|
Revision of radius
|
$1,573.44 |
$1,573.44 |
$1,573.44 |
$6,871.42
|
|
Revision of sciatic nerve
|
$1,368.84 |
$1,368.84 |
$1,368.84 |
$2,888.00
|
|
Revision of scrotum
|
$842.16 |
$842.16 |
$842.16 |
$4,081.37
|
|
Revision of thigh muscles
|
$1,715.34 |
$1,715.34 |
$1,715.34 |
$5,886.74
|
|
Revision of ulna
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$5,376.00
|
|
Revision of unstable kneecap
|
$1,727.88 |
$1,727.88 |
$1,727.88 |
$5,886.74
|
|
Revision of unstable kneecap
|
$1,720.62 |
$1,720.62 |
$1,720.62 |
$6,973.47
|
|
Revision of urethra
|
$1,047.42 |
$1,047.42 |
$1,047.42 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$1,606.44 |
$1,606.44 |
$1,606.44 |
$8,037.35
|
|
Revision/removal of kneecap
|
$1,733.82 |
$1,733.82 |
$1,733.82 |
$6,839.00
|
|
Revis reconst shoulder joint
|
$3,629.34 |
$3,629.34 |
$3,629.34 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$3,912.48 |
$3,912.48 |
$3,912.48 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$2,582.58 |
$2,582.58 |
$2,582.58 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$2,492.16 |
$2,492.16 |
$2,492.16 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$4,245.78 |
$4,245.78 |
$4,245.78 |
$4,748.80
|
|
Rev-rem impl neurostim gen-rec
|
$678.48 |
$678.48 |
$678.48 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$331.32 |
$331.32 |
$331.32 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$522.72 |
$522.72 |
$522.72 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$448.80 |
$448.80 |
$448.80 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$73.26 |
$73.26 |
$73.26 |
$57.20
|
|
Rheumatoid factor quantitative
|
$6.27 |
$6.27 |
$6.27 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$2,864.40 |
$2,864.40 |
$2,864.40 |
$4,256.00
|
|
Rho(d) immune globulin h, sd
|
$74.58 |
$74.58 |
$74.58 |
$3,709.00
|
|
Rho d immune globulin inj
|
$226.38 |
$226.38 |
$226.38 |
$217.71
|
|
Ring fx reform 11-13x17mm
|
$510.18 |
$510.18 |
$510.18 |
$1,509.75
|
|
Risk ascvd tst once pr 12 mo
|
$32.34 |
$32.34 |
$32.34 |
$35.25
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$10,156.87 |
$10,156.87 |
$10,156.87 |
$15,057.18
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$5,535.13 |
$5,535.13 |
$5,535.13 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$5,535.13 |
$5,535.13 |
$5,535.13 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$2,469.72 |
$2,469.72 |
$2,469.72 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$331.32 |
$331.32 |
$331.32 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$1,494.24 |
$1,494.24 |
$1,494.24 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$805.20 |
$805.20 |
$805.20 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$946.44 |
$946.44 |
$946.44 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$526.68 |
$526.68 |
$526.68 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$524.70 |
$524.70 |
$524.70 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,875.72 |
$1,875.72 |
$1,875.72 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$844.80 |
$844.80 |
$844.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$879.78 |
$879.78 |
$879.78 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$813.78 |
$813.78 |
$813.78 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$477.18 |
$477.18 |
$477.18 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$352.44 |
$352.44 |
$352.44 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$438.24 |
$438.24 |
$438.24 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$520.08 |
$520.08 |
$520.08 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$815.10 |
$815.10 |
$815.10 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$742.50 |
$742.50 |
$742.50 |
$10,542.00
|
|
Rmvl pq iabp
|
$71.94 |
$71.94 |
$71.94 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$396.66 |
$396.66 |
$396.66 |
$2,407.50
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$2,857.80 |
$2,857.80 |
$2,857.80 |
$5,741.00
|
|
Rmvl subq card rhythm mntr
|
$290.40 |
$290.40 |
$290.40 |
$1,734.00
|
|
Rmvl tot arthrp 1ntrspc crv
|
$4,511.76 |
$4,511.76 |
$4,511.76 |
$7,413.38
|
|
Rmvl tv pm lead dual
|
$1,391.28 |
$1,391.28 |
$1,391.28 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,057.32 |
$1,057.32 |
$1,057.32 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$584.10 |
$584.10 |
$584.10 |
$538.85
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,238.26 |
$2,238.26 |
$2,238.26 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$23.86 |
$23.86 |
$23.86 |
$188.50
|
|
Routine footcare pt w lops
|
$142.56 |
$142.56 |
$142.56 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$141.90 |
$141.90 |
$141.90 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,151.70 |
$1,151.70 |
$1,151.70 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$173.58 |
$173.58 |
$173.58 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$248.82 |
$248.82 |
$248.82 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,509.42 |
$1,509.42 |
$1,509.42 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$633.60 |
$633.60 |
$633.60 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$406.56 |
$406.56 |
$406.56 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$2,228.16 |
$2,228.16 |
$2,228.16 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,681.02 |
$1,681.02 |
$1,681.02 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,619.64 |
$1,619.64 |
$1,619.64 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,246.74 |
$1,246.74 |
$1,246.74 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$748.44 |
$748.44 |
$748.44 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,699.40 |
$2,699.40 |
$2,699.40 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,932.48 |
$1,932.48 |
$1,932.48 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,863.18 |
$1,863.18 |
$1,863.18 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,390.62 |
$1,390.62 |
$1,390.62 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$1,243.44 |
$1,243.44 |
$1,243.44 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$920.04 |
$920.04 |
$920.04 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$2,168.76 |
$2,168.76 |
$2,168.76 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,956.24 |
$1,956.24 |
$1,956.24 |
$5,983.35
|
|
Rpr blvsl vn grf intra-abdl
|
$3,673.56 |
$3,673.56 |
$3,673.56 |
$1,881.00
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$2,492.82 |
$2,492.82 |
$2,492.82 |
$2,492.82
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$1,879.02 |
$1,879.02 |
$1,879.02 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$1,415.04 |
$1,415.04 |
$1,415.04 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$1,359.60 |
$1,359.60 |
$1,359.60 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$945.78 |
$945.78 |
$945.78 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$383.46 |
$383.46 |
$383.46 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$339.90 |
$339.90 |
$339.90 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$1,642.08 |
$1,642.08 |
$1,642.08 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$2,036.10 |
$2,036.10 |
$2,036.10 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$1,296.24 |
$1,296.24 |
$1,296.24 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$838.86 |
$838.86 |
$838.86 |
$5,959.65
|
|
Rsv assay w/optic
|
$34.32 |
$34.32 |
$34.32 |
$79.38
|
|
Rubella antibody igg
|
$88.44 |
$88.44 |
$88.44 |
$77.03
|
|
Rubeola antibody igg
|
$79.86 |
$79.86 |
$79.86 |
$80.00
|
|
Russell viper venom diluted
|
$23.10 |
$23.10 |
$23.10 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$3,349.98 |
$3,349.98 |
$3,349.98 |
$5,174.32
|
|
Salivary gland imaging
|
$54.78 |
$54.78 |
$54.78 |
$585.00
|
|
Same day nb discharge 99463
|
$173.58 |
$173.58 |
$173.58 |
$183.07
|
|
Sbrt management
|
$1,694.22 |
$1,694.22 |
$1,694.22 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$211.86 |
$211.86 |
$211.86 |
$248.00
|