|
Rev-rem impl neurostim gen-rec
|
$308.40 |
$308.40 |
$308.40 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$150.60 |
$150.60 |
$150.60 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$237.60 |
$237.60 |
$237.60 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$204.00 |
$204.00 |
$204.00 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$42.60 |
$42.60 |
$42.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$3.19 |
$3.19 |
$3.19 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$4,256.00
|
|
Rho(d) immune globulin h, sd
|
$33.90 |
$33.90 |
$33.90 |
$3,709.00
|
|
Rho d immune globulin inj
|
$102.90 |
$102.90 |
$102.90 |
$217.71
|
|
Risk ascvd tst once pr 12 mo
|
$14.70 |
$14.70 |
$14.70 |
$35.25
|
|
Rmv anterior spine instrumentation 22855
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$225.00 |
$225.00 |
$225.00 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$679.20 |
$679.20 |
$679.20 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$366.00 |
$366.00 |
$366.00 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$430.20 |
$430.20 |
$430.20 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$239.40 |
$239.40 |
$239.40 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$238.50 |
$238.50 |
$238.50 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$852.60 |
$852.60 |
$852.60 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$384.00 |
$384.00 |
$384.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$399.90 |
$399.90 |
$399.90 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$369.90 |
$369.90 |
$369.90 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$216.90 |
$216.90 |
$216.90 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$160.20 |
$160.20 |
$160.20 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$199.20 |
$199.20 |
$199.20 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$236.40 |
$236.40 |
$236.40 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$370.50 |
$370.50 |
$370.50 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$337.50 |
$337.50 |
$337.50 |
$10,542.00
|
|
Rmvl pq iabp
|
$32.70 |
$32.70 |
$32.70 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$180.30 |
$180.30 |
$180.30 |
$2,407.50
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$5,741.00
|
|
Rmvl subq card rhythm mntr
|
$132.00 |
$132.00 |
$132.00 |
$1,734.00
|
|
Rmvl tot arthrp 1ntrspc crv
|
$2,050.80 |
$2,050.80 |
$2,050.80 |
$7,413.38
|
|
Rmvl tv pm lead dual
|
$3,569.70 |
$3,569.70 |
$3,569.70 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$480.60 |
$480.60 |
$480.60 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$265.50 |
$265.50 |
$265.50 |
$538.85
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,532.24 |
$7,532.24 |
$7,532.24 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$1,798.18 |
$1,798.18 |
$1,798.18 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$56.26 |
$56.26 |
$56.26 |
$188.50
|
|
Routine footcare pt w lops
|
$64.80 |
$64.80 |
$64.80 |
$223.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$64.50 |
$64.50 |
$64.50 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$39.60 |
$39.60 |
$39.60 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$78.90 |
$78.90 |
$78.90 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$113.10 |
$113.10 |
$113.10 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$288.00 |
$288.00 |
$288.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$184.80 |
$184.80 |
$184.80 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$764.10 |
$764.10 |
$764.10 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$736.20 |
$736.20 |
$736.20 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$566.70 |
$566.70 |
$566.70 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$340.20 |
$340.20 |
$340.20 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$471.00 |
$471.00 |
$471.00 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,227.00 |
$1,227.00 |
$1,227.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$878.40 |
$878.40 |
$878.40 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$846.90 |
$846.90 |
$846.90 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$632.10 |
$632.10 |
$632.10 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$565.20 |
$565.20 |
$565.20 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$418.20 |
$418.20 |
$418.20 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$985.80 |
$985.80 |
$985.80 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$889.20 |
$889.20 |
$889.20 |
$5,983.35
|
|
Rpr blvsl vn grf intra-abdl
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$1,881.00
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,133.10 |
$1,133.10 |
$1,133.10 |
$2,492.82
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$933.00 |
$933.00 |
$933.00 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$854.10 |
$854.10 |
$854.10 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$643.20 |
$643.20 |
$643.20 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$618.00 |
$618.00 |
$618.00 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$429.90 |
$429.90 |
$429.90 |
$5,411.37
|
|
Rpr nsl vlv collapse w/implt
|
$174.30 |
$174.30 |
$174.30 |
$7,606.40
|
|
Rpr nsl vlv collapse w/rmdlg
|
$154.50 |
$154.50 |
$154.50 |
$7,000.36
|
|
Rpr parastomal hernia rdc 49621
|
$746.40 |
$746.40 |
$746.40 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$925.50 |
$925.50 |
$925.50 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$589.20 |
$589.20 |
$589.20 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$381.30 |
$381.30 |
$381.30 |
$5,959.65
|
|
Rsv assay w/optic
|
$16.80 |
$16.80 |
$16.80 |
$79.38
|
|
Rubella antibody igg
|
$107.70 |
$107.70 |
$107.70 |
$77.03
|
|
Rubeola antibody igg
|
$3.44 |
$3.44 |
$3.44 |
$80.00
|
|
Russell viper venom diluted
|
$10.50 |
$10.50 |
$10.50 |
$72.54
|
|
Salivary gland imaging
|
$24.90 |
$24.90 |
$24.90 |
$585.00
|
|
Same day nb discharge 99463
|
$78.90 |
$78.90 |
$78.90 |
$183.07
|
|
Sars-cov-2 antb quantitative
|
$81.60 |
$81.60 |
$81.60 |
$56.57
|
|
Sbrt management
|
$770.10 |
$770.10 |
$770.10 |
$1,189.60
|
|
Sbsq ic vlbw inf<1,500 gm
|
$96.30 |
$96.30 |
$96.30 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$113.70 |
$113.70 |
$113.70 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$72.90 |
$72.90 |
$72.90 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$131.10 |
$131.10 |
$131.10 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$29.70 |
$29.70 |
$29.70 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$103.50 |
$103.50 |
$103.50 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$685.50 |
$685.50 |
$685.50 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$132.60 |
$132.60 |
$132.60 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$230.70 |
$230.70 |
$230.70 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$145.20 |
$145.20 |
$145.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$450.00 |
$450.00 |
$450.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$367.80 |
$367.80 |
$367.80 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$595.50 |
$595.50 |
$595.50 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$461.10 |
$461.10 |
$461.10 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$504.30 |
$504.30 |
$504.30 |
$595.35
|
|
Scan proc cranial extra
|
$174.60 |
$174.60 |
$174.60 |
$2,366.00
|
|
Scan proc cranial intra 61781
|
$226.20 |
$226.20 |
$226.20 |
$2,067.91
|
|
Sclerotherapy fluid collection pq w/img
|
$1,323.30 |
$1,323.30 |
$1,323.30 |
$2,114.45
|
|
Screening Colonoscopy (average risk)
|
$133.50 |
$133.50 |
$133.50 |
$1,792.00
|
