|
Rib cartilage graft
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$446.40 |
$446.40 |
$446.40 |
$397.10
|
|
Right ventric recording
|
$453.60 |
$453.60 |
$453.60 |
$2,187.60
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.14 |
$27.14 |
$27.14 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$34.40 |
$34.40 |
$34.40 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$20.60 |
$20.60 |
$20.60 |
$2,429.37
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$116.09 |
$116.09 |
$116.09 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$112.07 |
$112.07 |
$112.07 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$356.80 |
$356.80 |
$356.80 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$848.00 |
$848.00 |
$848.00 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,876.00
|
|
Rmvl i-artic rx delivery dev 20705
|
$298.40 |
$298.40 |
$298.40 |
$559.00
|
|
Rmvl icd by tv extr
|
$6,435.16 |
$6,435.16 |
$6,435.16 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$12,767.96 |
$12,767.96 |
$12,767.96 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$12,894.38 |
$12,894.38 |
$12,894.38 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,641.56 |
$12,641.56 |
$12,641.56 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,558.19 |
$4,558.19 |
$4,558.19 |
$4,069.52
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$5,736.80 |
$5,736.80 |
$5,736.80 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$606.47 |
$606.47 |
$606.47 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$498.40 |
$498.40 |
$498.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$4,349.90 |
$4,349.90 |
$4,349.90 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$3,234.99 |
$3,234.99 |
$3,234.99 |
$1,745.00
|
|
Rmvl phrnc nrv stim pg only
|
$539.20 |
$539.20 |
$539.20 |
$4,551.75
|
|
Rmvl phrnc nrv stim sys
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$865.60 |
$865.60 |
$865.60 |
$6,014.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$20,058.34 |
$20,058.34 |
$20,058.34 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$18,302.20 |
$18,302.20 |
$18,302.20 |
$10,542.00
|
|
Rmvl pq iabp
|
$3,234.99 |
$3,234.99 |
$3,234.99 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$3,234.99 |
$3,234.99 |
$3,234.99 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,204.80 |
$6,204.80 |
$6,204.80 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$4,630.52 |
$4,630.52 |
$4,630.52 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$3,330.15 |
$3,330.15 |
$3,330.15 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$2,353.60 |
$2,353.60 |
$2,353.60 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$280.00 |
$280.00 |
$280.00 |
$460.68
|
|
Rmvl transplanted rnl algrft
|
$2,960.00 |
$2,960.00 |
$2,960.00 |
$2,960.00
|
|
Rmvl tv pm lead dual
|
$7,357.97 |
$7,357.97 |
$7,357.97 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$7,093.72 |
$7,093.72 |
$7,093.72 |
$4,276.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$672.80 |
$672.80 |
$672.80 |
$521.40
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$965.60 |
$965.60 |
$965.60 |
$36,000.00
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,355.20 |
$4,355.20 |
$4,355.20 |
$4,355.20
|
|
Rnl altrnsplj without rcp nfrct
|
$5,928.00 |
$5,928.00 |
$5,928.00 |
$5,928.00
|
|
Rnl altrnsplj w/rcp nfrct
|
$14,084.80 |
$14,084.80 |
$14,084.80 |
$14,084.80
|
|
Rnl autotrnsplj rimpltj kdn
|
$4,915.20 |
$4,915.20 |
$4,915.20 |
$4,915.20
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$20.22 |
$20.22 |
$20.22 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.70 |
$0.70 |
$0.70 |
$188.16
|
|
Rotavirus antibody
|
$38.40 |
$38.40 |
$38.40 |
$107.50
|
|
Routine footcare pt w lops
|
$196.00 |
$196.00 |
$196.00 |
$223.08
|
|
Rplcmt a-valve tlcj autol pv
|
$8,370.40 |
$8,370.40 |
$8,370.40 |
$8,545.60
|
|
Rplcmt oi implt skl prq esp
|
$5,468.80 |
$5,468.80 |
$5,468.80 |
$7,907.11
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,248.68 |
$3,248.68 |
$3,248.68 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$577.87 |
$577.87 |
$577.87 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,777.08 |
$2,777.08 |
$2,777.08 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$3,149.90 |
$3,149.90 |
$3,149.90 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,872.35 |
$4,872.35 |
$4,872.35 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$7,254.20 |
$7,254.20 |
$7,254.20 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$4,061.82 |
$4,061.82 |
$4,061.82 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$90.40 |
$90.40 |
$90.40 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$73.60 |
$73.60 |
$73.60 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,928.80 |
$1,928.80 |
$1,928.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,865.60 |
$1,865.60 |
$1,865.60 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,434.40 |
$1,434.40 |
$1,434.40 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$856.00 |
$856.00 |
$856.00 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$1,189.60 |
$1,189.60 |
$1,189.60 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$3,104.80 |
$3,104.80 |
$3,104.80 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,600.80 |
$1,600.80 |
$1,600.80 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$1,431.20 |
$1,431.20 |
$1,431.20 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,923.20 |
$4,923.20 |
$4,923.20 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$4,564.80 |
$4,564.80 |
$4,564.80 |
$5,907.78
|
|
Rpr blvs gr ot/th vn ntrth w
|
$6,742.40 |
$6,742.40 |
$6,742.40 |
$6,390.80
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$7,948.80 |
$7,948.80 |
$7,948.80 |
$7,815.60
|
|
Rpr choanal atresia ntranasl
|
$1,745.60 |
$1,745.60 |
$1,745.60 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$2,387.20 |
$2,387.20 |
$2,387.20 |
$6,553.49
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$3,094.40 |
$3,094.40 |
$3,094.40 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$3,897.60 |
$3,897.60 |
$3,897.60 |
$6,839.00
|
|
Rpr hypopl a-arch w/byp
|
$4,469.60 |
$4,469.60 |
$4,469.60 |
$4,469.60
|
|
Rpr hypspad comp dsj & urtp
|
$2,556.80 |
$2,556.80 |
$2,556.80 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$3,006.40 |
$3,006.40 |
$3,006.40 |
$4,156.03
|
|
Rpr ing hernia baby reduc
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$4,176.15
|
|
Rpr ing hernia init blocked
|
$2,963.20 |
$2,963.20 |
$2,963.20 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$5,411.37
|
|
Rpr ing hern premie blocked
|
$4,691.20 |
$4,691.20 |
$4,691.20 |
$4,691.20
|
|
Rpr nsl vlv collapse w/implt
|
$7,606.40 |
$7,606.40 |
$7,606.40 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$1,786.40
|
|
Rpr&refit spct prsth aphakia
|
$25.60 |
$25.60 |
$25.60 |
$81.12
|
|
Rpr rem hernia init reduce
|
$2,825.60 |
$2,825.60 |
$2,825.60 |
$3,906.18
|
