|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,314.47 |
$1,314.47 |
$4,034.21 |
|
|
R&l hrt cath chd abnl nt cnj
|
$1,536.86 |
$2,486.22 |
$3,261.62 |
|
|
R&l hrt cath chd nml nt cnj
|
$1,475.34 |
$2,184.00 |
$2,893.80 |
|
|
Rmv anterior spine instrumentation 22855
|
$1,716.25 |
$1,716.25 |
$1,716.25 |
|
|
Rmv implant contraceptive capsule 11976
|
$222.60 |
$657.07 |
$1,146.00 |
|
|
Rmvl ext fixj sys under anes
|
$531.28 |
$531.28 |
$531.28 |
|
|
Rmvl fb upr arm/elbow deep
|
$666.46 |
$666.46 |
$1,972.43 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$172.39 |
$172.39 |
$360.37 |
|
|
Rmvl icd by tv extr
|
$1,773.63 |
$2,292.27 |
$4,977.34 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,777.33 |
$9,904.09 |
$58,582.39 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$8,101.42 |
$10,316.82 |
$58,582.39 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,025.27 |
$9,079.60 |
$58,582.39 |
|
|
Rmvl icd pulse gen only
|
$1,256.75 |
$1,606.10 |
$5,631.04 |
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,159.45 |
$1,401.17 |
$1,466.73 |
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$3,551.22 |
$3,551.22 |
$3,551.22 |
|
|
Rmvl ndwellg tun pleural cath
|
$444.31 |
$569.77 |
$1,154.79 |
|
|
Rmvl perm pm pulse gen
|
$1,379.74 |
$1,783.20 |
$15,264.43 |
|
|
Rmvl perq right heart vad
|
$227.06 |
$497.02 |
$4,176.41 |
|
|
Rmvl phrnc nrv stim pg only
|
$1,999.04 |
$1,999.04 |
$1,999.04 |
|
|
Rmvl phrnc nrv stim transvns
|
$1,971.51 |
$1,971.51 |
$1,999.04 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,398.73 |
$6,973.12 |
$31,141.74 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,889.33 |
$6,036.64 |
$16,200.83 |
|
|
Rmvl pq iabp
|
$135.05 |
$1,083.46 |
$1,966.24 |
|
|
Rmvl pq vad left hrt vein sep session
|
$397.33 |
$497.02 |
$5,828.41 |
|
|
Rmvl sq defib electrode
|
$1,461.69 |
$1,828.41 |
$2,845.80 |
|
|
Rmvl subq card rhythm mntr
|
$726.57 |
$928.54 |
$2,557.68 |
|
|
Rmvl tiss expndr without implant insrtn
|
$854.79 |
$854.79 |
$854.79 |
|
|
Rmvl tongs/halo anthr indiv
|
$577.97 |
$577.97 |
$577.97 |
|
|
Rmvl tv pm lead dual
|
$2,069.47 |
$2,644.73 |
$5,647.37 |
|
|
Rmvl tv pm lead sgl
|
$1,655.63 |
$2,139.77 |
$5,953.07 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$378.42 |
$378.42 |
$486.79 |
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$6,104.26 |
$6,104.26 |
$6,189.51 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$3,738.59 |
$3,738.59 |
$3,790.81 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$5,637.65 |
$9,183.67 |
$11,040.22 |
|
|
Romiplostim injection
|
$51.55 |
$51.55 |
$51.55 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3.37 |
$1,430.21 |
$7,409.62 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$22.68 |
$220.38 |
$1,214.31 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$639.60 |
$965.47 |
$2,490.64 |
|
|
Rp loclzj tum 2+area 1+d img
|
$160.93 |
$294.24 |
$1,309.50 |
|
|
Rp loclzj tum spect w/ct 1
|
$341.83 |
$625.00 |
$2,125.83 |
|
|
Rp loclzj tum spect w/ct 2
|
$616.18 |
$1,197.56 |
$2,363.82 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$588.26 |
$1,041.35 |
$2,631.14 |
|
|
Rpl tun-cvad w subq port
|
$1,277.25 |
$1,632.29 |
$5,265.24 |
|
|
Rpl tun-cvad w subq pump
|
$1,937.13 |
$2,340.99 |
$8,633.17 |
|
|
Rpl tun cvc wo subq port
|
$1,090.83 |
$1,394.05 |
$4,986.63 |
|
|
Rpm tx mgmt 1st 20 min
|
$77.91 |
$77.91 |
$77.91 |
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,296.19 |
$1,296.19 |
$1,296.19 |
|
|
Rpr aa hrn 1st > 10 rdc
|
$976.38 |
$976.38 |
$1,085.55 |
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$945.77 |
$945.77 |
$1,071.45 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$726.28 |
$726.28 |
$823.62 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$433.79 |
$433.79 |
$491.95 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$603.35 |
$603.35 |
$683.39 |
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,570.78 |
$1,570.78 |
$1,570.78 |
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,121.45 |
$1,121.45 |
$1,121.45 |
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,088.48 |
$1,088.48 |
$1,233.21 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$810.59 |
$810.59 |
$917.86 |
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$724.40 |
$724.40 |
$724.40 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$534.58 |
$534.58 |
$596.57 |
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,511.46 |
$1,511.46 |
$1,511.46 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,406.09 |
$1,406.09 |
$1,406.09 |
|
|
Rpr blvs gr ot/th vn ntrth w
|
$2,139.93 |
$2,139.93 |
$2,139.93 |
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$2,349.92 |
$2,349.92 |
$2,349.92 |
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$1,995.24 |
$1,995.24 |
$1,995.24 |
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,728.86 |
$1,728.86 |
$1,728.86 |
|
|
Rpr diaphragm lac/any approach 39501
|
$1,306.67 |
$1,306.67 |
$1,509.66 |
|
|
Rpr fem hernia init blocked
|
$980.93 |
$980.93 |
$1,171.85 |
|
|
Rpr hypopl a-arch w/byp
|
$2,784.73 |
$2,784.73 |
$2,784.73 |
|
|
Rpr ing hernia baby blocked
|
$1,139.82 |
$1,139.82 |
$1,139.82 |
|
|
Rpr ing hernia init reduce
|
$593.60 |
$593.60 |
$593.60 |
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
|
|
Rpr rem hernia init reduce
|
$895.60 |
$895.60 |
$1,069.64 |
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$566.89 |
$566.89 |
$566.89 |
|
|
Rsv assay w/optic
|
$6.52 |
$8.92 |
$23.75 |
|
|
Rubella antibody igg
|
$7.34 |
$13.72 |
$161.02 |
|
|
Rubeola antibody igg
|
$7.86 |
$14.70 |
$131.34 |
|
|
Runx1 gene targeted seq alys
|
$240.33 |
$240.33 |
$435.16 |
|
|
Russell viper venom diluted
|
$3.84 |
$12.54 |
$91.42 |
|
|
Rx metab gen seq alys pnl 6
|
$184.38 |
$599.94 |
$3,189.57 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,689.36 |
$3,689.36 |
$3,689.36 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$68.78 |
$111.30 |
$618.09 |
|
|
Salivary gland function exam
|
$175.81 |
$367.36 |
$411.97 |
|
|
Salivary gland imaging
|
$227.67 |
$358.49 |
$533.49 |
|
|
Salivary glnd img serial img
|
$137.08 |
$275.54 |
$406.13 |
|
|
Salmonella antibody
|
$9.56 |
$15.70 |
$97.03 |
|
|
Same day nb discharge 99463
|
$141.28 |
$141.28 |
$168.44 |
|
|
Sargramostim injection
|
$454.20 |
$454.20 |
$454.20 |
|
|
Sarscov coronavirus ag ia
|
$13.74 |
$36.17 |
$104.63 |
|
|
Sarscov & inf vir a&b ag ia
|
$64.35 |
$71.84 |
$110.78 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$236.70 |
$236.70 |
$236.70 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$115.01 |
$115.01 |
$115.01 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$165.47 |
$165.47 |
$165.47 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$62.33 |
$62.33 |
$62.33 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$214.60 |
$314.82 |
$1,021.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$105.71 |
$155.08 |
$842.17 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$164.10 |
$224.89 |
$652.08 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$215.43 |
$297.99 |
$1,673.96 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$131.11 |
$332.67 |
$832.53 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$213.43 |
$274.77 |
$1,081.84 |
|
|
Scan proc cranial extra
|
$267.12 |
$267.12 |
$267.12 |
|
|
Scan proc cranial intra 61781
|
$361.36 |
$361.36 |
$361.36 |
|
