|
Revision of big toe
|
$350.73 |
$350.73 |
$350.73 |
$5,855.00
|
|
Revision of bladder neck
|
$463.05 |
$463.05 |
$463.05 |
$4,526.00
|
|
Revision of calf tendon
|
$434.97 |
$434.97 |
$434.97 |
$3,839.54
|
|
Revision of cervix
|
$313.74 |
$313.74 |
$313.74 |
$3,721.00
|
|
Revision of cervix
|
$134.73 |
$134.73 |
$134.73 |
$3,854.76
|
|
Revision of collar bone
|
$772.74 |
$772.74 |
$772.74 |
$5,886.74
|
|
Revision of collar bone
|
$891.81 |
$891.81 |
$891.81 |
$12,147.50
|
|
Revision of colostomy
|
$580.23 |
$580.23 |
$580.23 |
$4,332.25
|
|
Revision of colostomy comp in-depth 44345
|
$956.61 |
$956.61 |
$956.61 |
$2,338.38
|
|
Revision of colostomy paraclt hernia 44346
|
$1,072.71 |
$1,072.71 |
$1,072.71 |
$2,912.80
|
|
Revision of cornea
|
$325.62 |
$325.62 |
$325.62 |
$2,760.73
|
|
Revision of cranial nerve
|
$483.30 |
$483.30 |
$483.30 |
$2,310.83
|
|
Revision of eyelid
|
$430.11 |
$430.11 |
$430.11 |
$2,760.73
|
|
Revision of eyelid
|
$615.33 |
$615.33 |
$615.33 |
$3,417.95
|
|
Revision of foot and ankle
|
$1,039.50 |
$1,039.50 |
$1,039.50 |
$6,915.20
|
|
Revision of foot fascia 28250
|
$394.20 |
$394.20 |
$394.20 |
$3,839.54
|
|
Revision of foot tendon
|
$459.81 |
$459.81 |
$459.81 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$914.76 |
$914.76 |
$914.76 |
$2,486.40
|
|
Revision of ileostomy; simple 44312
|
$548.91 |
$548.91 |
$548.91 |
$4,332.25
|
|
Revision of iris
|
$222.48 |
$222.48 |
$222.48 |
$1,388.40
|
|
Revision of kidney/ureter
|
$1,061.64 |
$1,061.64 |
$1,061.64 |
$5,865.60
|
|
Revision of knee joint
|
$753.03 |
$753.03 |
$753.03 |
$15,069.60
|
|
Revision of knee joint
|
$819.72 |
$819.72 |
$819.72 |
$8,885.39
|
|
Revision of knee joint
|
$769.77 |
$769.77 |
$769.77 |
$12,555.20
|
|
Revision of knee joint
|
$1,067.04 |
$1,067.04 |
$1,067.04 |
$14,241.77
|
|
Revision of leg vein 37780
|
$209.79 |
$209.79 |
$209.79 |
$3,724.63
|
|
Revision of nose
|
$399.60 |
$399.60 |
$399.60 |
$3,819.23
|
|
Revision of penis
|
$652.32 |
$652.32 |
$652.32 |
$4,040.25
|
|
Revision of penis
|
$595.35 |
$595.35 |
$595.35 |
$2,739.10
|
|
Revision of penis
|
$389.88 |
$389.88 |
$389.88 |
$4,350.00
|
|
Revision of radius
|
$643.68 |
$643.68 |
$643.68 |
$6,871.42
|
|
Revision of sciatic nerve
|
$559.98 |
$559.98 |
$559.98 |
$2,888.00
|
|
Revision of scrotum
|
$344.52 |
$344.52 |
$344.52 |
$4,081.37
|
|
Revision of thigh muscles
|
$701.73 |
$701.73 |
$701.73 |
$5,886.74
|
|
Revision of ulna
|
$626.40 |
$626.40 |
$626.40 |
$5,376.00
|
|
Revision of unstable kneecap
|
$706.86 |
$706.86 |
$706.86 |
$5,886.74
|
|
Revision of unstable kneecap
|
$703.89 |
$703.89 |
$703.89 |
$6,973.47
|
|
Revision of urethra
|
$428.49 |
$428.49 |
$428.49 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$657.18 |
$657.18 |
$657.18 |
$8,037.35
|
|
Revision/removal of kneecap
|
$709.29 |
$709.29 |
$709.29 |
$6,839.00
|
|
Revis reconst shoulder joint
|
$1,484.73 |
$1,484.73 |
$1,484.73 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$1,600.56 |
$1,600.56 |
$1,600.56 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$1,056.51 |
$1,056.51 |
$1,056.51 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$1,019.52 |
$1,019.52 |
$1,019.52 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$1,736.91 |
$1,736.91 |
$1,736.91 |
$4,748.80
|
|
Rev-rem impl neurostim gen-rec
|
$277.56 |
$277.56 |
$277.56 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$135.54 |
$135.54 |
$135.54 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$213.84 |
$213.84 |
$213.84 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$183.60 |
$183.60 |
$183.60 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$9.99 |
$9.99 |
$9.99 |
$57.20
|
|
Rheumatoid factor quantitative
|
$9.45 |
$9.45 |
$9.45 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$1,171.80 |
$1,171.80 |
$1,171.80 |
$4,256.00
|
|
Rho(d) immune globulin h, sd
|
$30.51 |
$30.51 |
$30.51 |
$3,709.00
|
|
Rho d immune globulin inj
|
$234.90 |
$234.90 |
$234.90 |
$217.71
|
|
Risk ascvd tst once pr 12 mo
|
$13.23 |
$13.23 |
$13.23 |
$35.25
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$6,038.32 |
$6,038.32 |
$6,038.32 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$1,010.34 |
$1,010.34 |
$1,010.34 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$135.54 |
$135.54 |
$135.54 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$611.28 |
$611.28 |
$611.28 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$329.40 |
$329.40 |
$329.40 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$387.18 |
$387.18 |
$387.18 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$215.46 |
$215.46 |
$215.46 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$214.65 |
$214.65 |
$214.65 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$767.34 |
$767.34 |
$767.34 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$345.60 |
$345.60 |
$345.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$359.91 |
$359.91 |
$359.91 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$332.91 |
$332.91 |
$332.91 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$195.21 |
$195.21 |
$195.21 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$144.18 |
$144.18 |
$144.18 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$179.28 |
$179.28 |
$179.28 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$212.76 |
$212.76 |
$212.76 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$333.45 |
$333.45 |
$333.45 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$303.75 |
$303.75 |
$303.75 |
$10,542.00
|
|
Rmvl pq iabp
|
$29.43 |
$29.43 |
$29.43 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$162.27 |
$162.27 |
$162.27 |
$2,407.50
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$1,169.10 |
$1,169.10 |
$1,169.10 |
$5,741.00
|
|
Rmvl subq card rhythm mntr
|
$118.80 |
$118.80 |
$118.80 |
$1,734.00
|
|
Rmvl tot arthrp 1ntrspc crv
|
$1,845.72 |
$1,845.72 |
$1,845.72 |
$7,413.38
|
|
Rmvl tv pm lead dual
|
$569.16 |
$569.16 |
$569.16 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$432.54 |
$432.54 |
$432.54 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$238.95 |
$238.95 |
$238.95 |
$538.85
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$31.12 |
$31.12 |
$31.12 |
$188.50
|
|
Routine footcare pt w lops
|
$58.32 |
$58.32 |
$58.32 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$58.05 |
$58.05 |
$58.05 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$35.64 |
$35.64 |
$35.64 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$71.01 |
$71.01 |
$71.01 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$101.79 |
$101.79 |
$101.79 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$53.19 |
$53.19 |
$53.19 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$259.20 |
$259.20 |
$259.20 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$166.32 |
$166.32 |
$166.32 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$911.52 |
$911.52 |
$911.52 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$687.69 |
$687.69 |
$687.69 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$662.58 |
$662.58 |
$662.58 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$510.03 |
$510.03 |
$510.03 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$306.18 |
$306.18 |
$306.18 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$423.90 |
$423.90 |
$423.90 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,104.30 |
$1,104.30 |
$1,104.30 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$790.56 |
$790.56 |
$790.56 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$762.21 |
$762.21 |
$762.21 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$568.89 |
$568.89 |
$568.89 |
$6,819.30
|
