|
Radphm lcl tomogr sgl area sgl day
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$478.00 |
$478.00 |
$478.00 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$711.20
|
|
Range of motion measurements
|
$41.00 |
$41.00 |
$41.00 |
$60.48
|
|
Rapid Strep Test
|
$113.00 |
$113.00 |
$113.00 |
$75.24
|
|
Rbc deglycerolized each unit
|
$1,052.50 |
$1,052.50 |
$1,052.50 |
$841.75
|
|
Rbc depletion of harvest
|
$6,193.50 |
$6,193.50 |
$6,193.50 |
$1,803.18
|
|
Rbc irradiated each unit
|
$562.50 |
$562.50 |
$562.50 |
$560.00
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$5,491.50 |
$5,491.50 |
$5,491.50 |
$9,706.55
|
|
Reconstruct extra finger
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$3,591.33
|
|
Reconstruction of eyelid
|
$3,152.50 |
$3,152.50 |
$3,152.50 |
$3,590.40
|
|
Reconstruction of eyelid
|
$3,152.50 |
$3,152.50 |
$3,152.50 |
$4,194.40
|
|
Reconstruction of eyelid
|
$1,649.50 |
$1,649.50 |
$1,649.50 |
$3,269.14
|
|
Reconstruction of mouth
|
$5,492.00 |
$5,492.00 |
$5,492.00 |
$6,553.49
|
|
Reconstruction of nail bed
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$2,164.64
|
|
Rectal sensation test
|
$216.00 |
$216.00 |
$216.00 |
$474.92
|
|
Red blood cells each unit
|
$562.50 |
$562.50 |
$562.50 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$451.50 |
$451.50 |
$451.50 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$679.50 |
$679.50 |
$679.50 |
$528.45
|
|
Red blood cells washed each unit
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$572.46
|
|
Red cell sequestration
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$620.10
|
|
Redo endovas vena cava filtr
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$4,435.43
|
|
Refill maint impl spine pump
|
$204.00 |
$204.00 |
$204.00 |
$366.60
|
|
Release of eye fluid
|
$2,017.50 |
$2,017.50 |
$2,017.50 |
$3,294.60
|
|
Release palm contracture
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$4,112.00
|
|
Relocation skin pocket aicd
|
$2,021.50 |
$2,021.50 |
$2,021.50 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$236.50 |
$236.50 |
$236.50 |
$320.79
|
|
Rem/biv cast shldr/hip spica
|
$413.50 |
$413.50 |
$413.50 |
$435.54
|
|
Rem endovas vena cava filter
|
$3,363.50 |
$3,363.50 |
$3,363.50 |
$5,509.05
|
|
Rem interrog dev eval scrms
|
$33.00 |
$33.00 |
$33.00 |
$101.25
|
|
Rem interrog evl pm/ids
|
$82.50 |
$82.50 |
$82.50 |
$139.10
|
|
Remote 30 day ecg tech supp
|
$103.50 |
$103.50 |
$103.50 |
$683.25
|
|
Removal biliary drg cath
|
$961.50 |
$961.50 |
$961.50 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$2,356.71
|
|
Removal cerclage w/anes
|
$3,790.00 |
$3,790.00 |
$3,790.00 |
$3,762.53
|
|
Removal cerclage without anes
|
$140.50 |
$140.50 |
$140.50 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$110.50 |
$110.50 |
$110.50 |
$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
|
$184.00 |
$184.00 |
$184.00 |
$249.60
|
|
Removal duct glbldr calculi
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$648.00 |
$648.00 |
$648.00 |
$783.75
|
|
Removal foreign body extrn auditory canal with anes
|
$1,917.50 |
$1,917.50 |
$1,917.50 |
$2,446.00
|
|
Removal foreign body foot subcutaneous right
|
$871.50 |
$871.50 |
$871.50 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$2,301.60
|
|
Removal implant superficial separate procedure
|
$2,460.50 |
$2,460.50 |
$2,460.50 |
$2,986.62
|
|
Removal of artery clot 34151
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$2,919.84
|
|
Removal of eye lesion
|
$1,727.50 |
$1,727.50 |
$1,727.50 |
$2,943.33
|
|
Removal of eye lesion
|
$2,464.50 |
$2,464.50 |
$2,464.50 |
$3,970.86
|
|
Removal of impacted wax md
|
$98.50 |
$98.50 |
$98.50 |
$128.00
|
|
Removal of implant deep
|
$4,489.00 |
$4,489.00 |
$4,489.00 |
$4,484.80
|
|
Removal of inner eye fluid
|
$3,937.00 |
$3,937.00 |
$3,937.00 |
$5,419.00
|
|
Removal of inner eye lesion
|
$622.50 |
$622.50 |
$622.50 |
$2,625.60
|
|
Removal of intranasal lesion
|
$3,463.00 |
$3,463.00 |
$3,463.00 |
$3,786.00
|
|
Removal of intranasal lesion
|
$3,014.50 |
$3,014.50 |
$3,014.50 |
$3,837.72
|
|
Removal of lens material
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$3,449.60
|
|
Removal of shunt
|
$3,846.00 |
$3,846.00 |
$3,846.00 |
$4,341.66
|
|
Removal of skin tags each add'l 10
|
$117.50 |
$117.50 |
$117.50 |
$134.02
|
|
Removal of vein clot
|
$2,524.50 |
$2,524.50 |
$2,524.50 |
$4,341.66
|
|
Removal of vein clot
|
$2,685.50 |
$2,685.50 |
$2,685.50 |
$3,986.00
|
|
Removal of vein clot
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$1,884.13
|
|
Removal of vein clot 34490
|
$2,848.50 |
$2,848.50 |
$2,848.50 |
$4,729.24
|
|
Removal/replacement ppm generator dual lead system
|
$11,452.50 |
$11,452.50 |
$11,452.50 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$251.00 |
$251.00 |
$251.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$248.00 |
$248.00 |
$248.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$186.00 |
$186.00 |
$186.00 |
$95.00
|
|
Removal sutr/staple req anes
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$2,381.60
|
|
Removal tunnled intprtnl cath
|
$3,495.00 |
$3,495.00 |
$3,495.00 |
$4,195.00
|
|
Removal w/reinsrt nonbiogrdble
|
$298.50 |
$298.50 |
$298.50 |
$530.40
|
|
Remove bladder stone
|
$2,766.00 |
$2,766.00 |
$2,766.00 |
$4,846.99
|
|
Remove brain canal fluid
|
$471.50 |
$471.50 |
$471.50 |
$825.60
|
|
Remove cva lumen obstruct
|
$537.00 |
$537.00 |
$537.00 |
$490.80
|
|
Remove ear canal lesion(s)
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
$3,435.60
|
|
Remove esophagus obstruction
|
$775.00 |
$775.00 |
$775.00 |
$510.30
|
|
Remove eyelid lesion
|
$343.00 |
$343.00 |
$343.00 |
$516.36
|
|
Remove eyelid lesion
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,371.20
|
|
Remove eyelid lesions
|
$932.00 |
$932.00 |
$932.00 |
$1,370.74
|
|
Remove eyelid lesions
|
$344.50 |
$344.50 |
$344.50 |
$878.80
|
|
Remove hip foreign body 27086
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$2,094.26
|
|
Remove implant of eye
|
$3,204.00 |
$3,204.00 |
$3,204.00 |
$3,173.34
|
|
Remove in/ex hem groups 2+
|
$4,415.50 |
$4,415.50 |
$4,415.50 |
$4,185.98
|
|
Remove renal tube w/fluoro
|
$548.50 |
$548.50 |
$548.50 |
$1,141.31
|
|
Remove spinal canal catheter 62355
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$2,300.50
|
|
Remove spine eltrd perq aray
|
$3,212.50 |
$3,212.50 |
$3,212.50 |
$3,325.40
|
|
Remove spine eltrd plate
|
$3,212.50 |
$3,212.50 |
$3,212.50 |
$4,069.59
|
|
Remove spine infusion device
|
$7,402.00 |
$7,402.00 |
$7,402.00 |
$7,166.63
|
|
Remove stent via transureth
|
$1,423.00 |
$1,423.00 |
$1,423.00 |
$3,332.80
|
|
Remove ureter stent percut
|
$4,125.00 |
$4,125.00 |
$4,125.00 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$3,221.50 |
$3,221.50 |
$3,221.50 |
$3,762.53
|
|
Remove ventilating tube
|
$2,812.00 |
$2,812.00 |
$2,812.00 |
$3,819.23
|
|
Renal cyst study s&i
|
$564.00 |
$564.00 |
$564.00 |
$751.34
|
|
Renal function panel
|
$59.50 |
$59.50 |
$59.50 |
$113.52
|
|
Renal venogram bil s&i
|
$3,241.00 |
$3,241.00 |
$3,241.00 |
$3,615.28
|
|
Repair anorectal fist w/plug
|
$3,092.50 |
$3,092.50 |
$3,092.50 |
$3,245.23
|
|
Repair blood vessel dir lower extr
|
$751.00 |
$751.00 |
$751.00 |
$1,705.04
|
|
Repair brow defect
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$2,760.73
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$621.50 |
$621.50 |
$621.50 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$1,543.50 |
$1,543.50 |
$1,543.50 |
$442.48
|