|
Repair radius & ulna
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$8,453.60
|
|
Repair/revise wrist joint
|
$1,523.40 |
$1,523.40 |
$1,523.40 |
$6,311.00
|
|
Repair rotator cuff acute
|
$7,153.20 |
$7,153.20 |
$7,153.20 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$7,153.20 |
$7,153.20 |
$7,153.20 |
$6,311.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$723.00 |
$723.00 |
$723.00 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$2,195.40 |
$2,195.40 |
$2,195.40 |
$1,224.63
|
|
Repair shoulder capsule
|
$2,221.80 |
$2,221.80 |
$2,221.80 |
$5,855.00
|
|
Repair tendon extensor foot 1/2 each tendon
|
$986.40 |
$986.40 |
$986.40 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$7,513.20 |
$7,513.20 |
$7,513.20 |
$4,350.00
|
|
Repair toe dislocation
|
$4,014.00 |
$4,014.00 |
$4,014.00 |
$3,591.33
|
|
Repair/transpose mp nerve 64856
|
$2,140.80 |
$2,140.80 |
$2,140.80 |
$5,419.00
|
|
Repair upper arm/elbow tendon/muscle ea
|
$7,153.20 |
$7,153.20 |
$7,153.20 |
$8,453.60
|
|
Replac av w/bypas/other pros valve 33405
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$7,683.90
|
|
Replace aortic valve allograft freehand 33406
|
$7,009.80 |
$7,009.80 |
$7,009.80 |
$7,027.20
|
|
Replace aortic valve annulus enlgment 33411
|
$4,765.80 |
$4,765.80 |
$4,765.80 |
$8,201.60
|
|
Replace aortic valve open axillry 33363
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$15,454.40
|
|
Replace aortic valve open iliac 33364
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$2,399.20
|
|
Replace aortic valve w/byp open aprch 33368
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$2,638.68
|
|
Replace aortic valve w/byp prq aprch 33367
|
$37,933.20 |
$37,933.20 |
$37,933.20 |
$3,088.80
|
|
Replace duod/jej tube perc
|
$1,678.20 |
$1,678.20 |
$1,678.20 |
$1,354.54
|
|
Replace g/c tube perc
|
$2,065.80 |
$2,065.80 |
$2,065.80 |
$1,341.50
|
|
Replace g-j tube perc
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$1,498.53
|
|
Replacement aortic valve opn
|
$6,187.20 |
$6,187.20 |
$6,187.20 |
$6,208.80
|
|
Replacement of aortic valve
|
$4,536.60 |
$4,536.60 |
$4,536.60 |
$4,458.32
|
|
Replacement of aortic valve
|
$4,578.00 |
$4,578.00 |
$4,578.00 |
$4,574.64
|
|
Replacement tricuspid valve 33465
|
$5,411.40 |
$5,411.40 |
$5,411.40 |
$6,737.60
|
|
Replace picvad cath
|
$4,504.20 |
$4,504.20 |
$4,504.20 |
$3,724.63
|
|
Replace/revise brain shunt
|
$10,059.00 |
$10,059.00 |
$10,059.00 |
$8,043.00
|
|
Reposition pm/icd lead
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$2,898.60 |
$2,898.60 |
$2,898.60 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$3,724.63
|
|
Repos sq defib eltrd
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$4,297.60
|
|
Repr elbow lat ligmnt w/tiss
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$3,839.54
|
|
Repr elbw med ligmnt w/tissu
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$4,919.44
|
|
Reptilase test
|
$107.40 |
$107.40 |
$107.40 |
$72.00
|
|
Resect condyle distal phalanx ea toe 28153
|
$660.60 |
$660.60 |
$660.60 |
$3,296.80
|
|
Respirator motion mgmt simul
|
$2,136.00 |
$2,136.00 |
$2,136.00 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$822.60 |
$822.60 |
$822.60 |
$780.42
|
|
Reticulocyte automated
|
$83.40 |
$83.40 |
$83.40 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$274.80 |
$274.80 |
$274.80 |
$36.57
|
|
Revasc evasc fpvt angio cplx 1st
|
$21,271.80 |
$21,271.80 |
$21,271.80 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$15,700.80 |
$15,700.80 |
$15,700.80 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$70,964.40 |
$70,964.40 |
$70,964.40 |
$29,423.20
|
|
Revasc evasc fpvt athrec sf 1st
|
$50,568.60 |
$50,568.60 |
$50,568.60 |
$25,206.69
|
|
Revasc evasc fpvt stent cplx 1st
|
$53,679.60 |
$53,679.60 |
$53,679.60 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$31,843.80 |
$31,843.80 |
$31,843.80 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$39,660.60 |
$39,660.60 |
$39,660.60 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$31,843.80 |
$31,843.80 |
$31,843.80 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$23,121.00 |
$23,121.00 |
$23,121.00 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$46,182.60 |
$46,182.60 |
$46,182.60 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$31,843.80 |
$31,843.80 |
$31,843.80 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$39,999.60 |
$39,999.60 |
$39,999.60 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$31,843.80 |
$31,843.80 |
$31,843.80 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$63,678.60 |
$63,678.60 |
$63,678.60 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$50,568.60 |
$50,568.60 |
$50,568.60 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$27,964.20 |
$27,964.20 |
$27,964.20 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$27,964.20 |
$27,964.20 |
$27,964.20 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$17,489.40 |
$17,489.40 |
$17,489.40 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$27,964.20 |
$27,964.20 |
$27,964.20 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$27,964.20 |
$27,964.20 |
$27,964.20 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$17,489.40 |
$17,489.40 |
$17,489.40 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$27,964.20 |
$27,964.20 |
$27,964.20 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$27,964.20 |
$27,964.20 |
$27,964.20 |
$19,385.85
|
|
Revise arm/leg nerve
|
$3,471.00 |
$3,471.00 |
$3,471.00 |
$3,754.40
|
|
Revise kneecap
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$7,700.67
|
|
Revise kneecap with implant
|
$1,690.80 |
$1,690.80 |
$1,690.80 |
$9,625.50
|
|
Revise lower leg tendon
|
$898.20 |
$898.20 |
$898.20 |
$3,986.00
|
|
Revise/replace knee joint
|
$3,152.40 |
$3,152.40 |
$3,152.40 |
$5,491.20
|
|
Revise/replace knee joint
|
$4,227.00 |
$4,227.00 |
$4,227.00 |
$7,048.60
|
|
Revise ulnar nerve at wrist
|
$1,278.60 |
$1,278.60 |
$1,278.60 |
$2,823.38
|
|
Revision of calf tendon
|
$898.20 |
$898.20 |
$898.20 |
$3,839.54
|
|
Revision of cervix
|
$5,071.20 |
$5,071.20 |
$5,071.20 |
$3,854.76
|
|
Revision of cranial nerve
|
$824.40 |
$824.40 |
$824.40 |
$2,310.83
|
|
Revision of foot
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$3,839.54
|
|
Revision of foot tendon
|
$775.20 |
$775.20 |
$775.20 |
$5,886.74
|
|
Revision of mitral valve
|
$2,728.20 |
$2,728.20 |
$2,728.20 |
$4,015.51
|
|
Revision of mitral valve
|
$2,390.40 |
$2,390.40 |
$2,390.40 |
$2,393.10
|
|
Revision of radius
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$6,871.42
|
|
Revision of thigh muscles
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$5,886.74
|
|
Revision of tricuspid valve w/bypass 33460
|
$4,774.20 |
$4,774.20 |
$4,774.20 |
$5,873.60
|
|
Revision of ulna
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$5,376.00
|
|
Rev/rmv prph sac/gstr npg/r
|
$323.40 |
$323.40 |
$323.40 |
$4,807.27
|
|
Rheumatoid factor qualitative
|
$114.00 |
$114.00 |
$114.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$97.20 |
$97.20 |
$97.20 |
$57.00
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$237.60 |
$237.60 |
$237.60 |
$172.80
|
|
R hrt cath chd abnl nt cnj
|
$8,941.80 |
$8,941.80 |
$8,941.80 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$8,941.80 |
$8,941.80 |
$8,941.80 |
$6,095.95
|
|
Right ventric recording
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$2,345.00
|
|
R&l hrt cath chd abnl nt cnj
|
$8,941.80 |
$8,941.80 |
$8,941.80 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$8,941.80 |
$8,941.80 |
$8,941.80 |
$6,104.00
|
|
Rmvl ext fixj sys under anes
|
$807.60 |
$807.60 |
$807.60 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$2,549.40 |
$2,549.40 |
$2,549.40 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$4,767.00 |
$4,767.00 |
$4,767.00 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$27,505.20 |
$27,505.20 |
$27,505.20 |
$26,317.20
|