|
Replace quadlat socket brim
|
$1,212.40 |
$1,212.40 |
$1,212.40 |
$1,212.40
|
|
Replace/revise brain shunt
|
$11,804.80 |
$11,804.80 |
$11,804.80 |
$8,043.00
|
|
Replace socket above knee
|
$5,098.80 |
$5,098.80 |
$5,098.80 |
$5,098.80
|
|
Replace socket below knee
|
$4,107.60 |
$4,107.60 |
$4,107.60 |
$5,212.25
|
|
Replace socket brim cust fit
|
$711.20 |
$711.20 |
$711.20 |
$711.20
|
|
Replace socket hip
|
$6,512.80 |
$6,512.80 |
$6,512.80 |
$6,512.80
|
|
Replace tissue expander w/perm prost 11970
|
$12,437.60 |
$12,437.60 |
$12,437.60 |
$8,453.60
|
|
Replace trilateral socket br
|
$946.40 |
$946.40 |
$946.40 |
$946.40
|
|
Replace tunneled cv cath
|
$10,679.20 |
$10,679.20 |
$10,679.20 |
$3,724.63
|
|
Replacment pt electronic sys
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
$1,203.94
|
|
Repl alkaline battery
|
$20.16 |
$20.16 |
$20.16 |
$20.16
|
|
Replantation digit complete
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$3,045.29
|
|
Replc sockt above elbow disa
|
$3,348.80 |
$3,348.80 |
$3,348.80 |
$3,348.80
|
|
Replc sockt below e/w disa
|
$1,934.80 |
$1,934.80 |
$1,934.80 |
$1,934.80
|
|
Replc sockt shldr dis/interc
|
$4,776.80 |
$4,776.80 |
$4,776.80 |
$4,776.80
|
|
Repl girdle milwaukee orth
|
$1,794.80 |
$1,794.80 |
$1,794.80 |
$1,794.80
|
|
Repl leath cuff kafo-afo cal
|
$120.40 |
$120.40 |
$120.40 |
$120.40
|
|
Repl leath cuff kafo prox th
|
$148.40 |
$148.40 |
$148.40 |
$148.40
|
|
Repl met band kafo-afo calf/
|
$117.60 |
$117.60 |
$117.60 |
$117.60
|
|
Repl met band kafo-afo prox
|
$123.20 |
$123.20 |
$123.20 |
$123.20
|
|
Repl trach puncture dilator
|
$106.40 |
$106.40 |
$106.40 |
$244.05
|
|
Repl zinc air battery
|
$0.56 |
$0.56 |
$0.56 |
$0.56
|
|
Reposg phrnc nrv stim trnsvn
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$4,807.27
|
|
Reposition intraocular lens
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$3,057.60
|
|
Reposition pm/icd lead
|
$7,425.60 |
$7,425.60 |
$7,425.60 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$912.80 |
$912.80 |
$912.80 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$10,679.20 |
$10,679.20 |
$10,679.20 |
$3,724.63
|
|
Repos sq defib eltrd
|
$11,093.60 |
$11,093.60 |
$11,093.60 |
$4,297.60
|
|
Repr elbow lat ligmnt w/tiss
|
$3,875.20 |
$3,875.20 |
$3,875.20 |
$3,839.54
|
|
Repr elbw med ligmnt w/tissu
|
$9,508.80 |
$9,508.80 |
$9,508.80 |
$4,919.44
|
|
Repr of anal fistula w/glue
|
$8,909.60 |
$8,909.60 |
$8,909.60 |
$3,228.00
|
|
Reprogram cochlear implt <7
|
$487.20 |
$487.20 |
$487.20 |
$394.90
|
|
Reprogram cochlear implt 7/>
|
$420.00 |
$420.00 |
$420.00 |
$344.80
|
|
Reptilase test
|
$84.56 |
$84.56 |
$84.56 |
$72.00
|
|
Reremove wrist tendon lesion
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$1,904.00
|
|
Rerepair fem hernia blocked
|
$10,757.60 |
$10,757.60 |
$10,757.60 |
$4,176.15
|
|
Rerepair ing hernia blocked
|
$13,535.20 |
$13,535.20 |
$13,535.20 |
$5,110.00
|
|
Rerepair ing hernia reduce
|
$13,535.20 |
$13,535.20 |
$13,535.20 |
$4,881.00
|
|
Rerevise eye muscles add-on
|
$3,858.40 |
$3,858.40 |
$3,858.40 |
$2,078.02
|
|
Resect back tum < 5 cm
|
$6,406.40 |
$6,406.40 |
$6,406.40 |
$3,386.84
|
|
Resect back tum 5 cm/>
|
$8,288.00 |
$8,288.00 |
$8,288.00 |
$3,986.00
|
|
Resect condyle distal phalanx ea toe 28153
|
$6,137.60 |
$6,137.60 |
$6,137.60 |
$3,296.80
|
|
Resect/debrid pancreas 48105
|
$5,874.40 |
$5,874.40 |
$5,874.40 |
$5,874.40
|
|
Resect distal finger tumor
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$2,155.40
|
|
Resect enlarged toe
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Resect enlarged toe tissue
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Resect face/scalp tum < 2 cm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,386.84
|
|
Resect face/scalp tum 2 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,386.84
|
|
Resect foot/toe tumor 3 cm/>
|
$7,162.40 |
$7,162.40 |
$7,162.40 |
$4,537.00
|
|
Resect forarm/wrist tum 3cm>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$4,127.76
|
|
Resect forearm/wrist tum<3cm
|
$5,157.60 |
$5,157.60 |
$5,157.60 |
$4,363.20
|
|
Resect hip/pelv tum < 5 cm
|
$6,255.20 |
$6,255.20 |
$6,255.20 |
$5,110.00
|
|
Resect hip/pelv tum 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$5,741.00
|
|
Resect inferior turbinate
|
$10,432.80 |
$10,432.80 |
$10,432.80 |
$3,837.72
|
|
Resection of elbow joint
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,192.00
|
|
Resection palate/lesion 42120
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$5,741.00
|
|
Resect leg/ankle tum < 5 cm
|
$6,406.40 |
$6,406.40 |
$6,406.40 |
$3,994.09
|
|
Resect leg/ankle tum 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$4,627.00
|
|
Resect metatarsal tumor
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Resect neck tumor 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,994.09
|
|
Resect part/compl phalangeal base ea 28126
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$3,821.05
|
|
Resect phalanx of toe tumor
|
$6,294.40 |
$6,294.40 |
$6,294.40 |
$1,893.86
|
|
Resect prox finger tumor
|
$7,537.60 |
$7,537.60 |
$7,537.60 |
$3,839.54
|
|
Resect radius/ulnar tumor
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Resect talus/calcaneus tum
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$5,214.40
|
|
Resect tarsal tumor
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,977.49
|
|
Resect thigh/knee tum < 5 cm
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$3,994.09
|
|
Resect thigh/knee tum 5 cm/>
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$4,460.78
|
|
Resin three surfaces-anterio
|
$408.80 |
$408.80 |
$408.80 |
$408.80
|
|
Reslizumab 10 mg/ml intravenous solution
|
$1,987.62 |
$1,987.62 |
$1,987.62 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$113.12 |
$113.12 |
$113.12 |
$45.80
|
|
#resp virpnl dfa-parainfluenza
|
$113.12 |
$113.12 |
$113.12 |
$35.20
|
|
Resp virus 6-11 targets
|
$952.00 |
$952.00 |
$952.00 |
$479.20
|
|
Restorigin 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$171.12
|
|
Resuscitation cardiopulmonary
|
$1,573.60 |
$1,573.60 |
$1,573.60 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$780.42
|
|
Reteplase injection
|
$6,538.55 |
$6,538.55 |
$6,538.55 |
$6,071.51
|
|
Reticulated platelet assay
|
$136.08 |
$136.08 |
$136.08 |
$75.00
|
|
Reticulocyte automated
|
$81.76 |
$81.76 |
$81.76 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$35.84 |
$35.84 |
$35.84 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$23,780.31 |
$23,780.31 |
$23,780.31 |
$23,780.31
|
|
Retrieval of oocyte
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$1,266.48
|
|
Retrograde ejaculation anal
|
$239.12 |
$239.12 |
$239.12 |
$87.75
|
|
Reusable nipple prosthesis
|
$46.48 |
$46.48 |
$46.48 |
$46.48
|
|
Revasc evasc fpvt angio cplx 1st
|
$10,094.56 |
$10,094.56 |
$10,094.56 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$10,094.56 |
$10,094.56 |
$10,094.56 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$32,513.04 |
$32,513.04 |
$32,513.04 |
$29,423.20
|
|
Revasc evasc fpvt athrec sf 1st
|
$32,513.04 |
$32,513.04 |
$32,513.04 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$32,513.04 |
$32,513.04 |
$32,513.04 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$10,094.56 |
$10,094.56 |
$10,094.56 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$20,474.72 |
$20,474.72 |
$20,474.72 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$32,513.04 |
$32,513.04 |
$32,513.04 |
$31,546.50
|