|
Punc of shunt for asp or inj
|
$280.35 |
$280.35 |
$280.35 |
$938.40
|
|
Puncture arterial withdrawal blood for diagnosis
|
$18.75 |
$18.75 |
$18.75 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$253.65 |
$253.65 |
$253.65 |
$514.64
|
|
Puncture spinal lumbar diagnostic
|
$282.90 |
$282.90 |
$282.90 |
$1,060.47
|
|
Pyruvate
|
$19.05 |
$19.05 |
$19.05 |
$65.00
|
|
Pyruvate kinase
|
$16.50 |
$16.50 |
$16.50 |
$80.64
|
|
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 |
$1,200.00
|
|
Quest t3 uptake
|
$10.80 |
$10.80 |
$10.80 |
$54.12
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$3,711.38 |
$3,711.38 |
$3,711.38 |
$3,792.40
|
|
Radiation physics consult
|
$149.70 |
$149.70 |
$149.70 |
$595.75
|
|
Radiation therapy dose plan
|
$116.55 |
$116.55 |
$116.55 |
$514.05
|
|
Radiation treatment aid(s)
|
$217.05 |
$217.05 |
$217.05 |
$525.60
|
|
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
|
$67.95 |
$67.95 |
$67.95 |
$257.01
|
|
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 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$1,739.10 |
$1,739.10 |
$1,739.10 |
$5,786.00
|
|
Radium ra223 dichl ther/uci
|
$72.00 |
$72.00 |
$72.00 |
$205.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$452.25 |
$452.25 |
$452.25 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$640.50 |
$640.50 |
$640.50 |
$2,787.20
|
|
Radphm lcl tomogr sgl area sgl day
|
$452.25 |
$452.25 |
$452.25 |
$2,227.55
|
|
Radphm lcl tumor plr sgl day
|
$452.25 |
$452.25 |
$452.25 |
$1,126.32
|
|
Radphm quant measure sgl area add-on
|
$452.25 |
$452.25 |
$452.25 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$8,777.40 |
$8,777.40 |
$8,777.40 |
$13,136.04
|
|
Rapid Strep Test
|
$20.10 |
$20.10 |
$20.10 |
$74.10
|
|
Rasburicase 1.5 mg intravenous solution
|
$1,126.16 |
$1,126.16 |
$1,126.16 |
$4,694.75
|
|
Rbc count only automated
|
$5.25 |
$5.25 |
$5.25 |
$20.03
|
|
Rbc deglycerolized each unit
|
$131.40 |
$131.40 |
$131.40 |
$774.00
|
|
Rbc irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$520.65
|
|
Rbc osmotic fragility
|
$11.85 |
$11.85 |
$11.85 |
$72.50
|
|
Rbc serum pretx incubj drugs
|
$91.65 |
$91.65 |
$91.65 |
$252.45
|
|
Red blood cells each unit
|
$108.15 |
$108.15 |
$108.15 |
$382.50
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$411.30 |
$411.30 |
$411.30 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$108.15 |
$108.15 |
$108.15 |
$438.23
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$108.15 |
$108.15 |
$108.15 |
$523.83
|
|
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 |
$4,410.90
|
|
Reduction of procidentia 45900
|
$1,226.10 |
$1,226.10 |
$1,226.10 |
$1,226.10
|
|
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 |
$2,837.09
|
|
Relocation skin pocket pm
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$2,620.00
|
|
Rem/biv cast full arm/leg
|
$28.95 |
$28.95 |
$28.95 |
$336.00
|
|
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 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$680.10 |
$680.10 |
$680.10 |
$2,412.63
|
|
Removal cerclage w/anes
|
$896.70 |
$896.70 |
$896.70 |
$3,762.53
|
|
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 |
$245.28
|
|
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 |
$838.33
|
|
Removal foreign body foot subcutaneous right
|
$308.40 |
$308.40 |
$308.40 |
$1,256.00
|
|
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 |
$2,338.00
|
|
Removal tunnled intprtnl cath
|
$996.45 |
$996.45 |
$996.45 |
$4,195.00
|
|
Remove cva lumen obstruct
|
$69.30 |
$69.30 |
$69.30 |
$494.00
|
|
Remove renal tube w/fluoro
|
$547.20 |
$547.20 |
$547.20 |
$1,172.80
|
|
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 |
$3,563.20
|
|
Remove vaginal foreign body 57415
|
$450.45 |
$450.45 |
$450.45 |
$3,762.53
|
|
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 |
$5,419.00
|
|
Repair blood vessel direct hand finger
|
$687.60 |
$687.60 |
$687.60 |
$3,786.00
|
|
Repair blood vessel dir lower extr
|
$698.10 |
$698.10 |
$698.10 |
$1,710.80
|
|
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 |
$1,042.00
|
|
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 |
$2,269.00
|
|
Repair of digit nerve hand/foot 1 nerve
|
$685.95 |
$685.95 |
$685.95 |
$3,463.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$257.70 |
$257.70 |
$257.70 |
$1,026.40
|
|
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
|
|
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 |
$1,306.40
|
|
Replace g-j tube perc
|
$361.05 |
$361.05 |
$361.05 |
$1,493.53
|
|
Reposg phrnc nrv stim trnsvn
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$4,807.27
|
|
Reposition pm/icd lead
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$3,802.24
|
|
Reposition vad w/image rt/lt sep session
|
$693.60 |
$693.60 |
$693.60 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$3,724.63
|
|
Reptilase test
|
$17.10 |
$17.10 |
$17.10 |
$74.00
|
|
Respirator motion mgmt simul
|
$426.45 |
$426.45 |
$426.45 |
$1,189.20
|
|
Resp virus 6-11 targets
|
$373.80 |
$373.80 |
$373.80 |
$479.20
|
|
Resuscitation cardiopulmonary
|
$513.90 |
$513.90 |
$513.90 |
$751.33
|
|
Resuscitation delivery/birthing room
|
$130.20 |
$130.20 |
$130.20 |
$774.37
|
|
Reticulated platelet assay
|
$46.95 |
$46.95 |
$46.95 |
$73.20
|
|
Reticulocyte automated
|
$6.90 |
$6.90 |
$6.90 |
$51.37
|
|
Revasc intra lithotrip-ather
|
$8,623.20 |
$8,623.20 |
$8,623.20 |
$19,250.53
|
|
Revasc intra lithotrip-stent
|
$8,623.20 |
$8,623.20 |
$8,623.20 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$4,311.45 |
$4,311.45 |
$4,311.45 |
$11,278.00
|
|
Revasc lithotr-ather tib/per
|
$7,624.35 |
$7,624.35 |
$7,624.35 |
$20,300.00
|
|
Revasc lithotrip-stent-ather
|
$13,872.30 |
$13,872.30 |
$13,872.30 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$4,766.55 |
$4,766.55 |
$4,766.55 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$7,624.35 |
$7,624.35 |
$7,624.35 |
$20,668.85
|
