|
Revise eye muscle add-on
|
$14,643.51 |
$14,643.51 |
$14,643.51 |
$1,934.00
|
|
Revise eye muscle(s)
|
$15,586.00 |
$15,586.00 |
$15,586.00 |
$3,269.14
|
|
Revise eye muscle(s) add-on
|
$16,139.30 |
$16,139.30 |
$16,139.30 |
$2,199.19
|
|
Revise eye muscle w/suture
|
$15,472.27 |
$15,472.27 |
$15,472.27 |
$1,472.80
|
|
Revise/graft eyelid lining
|
$30,803.49 |
$30,803.49 |
$30,803.49 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$28,382.93 |
$28,382.93 |
$28,382.93 |
$4,440.96
|
|
Revise hernia & sperm veins
|
$19,926.28 |
$19,926.28 |
$19,926.28 |
$4,176.15
|
|
Revise middle ear bone
|
$50,979.05 |
$50,979.05 |
$50,979.05 |
$6,839.00
|
|
Revise middle ear bone
|
$51,327.07 |
$51,327.07 |
$51,327.07 |
$6,547.81
|
|
Revise middle ear bone
|
$51,990.15 |
$51,990.15 |
$51,990.15 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$53,438.19 |
$53,438.19 |
$53,438.19 |
$6,553.49
|
|
Revise middle ear & mastoid
|
$73,701.83 |
$73,701.83 |
$73,701.83 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$59,400.75 |
$59,400.75 |
$59,400.75 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$70,146.19 |
$70,146.19 |
$70,146.19 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$68,024.26 |
$68,024.26 |
$68,024.26 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$67,160.13 |
$67,160.13 |
$67,160.13 |
$7,000.36
|
|
Revise penis/urethra
|
$18,958.27 |
$18,958.27 |
$18,958.27 |
$4,478.01
|
|
Revise/remove neuroelectrode
|
$41,438.10 |
$41,438.10 |
$41,438.10 |
$4,069.59
|
|
Revise/remove sling repair
|
$19,692.27 |
$19,692.27 |
$19,692.27 |
$3,720.50
|
|
Revise spermatic cord veins
|
$25,187.26 |
$25,187.26 |
$25,187.26 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$170,467.72 |
$170,467.72 |
$170,467.72 |
$7,496.58
|
|
Revise two eye muscles
|
$15,009.85 |
$15,009.85 |
$15,009.85 |
$4,462.45
|
|
Revise two eye muscles
|
$17,469.91 |
$17,469.91 |
$17,469.91 |
$4,000.00
|
|
Revise vag graft via vagina
|
$17,753.46 |
$17,753.46 |
$17,753.46 |
$3,762.53
|
|
Revision of arm nerve(s)
|
$76,443.07 |
$76,443.07 |
$76,443.07 |
$3,833.60
|
|
Revision of bladder neck
|
$27,796.24 |
$27,796.24 |
$27,796.24 |
$4,526.00
|
|
Revision of cervix
|
$39,150.24 |
$39,150.24 |
$39,150.24 |
$3,721.00
|
|
Revision of cervix
|
$16,052.95 |
$16,052.95 |
$16,052.95 |
$3,854.76
|
|
Revision of eyelid
|
$48,435.18 |
$48,435.18 |
$48,435.18 |
$2,860.80
|
|
Revision of eyelid
|
$12,877.68 |
$12,877.68 |
$12,877.68 |
$3,417.95
|
|
Revision of iris
|
$21,868.10 |
$21,868.10 |
$21,868.10 |
$1,388.40
|
|
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 penis
|
$18,986.52 |
$18,986.52 |
$18,986.52 |
$4,846.99
|
|
Revision of penis
|
$20,027.43 |
$20,027.43 |
$20,027.43 |
$4,081.37
|
|
Revision of penis
|
$2,739.10 |
$2,739.10 |
$2,739.10 |
$2,739.10
|
|
Revision of penis
|
$4,459.70 |
$4,459.70 |
$4,459.70 |
$4,350.00
|
|
Revision of sciatic nerve
|
$22,289.91 |
$22,289.91 |
$22,289.91 |
$2,888.00
|
|
Revision of scrotum
|
$19,696.33 |
$19,696.33 |
$19,696.33 |
$4,081.37
|
|
Revision of scrotum
|
$18,875.80 |
$18,875.80 |
$18,875.80 |
$5,631.74
|
|
Revision of urethra
|
$19,317.43 |
$19,317.43 |
$19,317.43 |
$4,081.37
|
|
Revision of urethra
|
$18,003.25 |
$18,003.25 |
$18,003.25 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$41,135.93 |
$41,135.93 |
$41,135.93 |
$8,037.35
|
|
Revision tips
|
$27,268.58 |
$27,268.58 |
$27,268.58 |
$9,879.50
|
|
Revj mstdc rsltg compl mstdc
|
$72,431.32 |
$72,431.32 |
$72,431.32 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$57,949.31 |
$57,949.31 |
$57,949.31 |
$6,547.81
|
|
Revj prior hypspad repair
|
$27,383.21 |
$27,383.21 |
$27,383.21 |
$6,015.75
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$51,497.96 |
$51,497.96 |
$51,497.96 |
$7,000.36
|
|
Rev-rem impl neurostim gen-rec
|
$18,297.01 |
$18,297.01 |
$18,297.01 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$14,119.27 |
$14,119.27 |
$14,119.27 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$16,796.80 |
$16,796.80 |
$16,796.80 |
$4,807.27
|
|
Revsc opn/prq tib/pero stent
|
$17,838.10 |
$17,838.10 |
$17,838.10 |
$8,869.59
|
|
Rf abltj nrv nrvtg si jt
|
$4,444.30 |
$4,444.30 |
$4,444.30 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$160.30 |
$160.30 |
$160.30 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$4,185.48 |
$4,185.48 |
$4,185.48 |
$4,256.00
|
|
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 |
$3,709.00
|
|
Rho d immune globulin inj
|
$130.20 |
$130.20 |
$130.20 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$10,433.50 |
$10,433.50 |
$10,433.50 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$10,433.50 |
$10,433.50 |
$10,433.50 |
$6,095.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,441.12 |
$1,441.12 |
$1,441.12 |
$455.01
|
|
Right ventric recording
|
$3,760.40 |
$3,760.40 |
$3,760.40 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$5,279.50 |
$5,279.50 |
$5,279.50 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$64,956.50 |
$64,956.50 |
$64,956.50 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$8,187.37 |
$8,187.37 |
$8,187.37 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$29,414.00 |
$29,414.00 |
$29,414.00 |
$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
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$14,206.50 |
$14,206.50 |
$14,206.50 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$15,327.72 |
$15,327.72 |
$15,327.72 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$15,242.15 |
$15,242.15 |
$15,242.15 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$12,452.30 |
$12,452.30 |
$12,452.30 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$37,668.32 |
$37,668.32 |
$37,668.32 |
$5,553.60
|
|
Rmvl fb upr arm/elbow deep
|
$5,679.80 |
$5,679.80 |
$5,679.80 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$5,044.20 |
$5,044.20 |
$5,044.20 |
$2,093.02
|
|
Rmvl icd by tv extr
|
$53,644.14 |
$53,644.14 |
$53,644.14 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$162,665.86 |
$162,665.86 |
$162,665.86 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$202,928.98 |
$202,928.98 |
$202,928.98 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$149,866.16 |
$149,866.16 |
$149,866.16 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$202,611.39 |
$202,611.39 |
$202,611.39 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$4,010.69 |
$4,010.69 |
$4,010.69 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$44,783.04 |
$44,783.04 |
$44,783.04 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$88,960.28 |
$88,960.28 |
$88,960.28 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$1,199.80 |
$1,199.80 |
$1,199.80 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$104,703.20 |
$104,703.20 |
$104,703.20 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$63,929.00 |
$63,929.00 |
$63,929.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,472.40 |
$2,472.40 |
$2,472.40 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$5,196.10 |
$5,196.10 |
$5,196.10 |
$2,407.50
|
|
Rmvl subq card rhythm mntr
|
$8,315.90 |
$8,315.90 |
$8,315.90 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$268.10 |
$268.10 |
$268.10 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$289,775.60 |
$289,775.60 |
$289,775.60 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,728.60 |
$2,728.60 |
$2,728.60 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$18,558.05 |
$18,558.05 |
$18,558.05 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$34,475.87 |
$34,475.87 |
$34,475.87 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$16,461.02 |
$16,461.02 |
$16,461.02 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,239.87 |
$1,239.87 |
$1,239.87 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,260.90 |
$4,260.90 |
$4,260.90 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,706.20 |
$2,706.20 |
$2,706.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,765.70 |
$2,765.70 |
$2,765.70 |
$2,542.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$5,608.20 |
$5,608.20 |
$5,608.20 |
$2,173.60
|