|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$195.99 |
$195.99 |
$195.99 |
$79.20
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$372.54 |
$372.54 |
$372.54 |
$87.10
|
|
Pulse ox multiple
|
$7,129.74 |
$7,129.74 |
$7,129.74 |
$162.00
|
|
Pyridoxine hcl 100 mg
|
$462.68 |
$462.68 |
$462.68 |
$48.70
|
|
Pyruvate
|
$684.52 |
$684.52 |
$684.52 |
$66.00
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$5,417.95 |
$5,417.95 |
$5,417.95 |
$3,770.01
|
|
Rabies vaccine id
|
$4,837.68 |
$4,837.68 |
$4,837.68 |
$340.80
|
|
Radiation handling
|
$635.72 |
$635.72 |
$635.72 |
$324.80
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$8,909.77 |
$8,909.77 |
$8,909.77 |
$2,014.64
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$7,031.90 |
$7,031.90 |
$7,031.90 |
$2,503.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$4,691.90 |
$4,691.90 |
$4,691.90 |
$2,242.80
|
|
Radphm lcl tumor plr sgl day
|
$3,676.12 |
$3,676.12 |
$3,676.12 |
$1,102.80
|
|
Radphm quant measure sgl area add-on
|
$3,515.96 |
$3,515.96 |
$3,515.96 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$70,689.35 |
$70,689.35 |
$70,689.35 |
$13,136.04
|
|
Rasburicase 1.5 mg intravenous solution
|
$7,367.47 |
$7,367.47 |
$7,367.47 |
$4,782.24
|
|
Rbc count only automated
|
$270.92 |
$270.92 |
$270.92 |
$20.00
|
|
Rbc deglycerolized each unit
|
$3,268.79 |
$3,268.79 |
$3,268.79 |
$767.00
|
|
Rbc irradiated each unit
|
$1,114.16 |
$1,114.16 |
$1,114.16 |
$517.86
|
|
Rbc osmotic fragility
|
$559.48 |
$559.48 |
$559.48 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$343.04 |
$343.04 |
$343.04 |
$234.00
|
|
Red blood cells washed each unit
|
$2,786.28 |
$2,786.28 |
$2,786.28 |
$559.00
|
|
Redo endovas vena cava filtr
|
$7,915.58 |
$7,915.58 |
$7,915.58 |
$4,341.66
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$143.85 |
$143.85 |
$143.85 |
$378.22
|
|
Relocation skin pocket aicd
|
$5,810.88 |
$5,810.88 |
$5,810.88 |
$2,770.51
|
|
Relocation skin pocket pm
|
$10,374.76 |
$10,374.76 |
$10,374.76 |
$2,581.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,468.29 |
$3,468.29 |
$3,468.29 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$8,198.41 |
$8,198.41 |
$8,198.41 |
$5,509.05
|
|
Removal biliary drg cath
|
$3,640.07 |
$3,640.07 |
$3,640.07 |
$1,380.82
|
|
Removal/replacement ppm generator dual lead system
|
$85,429.63 |
$85,429.63 |
$85,429.63 |
$12,384.25
|
|
Removal tunnled intprtnl cath
|
$12,669.01 |
$12,669.01 |
$12,669.01 |
$3,950.00
|
|
Repair blood vessel dir lower extr
|
$12,878.01 |
$12,878.01 |
$12,878.01 |
$1,664.40
|
|
Repair pm/icd lead dual
|
$16,470.31 |
$16,470.31 |
$16,470.31 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$16,470.31 |
$16,470.31 |
$16,470.31 |
$4,306.60
|
|
Replace duod/jej tube perc
|
$8,328.82 |
$8,328.82 |
$8,328.82 |
$1,354.54
|
|
Replace g/c tube perc
|
$8,328.82 |
$8,328.82 |
$8,328.82 |
$1,270.99
|
|
Replace g-j tube perc
|
$8,328.82 |
$8,328.82 |
$8,328.82 |
$1,479.75
|
|
Reposition pm/icd lead
|
$5,443.57 |
$5,443.57 |
$5,443.57 |
$3,767.50
|
|
Reposition vad w/image rt/lt sep session
|
$34,003.99 |
$34,003.99 |
$34,003.99 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$8,501.45 |
$8,501.45 |
$8,501.45 |
$3,724.63
|
|
Resp virus 6-11 targets
|
$10,393.65 |
$10,393.65 |
$10,393.65 |
$456.00
|
|
Resuscitation cardiopulmonary
|
$4,354.15 |
$4,354.15 |
$4,354.15 |
$745.80
|
|
Resuscitation delivery/birthing room
|
$4,527.13 |
$4,527.13 |
$4,527.13 |
$774.37
|
|
Reticulated platelet assay
|
$339.87 |
$339.87 |
$339.87 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$72.15 |
$72.15 |
$72.15 |
$35.84
|
|
Revasc intra lithotrip-ather
|
$32,381.42 |
$32,381.42 |
$32,381.42 |
$18,808.65
|
|
Revasc intra lithotrip-stent
|
$40,299.60 |
$40,299.60 |
$40,299.60 |
$20,176.80
|
|
Revasc intravasc lithotripsy
|
$31,484.51 |
$31,484.51 |
$31,484.51 |
$11,278.00
|
|
Revasc lithotr-ather tib/per
|
$49,101.94 |
$49,101.94 |
$49,101.94 |
$19,892.81
|
|
Revasc lithotrip-stent-ather
|
$64,460.30 |
$64,460.30 |
$64,460.30 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$39,989.29 |
$39,989.29 |
$39,989.29 |
$13,925.00
|
|
Revasc lith-sten-ath tib/per
|
$64,460.30 |
$64,460.30 |
$64,460.30 |
$19,385.85
|
|
Revision tips
|
$17,095.07 |
$17,095.07 |
$17,095.07 |
$9,810.00
|
|
Rheumatoid factor quantitative
|
$620.39 |
$620.39 |
$620.39 |
$56.55
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$2,902.91 |
$2,902.91 |
$2,902.91 |
$247.55
|
|
Rho d immune globulin inj
|
$2,948.82 |
$2,948.82 |
$2,948.82 |
$224.10
|
|
Ring barrier skin cx 1 9/16 adapt
|
$87.00 |
$87.00 |
$87.00 |
$2.60
|
|
Rmvl icd by tv extr
|
$15,664.06 |
$15,664.06 |
$15,664.06 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$222,995.63 |
$222,995.63 |
$222,995.63 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$222,995.63 |
$222,995.63 |
$222,995.63 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$249,286.06 |
$249,286.06 |
$249,286.06 |
$25,899.70
|
|
Rmvl icd pulse gen only
|
$124,643.95 |
$124,643.95 |
$124,643.95 |
$3,982.50
|
|
Rmvl perm pm pulse gen
|
$10,374.76 |
$10,374.76 |
$10,374.76 |
$6,256.66
|
|
Rmvl perq right heart vad
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$155,766.36 |
$155,766.36 |
$155,766.36 |
$15,400.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$69,809.65 |
$69,809.65 |
$69,809.65 |
$10,765.50
|
|
Rmvl pq vad left hrt vein sep session
|
$34,003.99 |
$34,003.99 |
$34,003.99 |
$2,224.00
|
|
Rmvl sq defib electrode
|
$20,452.23 |
$20,452.23 |
$20,452.23 |
$4,080.00
|
|
Rmvl subq card rhythm mntr
|
$4,725.48 |
$4,725.48 |
$4,725.48 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$8,815.50 |
$8,815.50 |
$8,815.50 |
$3,988.50
|
|
Rmvl tv pm lead sgl
|
$8,815.50 |
$8,815.50 |
$8,815.50 |
$4,031.69
|
|
Rocker bottom, contact afo
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$229.85
|
|
Rp loclzj tum 2+area 1+d img
|
$5,440.95 |
$5,440.95 |
$5,440.95 |
$1,340.00
|
|
Rp loclzj tum spect w/ct 1
|
$7,031.90 |
$7,031.90 |
$7,031.90 |
$2,531.25
|
|
Rp loclzj tum spect w/ct 2
|
$7,976.91 |
$7,976.91 |
$7,976.91 |
$3,136.90
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$10,518.01 |
$10,518.01 |
$10,518.01 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$12,516.20 |
$12,516.20 |
$12,516.20 |
$4,444.80
|
|
Russell viper venom diluted
|
$1,357.78 |
$1,357.78 |
$1,357.78 |
$68.64
|
|
Salivary gland function exam
|
$3,778.40 |
$3,778.40 |
$3,778.40 |
$719.16
|
|
Salivary gland imaging
|
$2,375.66 |
$2,375.66 |
$2,375.66 |
$585.00
|
|
Salmonella antibody
|
$646.05 |
$646.05 |
$646.05 |
$37.58
|
|
Sargramostim injection
|
$3,197.56 |
$3,197.56 |
$3,197.56 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$32.11 |
$32.11 |
$32.11 |
$59.25
|
|
Screening prostate cancer PSA
|
$1,195.89 |
$1,195.89 |
$1,195.89 |
$98.28
|
|
Sex chromatin identification
|
$594.72 |
$594.72 |
$594.72 |
$45.60
|
|
Shoe metatarsal bar wedge ro
|
$2,413.00 |
$2,413.00 |
$2,413.00 |
$69.03
|
|
Sho insert w arch toe filler
|
$7,290.00 |
$7,290.00 |
$7,290.00 |
$1,242.39
|
|
Shrinker prosth below knee
|
$947.00 |
$947.00 |
$947.00 |
$140.56
|
|
Sialography s&i
|
$1,750.75 |
$1,750.75 |
$1,750.75 |
$495.00
|
|
Sickling rbc
|
$384.74 |
$384.74 |
$384.74 |
$54.00
|
|
Sincalide 5 mcg solution for injection
|
$1,797.29 |
$1,797.29 |
$1,797.29 |
$309.14
|
|
Sm-153 lexidron ther
|
$23,075.27 |
$23,075.27 |
$23,075.27 |
$6,866.16
|
|
Snrpn/ube3a gene
|
$4,623.24 |
$4,623.24 |
$4,623.24 |
$228.80
|
|
Socket insert without lock mech
|
$8,476.00 |
$8,476.00 |
$8,476.00 |
$1,286.05
|
|
Socket insert w lock mech
|
$6,467.00 |
$6,467.00 |
$6,467.00 |
$1,544.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$676.19 |
$676.19 |
$676.19 |
$48.00
|
|
Sodium chloride 0.9 % IV bolus
|
$676.19 |
$676.19 |
$676.19 |
$44.34
|
|
Sodium chloride 3 % ivpb
|
$730.31 |
$730.31 |
$730.31 |
$42.25
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$353.80 |
$353.80 |
$353.80 |
$77.77
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$945.84 |
$945.84 |
$945.84 |
$177.52
|
|
Soft interface below knee se
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$181.69
|
