|
Pt application of modality >=1 area electrical stimulation each 15 minutes
|
$62.70 |
$62.70 |
$67.50 |
$87.45
|
|
Pt application of modality >=1 area hot/cold packs
|
$27.50 |
$27.50 |
$27.50 |
$35.00
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$77.22 |
$77.22 |
$120.00 |
$102.05
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$62.70 |
$62.70 |
$77.50 |
$81.00
|
|
Pt application of modality traction mechanical
|
$69.96 |
$69.96 |
$92.50 |
$91.00
|
|
Pten gene full sequence
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$826.00
|
|
Pt evaluation high complexity patient/family
|
$155.10 |
$155.10 |
$310.00 |
$292.80
|
|
Pt evaluation low complexity patient/family
|
$155.10 |
$155.10 |
$177.50 |
$222.95
|
|
Pt evaluation moderate complexity patient/family
|
$155.10 |
$155.10 |
$240.00 |
$254.88
|
|
Pt prgrm for implt neurostim
|
$1,448.37 |
$1,448.37 |
$1,448.37 |
$2,922.62
|
|
Pt re-evaluation patient/family
|
$89.10 |
$89.10 |
$125.00 |
$152.80
|
|
Pt repositioning canalith procedure(s) per day
|
$105.00 |
$130.02 |
$130.02 |
$118.00
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$108.90 |
$108.90 |
$108.90 |
$81.48
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$80.52 |
$80.52 |
$87.50 |
$87.50
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$10.50 |
$69.96 |
$69.96 |
$79.30
|
|
Pt wheelchair management each 15 minutes
|
$56.10 |
$56.10 |
$87.50 |
$87.50
|
|
Pulmonary vent imaging
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$908.00
|
|
Pulse ox continuous overnight monitoring
|
$222.50 |
$222.50 |
$263.34 |
$344.00
|
|
Pump on-q 100mlx2ml/hr 2 day delivery
|
$623.70 |
$623.70 |
$623.70 |
$969.00
|
|
Punc of shunt for asp or inj
|
$725.00 |
$801.24 |
$801.24 |
$957.50
|
|
Puncture arterial withdrawal blood for diagnosis
|
$80.00 |
$129.36 |
$129.36 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$305.00 |
$487.74 |
$487.74 |
$520.80
|
|
Puncture spinal lumbar diagnostic
|
$580.00 |
$1,019.04 |
$1,019.04 |
$1,051.80
|
|
Pvb thoracic 2nd+ inj site
|
$197.34 |
$197.34 |
$197.34 |
$809.20
|
|
Pvb thoracic cont infusion
|
$1,430.22 |
$1,430.22 |
$1,430.22 |
$1,544.80
|
|
Pvb thoracic single inj site
|
$1,321.98 |
$1,321.98 |
$1,321.98 |
$1,320.80
|
|
Pyruvate
|
$80.00 |
$89.76 |
$89.76 |
$66.00
|
|
Pyruvate kinase
|
$67.50 |
$182.16 |
$182.16 |
$80.64
|
|
Quant diff pulm perf and vent w/imaging
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$1,542.40
|
|
Quant diff pulm perf w/imaging
|
$841.50 |
$841.50 |
$870.00 |
$1,199.16
|
|
Quest t3 uptake
|
$54.12 |
$54.12 |
$60.00 |
$52.25
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$660.23 |
$660.23 |
$660.23 |
$4,262.90
|
|
Radiation handling
|
$339.90 |
$339.90 |
$339.90 |
$324.80
|
|
Radiation physics consult
|
$580.00 |
$646.80 |
$646.80 |
$606.50
|
|
Radiation therapy dose plan
|
$525.00 |
$599.94 |
$599.94 |
$514.05
|
|
Radiation treatment aid(s)
|
$550.00 |
$581.46 |
$581.46 |
$520.00
|
|
Radiation treatment aid(s)
|
$754.38 |
$754.38 |
$1,040.00 |
$644.16
|
|
Radiation treatment aid(s)
|
$1,512.72 |
$1,512.72 |
$1,550.00 |
$1,076.78
|
|
Radiation treatment delivery
|
$693.66 |
$693.66 |
$715.00 |
$552.40
|
|
Radiation treatment delivery
|
$1,097.58 |
$1,097.58 |
$1,100.00 |
$920.00
|
|
Radiology port images(s)
|
$300.00 |
$399.96 |
$399.96 |
$251.50
|
|
Radiotherapy dose plan imrt
|
$4,513.08 |
$4,513.08 |
$12,155.00 |
$5,744.60
|
|
Radium ra223 dichl ther/uci
|
$205.00 |
$205.00 |
$205.00 |
$215.00
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,315.00 |
$1,508.10 |
$1,508.10 |
$2,048.87
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,584.00 |
$1,584.00 |
$1,760.00 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,791.90 |
$1,791.90 |
$1,905.00 |
$2,495.00
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,505.00 |
$1,682.34 |
$1,682.34 |
$2,177.00
|
|
Radphm lcl tumor plr sgl day
|
$875.00 |
$875.00 |
$877.80 |
$1,120.50
|
|
Radphm quant measure sgl area add-on
|
$237.50 |
$237.50 |
$237.50 |
$711.20
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$162.87 |
$162.87 |
$229.22 |
$13,136.04
|
|
Rapid desensitization
|
$460.68 |
$460.68 |
$460.68 |
$472.21
|
|
Rapid Strep Test
|
$42.50 |
$79.86 |
$79.86 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$920.58 |
$920.58 |
$920.58 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$422.49 |
$422.49 |
$481.25 |
$41,926.70
|
|
Rbc count only automated
|
$14.52 |
$14.52 |
$14.52 |
$20.40
|
|
Rbc irradiated each unit
|
$575.00 |
$575.00 |
$575.00 |
$560.00
|
|
Rbc osmotic fragility
|
$140.00 |
$140.00 |
$140.00 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$370.00 |
$370.00 |
$370.00 |
$235.00
|
|
Recon, cta for surg plan
|
$153.78 |
$153.78 |
$153.78 |
$713.50
|
|
Reconstruction of nose
|
$12,497.10 |
$12,497.10 |
$12,497.10 |
$6,839.00
|
|
Red blood cells each unit
|
$343.86 |
$343.86 |
$460.00 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$685.00 |
$685.00 |
$685.00 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$530.00 |
$619.74 |
$619.74 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$307.50 |
$727.32 |
$727.32 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$350.00 |
$727.32 |
$727.32 |
$528.45
|
|
Red blood cells washed each unit
|
$460.00 |
$460.00 |
$460.00 |
$572.46
|
|
Redo endovas vena cava filtr
|
$4,210.00 |
$4,210.00 |
$4,311.12 |
$4,435.43
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$36.53 |
$36.53 |
$85.78 |
$364.47
|
|
Relocation skin pocket aicd
|
$2,112.66 |
$2,112.66 |
$2,112.66 |
$2,761.55
|
|
Relocation skin pocket pm
|
$2,395.14 |
$2,395.14 |
$2,395.14 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$157.50 |
$434.28 |
$434.28 |
$320.79
|
|
Remdesivir 100 mg intravenous powder for solution
|
$11.63 |
$12.63 |
$12.63 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$4,117.08 |
$4,117.08 |
$4,210.00 |
$5,509.05
|
|
Rem interrog evl pm/ids
|
$140.00 |
$140.00 |
$140.00 |
$139.10
|
|
Remote 30 day ecg tech supp
|
$1,081.08 |
$1,081.08 |
$1,081.08 |
$683.25
|
|
Removal biliary drg cath
|
$1,387.32 |
$1,387.32 |
$1,825.00 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$665.00 |
$1,052.04 |
$1,052.04 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$1,085.00 |
$2,198.46 |
$2,198.46 |
$2,356.71
|
|
Removal cerclage without anes
|
$252.50 |
$252.50 |
$252.50 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$50.00 |
$99.66 |
$99.66 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$157.50 |
$229.68 |
$229.68 |
$249.60
|
|
Removal duct glbldr calculi
|
$3,280.00 |
$3,295.38 |
$3,295.38 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,440.78 |
$1,440.78 |
$1,440.78 |
$783.75
|
|
Removal foreign body foot subcutaneous right
|
$830.28 |
$830.28 |
$830.28 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$3,065.04 |
$3,065.04 |
$3,065.04 |
$2,986.62
|
|
Removal of scrotum lesion
|
$4,394.28 |
$4,394.28 |
$4,394.28 |
$2,507.31
|
|
Removal/replacement ppm generator dual lead system
|
$5,210.70 |
$5,210.70 |
$5,210.70 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$246.18 |
$246.18 |
$246.18 |
$292.50
|
|
Removal tunnled intprtnl cath
|
$2,390.00 |
$4,350.06 |
$4,350.06 |
$4,195.00
|
|
Removal w/reinsrt nonbiogrdble
|
$455.00 |
$455.00 |
$455.00 |
$530.40
|
|
Remove cva lumen obstruct
|
$621.72 |
$621.72 |
$621.72 |
$490.80
|
|
Remove foreign body from eye
|
$2,634.06 |
$2,634.06 |
$2,634.06 |
$3,364.50
|
|
Remove foreign body from eye
|
$2,634.06 |
$2,634.06 |
$2,634.06 |
$2,895.20
|
|
Remove foreign body from eye
|
$5,758.50 |
$5,758.50 |
$5,758.50 |
$4,190.11
|
|
Remove intact mammary implant
|
$4,422.66 |
$4,422.66 |
$4,422.66 |
$4,662.00
|
|
Remove renal tube w/fluoro
|
$925.32 |
$925.32 |
$1,220.00 |
$1,141.31
|
|
Remove spine eltrd perq aray
|
$4,715.70 |
$4,715.70 |
$4,715.70 |
$3,325.40
|
|
Remove stent via transureth
|
$760.00 |
$2,366.10 |
$2,366.10 |
$3,332.80
|
|
Remove ureter stent percut
|
$2,275.00 |
$2,570.04 |
$2,570.04 |
$3,612.60
|
|
Renal cyst study s&i
|
$633.60 |
$633.60 |
$760.00 |
$751.34
|
