|
Rad resection tum radial h/n
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$8,412.89
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$3,386.84
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$13,136.04 |
$13,136.04 |
$13,136.04 |
$13,136.04
|
|
Ranibizumab injection
|
$3,409.84 |
$3,409.84 |
$3,409.84 |
$3,409.84
|
|
Rapid desensitization
|
$593.60 |
$593.60 |
$593.60 |
$472.21
|
|
Rapid Strep Test
|
$171.36 |
$171.36 |
$171.36 |
$75.24
|
|
Rasburicase 1.5 mg intravenous solution
|
$9,673.48 |
$9,673.48 |
$9,673.48 |
$4,331.80
|
|
Ravulizumab-cwvz 100 mg/ml intravenous solution
|
$38,630.91 |
$38,630.91 |
$38,630.91 |
$41,926.70
|
|
Rb82 rubidium
|
$866.88 |
$866.88 |
$866.88 |
$866.88
|
|
Rbc count only automated
|
$11.20 |
$11.20 |
$11.20 |
$20.40
|
|
Rbc deglycerolized each unit
|
$362.32 |
$362.32 |
$362.32 |
$841.75
|
|
Rbc depletion of harvest
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,803.18
|
|
Rbc mechanical fragility
|
$89.04 |
$89.04 |
$89.04 |
$21.60
|
|
Rbc osmotic fragility
|
$75.04 |
$75.04 |
$75.04 |
$75.04
|
|
Rbc serum pretx incubj drugs
|
$918.40 |
$918.40 |
$918.40 |
$235.00
|
|
Rcm img acquisj&i&r 1st les
|
$487.20 |
$487.20 |
$487.20 |
$371.20
|
|
Rcm img acquisj&i&r ea addl
|
$296.80 |
$296.80 |
$296.80 |
$233.60
|
|
Rcm img acquisj only 1st les
|
$336.00 |
$336.00 |
$336.00 |
$193.96
|
|
Rcm img acquisj only ea addl
|
$204.40 |
$204.40 |
$204.40 |
$204.40
|
|
Rcm i&r only 1st lesion
|
$117.60 |
$117.60 |
$117.60 |
$117.60
|
|
Rcm i&r only ea addl lesion
|
$112.56 |
$112.56 |
$112.56 |
$112.56
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Rdctj forehead cntrg only
|
$7,498.40 |
$7,498.40 |
$7,498.40 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Rdctj forehead cntrg&setback
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,966.64
|
|
Realignment of tendons
|
$6,759.20 |
$6,759.20 |
$6,759.20 |
$3,821.05
|
|
Rebuild eardrum structures
|
$13,350.40 |
$13,350.40 |
$13,350.40 |
$6,553.49
|
|
Rebuild eardrum structures
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Rebuild eardrum structures
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,966.64
|
|
Rebuild outer ear canal
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,017.08
|
|
Rebuild outer ear canal
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Recon, cta for surg plan
|
$1,472.80 |
$1,472.80 |
$1,472.80 |
$713.50
|
|
Reconst lwr jaw without fixation
|
$9,413.60 |
$9,413.60 |
$9,413.60 |
$6,553.49
|
|
Reconst lwr jaw without graft
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,553.49
|
|
Reconstr lwr jaw segment
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,547.81
|
|
Reconstr lwr jaw w/advance
|
$3,651.20 |
$3,651.20 |
$3,651.20 |
$4,350.00
|
|
Reconstruct cleft foot
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$8,453.60
|
|
Reconstruct cleft palate
|
$12,168.80 |
$12,168.80 |
$12,168.80 |
$5,855.00
|
|
Reconstruct cleft palate
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$4,558.89
|
|
Reconstruct cleft palate
|
$13,361.60 |
$13,361.60 |
$13,361.60 |
$6,547.81
|
|
Reconstruct cleft palate
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Reconstruct cleft palate
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Reconstruct cleft palate
|
$9,413.60 |
$9,413.60 |
$9,413.60 |
$6,547.81
|
|
Reconstruct elbow joint
|
$12,555.20 |
$12,555.20 |
$12,555.20 |
$5,886.74
|
|
Reconstruct elbow joint
|
$34,412.00 |
$34,412.00 |
$34,412.00 |
$20,355.21
|
|
Reconstruct elbow joint
|
$16,251.20 |
$16,251.20 |
$16,251.20 |
$14,241.77
|
|
Reconstruct elbow lat ligmnt
|
$16,990.40 |
$16,990.40 |
$16,990.40 |
$8,453.60
|
|
Reconstruct elbow med ligmnt
|
$14,162.40 |
$14,162.40 |
$14,162.40 |
$11,365.24
|
|
Reconstruct extra finger
|
$7,431.20 |
$7,431.20 |
$7,431.20 |
$3,591.33
|
|
Reconstruct finger joint
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Reconstruct finger joint
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$4,313.40
|
|
Reconstruct head of radius
|
$15,366.40 |
$15,366.40 |
$15,366.40 |
$11,971.85
|
|
Reconstruct head of radius
|
$9,878.40 |
$9,878.40 |
$9,878.40 |
$7,860.75
|
|
Reconstruction knee
|
$14,772.80 |
$14,772.80 |
$14,772.80 |
$5,855.00
|
|
Reconstruction knee
|
$11,250.40 |
$11,250.40 |
$11,250.40 |
$8,814.96
|
|
Reconstruction knee
|
$20,641.60 |
$20,641.60 |
$20,641.60 |
$10,629.07
|
|
Reconstruction of anus
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,481.77
|
|
Reconstruction of eyelid
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,590.40
|
|
Reconstruction of eyelid
|
$4,194.40 |
$4,194.40 |
$4,194.40 |
$4,194.40
|
|
Reconstruction of eyelid
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$4,462.45
|
|
Reconstruction of eyelid
|
$3,584.00 |
$3,584.00 |
$3,584.00 |
$3,269.14
|
|
Reconstruction of jaw
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$6,547.81
|
|
Reconstruction of jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Reconstruction of jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,880.12
|
|
Reconstruction of jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,720.89
|
|
Reconstruction of jaw joint
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Reconstruction of jaw joint
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,942.99
|
|
Reconstruction of jaw joint
|
$15,372.00 |
$15,372.00 |
$15,372.00 |
$15,372.00
|
|
Reconstruction of lower jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Reconstruction of mouth
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,553.49
|
|
Reconstruction of mouth
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,966.64
|
|
Reconstruction of mouth
|
$7,756.00 |
$7,756.00 |
$7,756.00 |
$6,966.64
|
|
Reconstruction of mouth
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,966.64
|
|
Reconstruction of mouth
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,740.73
|
|
Reconstruction of nail bed
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,164.64
|
|
Reconstruction of nose
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$5,925.35
|
|
Reconstruction of nose
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,839.00
|
|
Reconstruction of orbit
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Reconstruction of throat
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,839.00
|
|
Reconstruction of urethra
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$6,015.75
|
|
Reconstruction of urethra
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$6,015.75
|
|
Reconstruction of urethra
|
$10,416.00 |
$10,416.00 |
$10,416.00 |
$5,855.00
|
|
Reconstruction of urethra
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,055.01
|
|
Reconstruction of urethra
|
$10,248.00 |
$10,248.00 |
$10,248.00 |
$10,235.30
|
|
Reconstruction of urethra
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,081.37
|
|
Reconstruction of urethra
|
$6,848.80 |
$6,848.80 |
$6,848.80 |
$4,646.71
|
|
Reconstruction of urethra
|
$9,592.80 |
$9,592.80 |
$9,592.80 |
$4,627.96
|
|
Reconstruction of urethra
|
$10,248.00 |
$10,248.00 |
$10,248.00 |
$4,478.01
|
|
Reconstruction tongue fold
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$2,258.61
|
|
Reconstruct lip with flap
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,839.00
|
|
Reconstruct lip w/local flap 40525
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,837.72
|
|
Reconstruct orbit/forehead
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,612.37
|
|
Reconstruct shoulder joint
|
$19,544.00 |
$19,544.00 |
$19,544.00 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$11,340.00 |
$11,340.00 |
$11,340.00 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$6,215.99
|
|
Reconstruct urethra/bladder
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$5,631.74
|
|
Reconstruct urethra stage 1
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$5,631.74
|
|
Reconstruct urethra stage 2
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$5,741.00
|
|
Red blood cells each unit
|
$124.32 |
$124.32 |
$124.32 |
$387.36
|
