|
Pt application of modality traction mechanical
|
$54.50 |
$54.50 |
$54.50 |
$91.00
|
|
Pt/caregiver traing home inr
|
$65.00 |
$65.00 |
$65.00 |
$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
|
$90.00 |
$90.00 |
$90.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$90.00 |
$90.00 |
$90.00 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$90.00 |
$90.00 |
$90.00 |
$254.88
|
|
Pt re-evaluation patient/family
|
$60.00 |
$60.00 |
$60.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$117.50 |
$117.50 |
$117.50 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$37.00 |
$37.00 |
$37.00 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$98.00 |
$98.00 |
$98.00 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$30.50 |
$30.50 |
$30.50 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$87.50
|
|
Pulse ox continuous overnight monitoring
|
$149.00 |
$149.00 |
$149.00 |
$344.00
|
|
Pulse ox multiple
|
$41.50 |
$41.50 |
$41.50 |
$156.40
|
|
Pulse ox single
|
$11.50 |
$11.50 |
$11.50 |
$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
|
$501.50 |
$501.50 |
$501.50 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$907.50 |
$907.50 |
$907.50 |
$1,051.80
|
|
Puraply 1 sq cm
|
$119.50 |
$119.50 |
$119.50 |
$304.50
|
|
Puraply xt 1 sq cm
|
$119.50 |
$119.50 |
$119.50 |
$171.12
|
|
Pvb thoracic 2nd+ inj site
|
$448.00 |
$448.00 |
$448.00 |
$809.20
|
|
Pvb thoracic cont infusion
|
$85.50 |
$85.50 |
$85.50 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$697.50 |
$697.50 |
$697.50 |
$1,320.80
|
|
Pyruvate
|
$10.50 |
$10.50 |
$10.50 |
$66.00
|
|
Quest t3 uptake
|
$4.00 |
$4.00 |
$4.00 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$6,301.53 |
$6,301.53 |
$6,301.53 |
$4,262.90
|
|
Radium ra223 dichl ther/uci
|
$158.50 |
$158.50 |
$158.50 |
$215.00
|
|
Rad resect abd tumor 5 cm/>
|
$1,427.00 |
$1,427.00 |
$1,427.00 |
$3,386.84
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$9,342.42 |
$9,342.42 |
$9,342.42 |
$13,136.04
|
|
Ranibizumab injection
|
$90.00 |
$90.00 |
$90.00 |
$3,409.84
|
|
Rapid desensitization
|
$104.00 |
$104.00 |
$104.00 |
$472.21
|
|
Rapid Strep Test
|
$43.00 |
$43.00 |
$43.00 |
$75.24
|
|
Rbc count only automated
|
$5.00 |
$5.00 |
$5.00 |
$20.40
|
|
Rbc osmotic fragility
|
$238.25 |
$238.25 |
$238.25 |
$75.04
|
|
Rechanneling of artery
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$3,173.94
|
|
Rechanneling of artery
|
$480.50 |
$480.50 |
$480.50 |
$501.50
|
|
Rechanneling of artery
|
$1,649.50 |
$1,649.50 |
$1,649.50 |
$2,213.55
|
|
Rechanneling of artery
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$2,109.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$3,198.50
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$1,547.50 |
$1,547.50 |
$1,547.50 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$1,311.50 |
$1,311.50 |
$1,311.50 |
$3,029.35
|
|
Reconstruct ankle joint
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$4,768.00
|
|
Reconstruct finger joint
|
$818.00 |
$818.00 |
$818.00 |
$4,313.40
|
|
Reconstruct head of radius
|
$5,503.50 |
$5,503.50 |
$5,503.50 |
$7,860.75
|
|
Reconstruction knee
|
$748.50 |
$748.50 |
$748.50 |
$5,855.00
|
|
Reconstruction of hip socket
|
$1,166.50 |
$1,166.50 |
$1,166.50 |
$2,710.40
|
|
Reconstruction of nail bed
|
$195.00 |
$195.00 |
$195.00 |
$2,164.64
|
|
Reconstruct lip w/local flap 40525
|
$572.00 |
$572.00 |
$572.00 |
$3,837.72
|
|
Reconstruct shoulder joint
|
$1,264.50 |
$1,264.50 |
$1,264.50 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$9,375.00 |
$9,375.00 |
$9,375.00 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$937.00 |
$937.00 |
$937.00 |
$5,886.74
|
|
Red blood cells leukocytes reduced each unit
|
$954.00 |
$954.00 |
$954.00 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$371.00 |
$371.00 |
$371.00 |
$528.45
|
|
Redo endovas vena cava filtr
|
$372.00 |
$372.00 |
$372.00 |
$4,435.43
|
|
Reduce bowel obstruction 44050
|
$1,055.50 |
$1,055.50 |
$1,055.50 |
$1,761.00
|
|
Reduce testis torsion
|
$3,476.50 |
$3,476.50 |
$3,476.50 |
$4,350.00
|
|
Reduction of procidentia 45900
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$1,226.10
|
|
Refill maint impl spine pump
|
$294.00 |
$294.00 |
$294.00 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$198.92 |
$198.92 |
$198.92 |
$364.47
|
|
Reinforce hip bones
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$2,448.80
|
|
Reinforce thigh
|
$1,184.50 |
$1,184.50 |
$1,184.50 |
$5,552.00
|
|
Release finger contracture
|
$686.50 |
$686.50 |
$686.50 |
$1,893.86
|
|
Release of foot tendon 28225
|
$275.50 |
$275.50 |
$275.50 |
$3,594.44
|
|
Release palm contracture
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$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
|
$47.50 |
$47.50 |
$47.50 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,798.44 |
$1,798.44 |
$1,798.44 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$361.50 |
$361.50 |
$361.50 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$19.00 |
$19.00 |
$19.00 |
$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
|
$996.00 |
$996.00 |
$996.00 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$2,356.71
|
|
Removal cerclage without anes
|
$361.50 |
$361.50 |
$361.50 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$146.00 |
$146.00 |
$146.00 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$628.00 |
$628.00 |
$628.00 |
$5,988.54
|
|
Removal clot in graft xcp 35876
|
$1,005.50 |
$1,005.50 |
$1,005.50 |
$5,988.54
|
|
Removal deep drug delivery device
|
$67.50 |
$67.50 |
$67.50 |
$530.40
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$192.50 |
$192.50 |
$192.50 |
$249.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,109.50 |
$1,109.50 |
$1,109.50 |
$783.75
|
|
Removal foreign body extrn auditory canal with anes
|
$97.00 |
$97.00 |
$97.00 |
$2,446.00
|
|
Removal foreign body foot subcutaneous right
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,256.00
|
|
Removal implant from finger/hand 26320
|
$369.00 |
$369.00 |
$369.00 |
$1,999.20
|
|
Removal implant superficial separate procedure
|
$150.00 |
$150.00 |
$150.00 |
$2,986.62
|
|
Removal neck/armpit lesion
|
$557.00 |
$557.00 |
$557.00 |
$4,531.42
|
|
Removal neck/armpit lesion 38555
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$5,741.00
|
|
Removal of anal fissure
|
$2,697.00 |
$2,697.00 |
$2,697.00 |
$3,038.07
|
|
Removal of anal tags
|
$184.00 |
$184.00 |
$184.00 |
$3,481.77
|
|
Removal of bladder lesion
|
$804.00 |
$804.00 |
$804.00 |
$1,006.14
|
|
Removal of bone for graft
|
$189.50 |
$189.50 |
$189.50 |
$6,081.90
|
|
Removal of bone for graft
|
$288.50 |
$288.50 |
$288.50 |
$4,382.29
|
|
Removal of bone lesion
|
$589.00 |
$589.00 |
$589.00 |
$3,839.54
|
|
Removal of breast lesion
|
$3,186.50 |
$3,186.50 |
$3,186.50 |
$4,631.50
|
|
Removal of calcium deposits
|
$375.00 |
$375.00 |
$375.00 |
$3,370.52
|
