|
Revise aqueous shunt eye
|
$14,072.87 |
$14,072.87 |
$14,072.87 |
$4,538.03
|
|
Revise arm/leg nerve
|
$27,056.25 |
$27,056.25 |
$27,056.25 |
$3,754.40
|
|
Revise eyelid defect
|
$15,153.86 |
$15,153.86 |
$15,153.86 |
$2,784.00
|
|
Revise eyelid lining
|
$51,861.73 |
$51,861.73 |
$51,861.73 |
$2,698.92
|
|
Revise eyelid lining
|
$15,624.84 |
$15,624.84 |
$15,624.84 |
$3,482.06
|
|
Revise eye muscle
|
$29,386.82 |
$29,386.82 |
$29,386.82 |
$3,566.44
|
|
Revise eye muscle
|
$16,627.02 |
$16,627.02 |
$16,627.02 |
$3,758.84
|
|
Revise eye muscle add-on
|
$14,643.51 |
$14,643.51 |
$14,643.51 |
$1,934.00
|
|
Revise eye muscle(s) add-on
|
$31,644.94 |
$31,644.94 |
$31,644.94 |
$2,199.19
|
|
Revise eye muscle w/suture
|
$50,408.29 |
$50,408.29 |
$50,408.29 |
$1,507.20
|
|
Revise eye with implant
|
$26,372.25 |
$26,372.25 |
$26,372.25 |
$4,173.97
|
|
Revise/graft eyelid lining
|
$30,803.49 |
$30,803.49 |
$30,803.49 |
$3,628.80
|
|
Revise/graft eyelid lining
|
$69,569.88 |
$69,569.88 |
$69,569.88 |
$4,627.00
|
|
Revise/graft eyelid lining
|
$33,952.44 |
$33,952.44 |
$33,952.44 |
$4,462.45
|
|
Revise low back nerve(s)
|
$41,524.35 |
$41,524.35 |
$41,524.35 |
$3,603.20
|
|
Revise middle ear bone
|
$50,979.05 |
$50,979.05 |
$50,979.05 |
$6,680.76
|
|
Revise middle ear bone
|
$34,609.56 |
$34,609.56 |
$34,609.56 |
$6,465.11
|
|
Revise middle ear bone
|
$51,990.15 |
$51,990.15 |
$51,990.15 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$64,084.40 |
$64,084.40 |
$64,084.40 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$73,701.83 |
$73,701.83 |
$73,701.83 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$43,109.52 |
$43,109.52 |
$43,109.52 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$70,146.19 |
$70,146.19 |
$70,146.19 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$72,338.47 |
$72,338.47 |
$72,338.47 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$67,160.13 |
$67,160.13 |
$67,160.13 |
$7,000.36
|
|
Revise prosth vag graft lap
|
$52,983.18 |
$52,983.18 |
$52,983.18 |
$8,185.02
|
|
Revise/remove neuroelectrode
|
$41,438.10 |
$41,438.10 |
$41,438.10 |
$4,069.59
|
|
Revise/remove neuroreceiver
|
$104,700.58 |
$104,700.58 |
$104,700.58 |
$9,079.85
|
|
Revise/remove sling repair
|
$15,010.80 |
$15,010.80 |
$15,010.80 |
$3,744.41
|
|
Revise/repl vagus n eltrd
|
$91,720.68 |
$91,720.68 |
$91,720.68 |
$13,628.55
|
|
Revise spermatic cord veins
|
$22,363.73 |
$22,363.73 |
$22,363.73 |
$4,345.52
|
|
Revise spermatic cord veins
|
$31,579.02 |
$31,579.02 |
$31,579.02 |
$7,149.07
|
|
Revise spine eltrd perq aray
|
$53,809.05 |
$53,809.05 |
$53,809.05 |
$7,728.86
|
|
Revise spine eltrd plate
|
$110,351.26 |
$110,351.26 |
$110,351.26 |
$14,756.87
|
|
Revise two eye muscles
|
$15,009.85 |
$15,009.85 |
$15,009.85 |
$4,462.45
|
|
Revise two eye muscles
|
$9,570.98 |
$9,570.98 |
$9,570.98 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$19,196.44 |
$19,196.44 |
$19,196.44 |
$3,151.20
|
|
Revise ureter
|
$125,349.51 |
$125,349.51 |
$125,349.51 |
$4,081.37
|
|
Revise urethra stage 1
|
$69,364.78 |
$69,364.78 |
$69,364.78 |
$5,882.50
|
|
Revise urethra stage 2
|
$59,954.30 |
$59,954.30 |
$59,954.30 |
$5,645.75
|
|
Revise vag graft via vagina
|
$17,753.46 |
$17,753.46 |
$17,753.46 |
$3,762.53
|
|
Revise windpipe scar
|
$30,217.01 |
$30,217.01 |
$30,217.01 |
$3,837.72
|
|
Revision of aqueous shunt
|
$32,073.90 |
$32,073.90 |
$32,073.90 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$81,638.28 |
$81,638.28 |
$81,638.28 |
$3,833.60
|
|
Revision of bladder neck
|
$16,742.68 |
$16,742.68 |
$16,742.68 |
$4,350.00
|
|
Revision of cervix
|
$39,150.24 |
$39,150.24 |
$39,150.24 |
$3,721.00
|
|
Revision of cervix
|
$20,524.90 |
$20,524.90 |
$20,524.90 |
$3,891.90
|
|
Revision of cranial nerve
|
$17,788.98 |
$17,788.98 |
$17,788.98 |
$2,310.83
|
|
Revision of eyelid
|
$17,746.15 |
$17,746.15 |
$17,746.15 |
$2,760.73
|
|
Revision of eyelid
|
$29,007.92 |
$29,007.92 |
$29,007.92 |
$2,654.40
|
|
Revision of eyelid
|
$48,435.18 |
$48,435.18 |
$48,435.18 |
$2,860.80
|
|
Revision of eyelid
|
$10,907.33 |
$10,907.33 |
$10,907.33 |
$2,760.73
|
|
Revision of eyelid
|
$12,877.68 |
$12,877.68 |
$12,877.68 |
$3,417.95
|
|
Revision of iris
|
$158,723.48 |
$158,723.48 |
$158,723.48 |
$1,271.00
|
|
Revision of larynx
|
$58,173.66 |
$58,173.66 |
$58,173.66 |
$7,000.36
|
|
Revision of leg vein 37780
|
$21,733.33 |
$21,733.33 |
$21,733.33 |
$3,724.63
|
|
Revision of nose
|
$23,101.77 |
$23,101.77 |
$23,101.77 |
$3,811.00
|
|
Revision of nose
|
$31,946.37 |
$31,946.37 |
$31,946.37 |
$5,773.60
|
|
Revision of nose
|
$35,565.51 |
$35,565.51 |
$35,565.51 |
$4,082.40
|
|
Revision of nose
|
$42,995.55 |
$42,995.55 |
$42,995.55 |
$7,000.36
|
|
Revision of nose
|
$56,349.44 |
$56,349.44 |
$56,349.44 |
$6,759.31
|
|
Revision of nose
|
$60,856.67 |
$60,856.67 |
$60,856.67 |
$6,839.00
|
|
Revision of penis
|
$18,986.52 |
$18,986.52 |
$18,986.52 |
$4,667.00
|
|
Revision of penis
|
$2,739.10 |
$2,739.10 |
$2,739.10 |
$2,739.10
|
|
Revision of penis
|
$3,935.00 |
$3,935.00 |
$4,459.70 |
$4,367.48
|
|
Revision of pharyngeal walls
|
$54,163.44 |
$54,163.44 |
$54,163.44 |
$6,547.81
|
|
Revision of sciatic nerve
|
$22,289.91 |
$22,289.91 |
$22,289.91 |
$2,888.00
|
|
Revision of scrotum
|
$43,629.21 |
$43,629.21 |
$43,629.21 |
$4,081.37
|
|
Revision of scrotum
|
$18,875.80 |
$18,875.80 |
$18,875.80 |
$5,626.86
|
|
Revision of testis
|
$47,248.45 |
$47,248.45 |
$47,248.45 |
$5,986.78
|
|
Revision of ureter
|
$114,253.16 |
$114,253.16 |
$114,253.16 |
$4,339.40
|
|
Revision of urethra
|
$68,884.87 |
$68,884.87 |
$68,884.87 |
$4,081.37
|
|
Revision of urethra
|
$35,467.63 |
$35,467.63 |
$35,467.63 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$3,755.00 |
$3,755.00 |
$24,875.16 |
$8,319.20
|
|
Revision tips
|
$4,340.00 |
$8,160.00 |
$47,730.07 |
$10,358.00
|
|
Rev-rem impl neurostim gen-rec
|
$18,297.01 |
$18,297.01 |
$18,297.01 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$4,525.00 |
$4,525.00 |
$14,251.73 |
$4,329.39
|
|
Rev/rmv prph sac/gstr npg/r
|
$10,057.68 |
$10,057.68 |
$10,057.68 |
$4,721.00
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$113,470.48 |
$113,470.48 |
$113,470.48 |
$23,756.52
|
|
Rev/rplct hpglsl nstm ary pg
|
$36,310.83 |
$36,310.83 |
$36,310.83 |
$14,685.79
|
|
Revsc opn/prq tib/pero stent
|
$7,950.00 |
$10,910.00 |
$17,838.10 |
$9,196.55
|
|
Rezafungin 200 mg intravenous solution
|
$8,734.95 |
$8,734.95 |
$8,734.95 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$3,070.00 |
$3,125.00 |
$5,419.19 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$37.50 |
$37.50 |
$160.30 |
$57.50
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$4,185.48 |
$4,185.48 |
$4,185.48 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$17.50 |
$17.50 |
$430.67 |
$234.12
|
|
Rho d immune globulin 50 mcg
|
$172.90 |
$172.90 |
$172.90 |
$106.14
|
|
Rho(d) immune globulin h, sd
|
$39,356.27 |
$39,356.27 |
$39,356.27 |
$3,228.05
|
|
Rho d immune globulin inj
|
$130.20 |
$265.00 |
$265.00 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$10,433.50 |
$10,433.50 |
$10,433.50 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$10,433.50 |
$10,433.50 |
$10,433.50 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$121.77 |
$375.00 |
$782.60 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$452.50 |
$516.12 |
$988.40 |
$491.70
|
|
Riboflavin 5'phos opth<=3ml
|
$6,477.60 |
$6,477.60 |
$6,477.60 |
$7,970.03
|
|
Rib X-ray (3 views, both sides)
|
$382.47 |
$410.00 |
$787.50 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$340.55 |
$340.55 |
$340.55 |
$455.01
|
|
Right ventric recording
|
$2,150.00 |
$2,150.00 |
$3,760.40 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$670.53 |
$670.53 |
$5,621.01 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$36.77 |
$40.89 |
$64,956.50 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$232.94 |
$6,743.38 |
$16,328.20 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$70,009.27 |
$70,009.27 |
$70,009.27 |
$15,057.18
|
