|
Revision of ileostomy complicated 44314
|
$237.16 |
$237.16 |
$237.16 |
$2,486.40
|
|
Revision of ileostomy; simple 44312
|
$142.31 |
$142.31 |
$142.31 |
$4,332.25
|
|
Revision of iris
|
$57.68 |
$57.68 |
$57.68 |
$1,388.40
|
|
Revision of kidney/ureter
|
$275.24 |
$275.24 |
$275.24 |
$5,865.60
|
|
Revision of knee joint
|
$195.23 |
$195.23 |
$195.23 |
$15,069.60
|
|
Revision of knee joint
|
$212.52 |
$212.52 |
$212.52 |
$8,885.39
|
|
Revision of knee joint
|
$199.57 |
$199.57 |
$199.57 |
$12,555.20
|
|
Revision of knee joint
|
$276.64 |
$276.64 |
$276.64 |
$14,241.77
|
|
Revision of leg vein 37780
|
$54.39 |
$54.39 |
$54.39 |
$3,724.63
|
|
Revision of nose
|
$103.60 |
$103.60 |
$103.60 |
$3,819.23
|
|
Revision of penis
|
$169.12 |
$169.12 |
$169.12 |
$4,040.25
|
|
Revision of penis
|
$154.35 |
$154.35 |
$154.35 |
$2,739.10
|
|
Revision of penis
|
$101.08 |
$101.08 |
$101.08 |
$4,350.00
|
|
Revision of radius
|
$166.88 |
$166.88 |
$166.88 |
$6,871.42
|
|
Revision of sciatic nerve
|
$145.18 |
$145.18 |
$145.18 |
$2,888.00
|
|
Revision of scrotum
|
$89.32 |
$89.32 |
$89.32 |
$4,081.37
|
|
Revision of thigh muscles
|
$181.93 |
$181.93 |
$181.93 |
$5,886.74
|
|
Revision of ulna
|
$162.40 |
$162.40 |
$162.40 |
$5,376.00
|
|
Revision of unstable kneecap
|
$183.26 |
$183.26 |
$183.26 |
$5,886.74
|
|
Revision of unstable kneecap
|
$182.49 |
$182.49 |
$182.49 |
$6,973.47
|
|
Revision of urethra
|
$111.09 |
$111.09 |
$111.09 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$2,362.92 |
$2,362.92 |
$2,362.92 |
$8,037.35
|
|
Revision/removal of kneecap
|
$183.89 |
$183.89 |
$183.89 |
$6,839.00
|
|
Revis reconst shoulder joint
|
$384.93 |
$384.93 |
$384.93 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$414.96 |
$414.96 |
$414.96 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$273.91 |
$273.91 |
$273.91 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$264.32 |
$264.32 |
$264.32 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$450.31 |
$450.31 |
$450.31 |
$4,748.80
|
|
Rev-rem impl neurostim gen-rec
|
$71.96 |
$71.96 |
$71.96 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$35.14 |
$35.14 |
$35.14 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$55.44 |
$55.44 |
$55.44 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$47.60 |
$47.60 |
$47.60 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$0.43 |
$0.43 |
$0.43 |
$57.20
|
|
Rheumatoid factor quantitative
|
$2.03 |
$2.03 |
$2.03 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$303.80 |
$303.80 |
$303.80 |
$4,256.00
|
|
Rho(d) immune globulin h, sd
|
$7.91 |
$7.91 |
$7.91 |
$3,709.00
|
|
Rho d immune globulin inj
|
$145.95 |
$145.95 |
$145.95 |
$217.71
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$203.61 |
$203.61 |
$203.61 |
$455.01
|
|
Risk ascvd tst once pr 12 mo
|
$3.43 |
$3.43 |
$3.43 |
$35.25
|
|
Rmv anterior spine instrumentation 22855
|
$261.94 |
$261.94 |
$261.94 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$35.14 |
$35.14 |
$35.14 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$158.48 |
$158.48 |
$158.48 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$85.40 |
$85.40 |
$85.40 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$100.38 |
$100.38 |
$100.38 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$55.86 |
$55.86 |
$55.86 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$55.65 |
$55.65 |
$55.65 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$198.94 |
$198.94 |
$198.94 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$89.60 |
$89.60 |
$89.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$11,224.06 |
$11,224.06 |
$11,224.06 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$86.31 |
$86.31 |
$86.31 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$50.61 |
$50.61 |
$50.61 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$37.38 |
$37.38 |
$37.38 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$46.48 |
$46.48 |
$46.48 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$55.16 |
$55.16 |
$55.16 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$86.45 |
$86.45 |
$86.45 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$78.75 |
$78.75 |
$78.75 |
$10,542.00
|
|
Rmvl pq iabp
|
$7.63 |
$7.63 |
$7.63 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$42.07 |
$42.07 |
$42.07 |
$2,407.50
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$303.10 |
$303.10 |
$303.10 |
$5,741.00
|
|
Rmvl sq defib electrode
|
$572.04 |
$572.04 |
$572.04 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$253.96 |
$253.96 |
$253.96 |
$1,734.00
|
|
Rmvl tot arthrp 1ntrspc crv
|
$478.52 |
$478.52 |
$478.52 |
$7,413.38
|
|
Rmvl tv pm lead dual
|
$2,009.49 |
$2,009.49 |
$2,009.49 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$112.14 |
$112.14 |
$112.14 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$61.95 |
$61.95 |
$61.95 |
$538.85
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,209.04 |
$1,209.04 |
$1,209.04 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$18.73 |
$18.73 |
$18.73 |
$188.50
|
|
Routine footcare pt w lops
|
$15.12 |
$15.12 |
$15.12 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$357.21 |
$357.21 |
$357.21 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$9.24 |
$9.24 |
$9.24 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$18.41 |
$18.41 |
$18.41 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$1,831.69 |
$1,831.69 |
$1,831.69 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$344.61 |
$344.61 |
$344.61 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,242.43 |
$1,242.43 |
$1,242.43 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$1,037.89 |
$1,037.89 |
$1,037.89 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$236.32 |
$236.32 |
$236.32 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$178.29 |
$178.29 |
$178.29 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$171.78 |
$171.78 |
$171.78 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$132.23 |
$132.23 |
$132.23 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$79.38 |
$79.38 |
$79.38 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$109.90 |
$109.90 |
$109.90 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$286.30 |
$286.30 |
$286.30 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$204.96 |
$204.96 |
$204.96 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$197.61 |
$197.61 |
$197.61 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$147.49 |
$147.49 |
$147.49 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$131.88 |
$131.88 |
$131.88 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$97.58 |
$97.58 |
$97.58 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$230.02 |
$230.02 |
$230.02 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$207.48 |
$207.48 |
$207.48 |
$5,983.35
|
|
Rpr blvsl vn grf intra-abdl
|
$389.62 |
$389.62 |
$389.62 |
$1,881.00
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$264.39 |
$264.39 |
$264.39 |
$2,492.82
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$217.70 |
$217.70 |
$217.70 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$199.29 |
$199.29 |
$199.29 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$150.08 |
$150.08 |
$150.08 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$144.20 |
$144.20 |
$144.20 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$100.31 |
$100.31 |
$100.31 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$40.67 |
$40.67 |
$40.67 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$36.05 |
$36.05 |
$36.05 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$174.16 |
$174.16 |
$174.16 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$215.95 |
$215.95 |
$215.95 |
$1,786.40
|