|
Prq trluml c angiop 1art&/br
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$15,349.60
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$92.10 |
$92.10 |
$92.10 |
$374.23
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,115.70 |
$1,115.70 |
$1,115.70 |
$3,087.15
|
|
PSA (Prostate) Test
|
$55.50 |
$55.50 |
$55.50 |
$107.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$15.00 |
$15.00 |
$15.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$20.40 |
$20.40 |
$20.40 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$10.20 |
$10.20 |
$10.20 |
$81.00
|
|
Pt application of modality traction mechanical
|
$10.80 |
$10.80 |
$10.80 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$54.60 |
$54.60 |
$54.60 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$54.60 |
$54.60 |
$54.60 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$54.60 |
$54.60 |
$54.60 |
$254.88
|
|
Pt re-evaluation patient/family
|
$23.40 |
$23.40 |
$23.40 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$42.60 |
$42.60 |
$42.60 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$10.80 |
$10.80 |
$10.80 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$15.00 |
$15.00 |
$15.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$10.20 |
$10.20 |
$10.20 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$15.00 |
$15.00 |
$15.00 |
$87.50
|
|
Pulmonary vent imaging
|
$292.20 |
$292.20 |
$292.20 |
$908.00
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$188.40 |
$188.40 |
$188.40 |
$520.80
|
|
Pyridoxine hcl 100 mg
|
$37.86 |
$37.86 |
$37.86 |
$48.70
|
|
Quant diff pulm perf and vent w/imaging
|
$528.00 |
$528.00 |
$528.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$528.00 |
$528.00 |
$528.00 |
$1,199.16
|
|
Quest t3 uptake
|
$20.10 |
$20.10 |
$20.10 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$925.41 |
$925.41 |
$925.41 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$2,899.56 |
$2,899.56 |
$2,899.56 |
$2,756.77
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,427.28 |
$3,427.28 |
$3,427.28 |
$4,262.90
|
|
Radiation handling
|
$68.10 |
$68.10 |
$68.10 |
$324.80
|
|
Radiation physics consult
|
$101.70 |
$101.70 |
$101.70 |
$606.50
|
|
Radiation therapy dose plan
|
$61.80 |
$61.80 |
$61.80 |
$514.05
|
|
Radiation treatment aid(s)
|
$81.90 |
$81.90 |
$81.90 |
$520.00
|
|
Radiation treatment aid(s)
|
$98.70 |
$98.70 |
$98.70 |
$644.16
|
|
Radiation treatment aid(s)
|
$172.20 |
$172.20 |
$172.20 |
$1,076.78
|
|
Radiation treatment delivery
|
$286.50 |
$286.50 |
$286.50 |
$552.40
|
|
Radiation treatment delivery
|
$850.50 |
$850.50 |
$850.50 |
$920.00
|
|
Radiotherapy dose plan imrt
|
$1,089.60 |
$1,089.60 |
$1,089.60 |
$5,744.60
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$609.60 |
$609.60 |
$609.60 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$609.60 |
$609.60 |
$609.60 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$609.60 |
$609.60 |
$609.60 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$860.70 |
$860.70 |
$860.70 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$183.90 |
$183.90 |
$183.90 |
$1,120.50
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$7,672.02 |
$7,672.02 |
$7,672.02 |
$13,136.04
|
|
Rapid Strep Test
|
$34.50 |
$34.50 |
$34.50 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$5,658.94 |
$5,658.94 |
$5,658.94 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$24,487.46 |
$24,487.46 |
$24,487.46 |
$41,926.70
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$271.20 |
$271.20 |
$271.20 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$210.60 |
$210.60 |
$210.60 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$213.00 |
$213.00 |
$213.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$204.60 |
$204.60 |
$204.60 |
$528.45
|
|
Red blood cells washed each unit
|
$247.20 |
$247.20 |
$247.20 |
$572.46
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$436.04 |
$436.04 |
$436.04 |
$364.47
|
|
Relocation skin pocket pm
|
$948.60 |
$948.60 |
$948.60 |
$2,585.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$906.05 |
$906.05 |
$906.05 |
$1,524.70
|
|
Removal biliary drg cath
|
$421.80 |
$421.80 |
$421.80 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$288.30 |
$288.30 |
$288.30 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$723.60 |
$723.60 |
$723.60 |
$2,356.71
|
|
Removal cerclage without anes
|
$93.00 |
$93.00 |
$93.00 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$27.00 |
$27.00 |
$27.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$92.10 |
$92.10 |
$92.10 |
$249.60
|
|
Removal duct glbldr calculi
|
$777.00 |
$777.00 |
$777.00 |
$2,771.60
|
|
Removal/replacement ppm generator dual lead system
|
$2,856.90 |
$2,856.90 |
$2,856.90 |
$12,384.25
|
|
Remove cva lumen obstruct
|
$384.90 |
$384.90 |
$384.90 |
$490.80
|
|
Remove renal tube w/fluoro
|
$641.10 |
$641.10 |
$641.10 |
$1,141.31
|
|
Remove ureter stent percut
|
$960.90 |
$960.90 |
$960.90 |
$3,612.60
|
|
Renal function panel
|
$21.00 |
$21.00 |
$21.00 |
$113.52
|
|
Repair prosthesis per 15 min
|
$15.00 |
$15.00 |
$15.00 |
$16.50
|
|
Replace duod/jej tube perc
|
$421.80 |
$421.80 |
$421.80 |
$1,354.54
|
|
Replace g/c tube perc
|
$421.80 |
$421.80 |
$421.80 |
$1,341.50
|
|
Replace picvad cath
|
$886.20 |
$886.20 |
$886.20 |
$3,724.63
|
|
Reposition pm/icd lead
|
$1,190.10 |
$1,190.10 |
$1,190.10 |
$3,790.00
|
|
Reptilase test
|
$31.80 |
$31.80 |
$31.80 |
$72.00
|
|
Respirator motion mgmt simul
|
$168.00 |
$168.00 |
$168.00 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$19.80 |
$19.80 |
$19.80 |
$45.80
|
|
#resp virpnl dfa-parainfluenza
|
$6.30 |
$6.30 |
$6.30 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$180.30 |
$180.30 |
$180.30 |
$764.40
|
|
Reticulocyte automated
|
$12.00 |
$12.00 |
$12.00 |
$52.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$15,073.24 |
$15,073.24 |
$15,073.24 |
$23,780.31
|
|
Revasc evasc fpvt angio cplx 1st
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$16,031.40 |
$16,031.40 |
$16,031.40 |
$29,423.20
|
|
Revasc evasc fpvt athrec sf 1st
|
$16,031.40 |
$16,031.40 |
$16,031.40 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$8,015.70 |
$8,015.70 |
$8,015.70 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$20,474.72
|
|
Revasc evasc ivt angio cplx 1st
|
$4,977.60 |
$4,977.60 |
$4,977.60 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$10,095.60 |
$10,095.60 |
$10,095.60 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$10,095.60 |
$10,095.60 |
$10,095.60 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$8,015.70 |
$8,015.70 |
$8,015.70 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$8,015.70 |
$8,015.70 |
$8,015.70 |
$26,819.25
|
|
Rheumatoid factor quantitative
|
$17.10 |
$17.10 |
$17.10 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$60.00 |
$60.00 |
$60.00 |
$243.11
|
|
Rho d immune globulin inj
|
$60.00 |
$60.00 |
$60.00 |
$217.71
|
|
Ring fx reform 11-13x17mm
|
$72.01 |
$72.01 |
$72.01 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$10,870.18 |
$10,870.18 |
$10,870.18 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,319.58 |
$1,319.58 |
$1,319.58 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,802.83 |
$4,802.83 |
$4,802.83 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$7,684.45 |
$7,684.45 |
$7,684.45 |
$15,057.18
|
