|
Prq trlml c athrc st angiop1
|
$15,162.50 |
$15,162.50 |
$15,162.50 |
$15,296.00
|
|
Prq trluml c angiop 1art&/br
|
$5,880.00 |
$5,880.00 |
$5,880.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$10,994.50 |
$10,994.50 |
$10,994.50 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$11,138.00 |
$11,138.00 |
$11,138.00 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$268.50 |
$268.50 |
$268.50 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$144.50 |
$144.50 |
$144.50 |
$251.43
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$615.50 |
$615.50 |
$615.50 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$322.00 |
$322.00 |
$322.00 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$322.00 |
$322.00 |
$322.00 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$322.00 |
$322.00 |
$322.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$326.00 |
$326.00 |
$326.00 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$1,720.93
|
|
PSA (Prostate) Test
|
$280.00 |
$280.00 |
$280.00 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$113.50 |
$113.50 |
$113.50 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$218.50 |
$218.50 |
$218.50 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$143.00 |
$143.00 |
$143.00 |
$81.00
|
|
Pt application of modality traction mechanical
|
$175.50 |
$175.50 |
$175.50 |
$91.00
|
|
Pten gene full sequence
|
$303.00 |
$303.00 |
$303.00 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$377.00 |
$377.00 |
$377.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$311.50 |
$311.50 |
$311.50 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$342.50 |
$342.50 |
$342.50 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$6,758.50 |
$6,758.50 |
$6,758.50 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$120.50 |
$120.50 |
$120.50 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$35.00 |
$35.00 |
$35.00 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$83.00 |
$83.00 |
$83.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$152.00 |
$152.00 |
$152.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$146.00 |
$146.00 |
$146.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$191.50 |
$191.50 |
$191.50 |
$87.50
|
|
Pulmonary vent imaging
|
$564.50 |
$564.50 |
$564.50 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$164.50 |
$164.50 |
$164.50 |
$344.00
|
|
Pulse ox multiple
|
$91.50 |
$91.50 |
$91.50 |
$156.40
|
|
Pulse ox single
|
$91.00 |
$91.00 |
$91.00 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$107.00 |
$107.00 |
$107.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$461.50 |
$461.50 |
$461.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$719.00 |
$719.00 |
$719.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$331.50 |
$331.50 |
$331.50 |
$304.50
|
|
Pyruvate
|
$27.50 |
$27.50 |
$27.50 |
$66.00
|
|
Pyruvate kinase
|
$86.00 |
$86.00 |
$86.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$719.00 |
$719.00 |
$719.00 |
$1,542.40
|
|
Quest t3 uptake
|
$110.00 |
$110.00 |
$110.00 |
$52.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$728.50 |
$728.50 |
$728.50 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,407.00 |
$3,407.00 |
$3,407.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,120.50
|
|
Rapid Strep Test
|
$176.50 |
$176.50 |
$176.50 |
$75.24
|
|
Rbc irradiated each unit
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$560.00
|
|
Rectal sensation test
|
$1,788.50 |
$1,788.50 |
$1,788.50 |
$474.92
|
|
Red blood cells each unit
|
$358.00 |
$358.00 |
$358.00 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$477.00 |
$477.00 |
$477.00 |
$441.00
|
|
Red blood cells washed each unit
|
$589.50 |
$589.50 |
$589.50 |
$572.46
|
|
Rem endovas vena cava filter
|
$3,651.00 |
$3,651.00 |
$3,651.00 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$104.50 |
$104.50 |
$104.50 |
$139.10
|
|
Removal biliary drg cath
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$775.00 |
$775.00 |
$775.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$80.50 |
$80.50 |
$80.50 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$369.00 |
$369.00 |
$369.00 |
$249.60
|
|
Removal duct glbldr calculi
|
$140.00 |
$140.00 |
$140.00 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,256.00
|
|
Removal of impacted wax md
|
$73.50 |
$73.50 |
$73.50 |
$128.00
|
|
Removal of intranasal lesion
|
$2,664.50 |
$2,664.50 |
$2,664.50 |
$3,837.72
|
|
Removal/replacement ppm generator dual lead system
|
$8,297.00 |
$8,297.00 |
$8,297.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$382.50 |
$382.50 |
$382.50 |
$292.50
|
|
Removal sutr and stapl no anes
|
$219.00 |
$219.00 |
$219.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$164.00 |
$164.00 |
$164.00 |
$95.00
|
|
Remove brain canal fluid
|
$865.00 |
$865.00 |
$865.00 |
$825.60
|
|
Remove cva lumen obstruct
|
$131.50 |
$131.50 |
$131.50 |
$490.80
|
|
Remove ear canal lesion(s)
|
$2,419.50 |
$2,419.50 |
$2,419.50 |
$3,435.60
|
|
Remove renal tube w/fluoro
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$1,141.31
|
|
Remove vaginal foreign body 57415
|
$2,146.50 |
$2,146.50 |
$2,146.50 |
$3,762.53
|
|
Renal cyst study s&i
|
$654.50 |
$654.50 |
$654.50 |
$751.34
|
|
Renal function panel
|
$100.00 |
$100.00 |
$100.00 |
$113.52
|
|
Renal venogram bil s&i
|
$2,549.00 |
$2,549.00 |
$2,549.00 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,025.95
|
|
Repair of eye wound
|
$419.50 |
$419.50 |
$419.50 |
$2,698.92
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$852.50 |
$852.50 |
$852.50 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$1,310.50 |
$1,310.50 |
$1,310.50 |
$1,224.63
|
|
Replace aortic valve open transaortic 33365
|
$5,281.50 |
$5,281.50 |
$5,281.50 |
$14,593.50
|
|
Replace duod/jej tube perc
|
$761.50 |
$761.50 |
$761.50 |
$1,354.54
|
|
Replace g/c tube perc
|
$761.50 |
$761.50 |
$761.50 |
$1,341.50
|
|
Replace g-j tube perc
|
$3,513.00 |
$3,513.00 |
$3,513.00 |
$1,498.53
|
|
Replace picvad cath
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$3,724.63
|
|
Reposition vad w/image rt/lt sep session
|
$122.50 |
$122.50 |
$122.50 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$3,724.63
|
|
Reptilase test
|
$86.50 |
$86.50 |
$86.50 |
$72.00
|
|
Resuscitation cardiopulmonary
|
$440.50 |
$440.50 |
$440.50 |
$764.40
|
|
Reticulated platelet assay
|
$43.00 |
$43.00 |
$43.00 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$218.50 |
$218.50 |
$218.50 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$19,666.50 |
$19,666.50 |
$19,666.50 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$25,285.00 |
$25,285.00 |
$25,285.00 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$11,466.50 |
$11,466.50 |
$11,466.50 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$16,912.50 |
$16,912.50 |
$16,912.50 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$17,878.50 |
$17,878.50 |
$17,878.50 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$10,610.50 |
$10,610.50 |
$10,610.50 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$16,912.50 |
$16,912.50 |
$16,912.50 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$16,912.50 |
$16,912.50 |
$16,912.50 |
$19,385.85
|
|
Revise abdomen-venous shunt
|
$3,247.00 |
$3,247.00 |
$3,247.00 |
$4,176.15
|
|
Revision tips
|
$11,464.00 |
$11,464.00 |
$11,464.00 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$5,421.50 |
$5,421.50 |
$5,421.50 |
$8,869.59
|
