|
Prq trl rvs ch occ ant&rtrgr
|
$5,401.60 |
$5,401.60 |
$5,401.60 |
$23,158.66
|
|
Prq trluml c angiop 1art&/br
|
$10,784.00 |
$10,784.00 |
$10,784.00 |
$9,131.70
|
|
Prq trluml c athrc 1 art&/br
|
$9,648.80 |
$9,648.80 |
$9,648.80 |
$13,419.98
|
|
Prq trluml revsc ch occ ant
|
$15,349.60 |
$15,349.60 |
$15,349.60 |
$15,349.60
|
|
Pr removal drug delivery implant
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$533.00
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$206.40 |
$206.40 |
$206.40 |
$251.43
|
|
Pr removal intrauterine device
|
$420.00 |
$420.00 |
$420.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$568.00 |
$568.00 |
$568.00 |
$711.48
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$493.60 |
$493.60 |
$493.60 |
$374.23
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$1,720.93
|
|
PSA (Prostate) Test
|
$38.40 |
$38.40 |
$38.40 |
$107.50
|
|
Psychoeducation 45 min +
|
$85.60 |
$85.60 |
$85.60 |
$201.45
|
|
Psychotherapy patient individual therapy 30 minutes
|
$199.60 |
$199.60 |
$199.60 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$308.80 |
$308.80 |
$308.80 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$308.80 |
$308.80 |
$308.80 |
$287.47
|
|
Psytx complex interactive
|
$95.60 |
$95.60 |
$95.60 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$87.60 |
$87.60 |
$87.60 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$134.00 |
$134.00 |
$134.00 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$138.40 |
$138.40 |
$138.40 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$34.00 |
$34.00 |
$34.00 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$9.20 |
$9.20 |
$9.20 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$44.80 |
$44.80 |
$44.80 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$23.60 |
$23.60 |
$23.60 |
$81.00
|
|
Pt application of modality traction mechanical
|
$28.80 |
$28.80 |
$28.80 |
$91.00
|
|
Pten gene dup/delet variant
|
$152.00 |
$152.00 |
$152.00 |
$330.00
|
|
Pten gene full sequence
|
$826.00 |
$826.00 |
$826.00 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$150.40 |
$150.40 |
$150.40 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$128.80 |
$128.80 |
$128.80 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$143.60 |
$143.60 |
$143.60 |
$254.88
|
|
Pt re-evaluation patient/family
|
$78.40 |
$78.40 |
$78.40 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$75.60 |
$75.60 |
$75.60 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$34.00 |
$34.00 |
$34.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$44.80 |
$44.80 |
$44.80 |
$87.50
|
|
Pt wheelchair management each 15 minutes
|
$55.20 |
$55.20 |
$55.20 |
$87.50
|
|
Pul art balloon repr percut
|
$7,389.20 |
$7,389.20 |
$7,389.20 |
$9,760.40
|
|
Pul art balloon repr percut
|
$3,965.20 |
$3,965.20 |
$3,965.20 |
$3,965.20
|
|
Pulmonary vent imaging
|
$1,113.20 |
$1,113.20 |
$1,113.20 |
$908.00
|
|
Pulse ox multiple
|
$106.00 |
$106.00 |
$106.00 |
$156.40
|
|
Pulse ox single
|
$38.40 |
$38.40 |
$38.40 |
$81.70
|
|
Punc of shunt for asp or inj
|
$706.40 |
$706.40 |
$706.40 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$142.40 |
$142.40 |
$142.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$322.00 |
$322.00 |
$322.00 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$598.80 |
$598.80 |
$598.80 |
$1,051.80
|
|
Puraply 1 sq cm
|
$4,976.00 |
$4,976.00 |
$4,976.00 |
$304.50
|
|
Pvb thoracic 2nd+ inj site
|
$809.20 |
$809.20 |
$809.20 |
$809.20
|
|
Pvb thoracic cont infusion
|
$1,544.80 |
$1,544.80 |
$1,544.80 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,544.80 |
$1,544.80 |
$1,544.80 |
$1,320.80
|
|
Pyruvate
|
$29.20 |
$29.20 |
$29.20 |
$66.00
|
|
Pyruvate kinase
|
$23.60 |
$23.60 |
$23.60 |
$80.64
|
|
Quadrilateral brim
|
$190.00 |
$190.00 |
$190.00 |
$316.40
|
|
Quan puplmtry phy/qhp uni/bi
|
$288.40 |
$288.40 |
$288.40 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$1,542.40 |
$1,542.40 |
$1,542.40 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,196.40 |
$1,196.40 |
$1,196.40 |
$1,199.16
|
|
Quest t3 uptake
|
$16.00 |
$16.00 |
$16.00 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$451.06 |
$451.06 |
$451.06 |
$4,262.90
|
|
Radiation handling
|
$207.20 |
$207.20 |
$207.20 |
$324.80
|
|
Radiation physics consult
|
$345.60 |
$345.60 |
$345.60 |
$606.50
|
|
Radiation therapy dose plan
|
$363.60 |
$363.60 |
$363.60 |
$514.05
|
|
Radiation treatment aid(s)
|
$386.40 |
$386.40 |
$386.40 |
$520.00
|
|
Radiation treatment aid(s)
|
$466.40 |
$466.40 |
$466.40 |
$644.16
|
|
Radiation treatment aid(s)
|
$829.60 |
$829.60 |
$829.60 |
$1,076.78
|
|
Radiation treatment delivery
|
$526.40 |
$526.40 |
$526.40 |
$552.40
|
|
Radiation treatment delivery
|
$1,719.60 |
$1,719.60 |
$1,719.60 |
$920.00
|
|
Radiofq trsmtr for implt neu
|
$6,040.00 |
$6,040.00 |
$6,040.00 |
$6,081.60
|
|
Radiology port images(s)
|
$102.00 |
$102.00 |
$102.00 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$4,067.60 |
$4,067.60 |
$4,067.60 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$264.40 |
$264.40 |
$264.40 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,787.20 |
$2,787.20 |
$2,787.20 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,211.60 |
$1,211.60 |
$1,211.60 |
$1,120.50
|
|
Rapid Strep Test
|
$33.20 |
$33.20 |
$33.20 |
$75.24
|
|
Rbc count only automated
|
$7.60 |
$7.60 |
$7.60 |
$20.40
|
|
Rbc deglycerolized each unit
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$841.75
|
|
Rbc irradiated each unit
|
$626.40 |
$626.40 |
$626.40 |
$560.00
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$11,538.00 |
$11,538.00 |
$11,538.00 |
$9,706.55
|
|
Red blood cells each unit
|
$367.60 |
$367.60 |
$367.60 |
$387.36
|
|
Red blood cells leukocytes reduced each unit
|
$494.40 |
$494.40 |
$494.40 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$703.20 |
$703.20 |
$703.20 |
$528.45
|
|
Red blood cells washed each unit
|
$765.20 |
$765.20 |
$765.20 |
$572.46
|
|
Redo endovas vena cava filtr
|
$7,007.60 |
$7,007.60 |
$7,007.60 |
$4,435.43
|
|
Refill maint impl spine pump
|
$417.20 |
$417.20 |
$417.20 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$466.00 |
$466.00 |
$466.00 |
$397.60
|
|
Relocation skin pocket aicd
|
$2,669.20 |
$2,669.20 |
$2,669.20 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,964.40 |
$1,964.40 |
$1,964.40 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$297.60 |
$297.60 |
$297.60 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$11.03 |
$11.03 |
$11.03 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$7,158.80 |
$7,158.80 |
$7,158.80 |
$5,509.05
|
|
Removable insert each
|
$247.60 |
$247.60 |
$247.60 |
$518.00
|
|
Removal biliary drg cath
|
$682.00 |
$682.00 |
$682.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$962.00 |
$962.00 |
$962.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,445.20 |
$1,445.20 |
$1,445.20 |
$2,356.71
|
|
Removal cerclage without anes
|
$158.00 |
$158.00 |
$158.00 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$163.20 |
$163.20 |
$163.20 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$258.80 |
$258.80 |
$258.80 |
$249.60
|
|
Removal duct glbldr calculi
|
$1,754.80 |
$1,754.80 |
$1,754.80 |
$2,771.60
|
|
Removal foreign body foot subcutaneous right
|
$568.00 |
$568.00 |
$568.00 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$2,776.40 |
$2,776.40 |
$2,776.40 |
$2,986.62
|
|
Removal of breast lesion
|
$5,538.80 |
$5,538.80 |
$5,538.80 |
$4,631.50
|
|
Removal of impacted wax md
|
$72.80 |
$72.80 |
$72.80 |
$128.00
|
