|
Pr removal intrauterine device
|
$131.95 |
$131.95 |
$131.95 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,857.10 |
$1,857.10 |
$1,857.10 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$390.60 |
$390.60 |
$390.60 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$406.35 |
$406.35 |
$406.35 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$362.25 |
$362.25 |
$362.25 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$474.60 |
$474.60 |
$474.60 |
$422.00
|
|
Prtl exchange transfuse nb
|
$511.35 |
$511.35 |
$511.35 |
$511.35
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,070.25 |
$2,070.25 |
$2,070.25 |
$1,790.60
|
|
PSA (Prostate) Test
|
$126.70 |
$126.70 |
$126.70 |
$109.35
|
|
Psychotherapy patient individual therapy 30 minutes
|
$378.00 |
$378.00 |
$378.00 |
$200.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$103.25 |
$103.25 |
$103.25 |
$90.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$45.85 |
$45.85 |
$45.85 |
$105.30
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$102.20 |
$102.20 |
$102.20 |
$82.55
|
|
Pt repositioning canalith procedure(s) per day
|
$66.50 |
$66.50 |
$66.50 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$103.25 |
$103.25 |
$103.25 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$86.80 |
$86.80 |
$86.80 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$33.25 |
$33.25 |
$33.25 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$70.35 |
$70.35 |
$70.35 |
$85.00
|
|
Pul art balloon repr percut
|
$9,070.95 |
$9,070.95 |
$71,286.38 |
$10,651.06
|
|
Pul art balloon repr percut
|
$3,222.45 |
$3,222.45 |
$3,222.45 |
$4,144.17
|
|
Pulmonary vent imaging
|
$412.65 |
$6,404.63 |
$11,445.00 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$239.40 |
$239.40 |
$506.93 |
$368.00
|
|
Pulse ox multiple
|
$134.70 |
$134.70 |
$134.70 |
$194.33
|
|
Pulse ox single
|
$52.50 |
$52.50 |
$1,156.92 |
$88.63
|
|
Punc of shunt for asp or inj
|
$276.85 |
$276.85 |
$276.85 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$92.40 |
$92.40 |
$525.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$172.20 |
$172.20 |
$753.10 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$913.85 |
$913.85 |
$2,758.43 |
$1,134.64
|
|
Puraply 1 sq cm
|
$4,125.00 |
$4,125.00 |
$4,125.00 |
$8,176.14
|
|
Pvb thoracic cont infusion
|
$606.90 |
$606.90 |
$606.90 |
$2,047.68
|
|
Pyridoxine hcl 100 mg
|
$24.85 |
$42.07 |
$436.00 |
$43.51
|
|
Pyruvate kinase
|
$419.38 |
$419.38 |
$419.38 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,538.60 |
$1,538.60 |
$24,372.00 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$998.90 |
$998.90 |
$15,331.41 |
$1,209.44
|
|
Quest t3 uptake
|
$688.00 |
$688.00 |
$688.00 |
$56.10
|
|
Quinupristin/dalfopristin
|
$647.41 |
$647.41 |
$647.41 |
$1,089.58
|
|
Rabies ig heat-treated human im/subq 90376
|
$682.19 |
$682.19 |
$682.19 |
$1,059.01
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$4,565.02 |
$4,565.02 |
$6,881.38 |
$3,213.80
|
|
Radiation physics consult
|
$741.65 |
$741.65 |
$3,663.00 |
$574.75
|
|
Radiation therapy dose plan
|
$348.60 |
$1,705.90 |
$3,026.00 |
$530.53
|
|
Radiation treatment aid(s)
|
$1,036.35 |
$1,036.35 |
$3,280.00 |
$541.45
|
|
Radiation treatment aid(s)
|
$3,643.50 |
$3,643.50 |
$5,389.00 |
$665.00
|
|
Radiation treatment aid(s)
|
$3,342.50 |
$3,342.50 |
$9,625.00 |
$1,103.09
|
|
Radiation treatment delivery
|
$235.20 |
$235.20 |
$7,430.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,178.80 |
$1,178.80 |
$9,982.00 |
$909.98
|
|
Radiology port images(s)
|
$259.70 |
$259.70 |
$1,112.00 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$9,115.75 |
$9,115.75 |
$51,234.00 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$363.30 |
$363.30 |
$363.30 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,723.40 |
$7,310.02 |
$17,049.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$3,595.90 |
$3,595.90 |
$3,595.90 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$3,978.80 |
$3,978.80 |
$11,076.14 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,127.65 |
$2,127.65 |
$6,882.07 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$1,425.55 |
$1,425.55 |
$11,564.00 |
$1,139.40
|
|
Radphm quant measure sgl area add-on
|
$553.35 |
$553.35 |
$553.35 |
$678.81
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$18,487.61 |
$18,487.61 |
$18,487.61 |
$9,831.50
|
|
Ranibizumab injection
|
$3,072.80 |
$3,072.80 |
$3,072.80 |
$3,552.12
|
|
Rapid Strep Test
|
$34.65 |
$34.65 |
$34.65 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,602.39 |
$1,602.39 |
$1,602.39 |
$2,789.64
|
|
Rbc count only automated
|
$11.20 |
$11.20 |
$127.00 |
$20.00
|
|
Rbc deglycerolized each unit
|
$251.64 |
$635.25 |
$5,229.00 |
$785.20
|
|
Rbc irradiated each unit
|
$443.10 |
$443.10 |
$443.10 |
$490.75
|
|
Rbc serum pretx incubj drugs
|
$170.10 |
$170.10 |
$170.10 |
$223.08
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$9,706.55 |
$9,706.55 |
$9,706.55 |
$9,706.55
|
|
Rectal sensation test
|
$636.09 |
$636.09 |
$636.09 |
$564.48
|
|
Red blood cells each unit
|
$251.64 |
$277.20 |
$1,352.00 |
$389.40
|
|
Red blood cells leukocytes reduced each unit
|
$369.25 |
$369.25 |
$1,460.00 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$516.95 |
$516.95 |
$1,823.40 |
$540.00
|
|
Red blood cells washed each unit
|
$328.59 |
$812.35 |
$2,108.00 |
$583.68
|
|
Red cell mass multiple
|
$345.10 |
$345.10 |
$345.10 |
$636.97
|
|
Redo endovas vena cava filtr
|
$3,962.70 |
$3,962.70 |
$24,333.22 |
$4,397.96
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$195.00 |
$293.66 |
$1,064.98 |
$468.96
|
|
Relocation skin pocket aicd
|
$673.05 |
$10,514.90 |
$12,587.00 |
$3,153.93
|
|
Relocation skin pocket pm
|
$565.60 |
$10,490.00 |
$13,577.27 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$221.55 |
$221.55 |
$221.55 |
$370.80
|
|
Remdesivir 100 mg intravenous powder for solution
|
$902.44 |
$902.44 |
$3,708.39 |
$1,560.00
|
|
Rem endovas vena cava filter
|
$3,962.70 |
$16,784.00 |
$24,333.22 |
$5,819.40
|
|
Rem interrog dev eval icpms
|
$440.65 |
$440.65 |
$440.65 |
$109.50
|
|
Rem interrog dev eval scrms
|
$440.65 |
$440.65 |
$440.65 |
$139.10
|
|
Rem interrog evl pm/ids
|
$440.65 |
$440.65 |
$440.65 |
$139.10
|
|
Removal biliary drg cath
|
$2,199.16 |
$2,574.25 |
$2,574.25 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$2,184.70 |
$2,184.70 |
$10,816.79 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$3,036.95 |
$3,036.95 |
$5,616.16 |
$2,599.13
|
|
Removal cerclage w/anes
|
$2,786.70 |
$2,786.70 |
$2,786.70 |
$3,749.62
|
|
Removal cerumen impacted (both sides)
|
$104.65 |
$104.65 |
$104.65 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$92.75 |
$92.75 |
$1,921.95 |
$245.60
|
|
Removal duct glbldr calculi
|
$994.35 |
$994.35 |
$994.35 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$650.65 |
$650.65 |
$650.65 |
$899.85
|
|
Removal foreign body foot cmplx
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$596.05 |
$596.05 |
$596.05 |
$1,256.00
|
|
Removal foreign body mouth
|
$1,375.15 |
$1,375.15 |
$1,375.15 |
$1,375.15
|
|
Removal of artery clot 34101
|
$2,966.60 |
$2,966.60 |
$2,966.60 |
$6,396.89
|
|
Removal of breast lesion
|
$3,114.30 |
$3,114.30 |
$3,114.30 |
$4,631.50
|
|
Removal/replacement ppm generator dual lead system
|
$7,735.00 |
$37,063.00 |
$83,563.92 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$74.20 |
$74.20 |
$74.20 |
$303.80
|
|
Removal sutr or stapl no anes
|
$280.70 |
$280.70 |
$280.70 |
$85.18
|
|
Removal tunnled intprtnl cath
|
$1,113.70 |
$1,113.70 |
$1,113.70 |
$4,293.90
|
|
Removal w/reinsrt nonbiogrdble
|
$329.00 |
$329.00 |
$329.00 |
$538.40
|
|
Remove cva lumen obstruct
|
$1,814.05 |
$1,814.05 |
$1,814.05 |
$494.00
|
|
Remove ext hem groups 2+
|
$2,327.85 |
$2,327.85 |
$2,327.85 |
$3,316.74
|
|
Remove in/ex hem groups 2+
|
$2,327.85 |
$2,327.85 |
$2,327.85 |
$3,245.23
|