|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$362.28 |
$362.28 |
$362.28 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$214.48 |
$214.48 |
$214.48 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$149.52 |
$149.52 |
$149.52 |
$528.45
|
|
Red blood cells washed each unit
|
$435.68 |
$435.68 |
$435.68 |
$572.46
|
|
Red cell mass multiple
|
$4,009.60 |
$4,009.60 |
$4,009.60 |
$636.97
|
|
Red cell mass single
|
$3,136.00 |
$3,136.00 |
$3,136.00 |
$545.61
|
|
Red cell sequestration
|
$3,253.60 |
$3,253.60 |
$3,253.60 |
$620.10
|
|
Red cell survival study
|
$3,136.00 |
$3,136.00 |
$3,136.00 |
$549.70
|
|
Redo compl cardiac anomaly
|
$11,004.00 |
$11,004.00 |
$11,004.00 |
$11,004.00
|
|
Redo endovas vena cava filtr
|
$8,898.40 |
$8,898.40 |
$8,898.40 |
$4,435.43
|
|
Reduce testis torsion
|
$10,152.80 |
$10,152.80 |
$10,152.80 |
$4,350.00
|
|
Reduction of facial bones
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Reduction of procidentia 45900
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$1,226.10
|
|
Reexploration pelvic wound 49014
|
$862.40 |
$862.40 |
$862.40 |
$862.40
|
|
Re-explore parathyroids
|
$11,368.00 |
$11,368.00 |
$11,368.00 |
$6,465.11
|
|
Refill maint impl spine pump
|
$991.20 |
$991.20 |
$991.20 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$526.40 |
$526.40 |
$526.40 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$48.50 |
$48.50 |
$48.50 |
$364.47
|
|
Reinforce clavicle
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,453.60
|
|
Reinforced solid stirrup
|
$282.80 |
$282.80 |
$282.80 |
$405.22
|
|
Reinforce eye wall
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,986.00
|
|
Reinforce/graft eye wall
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$4,627.00
|
|
Reinforce shoulder bones
|
$24,768.80 |
$24,768.80 |
$24,768.80 |
$14,241.77
|
|
Reinforce tibia
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,907.11
|
|
Reinnervate larynx
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Reinsert ocular implant
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$4,438.02
|
|
Release encircling material
|
$8,467.20 |
$8,467.20 |
$8,467.20 |
$4,760.49
|
|
Release eye tissue
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,262.40
|
|
Release facial nerve
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,759.31
|
|
Release facial nerve
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,905.30
|
|
Release facial nerve
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Release finger contracture
|
$3,953.60 |
$3,953.60 |
$3,953.60 |
$1,893.86
|
|
Release forearm/hand tendon
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,821.05
|
|
Release inner ear canal
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Release knuckle contracture
|
$2,811.20 |
$2,811.20 |
$2,811.20 |
$2,811.20
|
|
Release middle ear bone
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$4,350.00
|
|
Release muscles of hand
|
$9,049.60 |
$9,049.60 |
$9,049.60 |
$3,839.54
|
|
Release of eye fluid
|
$7,330.40 |
$7,330.40 |
$7,330.40 |
$3,294.60
|
|
Release of foot tendon
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$2,260.80
|
|
Release of foot tendon 28225
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$3,594.44
|
|
Release of foot tendons
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,821.05
|
|
Release of foot tendons
|
$6,137.60 |
$6,137.60 |
$6,137.60 |
$3,839.54
|
|
Release of lower leg tendon
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,821.05
|
|
Release of lower leg tendons
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,040.02
|
|
Release of midfoot joint
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$3,839.54
|
|
Release of midfoot joint
|
$6,053.60 |
$6,053.60 |
$6,053.60 |
$4,238.61
|
|
Release of shoulder ligament
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$5,886.74
|
|
Release palm contracture
|
$4,256.00 |
$4,256.00 |
$4,256.00 |
$1,893.86
|
|
Release palm contracture
|
$9,788.80 |
$9,788.80 |
$9,788.80 |
$3,821.05
|
|
Release palm contracture
|
$6,272.00 |
$6,272.00 |
$6,272.00 |
$4,112.00
|
|
Release palm contracture
|
$5,958.40 |
$5,958.40 |
$5,958.40 |
$756.35
|
|
Release palm contracture 26045
|
$9,984.80 |
$9,984.80 |
$9,984.80 |
$3,839.54
|
|
Release palm & finger tendon
|
$3,085.60 |
$3,085.60 |
$3,085.60 |
$3,272.47
|
|
Release palm/finger tendon
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$2,211.05
|
|
Release thumb contracture
|
$3,309.60 |
$3,309.60 |
$3,309.60 |
$3,309.60
|
|
Release wrist/forearm tendon
|
$9,788.80 |
$9,788.80 |
$9,788.80 |
$3,839.54
|
|
Relieve bladder contracture
|
$9,856.00 |
$9,856.00 |
$9,856.00 |
$4,350.00
|
|
Relocation of testis(es)
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,081.37
|
|
Relocation skin pocket aicd
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$2,761.55
|
|
Relocation skin pocket pm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$2,585.00
|
|
Rem/biv cast full arm/leg
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$320.79
|
|
Rem/biv cast shldr/hip spica
|
$772.80 |
$772.80 |
$772.80 |
$435.54
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,139.74 |
$1,139.74 |
$1,139.74 |
$1,524.70
|
|
Rem endovas vena cava filter
|
$18,351.20 |
$18,351.20 |
$18,351.20 |
$5,509.05
|
|
Rem interrog dev eval icpms
|
$147.28 |
$147.28 |
$147.28 |
$99.00
|
|
Rem interrog evl pm/ids
|
$364.00 |
$364.00 |
$364.00 |
$139.10
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$87.92 |
$87.92 |
$87.92 |
$84.00
|
|
Rem mntr physiol 1st set up pt educaj eqp
|
$392.00 |
$392.00 |
$392.00 |
$183.07
|
|
Rem mntr wrls p-art prs snr
|
$143.92 |
$143.92 |
$143.92 |
$111.20
|
|
Remote 30 day ecg tech supp
|
$1,388.80 |
$1,388.80 |
$1,388.80 |
$683.25
|
|
Removable insert each
|
$518.00 |
$518.00 |
$518.00 |
$518.00
|
|
Removable soft interface le
|
$100.80 |
$100.80 |
$100.80 |
$100.80
|
|
Removal anal seton other marker 46030
|
$4,205.60 |
$4,205.60 |
$4,205.60 |
$1,525.44
|
|
Removal biliary drg cath
|
$4,866.40 |
$4,866.40 |
$4,866.40 |
$1,380.82
|
|
Removal central venous catheter tunneled without port/pump
|
$2,850.40 |
$2,850.40 |
$2,850.40 |
$1,552.93
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$5,325.60 |
$5,325.60 |
$5,325.60 |
$2,356.71
|
|
Removal cerclage w/anes
|
$6,988.80 |
$6,988.80 |
$6,988.80 |
$3,762.53
|
|
Removal cerclage without anes
|
$498.40 |
$498.40 |
$498.40 |
$361.50
|
|
Removal cerumen impacted (both sides)
|
$175.28 |
$175.28 |
$175.28 |
$163.20
|
|
Removal clot in graft oth/thn 35875
|
$13,736.80 |
$13,736.80 |
$13,736.80 |
$5,988.54
|
|
Removal clot in graft xcp 35876
|
$13,736.80 |
$13,736.80 |
$13,736.80 |
$5,988.54
|
|
Removal deep drug delivery device
|
$593.60 |
$593.60 |
$593.60 |
$530.40
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$341.60 |
$341.60 |
$341.60 |
$249.60
|
|
Removal duct glbldr calculi
|
$4,452.00 |
$4,452.00 |
$4,452.00 |
$2,771.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$649.60 |
$649.60 |
$649.60 |
$783.75
|
|
Removal foreign body extrn auditory canal with anes
|
$5,902.40 |
$5,902.40 |
$5,902.40 |
$2,446.00
|
|
Removal foreign body foot cmplx
|
$3,903.20 |
$3,903.20 |
$3,903.20 |
$2,659.20
|
|
Removal foreign body foot subcutaneous right
|
$3,908.80 |
$3,908.80 |
$3,908.80 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$5,588.80 |
$5,588.80 |
$5,588.80 |
$2,301.60
|
|
Removal foreign body jawbone
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$2,133.48
|
|
Removal foreign body mouth
|
$4,065.60 |
$4,065.60 |
$4,065.60 |
$1,424.80
|
|
Removal implant from finger/hand 26320
|
$5,790.40 |
$5,790.40 |
$5,790.40 |
$1,999.20
|
|
Removal implant superficial separate procedure
|
$6,804.00 |
$6,804.00 |
$6,804.00 |
$2,986.62
|
|
Removal mamma implant mat 19330
|
$7,224.00 |
$7,224.00 |
$7,224.00 |
$3,933.64
|
|
Removal neck/armpit lesion
|
$8,114.40 |
$8,114.40 |
$8,114.40 |
$4,531.42
|
|
Removal neck/armpit lesion 38555
|
$9,475.20 |
$9,475.20 |
$9,475.20 |
$5,741.00
|
|
Removal of adenoids
|
$11,211.20 |
$11,211.20 |
$11,211.20 |
$3,837.72
|
|
Removal of adenoids
|
$9,878.40 |
$9,878.40 |
$9,878.40 |
$3,837.72
|
|
Removal of adenoids
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$4,089.82
|
|
Removal of adenoids <12yrs 42835
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,837.72
|
