|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$538.53 |
$538.53 |
$539.55 |
$382.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$538.53 |
$538.53 |
$539.55 |
$414.00
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$519.75 |
$519.75 |
$535.16 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$535.16 |
$535.16 |
$704.00 |
$400.20
|
|
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child
|
$2,977.60 |
$2,977.60 |
$2,977.60 |
$3,247.19
|
|
Pr subsequent hospital care e/m normal newborn per day
|
$209.60 |
$209.60 |
$209.60 |
$71.20
|
|
Prtl exc bone olecrn process
|
$4,618.40 |
$4,618.40 |
$4,618.40 |
$3,208.80
|
|
Prtl exc bone radial h/n
|
$4,505.60 |
$4,505.60 |
$4,505.60 |
$7,907.11
|
|
Prtl excision bone clavicle
|
$7,861.60 |
$7,861.60 |
$7,861.60 |
$7,807.24
|
|
Prtl excision bone scapula
|
$7,000.00 |
$7,000.00 |
$7,000.00 |
$7,285.60
|
|
Pr tube thoracostomy w/connection to drainage open
|
$2,258.85 |
$2,258.85 |
$4,391.72 |
$1,761.00
|
|
Pr visit complexity e&m service serious/complex condition
|
$62.40 |
$62.40 |
$62.40 |
$26.65
|
|
PSA (Prostate) Test
|
$174.90 |
$174.90 |
$206.07 |
$107.50
|
|
Psych/neuropsych test admin automated result 96146
|
$109.34 |
$109.34 |
$109.34 |
$51.15
|
|
Psychoanalysis
|
$271.20 |
$271.20 |
$271.20 |
$250.85
|
|
Psychoeducation 45 min +
|
$297.76 |
$297.76 |
$297.76 |
$201.45
|
|
Psychotherapy group therapy
|
$1,344.88 |
$1,344.88 |
$1,344.88 |
$223.60
|
|
Psychotherapy patient individual therapy 30 minutes
|
$245.60 |
$245.60 |
$245.60 |
$190.13
|
|
Psychotherapy patient individual therapy 45 minutes
|
$340.00 |
$340.00 |
$340.00 |
$250.95
|
|
Psychotherapy patient individual therapy 60 minutes
|
$493.60 |
$493.60 |
$493.60 |
$287.95
|
|
Psychthrp grp 45-50min mcr
|
$317.18 |
$317.18 |
$317.18 |
$243.88
|
|
Psycl/nrpsyc tech 1st
|
$161.60 |
$161.60 |
$161.60 |
$330.00
|
|
Psy/npsy phys/qhp 2> tst 1st 30 min
|
$203.20 |
$203.20 |
$203.20 |
$213.00
|
|
Psy/npsy phys/qhp 2> tst ea l 30 min
|
$489.08 |
$489.08 |
$489.08 |
$156.00
|
|
Psytx complex interactive
|
$456.32 |
$456.32 |
$456.32 |
$47.60
|
|
Psytx pt w/e&m 16-37 min
|
$253.45 |
$253.45 |
$253.45 |
$124.00
|
|
Psytx pt w/e&m 38-52 min
|
$319.42 |
$319.42 |
$319.42 |
$161.86
|
|
Psytx pt w/e&m 53+ min
|
$466.40 |
$466.40 |
$466.40 |
$235.20
|
|
Pt application of modality >=1 area iontophoresis each 15 minutes
|
$111.65 |
$111.65 |
$151.22 |
$103.35
|
|
Pt application of modality >=1 area ultrasound each 15 minutes
|
$69.87 |
$69.87 |
$112.75 |
$81.48
|
|
Pt application of modality traction mechanical
|
$176.43 |
$176.43 |
$176.43 |
$91.80
|
|
Pten gene dup/delet variant
|
$729.85 |
$729.85 |
$900.08 |
$330.00
|
|
Pten gene full sequence
|
$729.85 |
$729.85 |
$1,800.15 |
$826.00
|
|
Pterygomaxillary fossa surg any appr 31040
|
$8,854.40 |
$8,854.40 |
$8,854.40 |
$6,966.64
|
|
Pt-focused hlth risk assmt
|
$10.40 |
$10.40 |
$10.40 |
$57.85
|
|
Pt repositioning canalith procedure(s) per day
|
$97.60 |
$97.60 |
$108.90 |
$119.34
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$69.00 |
$69.00 |
$69.00 |
$83.00
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$111.65 |
$111.65 |
$137.46 |
$80.30
|
|
Pt wheelchair management each 15 minutes
|
$59.95 |
$59.95 |
$173.59 |
$88.40
|
|
Pulmonary decortication partial 32225
|
$7,448.00 |
$7,448.00 |
$7,448.00 |
$1,741.80
|
|
Pulmonary vent imaging
|
$1,171.50 |
$1,171.50 |
$1,224.44 |
$955.80
|
|
Pulse ox continuous overnight monitoring
|
$315.70 |
$315.70 |
$1,135.99 |
$350.40
|
|
Pulse ox multiple
|
$92.95 |
$92.95 |
$481.32 |
$157.30
|
|
Pulse ox single
|
$55.00 |
$55.00 |
$181.60 |
$84.80
|
|
Punc of shunt for asp or inj
|
$4,987.31 |
$4,987.31 |
$4,987.31 |
$987.81
|
|
Puncture arterial withdrawal blood for diagnosis
|
$173.25 |
$173.25 |
$179.20 |
$129.36
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$570.90 |
$570.90 |
$1,374.15 |
$520.80
|
|
Puncture/clear windpipe 31612
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$3,986.00
|
|
Puncture spinal lumbar diagnostic
|
$1,206.15 |
$1,206.15 |
$2,034.14 |
$1,087.80
|
|
Puraply 1 sq cm
|
$232.80 |
$232.80 |
$232.80 |
$301.80
|
|
Pvb thoracic single inj site
|
$4,255.11 |
$4,255.11 |
$4,255.11 |
$1,320.80
|
|
Pyridoxine hcl 100 mg
|
$87.40 |
$87.40 |
$87.40 |
$49.08
|
|
Pyruvate
|
$143.55 |
$143.55 |
$621.08 |
$66.00
|
|
Pyruvate kinase
|
$48.40 |
$48.40 |
$68.00 |
$78.00
|
|
Quant diff pulm perf and vent w/imaging
|
$2,002.55 |
$2,002.55 |
$2,002.55 |
$1,547.04
|
|
Quant diff pulm perf w/imaging
|
$1,256.75 |
$1,256.75 |
$1,285.66 |
$1,200.00
|
|
Quest t3 uptake
|
$7.70 |
$7.70 |
$84.00 |
$52.25
|
|
Rabies ig heat-treated human im/subq 90376
|
$534.40 |
$534.40 |
$534.40 |
$1,291.55
|
|
Rabies ig ht&sol human im/sc
|
$614.00 |
$614.00 |
$614.00 |
$2,658.73
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$380.00 |
$380.00 |
$380.00 |
$3,848.39
|
|
Racepinephrine hcl soln nebu 2.25% (base equivalent)
|
$13.60 |
$13.60 |
$13.60 |
$6.48
|
|
Radiation physics consult
|
$283.25 |
$283.25 |
$283.25 |
$610.68
|
|
Radiation therapy dose plan
|
$129.80 |
$129.80 |
$129.80 |
$521.30
|
|
Radiation treatment aid(s)
|
$701.66 |
$701.66 |
$701.66 |
$655.52
|
|
Radiation treatment aid(s)
|
$295.35 |
$295.35 |
$1,769.75 |
$1,103.85
|
|
Radiation treatment delivery
|
$289.30 |
$289.30 |
$289.30 |
$552.40
|
|
Radiation treatment delivery
|
$422.40 |
$422.40 |
$422.40 |
$935.55
|
|
Radical rescj tumor clavicle
|
$14,759.20 |
$14,759.20 |
$14,759.20 |
$9,290.00
|
|
Radical rescj tumor prox hum
|
$19,551.20 |
$19,551.20 |
$19,551.20 |
$3,724.00
|
|
Radical rescj tumor scapula
|
$19,166.40 |
$19,166.40 |
$19,166.40 |
$9,977.57
|
|
Radical resection of elbow
|
$8,309.60 |
$8,309.60 |
$8,309.60 |
$5,788.80
|
|
Radical resection sternum 21630
|
$5,604.00 |
$5,604.00 |
$5,604.00 |
$2,982.40
|
|
Radic resect abd tumor<5cm 22904
|
$4,934.40 |
$4,934.40 |
$4,934.40 |
$3,386.84
|
|
Radiology port images(s)
|
$73.70 |
$73.70 |
$73.70 |
$258.72
|
|
Radiotherapy dose plan imrt
|
$7,544.90 |
$7,544.90 |
$7,544.90 |
$5,786.00
|
|
Radium ra223 dichl ther/uci
|
$254.10 |
$254.10 |
$254.10 |
$217.50
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,115.95 |
$1,115.95 |
$2,739.44 |
$2,051.70
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,492.15 |
$1,492.15 |
$4,031.86 |
$2,733.00
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$1,562.00 |
$1,562.00 |
$4,701.69 |
$2,566.53
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,274.90 |
$1,274.90 |
$4,723.64 |
$2,285.70
|
|
Radphm lcl tumor plr sgl day
|
$955.90 |
$955.90 |
$1,462.61 |
$1,127.50
|
|
Rad rescj tum dstl/shft hum
|
$9,808.00 |
$9,808.00 |
$9,808.00 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$14,376.80 |
$14,376.80 |
$14,376.80 |
$4,881.00
|
|
Rad rescj tum tiss a/e <5cm
|
$7,040.80 |
$7,040.80 |
$7,040.80 |
$4,087.20
|
|
Rad resect abd tumor 5 cm/>
|
$6,228.00 |
$6,228.00 |
$6,228.00 |
$3,495.54
|
|
Rad resection tum radial h/n
|
$8,366.40 |
$8,366.40 |
$8,366.40 |
$8,453.60
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$3,370.52
|
|
Rapid desensitization
|
$273.60 |
$273.60 |
$273.60 |
$472.21
|
|
Rapid Strep Test
|
$85.80 |
$85.80 |
$159.76 |
$76.00
|
|
Rasburicase 1.5 mg intravenous solution
|
$567.76 |
$567.76 |
$567.76 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$348.60 |
$348.60 |
$348.60 |
$41,926.70
|
|
Rb82 rubidium
|
$342.65 |
$342.65 |
$342.65 |
$866.88
|
|
Rbc deglycerolized each unit
|
$444.31 |
$444.31 |
$444.31 |
$856.71
|
|
Rbc osmotic fragility
|
$21.13 |
$21.13 |
$91.30 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$138.05 |
$138.05 |
$138.05 |
$231.12
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$11,556.80 |
$11,556.80 |
$11,556.80 |
$6,547.81
|
|
Rcnstj forehead w/autograft
|
$9,097.60 |
$9,097.60 |
$9,097.60 |
$6,048.05
|
|
Rcnstj forehead with grafts
|
$7,736.80 |
$7,736.80 |
$7,736.80 |
$6,048.05
|
|
Rcnstj mdfc lefort i 1 w/grf
|
$7,184.00 |
$7,184.00 |
$7,184.00 |
$6,048.05
|
|
Rcnstj mdfc lefort i 2 w/grf
|
$8,288.00 |
$8,288.00 |
$8,288.00 |
$6,048.05
|