|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$787.15 |
$787.15 |
$787.15 |
$721.56
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$877.50 |
$877.50 |
$877.50 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$256.10 |
$256.10 |
$256.10 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$534.15
|
|
Red blood cells washed each unit
|
$604.50 |
$604.50 |
$604.50 |
$583.68
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$92.00 |
$92.00 |
$92.00 |
$357.91
|
|
Remdesivir 100 mg intravenous powder for solution
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$1,555.39
|
|
Removal central venous catheter tunneled without port/pump
|
$1,692.60 |
$1,692.60 |
$1,692.60 |
$1,588.50
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$11,930.78 |
$11,930.78 |
$11,930.78 |
$2,421.09
|
|
Removal cerumen impacted (both sides)
|
$232.00 |
$232.00 |
$232.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$4,300.07 |
$4,300.07 |
$4,300.07 |
$255.97
|
|
Removal foreign body foot subcutaneous right
|
$3,868.15 |
$3,868.15 |
$3,868.15 |
$1,260.80
|
|
Removal of adenoids
|
$18,459.89 |
$18,459.89 |
$18,459.89 |
$3,837.72
|
|
Removal of adenoids
|
$856.50 |
$856.50 |
$856.50 |
$3,837.72
|
|
Removal of bone for graft
|
$1,346.00 |
$1,346.00 |
$1,346.00 |
$6,507.20
|
|
Removal of bone for graft
|
$34,469.09 |
$34,469.09 |
$34,469.09 |
$5,230.40
|
|
Removal of foot lesion
|
$1,330.46 |
$1,330.46 |
$1,330.46 |
$2,385.98
|
|
Removal of foot lesion
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$3,707.60
|
|
Removal of foot lesion
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$3,839.54
|
|
Removal of gallbladder 47600
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$2,292.03
|
|
Removal of heel bone
|
$1,463.00 |
$1,463.00 |
$1,463.00 |
$3,839.54
|
|
Removal of heel spur
|
$25,905.49 |
$25,905.49 |
$25,905.49 |
$3,839.54
|
|
Removal of hydrocele
|
$18,841.48 |
$18,841.48 |
$18,841.48 |
$4,176.15
|
|
Removal of implant deep
|
$20,270.38 |
$20,270.38 |
$20,270.38 |
$4,520.60
|
|
Removal of intranasal lesion
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$3,811.00
|
|
Removal of metatarsal
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$3,591.33
|
|
Removal of ovary(s) 58940
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$952.20
|
|
Removal of sesamoid bone
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$3,839.54
|
|
Removal of stomachpartial 43632
|
$7,239.00 |
$7,239.00 |
$7,239.00 |
$3,807.00
|
|
Removal of testis
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$4,081.37
|
|
Removal/replacement ppm generator dual lead system
|
$16,807.05 |
$16,807.05 |
$16,807.05 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$253.00 |
$253.00 |
$253.00 |
$292.50
|
|
Removal sutr and stapl no anes
|
$33.00 |
$33.00 |
$33.00 |
$82.05
|
|
Removal sutr or stapl no anes
|
$37.00 |
$37.00 |
$37.00 |
$93.88
|
|
Remove anal fist complex
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$3,245.23
|
|
Remove anal fist inter
|
$13,376.15 |
$13,376.15 |
$13,376.15 |
$3,699.32
|
|
Remove anal fist subq
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$3,816.64
|
|
Remove bladder stone
|
$22,325.62 |
$22,325.62 |
$22,325.62 |
$4,894.00
|
|
Remove bladder stone
|
$23,855.60 |
$23,855.60 |
$23,855.60 |
$6,129.33
|
|
Remove in/ex hem groups 2+
|
$17,529.45 |
$17,529.45 |
$17,529.45 |
$4,247.20
|
|
Remove int/ext hem 1 group
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$4,281.96
|
|
Remove pilonidal cyst compl
|
$18,803.60 |
$18,803.60 |
$18,803.60 |
$3,786.00
|
|
Remove pilonidal cyst exten
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$3,638.88
|
|
Remove tonsils and adenoids
|
$17,294.97 |
$17,294.97 |
$17,294.97 |
$6,966.64
|
|
Remove tonsils and adenoids
|
$17,058.85 |
$17,058.85 |
$17,058.85 |
$3,837.72
|
|
Remove ventilating tube
|
$15,027.35 |
$15,027.35 |
$15,027.35 |
$3,837.72
|
|
Remove wrist tendon lesion
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$3,287.08
|
|
Renal function panel
|
$103.35 |
$103.35 |
$103.35 |
$114.37
|
|
Reopening of recent laparotomy 49002
|
$3,723.00 |
$3,723.00 |
$3,723.00 |
$2,568.00
|
|
Repair bladder defect
|
$21,356.00 |
$21,356.00 |
$21,356.00 |
$6,420.36
|
|
Repair bowel-bladder fistula 44661
|
$5,535.00 |
$5,535.00 |
$5,535.00 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$5,152.00 |
$5,152.00 |
$5,152.00 |
$1,558.00
|
|
Repair defect of artery 35011
|
$3,252.00 |
$3,252.00 |
$3,252.00 |
$6,305.95
|
|
Repair eardrum structures
|
$3,189.00 |
$3,189.00 |
$3,189.00 |
$6,966.64
|
|
Repair nasal stenosis
|
$23,485.67 |
$23,485.67 |
$23,485.67 |
$6,553.49
|
|
Repair of achilles tendon
|
$2,485.00 |
$2,485.00 |
$2,485.00 |
$5,741.00
|
|
Repair of foot tendon
|
$25,905.49 |
$25,905.49 |
$25,905.49 |
$4,108.00
|
|
Repair of hydrocele 55060
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$3,817.53
|
|
Repair of kneecap tendon
|
$1,402.00 |
$1,402.00 |
$1,402.00 |
$7,807.24
|
|
Repair of leg tendon each
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$3,786.00
|
|
Repair of metatarsals
|
$2,129.50 |
$2,129.50 |
$2,129.50 |
$6,512.80
|
|
Repair of nasal septum
|
$24,057.05 |
$24,057.05 |
$24,057.05 |
$4,924.40
|
|
Repair of thigh muscle
|
$2,742.00 |
$2,742.00 |
$2,742.00 |
$6,727.70
|
|
Repair oronasal fistula 30600
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$6,705.77
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$3,839.54
|
|
Replace duod/jej tube perc
|
$5,653.65 |
$5,653.65 |
$5,653.65 |
$1,357.60
|
|
Replace g-j tube perc
|
$502.00 |
$502.00 |
$502.00 |
$1,568.05
|
|
Reptilase test
|
$79.95 |
$79.95 |
$79.95 |
$72.15
|
|
Reremove wrist tendon lesion
|
$1,361.00 |
$1,361.00 |
$1,361.00 |
$1,904.00
|
|
Rerepair ing hernia blocked
|
$20,081.00 |
$20,081.00 |
$20,081.00 |
$5,185.20
|
|
Resect inferior turbinate
|
$24,057.05 |
$24,057.05 |
$24,057.05 |
$3,837.72
|
|
Reslizumab 10 mg/ml intravenous solution
|
$5,680.00 |
$5,680.00 |
$5,680.00 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$727.35 |
$727.35 |
$727.35 |
$1,200.53
|
|
Resuscitation delivery/birthing room
|
$942.50 |
$942.50 |
$942.50 |
$802.00
|
|
Reticulated platelet assay
|
$169.00 |
$169.00 |
$169.00 |
$75.00
|
|
Reticulocyte automated
|
$42.90 |
$42.90 |
$42.90 |
$53.00
|
|
Reticulocyte direct measurement automated
|
$53.30 |
$53.30 |
$53.30 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$45,114.00 |
$45,114.00 |
$45,114.00 |
$23,780.31
|
|
Revasc intravasc lithotripsy
|
$12,210.25 |
$12,210.25 |
$12,210.25 |
$11,101.80
|
|
Revise/remove sling repair
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$3,744.41
|
|
Revision of bladder neck
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$4,526.00
|
|
Revision of calf tendon
|
$25,535.62 |
$25,535.62 |
$25,535.62 |
$3,839.54
|
|
Rezafungin 200 mg intravenous solution
|
$10,657.15 |
$10,657.15 |
$10,657.15 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$26.00 |
$26.00 |
$26.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$66.95 |
$66.95 |
$66.95 |
$57.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$294.95 |
$294.95 |
$294.95 |
$234.12
|
|
Rho d immune globulin inj
|
$615.00 |
$615.00 |
$615.00 |
$217.71
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$159.25 |
$159.25 |
$159.25 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$668.85 |
$668.85 |
$668.85 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$819.00 |
$819.00 |
$819.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$305.50 |
$305.50 |
$305.50 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$82.10 |
$82.10 |
$82.10 |
$455.01
|
|
Ring barrier skin cx 1 9/16 adapt
|
$0.66 |
$0.66 |
$0.66 |
$2.60
|
|
Ring fx reform 11-13x17mm
|
$1,052.12 |
$1,052.12 |
$1,052.12 |
$1,509.75
|
|
Ring ostmy barr adapt 48mm
|
$0.33 |
$0.33 |
$0.33 |
$5.20
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$30,071.50 |
$30,071.50 |
$30,071.50 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,735.80 |
$4,735.80 |
$4,735.80 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$14,092.80 |
$14,092.80 |
$14,092.80 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$31,203.09 |
$31,203.09 |
$31,203.09 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$12,035.25 |
$12,035.25 |
$12,035.25 |
$5,004.42
|
