|
Pt application of modality >=1 area hot/cold packs
|
$37.00 |
$37.00 |
$37.00 |
$34.69
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$66.60 |
$66.60 |
$66.60 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$53.28 |
$53.28 |
$53.28 |
$82.55
|
|
Pt application of modality traction mechanical
|
$64.53 |
$64.53 |
$64.53 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$197.44 |
$197.44 |
$197.44 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$166.06 |
$166.06 |
$166.06 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$144.45 |
$144.45 |
$144.45 |
$263.90
|
|
Pt re-evaluation patient/family
|
$46.48 |
$46.48 |
$46.48 |
$157.30
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$65.42 |
$65.42 |
$65.42 |
$87.26
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$31.08 |
$31.08 |
$31.08 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$38.48 |
$38.48 |
$38.48 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$21.32 |
$21.32 |
$21.32 |
$85.00
|
|
Pulmonary vent imaging
|
$462.36 |
$462.36 |
$462.36 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$148.00 |
$148.00 |
$148.00 |
$368.00
|
|
Pulse ox multiple
|
$54.76 |
$54.76 |
$54.76 |
$194.33
|
|
Punc of shunt for asp or inj
|
$708.92 |
$708.92 |
$708.92 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$138.24 |
$138.24 |
$138.24 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$400.20 |
$400.20 |
$400.20 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$742.08 |
$742.08 |
$742.08 |
$1,134.64
|
|
Puraply 1 sq cm
|
$99.46 |
$99.46 |
$99.46 |
$1,431.49
|
|
Pvb thoracic 2nd+ inj site
|
$1,047.25 |
$1,047.25 |
$1,047.25 |
$1,013.20
|
|
Pvb thoracic single inj site
|
$698.27 |
$698.27 |
$698.27 |
$1,189.08
|
|
Pyridoxine hcl 100 mg
|
$25.86 |
$25.86 |
$25.86 |
$43.51
|
|
Quant diff pulm perf and vent w/imaging
|
$940.40 |
$940.40 |
$940.40 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$345.14 |
$345.14 |
$345.14 |
$1,209.44
|
|
Quest t3 uptake
|
$13.03 |
$13.03 |
$13.03 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$621.41 |
$621.41 |
$621.41 |
$3,213.80
|
|
Radiation physics consult
|
$205.72 |
$205.72 |
$205.72 |
$574.75
|
|
Radiation therapy dose plan
|
$193.00 |
$193.00 |
$193.00 |
$530.53
|
|
Radiation treatment aid(s)
|
$167.84 |
$167.84 |
$167.84 |
$541.45
|
|
Radiation treatment aid(s)
|
$254.56 |
$254.56 |
$254.56 |
$665.00
|
|
Radiation treatment aid(s)
|
$541.68 |
$541.68 |
$541.68 |
$1,103.09
|
|
Radiation treatment delivery
|
$205.13 |
$205.13 |
$205.13 |
$552.40
|
|
Radiation treatment delivery
|
$280.61 |
$280.61 |
$280.61 |
$909.98
|
|
Radiology port images(s)
|
$61.28 |
$61.28 |
$61.28 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$2,482.56 |
$2,482.56 |
$2,482.56 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$68.38 |
$68.38 |
$68.38 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,509.60 |
$1,509.60 |
$1,509.60 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$850.12 |
$850.12 |
$850.12 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,509.60 |
$1,509.60 |
$1,509.60 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,465.50 |
$1,465.50 |
$1,465.50 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$425.06 |
$425.06 |
$425.06 |
$1,139.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$15,635.23 |
$15,635.23 |
$15,635.23 |
$9,831.50
|
|
Rapid Strep Test
|
$34.34 |
$34.34 |
$34.34 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,355.16 |
$1,355.16 |
$1,355.16 |
$2,789.64
|
|
Rb82 rubidium
|
$177.60 |
$177.60 |
$177.60 |
$892.15
|
|
Rbc count only automated
|
$20.72 |
$20.72 |
$20.72 |
$20.00
|
|
Rechanneling of artery 35305
|
$2,199.58 |
$2,199.58 |
$2,199.58 |
$3,029.35
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$2,199.58 |
$2,199.58 |
$2,199.58 |
$6,219.20
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$2,199.58 |
$2,199.58 |
$2,199.58 |
$6,044.80
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$618.35 |
$618.35 |
$618.35 |
$850.85
|
|
Red blood cells leukocytes reduced each unit
|
$278.54 |
$278.54 |
$278.54 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$570.99 |
$570.99 |
$570.99 |
$534.15
|
|
Redo endovas vena cava filtr
|
$1,286.72 |
$1,286.72 |
$1,286.72 |
$4,397.96
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$248.36 |
$248.36 |
$248.36 |
$468.96
|
|
Reimplant artery each 35697
|
$1,650.50 |
$1,650.50 |
$1,650.50 |
$360.80
|
|
Relocation skin pocket aicd
|
$1,365.16 |
$1,365.16 |
$1,365.16 |
$3,153.93
|
|
Relocation skin pocket pm
|
$1,365.16 |
$1,365.16 |
$1,365.16 |
$2,939.25
|
|
Remdesivir 100 mg intravenous powder for solution
|
$763.21 |
$763.21 |
$763.21 |
$1,560.00
|
|
Rem endovas vena cava filter
|
$1,303.59 |
$1,303.59 |
$1,303.59 |
$5,819.40
|
|
Rem interrog dev eval scrms
|
$23.39 |
$23.39 |
$23.39 |
$139.10
|
|
Rem interrog evl pm/ids
|
$55.95 |
$55.95 |
$55.95 |
$139.10
|
|
Removal biliary drg cath
|
$586.38 |
$586.38 |
$586.38 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$841.24 |
$841.24 |
$841.24 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$989.83 |
$989.83 |
$989.83 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$70.75 |
$70.75 |
$70.75 |
$177.60
|
|
Removal clot in graft oth/thn 35875
|
$2,843.68 |
$2,843.68 |
$2,843.68 |
$5,803.50
|
|
Removal clot in graft xcp 35876
|
$2,587.93 |
$2,587.93 |
$2,587.93 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$179.68 |
$179.68 |
$179.68 |
$245.60
|
|
Removal duct glbldr calculi
|
$254.27 |
$254.27 |
$254.27 |
$2,946.00
|
|
Removal foreign body foot subcutaneous right
|
$709.22 |
$709.22 |
$709.22 |
$1,256.00
|
|
Removal of arm artery clot 34111
|
$2,843.97 |
$2,843.97 |
$2,843.97 |
$5,740.15
|
|
Removal of artery clot 34101
|
$2,843.97 |
$2,843.97 |
$2,843.97 |
$6,396.89
|
|
Removal of implant deep
|
$2,738.60 |
$2,738.60 |
$2,738.60 |
$3,813.70
|
|
Removal of vein clot 34490
|
$3,201.24 |
$3,201.24 |
$3,201.24 |
$3,724.63
|
|
Removal/replacement ppm generator dual lead system
|
$1,565.84 |
$1,565.84 |
$1,565.84 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$66.60 |
$66.60 |
$66.60 |
$303.80
|
|
Removal tunnled intprtnl cath
|
$941.58 |
$941.58 |
$941.58 |
$4,293.90
|
|
Remove cva lumen obstruct
|
$193.59 |
$193.59 |
$193.59 |
$494.00
|
|
Remove renal tube w/fluoro
|
$362.90 |
$362.90 |
$362.90 |
$1,281.75
|
|
Remove ureter stent percut
|
$2,198.69 |
$2,198.69 |
$2,198.69 |
$3,525.30
|
|
Renal function panel
|
$145.04 |
$145.04 |
$145.04 |
$110.10
|
|
Renal venogram bil s&i
|
$3,386.54 |
$3,386.54 |
$3,386.54 |
$3,615.28
|
|
Reoperation bypass graft 35700
|
$2,117.59 |
$2,117.59 |
$2,117.59 |
$372.80
|
|
Repair artery rupture thigh 35142
|
$2,086.80 |
$2,086.80 |
$2,086.80 |
$6,489.60
|
|
Repair blood ves direct neck 35201
|
$5,413.25 |
$5,413.25 |
$5,413.25 |
$5,413.25
|
|
Repair blood vessel dir lower extr
|
$2,394.35 |
$2,394.35 |
$2,394.35 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$4,255.67
|
|
Repair defect arm art 35045
|
$5,615.12 |
$5,615.12 |
$5,615.12 |
$5,983.35
|
|
Repair defect of artery
|
$2,190.70 |
$2,190.70 |
$2,190.70 |
$2,168.66
|
|
Repair defect of artery 35011
|
$5,532.24 |
$5,532.24 |
$5,532.24 |
$5,988.54
|
|
Repair defect of artery 35081
|
$3,446.04 |
$3,446.04 |
$3,446.04 |
$4,223.20
|
|
Repair defect of artery aneurysm 35151
|
$2,190.70 |
$2,190.70 |
$2,190.70 |
$6,035.20
|
|
Repair defect of artery carotid subclav 35001
|
$5,451.44 |
$5,451.44 |
$5,451.44 |
$5,451.44
|
|
Repair major blood vessel(s) without bypass 33320
|
$3,446.04 |
$3,446.04 |
$3,446.04 |
$2,412.90
|
|
Repair of aneurysm
|
$2,190.70 |
$2,190.70 |
$2,190.70 |
$4,801.00
|
|
Repair pm/icd lead dual
|
$3,719.84 |
$3,719.84 |
$3,719.84 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$1,629.78 |
$1,629.78 |
$1,629.78 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$233.25 |
$233.25 |
$233.25 |
$867.75
|
|
Replace aortic valve open femoral 33362
|
$3,217.52 |
$3,217.52 |
$3,217.52 |
$22,888.58
|