|
Pvb thoracic single inj site
|
$320.10 |
$320.10 |
$320.10 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$40.52 |
$40.52 |
$40.52 |
$48.70
|
|
Pyruvate
|
$19.05 |
$19.05 |
$19.05 |
$66.00
|
|
Pyruvate kinase
|
$16.50 |
$16.50 |
$16.50 |
$78.95
|
|
Quant diff pulm perf and vent w/imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,199.16
|
|
Quest t3 uptake
|
$10.80 |
$10.80 |
$10.80 |
$51.70
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,711.38 |
$3,711.38 |
$3,711.38 |
$4,250.55
|
|
Radiation handling
|
$251.40 |
$251.40 |
$251.40 |
$324.80
|
|
Radiation physics consult
|
$149.70 |
$149.70 |
$149.70 |
$602.12
|
|
Radiation therapy dose plan
|
$116.55 |
$116.55 |
$116.55 |
$514.05
|
|
Radiation treatment aid(s)
|
$217.05 |
$217.05 |
$217.05 |
$515.09
|
|
Radiation treatment aid(s)
|
$238.65 |
$238.65 |
$238.65 |
$644.16
|
|
Radiation treatment aid(s)
|
$262.50 |
$262.50 |
$262.50 |
$1,075.03
|
|
Radiation treatment delivery
|
$157.80 |
$157.80 |
$157.80 |
$552.40
|
|
Radiation treatment delivery
|
$190.95 |
$190.95 |
$190.95 |
$920.00
|
|
Radiology port images(s)
|
$25.65 |
$25.65 |
$25.65 |
$249.58
|
|
Radiotherapy dose plan imrt
|
$1,739.10 |
$1,739.10 |
$1,739.10 |
$5,736.72
|
|
Radium ra223 dichl ther/uci
|
$72.00 |
$72.00 |
$72.00 |
$213.20
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$452.25 |
$452.25 |
$452.25 |
$2,041.20
|
|
Radphm lcl tmr plnr bdy two day img
|
$640.50 |
$640.50 |
$640.50 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$644.40 |
$644.40 |
$644.40 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$452.25 |
$452.25 |
$452.25 |
$2,167.98
|
|
Radphm lcl tumor plr sgl day
|
$452.25 |
$452.25 |
$452.25 |
$1,120.40
|
|
Radphm quant measure sgl area add-on
|
$452.25 |
$452.25 |
$452.25 |
$711.20
|
|
Rapid Strep Test
|
$20.10 |
$20.10 |
$20.10 |
$75.24
|
|
Rbc count only automated
|
$5.25 |
$5.25 |
$5.25 |
$20.03
|
|
Rbc deglycerolized each unit
|
$131.40 |
$131.40 |
$131.40 |
$841.75
|
|
Rbc irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$560.00
|
|
Rbc osmotic fragility
|
$11.85 |
$11.85 |
$11.85 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$91.65 |
$91.65 |
$91.65 |
$235.00
|
|
Reconstruction of nail bed
|
$780.45 |
$780.45 |
$780.45 |
$2,164.64
|
|
Red blood cells each unit
|
$108.15 |
$108.15 |
$108.15 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$411.30 |
$411.30 |
$411.30 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$108.15 |
$108.15 |
$108.15 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$528.45
|
|
Red blood cells washed each unit
|
$114.15 |
$114.15 |
$114.15 |
$572.46
|
|
Red cell mass multiple
|
$221.70 |
$221.70 |
$221.70 |
$636.97
|
|
Redo endovas vena cava filtr
|
$1,952.55 |
$1,952.55 |
$1,952.55 |
$4,435.43
|
|
Reduction of procidentia 45900
|
$1,226.10 |
$1,226.10 |
$1,226.10 |
$1,226.10
|
|
Refill/maint pump/resvr syst
|
$132.00 |
$132.00 |
$132.00 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$528.12 |
$528.12 |
$528.12 |
$357.91
|
|
Relocation skin pocket aicd
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$2,792.40
|
|
Relocation skin pocket pm
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$28.95 |
$28.95 |
$28.95 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,271.63 |
$1,271.63 |
$1,271.63 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$1,952.55 |
$1,952.55 |
$1,952.55 |
$5,509.05
|
|
Removal biliary drg cath
|
$346.65 |
$346.65 |
$346.65 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$245.70 |
$245.70 |
$245.70 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$680.10 |
$680.10 |
$680.10 |
$2,356.71
|
|
Removal cerumen impacted (both sides)
|
$46.65 |
$46.65 |
$46.65 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$84.00 |
$84.00 |
$84.00 |
$247.00
|
|
Removal duct glbldr calculi
|
$841.05 |
$841.05 |
$841.05 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$384.30 |
$384.30 |
$384.30 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$308.40 |
$308.40 |
$308.40 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$400.20 |
$400.20 |
$400.20 |
$3,036.03
|
|
Removal of foot lesion
|
$665.25 |
$665.25 |
$665.25 |
$2,211.05
|
|
Removal of foreign body
|
$934.95 |
$934.95 |
$934.95 |
$3,994.09
|
|
Removal of infusion pump
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$3,054.44
|
|
Removal of skin tags each add'l 10
|
$83.55 |
$83.55 |
$83.55 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$3,880.65 |
$3,880.65 |
$3,880.65 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$38.25 |
$38.25 |
$38.25 |
$292.50
|
|
Removal sutr/staple req anes
|
$830.25 |
$830.25 |
$830.25 |
$2,381.60
|
|
Removal tunnled intprtnl cath
|
$996.45 |
$996.45 |
$996.45 |
$4,195.00
|
|
Removal w/reinsrt nonbiogrdble
|
$180.30 |
$180.30 |
$180.30 |
$530.40
|
|
Remove cva lumen obstruct
|
$69.30 |
$69.30 |
$69.30 |
$490.80
|
|
Remove hip foreign body 27086
|
$757.65 |
$757.65 |
$757.65 |
$2,094.26
|
|
Remove pilonidal cyst compl
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$1,292.10 |
$1,292.10 |
$1,292.10 |
$3,444.42
|
|
Remove renal tube w/fluoro
|
$547.20 |
$547.20 |
$547.20 |
$1,141.31
|
|
Remove shoulder foreign body subq 23330
|
$319.20 |
$319.20 |
$319.20 |
$1,788.80
|
|
Remove ureter stent percut
|
$9,426.90 |
$9,426.90 |
$9,426.90 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$450.45 |
$450.45 |
$450.45 |
$3,762.53
|
|
Renal cyst study s&i
|
$153.90 |
$153.90 |
$153.90 |
$751.34
|
|
Renal function panel
|
$14.70 |
$14.70 |
$14.70 |
$113.52
|
|
Renal venogram bil s&i
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,615.28
|
|
Repair blood ves direct neck 35201
|
$1,238.70 |
$1,238.70 |
$1,238.70 |
$5,907.78
|
|
Repair blood vessel direct hand finger
|
$687.60 |
$687.60 |
$687.60 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$698.10 |
$698.10 |
$698.10 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$693.15 |
$693.15 |
$693.15 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$424.20 |
$424.20 |
$424.20 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$74.10 |
$74.10 |
$74.10 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$354.75 |
$354.75 |
$354.75 |
$2,224.00
|
|
Repair of digit nerve hand/foot 1 nerve
|
$685.95 |
$685.95 |
$685.95 |
$3,505.32
|
|
Repair of eye wound
|
$784.95 |
$784.95 |
$784.95 |
$2,760.73
|
|
Repair pm/icd lead dual
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$257.70 |
$257.70 |
$257.70 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$316.35 |
$316.35 |
$316.35 |
$1,224.63
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,327.65 |
$1,327.65 |
$1,327.65 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$692.40 |
$692.40 |
$692.40 |
$4,350.00
|
|
Replace aortic valve open axillry 33363
|
$414.00 |
$414.00 |
$414.00 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$2,262.75 |
$2,262.75 |
$2,262.75 |
$15,454.40
|
|
Replace aortic valve open transaortic 33365
|
$414.00 |
$414.00 |
$414.00 |
$14,593.50
|
|
Replace duod/jej tube perc
|
$346.80 |
$346.80 |
$346.80 |
$1,354.54
|
|
Replace g/c tube perc
|
$333.00 |
$333.00 |
$333.00 |
$1,326.24
|
|
Replace g-j tube perc
|
$361.05 |
$361.05 |
$361.05 |
$1,498.53
|
|
Replace tunneled cv cath
|
$820.95 |
$820.95 |
$820.95 |
$3,724.63
|
|
Reposg phrnc nrv stim trnsvn
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$4,807.27
|
