|
Pr removal foreign body external auditory canal without anesthesia
|
$144.00 |
$144.00 |
$144.00 |
$251.43
|
|
Pr removal intrauterine device
|
$292.00 |
$292.00 |
$292.00 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$585.50 |
$585.50 |
$585.50 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$344.50 |
$344.50 |
$344.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$248.50 |
$248.50 |
$248.50 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$237.00 |
$237.00 |
$237.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$265.50 |
$265.50 |
$265.50 |
$396.00
|
|
Pr robotic surgical system
|
$125.00 |
$125.00 |
$125.00 |
$0.52
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$746.50 |
$746.50 |
$746.50 |
$3,087.15
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$40.50 |
$40.50 |
$40.50 |
$71.40
|
|
Prtl exc bone olecrn process
|
$664.50 |
$664.50 |
$664.50 |
$3,208.80
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,720.93
|
|
Pr visit complexity e&m service serious/complex condition
|
$18.00 |
$18.00 |
$18.00 |
$27.30
|
|
PSA (Prostate) Test
|
$51.50 |
$51.50 |
$51.50 |
$107.50
|
|
Psychoanalysis
|
$100.50 |
$100.50 |
$100.50 |
$250.85
|
|
Psychotherapy patient individual therapy 30 minutes
|
$100.50 |
$100.50 |
$100.50 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$150.50 |
$150.50 |
$150.50 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$200.50 |
$200.50 |
$200.50 |
$287.47
|
|
Psych test eval svc phys/qhp 1st hr
|
$318.50 |
$318.50 |
$318.50 |
$316.50
|
|
Psytx pt w/e&m 16-37 min
|
$98.50 |
$98.50 |
$98.50 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$148.00 |
$148.00 |
$148.00 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$196.50 |
$196.50 |
$196.50 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$71.50 |
$71.50 |
$71.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$7.00 |
$7.00 |
$7.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$49.50 |
$49.50 |
$49.50 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$65.00 |
$65.00 |
$65.00 |
$81.00
|
|
Pt application of modality traction mechanical
|
$51.00 |
$51.00 |
$51.00 |
$91.00
|
|
Pt/caregiver traing home inr
|
$73.00 |
$73.00 |
$73.00 |
$137.60
|
|
Pten gene dup/delet variant
|
$126.00 |
$126.00 |
$126.00 |
$330.00
|
|
Pten gene full sequence
|
$126.00 |
$126.00 |
$126.00 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$219.50 |
$219.50 |
$219.50 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$208.00 |
$208.00 |
$208.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$219.50 |
$219.50 |
$219.50 |
$254.88
|
|
Pt-focused hlth risk assmt
|
$36.00 |
$36.00 |
$36.00 |
$57.85
|
|
Pt re-evaluation patient/family
|
$109.00 |
$109.00 |
$109.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$33.50 |
$33.50 |
$33.50 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$64.50 |
$64.50 |
$64.50 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$49.50 |
$49.50 |
$49.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$31.50 |
$31.50 |
$31.50 |
$79.30
|
|
Pulse ox continuous overnight monitoring
|
$262.50 |
$262.50 |
$262.50 |
$344.00
|
|
Pulse ox multiple
|
$100.50 |
$100.50 |
$100.50 |
$156.40
|
|
Pulse ox single
|
$43.50 |
$43.50 |
$43.50 |
$81.70
|
|
Punc of shunt for asp or inj
|
$59.00 |
$59.00 |
$59.00 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$127.50 |
$127.50 |
$127.50 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$389.50 |
$389.50 |
$389.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$811.50 |
$811.50 |
$811.50 |
$1,051.80
|
|
Puraply 1 sq cm
|
$119.50 |
$119.50 |
$119.50 |
$304.50
|
|
Puraply xt 1 sq cm
|
$165.00 |
$165.00 |
$165.00 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$537.00 |
$537.00 |
$537.00 |
$809.20
|
|
Pvb thoracic cont infusion
|
$89.00 |
$89.00 |
$89.00 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$1,320.80
|
|
Radium ra223 dichl ther/uci
|
$158.50 |
$158.50 |
$158.50 |
$215.00
|
|
Rad resect abd tumor 5 cm/>
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$3,386.84
|
|
Ranibizumab injection
|
$90.00 |
$90.00 |
$90.00 |
$3,409.84
|
|
Rapid desensitization
|
$98.00 |
$98.00 |
$98.00 |
$472.21
|
|
Rapid Strep Test
|
$38.00 |
$38.00 |
$38.00 |
$75.24
|
|
Rechanneling of artery
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$3,173.94
|
|
Rechanneling of artery
|
$495.50 |
$495.50 |
$495.50 |
$501.50
|
|
Rechanneling of artery
|
$1,737.50 |
$1,737.50 |
$1,737.50 |
$2,213.55
|
|
Rechanneling of artery
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$1,504.50 |
$1,504.50 |
$1,504.50 |
$2,109.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$3,198.50
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$1,548.50 |
$1,548.50 |
$1,548.50 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$1,348.50 |
$1,348.50 |
$1,348.50 |
$3,029.35
|
|
Reconstruct ankle joint
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$4,768.00
|
|
Reconstruct finger joint
|
$835.50 |
$835.50 |
$835.50 |
$4,313.40
|
|
Reconstruct head of radius
|
$718.00 |
$718.00 |
$718.00 |
$7,860.75
|
|
Reconstruction knee
|
$780.00 |
$780.00 |
$780.00 |
$5,855.00
|
|
Reconstruction of hip socket
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$2,710.40
|
|
Reconstruction of nail bed
|
$196.00 |
$196.00 |
$196.00 |
$2,164.64
|
|
Reconstruct lip w/local flap 40525
|
$559.00 |
$559.00 |
$559.00 |
$3,837.72
|
|
Reconstruct shoulder joint
|
$1,246.50 |
$1,246.50 |
$1,246.50 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$1,593.50 |
$1,593.50 |
$1,593.50 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$928.50 |
$928.50 |
$928.50 |
$5,886.74
|
|
Red blood cells leukocytes reduced each unit
|
$574.00 |
$574.00 |
$574.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$628.50 |
$628.50 |
$628.50 |
$528.45
|
|
Redo endovas vena cava filtr
|
$381.50 |
$381.50 |
$381.50 |
$4,435.43
|
|
Reduce bowel obstruction 44050
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$1,761.00
|
|
Reduce testis torsion
|
$3,557.00 |
$3,557.00 |
$3,557.00 |
$4,350.00
|
|
Reduction of procidentia 45900
|
$226.50 |
$226.50 |
$226.50 |
$1,226.10
|
|
Refill maint impl spine pump
|
$294.00 |
$294.00 |
$294.00 |
$366.60
|
|
Reinforce hip bones
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$2,448.80
|
|
Reinforce thigh
|
$1,184.50 |
$1,184.50 |
$1,184.50 |
$5,552.00
|
|
Release finger contracture
|
$723.00 |
$723.00 |
$723.00 |
$1,893.86
|
|
Release of foot tendon 28225
|
$277.00 |
$277.00 |
$277.00 |
$3,594.44
|
|
Release palm contracture
|
$628.00 |
$628.00 |
$628.00 |
$3,821.05
|
|
Relocation skin pocket pm
|
$1,976.50 |
$1,976.50 |
$1,976.50 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$47.00 |
$47.00 |
$47.00 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$10.00 |
$10.00 |
$10.00 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$358.00 |
$358.00 |
$358.00 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$32.00 |
$32.00 |
$32.00 |
$139.10
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$47.50 |
$47.50 |
$47.50 |
$84.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$22.00 |
$22.00 |
$22.00 |
$183.07
|
|
Removal anal seton other marker 46030
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,525.44
|
|
Removal central venous catheter tunneled without port/pump
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,356.71
|
|
Removal cerclage without anes
|
$361.50 |
$361.50 |
$361.50 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$95.50 |
$95.50 |
$95.50 |
$163.20
|
