|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$208.00 |
$208.00 |
$208.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$73.00 |
$73.00 |
$73.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$199.50 |
$199.50 |
$199.50 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$85.50 |
$85.50 |
$85.50 |
$87.50
|
|
Pulmonary vent imaging
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$908.00
|
|
Pulse ox single
|
$137.50 |
$137.50 |
$137.50 |
$81.70
|
|
Puncture arterial withdrawal blood for diagnosis
|
$48.00 |
$48.00 |
$48.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$802.00 |
$802.00 |
$802.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$778.00 |
$778.00 |
$778.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$270.50 |
$270.50 |
$270.50 |
$304.50
|
|
Quant diff pulm perf and vent w/imaging
|
$3,804.00 |
$3,804.00 |
$3,804.00 |
$1,542.40
|
|
Quest t3 uptake
|
$72.00 |
$72.00 |
$72.00 |
$52.25
|
|
Radiation physics consult
|
$268.00 |
$268.00 |
$268.00 |
$606.50
|
|
Radiation therapy dose plan
|
$92.00 |
$92.00 |
$92.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$219.00 |
$219.00 |
$219.00 |
$1,076.78
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$2,177.00
|
|
Rapid Strep Test
|
$148.50 |
$148.50 |
$148.50 |
$75.24
|
|
Rbc deglycerolized each unit
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$841.75
|
|
Rbc irradiated each unit
|
$1,011.50 |
$1,011.50 |
$1,011.50 |
$560.00
|
|
Rectal sensation test
|
$205.00 |
$205.00 |
$205.00 |
$474.92
|
|
Red blood cells each unit
|
$659.00 |
$659.00 |
$659.00 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$579.50 |
$579.50 |
$579.50 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$603.00 |
$603.00 |
$603.00 |
$528.45
|
|
Red blood cells washed each unit
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$572.46
|
|
Relocation skin pocket aicd
|
$2,811.00 |
$2,811.00 |
$2,811.00 |
$2,761.55
|
|
Relocation skin pocket pm
|
$2,781.00 |
$2,781.00 |
$2,781.00 |
$2,585.00
|
|
Rem endovas vena cava filter
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$5,509.05
|
|
Rem interrog dev eval scrms
|
$36.50 |
$36.50 |
$36.50 |
$101.25
|
|
Removal biliary drg cath
|
$715.00 |
$715.00 |
$715.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,918.00 |
$1,918.00 |
$1,918.00 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$103.00 |
$103.00 |
$103.00 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$3,286.00 |
$3,286.00 |
$3,286.00 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$244.00 |
$244.00 |
$244.00 |
$249.60
|
|
Removal duct glbldr calculi
|
$1,594.50 |
$1,594.50 |
$1,594.50 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$2,301.60
|
|
Removal of implant deep
|
$4,511.50 |
$4,511.50 |
$4,511.50 |
$4,484.80
|
|
Removal of intranasal lesion
|
$2,705.00 |
$2,705.00 |
$2,705.00 |
$3,837.72
|
|
Removal/replacement ppm generator dual lead system
|
$10,745.50 |
$10,745.50 |
$10,745.50 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$252.50 |
$252.50 |
$252.50 |
$292.50
|
|
Removal sutr and stapl no anes
|
$222.50 |
$222.50 |
$222.50 |
$82.05
|
|
Removal sutr or stapl no anes
|
$167.00 |
$167.00 |
$167.00 |
$95.00
|
|
Removal tunnled intprtnl cath
|
$3,854.00 |
$3,854.00 |
$3,854.00 |
$4,195.00
|
|
Remove ear canal lesion(s)
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$3,435.60
|
|
Remove renal tube w/fluoro
|
$408.00 |
$408.00 |
$408.00 |
$1,141.31
|
|
Renal function panel
|
$447.00 |
$447.00 |
$447.00 |
$113.52
|
|
Renal venogram bil s&i
|
$2,434.00 |
$2,434.00 |
$2,434.00 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$747.00 |
$747.00 |
$747.00 |
$1,025.95
|
|
Repair of eye wound
|
$795.50 |
$795.50 |
$795.50 |
$2,698.92
|
|
Repair pm/icd lead dual
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$4,339.00
|
|
Repair rpr lip full thickness vermilion only
|
$2,446.00 |
$2,446.00 |
$2,446.00 |
$1,224.63
|
|
Repair umbil hern reduc > 5 yr 49585
|
$3,883.50 |
$3,883.50 |
$3,883.50 |
$5,387.23
|
|
Repair upper arm/elbow tendon/muscle ea
|
$7,037.00 |
$7,037.00 |
$7,037.00 |
$8,453.60
|
|
Replace duod/jej tube perc
|
$651.00 |
$651.00 |
$651.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$774.50 |
$774.50 |
$774.50 |
$1,341.50
|
|
Replace g-j tube perc
|
$581.50 |
$581.50 |
$581.50 |
$1,498.53
|
|
Replace picvad cath
|
$2,116.50 |
$2,116.50 |
$2,116.50 |
$3,724.63
|
|
Reposition pm/icd lead
|
$5,637.50 |
$5,637.50 |
$5,637.50 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$3,390.50 |
$3,390.50 |
$3,390.50 |
$3,724.63
|
|
Reptilase test
|
$76.50 |
$76.50 |
$76.50 |
$72.00
|
|
Resuscitation cardiopulmonary
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$764.40
|
|
Reticulated platelet assay
|
$36.50 |
$36.50 |
$36.50 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$214.50 |
$214.50 |
$214.50 |
$36.57
|
|
Revise abdomen-venous shunt
|
$3,596.50 |
$3,596.50 |
$3,596.50 |
$4,176.15
|
|
Revision tips
|
$7,497.50 |
$7,497.50 |
$7,497.50 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$14,315.50 |
$14,315.50 |
$14,315.50 |
$8,869.59
|
|
Rheumatoid factor qualitative
|
$204.50 |
$204.50 |
$204.50 |
$57.20
|
|
Rheumatoid factor quantitative
|
$108.00 |
$108.00 |
$108.00 |
$57.00
|
|
Rmvl icd by tv extr
|
$2,781.00 |
$2,781.00 |
$2,781.00 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$10,745.50 |
$10,745.50 |
$10,745.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$11,771.00 |
$11,771.00 |
$11,771.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$9,954.50 |
$9,954.50 |
$9,954.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,382.00 |
$3,382.00 |
$3,382.00 |
$3,977.32
|
|
Rmvl perm pm pulse gen
|
$3,418.50 |
$3,418.50 |
$3,418.50 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,645.00 |
$11,645.00 |
$11,645.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,062.00 |
$10,062.00 |
$10,062.00 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$49,400.00 |
$49,400.00 |
$49,400.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$2,609.50 |
$2,609.50 |
$2,609.50 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$4,031.69
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,019.50 |
$2,019.50 |
$2,019.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,423.00 |
$2,423.00 |
$2,423.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$2,173.60
|
|
Rpl tun cvc wo subq port
|
$3,249.50 |
$3,249.50 |
$3,249.50 |
$3,687.00
|
|
Rsv assay w/optic
|
$60.50 |
$60.50 |
$60.50 |
$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
|
$494.00 |
$494.00 |
$494.00 |
$77.03
|
|
Rubeola antibody igg
|
$433.50 |
$433.50 |
$433.50 |
$80.00
|
|
Runx1 gene targeted seq alys
|
$306.50 |
$306.50 |
$306.50 |
$454.72
|
