|
Rituximab-abbs 10 mg/ml intravenous solution
|
$2,511.28 |
$2,511.28 |
$7,411.92 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$6,287.16 |
$6,287.16 |
$6,287.16 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$1,277.60 |
$1,277.60 |
$1,277.60 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$6,104.00 |
$6,104.00 |
$6,104.00 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$6,104.00 |
$6,104.00 |
$6,104.00 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$617.70 |
$617.70 |
$617.70 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$12,090.40 |
$12,090.40 |
$12,090.40 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$6,137.60 |
$6,137.60 |
$6,137.60 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$6,764.80 |
$6,764.80 |
$6,764.80 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$133.35 |
$133.35 |
$7,660.80 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$3,466.40 |
$3,466.40 |
$3,466.40 |
$1,822.05
|
|
Rmvl hpglsl nstim ary pg
|
$12,852.00 |
$12,852.00 |
$12,852.00 |
$7,578.32
|
|
Rmvl i-artic rx delivery dev 20705
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$769.60
|
|
Rmvl icd by tv extr
|
$3,212.10 |
$3,212.10 |
$11,317.60 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$17,533.95 |
$17,533.95 |
$74,989.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$21,443.85 |
$21,443.85 |
$56,487.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$18,655.35 |
$18,655.35 |
$48,473.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,863.55 |
$3,863.55 |
$14,420.00 |
$3,977.32
|
|
Rmvl imed rx delivery device
|
$761.60 |
$761.60 |
$761.60 |
$761.60
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$4,463.20 |
$4,463.20 |
$4,463.20 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$470.40 |
$470.40 |
$470.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$6,598.95 |
$6,598.95 |
$7,952.00 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$498.40 |
$498.40 |
$498.40 |
$1,610.35
|
|
Rmvl phrnc nrv stim pg only
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$4,881.00
|
|
Rmvl phrnc nrv stim transvns
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$12,164.55 |
$12,164.55 |
$14,929.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,361.60 |
$8,361.60 |
$25,485.60 |
$10,542.00
|
|
Rmvl pq iabp
|
$297.00 |
$297.00 |
$297.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$1,024.80 |
$1,024.80 |
$7,575.30 |
$2,407.50
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$5,741.00
|
|
Rmvl rplcmt hrt sys f/trnspl
|
$3,595.20 |
$3,595.20 |
$3,595.20 |
$3,595.20
|
|
Rmvl & rplcmt tot hrt sys
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$5,112.80
|
|
Rmvl sq defib electrode
|
$2,287.65 |
$2,287.65 |
$10,102.40 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,609.80 |
$1,609.80 |
$4,508.00 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$7,716.80 |
$7,716.80 |
$7,716.80 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$296.80 |
$296.80 |
$296.80 |
$441.68
|
|
Rmvl tv pm lead dual
|
$5,188.05 |
$5,188.05 |
$11,317.60 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,026.60 |
$4,026.60 |
$11,317.60 |
$4,031.69
|
|
Rmv ntr oi implt skl prq esp
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
$4,627.00
|
|
Rmv ntr oi imp sk tc>=100
|
$6,288.80 |
$6,288.80 |
$6,288.80 |
$4,499.12
|
|
Rmv ntr oi imp sk tc esp<100
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
$5,272.80
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$24,074.40 |
$24,074.40 |
$24,074.40 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$54,874.40 |
$54,874.40 |
$54,874.40 |
$34,440.90
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$5,717.60 |
$5,717.60 |
$5,717.60 |
$4,355.20
|
|
Robot lin-radsurg com, first
|
$12,857.60 |
$12,857.60 |
$12,857.60 |
$12,857.60
|
|
Robt lin-radsurg fractx 2-5
|
$9,934.40 |
$9,934.40 |
$9,934.40 |
$9,934.40
|
|
Rocker bottom, contact afo
|
$112.00 |
$112.00 |
$112.00 |
$210.00
|
|
Rolapitant, oral, 1mg
|
$580.13 |
$580.13 |
$580.13 |
$580.13
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,561.47 |
$5,561.47 |
$5,561.47 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$9,622.92 |
$9,622.92 |
$9,622.92 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,064.71 |
$1,064.71 |
$4,596.05 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$35.14 |
$35.14 |
$357.68 |
$188.50
|
|
Rotation wrst with cable lock
|
$798.00 |
$798.00 |
$798.00 |
$798.00
|
|
Rotavirus antibody
|
$134.40 |
$134.40 |
$134.40 |
$125.01
|
|
Round caliper and plate atta
|
$120.40 |
$120.40 |
$120.40 |
$120.40
|
|
Routine footcare pt w lops
|
$470.40 |
$470.40 |
$470.40 |
$223.08
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$15,007.16 |
$15,007.16 |
$15,007.16 |
$15,007.16
|
|
Rplcm oi implt sk tc esp<100
|
$27,798.40 |
$27,798.40 |
$27,798.40 |
$22,958.00
|
|
Rplcmt a-valve tlcj autol pv
|
$8,545.60 |
$8,545.60 |
$8,545.60 |
$8,545.60
|
|
Rplcmt oi implt skl prq esp
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,913.97
|
|
Rplc oi implt sk tc esp>=100
|
$27,557.60 |
$27,557.60 |
$27,557.60 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,802.85 |
$1,802.85 |
$4,793.60 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$744.60 |
$744.60 |
$3,175.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$4,597.60 |
$4,597.60 |
$4,597.60 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$1,593.15 |
$1,593.15 |
$4,726.40 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,083.45 |
$1,083.45 |
$4,648.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,236.70 |
$3,236.70 |
$10,444.00 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$10,875.20 |
$10,875.20 |
$10,875.20 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$802.80 |
$802.80 |
$5,168.80 |
$3,687.00
|
|
Rpm tx mgmt ea addl 20 min
|
$147.28 |
$147.28 |
$147.28 |
$101.25
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$7,481.60 |
$7,481.60 |
$7,481.60 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$11,009.60 |
$11,009.60 |
$11,009.60 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$7,481.60 |
$7,481.60 |
$7,481.60 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$7,481.60 |
$7,481.60 |
$7,481.60 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$11,009.60 |
$11,009.60 |
$11,009.60 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,402.40 |
$2,402.40 |
$2,402.40 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$7,481.60 |
$7,481.60 |
$7,481.60 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$11,009.60 |
$11,009.60 |
$11,009.60 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$7,481.60 |
$7,481.60 |
$7,481.60 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$9,408.00 |
$9,408.00 |
$9,408.00 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$11,446.40 |
$11,446.40 |
$11,446.40 |
$5,983.35
|
|
Rpr choanal atresia ntranasl
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Rpr choanal atresia trsnpltn
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,966.64
|
|
Rpr fem hernia init blocked
|
$352.80 |
$352.80 |
$13,535.20 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$12,807.20 |
$12,807.20 |
$12,807.20 |
$6,870.89
|
|
Rpr hypspad comp dsj & urtp
|
$9,592.80 |
$9,592.80 |
$9,592.80 |
$5,855.00
|
|
Rpr hypspad comp simple
|
$9,200.80 |
$9,200.80 |
$9,200.80 |
$4,478.01
|
|
Rpr ing hernia baby blocked
|
$10,757.60 |
$10,757.60 |
$10,757.60 |
$4,176.15
|
|
Rpr ing hernia baby reduc
|
$10,757.60 |
$10,757.60 |
$10,757.60 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$13,266.40 |
$13,266.40 |
$13,266.40 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$13,266.40 |
$13,266.40 |
$13,266.40 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$10,757.60 |
$10,757.60 |
$10,757.60 |
$4,691.20
|
|
Rpr intst excl anrect fist
|
$1,853.60 |
$1,853.60 |
$1,853.60 |
$3,035.44
|
|
Rpr nsl vlv collapse w/implt
|
$11,821.60 |
$11,821.60 |
$11,821.60 |
$7,606.40
|
