|
Pt re-evaluation patient/family
|
$190.50 |
$190.50 |
$190.50 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$93.30 |
$93.30 |
$93.30 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$163.50 |
$163.50 |
$163.50 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$190.50 |
$190.50 |
$190.50 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$46.50 |
$46.50 |
$46.50 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$238.20 |
$238.20 |
$238.20 |
$344.00
|
|
Pulse ox multiple
|
$225.90 |
$225.90 |
$225.90 |
$156.40
|
|
Pulse ox single
|
$130.50 |
$130.50 |
$130.50 |
$81.70
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$1,144.87 |
$1,144.87 |
$1,144.87 |
$969.00
|
|
Puncture arterial withdrawal blood for diagnosis
|
$196.20 |
$196.20 |
$196.20 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$213.60 |
$213.60 |
$213.60 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$902.40 |
$902.40 |
$902.40 |
$1,051.80
|
|
Puraply 1 sq cm
|
$13,658.62 |
$13,658.62 |
$13,658.62 |
$304.50
|
|
Puraply xt 1 sq cm
|
$4,526.25 |
$4,526.25 |
$4,526.25 |
$171.12
|
|
Pvb thoracic single inj site
|
$671.70 |
$671.70 |
$671.70 |
$1,320.80
|
|
Pyruvate
|
$22.80 |
$22.80 |
$22.80 |
$66.00
|
|
Quest t3 uptake
|
$13.80 |
$13.80 |
$13.80 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$8,084.31 |
$8,084.31 |
$8,084.31 |
$4,262.90
|
|
Radium ra223 dichl ther/uci
|
$63,179.68 |
$63,179.68 |
$63,179.68 |
$215.00
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$33,767.78 |
$33,767.78 |
$33,767.78 |
$13,136.04
|
|
Rapid Strep Test
|
$58.20 |
$58.20 |
$58.20 |
$75.24
|
|
Rbc count only automated
|
$42.30 |
$42.30 |
$42.30 |
$20.40
|
|
Reduction of procidentia 45900
|
$346.50 |
$346.50 |
$346.50 |
$1,226.10
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$271.80 |
$271.80 |
$271.80 |
$364.47
|
|
Reinforced solid stirrup
|
$449.96 |
$449.96 |
$449.96 |
$405.22
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,524.70
|
|
Remote 30 day ecg tech supp
|
$144.30 |
$144.30 |
$144.30 |
$683.25
|
|
Removal central venous catheter tunneled without port/pump
|
$835.80 |
$835.80 |
$835.80 |
$1,552.93
|
|
Removal cerumen impacted (both sides)
|
$97.20 |
$97.20 |
$97.20 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$206.40 |
$206.40 |
$206.40 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$344.40 |
$344.40 |
$344.40 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$270.60 |
$270.60 |
$270.60 |
$1,256.00
|
|
Removal foreign body jawbone
|
$578.40 |
$578.40 |
$578.40 |
$2,133.48
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$75.30 |
$75.30 |
$75.30 |
$292.50
|
|
Removal tunnled intprtnl cath
|
$3,103.80 |
$3,103.80 |
$3,103.80 |
$4,195.00
|
|
Remove foreign body from eye
|
$900.30 |
$900.30 |
$900.30 |
$3,364.50
|
|
Renal function panel
|
$246.00 |
$246.00 |
$246.00 |
$113.52
|
|
Repair blood vessel dir lower extr
|
$270.60 |
$270.60 |
$270.60 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$1,241.70 |
$1,241.70 |
$1,241.70 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$960.90 |
$960.90 |
$960.90 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$87.00 |
$87.00 |
$87.00 |
$442.48
|
|
Repair extns tendon finger without grft ea
|
$597.90 |
$597.90 |
$597.90 |
$2,224.00
|
|
Repair eyelid wound
|
$881.40 |
$881.40 |
$881.40 |
$3,254.34
|
|
Repair finger/hand tendon
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$4,150.20
|
|
Repair lip full thkns =<one-half vert height
|
$190.50 |
$190.50 |
$190.50 |
$1,308.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$87.00 |
$87.00 |
$87.00 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$190.50 |
$190.50 |
$190.50 |
$1,224.63
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$4,350.00
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$87.00 |
$87.00 |
$87.00 |
$478.00
|
|
Replace duod/jej tube perc
|
$344.40 |
$344.40 |
$344.40 |
$1,354.54
|
|
Replace g/c tube perc
|
$344.40 |
$344.40 |
$344.40 |
$1,341.50
|
|
Replace g-j tube perc
|
$701.40 |
$701.40 |
$701.40 |
$1,498.53
|
|
Repl trach puncture dilator
|
$247.61 |
$247.61 |
$247.61 |
$244.05
|
|
Restorigin 1 sq cm
|
$6,390.00 |
$6,390.00 |
$6,390.00 |
$171.12
|
|
Resuscitation cardiopulmonary
|
$2,502.60 |
$2,502.60 |
$2,502.60 |
$764.40
|
|
Reticulocyte automated
|
$90.30 |
$90.30 |
$90.30 |
$52.57
|
|
Revision of cervix
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$3,721.00
|
|
Revision of eyelid
|
$881.40 |
$881.40 |
$881.40 |
$2,760.73
|
|
Revision of penis
|
$1,335.90 |
$1,335.90 |
$1,335.90 |
$4,350.00
|
|
Rheumatoid factor quantitative
|
$176.10 |
$176.10 |
$176.10 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$673.79 |
$673.79 |
$673.79 |
$243.11
|
|
Rho d immune globulin inj
|
$673.79 |
$673.79 |
$673.79 |
$217.71
|
|
Rib gusset (elastic) each
|
$209.75 |
$209.75 |
$209.75 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$2,079.27 |
$2,079.27 |
$2,079.27 |
$455.01
|
|
Ring flange plas/leather mol
|
$764.38 |
$764.38 |
$764.38 |
$669.31
|
|
Ring flange plastic/leather
|
$455.90 |
$455.90 |
$455.90 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$2,345.66 |
$2,345.66 |
$2,345.66 |
$1,509.75
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,833.17 |
$3,833.17 |
$3,833.17 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$21,139.20 |
$21,139.20 |
$21,139.20 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$29,594.62 |
$29,594.62 |
$29,594.62 |
$15,057.18
|
|
Rocker bottom, contact afo
|
$233.21 |
$233.21 |
$233.21 |
$210.00
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$153.50 |
$153.50 |
$153.50 |
$188.50
|
|
Rsv assay w/optic
|
$85.20 |
$85.20 |
$85.20 |
$79.38
|
|
Rubella antibody igg
|
$65.40 |
$65.40 |
$65.40 |
$77.03
|
|
Rubeola antibody igg
|
$91.50 |
$91.50 |
$91.50 |
$80.00
|
|
Russell viper venom diluted
|
$134.10 |
$134.10 |
$134.10 |
$72.54
|
|
Salmonella antibody
|
$19.80 |
$19.80 |
$19.80 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$527.10 |
$527.10 |
$527.10 |
$983.50
|
|
Scan duplex extremity veins unilateral/limited study
|
$958.50 |
$958.50 |
$958.50 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$901.50 |
$901.50 |
$901.50 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$222.00 |
$222.00 |
$222.00 |
$595.35
|
|
Scope uretscp lithovue dig disp
|
$15,575.62 |
$15,575.62 |
$15,575.62 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$5,303.12 |
$5,303.12 |
$5,303.12 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$5,219.38 |
$5,219.38 |
$5,219.38 |
$1,951.46
|
|
Screening hepatitis b non-obstetric high risk
|
$46.50 |
$46.50 |
$46.50 |
$60.00
|
|
Screening Mammogram
|
$357.00 |
$357.00 |
$357.00 |
$312.55
|
|
Screw cortex 2.0 x 10mm
|
$287,334.34 |
$287,334.34 |
$287,334.34 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$96.00 |
$96.00 |
$96.00 |
$42.00
|
|
Sevelamer carbonate 800 mg tablet
|
$6.00 |
$6.00 |
$6.00 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$112.34 |
$112.34 |
$112.34 |
$21.96
|
|
Sewho cap design without jnts cf
|
$3,670.71 |
$3,670.71 |
$3,670.71 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$319.50 |
$319.50 |
$319.50 |
$248.10
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$155.70 |
$155.70 |
$155.70 |
$314.00
|
|
Sheath below knee
|
$38.71 |
$38.71 |
$38.71 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$8,852.81 |
$8,852.81 |
$8,852.81 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$13,299.19 |
$13,299.19 |
$13,299.19 |
$7,625.52
|
|
Shoe clubfoot wedge
|
$119.07 |
$119.07 |
$119.07 |
$111.56
|
|
Shoe dennis browne splint bo
|
$103.86 |
$103.86 |
$103.86 |
$93.52
|
