|
Remvl peritoneal fb frm cavity
|
$3,612.84 |
$3,612.84 |
$3,612.84 |
$4,516.05
|
|
Renal function panel
|
$53.55 |
$53.55 |
$53.55 |
$110.10
|
|
Repair achilles tendon
|
$6,746.79 |
$6,746.79 |
$6,746.79 |
$7,233.80
|
|
Repair arm/leg nerve
|
$6,302.07 |
$6,302.07 |
$6,302.07 |
$5,339.00
|
|
Repair av fistula ext 35190
|
$5,242.80 |
$5,242.80 |
$5,242.80 |
$5,907.78
|
|
Repair biceps tendon
|
$1,174.02 |
$1,174.02 |
$1,174.02 |
$6,055.92
|
|
Repair blood ves direct neck 35201
|
$5,242.80 |
$5,242.80 |
$5,242.80 |
$5,413.25
|
|
Repair blood vessel direct hand finger
|
$3,038.58 |
$3,038.58 |
$3,038.58 |
$4,083.20
|
|
Repair blood vessel dir lower extr
|
$661.98 |
$661.98 |
$661.98 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$3,038.58 |
$3,038.58 |
$3,038.58 |
$4,255.67
|
|
Repair blood vessel lesion
|
$5,242.80 |
$5,242.80 |
$5,242.80 |
$5,988.54
|
|
Repair cardiac wound without bypass
|
$1,311.21 |
$1,311.21 |
$1,311.21 |
$7,369.60
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,797.35 |
$2,797.35 |
$2,797.35 |
$1,193.40
|
|
Repair elbow perc
|
$885.87 |
$885.87 |
$885.87 |
$4,499.12
|
|
Repair extns tendon finger without grft ea
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,702.15
|
|
Repair eyelid wound
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$2,917.20
|
|
Repair eyelid wound
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$3,254.34
|
|
Repair finger/hand tendon
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,108.00
|
|
Repair finger/hand tendon
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,958.50
|
|
Repair finger/hand tendon
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,842.58
|
|
Repair finger tendon
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,752.25
|
|
Repair forearm tendon/muscle sec 25263
|
$8,128.38 |
$8,128.38 |
$8,128.38 |
$5,855.00
|
|
Repair/graft achilles tendon
|
$12,281.82 |
$12,281.82 |
$12,281.82 |
$8,453.60
|
|
Repair/graft hand tendon
|
$1,757.97 |
$1,757.97 |
$1,757.97 |
$5,560.25
|
|
Repair/graft hand tendon
|
$1,369.86 |
$1,369.86 |
$1,369.86 |
$5,886.74
|
|
Repair/graft hand tendon
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,931.20
|
|
Repair/graft of thigh muscle
|
$1,621.80 |
$1,621.80 |
$1,621.80 |
$5,943.97
|
|
Repair/graft radius or ulna
|
$1,981.35 |
$1,981.35 |
$1,981.35 |
$7,807.24
|
|
Repair hand joint
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Repair hand joint with graft
|
$1,156.17 |
$1,156.17 |
$1,156.17 |
$3,839.54
|
|
Repair lac palate<2 cm
|
$561.51 |
$561.51 |
$561.51 |
$686.89
|
|
Repair lip full thkns =<one-half vert height
|
$561.51 |
$561.51 |
$561.51 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$1,928.07
|
|
Repair major blood vessel(s) without bypass 33320
|
$10,379.01 |
$10,379.01 |
$10,379.01 |
$2,412.90
|
|
Repair muscles of hand
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,839.54
|
|
Repair of ankle ligament
|
$5,508.51 |
$5,508.51 |
$5,508.51 |
$7,807.24
|
|
Repair of body cast
|
$179.52 |
$179.52 |
$179.52 |
$203.20
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,208.81 |
$2,208.81 |
$2,208.81 |
$3,702.07
|
|
Repair of eye socket wound
|
$4,634.88 |
$4,634.88 |
$4,634.88 |
$4,456.89
|
|
Repair of eye wound
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$2,747.43
|
|
Repair of foot tendon
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Repair of kneecap tendon
|
$8,128.38 |
$8,128.38 |
$8,128.38 |
$6,311.00
|
|
Repair of metatarsals
|
$1,594.26 |
$1,594.26 |
$1,594.26 |
$6,311.00
|
|
Repair of nasal septum
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,837.72
|
|
Repair of rectum
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,316.74
|
|
Repair of ruptured tendon
|
$1,494.30 |
$1,494.30 |
$1,494.30 |
$5,886.74
|
|
Repair of thigh muscle
|
$627.30 |
$627.30 |
$627.30 |
$6,727.70
|
|
Repair of toe dislocation
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,821.05
|
|
Repair palate
|
$6,561.66 |
$6,561.66 |
$6,561.66 |
$6,966.64
|
|
Repair radius or ulna
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$7,907.11
|
|
Repair rectum & vagina
|
$1,256.13 |
$1,256.13 |
$1,256.13 |
$5,339.00
|
|
Repair rotator cuff acute
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$5,855.00
|
|
Repair rotator cuff chronic
|
$1,841.61 |
$1,841.61 |
$1,841.61 |
$5,579.10
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$212.16 |
$212.16 |
$212.16 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$561.51 |
$561.51 |
$561.51 |
$1,268.80
|
|
Repair shoulder capsule
|
$1,764.60 |
$1,764.60 |
$1,764.60 |
$6,839.00
|
|
Repair tendon extensor foot 1/2 each tendon
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,627.00
|
|
Repair throat wound
|
$349.86 |
$349.86 |
$349.86 |
$1,955.10
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$255.51 |
$255.51 |
$255.51 |
$504.12
|
|
Repair upper arm/elbow tendon/muscle ea
|
$8,128.38 |
$8,128.38 |
$8,128.38 |
$8,293.50
|
|
Repair vagina/perineum
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,986.00
|
|
Replace duod/jej tube perc
|
$1,209.72 |
$1,209.72 |
$1,209.72 |
$1,383.00
|
|
Replace g/c tube perc
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$1,600.45
|
|
Replace tunneled cv cath
|
$3,660.78 |
$3,660.78 |
$3,660.78 |
$4,001.25
|
|
Replantation digit complete
|
$1,463.19 |
$1,463.19 |
$1,463.19 |
$2,609.20
|
|
Reremove wrist tendon lesion
|
$699.72 |
$699.72 |
$699.72 |
$1,904.00
|
|
Rerepair ing hernia blocked
|
$1,340.79 |
$1,340.79 |
$1,340.79 |
$5,185.20
|
|
Rerepair ing hernia reduce
|
$1,103.64 |
$1,103.64 |
$1,103.64 |
$3,986.00
|
|
Resuscitation cardiopulmonary
|
$577.83 |
$577.83 |
$577.83 |
$847.29
|
|
Reticulated platelet assay
|
$33.15 |
$33.15 |
$33.15 |
$63.08
|
|
Reticulocyte direct measurement automated
|
$31.11 |
$31.11 |
$31.11 |
$33.57
|
|
Revise eye socket implant
|
$4,634.88 |
$4,634.88 |
$4,634.88 |
$5,008.35
|
|
Revise finger joint each
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,021.04
|
|
Revise hand/finger tendon
|
$1,206.15 |
$1,206.15 |
$1,206.15 |
$5,741.00
|
|
Revise kneecap with implant
|
$1,471.35 |
$1,471.35 |
$1,471.35 |
$9,625.50
|
|
Revision of cervix
|
$3,474.63 |
$3,474.63 |
$3,474.63 |
$3,762.53
|
|
Revision of cornea
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$2,760.73
|
|
Revision of eyelid
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$2,860.80
|
|
Revision of knee joint
|
$1,538.16 |
$1,538.16 |
$1,538.16 |
$12,836.37
|
|
Revision of penis
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$2,875.60
|
|
Revision of penis
|
$3,269.10 |
$3,269.10 |
$3,269.10 |
$4,261.44
|
|
Rho d immune globulin inj
|
$298.82 |
$298.82 |
$298.82 |
$287.82
|
|
Ring fx reform 11-13x17mm
|
$1,871.45 |
$1,871.45 |
$1,871.45 |
$1,509.75
|
|
Rmv implant contraceptive capsule 11976
|
$797.64 |
$797.64 |
$797.64 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,331.10 |
$1,331.10 |
$1,331.10 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$1,917.33
|
|
Rmvl ndwellg tun pleural cath
|
$710.94 |
$710.94 |
$710.94 |
$1,217.97
|
|
Rmvl pq iabp
|
$1,664.64 |
$1,664.64 |
$1,664.64 |
$1,082.40
|
|
Rmvl tiss expndr without implant insrtn
|
$2,635.17 |
$2,635.17 |
$2,635.17 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$464.10 |
$464.10 |
$464.10 |
$504.90
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$463.59 |
$463.59 |
$463.59 |
$672.80
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$84.15 |
$84.15 |
$84.15 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,828.35 |
$1,828.35 |
$1,828.35 |
$2,331.08
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,828.35 |
$1,828.35 |
$1,828.35 |
$2,182.05
|
|
Rpl tun cvc wo subq port
|
$3,660.78 |
$3,660.78 |
$3,660.78 |
$4,201.80
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,302.03 |
$1,302.03 |
$1,302.03 |
$5,419.00
|
