|
Repair av fistula ext 35190
|
$9,974.07 |
$9,974.07 |
$9,974.07 |
$5,907.78
|
|
Repair blood ves direct neck 35201
|
$9,974.07 |
$9,974.07 |
$9,974.07 |
$5,413.25
|
|
Repair blood vessel direct hand finger
|
$6,373.98 |
$6,373.98 |
$6,373.98 |
$4,083.20
|
|
Repair blood vessel dir lower extr
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$3,778.59 |
$3,778.59 |
$3,778.59 |
$4,255.67
|
|
Repair blood vessel lesion
|
$9,974.07 |
$9,974.07 |
$9,974.07 |
$5,988.54
|
|
Repair cardiac wound without bypass
|
$29,376.00 |
$29,376.00 |
$29,376.00 |
$7,369.60
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,222.07 |
$2,222.07 |
$2,222.07 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$5,847.66 |
$5,847.66 |
$5,847.66 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$7,192.02 |
$7,192.02 |
$7,192.02 |
$2,702.15
|
|
Repair eyelid wound
|
$5,341.74 |
$5,341.74 |
$5,341.74 |
$2,917.20
|
|
Repair eyelid wound
|
$5,341.74 |
$5,341.74 |
$5,341.74 |
$3,254.34
|
|
Repair finger/hand tendon
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,108.00
|
|
Repair finger/hand tendon
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,958.50
|
|
Repair finger/hand tendon
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,842.58
|
|
Repair finger tendon
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,752.25
|
|
Repair forearm tendon/muscle sec 25263
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$5,855.00
|
|
Repair/graft achilles tendon
|
$14,575.80 |
$14,575.80 |
$14,575.80 |
$8,453.60
|
|
Repair/graft hand tendon
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,931.20
|
|
Repair hand joint
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,839.54
|
|
Repair lac palate<2 cm
|
$1,028.67 |
$1,028.67 |
$1,028.67 |
$686.89
|
|
Repair lip full thkns =<one-half vert height
|
$1,028.67 |
$1,028.67 |
$1,028.67 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,132.42 |
$3,132.42 |
$3,132.42 |
$1,928.07
|
|
Repair major blood vessel(s) without bypass 33320
|
$2,547.45 |
$2,547.45 |
$2,547.45 |
$2,412.90
|
|
Repair muscles of hand
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,839.54
|
|
Repair of ankle ligament
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$7,807.24
|
|
Repair of body cast
|
$328.44 |
$328.44 |
$328.44 |
$203.20
|
|
Repair of digit nerve hand/foot 1 nerve
|
$4,046.34 |
$4,046.34 |
$4,046.34 |
$3,702.07
|
|
Repair of eye socket wound
|
$8,831.16 |
$8,831.16 |
$8,831.16 |
$4,456.89
|
|
Repair of eye wound
|
$5,341.74 |
$5,341.74 |
$5,341.74 |
$2,747.43
|
|
Repair of foot tendon
|
$6,066.45 |
$6,066.45 |
$6,066.45 |
$3,839.54
|
|
Repair of kneecap tendon
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$6,311.00
|
|
Repair of nasal septum
|
$6,404.07 |
$6,404.07 |
$6,404.07 |
$3,837.72
|
|
Repair of rectum
|
$5,783.91 |
$5,783.91 |
$5,783.91 |
$3,316.74
|
|
Repair of toe dislocation
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,821.05
|
|
Repair palate
|
$12,019.68 |
$12,019.68 |
$12,019.68 |
$6,966.64
|
|
Repair pm/icd lead dual
|
$7,975.38 |
$7,975.38 |
$7,975.38 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$7,975.38 |
$7,975.38 |
$7,975.38 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$2,577.03 |
$2,577.03 |
$2,577.03 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$3,132.42 |
$3,132.42 |
$3,132.42 |
$1,268.80
|
|
Repair tendon extensor foot 1/2 each tendon
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$8,986.20 |
$8,986.20 |
$8,986.20 |
$4,627.00
|
|
Repair throat wound
|
$3,124.77 |
$3,124.77 |
$3,124.77 |
$1,955.10
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$453.90 |
$453.90 |
$453.90 |
$504.12
|
|
Repair upper arm/elbow tendon/muscle ea
|
$14,889.45 |
$14,889.45 |
$14,889.45 |
$8,293.50
|
|
Repair vagina/perineum
|
$6,230.16 |
$6,230.16 |
$6,230.16 |
$3,986.00
|
|
Replace duod/jej tube perc
|
$1,858.44 |
$1,858.44 |
$1,858.44 |
$1,383.00
|
|
Replace g/c tube perc
|
$2,379.66 |
$2,379.66 |
$2,379.66 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,583.04 |
$1,583.04 |
$1,583.04 |
$1,600.45
|
|
Replace tunneled cv cath
|
$6,705.99 |
$6,705.99 |
$6,705.99 |
$4,001.25
|
|
Replantation digit complete
|
$3,161.49 |
$3,161.49 |
$3,161.49 |
$2,609.20
|
|
Reposition pm/icd lead
|
$4,098.36 |
$4,098.36 |
$4,098.36 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$334.56 |
$334.56 |
$334.56 |
$1,905.00
|
|
Reslizumab 10 mg/ml intravenous solution
|
$2,726.99 |
$2,726.99 |
$2,726.99 |
$2,196.50
|
|
Respirator motion mgmt simul
|
$323.85 |
$323.85 |
$323.85 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$24.48 |
$24.48 |
$24.48 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$7.65 |
$7.65 |
$7.65 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$1,318.35 |
$1,318.35 |
$1,318.35 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$1,740.63 |
$1,740.63 |
$1,740.63 |
$797.29
|
|
Reticulocyte automated
|
$153.00 |
$153.00 |
$153.00 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$7.14 |
$7.14 |
$7.14 |
$33.57
|
|
Revasc evasc fpvt angio cplx 1st
|
$10,106.16 |
$10,106.16 |
$10,106.16 |
$17,276.40
|
|
Revasc evasc fpvt angio sf 1st
|
$10,106.16 |
$10,106.16 |
$10,106.16 |
$13,268.00
|
|
Revasc evasc fpvt athrec cplx 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$34,354.35
|
|
Revasc evasc fpvt athrec sf 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$26,304.65
|
|
Revasc evasc fpvt st athrec sf 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$41,608.00
|
|
Revasc evasc fpvt stent cplx 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$31,963.48
|
|
Revasc evasc fpvt stent sf 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$21,980.80
|
|
Revasc evasc ivt angio cplx 1st
|
$16,396.50 |
$16,396.50 |
$16,396.50 |
$18,207.49
|
|
Revasc evasc ivt stent cplx 1st
|
$23,993.97 |
$23,993.97 |
$23,993.97 |
$30,747.13
|
|
Revasc evasc ivt stent sf 1st
|
$23,993.97 |
$23,993.97 |
$23,993.97 |
$23,066.61
|
|
Revasc evasc tpvt angio cplx 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$24,737.53
|
|
Revasc evasc tpvt angio sf 1st
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$17,538.40
|
|
Revasc evasc tpvt athrec cplx 1st
|
$25,453.59 |
$25,453.59 |
$25,453.59 |
$34,332.96
|
|
Revasc evasc tpvt athrec sf 1st
|
$25,453.59 |
$25,453.59 |
$25,453.59 |
$27,582.58
|
|
Revasc intra lithotrip-ather
|
$26,408.82 |
$26,408.82 |
$26,408.82 |
$20,329.50
|
|
Revasc intra lithotrip-stent
|
$11,173.08 |
$11,173.08 |
$11,173.08 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$16,479.12 |
$16,479.12 |
$16,479.12 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$26,408.31 |
$26,408.31 |
$26,408.31 |
$20,329.50
|
|
Revasc lithotrip-stent-ather
|
$26,408.31 |
$26,408.31 |
$26,408.31 |
$21,280.02
|
|
Revasc lithotrip tibi/perone
|
$15,017.46 |
$15,017.46 |
$15,017.46 |
$14,318.70
|
|
Revise eye socket implant
|
$8,831.16 |
$8,831.16 |
$8,831.16 |
$5,008.35
|
|
Revise finger joint each
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,021.04
|
|
Revision of cervix
|
$6,364.29 |
$6,364.29 |
$6,364.29 |
$3,762.53
|
|
Revision of cornea
|
$5,341.74 |
$5,341.74 |
$5,341.74 |
$2,760.73
|
|
Revision of eyelid
|
$5,341.74 |
$5,341.74 |
$5,341.74 |
$2,860.80
|
|
Revision of penis
|
$942.48 |
$942.48 |
$942.48 |
$2,875.60
|
|
Revision of penis
|
$7,062.48 |
$7,062.48 |
$7,062.48 |
$4,261.44
|
|
Revision open av fistula without thromb
|
$7,978.95 |
$7,978.95 |
$7,978.95 |
$8,037.35
|
|
Rheumatoid factor qualitative
|
$14.26 |
$14.26 |
$14.26 |
$54.60
|
|
Rheumatoid factor quantitative
|
$208.59 |
$208.59 |
$208.59 |
$58.00
|
|
Rho d immune globulin inj
|
$298.84 |
$298.84 |
$298.84 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$563.68 |
$563.68 |
$563.68 |
$462.44
|
|
Right ventric recording
|
$2,401.08 |
$2,401.08 |
$2,401.08 |
$1,980.36
|
|
Ring fx reform 11-13x17mm
|
$2,734.14 |
$2,734.14 |
$2,734.14 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$18,265.61 |
$18,265.61 |
$18,265.61 |
$18,265.61
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$14,021.67 |
$14,021.67 |
$14,021.67 |
$8,485.68
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$7,591.49 |
$7,591.49 |
$7,591.49 |
$4,424.10
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$5,889.40 |
$5,889.40 |
$5,889.40 |
$5,831.80
|
|
Rmv implant contraceptive capsule 11976
|
$1,461.15 |
$1,461.15 |
$1,461.15 |
$846.42
|