|
Repair/graft hand tendon
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,931.20
|
|
Repair hand joint
|
$2,718.45 |
$2,718.45 |
$2,718.45 |
$3,839.54
|
|
Repair lac palate<2 cm
|
$434.35 |
$434.35 |
$434.35 |
$686.89
|
|
Repair lip full thkns =<one-half vert height
|
$387.80 |
$387.80 |
$387.80 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
$1,928.07
|
|
Repair major blood vessel(s) without bypass 33320
|
$2,822.40 |
$2,822.40 |
$2,822.40 |
$2,412.90
|
|
Repair muscles of hand
|
$3,930.50 |
$3,930.50 |
$3,930.50 |
$3,839.54
|
|
Repair of ankle ligament
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$7,807.24
|
|
Repair of body cast
|
$140.00 |
$140.00 |
$140.00 |
$203.20
|
|
Repair of digit nerve hand/foot 1 nerve
|
$792.05 |
$792.05 |
$792.05 |
$3,702.07
|
|
Repair of eye socket wound
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$4,456.89
|
|
Repair of eye wound
|
$2,175.25 |
$2,175.25 |
$2,175.25 |
$2,747.43
|
|
Repair of foot tendon
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,839.54
|
|
Repair of kneecap tendon
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$6,311.00
|
|
Repair of nasal septum
|
$1,470.70 |
$1,470.70 |
$1,470.70 |
$3,837.72
|
|
Repair of rectum
|
$1,132.25 |
$1,132.25 |
$1,132.25 |
$3,316.74
|
|
Repair of toe dislocation
|
$3,930.50 |
$3,930.50 |
$3,930.50 |
$3,821.05
|
|
Repair palate
|
$2,353.40 |
$2,353.40 |
$2,353.40 |
$6,966.64
|
|
Repair pm/icd lead dual
|
$2,096.85 |
$2,096.85 |
$2,096.85 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$2,879.80 |
$2,879.80 |
$2,879.80 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$361.90 |
$361.90 |
$361.90 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$434.35 |
$434.35 |
$434.35 |
$1,268.80
|
|
Repair tendon extensor foot 1/2 each tendon
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$4,627.00
|
|
Repair throat wound
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$1,955.10
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$169.75 |
$169.75 |
$169.75 |
$504.12
|
|
Repair upper arm/elbow tendon/muscle ea
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$8,293.50
|
|
Repair vagina/perineum
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$3,986.00
|
|
Replace duod/jej tube perc
|
$777.00 |
$777.00 |
$777.00 |
$1,383.00
|
|
Replace g/c tube perc
|
$777.00 |
$777.00 |
$777.00 |
$1,413.60
|
|
Replace g-j tube perc
|
$1,894.90 |
$1,894.90 |
$1,894.90 |
$1,600.45
|
|
Replace tunneled cv cath
|
$1,921.50 |
$1,921.50 |
$1,921.50 |
$4,001.25
|
|
Replantation digit complete
|
$1,933.40 |
$1,933.40 |
$1,933.40 |
$2,609.20
|
|
Reposition pm/icd lead
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$3,827.46
|
|
Reposition vad w/image rt/lt sep session
|
$377.65 |
$377.65 |
$377.65 |
$1,905.00
|
|
Repos lv lead pm/icd
|
$3,832.15 |
$3,832.15 |
$3,832.15 |
$3,770.00
|
|
Repos sq defib eltrd
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$4,776.28
|
|
Resuscitation cardiopulmonary
|
$221.20 |
$221.20 |
$221.20 |
$847.29
|
|
Resuscitation delivery/birthing room
|
$826.00 |
$826.00 |
$826.00 |
$797.29
|
|
Reticulated platelet assay
|
$112.70 |
$112.70 |
$112.70 |
$63.08
|
|
Reticulocyte automated
|
$112.70 |
$112.70 |
$112.70 |
$54.60
|
|
Reticulocyte direct measurement automated
|
$68.25 |
$68.25 |
$68.25 |
$33.57
|
|
Revasc evasc fpvt angio cplx 1st
|
$3,604.30 |
$3,604.30 |
$3,604.30 |
$17,276.40
|
|
Revasc evasc fpvt angio sf 1st
|
$3,604.30 |
$3,604.30 |
$3,604.30 |
$13,268.00
|
|
Revasc evasc fpvt athrec cplx 1st
|
$4,571.70 |
$4,571.70 |
$4,571.70 |
$34,354.35
|
|
Revasc evasc fpvt athrec sf 1st
|
$4,571.70 |
$4,571.70 |
$4,571.70 |
$26,304.65
|
|
Revasc evasc fpvt st athrec sf 1st
|
$7,477.75 |
$7,477.75 |
$7,477.75 |
$41,608.00
|
|
Revasc evasc fpvt stent cplx 1st
|
$5,540.15 |
$5,540.15 |
$5,540.15 |
$31,963.48
|
|
Revasc evasc fpvt stent sf 1st
|
$5,540.15 |
$5,540.15 |
$5,540.15 |
$21,980.80
|
|
Revasc evasc imvt angio cplx 1st
|
$4,240.25 |
$4,240.25 |
$4,240.25 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$4,240.25 |
$4,240.25 |
$4,240.25 |
$11,794.23
|
|
Revasc evasc ivt angio cplx 1st
|
$3,604.30 |
$3,604.30 |
$3,604.30 |
$18,207.49
|
|
Revasc evasc ivt stent cplx 1st
|
$5,540.15 |
$5,540.15 |
$5,540.15 |
$30,747.13
|
|
Revasc evasc ivt stent sf 1st
|
$5,540.15 |
$5,540.15 |
$5,540.15 |
$23,066.61
|
|
Revasc evasc tpvt angio cplx 1st
|
$7,288.75 |
$7,288.75 |
$7,288.75 |
$24,737.53
|
|
Revasc evasc tpvt angio sf 1st
|
$7,288.75 |
$7,288.75 |
$7,288.75 |
$17,538.40
|
|
Revasc evasc tpvt athrec cplx 1st
|
$11,476.50 |
$11,476.50 |
$11,476.50 |
$34,332.96
|
|
Revasc evasc tpvt athrec sf 1st
|
$11,476.50 |
$11,476.50 |
$11,476.50 |
$27,582.58
|
|
Revasc intra lithotrip-stent
|
$19,233.20 |
$19,233.20 |
$19,233.20 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$7,203.70 |
$7,203.70 |
$7,203.70 |
$12,393.88
|
|
Revasc lithotrip tibi/perone
|
$19,233.20 |
$19,233.20 |
$19,233.20 |
$14,318.70
|
|
Revise eye socket implant
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$5,008.35
|
|
Revise finger joint each
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,021.04
|
|
Revision of cervix
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$3,762.53
|
|
Revision of cornea
|
$1,673.35 |
$1,673.35 |
$1,673.35 |
$2,760.73
|
|
Revision of eyelid
|
$1,673.35 |
$1,673.35 |
$1,673.35 |
$2,860.80
|
|
Revision of penis
|
$3,668.70 |
$3,668.70 |
$3,668.70 |
$2,875.60
|
|
Revision of penis
|
$2,287.60 |
$2,287.60 |
$2,287.60 |
$4,261.44
|
|
Revsc opn/prq tib/pero stent
|
$1,994.30 |
$1,994.30 |
$1,994.30 |
$10,086.20
|
|
Rheumatoid factor qualitative
|
$69.65 |
$69.65 |
$69.65 |
$54.60
|
|
Rheumatoid factor quantitative
|
$64.75 |
$64.75 |
$64.75 |
$58.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$247.55 |
$247.55 |
$247.55 |
$243.11
|
|
Rho d immune globulin inj
|
$233.45 |
$233.45 |
$233.45 |
$287.82
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$641.78 |
$641.78 |
$641.78 |
$462.44
|
|
Right ventric recording
|
$408.80 |
$408.80 |
$408.80 |
$1,980.36
|
|
Ring fx reform 11-13x17mm
|
$1,487.94 |
$1,487.94 |
$1,487.94 |
$1,375.39
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$16,886.06 |
$16,886.06 |
$16,886.06 |
$8,485.68
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$9,116.38 |
$9,116.38 |
$9,116.38 |
$4,424.10
|
|
Rmv implant contraceptive capsule 11976
|
$533.40 |
$533.40 |
$533.40 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$2,031.75 |
$2,031.75 |
$2,031.75 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$995.40 |
$995.40 |
$995.40 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$1,917.33
|
|
Rmvl icd by tv extr
|
$2,750.65 |
$2,750.65 |
$2,750.65 |
$4,374.76
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,385.70 |
$7,385.70 |
$7,385.70 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$9,873.15 |
$9,873.15 |
$9,873.15 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$6,442.10 |
$6,442.10 |
$6,442.10 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$3,221.40 |
$3,221.40 |
$3,221.40 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$1,190.70 |
$1,190.70 |
$1,190.70 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$3,818.85 |
$3,818.85 |
$3,818.85 |
$6,608.00
|
|
Rmvl perq right heart vad
|
$837.90 |
$837.90 |
$837.90 |
$2,214.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$8,442.35 |
$8,442.35 |
$8,442.35 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$5,909.40 |
$5,909.40 |
$5,909.40 |
$10,427.04
|
|
Rmvl pq iabp
|
$828.80 |
$828.80 |
$828.80 |
$1,082.40
|
|
Rmvl pq vad left hrt vein sep session
|
$864.15 |
$864.15 |
$864.15 |
$2,722.30
|
|
Rmvl sq defib electrode
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$1,168.30 |
$1,168.30 |
$1,168.30 |
$1,991.00
|
|
Rmvl tiss expndr without implant insrtn
|
$3,290.70 |
$3,290.70 |
$3,290.70 |
$3,386.84
|
|
Rmvl tongs/halo anthr indiv
|
$169.75 |
$169.75 |
$169.75 |
$504.90
|
|
Rmvl tv pm lead dual
|
$1,782.90 |
$1,782.90 |
$1,782.90 |
$4,069.52
|