|
Revision open av fistula without thromb
|
$8,701.00 |
$8,701.00 |
$8,701.00 |
$8,319.20
|
|
Revision tips
|
$18,417.00 |
$18,417.00 |
$18,417.00 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$7,841.60
|
|
Revita, per sq cm
|
$179.80 |
$179.80 |
$179.80 |
$389.83
|
|
Revj fem anast nonautog grf
|
$12,335.00 |
$12,335.00 |
$12,335.00 |
$6,396.89
|
|
Rev-rem impl neurostim gen-rec
|
$9,233.00 |
$9,233.00 |
$9,233.00 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$4,329.39
|
|
Rev/rmv prph sac/gstr npg/r
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$4,721.00
|
|
Revsc opn/prq tib/pero stent
|
$12,521.00 |
$12,521.00 |
$12,521.00 |
$9,196.55
|
|
Rezafungin 200 mg intravenous solution
|
$24.10 |
$24.10 |
$24.10 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$7,094.00 |
$7,094.00 |
$7,094.00 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$166.00 |
$166.00 |
$166.00 |
$57.50
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$42.19 |
$42.19 |
$42.19 |
$234.12
|
|
Rho(d) immune globulin h, sd
|
$132.53 |
$132.53 |
$132.53 |
$3,228.05
|
|
R hrt cath chd abnl nt cnj
|
$7,108.00 |
$7,108.00 |
$7,108.00 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$7,108.00 |
$7,108.00 |
$7,108.00 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$509.00 |
$509.00 |
$509.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$649.00 |
$649.00 |
$649.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$567.00 |
$567.00 |
$567.00 |
$400.00
|
|
Right heart cath congenital
|
$8,191.00 |
$8,191.00 |
$8,191.00 |
$8,191.00
|
|
Ring fx reform 11-13x17mm
|
$508.20 |
$508.20 |
$508.20 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$40.42 |
$40.42 |
$40.42 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$5.41 |
$5.41 |
$5.41 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$228.27 |
$228.27 |
$228.27 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$116.13 |
$116.13 |
$116.13 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$232.24 |
$232.24 |
$232.24 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$177.19 |
$177.19 |
$177.19 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$163.51 |
$163.51 |
$163.51 |
$5,309.20
|
|
R & l heart cath congenital
|
$10,710.00 |
$10,710.00 |
$10,710.00 |
$10,707.77
|
|
R & l heart cath congenital
|
$8,191.00 |
$8,191.00 |
$8,191.00 |
$7,072.50
|
|
R&l hrt cath chd abnl nt cnj
|
$7,108.00 |
$7,108.00 |
$7,108.00 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$7,108.00 |
$7,108.00 |
$7,108.00 |
$6,104.00
|
|
Rmvl ext fixj sys under anes
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,111.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,617.00 |
$4,617.00 |
$4,617.00 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$5,333.00 |
$5,333.00 |
$5,333.00 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$19,965.00 |
$19,965.00 |
$19,965.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$19,209.00 |
$19,209.00 |
$19,209.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$19,965.00 |
$19,965.00 |
$19,965.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,333.00 |
$5,333.00 |
$5,333.00 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$6,097.00 |
$6,097.00 |
$6,097.00 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$4,276.00 |
$4,276.00 |
$4,276.00 |
$1,745.00
|
|
Rmvl phrnc nrv stim pg only
|
$7,789.00 |
$7,789.00 |
$7,789.00 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$7,789.00 |
$7,789.00 |
$7,789.00 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$7,789.00 |
$7,789.00 |
$7,789.00 |
$6,014.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$15,399.00 |
$15,399.00 |
$15,399.00 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,097.00 |
$6,097.00 |
$6,097.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$334.00 |
$334.00 |
$334.00 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$4,276.00 |
$4,276.00 |
$4,276.00 |
$2,553.60
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$5,333.00 |
$5,333.00 |
$5,333.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$591.00 |
$591.00 |
$591.00 |
$1,736.70
|
|
Rmvl tiss expndr without implant insrtn
|
$5,778.00 |
$5,778.00 |
$5,778.00 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$442.06
|
|
Rmvl tv pm lead dual
|
$5,333.00 |
$5,333.00 |
$5,333.00 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$5,333.00 |
$5,333.00 |
$5,333.00 |
$4,225.20
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$31,182.00 |
$31,182.00 |
$31,182.00 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$71,081.00 |
$71,081.00 |
$71,081.00 |
$36,000.00
|
|
Rmv suture/anesthesia/not local 15850
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$975.64
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$79.07 |
$79.07 |
$79.07 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$63.48 |
$63.48 |
$63.48 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$29.70 |
$29.70 |
$29.70 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$5.73 |
$5.73 |
$5.73 |
$188.16
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$53.51 |
$53.51 |
$53.51 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,943.00 |
$4,943.00 |
$4,943.00 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$3,907.00 |
$3,907.00 |
$3,907.00 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$5,560.00 |
$5,560.00 |
$5,560.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,943.00 |
$4,943.00 |
$4,943.00 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$12,879.00 |
$12,879.00 |
$12,879.00 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$12,879.00 |
$12,879.00 |
$12,879.00 |
$3,724.63
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$10,305.00 |
$10,305.00 |
$10,305.00 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$15,164.00 |
$15,164.00 |
$15,164.00 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$6,450.00 |
$6,450.00 |
$6,450.00 |
$5,983.35
|
|
Rpr choanal atresia ntranasl
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
$6,839.00
|
|
Rpr intst excl anrect fist
|
$7,569.00 |
$7,569.00 |
$7,569.00 |
$3,229.60
|
|
Rpr nsl vlv collapse w/implt
|
$13,071.00 |
$13,071.00 |
$13,071.00 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$5,959.65
|
|
Rubella antibody igg
|
$307.00 |
$307.00 |
$307.00 |
$77.50
|
|
Rubeola antibody igg
|
$53.00 |
$53.00 |
$53.00 |
$80.00
|
