|
Pt evaluation high complexity patient/family
|
$181.00 |
$181.00 |
$181.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$161.50 |
$161.50 |
$161.50 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$171.00 |
$171.00 |
$171.00 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$3,027.00 |
$3,027.00 |
$3,027.00 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$103.50 |
$103.50 |
$103.50 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$158.50 |
$158.50 |
$158.50 |
$118.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$75.50 |
$75.50 |
$75.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$78.00 |
$78.00 |
$78.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$74.50 |
$74.50 |
$74.50 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$368.50 |
$368.50 |
$368.50 |
$344.00
|
|
Pulse ox multiple
|
$164.50 |
$164.50 |
$164.50 |
$156.40
|
|
Pulse ox single
|
$85.00 |
$85.00 |
$85.00 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$88.00 |
$88.00 |
$88.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$336.00 |
$336.00 |
$336.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$694.50 |
$694.50 |
$694.50 |
$1,051.80
|
|
Puraply 1 sq cm
|
$280.00 |
$280.00 |
$280.00 |
$304.50
|
|
Pyruvate
|
$89.50 |
$89.50 |
$89.50 |
$66.00
|
|
Pyruvate kinase
|
$79.00 |
$79.00 |
$79.00 |
$80.64
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$853.00 |
$853.00 |
$853.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,767.00 |
$1,767.00 |
$1,767.00 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,626.50 |
$1,626.50 |
$1,626.50 |
$2,177.00
|
|
Rapid Strep Test
|
$121.00 |
$121.00 |
$121.00 |
$75.24
|
|
Rbc deglycerolized each unit
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$841.75
|
|
Rbc irradiated each unit
|
$538.50 |
$538.50 |
$538.50 |
$560.00
|
|
Red blood cells each unit
|
$606.00 |
$606.00 |
$606.00 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$480.50 |
$480.50 |
$480.50 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$584.50 |
$584.50 |
$584.50 |
$528.45
|
|
Rem/biv cast full arm/leg
|
$197.50 |
$197.50 |
$197.50 |
$320.79
|
|
Removal cerumen impacted (both sides)
|
$155.00 |
$155.00 |
$155.00 |
$163.20
|
|
Removal embedded foreign body vestibule mouth smpl
|
$404.50 |
$404.50 |
$404.50 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$3,911.50 |
$3,911.50 |
$3,911.50 |
$2,301.60
|
|
Removal of intranasal lesion
|
$2,331.50 |
$2,331.50 |
$2,331.50 |
$3,837.72
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$192.50 |
$192.50 |
$192.50 |
$292.50
|
|
Removal sutr and stapl no anes
|
$191.50 |
$191.50 |
$191.50 |
$82.05
|
|
Removal sutr or stapl no anes
|
$144.00 |
$144.00 |
$144.00 |
$95.00
|
|
Remove ear canal lesion(s)
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$3,435.60
|
|
Renal function panel
|
$155.50 |
$155.50 |
$155.50 |
$113.52
|
|
Renal venogram bil s&i
|
$4,409.50 |
$4,409.50 |
$4,409.50 |
$3,615.28
|
|
Repair blood vessel dir lower extr
|
$933.50 |
$933.50 |
$933.50 |
$1,705.04
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$694.50 |
$694.50 |
$694.50 |
$1,025.95
|
|
Repair extns tendon finger without grft ea
|
$2,760.50 |
$2,760.50 |
$2,760.50 |
$2,224.00
|
|
Repair lip full thkns =<one-half vert height
|
$256.50 |
$256.50 |
$256.50 |
$1,308.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$1,006.50
|
|
Repair tendon extensor foot 1/2 each tendon
|
$3,422.00 |
$3,422.00 |
$3,422.00 |
$3,839.54
|
|
Replace duod/jej tube perc
|
$1,171.00 |
$1,171.00 |
$1,171.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$701.00 |
$701.00 |
$701.00 |
$1,341.50
|
|
Replace g-j tube perc
|
$1,036.50 |
$1,036.50 |
$1,036.50 |
$1,498.53
|
|
Reptilase test
|
$185.50 |
$185.50 |
$185.50 |
$72.00
|
|
Resuscitation cardiopulmonary
|
$414.50 |
$414.50 |
$414.50 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$472.50 |
$472.50 |
$472.50 |
$780.42
|
|
Reticulocyte direct measurement automated
|
$68.50 |
$68.50 |
$68.50 |
$36.57
|
|
Revise abdomen-venous shunt
|
$3,099.50 |
$3,099.50 |
$3,099.50 |
$4,176.15
|
|
Rheumatoid factor quantitative
|
$80.50 |
$80.50 |
$80.50 |
$57.00
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,253.50 |
$2,253.50 |
$2,253.50 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$873.50 |
$873.50 |
$873.50 |
$1,822.05
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$32,362.50 |
$32,362.50 |
$32,362.50 |
$26,317.20
|
|
Rmvl ndwellg tun pleural cath
|
$567.00 |
$567.00 |
$567.00 |
$1,156.80
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$2,173.60
|
|
Rsv assay w/optic
|
$145.00 |
$145.00 |
$145.00 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$114.00 |
$114.00 |
$114.00 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$35.00 |
$35.00 |
$35.00 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$35.00 |
$35.00 |
$35.00 |
$67.80
|
|
Rtm tx mgmt 1st 20 min
|
$25.00 |
$25.00 |
$25.00 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$25.00 |
$25.00 |
$25.00 |
$74.00
|
|
Rubella antibody igg
|
$101.00 |
$101.00 |
$101.00 |
$77.03
|
|
Rubeola antibody igg
|
$98.50 |
$98.50 |
$98.50 |
$80.00
|
|
Russell viper venom diluted
|
$141.00 |
$141.00 |
$141.00 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,008.79
|
|
Salivary glnd img serial img
|
$385.00 |
$385.00 |
$385.00 |
$701.73
|
|
Sarscov coronavirus ag ia
|
$22.50 |
$22.50 |
$22.50 |
$59.25
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$868.00 |
$868.00 |
$868.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$656.00 |
$656.00 |
$656.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$733.50 |
$733.50 |
$733.50 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$592.00 |
$592.00 |
$592.00 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$568.50 |
$568.50 |
$568.50 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$660.00 |
$660.00 |
$660.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$742.00 |
$742.00 |
$742.00 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$607.00 |
$607.00 |
$607.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$527.00 |
$527.00 |
$527.00 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$3,627.00 |
$3,627.00 |
$3,627.00 |
$4,490.64
|
|
Screening Mammogram
|
$275.50 |
$275.50 |
$275.50 |
$312.55
|
|
Screening prostate cancer PSA
|
$126.00 |
$126.00 |
$126.00 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$38,568.00 |
$38,568.00 |
$38,568.00 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$68.50 |
$68.50 |
$68.50 |
$42.00
|
|
Sf3b1 gene common variants
|
$440.00 |
$440.00 |
$440.00 |
$248.10
|
|
Sheath gldlight lasr 12fx50cm
|
$7,820.00 |
$7,820.00 |
$7,820.00 |
$6,570.70
|
|
Shoe post-op mens m
|
$137.50 |
$137.50 |
$137.50 |
$52.20
|
|
Shoulder MRI (with and without contrast)
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$2,056.50 |
$2,056.50 |
$2,056.50 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$2,065.05
|
|
Shoulder X-ray
|
$308.50 |
$308.50 |
$308.50 |
$339.50
|
|
Shrinker prosth above knee
|
$115.00 |
$115.00 |
$115.00 |
$168.89
|
|
Shrinker prosth below knee
|
$96.00 |
$96.00 |
$96.00 |
$105.12
|
|
Shunt glaucoma baerveldt 350mm
|
$6,465.50 |
$6,465.50 |
$6,465.50 |
$4,636.80
|
|
Shuntogram nonvascular supervision & interpretation
|
$350.50 |
$350.50 |
$350.50 |
$349.20
|
|
Sialography s&i
|
$525.50 |
$525.50 |
$525.50 |
$499.20
|
|
Sialolithotomy 42330
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$3,837.72
|
|
Sickling rbc
|
$79.00 |
$79.00 |
$79.00 |
$57.92
|
|
Sinus CT scan (with and without contrast)
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,790.00
|
