|
Rituximab-arrx 10 mg/ml intravenous solution
|
$167.74 |
$167.74 |
$167.74 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$223.65 |
$223.65 |
$223.65 |
$5,309.20
|
|
R & l heart cath congenital
|
$1,192.75 |
$1,192.75 |
$1,192.75 |
$10,707.77
|
|
R&l hrt cath chd abnl nt cnj
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$4,535.70 |
$4,535.70 |
$4,535.70 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$2,722.20 |
$2,722.20 |
$2,722.20 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,876.00
|
|
Rmvl i-artic rx delivery dev 20705
|
$559.00 |
$559.00 |
$559.00 |
$559.00
|
|
Rmvl icd by tv extr
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$32,896.50 |
$32,896.50 |
$32,896.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$42,838.90 |
$42,838.90 |
$42,838.90 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$34,175.70 |
$34,175.70 |
$34,175.70 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,069.52
|
|
Rmvl imed rx delivery device
|
$468.00 |
$468.00 |
$468.00 |
$761.60
|
|
Rmvl left heart vent thor inscn ecmo
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$975.00 |
$975.00 |
$975.00 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$38,664.60 |
$38,664.60 |
$38,664.60 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$780.00 |
$780.00 |
$780.00 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$34,908.25 |
$34,908.25 |
$34,908.25 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,464.85 |
$17,464.85 |
$17,464.85 |
$10,542.00
|
|
Rmvl pq iabp
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$3,620.50 |
$3,620.50 |
$3,620.50 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$4,843.80 |
$4,843.80 |
$4,843.80 |
$5,810.00
|
|
Rmvl rplcmt hrt sys f/trnspl
|
$17,834.70 |
$17,834.70 |
$17,834.70 |
$3,595.20
|
|
Rmvl & rplcmt tot hrt sys
|
$13,020.15 |
$13,020.15 |
$13,020.15 |
$5,112.80
|
|
Rmvl sq defib electrode
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$3,287.70 |
$3,287.70 |
$3,287.70 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$1,825.20 |
$1,825.20 |
$1,825.20 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$353.60 |
$353.60 |
$353.60 |
$460.68
|
|
Rmvl tot arthrp 1ntrspc crv
|
$7,644.00 |
$7,644.00 |
$7,644.00 |
$4,511.76
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$8,255.00 |
$8,255.00 |
$8,255.00 |
$7,413.38
|
|
Rmvl transplanted rnl algrft
|
$4,908.80 |
$4,908.80 |
$4,908.80 |
$2,960.00
|
|
Rmvl tv pm lead dual
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,276.80
|
|
Rmv ntr oi imp sk tc>=100
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$4,499.12
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$521.40
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$4,355.20
|
|
Rnl altrnsplj without rcp nfrct
|
$11,405.55 |
$11,405.55 |
$11,405.55 |
$5,928.00
|
|
Rnl altrnsplj w/rcp nfrct
|
$11,993.80 |
$11,993.80 |
$11,993.80 |
$14,084.80
|
|
Rnl autotrnsplj rimpltj kdn
|
$7,828.60 |
$7,828.60 |
$7,828.60 |
$4,915.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$9,979.79 |
$9,979.79 |
$9,979.79 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$12,884.08 |
$12,884.08 |
$12,884.08 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,628.91 |
$2,628.91 |
$2,628.91 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2.65 |
$2.65 |
$2.65 |
$188.16
|
|
Routine footcare pt w lops
|
$143.00 |
$143.00 |
$143.00 |
$223.08
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$7,256.57 |
$7,256.57 |
$7,256.57 |
$15,007.16
|
|
Rplcmt a-valve tlcj autol pv
|
$16,640.00 |
$16,640.00 |
$16,640.00 |
$8,545.60
|
|
Rplc oi implt sk tc esp>=100
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$2,461.55 |
$2,461.55 |
$2,461.55 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$7,706.40 |
$7,706.40 |
$7,706.40 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$8,728.20 |
$8,728.20 |
$8,728.20 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$25,255.10 |
$25,255.10 |
$25,255.10 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$158.60 |
$158.60 |
$158.60 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$158.60 |
$158.60 |
$158.60 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$5,339.75 |
$5,339.75 |
$5,339.75 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$3,987.10 |
$3,987.10 |
$3,987.10 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$2,934.10 |
$2,934.10 |
$2,934.10 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$1,704.30 |
$1,704.30 |
$1,704.30 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$2,419.30 |
$2,419.30 |
$2,419.30 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$5,894.20 |
$5,894.20 |
$5,894.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$4,167.80 |
$4,167.80 |
$4,167.80 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$4,447.30 |
$4,447.30 |
$4,447.30 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,685.20 |
$4,685.20 |
$4,685.20 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$4,469.40 |
$4,469.40 |
$4,469.40 |
$5,907.78
|
|
Rpr blvs gr ot/th vn ntrth w
|
$6,390.80 |
$6,390.80 |
$6,390.80 |
$6,390.80
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$3,970.20 |
$3,970.20 |
$3,970.20 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$7,815.60 |
$7,815.60 |
$7,815.60 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$8,296.60 |
$8,296.60 |
$8,296.60 |
$1,848.50
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$4,069.00 |
$4,069.00 |
$4,069.00 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$3,634.80 |
$3,634.80 |
$3,634.80 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$4,176.15
|
|
Rpr ing hernia baby blocked
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$4,156.03
|
|
Rpr nsl vlv collapse w/rmdlg
|
$22,109.75 |
$22,109.75 |
$22,109.75 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$4,435.60 |
$4,435.60 |
$4,435.60 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$1,229.80 |
$1,229.80 |
$1,229.80 |
$5,959.65
|
|
Rsv assay w/optic
|
$70.85 |
$70.85 |
$70.85 |
$75.45
|
|
Rtm 1st set-up&pt educaj eqp
|
$481.65 |
$481.65 |
$481.65 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$167.70 |
$167.70 |
$167.70 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$139.75 |
$139.75 |
$139.75 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$58.50 |
$58.50 |
$58.50 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$58.50 |
$58.50 |
$58.50 |
$70.85
|
|
Rubella antibody igg
|
$40.95 |
$40.95 |
$40.95 |
$77.80
|
|
Rubeola antibody igg
|
$72.80 |
$72.80 |
$72.80 |
$80.00
|
