|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$16.00 |
$16.00 |
$16.00 |
$203.20
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$12.50 |
$12.50 |
$12.50 |
$153.75
|
|
Psy/npsy tst admin tech 2> ea l 30 min
|
$13.00 |
$13.00 |
$13.00 |
$123.63
|
|
Psytx pt w/e&m 16-37 min
|
$78.00 |
$78.00 |
$78.00 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$102.50 |
$102.50 |
$102.50 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$115.50 |
$115.50 |
$115.50 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$50.50 |
$50.50 |
$50.50 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$53.50 |
$53.50 |
$53.50 |
$81.00
|
|
Pt application of modality traction mechanical
|
$51.50 |
$51.50 |
$51.50 |
$91.00
|
|
Pten gene full sequence
|
$304.50 |
$304.50 |
$304.50 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$85.50 |
$85.50 |
$85.50 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$52.00 |
$52.00 |
$52.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$57.50 |
$57.50 |
$57.50 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$4,447.50 |
$4,447.50 |
$4,447.50 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$47.00 |
$47.00 |
$47.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$29.00 |
$29.00 |
$29.00 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$51.50 |
$51.50 |
$51.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$51.50 |
$51.50 |
$51.50 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$74.00 |
$74.00 |
$74.00 |
$87.50
|
|
Pul art balloon repr percut
|
$6,113.50 |
$6,113.50 |
$6,113.50 |
$9,760.40
|
|
Pul art balloon repr percut
|
$1,897.00 |
$1,897.00 |
$1,897.00 |
$3,965.20
|
|
Pulmonary vent imaging
|
$322.50 |
$322.50 |
$322.50 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$123.50 |
$123.50 |
$123.50 |
$344.00
|
|
Pulse ox multiple
|
$166.00 |
$166.00 |
$166.00 |
$156.40
|
|
Pulse ox single
|
$264.00 |
$264.00 |
$264.00 |
$81.70
|
|
Punc of shunt for asp or inj
|
$400.00 |
$400.00 |
$400.00 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$97.50 |
$97.50 |
$97.50 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$378.00 |
$378.00 |
$378.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$398.00 |
$398.00 |
$398.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$270.50 |
$270.50 |
$270.50 |
$304.50
|
|
Pvb thoracic 2nd+ inj site
|
$443.50 |
$443.50 |
$443.50 |
$809.20
|
|
Pvb thoracic single inj site
|
$889.00 |
$889.00 |
$889.00 |
$1,320.80
|
|
Pyruvate
|
$71.00 |
$71.00 |
$71.00 |
$66.00
|
|
Pyruvate kinase
|
$47.00 |
$47.00 |
$47.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$504.00 |
$504.00 |
$504.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$322.50 |
$322.50 |
$322.50 |
$1,199.16
|
|
Radiation handling
|
$661.00 |
$661.00 |
$661.00 |
$324.80
|
|
Radiation physics consult
|
$482.00 |
$482.00 |
$482.00 |
$606.50
|
|
Radiation therapy dose plan
|
$389.00 |
$389.00 |
$389.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$346.50 |
$346.50 |
$346.50 |
$520.00
|
|
Radiation treatment aid(s)
|
$508.00 |
$508.00 |
$508.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$980.00 |
$980.00 |
$980.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$373.00 |
$373.00 |
$373.00 |
$552.40
|
|
Radiation treatment delivery
|
$661.00 |
$661.00 |
$661.00 |
$920.00
|
|
Radiology port images(s)
|
$185.00 |
$185.00 |
$185.00 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$5,047.00 |
$5,047.00 |
$5,047.00 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$807.00 |
$807.00 |
$807.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$856.00 |
$856.00 |
$856.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$991.50 |
$991.50 |
$991.50 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$363.50 |
$363.50 |
$363.50 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$711.20
|
|
Range of motion measurements
|
$29.50 |
$29.50 |
$29.50 |
$60.48
|
|
Rapid Strep Test
|
$83.00 |
$83.00 |
$83.00 |
$75.24
|
|
Rbc deglycerolized each unit
|
$947.00 |
$947.00 |
$947.00 |
$841.75
|
|
Rbc depletion of harvest
|
$4,479.50 |
$4,479.50 |
$4,479.50 |
$1,803.18
|
|
Rbc irradiated each unit
|
$506.00 |
$506.00 |
$506.00 |
$560.00
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$4,448.00 |
$4,448.00 |
$4,448.00 |
$9,706.55
|
|
Reconstruct extra finger
|
$1,767.50 |
$1,767.50 |
$1,767.50 |
$3,591.33
|
|
Reconstruction of eyelid
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$3,590.40
|
|
Reconstruction of eyelid
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$4,194.40
|
|
Reconstruction of eyelid
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$3,269.14
|
|
Reconstruction of nail bed
|
$1,469.50 |
$1,469.50 |
$1,469.50 |
$2,164.64
|
|
Rectal sensation test
|
$156.00 |
$156.00 |
$156.00 |
$474.92
|
|
Red blood cells each unit
|
$506.00 |
$506.00 |
$506.00 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$985.00 |
$985.00 |
$985.00 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$406.50 |
$406.50 |
$406.50 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$611.50 |
$611.50 |
$611.50 |
$528.45
|
|
Red blood cells washed each unit
|
$938.00 |
$938.00 |
$938.00 |
$572.46
|
|
Red cell sequestration
|
$920.00 |
$920.00 |
$920.00 |
$620.10
|
|
Redo endovas vena cava filtr
|
$2,721.50 |
$2,721.50 |
$2,721.50 |
$4,435.43
|
|
Refill maint impl spine pump
|
$137.50 |
$137.50 |
$137.50 |
$366.60
|
|
Release of eye fluid
|
$1,361.50 |
$1,361.50 |
$1,361.50 |
$3,294.60
|
|
Relocation skin pocket aicd
|
$1,637.50 |
$1,637.50 |
$1,637.50 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,442.50 |
$1,442.50 |
$1,442.50 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$171.00 |
$171.00 |
$171.00 |
$320.79
|
|
Rem/biv cast shldr/hip spica
|
$299.00 |
$299.00 |
$299.00 |
$435.54
|
|
Rem endovas vena cava filter
|
$2,724.50 |
$2,724.50 |
$2,724.50 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$66.50 |
$66.50 |
$66.50 |
$139.10
|
|
Remote 30 day ecg tech supp
|
$84.00 |
$84.00 |
$84.00 |
$683.25
|
|
Removal biliary drg cath
|
$708.00 |
$708.00 |
$708.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$902.50 |
$902.50 |
$902.50 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$902.50 |
$902.50 |
$902.50 |
$2,356.71
|
|
Removal cerclage w/anes
|
$2,741.00 |
$2,741.00 |
$2,741.00 |
$3,762.53
|
|
Removal cerclage without anes
|
$103.50 |
$103.50 |
$103.50 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$79.50 |
$79.50 |
$79.50 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$2,662.00 |
$2,662.00 |
$2,662.00 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$133.00 |
$133.00 |
$133.00 |
$249.60
|
|
Removal duct glbldr calculi
|
$1,280.50 |
$1,280.50 |
$1,280.50 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$468.50 |
$468.50 |
$468.50 |
$783.75
|
|
Removal foreign body extrn auditory canal with anes
|
$1,387.00 |
$1,387.00 |
$1,387.00 |
$2,446.00
|
|
Removal foreign body foot subcutaneous right
|
$630.00 |
$630.00 |
$630.00 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,334.00 |
$1,334.00 |
$1,334.00 |
$2,301.60
|
|
Removal implant superficial separate procedure
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$2,986.62
|
|
Removal of artery clot 34151
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$2,919.84
|
|
Removal of eye lesion
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
$2,943.33
|
|
Removal of eye lesion
|
$1,663.00 |
$1,663.00 |
$1,663.00 |
$3,970.86
|
|
Removal of impacted wax md
|
$88.50 |
$88.50 |
$88.50 |
$128.00
|
|
Removal of implant deep
|
$3,246.50 |
$3,246.50 |
$3,246.50 |
$4,484.80
|
