|
Pten gene known fam variant
|
$124.30 |
$124.30 |
$124.30 |
$127.86
|
|
Pt evaluation high complexity patient/family
|
$155.10 |
$155.10 |
$155.10 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$112.75 |
$112.75 |
$112.75 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$134.20 |
$134.20 |
$134.20 |
$263.90
|
|
Pt re-evaluation patient/family
|
$91.30 |
$91.30 |
$91.30 |
$157.30
|
|
Pt repositioning canalith procedure(s) per day
|
$119.35 |
$119.35 |
$119.35 |
$123.92
|
|
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan
|
$68.20 |
$68.20 |
$68.20 |
$65.97
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$54.45 |
$54.45 |
$54.45 |
$85.68
|
|
Pt therapeutic procedure >=1 area massage each 15 minutes
|
$54.45 |
$54.45 |
$54.45 |
$80.85
|
|
Pt wheelchair management each 15 minutes
|
$48.95 |
$48.95 |
$48.95 |
$85.00
|
|
Pulmonary vent imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$845.28
|
|
Pulse ox continuous overnight monitoring
|
$273.35 |
$273.35 |
$273.35 |
$368.00
|
|
Pulse ox multiple
|
$65.45 |
$65.45 |
$65.45 |
$194.33
|
|
Punc of shunt for asp or inj
|
$1,323.30 |
$1,323.30 |
$1,323.30 |
$994.24
|
|
Puncture arterial withdrawal blood for diagnosis
|
$82.50 |
$82.50 |
$82.50 |
$127.50
|
|
Puncture aspiration abscess/hematoma/bulla/cyst
|
$634.15 |
$634.15 |
$634.15 |
$525.50
|
|
Puncture spinal lumbar diagnostic
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,134.64
|
|
Pvb thoracic 2nd+ inj site
|
$597.85 |
$597.85 |
$597.85 |
$1,013.20
|
|
Pvb thoracic cont infusion
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$2,047.68
|
|
Pvb thoracic single inj site
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$1,189.08
|
|
Pyruvate
|
$95.15 |
$95.15 |
$95.15 |
$65.00
|
|
Quant diff pulm perf and vent w/imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,524.16
|
|
Quant diff pulm perf w/imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,209.44
|
|
Quest t3 uptake
|
$56.10 |
$56.10 |
$56.10 |
$56.10
|
|
Radiation physics consult
|
$554.40 |
$554.40 |
$554.40 |
$574.75
|
|
Radiation therapy dose plan
|
$380.60 |
$380.60 |
$380.60 |
$530.53
|
|
Radiation treatment aid(s)
|
$336.05 |
$336.05 |
$336.05 |
$541.45
|
|
Radiation treatment aid(s)
|
$430.65 |
$430.65 |
$430.65 |
$665.00
|
|
Radiation treatment aid(s)
|
$972.95 |
$972.95 |
$972.95 |
$1,103.09
|
|
Radiation treatment delivery
|
$421.30 |
$421.30 |
$421.30 |
$552.40
|
|
Radiation treatment delivery
|
$676.50 |
$676.50 |
$676.50 |
$909.98
|
|
Radiology port images(s)
|
$172.15 |
$172.15 |
$172.15 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$5,955.40 |
$5,955.40 |
$5,955.40 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$156.75 |
$156.75 |
$156.75 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$2,524.50 |
$2,524.50 |
$2,524.50 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$2,660.90 |
$2,660.90 |
$2,660.90 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$2,015.20 |
$2,015.20 |
$2,015.20 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$697.95 |
$697.95 |
$697.95 |
$1,139.40
|
|
Rapid Strep Test
|
$123.75 |
$123.75 |
$123.75 |
$74.10
|
|
Rbc count only automated
|
$25.30 |
$25.30 |
$25.30 |
$20.00
|
|
Rbc deglycerolized each unit
|
$435.05 |
$435.05 |
$435.05 |
$724.23
|
|
Rbc serum pretx incubj drugs
|
$286.55 |
$286.55 |
$286.55 |
$223.08
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$3,857.15 |
$3,857.15 |
$3,857.15 |
$9,706.55
|
|
Red blood cells leukocytes reduced each unit
|
$540.65 |
$540.65 |
$540.65 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$370.70 |
$370.70 |
$370.70 |
$489.60
|
|
Red blood cells washed each unit
|
$536.25 |
$536.25 |
$536.25 |
$494.40
|
|
Refill maint impl spine pump
|
$509.30 |
$509.30 |
$509.30 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$308.55 |
$308.55 |
$308.55 |
$369.63
|
|
Relocation skin pocket aicd
|
$1,938.20 |
$1,938.20 |
$1,938.20 |
$3,153.93
|
|
Relocation skin pocket pm
|
$1,938.20 |
$1,938.20 |
$1,938.20 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$520.30 |
$520.30 |
$520.30 |
$370.80
|
|
Rem endovas vena cava filter
|
$2,902.35 |
$2,902.35 |
$2,902.35 |
$5,819.40
|
|
Rem interrog dev eval scrms
|
$168.30 |
$168.30 |
$168.30 |
$139.10
|
|
Rem interrog evl pm/ids
|
$160.05 |
$160.05 |
$160.05 |
$139.10
|
|
Removal biliary drg cath
|
$1,322.75 |
$1,322.75 |
$1,322.75 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$1,000.45 |
$1,000.45 |
$1,000.45 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$2,441.45 |
$2,441.45 |
$2,441.45 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$210.10 |
$210.10 |
$210.10 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$170.50 |
$170.50 |
$170.50 |
$245.60
|
|
Removal duct glbldr calculi
|
$3,658.60 |
$3,658.60 |
$3,658.60 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$1,793.55 |
$1,793.55 |
$1,793.55 |
$899.85
|
|
Removal foreign body foot subcutaneous right
|
$1,354.10 |
$1,354.10 |
$1,354.10 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$3,535.95 |
$3,535.95 |
$3,535.95 |
$2,945.80
|
|
Removal of foreign body
|
$5,290.45 |
$5,290.45 |
$5,290.45 |
$4,149.00
|
|
Removal/replacement ppm generator dual lead system
|
$5,940.00 |
$5,940.00 |
$5,940.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$889.35 |
$889.35 |
$889.35 |
$303.80
|
|
Removal sutr or stapl no anes
|
$30.25 |
$30.25 |
$30.25 |
$85.18
|
|
Removal tunnled intprtnl cath
|
$6,462.50 |
$6,462.50 |
$6,462.50 |
$4,293.90
|
|
Removal w/reinsrt nonbiogrdble
|
$377.52 |
$377.52 |
$377.52 |
$538.40
|
|
Remove bladder stone
|
$1,219.68 |
$1,219.68 |
$1,219.68 |
$4,081.37
|
|
Remove bladder stone
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$4,350.00
|
|
Remove cva lumen obstruct
|
$191.40 |
$191.40 |
$191.40 |
$494.00
|
|
Remove renal tube w/fluoro
|
$886.05 |
$886.05 |
$886.05 |
$1,281.75
|
|
Renal function panel
|
$57.75 |
$57.75 |
$57.75 |
$110.10
|
|
Renal venogram bil s&i
|
$4,480.30 |
$4,480.30 |
$4,480.30 |
$3,615.28
|
|
Repair achilles tendon
|
$13,429.90 |
$13,429.90 |
$13,429.90 |
$7,233.80
|
|
Repair blood vessel dir lower extr
|
$557.70 |
$557.70 |
$557.70 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$3,278.55 |
$3,278.55 |
$3,278.55 |
$4,255.67
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$1,193.40
|
|
Repair elbow perc
|
$3,581.60 |
$3,581.60 |
$3,581.60 |
$4,499.12
|
|
Repair extns tendon finger without grft ea
|
$3,152.05 |
$3,152.05 |
$3,152.05 |
$2,702.15
|
|
Repair eyelid wound
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
$3,254.34
|
|
Repair finger/hand tendon
|
$4,204.20 |
$4,204.20 |
$4,204.20 |
$4,108.00
|
|
Repair lip full thkns =<one-half vert height
|
$1,024.10 |
$1,024.10 |
$1,024.10 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,011.25 |
$3,011.25 |
$3,011.25 |
$1,928.07
|
|
Repair of foot tendon
|
$6,034.60 |
$6,034.60 |
$6,034.60 |
$3,839.54
|
|
Repair pm/icd lead sgl
|
$2,871.00 |
$2,871.00 |
$2,871.00 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$391.60 |
$391.60 |
$391.60 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$1,143.45 |
$1,143.45 |
$1,143.45 |
$1,268.80
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$6,245.80 |
$6,245.80 |
$6,245.80 |
$4,627.00
|
|
Replace aortic valve open axillry 33363
|
$25,272.50 |
$25,272.50 |
$25,272.50 |
$18,333.90
|
|
Replace duod/jej tube perc
|
$432.85 |
$432.85 |
$432.85 |
$1,383.00
|
|
Replace g/c tube perc
|
$1,700.60 |
$1,700.60 |
$1,700.60 |
$1,413.60
|
|
Replace g-j tube perc
|
$651.75 |
$651.75 |
$651.75 |
$1,600.45
|
|
Replace tunneled cv cath
|
$2,929.30 |
$2,929.30 |
$2,929.30 |
$4,001.25
|
|
Reposition pm/icd lead
|
$2,312.75 |
$2,312.75 |
$2,312.75 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$5,402.10 |
$5,402.10 |
$5,402.10 |
$1,905.00
|
|
Repos lv lead pm/icd
|
$2,815.45 |
$2,815.45 |
$2,815.45 |
$3,770.00
|
|
Reptilase test
|
$42.35 |
$42.35 |
$42.35 |
$65.65
|
