|
Revision of colostomy paraclt hernia 44346
|
$675.41 |
$675.41 |
$675.41 |
$2,912.80
|
|
Revision of cornea
|
$205.02 |
$205.02 |
$205.02 |
$2,760.73
|
|
Revision of cranial nerve
|
$304.30 |
$304.30 |
$304.30 |
$2,310.83
|
|
Revision of eyelid
|
$270.81 |
$270.81 |
$270.81 |
$2,760.73
|
|
Revision of eyelid
|
$387.43 |
$387.43 |
$387.43 |
$3,417.95
|
|
Revision of foot
|
$210.12 |
$210.12 |
$210.12 |
$3,839.54
|
|
Revision of foot and ankle
|
$654.50 |
$654.50 |
$654.50 |
$6,915.20
|
|
Revision of foot fascia 28250
|
$248.20 |
$248.20 |
$248.20 |
$3,839.54
|
|
Revision of foot tendon
|
$289.51 |
$289.51 |
$289.51 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$575.96 |
$575.96 |
$575.96 |
$2,486.40
|
|
Revision of ileostomy; simple 44312
|
$345.61 |
$345.61 |
$345.61 |
$4,332.25
|
|
Revision of iris
|
$140.08 |
$140.08 |
$140.08 |
$1,388.40
|
|
Revision of kidney/ureter
|
$668.44 |
$668.44 |
$668.44 |
$5,865.60
|
|
Revision of knee joint
|
$474.13 |
$474.13 |
$474.13 |
$15,069.60
|
|
Revision of knee joint
|
$516.12 |
$516.12 |
$516.12 |
$8,885.39
|
|
Revision of knee joint
|
$484.67 |
$484.67 |
$484.67 |
$12,555.20
|
|
Revision of knee joint
|
$671.84 |
$671.84 |
$671.84 |
$14,241.77
|
|
Revision of leg vein 37780
|
$132.09 |
$132.09 |
$132.09 |
$3,724.63
|
|
Revision of nose
|
$251.60 |
$251.60 |
$251.60 |
$3,819.23
|
|
Revision of penis
|
$410.72 |
$410.72 |
$410.72 |
$4,040.25
|
|
Revision of penis
|
$374.85 |
$374.85 |
$374.85 |
$2,739.10
|
|
Revision of penis
|
$245.48 |
$245.48 |
$245.48 |
$4,350.00
|
|
Revision of radius
|
$405.28 |
$405.28 |
$405.28 |
$6,871.42
|
|
Revision of sciatic nerve
|
$352.58 |
$352.58 |
$352.58 |
$2,888.00
|
|
Revision of scrotum
|
$216.92 |
$216.92 |
$216.92 |
$4,081.37
|
|
Revision of thigh muscles
|
$441.83 |
$441.83 |
$441.83 |
$5,886.74
|
|
Revision of ulna
|
$394.40 |
$394.40 |
$394.40 |
$5,376.00
|
|
Revision of unstable kneecap
|
$445.06 |
$445.06 |
$445.06 |
$5,886.74
|
|
Revision of unstable kneecap
|
$443.19 |
$443.19 |
$443.19 |
$6,973.47
|
|
Revision of urethra
|
$597.04 |
$597.04 |
$597.04 |
$4,081.37
|
|
Revision of urethra
|
$925.65 |
$925.65 |
$925.65 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$4,849.93 |
$4,849.93 |
$4,849.93 |
$8,037.35
|
|
Revision/removal of kneecap
|
$446.59 |
$446.59 |
$446.59 |
$6,839.00
|
|
Revis reconst shoulder joint
|
$934.83 |
$934.83 |
$934.83 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$1,007.76 |
$1,007.76 |
$1,007.76 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$665.21 |
$665.21 |
$665.21 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$641.92 |
$641.92 |
$641.92 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$1,093.61 |
$1,093.61 |
$1,093.61 |
$4,748.80
|
|
Rev-rem impl neurostim gen-rec
|
$174.76 |
$174.76 |
$174.76 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$85.34 |
$85.34 |
$85.34 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$134.64 |
$134.64 |
$134.64 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$1,865.07 |
$1,865.07 |
$1,865.07 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$80.07 |
$80.07 |
$80.07 |
$57.20
|
|
Rheumatoid factor quantitative
|
$80.07 |
$80.07 |
$80.07 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$737.80 |
$737.80 |
$737.80 |
$4,256.00
|
|
Rho(d) immune globulin h, sd
|
$19.21 |
$19.21 |
$19.21 |
$3,709.00
|
|
Rho d immune globulin inj
|
$210.83 |
$210.83 |
$210.83 |
$217.71
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$10,600.28 |
$10,600.28 |
$10,600.28 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$8.33 |
$8.33 |
$8.33 |
$35.25
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$7,163.36 |
$7,163.36 |
$7,163.36 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$6,800.00 |
$6,800.00 |
$6,800.00 |
$5,343.99
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$5,849.09 |
$5,849.09 |
$5,849.09 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$636.14 |
$636.14 |
$636.14 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$212.16 |
$212.16 |
$212.16 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$384.88 |
$384.88 |
$384.88 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$207.40 |
$207.40 |
$207.40 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$243.78 |
$243.78 |
$243.78 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$135.66 |
$135.66 |
$135.66 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$135.15 |
$135.15 |
$135.15 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$483.14 |
$483.14 |
$483.14 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$27,516.03 |
$27,516.03 |
$27,516.03 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$29,763.77 |
$29,763.77 |
$29,763.77 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$18,371.73 |
$18,371.73 |
$18,371.73 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,398.36 |
$2,398.36 |
$2,398.36 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$533.97 |
$533.97 |
$533.97 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$112.88 |
$112.88 |
$112.88 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$1,932.56 |
$1,932.56 |
$1,932.56 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$5,582.12 |
$5,582.12 |
$5,582.12 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,206.14 |
$4,206.14 |
$4,206.14 |
$10,542.00
|
|
Rmvl pq iabp
|
$246.16 |
$246.16 |
$246.16 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$102.17 |
$102.17 |
$102.17 |
$2,407.50
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$859.35 |
$859.35 |
$859.35 |
$5,741.00
|
|
Rmvl subq card rhythm mntr
|
$418.37 |
$418.37 |
$418.37 |
$1,734.00
|
|
Rmvl tot arthrp 1ntrspc crv
|
$1,162.12 |
$1,162.12 |
$1,162.12 |
$7,413.38
|
|
Rmvl tv pm lead dual
|
$1,450.10 |
$1,450.10 |
$1,450.10 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,308.83 |
$1,308.83 |
$1,308.83 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$150.45 |
$150.45 |
$150.45 |
$538.85
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$20.93 |
$20.93 |
$20.93 |
$188.50
|
|
Routine footcare pt w lops
|
$50.15 |
$50.15 |
$50.15 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$118.15 |
$118.15 |
$118.15 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$246.67 |
$246.67 |
$246.67 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$811.41 |
$811.41 |
$811.41 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$64.09 |
$64.09 |
$64.09 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,032.58 |
$1,032.58 |
$1,032.58 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,153.90 |
$2,153.90 |
$2,153.90 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$978.86 |
$978.86 |
$978.86 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$573.92 |
$573.92 |
$573.92 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$432.99 |
$432.99 |
$432.99 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$417.18 |
$417.18 |
$417.18 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$321.13 |
$321.13 |
$321.13 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$192.78 |
$192.78 |
$192.78 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$266.90 |
$266.90 |
$266.90 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$695.30 |
$695.30 |
$695.30 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$497.76 |
$497.76 |
$497.76 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$479.91 |
$479.91 |
$479.91 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$358.19 |
$358.19 |
$358.19 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$320.28 |
$320.28 |
$320.28 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$236.98 |
$236.98 |
$236.98 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$558.62 |
$558.62 |
$558.62 |
$5,983.35
|
