|
Rho d immune globulin inj
|
$266.80 |
$266.80 |
$266.80 |
$217.71
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$132.00 |
$132.00 |
$159.25 |
$172.80
|
|
Rhythm ecg with report
|
$28.00 |
$28.00 |
$28.00 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$210.60 |
$210.60 |
$491.26 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$481.00 |
$481.00 |
$632.72 |
$491.70
|
|
Rib cartilage graft
|
$1,844.00 |
$1,844.00 |
$54,741.22 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$505.05 |
$505.05 |
$540.20 |
$397.10
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.67 |
$0.67 |
$342.55 |
$455.01
|
|
Right ventric recording
|
$3,106.35 |
$3,106.35 |
$5,041.63 |
$2,187.60
|
|
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 |
$3.90
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.33 |
$27.33 |
$30,071.50 |
$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
|
$21.40 |
$21.40 |
$6,314.65 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$145.61 |
$145.61 |
$14,092.80 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$75.67 |
$75.67 |
$22,548.30 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$134.13 |
$134.13 |
$12,035.25 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$115.76 |
$115.76 |
$8,300.55 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$136.96 |
$136.96 |
$22,301.75 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$2,667.20 |
$2,667.20 |
$3,717.00 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$890.47 |
$890.47 |
$890.47 |
$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 |
$35,380.54 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$1,538.33 |
$1,538.33 |
$3,105.95 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$835.00 |
$835.00 |
$848.00 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,547.10 |
$1,547.10 |
$1,547.10 |
$1,876.00
|
|
Rmvl i-artic rx delivery dev 20705
|
$298.40 |
$298.40 |
$298.40 |
$559.00
|
|
Rmvl icd by tv extr
|
$3,314.80 |
$3,314.80 |
$3,618.55 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$24,556.57 |
$24,556.57 |
$85,371.17 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$30,597.97 |
$30,597.97 |
$61,606.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$23,384.36 |
$23,384.36 |
$55,028.36 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,314.80 |
$3,314.80 |
$3,721.25 |
$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
|
$550.55 |
$550.55 |
$600.40 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$498.40 |
$498.40 |
$498.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$3,931.20 |
$3,931.20 |
$6,567.79 |
$6,097.00
|
|
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
|
$17,677.83 |
$17,677.83 |
$53,670.17 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$11,781.90 |
$11,781.90 |
$15,966.80 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,502.32 |
$2,502.32 |
$6,342.70 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$6,205.28 |
$6,205.28 |
$16,554.85 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,204.80 |
$6,204.80 |
$6,204.80 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$4,382.30 |
$4,382.30 |
$8,471.80 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,236.90 |
$1,236.90 |
$1,255.15 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$2,353.60 |
$2,353.60 |
$28,862.50 |
$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
|
$3,314.80 |
$3,314.80 |
$50,400.77 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$3,314.80 |
$3,314.80 |
$4,466.80 |
$4,276.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$672.80 |
$672.80 |
$21,075.65 |
$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
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$8,826.40 |
$8,826.40 |
$8,826.40 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17.88 |
$17.88 |
$17,344.00 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12.00 |
$12.00 |
$13,801.85 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$9.15 |
$9.15 |
$188.50 |
$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
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$34.70 |
$34.70 |
$56,796.70 |
$15,007.16
|
|
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
|
$2,204.24 |
$2,204.24 |
$5,099.90 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,234.70 |
$1,234.70 |
$2,150.20 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,263.95 |
$2,263.95 |
$2,746.19 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$3,115.80 |
$3,115.80 |
$3,115.80 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,003.87 |
$2,003.87 |
$2,003.87 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$5,007.60 |
$5,007.60 |
$6,993.87 |
$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
|
$4,141.80 |
$4,141.80 |
$5,667.29 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$90.40 |
$90.40 |
$122.00 |
$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 |
$3,648.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,928.80 |
$1,928.80 |
$2,745.00 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,865.60 |
$1,865.60 |
$2,655.00 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,434.40 |
$1,434.40 |
$21,758.47 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$856.00 |
$856.00 |
$17,531.41 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$1,189.60 |
$1,189.60 |
$20,869.61 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$3,104.80 |
$3,104.80 |
$4,418.00 |
$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 |
$33,625.16 |
$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
|
$2,271.00 |
$2,271.00 |
$3,094.40 |
$4,176.15
|
