|
Pt evaluation low complexity patient/family
|
$327.15 |
$327.15 |
$327.15 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$327.15 |
$327.15 |
$327.15 |
$254.88
|
|
Pt re-evaluation patient/family
|
$446.85 |
$446.85 |
$446.85 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$115.35 |
$115.35 |
$115.35 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$93.90 |
$93.90 |
$93.90 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$117.45 |
$117.45 |
$117.45 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$113.70 |
$113.70 |
$113.70 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$111.60 |
$111.60 |
$111.60 |
$87.50
|
|
Pulmonary vent imaging
|
$1,203.45 |
$1,203.45 |
$1,203.45 |
$898.88
|
|
Pulse ox continuous overnight monitoring
|
$437.55 |
$437.55 |
$437.55 |
$344.00
|
|
Pulse ox multiple
|
$121.35 |
$121.35 |
$121.35 |
$156.40
|
|
Pulse ox single
|
$121.35 |
$121.35 |
$121.35 |
$79.38
|
|
Punc of shunt for asp or inj
|
$774.15 |
$774.15 |
$822.00 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$77.40 |
$77.40 |
$77.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$484.50 |
$484.50 |
$484.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,045.65 |
$1,045.65 |
$1,045.65 |
$1,051.80
|
|
Puraply 1 sq cm
|
$553.50 |
$553.50 |
$553.50 |
$304.50
|
|
Pvb thoracic 2nd+ inj site
|
$1,178.85 |
$1,178.85 |
$1,178.85 |
$809.20
|
|
Pvb thoracic single inj site
|
$1,045.65 |
$1,045.65 |
$1,045.65 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$52.15 |
$52.15 |
$52.15 |
$48.70
|
|
Pyruvate
|
$66.00 |
$66.00 |
$66.00 |
$66.00
|
|
Pyruvate kinase
|
$96.00 |
$96.00 |
$96.00 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$3,479.55 |
$3,479.55 |
$3,479.55 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$2,029.05 |
$2,029.05 |
$2,029.05 |
$1,199.16
|
|
Quest t3 uptake
|
$15.00 |
$15.00 |
$15.30 |
$51.70
|
|
Quinupristin/dalfopristin
|
$922.70 |
$922.70 |
$922.70 |
$922.70
|
|
Radiation handling
|
$528.15 |
$528.15 |
$528.15 |
$324.80
|
|
Radiation physics consult
|
$310.05 |
$310.05 |
$310.05 |
$602.12
|
|
Radiation therapy dose plan
|
$306.75 |
$306.75 |
$306.75 |
$514.05
|
|
Radiation treatment aid(s)
|
$863.25 |
$863.25 |
$863.25 |
$1,075.03
|
|
Radiation treatment delivery
|
$599.85 |
$599.85 |
$599.85 |
$552.40
|
|
Radiation treatment delivery
|
$682.80 |
$682.80 |
$682.80 |
$920.00
|
|
Radiology port images(s)
|
$164.55 |
$164.55 |
$164.55 |
$249.58
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,051.70 |
$2,051.70 |
$2,051.70 |
$2,041.20
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,912.25 |
$2,912.25 |
$2,912.25 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,795.35 |
$1,795.35 |
$1,795.35 |
$2,167.98
|
|
Radphm lcl tumor plr sgl day
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,120.40
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$2,827.91 |
$2,827.91 |
$2,827.91 |
$13,136.04
|
|
Ranibizumab injection
|
$3,861.00 |
$3,861.00 |
$3,861.00 |
$3,409.84
|
|
Rapid Strep Test
|
$141.00 |
$141.00 |
$141.00 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$10,637.69 |
$10,637.69 |
$10,637.69 |
$4,421.76
|
|
Rbc osmotic fragility
|
$234.00 |
$234.00 |
$234.00 |
$75.04
|
|
Red blood cells each unit
|
$551.70 |
$551.70 |
$551.70 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$1,015.95 |
$1,015.95 |
$1,015.95 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$551.70 |
$551.70 |
$551.70 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$696.45 |
$696.45 |
$696.45 |
$528.45
|
|
Red blood cells washed each unit
|
$644.10 |
$644.10 |
$644.10 |
$572.46
|
|
Redo endovas vena cava filtr
|
$5,297.10 |
$5,297.10 |
$5,297.10 |
$4,435.43
|
|
Reduction of procidentia 45900
|
$1,355.70 |
$1,355.70 |
$1,355.70 |
$1,226.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$556.76 |
$556.76 |
$556.76 |
$357.91
|
|
Release of eye fluid
|
$3,499.20 |
$3,499.20 |
$3,499.20 |
$3,294.60
|
|
Relocation skin pocket aicd
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$2,792.40
|
|
Relocation skin pocket pm
|
$2,431.80 |
$2,431.80 |
$2,431.80 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$389.40 |
$389.40 |
$389.40 |
$320.79
|
|
Rem endovas vena cava filter
|
$5,509.05 |
$5,509.05 |
$5,509.05 |
$5,509.05
|
|
Removal biliary drg cath
|
$1,178.85 |
$1,178.85 |
$1,178.85 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$1,885.20 |
$1,885.20 |
$1,885.20 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,931.40 |
$1,931.40 |
$1,931.40 |
$2,356.71
|
|
Removal cerclage w/anes
|
$5,702.55 |
$5,702.55 |
$5,702.55 |
$3,762.53
|
|
Removal cerclage without anes
|
$443.70 |
$443.70 |
$443.70 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$84.15 |
$84.15 |
$84.15 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$235.35 |
$235.35 |
$235.35 |
$247.00
|
|
Removal duct glbldr calculi
|
$3,488.25 |
$3,488.25 |
$3,488.25 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,339.65 |
$1,339.65 |
$1,339.65 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$694.20 |
$694.20 |
$694.20 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$2,053.05 |
$2,053.05 |
$2,053.05 |
$2,301.60
|
|
Removal foreign body mouth
|
$908.10 |
$908.10 |
$908.10 |
$1,424.80
|
|
Removal implant superficial separate procedure
|
$3,346.05 |
$3,346.05 |
$3,346.05 |
$3,036.03
|
|
Removal of foreign body
|
$1,743.60 |
$1,743.60 |
$1,743.60 |
$3,994.09
|
|
Removal of scrotum lesion
|
$3,347.55 |
$3,347.55 |
$3,347.55 |
$2,507.31
|
|
Removal/replacement ppm generator dual lead system
|
$18,139.20 |
$18,139.20 |
$18,139.20 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$235.35 |
$235.35 |
$235.35 |
$292.50
|
|
Removal sutr and stapl no anes
|
$82.05 |
$82.05 |
$82.05 |
$82.05
|
|
Removal tunnled intprtnl cath
|
$3,089.85 |
$3,089.85 |
$3,089.85 |
$4,195.00
|
|
Remove foreign body from eye
|
$3,503.70 |
$3,503.70 |
$3,503.70 |
$3,364.50
|
|
Remove hip foreign body 27086
|
$6,010.35 |
$6,010.35 |
$6,010.35 |
$2,094.26
|
|
Remove renal tube w/fluoro
|
$613.35 |
$613.35 |
$613.35 |
$1,141.31
|
|
Remove shoulder fb deep
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$964.05 |
$964.05 |
$964.05 |
$1,788.80
|
|
Remove ureter stent percut
|
$4,353.00 |
$4,353.00 |
$4,353.00 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$2,070.30 |
$2,070.30 |
$2,070.30 |
$3,762.53
|
|
Renal cyst study s&i
|
$787.65 |
$787.65 |
$787.65 |
$751.34
|
|
Renal function panel
|
$352.50 |
$352.50 |
$352.50 |
$113.52
|
|
Renal venogram bil s&i
|
$2,502.15 |
$2,502.15 |
$2,502.15 |
$3,615.28
|
|
Repair blood vessel dir lower extr
|
$2,439.15 |
$2,439.15 |
$2,439.15 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$2,536.80 |
$2,536.80 |
$2,536.80 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$478.95 |
$478.95 |
$478.95 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$1,446.15 |
$1,446.15 |
$1,446.15 |
$2,224.00
|
|
Repair eyelid wound
|
$1,721.70 |
$1,721.70 |
$1,721.70 |
$2,760.73
|
|
Repair eyelid wound
|
$1,854.00 |
$1,854.00 |
$1,854.00 |
$3,254.34
|
|
Repair finger/hand tendon
|
$2,413.80 |
$2,413.80 |
$2,413.80 |
$4,150.20
|
|
Repair hand joint
|
$3,054.60 |
$3,054.60 |
$3,054.60 |
$3,839.54
|
|
Repair lip full thkns =<one-half vert height
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,591.05 |
$1,591.05 |
$1,591.05 |
$1,928.07
|
|
Repair pm/icd lead dual
|
$5,222.10 |
$5,222.10 |
$5,222.10 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$3,886.05 |
$3,886.05 |
$3,886.05 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,224.63
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$434.10 |
$434.10 |
$434.10 |
$478.00
|
