|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$366.00 |
$366.00 |
$366.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$109.00 |
$109.00 |
$109.00 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$112.50 |
$112.50 |
$112.50 |
$87.50
|
|
Pul art balloon repr percut
|
$8,850.00 |
$8,850.00 |
$8,850.00 |
$9,760.40
|
|
Pul art balloon repr percut
|
$1,668.50 |
$1,668.50 |
$1,668.50 |
$3,965.20
|
|
Pulse ox continuous overnight monitoring
|
$424.00 |
$424.00 |
$424.00 |
$344.00
|
|
Pulse ox multiple
|
$123.50 |
$123.50 |
$123.50 |
$156.40
|
|
Pulse ox single
|
$71.50 |
$71.50 |
$71.50 |
$81.70
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$485.50 |
$485.50 |
$485.50 |
$969.00
|
|
Punc of shunt for asp or inj
|
$6,292.50 |
$6,292.50 |
$6,292.50 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$132.00 |
$132.00 |
$132.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$4,360.50 |
$4,360.50 |
$4,360.50 |
$3,885.84
|
|
Puncture spinal lumbar diagnostic
|
$3,535.50 |
$3,535.50 |
$3,535.50 |
$1,051.80
|
|
Puraply 1 sq cm
|
$160.00 |
$160.00 |
$160.00 |
$304.50
|
|
Puraply xt 1 sq cm
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$809.20
|
|
Pvb thoracic cont infusion
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$2,651.00 |
$2,651.00 |
$2,651.00 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$105.30 |
$105.30 |
$105.30 |
$48.70
|
|
Pyruvate
|
$31.50 |
$31.50 |
$31.50 |
$66.00
|
|
Pyruvate kinase
|
$242.50 |
$242.50 |
$242.50 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$829.00 |
$829.00 |
$829.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$1,073.50 |
$1,073.50 |
$1,073.50 |
$1,199.16
|
|
Quest t3 uptake
|
$139.50 |
$139.50 |
$139.50 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$14,154.19 |
$14,154.19 |
$14,154.19 |
$4,262.90
|
|
Radiation handling
|
$398.50 |
$398.50 |
$398.50 |
$324.80
|
|
Radiation physics consult
|
$355.50 |
$355.50 |
$355.50 |
$606.50
|
|
Radiation therapy dose plan
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$514.05
|
|
Radiation treatment aid(s)
|
$551.50 |
$551.50 |
$551.50 |
$520.00
|
|
Radiation treatment aid(s)
|
$615.50 |
$615.50 |
$615.50 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,611.00 |
$1,611.00 |
$1,611.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,623.50 |
$1,623.50 |
$1,623.50 |
$920.00
|
|
Radical resection of elbow
|
$11,942.50 |
$11,942.50 |
$11,942.50 |
$5,788.80
|
|
Radiology port images(s)
|
$120.50 |
$120.50 |
$120.50 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$3,152.00 |
$3,152.00 |
$3,152.00 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$23,421.00 |
$23,421.00 |
$23,421.00 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,189.50 |
$2,189.50 |
$2,189.50 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,809.00 |
$2,809.00 |
$2,809.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,659.00 |
$2,659.00 |
$2,659.00 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$3,128.00 |
$3,128.00 |
$3,128.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$160.50 |
$160.50 |
$160.50 |
$711.20
|
|
Rad resect hand tumor 3 cm/>
|
$6,384.50 |
$6,384.50 |
$6,384.50 |
$3,994.09
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$14,104.50 |
$14,104.50 |
$14,104.50 |
$3,386.84
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$30,015.80 |
$30,015.80 |
$30,015.80 |
$13,136.04
|
|
Ranibizumab injection
|
$4,387.50 |
$4,387.50 |
$4,387.50 |
$3,409.84
|
|
Rapid desensitization
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$472.21
|
|
Rapid Strep Test
|
$44.00 |
$44.00 |
$44.00 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$4,835.33 |
$4,835.33 |
$4,835.33 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$105,666.02 |
$105,666.02 |
$105,666.02 |
$41,926.70
|
|
Rbc count only automated
|
$6.00 |
$6.00 |
$6.00 |
$20.40
|
|
Rbc deglycerolized each unit
|
$691.00 |
$691.00 |
$691.00 |
$841.75
|
|
Rbc depletion of harvest
|
$375.00 |
$375.00 |
$375.00 |
$1,803.18
|
|
Realignment of knee
|
$9,946.50 |
$9,946.50 |
$9,946.50 |
$4,732.80
|
|
Realignment of tendons
|
$9,318.00 |
$9,318.00 |
$9,318.00 |
$3,821.05
|
|
Realignment of thigh bone
|
$22,984.67 |
$22,984.67 |
$22,984.67 |
$7,413.38
|
|
Rebuild eardrum structures
|
$17,318.00 |
$17,318.00 |
$17,318.00 |
$6,553.49
|
|
Rebuild eardrum structures
|
$21,626.00 |
$21,626.00 |
$21,626.00 |
$6,547.81
|
|
Rebuild eardrum structures
|
$25,337.00 |
$25,337.00 |
$25,337.00 |
$6,966.64
|
|
Rebuild outer ear canal
|
$10,311.50 |
$10,311.50 |
$10,311.50 |
$6,017.08
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$5,632.50 |
$5,632.50 |
$5,632.50 |
$9,706.55
|
|
Reconstruct ankle joint
|
$20,659.00 |
$20,659.00 |
$20,659.00 |
$4,768.00
|
|
Reconstruct cleft palate
|
$8,899.17 |
$8,899.17 |
$8,899.17 |
$5,855.00
|
|
Reconstruct cleft palate
|
$3,960.75 |
$3,960.75 |
$3,960.75 |
$4,558.89
|
|
Reconstruct cleft palate
|
$13,752.50 |
$13,752.50 |
$13,752.50 |
$6,547.81
|
|
Reconstruct cleft palate
|
$18,319.50 |
$18,319.50 |
$18,319.50 |
$6,553.49
|
|
Reconstruct cleft palate
|
$5,537.50 |
$5,537.50 |
$5,537.50 |
$6,547.81
|
|
Reconstruct cleft palate
|
$17,798.34 |
$17,798.34 |
$17,798.34 |
$6,547.81
|
|
Reconstruct elbow lat ligmnt
|
$11,753.00 |
$11,753.00 |
$11,753.00 |
$8,453.60
|
|
Reconstruct extra finger
|
$10,542.50 |
$10,542.50 |
$10,542.50 |
$3,591.33
|
|
Reconstruct finger joint
|
$7,117.00 |
$7,117.00 |
$7,117.00 |
$4,313.40
|
|
Reconstruct head of radius
|
$21,092.50 |
$21,092.50 |
$21,092.50 |
$11,971.85
|
|
Reconstruct head of radius
|
$16,815.00 |
$16,815.00 |
$16,815.00 |
$7,860.75
|
|
Reconstruction ankle joint
|
$32,279.51 |
$32,279.51 |
$32,279.51 |
$17,913.59
|
|
Reconstruction knee
|
$45,051.50 |
$45,051.50 |
$45,051.50 |
$5,855.00
|
|
Reconstruction of eyelid
|
$6,463.67 |
$6,463.67 |
$6,463.67 |
$3,590.40
|
|
Reconstruction of eyelid
|
$6,258.34 |
$6,258.34 |
$6,258.34 |
$4,194.40
|
|
Reconstruction of eyelid
|
$3,537.67 |
$3,537.67 |
$3,537.67 |
$4,462.45
|
|
Reconstruction of eyelid
|
$3,434.00 |
$3,434.00 |
$3,434.00 |
$3,269.14
|
|
Reconstruction of hip socket
|
$21,988.00 |
$21,988.00 |
$21,988.00 |
$13,116.76
|
|
Reconstruction of lower jaw
|
$20,392.00 |
$20,392.00 |
$20,392.00 |
$6,547.81
|
|
Reconstruction of nail bed
|
$9,772.50 |
$9,772.50 |
$9,772.50 |
$2,164.64
|
|
Reconstruction of nose
|
$11,853.67 |
$11,853.67 |
$11,853.67 |
$6,839.00
|
|
Reconstruction of orbit
|
$8,141.50 |
$8,141.50 |
$8,141.50 |
$6,547.81
|
|
Reconstruction of throat
|
$14,623.50 |
$14,623.50 |
$14,623.50 |
$6,839.00
|
|
Reconstruction of urethra
|
$10,391.75 |
$10,391.75 |
$10,391.75 |
$6,015.75
|
|
Reconstruction of urethra
|
$4,769.67 |
$4,769.67 |
$4,769.67 |
$6,015.75
|
|
Reconstruction of urethra
|
$6,720.34 |
$6,720.34 |
$6,720.34 |
$5,855.00
|
|
Reconstruction of urethra
|
$6,515.00 |
$6,515.00 |
$6,515.00 |
$4,627.96
|
|
Reconstruction of urethra
|
$8,568.34 |
$8,568.34 |
$8,568.34 |
$4,478.01
|
|
Reconstruction tongue fold
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$2,258.61
|
|
Reconstruct lip w/local flap 40525
|
$7,473.33 |
$7,473.33 |
$7,473.33 |
$3,837.72
|
|
Reconstruct shoulder joint
|
$39,477.00 |
$39,477.00 |
$39,477.00 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$16,018.00 |
$16,018.00 |
$16,018.00 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$6,634.34 |
$6,634.34 |
$6,634.34 |
$5,886.74
|
|
Reconstruct urethra stage 2
|
$12,313.50 |
$12,313.50 |
$12,313.50 |
$5,741.00
|
|
Red blood cells leukocytes reduced each unit
|
$641.00 |
$641.00 |
$641.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$352.50 |
$352.50 |
$352.50 |
$528.45
|
