|
Prq card revasc mi 1 vsl
|
$24,012.00 |
$24,012.00 |
$24,012.00 |
$14,817.50
|
|
Prq card stent w/angio addl
|
$24,012.00 |
$24,012.00 |
$24,012.00 |
$7,924.50
|
|
Prq revasc byp graft 1 art and/or branches
|
$24,012.00 |
$24,012.00 |
$24,012.00 |
$13,355.34
|
|
Prq tcat plmt ntrac st 1 les
|
$24,012.00 |
$24,012.00 |
$24,012.00 |
$13,127.50
|
|
Prq trlml c athrc st angiop1
|
$24,012.00 |
$24,012.00 |
$24,012.00 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$15,811.80 |
$15,811.80 |
$15,811.80 |
$9,131.70
|
|
Prq trluml revsc ch occ ant
|
$24,012.00 |
$24,012.00 |
$24,012.00 |
$15,349.60
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$388.80 |
$388.80 |
$388.80 |
$252.00
|
|
Pr removal intrauterine device
|
$931.20 |
$931.20 |
$931.20 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$856.80 |
$856.80 |
$856.80 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$543.60 |
$543.60 |
$543.60 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$543.60 |
$543.60 |
$543.60 |
$406.35
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$543.60 |
$543.60 |
$543.60 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$543.60 |
$543.60 |
$543.60 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,393.40 |
$2,393.40 |
$2,393.40 |
$1,761.00
|
|
PSA (Prostate) Test
|
$72.60 |
$72.60 |
$72.60 |
$107.50
|
|
Pt application of modality >=1 area hot/cold packs
|
$70.20 |
$70.20 |
$70.20 |
$35.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$102.00 |
$102.00 |
$102.00 |
$81.48
|
|
Pt application of modality traction mechanical
|
$93.00 |
$93.00 |
$93.00 |
$91.80
|
|
Pten gene dup/delet variant
|
$223.80 |
$223.80 |
$223.80 |
$330.00
|
|
Pten gene known fam variant
|
$43.80 |
$43.80 |
$43.80 |
$127.86
|
|
Pt prgrm for implt neurostim
|
$2,143.80 |
$2,143.80 |
$2,143.80 |
$2,922.62
|
|
Pt repositioning canalith procedure(s) per day
|
$253.80 |
$253.80 |
$253.80 |
$118.20
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$104.40 |
$104.40 |
$104.40 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$102.60 |
$102.60 |
$102.60 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$87.60 |
$87.60 |
$87.60 |
$88.00
|
|
Pulmonary vent imaging
|
$666.60 |
$666.60 |
$666.60 |
$933.75
|
|
Pulse ox continuous overnight monitoring
|
$165.00 |
$165.00 |
$165.00 |
$347.11
|
|
Pulse ox multiple
|
$86.40 |
$86.40 |
$86.40 |
$157.30
|
|
Pulse ox single
|
$36.00 |
$36.00 |
$36.00 |
$84.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$183.60 |
$183.60 |
$183.60 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$543.60 |
$543.60 |
$543.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,060.47
|
|
Pvb thoracic 2nd+ inj site
|
$298.20 |
$298.20 |
$298.20 |
$823.37
|
|
Pvb thoracic cont infusion
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$523.20 |
$523.20 |
$523.20 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$19.20 |
$19.20 |
$19.20 |
$49.08
|
|
Pyruvate
|
$159.60 |
$159.60 |
$159.60 |
$66.00
|
|
Pyruvate kinase
|
$147.60 |
$147.60 |
$147.60 |
$78.95
|
|
Quant diff pulm perf w/imaging
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$1,199.16
|
|
Quest t3 uptake
|
$96.60 |
$96.60 |
$96.60 |
$53.20
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$880.00 |
$880.00 |
$880.00 |
$4,017.00
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$4.40 |
$4.40 |
$4.40 |
$6.48
|
|
Radiation physics consult
|
$552.60 |
$552.60 |
$552.60 |
$610.68
|
|
Radiation therapy dose plan
|
$415.80 |
$415.80 |
$415.80 |
$518.76
|
|
Radiation treatment aid(s)
|
$395.40 |
$395.40 |
$395.40 |
$526.80
|
|
Radiation treatment aid(s)
|
$930.00 |
$930.00 |
$930.00 |
$1,100.38
|
|
Radiation treatment delivery
|
$431.40 |
$431.40 |
$431.40 |
$921.00
|
|
Radiology port images(s)
|
$110.40 |
$110.40 |
$110.40 |
$253.50
|
|
Radiotherapy dose plan imrt
|
$4,927.80 |
$4,927.80 |
$4,927.80 |
$5,755.75
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,831.40 |
$2,831.40 |
$2,831.40 |
$2,051.70
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,929.80 |
$2,929.80 |
$2,929.80 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,126.32
|
|
Rapid Strep Test
|
$34.80 |
$34.80 |
$34.80 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$8,840.40 |
$8,840.40 |
$8,840.40 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$692.80 |
$692.80 |
$692.80 |
$41,926.70
|
|
Rbc count only automated
|
$44.40 |
$44.40 |
$44.40 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,920.60 |
$1,920.60 |
$1,920.60 |
$856.71
|
|
Rbc o2 co2 reduced
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$576.41
|
|
Red blood cells each unit
|
$375.00 |
$375.00 |
$375.00 |
$393.90
|
|
Red blood cells leukocytes reduced each unit
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$642.60 |
$642.60 |
$642.60 |
$534.15
|
|
Red blood cells washed each unit
|
$564.00 |
$564.00 |
$564.00 |
$583.68
|
|
Redo endovas vena cava filtr
|
$10,226.40 |
$10,226.40 |
$10,226.40 |
$4,545.10
|
|
Reduction of procidentia 45900
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$1,226.10
|
|
Refill maint impl spine pump
|
$447.60 |
$447.60 |
$447.60 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$1,922.40 |
$1,922.40 |
$1,922.40 |
$357.91
|
|
Relocation skin pocket aicd
|
$3,284.40 |
$3,284.40 |
$3,284.40 |
$2,935.84
|
|
Relocation skin pocket pm
|
$3,987.00 |
$3,987.00 |
$3,987.00 |
$2,673.12
|
|
Remdesivir 100 mg intravenous powder for solution
|
$17.00 |
$17.00 |
$17.00 |
$1,555.39
|
|
Rem endovas vena cava filter
|
$9,767.40 |
$9,767.40 |
$9,767.40 |
$5,509.05
|
|
Remote 30 day ecg tech supp
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$683.25
|
|
Removal biliary drg cath
|
$3,018.60 |
$3,018.60 |
$3,018.60 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$76.80 |
$76.80 |
$76.80 |
$163.20
|
|
Removal mamma implant mat 19330
|
$3,040.80 |
$3,040.80 |
$3,040.80 |
$3,933.64
|
|
Removal of foreign body
|
$9,102.60 |
$9,102.60 |
$9,102.60 |
$4,149.00
|
|
Removal of hip foreign body 27087
|
$4,669.80 |
$4,669.80 |
$4,669.80 |
$4,350.00
|
|
Removal/replacement ppm generator dual lead system
|
$30,141.60 |
$30,141.60 |
$30,141.60 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$706.20 |
$706.20 |
$706.20 |
$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 |
$93.88
|
|
Remove foreign body from eye
|
$3,768.60 |
$3,768.60 |
$3,768.60 |
$3,433.80
|
|
Remove renal tube w/fluoro
|
$3,741.60 |
$3,741.60 |
$3,741.60 |
$1,172.80
|
|
Renal function panel
|
$178.80 |
$178.80 |
$178.80 |
$114.37
|
|
Repair blood vessel dir lower extr
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$1,731.55
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$3,504.60 |
$3,504.60 |
$3,504.60 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$76.80 |
$76.80 |
$76.80 |
$442.48
|
|
Repair lip full thkns =<one-half vert height
|
$4,669.80 |
$4,669.80 |
$4,669.80 |
$1,308.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$3,706.20 |
$3,706.20 |
$3,706.20 |
$954.20
|
|
Replace duod/jej tube perc
|
$5,850.00 |
$5,850.00 |
$5,850.00 |
$1,357.60
|
|
Replace g/c tube perc
|
$5,715.00 |
$5,715.00 |
$5,715.00 |
$1,366.30
|
|
Replace g-j tube perc
|
$7,165.80 |
$7,165.80 |
$7,165.80 |
$1,568.05
|
|
Reposition pm/icd lead
|
$2,346.60 |
$2,346.60 |
$2,346.60 |
$3,802.20
|
|
Reptilase test
|
$137.40 |
$137.40 |
$137.40 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$1,200.53
|
|
Resp virus 6-11 targets
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$479.20
|
