|
Pr removal foreign body external auditory canal without anesthesia
|
$220.50 |
$220.50 |
$220.50 |
$251.43
|
|
Pr removal intrauterine device
|
$1,175.50 |
$1,175.50 |
$1,175.50 |
$367.80
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$1,756.67 |
$1,756.67 |
$1,756.67 |
$711.48
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$378.50 |
$378.50 |
$378.50 |
$380.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$361.50 |
$361.50 |
$361.50 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$804.50 |
$804.50 |
$804.50 |
$396.00
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$1,125.33 |
$1,125.33 |
$1,125.33 |
$3,087.15
|
|
Pr tube thoracostomy w/connection to drainage open
|
$4,315.00 |
$4,315.00 |
$4,315.00 |
$1,720.93
|
|
PSA (Prostate) Test
|
$127.50 |
$127.50 |
$127.50 |
$107.50
|
|
Psychotherapy group therapy
|
$307.50 |
$307.50 |
$307.50 |
$216.80
|
|
Psychotherapy patient individual therapy 30 minutes
|
$175.00 |
$175.00 |
$175.00 |
$189.14
|
|
Psychotherapy patient individual therapy 45 minutes
|
$240.00 |
$240.00 |
$240.00 |
$247.59
|
|
Psychotherapy patient individual therapy 60 minutes
|
$349.50 |
$349.50 |
$349.50 |
$287.47
|
|
Psychthrp grp 45-50min mcr
|
$101.50 |
$101.50 |
$101.50 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$511.50 |
$511.50 |
$511.50 |
$321.60
|
|
Psy evaluation of records
|
$219.50 |
$219.50 |
$219.50 |
$105.04
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$153.00 |
$153.00 |
$153.00 |
$203.20
|
|
Psytx complex interactive
|
$120.50 |
$120.50 |
$120.50 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$175.00 |
$175.00 |
$175.00 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$240.00 |
$240.00 |
$240.00 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$414.00 |
$414.00 |
$414.00 |
$227.00
|
|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$44.50 |
$44.50 |
$44.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$34.00 |
$34.00 |
$34.00 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$50.50 |
$50.50 |
$50.50 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$44.50 |
$44.50 |
$44.50 |
$81.00
|
|
Pt application of modality traction mechanical
|
$96.50 |
$96.50 |
$96.50 |
$91.00
|
|
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
|
|
Pten gene known fam variant
|
$82.00 |
$82.00 |
$82.00 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$185.00 |
$185.00 |
$185.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$185.00 |
$185.00 |
$185.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$219.00 |
$219.00 |
$219.00 |
$254.88
|
|
Pt init/spiromet rec/review/interp 94016
|
$269.00 |
$269.00 |
$269.00 |
$48.60
|
|
Pt re-evaluation patient/family
|
$185.00 |
$185.00 |
$185.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$118.00 |
$118.00 |
$118.00 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$70.00 |
$70.00 |
$70.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$159.00 |
$159.00 |
$159.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$50.50 |
$50.50 |
$50.50 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$61.50 |
$61.50 |
$61.50 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$256.50 |
$256.50 |
$256.50 |
$344.00
|
|
Pulse ox multiple
|
$132.50 |
$132.50 |
$132.50 |
$156.40
|
|
Pulse ox single
|
$88.50 |
$88.50 |
$88.50 |
$81.70
|
|
Punc of shunt for asp or inj
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$303.00 |
$303.00 |
$303.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$1,517.67 |
$1,517.67 |
$1,517.67 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$1,051.80
|
|
Puraply 1 sq cm
|
$270.00 |
$270.00 |
$270.00 |
$304.50
|
|
Puraply xt 1 sq cm
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$171.12
|
|
Pyridoxine hcl 100 mg
|
$17.55 |
$17.55 |
$17.55 |
$48.70
|
|
Pyruvate
|
$10.50 |
$10.50 |
$10.50 |
$66.00
|
|
Pyruvate kinase
|
$238.00 |
$238.00 |
$238.00 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$661.50 |
$661.50 |
$661.50 |
$1,199.16
|
|
Quest t3 uptake
|
$37.00 |
$37.00 |
$37.00 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$10,906.48 |
$10,906.48 |
$10,906.48 |
$4,262.90
|
|
Radiation handling
|
$159.50 |
$159.50 |
$159.50 |
$324.80
|
|
Radiation physics consult
|
$579.50 |
$579.50 |
$579.50 |
$606.50
|
|
Radiation therapy dose plan
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$514.05
|
|
Radiation therapy management
|
$183.00 |
$183.00 |
$183.00 |
$199.20
|
|
Radiation treatment aid(s)
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$520.00
|
|
Radiation treatment aid(s)
|
$953.50 |
$953.50 |
$953.50 |
$644.16
|
|
Radiation treatment aid(s)
|
$5,721.00 |
$5,721.00 |
$5,721.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$989.00 |
$989.00 |
$989.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$920.00
|
|
Radiation tx management x5
|
$355.50 |
$355.50 |
$355.50 |
$354.40
|
|
Radiology port images(s)
|
$251.50 |
$251.50 |
$251.50 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$4,650.50 |
$4,650.50 |
$4,650.50 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$190.00 |
$190.00 |
$190.00 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$2,681.50 |
$2,681.50 |
$2,681.50 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,681.50 |
$2,681.50 |
$2,681.50 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,681.50 |
$2,681.50 |
$2,681.50 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,868.00 |
$2,868.00 |
$2,868.00 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$852.50 |
$852.50 |
$852.50 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$154.50 |
$154.50 |
$154.50 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$29,135.80 |
$29,135.80 |
$29,135.80 |
$13,136.04
|
|
Range of motion measurements
|
$64.50 |
$64.50 |
$64.50 |
$60.48
|
|
Ranibizumab injection
|
$877.50 |
$877.50 |
$877.50 |
$3,409.84
|
|
Rapid desensitization
|
$513.50 |
$513.50 |
$513.50 |
$472.21
|
|
Rapid Strep Test
|
$101.00 |
$101.00 |
$101.00 |
$75.24
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$105,665.97 |
$105,665.97 |
$105,665.97 |
$41,926.70
|
|
Rbc count only automated
|
$9.82 |
$9.82 |
$9.82 |
$20.40
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$209.50 |
$209.50 |
$209.50 |
$3,198.50
|
|
Reconstruct ankle joint
|
$8,533.50 |
$8,533.50 |
$8,533.50 |
$4,768.00
|
|
Reconstruct extra finger
|
$4,855.50 |
$4,855.50 |
$4,855.50 |
$3,591.33
|
|
Reconstruct head of radius
|
$6,840.00 |
$6,840.00 |
$6,840.00 |
$7,860.75
|
|
Reconstruction of eyelid
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$3,269.14
|
|
Reconstruction tongue fold
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$2,258.61
|
|
Reconstruct shoulder joint
|
$14,382.00 |
$14,382.00 |
$14,382.00 |
$11,340.00
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$745.50 |
$745.50 |
$745.50 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$651.00 |
$651.00 |
$651.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$785.50 |
$785.50 |
$785.50 |
$528.45
|
|
Reduce testis torsion
|
$4,563.50 |
$4,563.50 |
$4,563.50 |
$4,350.00
|
|
Refill maint impl spine pump
|
$353.00 |
$353.00 |
$353.00 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$255.50 |
$255.50 |
$255.50 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$31.01 |
$31.01 |
$31.01 |
$364.47
|
|
Reinforce tibia
|
$6,499.50 |
$6,499.50 |
$6,499.50 |
$7,907.11
|
|
Release finger contracture
|
$2,557.50 |
$2,557.50 |
$2,557.50 |
$1,893.86
|
|
Release of eye fluid
|
$3,111.00 |
$3,111.00 |
$3,111.00 |
$3,294.60
|
|
Release of foot tendon 28225
|
$6,114.50 |
$6,114.50 |
$6,114.50 |
$3,594.44
|
