|
Revision of unstable kneecap
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
|
|
Revision of ureter
|
$4,675.20 |
$4,675.20 |
$114,253.16 |
|
|
Revision of urethra
|
$1,029.60 |
$19,317.43 |
$68,884.87 |
|
|
Revision of urethra
|
$1,153.60 |
$10,269.85 |
$35,467.63 |
|
|
Revision of urethra
|
$833.60 |
$833.60 |
$833.60 |
|
|
Revision open av fistula without thromb
|
$1,145.40 |
$3,755.00 |
$43,867.35 |
|
|
Revision orbitofacial bones
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
|
|
Revision/removal of kneecap
|
$3,676.80 |
$3,676.80 |
$3,676.80 |
|
|
Revision tips
|
$3,665.00 |
$13,685.04 |
$47,730.07 |
|
|
Revis reconst shoulder joint
|
$7,987.20 |
$7,987.20 |
$7,987.20 |
|
|
Revis reconst shoulder joint
|
$4,315.20 |
$4,315.20 |
$4,315.20 |
|
|
Revj fem anast autog vn grf
|
$6,035.20 |
$6,035.20 |
$6,035.20 |
|
|
Revj fem anast nonautog grf
|
$5,864.00 |
$5,864.00 |
$5,864.00 |
|
|
Revj mstdc rsltg compl mstdc
|
$2,061.60 |
$2,061.60 |
$72,431.32 |
|
|
Revj mstdc rsltg tympanplsty
|
$2,196.60 |
$2,196.60 |
$57,949.31 |
|
|
Revj open gstr rstcv px
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
|
|
Revj prior hypspad repair
|
$3,580.00 |
$3,580.00 |
$27,383.21 |
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$2,144.40 |
$2,144.40 |
$51,497.96 |
|
|
Rev-rem impl neurostim gen-rec
|
$772.20 |
$17,529.46 |
$30,520.64 |
|
|
Rev/rmvl gstr nstim eltrd
|
$3,552.00 |
$3,552.00 |
$3,552.00 |
|
|
Rev/rmv perph nstim eltrd ra
|
$607.20 |
$6,669.60 |
$17,872.48 |
|
|
Rev/rmv prph sac/gstr npg/r
|
$323.40 |
$10,057.68 |
$17,546.82 |
|
|
Rev rplcm arthrp 1ntrspc crv
|
$5,440.80 |
$5,440.80 |
$5,440.80 |
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$3,140.80 |
$3,140.80 |
$113,470.48 |
|
|
Rev rplc/rmv thrc vrt tethrg
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
|
|
Rev/rplct hpglsl nstm ary pg
|
$36,310.83 |
$36,310.83 |
$36,310.83 |
|
|
Revsc opn/prq tib/pero stent
|
$4,795.00 |
$10,910.00 |
$27,986.40 |
|
|
Rezafungin 200 mg intravenous solution
|
$1,479.63 |
$3,713.59 |
$8,734.95 |
|
|
Rf abltj nrv nrvtg si jt
|
$1,125.00 |
$4,217.76 |
$9,624.00 |
|
|
Rheumatoid factor qualitative
|
$48.57 |
$113.40 |
$240.48 |
|
|
Rheumatoid factor quantitative
|
$22.50 |
$79.20 |
$236.88 |
|
|
Rh ig minidose im
|
$80.00 |
$80.00 |
$80.00 |
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$1,979.40 |
$2,936.00 |
$11,563.63 |
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$9.50 |
$22.82 |
$841.05 |
|
|
Rho d immune globulin 50 mcg
|
$92.66 |
$172.90 |
$191.83 |
|
|
Rho(d) immune globulin h, sd
|
$239.82 |
$239.82 |
$39,356.27 |
|
|
Rho d immune globulin inj
|
$94.40 |
$265.00 |
$938.17 |
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$99.00 |
$132.00 |
$237.60 |
|
|
R hrt cath chd abnl nt cnj
|
$3,860.00 |
$10,433.50 |
$10,433.50 |
|
|
R hrt cath chd nml nt cnj
|
$3,860.00 |
$8,943.60 |
$10,433.50 |
|
|
Rhythm ecg with report
|
$25.20 |
$25.20 |
$28.00 |
|
|
Rib and Chest X-ray (3 views, left side)
|
$121.77 |
$492.50 |
$782.60 |
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$175.00 |
$610.00 |
$988.40 |
|
|
Rib cartilage graft
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
|
|
Riboflavin 5'phos opth<=3ml
|
$6,477.60 |
$6,477.60 |
$16,963.20 |
|
|
Rib X-ray (3 views, both sides)
|
$175.00 |
$530.00 |
$875.52 |
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1.29 |
$631.75 |
$1,441.12 |
|
|
Right ventric recording
|
$1,225.00 |
$2,541.00 |
$4,435.92 |
|
|
Ring fx reform 11-13x17mm
|
$614.15 |
$1,912.80 |
$6,696.00 |
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.11 |
$709.06 |
$64,956.50 |
|
|
Risk ascvd tst once pr 12 mo
|
$34.40 |
$34.40 |
$34.40 |
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$21.36 |
$843.53 |
$8,187.37 |
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$136.68 |
$265.82 |
$29,414.00 |
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$750.06 |
$13,353.90 |
$70,009.27 |
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$117.97 |
$158.19 |
$16,995.56 |
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$101.46 |
$115.56 |
$15,327.72 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$107.28 |
$247.72 |
$15,242.15 |
|
|
R&l hrt cath chd abnl nt cnj
|
$6,306.30 |
$12,452.30 |
$12,452.30 |
|
|
R&l hrt cath chd nml nt cnj
|
$6,306.30 |
$8,840.00 |
$8,943.60 |
|
|
Rmv anterior spine instrumentation 22855
|
$2,086.20 |
$2,086.20 |
$2,667.20 |
|
|
Rmv implant contraceptive capsule 11976
|
$277.20 |
$1,030.40 |
$1,519.92 |
|
|
Rmvl esophgl sphnctr dev
|
$1,639.20 |
$25,587.34 |
$37,668.32 |
|
|
Rmvl ext fixj sys under anes
|
$601.80 |
$807.60 |
$2,370.00 |
|
|
Rmvl fb upr arm/elbow deep
|
$2,549.40 |
$5,679.80 |
$5,679.80 |
|
|
Rmvl fecal impaction/fb spx under anes
|
$615.60 |
$4,891.96 |
$54,194.29 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$385.20 |
$1,311.00 |
$3,830.40 |
|
|
Rmvl i-artic rx delivery dev 20705
|
$190.20 |
$190.20 |
$298.40 |
|
|
Rmvl icd by tv extr
|
$1,905.00 |
$4,705.00 |
$80,861.52 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$8,475.00 |
$33,315.00 |
$162,665.86 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$704.40 |
$34,901.90 |
$202,928.98 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$3,446.40 |
$22,694.70 |
$149,866.16 |
|
|
Rmvl icd pulse gen only
|
$431.40 |
$4,110.00 |
$202,611.39 |
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$3,462.60 |
$4,549.20 |
$5,736.80 |
|
|
Rmvl ndwellg tun pleural cath
|
$352.80 |
$1,192.80 |
$10,860.50 |
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$284.40 |
$44,783.04 |
$67,660.65 |
|
|
Rmvl perm pm pulse gen
|
$499.80 |
$6,915.00 |
$141,511.88 |
|
|
Rmvl perq right heart vad
|
$1,199.80 |
$1,199.80 |
$5,577.12 |
|
|
Rmvl phrnc nrv stim pg only
|
$539.20 |
$539.20 |
$539.20 |
|
|
Rmvl phrnc nrv stim sys
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
|
|
Rmvl phrnc nrv stim transvns
|
$865.60 |
$865.60 |
$865.60 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,000.00 |
$16,727.20 |
$104,703.20 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,250.00 |
$10,837.20 |
$63,929.00 |
|
|
Rmvl pq iabp
|
$66.60 |
$835.00 |
$9,036.00 |
|
|
Rmvl pq vad left hrt vein sep session
|
$464.40 |
$2,110.00 |
$5,577.12 |
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,204.80 |
$6,204.80 |
$6,204.80 |
|
|
Rmvl sq defib electrode
|
$777.60 |
$3,255.00 |
$191,999.62 |
|
|
Rmvl subq card rhythm mntr
|
$199.80 |
$1,933.20 |
$23,238.25 |
|
|
Rmvl tiss expndr without implant insrtn
|
$268.10 |
$268.10 |
$2,353.60 |
|
|
Rmvl tongs/halo anthr indiv
|
$280.00 |
$376.20 |
$397.50 |
|
|
Rmvl transplanted rnl algrft
|
$2,960.00 |
$2,960.00 |
$2,960.00 |
|
|
Rmvl tv pm lead dual
|
$1,348.80 |
$4,026.55 |
$289,775.60 |
|
|
Rmvl tv pm lead sgl
|
$1,750.00 |
$3,675.00 |
$129,129.79 |
|
|
Rmv ntr oi implt skl prq esp
|
$37,821.79 |
$37,821.79 |
$37,821.79 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$521.40 |
$521.40 |
$672.80 |
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$965.60 |
$965.60 |
$965.60 |
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,355.20 |
$4,355.20 |
$4,355.20 |
|
|
Rmv suture/anesthesia/not local 15850
|
$126.00 |
$126.00 |
$126.00 |
|
|
Rnl altrnsplj without rcp nfrct
|
$5,928.00 |
$5,928.00 |
$52,493.22 |
|
