|
Revision of circulation
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$3,735.20
|
|
Revision of collar bone
|
$4,035.20 |
$4,035.20 |
$4,035.20 |
$5,886.74
|
|
Revision of collar bone
|
$4,710.40 |
$4,710.40 |
$4,710.40 |
$12,147.50
|
|
Revision of colostomy
|
$3,159.37 |
$3,159.37 |
$3,159.37 |
$4,311.38
|
|
Revision of colostomy comp in-depth 44345
|
$2,588.00 |
$2,588.00 |
$2,588.00 |
$1,990.20
|
|
Revision of colostomy paraclt hernia 44346
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
$2,622.18
|
|
Revision of cornea
|
$2,043.20 |
$2,043.20 |
$2,043.20 |
$2,760.73
|
|
Revision of cranial nerve
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$2,310.83
|
|
Revision of eyelid
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$2,760.73
|
|
Revision of eyelid
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,654.40
|
|
Revision of eyelid
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$2,860.80
|
|
Revision of eyelid
|
$2,872.00 |
$2,872.00 |
$2,872.00 |
$2,760.73
|
|
Revision of eyelid
|
$3,836.80 |
$3,836.80 |
$3,836.80 |
$3,417.95
|
|
Revision of foot
|
$3,819.20 |
$3,819.20 |
$3,819.20 |
$3,839.54
|
|
Revision of foot and ankle
|
$6,915.20 |
$6,915.20 |
$6,915.20 |
$7,907.11
|
|
Revision of foot bones
|
$3,462.40 |
$3,462.40 |
$3,462.40 |
$10,629.07
|
|
Revision of foot fascia 28250
|
$3,888.31 |
$3,888.31 |
$3,888.31 |
$3,839.54
|
|
Revision of foot tendon
|
$3,337.60 |
$3,337.60 |
$3,337.60 |
$5,886.74
|
|
Revision of foot tendon
|
$5,900.80 |
$5,900.80 |
$5,900.80 |
$3,388.00
|
|
Revision of hip bones
|
$8,420.80 |
$8,420.80 |
$8,420.80 |
$8,420.80
|
|
Revision of hip tendon
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$3,839.54
|
|
Revision of ileostomy complicated 44314
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$2,236.08
|
|
Revision of ileostomy; simple 44312
|
$1,467.20 |
$1,467.20 |
$2,154.00 |
$4,332.25
|
|
Revision of infusion pump
|
$989.60 |
$989.60 |
$989.60 |
$4,285.86
|
|
Revision of iris
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$1,480.00
|
|
Revision of iris
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$1,271.00
|
|
Revision of jaw muscle/bone
|
$928.00 |
$928.00 |
$928.00 |
$1,752.89
|
|
Revision of jaw muscle/bone
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$3,837.72
|
|
Revision of kidney/ureter
|
$5,865.60 |
$5,865.60 |
$5,865.60 |
$1,748.16
|
|
Revision of kidney/ureter
|
$7,056.00 |
$7,056.00 |
$7,056.00 |
$7,056.00
|
|
Revision of knee joint
|
$3,923.20 |
$3,923.20 |
$3,923.20 |
$15,069.60
|
|
Revision of knee joint
|
$4,052.80 |
$4,052.80 |
$4,052.80 |
$12,555.20
|
|
Revision of knee joint
|
$4,291.20 |
$4,291.20 |
$4,291.20 |
$8,885.39
|
|
Revision of knee joint
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$12,555.20
|
|
Revision of knee joint
|
$5,704.00 |
$5,704.00 |
$5,704.00 |
$14,254.12
|
|
Revision of larynx
|
$2,418.40 |
$2,418.40 |
$2,418.40 |
$7,000.36
|
|
Revision of leg vein 37780
|
$1,139.20 |
$1,139.20 |
$1,139.20 |
$3,724.63
|
|
Revision of neck muscle
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$5,419.00
|
|
Revision of neck muscle
|
$1,232.80 |
$1,232.80 |
$1,232.80 |
$3,839.54
|
|
Revision of neck muscle
|
$1,328.80 |
$1,328.80 |
$1,328.80 |
$1,328.80
|
|
Revision of neck muscle/rib
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$7,413.38
|
|
Revision of nose
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$3,811.00
|
|
Revision of nose
|
$2,541.60 |
$2,541.60 |
$2,541.60 |
$5,773.60
|
|
Revision of nose
|
$3,218.40 |
$3,218.40 |
$3,218.40 |
$4,082.40
|
|
Revision of nose
|
$4,261.60 |
$4,261.60 |
$4,261.60 |
$7,000.36
|
|
Revision of nose
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$6,759.31
|
|
Revision of nose
|
$3,931.20 |
$3,931.20 |
$38,267.32 |
$6,839.00
|
|
Revision of penis
|
$1,627.20 |
$1,627.20 |
$1,627.20 |
$4,667.00
|
|
Revision of penis
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$4,081.37
|
|
Revision of penis
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$4,040.25
|
|
Revision of penis
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$2,739.10
|
|
Revision of penis
|
$3,171.98 |
$3,171.98 |
$3,171.98 |
$4,453.20
|
|
Revision of pharyngeal walls
|
$4,636.00 |
$4,636.00 |
$4,636.00 |
$6,547.81
|
|
Revision of radius
|
$3,329.60 |
$3,329.60 |
$3,329.60 |
$6,871.42
|
|
Revision of radius
|
$3,761.60 |
$3,761.60 |
$3,761.60 |
$4,499.12
|
|
Revision of sciatic nerve
|
$2,888.00 |
$2,888.00 |
$2,888.00 |
$2,888.00
|
|
Revision of scrotum
|
$912.80 |
$912.80 |
$912.80 |
$4,081.37
|
|
Revision of scrotum
|
$1,743.20 |
$1,743.20 |
$1,743.20 |
$5,626.86
|
|
Revision of spinal shunt
|
$1,613.60 |
$1,613.60 |
$1,613.60 |
$6,998.88
|
|
Revision of testis
|
$1,796.80 |
$1,796.80 |
$1,796.80 |
$5,986.78
|
|
Revision of thigh muscles
|
$3,649.60 |
$3,649.60 |
$3,649.60 |
$6,834.58
|
|
Revision of toe
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$3,108.00
|
|
Revision of tricuspid valve w/bypass 33460
|
$5,873.60 |
$5,873.60 |
$5,873.60 |
$5,873.60
|
|
Revision of ulna
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
$5,376.00
|
|
Revision of unstable kneecap
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$6,036.13
|
|
Revision of unstable kneecap
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$7,112.94
|
|
Revision of ureter
|
$4,675.20 |
$4,675.20 |
$4,675.20 |
$4,339.40
|
|
Revision of urethra
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$4,081.37
|
|
Revision of urethra
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$4,081.37
|
|
Revision of urethra
|
$833.60 |
$833.60 |
$833.60 |
$5,741.00
|
|
Revision open av fistula without thromb
|
$1,846.40 |
$1,846.40 |
$40,024.35 |
$8,319.20
|
|
Revision orbitofacial bones
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
$6,547.81
|
|
Revision/removal of kneecap
|
$3,676.80 |
$3,676.80 |
$3,676.80 |
$6,311.00
|
|
Revision tips
|
$15,049.60 |
$15,049.60 |
$15,049.60 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$7,987.20 |
$7,987.20 |
$7,987.20 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$4,315.20 |
$4,315.20 |
$4,315.20 |
$7,841.60
|
|
Revj fem anast autog vn grf
|
$6,035.20 |
$6,035.20 |
$6,035.20 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$3,842.00 |
$3,842.00 |
$5,864.00 |
$6,396.89
|
|
Revj mstdc rsltg compl mstdc
|
$5,049.60 |
$5,049.60 |
$5,049.60 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$5,456.00 |
$5,456.00 |
$5,456.00 |
$6,547.81
|
|
Revj open gstr rstcv px
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
$4,667.00
|
|
Revj prior hypspad repair
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$6,015.75
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$5,336.00 |
$5,336.00 |
$5,336.00 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$908.00 |
$908.00 |
$47,033.55 |
$4,534.00
|
|
Rev/rmvl gstr nstim eltrd
|
$3,552.00 |
$3,552.00 |
$3,552.00 |
$3,552.00
|
|
Rev/rmv perph nstim eltrd ra
|
$607.20 |
$607.20 |
$649.00 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$603.00 |
$603.00 |
$645.60 |
$4,721.00
|
|
Rev rplcm arthrp 1ntrspc crv
|
$5,440.80 |
$5,440.80 |
$5,440.80 |
$5,440.80
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$3,140.80 |
$3,140.80 |
$3,140.80 |
$23,756.52
|
|
Rev rplc/rmv thrc vrt tethrg
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
$5,033.60
|
|
Revsc opn/prq tib/pero stent
|
$22,010.32 |
$22,010.32 |
$22,010.32 |
$9,196.55
|
|
Rezafungin 200 mg intravenous solution
|
$10,657.15 |
$10,657.15 |
$10,657.15 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$7,423.06 |
$7,423.06 |
$7,423.06 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$26.00 |
$26.00 |
$48.57 |
$57.07
|
|
Rheumatoid factor quantitative
|
$48.57 |
$48.57 |
$114.40 |
$57.00
|
|
Rh ig minidose im
|
$80.00 |
$80.00 |
$80.00 |
$100.24
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$2,936.00 |
$2,936.00 |
$2,936.00 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$9.60 |
$9.60 |
$294.95 |
$234.12
|
|
Rho d immune globulin 50 mcg
|
$28.00 |
$28.00 |
$28.00 |
$106.14
|
|
Rho(d) immune globulin h, sd
|
$305.20 |
$305.20 |
$305.20 |
$3,228.05
|
