|
Rbc irradiated each unit
|
$406.25 |
$406.25 |
$406.25 |
$560.00
|
|
Rbc osmotic fragility
|
$70.85 |
$70.85 |
$70.85 |
$75.04
|
|
Rdctj forehead cntrg only
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
$3,837.72
|
|
Realignment of knee
|
$3,647.80 |
$3,647.80 |
$3,647.80 |
$4,732.80
|
|
Realignment of knee
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$4,681.60
|
|
Realignment of tendons
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$3,839.54
|
|
Realignment of thigh bone
|
$4,984.20 |
$4,984.20 |
$4,984.20 |
$7,413.38
|
|
Rebuild eardrum structures
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$6,839.00
|
|
Rebuild eardrum structures
|
$3,200.60 |
$3,200.60 |
$3,200.60 |
$6,547.81
|
|
Rebuild outer ear canal
|
$2,852.20 |
$2,852.20 |
$2,852.20 |
$6,017.08
|
|
Rebuild outer ear canal
|
$4,466.80 |
$4,466.80 |
$4,466.80 |
$7,000.36
|
|
Rechanneling of artery
|
$7,862.40 |
$7,862.40 |
$7,862.40 |
$2,697.60
|
|
Rechanneling of artery 35305
|
$6,136.00 |
$6,136.00 |
$6,136.00 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$6,814.60 |
$6,814.60 |
$6,814.60 |
$4,439.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$6,396.00 |
$6,396.00 |
$6,396.00 |
$6,219.20
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$7,207.20 |
$7,207.20 |
$7,207.20 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$4,830.80 |
$4,830.80 |
$4,830.80 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$6,136.00 |
$6,136.00 |
$6,136.00 |
$3,143.32
|
|
Recipient nephrectomy
|
$4,015.70 |
$4,015.70 |
$4,015.70 |
$1,392.38
|
|
Recon, cta for surg plan
|
$1,010.10 |
$1,010.10 |
$1,010.10 |
$596.19
|
|
Reconst lwr jaw w/fixation
|
$5,415.80 |
$5,415.80 |
$5,415.80 |
$5,339.00
|
|
Reconst lwr jaw w/graft
|
$5,673.20 |
$5,673.20 |
$5,673.20 |
$6,547.81
|
|
Reconst lwr jaw without graft
|
$4,914.00 |
$4,914.00 |
$4,914.00 |
$6,547.81
|
|
Reconst major injured chest 32820
|
$5,852.60 |
$5,852.60 |
$5,852.60 |
$3,236.80
|
|
Reconst pectus excavatum/carinatum opn 21740
|
$4,568.20 |
$4,568.20 |
$4,568.20 |
$2,510.40
|
|
Reconstr lwr jaw segment
|
$4,084.60 |
$4,084.60 |
$4,084.60 |
$6,547.81
|
|
Reconstruct ankle joint
|
$3,749.20 |
$3,749.20 |
$3,749.20 |
$4,881.00
|
|
Reconstruct cleft palate
|
$3,257.80 |
$3,257.80 |
$3,257.80 |
$5,493.56
|
|
Reconstruct cleft palate
|
$3,551.60 |
$3,551.60 |
$3,551.60 |
$4,558.89
|
|
Reconstruct cleft palate
|
$3,907.80 |
$3,907.80 |
$3,907.80 |
$6,523.41
|
|
Reconstruct cleft palate
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$6,547.81
|
|
Reconstruct cleft palate
|
$1,861.60 |
$1,861.60 |
$1,861.60 |
$6,547.81
|
|
Reconstruct cleft palate
|
$2,540.20 |
$2,540.20 |
$2,540.20 |
$6,547.81
|
|
Reconstruct cranial bone
|
$8,470.80 |
$8,470.80 |
$8,470.80 |
$6,048.05
|
|
Reconstruct elbow joint
|
$3,623.75 |
$3,623.75 |
$3,623.75 |
$7,807.24
|
|
Reconstruct elbow joint
|
$4,121.00 |
$4,121.00 |
$4,121.00 |
$20,355.21
|
|
Reconstruct elbow lat ligmnt
|
$3,954.60 |
$3,954.60 |
$3,954.60 |
$7,907.11
|
|
Reconstruct elbow med ligmnt
|
$3,954.60 |
$3,954.60 |
$3,954.60 |
$10,385.60
|
|
Reconstruct extra finger
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$3,591.33
|
|
Reconstruct finger joint
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$3,839.54
|
|
Reconstruct finger joint
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$4,326.00
|
|
Reconstruct head of radius
|
$2,241.20 |
$2,241.20 |
$2,241.20 |
$11,148.00
|
|
Reconstruct head of radius
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$9,878.40
|
|
Reconstruction ankle joint
|
$4,404.40 |
$4,404.40 |
$4,404.40 |
$10,617.00
|
|
Reconstruction knee
|
$2,545.40 |
$2,545.40 |
$2,545.40 |
$7,222.25
|
|
Reconstruction knee
|
$4,050.80 |
$4,050.80 |
$4,050.80 |
$8,814.96
|
|
Reconstruction knee
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$10,629.07
|
|
Reconstruction of anus
|
$2,311.40 |
$2,311.40 |
$2,311.40 |
$3,245.23
|
|
Reconstruction of bile ducts 47800
|
$6,804.20 |
$6,804.20 |
$6,804.20 |
$2,201.98
|
|
Reconstruction of eyelid
|
$2,602.60 |
$2,602.60 |
$2,602.60 |
$3,786.00
|
|
Reconstruction of eyelid
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$4,462.45
|
|
Reconstruction of hip socket
|
$5,005.00 |
$5,005.00 |
$5,005.00 |
$13,116.76
|
|
Reconstruction of hip socket
|
$4,183.40 |
$4,183.40 |
$4,183.40 |
$2,710.40
|
|
Reconstruction of jaw
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$6,547.81
|
|
Reconstruction of jaw
|
$538.20 |
$538.20 |
$538.20 |
$6,547.81
|
|
Reconstruction of jaw
|
$3,312.40 |
$3,312.40 |
$3,312.40 |
$6,839.00
|
|
Reconstruction of jaw joint
|
$4,178.20 |
$4,178.20 |
$4,178.20 |
$7,000.36
|
|
Reconstruction of jaw joint
|
$3,793.40 |
$3,793.40 |
$3,793.40 |
$6,839.00
|
|
Reconstruction of jaw joint
|
$6,377.80 |
$6,377.80 |
$6,377.80 |
$15,372.00
|
|
Reconstruction of lower jaw
|
$3,541.20 |
$3,541.20 |
$3,541.20 |
$6,523.41
|
|
Reconstruction of mouth
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$6,553.49
|
|
Reconstruction of mouth
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$6,553.49
|
|
Reconstruction of mouth
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
$6,740.73
|
|
Reconstruction of nail bed
|
$764.40 |
$764.40 |
$764.40 |
$2,164.64
|
|
Reconstruction of nose
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$5,925.35
|
|
Reconstruction of nose
|
$4,394.00 |
$4,394.00 |
$4,394.00 |
$6,966.64
|
|
Reconstruction of orbit
|
$5,050.50 |
$5,050.50 |
$5,050.50 |
$6,547.81
|
|
Reconstruction of throat
|
$2,150.20 |
$2,150.20 |
$2,150.20 |
$6,553.49
|
|
Reconstruction of urethra
|
$4,596.80 |
$4,596.80 |
$4,596.80 |
$6,015.75
|
|
Reconstruction of urethra
|
$5,382.00 |
$5,382.00 |
$5,382.00 |
$2,856.00
|
|
Reconstruction of urethra
|
$4,531.80 |
$4,531.80 |
$4,531.80 |
$6,015.75
|
|
Reconstruction tongue fold
|
$735.80 |
$735.80 |
$735.80 |
$2,866.40
|
|
Reconstruct larynx & pharynx
|
$11,388.00 |
$11,388.00 |
$11,388.00 |
$3,677.66
|
|
Reconstruct lip with flap
|
$2,423.20 |
$2,423.20 |
$2,423.20 |
$6,553.49
|
|
Reconstruct lip w/local flap 40525
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$3,837.72
|
|
Reconstruct lower jaw bone
|
$4,799.60 |
$4,799.60 |
$4,799.60 |
$6,547.81
|
|
Reconstruct shoulder joint
|
$4,651.40 |
$4,651.40 |
$4,651.40 |
$10,771.50
|
|
Reconstruct shoulder joint
|
$6,329.05 |
$6,329.05 |
$6,329.05 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$5,886.74
|
|
Reconstruct urethra/bladder
|
$5,506.80 |
$5,506.80 |
$5,506.80 |
$5,626.86
|
|
Reconstruct urethra stage 1
|
$3,944.20 |
$3,944.20 |
$3,944.20 |
$5,626.86
|
|
Reconstruct urethra stage 2
|
$4,438.20 |
$4,438.20 |
$4,438.20 |
$5,631.74
|
|
Reconstruct vena cava 34502
|
$7,298.20 |
$7,298.20 |
$7,298.20 |
$3,786.40
|
|
Reconstruct windpipe
|
$5,158.40 |
$5,158.40 |
$5,158.40 |
$1,497.12
|
|
Reconstruct windpipe
|
$6,461.00 |
$6,461.00 |
$6,461.00 |
$1,788.26
|
|
Rectal sensation test
|
$1,277.90 |
$1,277.90 |
$1,277.90 |
$508.04
|
|
Red blood cells each unit
|
$393.90 |
$393.90 |
$393.90 |
$393.90
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$2,044.25 |
$2,044.25 |
$2,044.25 |
$748.34
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$640.25 |
$640.25 |
$640.25 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$547.95 |
$547.95 |
$547.95 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$696.15 |
$696.15 |
$696.15 |
$535.00
|
|
Red blood cells washed each unit
|
$487.50 |
$487.50 |
$487.50 |
$583.68
|
|
Red cell sequestration
|
$2,411.50 |
$2,411.50 |
$2,411.50 |
$618.80
|
|
Redo compl cardiac anomaly
|
$16,640.00 |
$16,640.00 |
$16,640.00 |
$11,004.00
|
|
Redo endovas vena cava filtr
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,582.08
|
|
Reduce bowel obstruction 44050
|
$4,035.20 |
$4,035.20 |
$4,035.20 |
$1,681.47
|
|
Reduce testis torsion
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$4,129.78
|
|
Reduction of facial bones
|
$2,033.20 |
$2,033.20 |
$2,033.20 |
$6,547.81
|
|
Reduction of procidentia 45900
|
$777.40 |
$777.40 |
$777.40 |
$1,226.10
|
|
Re-exploration of chest 32120
|
$3,741.40 |
$3,741.40 |
$3,741.40 |
$1,912.02
|
