|
Pten gene dup/delet variant
|
$126.00 |
$126.00 |
$126.00 |
|
|
Pten gene full sequence
|
$126.00 |
$126.00 |
$126.00 |
|
|
Pten gene known fam variant
|
$82.00 |
$82.00 |
$82.00 |
|
|
Pt evaluation high complexity patient/family
|
$90.00 |
$211.20 |
$506.50 |
|
|
Pt evaluation low complexity patient/family
|
$90.00 |
$194.00 |
$282.00 |
|
|
Pt evaluation moderate complexity patient/family
|
$90.00 |
$216.50 |
$351.00 |
|
|
Pt-focused hlth risk assmt
|
$3.00 |
$34.00 |
$36.00 |
|
|
Pt init/spiromet rec/review/interp 94016
|
$190.50 |
$260.50 |
$311.50 |
|
|
Pt re-evaluation patient/family
|
$60.00 |
$124.00 |
$324.00 |
|
|
Pt repositioning canalith procedure(s) per day
|
$33.50 |
$92.50 |
$329.50 |
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$13.50 |
$64.50 |
$98.00 |
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$35.50 |
$98.00 |
$366.00 |
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$30.50 |
$60.50 |
$109.00 |
|
|
Pt wheelchair management each 15 minutes
|
$33.00 |
$82.00 |
$180.00 |
|
|
Pul art balloon repr percut
|
$8,850.00 |
$8,850.00 |
$8,850.00 |
|
|
Pul art balloon repr percut
|
$1,668.50 |
$1,668.50 |
$1,668.50 |
|
|
Pulmonary vent imaging
|
$711.50 |
$1,164.00 |
$1,478.00 |
|
|
Pulse ox continuous overnight monitoring
|
$149.00 |
$277.20 |
$615.00 |
|
|
Pulse ox multiple
|
$36.50 |
$102.50 |
$200.40 |
|
|
Pulse ox single
|
$0.50 |
$49.00 |
$174.50 |
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$485.50 |
$485.50 |
$485.50 |
|
|
Punc of shunt for asp or inj
|
$59.00 |
$676.50 |
$6,292.50 |
|
|
Puncture arterial withdrawal blood for diagnosis
|
$69.50 |
$133.80 |
$547.20 |
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$103.00 |
$599.50 |
$3,571.67 |
|
|
Puncture/clear windpipe 31612
|
$4,360.50 |
$4,360.50 |
$4,360.50 |
|
|
Puncture spinal lumbar diagnostic
|
$72.50 |
$1,089.60 |
$3,535.50 |
|
|
Puraply 1 sq cm
|
$119.50 |
$143.50 |
$1,280.00 |
|
|
Puraply xt 1 sq cm
|
$119.50 |
$143.50 |
$6,783.00 |
|
|
Pvb thoracic 2nd+ inj site
|
$51.50 |
$389.50 |
$1,755.00 |
|
|
Pvb thoracic cont infusion
|
$85.50 |
$89.00 |
$1,424.00 |
|
|
Pvb thoracic single inj site
|
$83.50 |
$779.00 |
$2,651.00 |
|
|
Pyridoxine hcl 100 mg
|
$3.51 |
$17.55 |
$105.30 |
|
|
Pyruvate
|
$10.50 |
$10.50 |
$64.00 |
|
|
Pyruvate kinase
|
$238.00 |
$242.50 |
$272.50 |
|
|
Quant diff pulm perf and vent w/imaging
|
$624.00 |
$1,130.00 |
$1,639.00 |
|
|
Quant diff pulm perf w/imaging
|
$607.00 |
$871.00 |
$1,164.00 |
|
|
Quest t3 uptake
|
$4.00 |
$37.00 |
$139.50 |
|
|
Rabies ig ht&sol human im/sc
|
$4,450.50 |
$13,679.40 |
$13,679.40 |
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,083.50 |
$9,888.55 |
$14,813.43 |
|
|
Radiation handling
|
$159.50 |
$325.00 |
$398.50 |
|
|
Radiation physics consult
|
$175.50 |
$355.50 |
$709.00 |
|
|
Radiation therapy dose plan
|
$59.00 |
$1,270.00 |
$13,204.00 |
|
|
Radiation therapy management
|
$130.50 |
$183.00 |
$241.00 |
|
|
Radiation treatment aid(s)
|
$87.50 |
$333.50 |
$1,900.00 |
|
|
Radiation treatment aid(s)
|
$331.50 |
$524.50 |
$953.50 |
|
|
Radiation treatment aid(s)
|
$323.00 |
$1,320.00 |
$5,721.00 |
|
|
Radiation treatment delivery
|
$368.00 |
$989.00 |
$1,347.00 |
|
|
Radiation treatment delivery
|
$635.00 |
$829.50 |
$1,747.00 |
|
|
Radiation tx management x5
|
$282.50 |
$355.50 |
$430.00 |
|
|
Radical resection of elbow
|
$11,942.50 |
$11,942.50 |
$30,013.00 |
|
|
Radiology port images(s)
|
$24.50 |
$144.50 |
$300.00 |
|
|
Radiotherapy dose plan imrt
|
$477.50 |
$2,722.50 |
$4,650.50 |
|
|
Radium ra223 dichl ther/uci
|
$158.50 |
$190.00 |
$23,421.00 |
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,663.20 |
$2,681.50 |
$3,360.50 |
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,681.50 |
$2,986.50 |
$4,399.50 |
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,659.00 |
$2,681.50 |
$3,078.50 |
|
|
Radphm lcl tomogr sgl area sgl day
|
$920.00 |
$2,868.00 |
$3,543.00 |
|
|
Radphm lcl tumor plr sgl day
|
$852.50 |
$886.00 |
$2,769.50 |
|
|
Radphm quant measure sgl area add-on
|
$154.50 |
$154.50 |
$174.00 |
|
|
Rad resect abd tumor 5 cm/>
|
$1,427.00 |
$1,441.00 |
$2,305.60 |
|
|
Rad resect hand tumor 3 cm/>
|
$6,384.50 |
$6,384.50 |
$6,384.50 |
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$14,104.50 |
$14,104.50 |
$14,104.50 |
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$9,342.42 |
$18,499.20 |
$30,015.80 |
|
|
Range of motion measurements
|
$14.50 |
$62.00 |
$64.50 |
|
|
Ranibizumab injection
|
$90.00 |
$877.50 |
$4,387.50 |
|
|
Rapid desensitization
|
$98.00 |
$104.00 |
$1,107.00 |
|
|
Rapid Strep Test
|
$19.20 |
$44.50 |
$101.00 |
|
|
Rasburicase 1.5 mg intravenous solution
|
$2,761.20 |
$4,835.33 |
$9,670.63 |
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$86,208.00 |
$96,060.02 |
$105,666.02 |
|
|
Rbc count only automated
|
$5.00 |
$6.50 |
$57.60 |
|
|
Rbc deglycerolized each unit
|
$691.00 |
$691.00 |
$691.00 |
|
|
Rbc depletion of harvest
|
$375.00 |
$375.00 |
$375.00 |
|
|
Rbc osmotic fragility
|
$170.78 |
$170.78 |
$238.25 |
|
|
Realignment of knee
|
$9,946.50 |
$9,946.50 |
$9,946.50 |
|
|
Realignment of tendons
|
$8,083.00 |
$8,083.00 |
$9,318.00 |
|
|
Realignment of thigh bone
|
$22,984.67 |
$22,984.67 |
$22,984.67 |
|
|
Rebuild eardrum structures
|
$17,318.00 |
$17,318.00 |
$17,318.00 |
|
|
Rebuild eardrum structures
|
$21,626.00 |
$21,626.00 |
$21,626.00 |
|
|
Rebuild eardrum structures
|
$25,337.00 |
$25,337.00 |
$25,337.00 |
|
|
Rebuild outer ear canal
|
$1,877.40 |
$1,877.40 |
$10,311.50 |
|
|
Rechanneling of artery
|
$1,638.00 |
$1,686.00 |
$2,697.60 |
|
|
Rechanneling of artery
|
$480.50 |
$495.50 |
$792.80 |
|
|
Rechanneling of artery
|
$1,649.50 |
$1,737.50 |
$2,780.00 |
|
|
Rechanneling of artery
|
$1,749.00 |
$1,800.00 |
$2,880.00 |
|
|
Rechanneling of artery 35305
|
$1,309.00 |
$1,336.00 |
$2,137.60 |
|
|
Rechanneling of artery 35341
|
$1,471.50 |
$1,504.50 |
$2,407.20 |
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$209.50 |
$1,402.50 |
$3,198.50 |
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$1,547.50 |
$1,548.50 |
$2,477.60 |
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$1,041.50 |
$1,071.00 |
$5,632.50 |
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$1,311.50 |
$1,348.50 |
$2,650.20 |
|
|
Reconstruct ankle joint
|
$1,008.00 |
$1,058.50 |
$24,816.50 |
|
|
Reconstruct cleft palate
|
$8,899.17 |
$8,899.17 |
$8,899.17 |
|
|
Reconstruct cleft palate
|
$3,960.75 |
$3,960.75 |
$3,960.75 |
|
|
Reconstruct cleft palate
|
$13,752.50 |
$13,752.50 |
$13,752.50 |
|
|
Reconstruct cleft palate
|
$18,319.50 |
$18,319.50 |
$18,319.50 |
|
|
Reconstruct cleft palate
|
$5,537.50 |
$5,537.50 |
$5,537.50 |
|
|
Reconstruct cleft palate
|
$17,798.34 |
$17,798.34 |
$17,798.34 |
|
|
Reconstruct elbow lat ligmnt
|
$11,753.00 |
$11,753.00 |
$11,753.00 |
|
|
Reconstruct extra finger
|
$3,981.50 |
$4,855.50 |
$13,604.00 |
|
|
Reconstruct finger joint
|
$818.00 |
$835.50 |
$7,117.00 |
|
