|
Prq revasc byp graft addl
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$11,251.88
|
|
Prq tcat plmt ntrac st 1 les
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$13,419.98
|
|
Prq trlml c athrc st angiop1
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$18,127.95
|
|
Prq trluml c angiop 1art&/br
|
$4,309.95 |
$4,309.95 |
$4,309.95 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$8,619.75 |
$8,619.75 |
$8,619.75 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$6,200.25 |
$6,200.25 |
$6,200.25 |
$16,678.62
|
|
Pr removal drug delivery implant
|
$207.90 |
$207.90 |
$207.90 |
$614.27
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$74.07 |
$74.07 |
$74.07 |
$280.79
|
|
Pr removal intrauterine device
|
$26.03 |
$26.03 |
$26.03 |
$447.78
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$193.05 |
$193.05 |
$193.05 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$212.25 |
$212.25 |
$212.25 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$220.80 |
$220.80 |
$220.80 |
$440.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$212.25 |
$212.25 |
$212.25 |
$377.45
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$278.10 |
$278.10 |
$278.10 |
$422.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$516.97 |
$516.97 |
$516.97 |
$1,790.60
|
|
PSA (Prostate) Test
|
$99.75 |
$99.75 |
$99.75 |
$109.35
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$33.45 |
$33.45 |
$33.45 |
$90.00
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$43.05 |
$43.05 |
$43.05 |
$82.55
|
|
Pt application of modality traction mechanical
|
$37.65 |
$37.65 |
$37.65 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$167.25 |
$167.25 |
$167.25 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$100.35 |
$100.35 |
$100.35 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$133.80 |
$133.80 |
$133.80 |
$263.90
|
|
Pt re-evaluation patient/family
|
$100.35 |
$100.35 |
$100.35 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$40.05 |
$40.05 |
$40.05 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$39.90 |
$39.90 |
$39.90 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$34.35 |
$34.35 |
$34.35 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$24.60 |
$24.60 |
$24.60 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$31.80 |
$31.80 |
$31.80 |
$85.00
|
|
Pulmonary vent imaging
|
$521.55 |
$521.55 |
$521.55 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$57.23 |
$57.23 |
$57.23 |
$368.00
|
|
Pulse ox single
|
$20.10 |
$20.10 |
$20.10 |
$88.63
|
|
Puncture arterial withdrawal blood for diagnosis
|
$28.05 |
$28.05 |
$28.05 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$174.00 |
$174.00 |
$174.00 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$421.80 |
$421.80 |
$421.80 |
$1,134.64
|
|
Pyridoxine hcl 100 mg
|
$66.15 |
$66.15 |
$66.15 |
$43.24
|
|
Quant diff pulm perf and vent w/imaging
|
$362.40 |
$362.40 |
$362.40 |
$1,524.16
|
|
Quest t3 uptake
|
$28.35 |
$28.35 |
$28.35 |
$56.10
|
|
Rabies ig heat-treated human im/subq 90376
|
$1,253.76 |
$1,253.76 |
$1,253.76 |
$1,059.01
|
|
Rabies ig ht&sol human im/sc
|
$1,293.80 |
$1,293.80 |
$1,293.80 |
$5,401.91
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$2,464.39 |
$2,464.39 |
$2,464.39 |
$3,213.80
|
|
Radiation handling
|
$106.35 |
$106.35 |
$106.35 |
$331.89
|
|
Radiation physics consult
|
$302.85 |
$302.85 |
$302.85 |
$574.75
|
|
Radiation therapy dose plan
|
$256.95 |
$256.95 |
$256.95 |
$530.53
|
|
Radiation treatment aid(s)
|
$145.65 |
$145.65 |
$145.65 |
$541.45
|
|
Radiation treatment aid(s)
|
$511.80 |
$511.80 |
$511.80 |
$665.00
|
|
Radiation treatment aid(s)
|
$469.50 |
$469.50 |
$469.50 |
$1,103.09
|
|
Radiation treatment delivery
|
$97.65 |
$97.65 |
$97.65 |
$552.40
|
|
Radiation treatment delivery
|
$307.05 |
$307.05 |
$307.05 |
$909.98
|
|
Radiology port images(s)
|
$100.05 |
$100.05 |
$100.05 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$2,297.40 |
$2,297.40 |
$2,297.40 |
$5,996.21
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$483.90 |
$483.90 |
$483.90 |
$2,014.64
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,028.25 |
$1,028.25 |
$1,028.25 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$536.55 |
$536.55 |
$536.55 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$401.70 |
$401.70 |
$401.70 |
$1,139.40
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,357.59 |
$2,357.59 |
$2,357.59 |
$3,184.20
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$7,408.15 |
$7,408.15 |
$7,408.15 |
$35,836.29
|
|
Red blood cells each unit
|
$132.75 |
$132.75 |
$132.75 |
$353.60
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$483.30 |
$483.30 |
$483.30 |
$574.37
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$237.30 |
$237.30 |
$237.30 |
$618.80
|
|
Red blood cells leukocytes reduced each unit
|
$177.00 |
$177.00 |
$177.00 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$246.15 |
$246.15 |
$246.15 |
$489.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$173.70 |
$173.70 |
$173.70 |
$656.83
|
|
Relocation skin pocket pm
|
$353.10 |
$353.10 |
$353.10 |
$2,939.25
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,983.28 |
$1,983.28 |
$1,983.28 |
$1,864.71
|
|
Rem endovas vena cava filter
|
$1,117.13 |
$1,117.13 |
$1,117.13 |
$5,819.40
|
|
Removal biliary drg cath
|
$272.55 |
$272.55 |
$272.55 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$423.60 |
$423.60 |
$423.60 |
$1,709.91
|
|
Removal cerumen impacted (both sides)
|
$40.95 |
$40.95 |
$40.95 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$68.95 |
$68.95 |
$68.95 |
$245.60
|
|
Removal foreign body foot subcutaneous right
|
$380.67 |
$380.67 |
$380.67 |
$1,256.00
|
|
Removal of artery clot 34101
|
$1,769.10 |
$1,769.10 |
$1,769.10 |
$6,396.89
|
|
Removal/replacement ppm generator dual lead system
|
$5,845.20 |
$5,845.20 |
$5,845.20 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$107.70 |
$107.70 |
$107.70 |
$303.80
|
|
Removal sutr or stapl no anes
|
$68.55 |
$68.55 |
$68.55 |
$85.18
|
|
Removal tunnled intprtnl cath
|
$587.85 |
$587.85 |
$587.85 |
$4,293.90
|
|
Remove cva lumen obstruct
|
$91.95 |
$91.95 |
$91.95 |
$494.00
|
|
Remove ureter stent percut
|
$419.85 |
$419.85 |
$419.85 |
$3,525.30
|
|
Renal cyst study s&i
|
$173.25 |
$173.25 |
$173.25 |
$648.84
|
|
Renal function panel
|
$142.32 |
$142.32 |
$142.32 |
$110.10
|
|
Renal venogram bil s&i
|
$1,258.35 |
$1,258.35 |
$1,258.35 |
$3,615.28
|
|
Repair blood vessel dir lower extr
|
$816.60 |
$816.60 |
$816.60 |
$1,788.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$271.40 |
$271.40 |
$271.40 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$126.90 |
$126.90 |
$126.90 |
$432.55
|
|
Repair pm/icd lead dual
|
$1,112.27 |
$1,112.27 |
$1,112.27 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$597.78 |
$597.78 |
$597.78 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$129.60 |
$129.60 |
$129.60 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$195.15 |
$195.15 |
$195.15 |
$1,268.80
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$80.70 |
$80.70 |
$80.70 |
$504.12
|
|
Replace duod/jej tube perc
|
$195.75 |
$195.75 |
$195.75 |
$1,383.00
|
|
Replace g/c tube perc
|
$180.45 |
$180.45 |
$180.45 |
$1,413.60
|
|
Reposition pm/icd lead
|
$1,115.85 |
$1,115.85 |
$1,115.85 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$983.25 |
$983.25 |
$983.25 |
$1,905.00
|
|
Repos lv lead pm/icd
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$3,770.00
|
|
Repos sq defib eltrd
|
$1,153.35 |
$1,153.35 |
$1,153.35 |
$4,776.28
|
|
Reptilase test
|
$17.85 |
$17.85 |
$17.85 |
$65.65
|
|
Respirator motion mgmt simul
|
$68.85 |
$68.85 |
$68.85 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$25.35 |
$25.35 |
$25.35 |
$48.00
|
|
Resp virus 6-11 targets
|
$231.60 |
$231.60 |
$231.60 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$242.05 |
$242.05 |
$242.05 |
$847.29
|
|
Reticulocyte automated
|
$25.19 |
$25.19 |
$25.19 |
$54.60
|