|
$187.20 |
$187.20 |
$187.20 |
$108.11
|
|
Psychotherapy group therapy
|
$46.80 |
$46.80 |
$46.80 |
$223.60
|
|
Pten gene dup/delet variant
|
$336.60 |
$336.60 |
$336.60 |
$330.00
|
|
Pt prgrm for implt neurostim
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$2,922.62
|
|
Pt repositioning canalith procedure(s) per day
|
$580.20 |
$580.20 |
$580.20 |
$119.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$133.20 |
$133.20 |
$133.20 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$85.20 |
$85.20 |
$85.20 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$75.00 |
$75.00 |
$75.00 |
$88.20
|
|
Pulmonary vent imaging
|
$619.20 |
$619.20 |
$619.20 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$178.20 |
$178.20 |
$178.20 |
$349.86
|
|
Pulse ox multiple
|
$178.20 |
$178.20 |
$178.20 |
$159.16
|
|
Pulse ox single
|
$103.20 |
$103.20 |
$103.20 |
$84.80
|
|
Puncture arterial withdrawal blood for diagnosis
|
$205.80 |
$205.80 |
$205.80 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$528.00 |
$528.00 |
$528.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$1,082.90
|
|
Pyridoxine hcl 100 mg
|
$24.80 |
$24.80 |
$24.80 |
$49.08
|
|
Quant diff pulm perf w/imaging
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$1,199.16
|
|
Quest t3 uptake
|
$74.40 |
$74.40 |
$74.40 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$880.00 |
$880.00 |
$880.00 |
$3,848.39
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$6.60 |
$6.60 |
$6.60 |
$6.48
|
|
Radiation physics consult
|
$478.80 |
$478.80 |
$478.80 |
$610.68
|
|
Radiation therapy dose plan
|
$335.40 |
$335.40 |
$335.40 |
$518.76
|
|
Radiation treatment aid(s)
|
$418.20 |
$418.20 |
$418.20 |
$526.80
|
|
Radiation treatment aid(s)
|
$1,725.60 |
$1,725.60 |
$1,725.60 |
$1,100.38
|
|
Radiation treatment delivery
|
$642.60 |
$642.60 |
$642.60 |
$921.00
|
|
Radiology port images(s)
|
$114.60 |
$114.60 |
$114.60 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$4,473.60 |
$4,473.60 |
$4,473.60 |
$5,750.25
|
|
Radium ra223 dichl ther/uci
|
$389.40 |
$389.40 |
$389.40 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$2,051.70
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$2,242.80
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$187.20 |
$187.20 |
$187.20 |
$13,136.04
|
|
Rapid Strep Test
|
$58.80 |
$58.80 |
$58.80 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$10,192.80 |
$10,192.80 |
$10,192.80 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$692.80 |
$692.80 |
$692.80 |
$41,926.70
|
|
Rbc count only automated
|
$23.40 |
$23.40 |
$23.40 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,594.20 |
$1,594.20 |
$1,594.20 |
$856.71
|
|
Rbc o2 co2 reduced
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$576.41
|
|
Red blood cells each unit
|
$306.60 |
$306.60 |
$306.60 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$822.00 |
$822.00 |
$822.00 |
$535.00
|
|
Reduction of procidentia 45900
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$1,226.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$889.20 |
$889.20 |
$889.20 |
$357.91
|
|
Rem/biv cast full arm/leg
|
$341.40 |
$341.40 |
$341.40 |
$324.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$17.00 |
$17.00 |
$17.00 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$2,413.80 |
$2,413.80 |
$2,413.80 |
$5,509.05
|
|
Remote 30 day ecg tech supp
|
$197.40 |
$197.40 |
$197.40 |
$683.25
|
|
Removal biliary drg cath
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,612.40 |
$2,612.40 |
$2,612.40 |
$1,591.20
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,612.40 |
$2,612.40 |
$2,612.40 |
$2,422.70
|
|
Removal cerumen impacted (both sides)
|
$119.40 |
$119.40 |
$119.40 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$223.20 |
$223.20 |
$223.20 |
$255.97
|
|
Removal embedded foreign body vestibule mouth smpl
|
$583.80 |
$583.80 |
$583.80 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$811.20 |
$811.20 |
$811.20 |
$1,260.95
|
|
Removal mamma implant mat 19330
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$3,933.64
|
|
Removal of hip foreign body 27087
|
$4,303.80 |
$4,303.80 |
$4,303.80 |
$4,326.00
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$706.20 |
$706.20 |
$706.20 |
$292.50
|
|
Removal sutr and stapl no anes
|
$33.00 |
$33.00 |
$33.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$23.40 |
$23.40 |
$23.40 |
$90.04
|
|
Removal tunnled intprtnl cath
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$4,284.80
|
|
Remove foreign body from eye
|
$3,861.60 |
$3,861.60 |
$3,861.60 |
$3,433.80
|
|
Renal function panel
|
$244.80 |
$244.80 |
$244.80 |
$113.52
|
|
Repair blood vessel dir lower extr
|
$1,803.60 |
$1,803.60 |
$1,803.60 |
$1,731.55
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,099.40 |
$2,099.40 |
$2,099.40 |
$1,059.20
|
|
Repair dental ellis ii fx
|
$104.40 |
$104.40 |
$104.40 |
$442.48
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$1,928.07
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$3,752.40 |
$3,752.40 |
$3,752.40 |
$949.41
|
|
Replace duod/jej tube perc
|
$1,894.80 |
$1,894.80 |
$1,894.80 |
$1,360.63
|
|
Replace g/c tube perc
|
$6,339.60 |
$6,339.60 |
$6,339.60 |
$1,382.70
|
|
Replace g-j tube perc
|
$8,235.00 |
$8,235.00 |
$8,235.00 |
$1,583.04
|
|
Reptilase test
|
$110.40 |
$110.40 |
$110.40 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$25.80 |
$25.80 |
$25.80 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$479.20
|
|
Reticulocyte automated
|
$46.20 |
$46.20 |
$46.20 |
$52.65
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$54.00 |
$54.00 |
$54.00 |
$23,780.31
|
|
Revefenacin inh non-com 1mcg
|
$7.80 |
$7.80 |
$7.80 |
$15.56
|
|
Rf abltj nrv nrvtg si jt
|
$3,989.40 |
$3,989.40 |
$3,989.40 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$83.40 |
$83.40 |
$83.40 |
$57.07
|
|
Rheumatoid factor quantitative
|
$55.80 |
$55.80 |
$55.80 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$265.60 |
$265.60 |
$265.60 |
$234.12
|
|
Rho(d) immune globulin h, sd
|
$210.60 |
$210.60 |
$210.60 |
$3,228.05
|
|
Rho d immune globulin inj
|
$499.20 |
$499.20 |
$499.20 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$424.20 |
$424.20 |
$424.20 |
$359.47
|
