|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$277.20 |
$277.20 |
$277.20 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$364.80 |
$364.80 |
$364.80 |
$396.00
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
$1,720.93
|
|
PSA (Prostate) Test
|
$69.20 |
$69.20 |
$69.20 |
$107.50
|
|
Psychotherapy group therapy
|
$130.40 |
$130.40 |
$130.40 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$186.00 |
$186.00 |
$186.00 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$145.60 |
$145.60 |
$145.60 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$269.60 |
$269.60 |
$269.60 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$335.60 |
$335.60 |
$335.60 |
$316.50
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$38.00 |
$38.00 |
$38.00 |
$87.45
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$81.00
|
|
Pt application of modality traction mechanical
|
$40.80 |
$40.80 |
$40.80 |
$91.00
|
|
Pt evaluation high complexity patient/family
|
$219.20 |
$219.20 |
$219.20 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$160.40 |
$160.40 |
$160.40 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$167.20 |
$167.20 |
$167.20 |
$254.88
|
|
Pt re-evaluation patient/family
|
$132.00 |
$132.00 |
$132.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$136.00 |
$136.00 |
$136.00 |
$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
|
$52.40 |
$52.40 |
$52.40 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$32.80 |
$32.80 |
$32.80 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$41.60 |
$41.60 |
$41.60 |
$87.50
|
|
Pul art balloon repr percut
|
$7,389.20 |
$7,389.20 |
$7,389.20 |
$9,760.40
|
|
Pulmonary vent imaging
|
$478.40 |
$478.40 |
$478.40 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$230.00 |
$230.00 |
$230.00 |
$344.00
|
|
Pulse ox multiple
|
$32.40 |
$32.40 |
$32.40 |
$156.40
|
|
Pulse ox single
|
$14.40 |
$14.40 |
$14.40 |
$81.70
|
|
Punc of shunt for asp or inj
|
$809.60 |
$809.60 |
$809.60 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$158.40 |
$158.40 |
$158.40 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$439.20 |
$439.20 |
$439.20 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$806.40 |
$806.40 |
$806.40 |
$1,051.80
|
|
Pvb thoracic single inj site
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,320.80
|
|
Pyruvate
|
$26.80 |
$26.80 |
$26.80 |
$66.00
|
|
Pyruvate kinase
|
$18.00 |
$18.00 |
$18.00 |
$80.64
|
|
Quadrilateral brim
|
$190.00 |
$190.00 |
$190.00 |
$316.40
|
|
Quan puplmtry phy/qhp uni/bi
|
$204.80 |
$204.80 |
$204.80 |
$182.95
|
|
Quant diff pulm perf and vent w/imaging
|
$621.60 |
$621.60 |
$621.60 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$478.80 |
$478.80 |
$478.80 |
$1,199.16
|
|
Quest t3 uptake
|
$13.20 |
$13.20 |
$13.20 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$673.62 |
$673.62 |
$673.62 |
$4,262.90
|
|
Radiation physics consult
|
$250.40 |
$250.40 |
$250.40 |
$606.50
|
|
Radiation therapy dose plan
|
$208.00 |
$208.00 |
$208.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$229.60 |
$229.60 |
$229.60 |
$520.00
|
|
Radiation treatment aid(s)
|
$229.60 |
$229.60 |
$229.60 |
$644.16
|
|
Radiation treatment aid(s)
|
$433.20 |
$433.20 |
$433.20 |
$1,076.78
|
|
Radiation treatment delivery
|
$279.60 |
$279.60 |
$279.60 |
$552.40
|
|
Radiation treatment delivery
|
$971.20 |
$971.20 |
$971.20 |
$920.00
|
|
Radiofq trsmtr for implt neu
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$6,081.60
|
|
Radiology port images(s)
|
$65.20 |
$65.20 |
$65.20 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$3,093.60 |
$3,093.60 |
$3,093.60 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$198.00 |
$198.00 |
$198.00 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,924.80 |
$1,924.80 |
$1,924.80 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,924.80 |
$1,924.80 |
$1,924.80 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$2,177.00
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$210.53 |
$210.53 |
$210.53 |
$13,136.04
|
|
Rapid Strep Test
|
$8.80 |
$8.80 |
$8.80 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$362.10 |
$362.10 |
$362.10 |
$4,331.80
|
|
Rbc deglycerolized each unit
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$841.75
|
|
Rbc irradiated each unit
|
$350.80 |
$350.80 |
$350.80 |
$560.00
|
|
Rbc mechanical fragility
|
$36.00 |
$36.00 |
$36.00 |
$21.60
|
|
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
|
$350.80 |
$350.80 |
$350.80 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$708.80 |
$708.80 |
$708.80 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$350.80 |
$350.80 |
$350.80 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$649.20 |
$649.20 |
$649.20 |
$528.45
|
|
Red blood cells washed each unit
|
$530.00 |
$530.00 |
$530.00 |
$572.46
|
|
Refill maint impl spine pump
|
$331.60 |
$331.60 |
$331.60 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$284.40 |
$284.40 |
$284.40 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$15.99 |
$15.99 |
$15.99 |
$364.47
|
|
Relocation skin pocket aicd
|
$5,948.40 |
$5,948.40 |
$5,948.40 |
$2,761.55
|
|
Relocation skin pocket pm
|
$1,962.80 |
$1,962.80 |
$1,962.80 |
$2,585.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$11.31 |
$11.31 |
$11.31 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$7,764.00 |
$7,764.00 |
$7,764.00 |
$5,509.05
|
|
Rem interrog dev eval scrms
|
$57.60 |
$57.60 |
$57.60 |
$101.25
|
|
Rem interrog evl pm/ids
|
$47.20 |
$47.20 |
$47.20 |
$139.10
|
|
Rem interrog evl pm/ldls pm
|
$47.20 |
$47.20 |
$47.20 |
$73.60
|
|
Removable insert each
|
$247.60 |
$247.60 |
$247.60 |
$518.00
|
|
Removal biliary drg cath
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$3,555.20 |
$3,555.20 |
$3,555.20 |
$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
|
$151.20 |
$151.20 |
$151.20 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$70.80 |
$70.80 |
$70.80 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$228.00 |
$228.00 |
$228.00 |
$249.60
|
|
Removal foreign body foot subcutaneous right
|
$982.00 |
$982.00 |
$982.00 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$1,787.60 |
$1,787.60 |
$1,787.60 |
$2,986.62
|
|
Removal of skin tags each add'l 10
|
$42.00 |
$42.00 |
$42.00 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$6,110.80 |
$6,110.80 |
$6,110.80 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$228.80 |
$228.80 |
$228.80 |
$292.50
|
|
Removal sutr/staple req anes
|
$2,178.80 |
$2,178.80 |
$2,178.80 |
$2,381.60
|
|
Remove bladder stone
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$4,846.99
|
|
Renal function panel
|
$74.80 |
$74.80 |
$74.80 |
$113.52
|
|
Renal venogram bil s&i
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$3,615.28
|
|
Repair defect arm art 35045
|
$8,812.40 |
$8,812.40 |
$8,812.40 |
$6,396.89
|
|
Repair pm/icd lead dual
|
$7,583.60 |
$7,583.60 |
$7,583.60 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,412.80 |
$2,412.80 |
$2,412.80 |
$4,339.00
|
|
Repair tendon extensor foot 1/2 each tendon
|
$3,174.80 |
$3,174.80 |
$3,174.80 |
$3,839.54
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$428.00 |
$428.00 |
$428.00 |
$478.00
|
|
Replace afo soft interface
|
$14.00 |
$14.00 |
$14.00 |
$31.08
|
|
Replace foot drop spint
|
$10.40 |
$10.40 |
$10.40 |
$19.60
|
|
Replace g/c tube perc
|
$1,357.60 |
$1,357.60 |
$1,357.60 |
$1,341.50
|
