|
Pt application of modality traction mechanical
|
$70.95 |
$70.95 |
$70.95 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$283.25 |
$283.25 |
$283.25 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$214.50 |
$214.50 |
$214.50 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$257.40 |
$257.40 |
$257.40 |
$263.90
|
|
Pt re-evaluation patient/family
|
$145.75 |
$145.75 |
$145.75 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$226.60 |
$226.60 |
$226.60 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$78.10 |
$78.10 |
$78.10 |
$77.13
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$80.30 |
$80.30 |
$80.30 |
$85.68
|
|
Pt wheelchair management each 15 minutes
|
$70.95 |
$70.95 |
$70.95 |
$85.00
|
|
Pulmonary vent imaging
|
$1,013.65 |
$1,013.65 |
$1,013.65 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$368.50 |
$368.50 |
$368.50 |
$368.00
|
|
Pulse ox multiple
|
$94.05 |
$94.05 |
$94.05 |
$194.33
|
|
Pulse ox single
|
$31.35 |
$31.35 |
$31.35 |
$88.63
|
|
Punc of shunt for asp or inj
|
$352.55 |
$352.55 |
$352.55 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$121.00 |
$121.00 |
$121.00 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$531.30 |
$531.30 |
$531.30 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$726.00 |
$726.00 |
$726.00 |
$1,134.64
|
|
Pvb thoracic cont infusion
|
$1,442.10 |
$1,442.10 |
$1,442.10 |
$2,047.68
|
|
Pvb thoracic single inj site
|
$1,442.10 |
$1,442.10 |
$1,442.10 |
$1,189.08
|
|
Pyruvate
|
$7.70 |
$7.70 |
$7.70 |
$65.00
|
|
Quant diff pulm perf w/imaging
|
$1,139.05 |
$1,139.05 |
$1,139.05 |
$1,209.44
|
|
Quest t3 uptake
|
$47.30 |
$47.30 |
$47.30 |
$56.10
|
|
Radiation physics consult
|
$350.35 |
$350.35 |
$350.35 |
$574.75
|
|
Radiation treatment aid(s)
|
$381.15 |
$381.15 |
$381.15 |
$1,103.09
|
|
Radiation treatment delivery
|
$781.55 |
$781.55 |
$781.55 |
$909.98
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,032.35 |
$1,032.35 |
$1,032.35 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,332.10 |
$1,332.10 |
$1,332.10 |
$2,728.42
|
|
Radphm lcl tomogr sgl area sgl day
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$634.15 |
$634.15 |
$634.15 |
$1,139.40
|
|
Rapid Strep Test
|
$74.25 |
$74.25 |
$74.25 |
$74.10
|
|
Rbc serum pretx incubj drugs
|
$198.55 |
$198.55 |
$198.55 |
$223.08
|
|
Reconstruction of nail bed
|
$2,784.65 |
$2,784.65 |
$2,784.65 |
$2,164.64
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$305.25 |
$305.25 |
$305.25 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$337.70 |
$337.70 |
$337.70 |
$439.45
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$389.95 |
$389.95 |
$389.95 |
$540.00
|
|
Reduction of procidentia 45900
|
$1,013.65 |
$1,013.65 |
$1,013.65 |
$1,105.02
|
|
Rem endovas vena cava filter
|
$3,792.80 |
$3,792.80 |
$3,792.80 |
$5,819.40
|
|
Rem interrog dev eval scrms
|
$51.04 |
$51.04 |
$51.04 |
$139.10
|
|
Rem interrog evl pm/ids
|
$99.00 |
$99.00 |
$99.00 |
$139.10
|
|
Removal biliary drg cath
|
$2,013.00 |
$2,013.00 |
$2,013.00 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$454.30 |
$454.30 |
$454.30 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$979.55 |
$979.55 |
$979.55 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$147.40 |
$147.40 |
$147.40 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$292.05 |
$292.05 |
$292.05 |
$245.60
|
|
Removal duct glbldr calculi
|
$2,323.20 |
$2,323.20 |
$2,323.20 |
$2,946.00
|
|
Removal foreign body foot subcutaneous right
|
$425.15 |
$425.15 |
$425.15 |
$1,256.00
|
|
Removal/replacement ppm generator dual lead system
|
$8,330.30 |
$8,330.30 |
$8,330.30 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$59.95 |
$59.95 |
$59.95 |
$303.80
|
|
Removal tunnled intprtnl cath
|
$415.25 |
$415.25 |
$415.25 |
$4,293.90
|
|
Remove renal tube w/fluoro
|
$919.60 |
$919.60 |
$919.60 |
$1,281.75
|
|
Remove ureter stent percut
|
$2,076.25 |
$2,076.25 |
$2,076.25 |
$3,525.30
|
|
Renal cyst study s&i
|
$299.20 |
$299.20 |
$299.20 |
$648.84
|
|
Renal function panel
|
$84.15 |
$84.15 |
$84.15 |
$110.10
|
|
Renal venogram bil s&i
|
$5,167.80 |
$5,167.80 |
$5,167.80 |
$3,615.28
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$892.65 |
$892.65 |
$892.65 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$4,779.50 |
$4,779.50 |
$4,779.50 |
$432.55
|
|
Repair lip full thkns =<one-half vert height
|
$579.70 |
$579.70 |
$579.70 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,109.25 |
$2,109.25 |
$2,109.25 |
$1,928.07
|
|
Repair pm/icd lead sgl
|
$4,462.15 |
$4,462.15 |
$4,462.15 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,621.40 |
$1,621.40 |
$1,621.40 |
$867.75
|
|
Repair tendon extensor foot 1/2 each tendon
|
$217.25 |
$217.25 |
$217.25 |
$3,786.00
|
|
Replace g/c tube perc
|
$861.85 |
$861.85 |
$861.85 |
$1,413.60
|
|
Reposition pm/icd lead
|
$4,052.95 |
$4,052.95 |
$4,052.95 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$5,517.60 |
$5,517.60 |
$5,517.60 |
$1,905.00
|
|
Repos sq defib eltrd
|
$305.25 |
$305.25 |
$305.25 |
$4,776.28
|
|
Reptilase test
|
$67.65 |
$67.65 |
$67.65 |
$65.65
|
|
Resp virus 6-11 targets
|
$496.10 |
$496.10 |
$496.10 |
$363.38
|
|
Resuscitation cardiopulmonary
|
$574.75 |
$574.75 |
$574.75 |
$847.29
|
|
Reticulated platelet assay
|
$92.40 |
$92.40 |
$92.40 |
$63.08
|
|
Reticulocyte automated
|
$39.60 |
$39.60 |
$39.60 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$18.70 |
$18.70 |
$18.70 |
$33.57
|
|
Revasc intra lithotrip-ather
|
$28,639.05 |
$28,639.05 |
$28,639.05 |
$20,329.50
|
|
Revasc intra lithotrip-stent
|
$18,703.30 |
$18,703.30 |
$18,703.30 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$17,697.90 |
$17,697.90 |
$17,697.90 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$18,564.70 |
$18,564.70 |
$18,564.70 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$17,697.90 |
$17,697.90 |
$17,697.90 |
$14,318.70
|
|
Revsc opn/prq tib/pero stent
|
$5,476.90 |
$5,476.90 |
$5,476.90 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$52.25 |
$52.25 |
$52.25 |
$54.60
|
|
Rheumatoid factor quantitative
|
$55.00 |
$55.00 |
$55.00 |
$58.00
|
|
Ring fx reform 11-13x17mm
|
$200.14 |
$200.14 |
$200.14 |
$1,509.75
|
|
Rmvl icd by tv extr
|
$3,592.05 |
$3,592.05 |
$3,592.05 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$22,564.30 |
$22,564.30 |
$22,564.30 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$23,558.70 |
$23,558.70 |
$23,558.70 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$18,979.40 |
$18,979.40 |
$18,979.40 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$2,229.15 |
$2,229.15 |
$2,229.15 |
$4,114.00
|
|
Rmvl perm pm pulse gen
|
$5,414.75 |
$5,414.75 |
$5,414.75 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$1,659.90 |
$1,659.90 |
$1,659.90 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$14,434.20 |
$14,434.20 |
$14,434.20 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$7,384.85 |
$7,384.85 |
$7,384.85 |
$10,427.04
|
|
Rmvl pq iabp
|
$960.30 |
$960.30 |
$960.30 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$2,566.30 |
$2,566.30 |
$2,566.30 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$305.25 |
$305.25 |
$305.25 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$824.45 |
$824.45 |
$824.45 |
$1,991.00
|
|
Rmvl tv pm lead sgl
|
$3,468.30 |
$3,468.30 |
$3,468.30 |
$4,195.80
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$333.85 |
$333.85 |
$333.85 |
$2,331.08
|
|
Rp loclzj tum 2+area 1+d img
|
$782.10 |
$782.10 |
$782.10 |
$1,458.95
|
|
Rp loclzj tum spect w/ct 1
|
$1,841.95 |
$1,841.95 |
$1,841.95 |
$2,531.25
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,125.30 |
$1,125.30 |
$1,125.30 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$2,511.85 |
$2,511.85 |
$2,511.85 |
$4,201.80
|
|
Rubella antibody igg
|
$77.00 |
$77.00 |
$77.00 |
$73.10
|
