|
Repair umbil hern incar > 5 yr 49587
|
$895.20 |
$895.20 |
$895.20 |
$5,645.89
|
|
Repair umbil hern reduc < 5 yr 49580
|
$621.60 |
$621.60 |
$621.60 |
$4,327.50
|
|
Repair umbil hern reduc > 5 yr 49585
|
$834.00 |
$834.00 |
$834.00 |
$5,925.95
|
|
Repair upper arm/elbow tendon/muscle ea
|
$1,150.20 |
$1,150.20 |
$1,150.20 |
$8,412.89
|
|
Repair urethrovaginal lesion 57310
|
$903.60 |
$903.60 |
$903.60 |
$7,093.16
|
|
Repair vagina/perineum
|
$712.20 |
$712.20 |
$712.20 |
$4,096.68
|
|
Repair ventral hern init incar 49561
|
$1,748.40 |
$1,748.40 |
$1,748.40 |
$4,846.78
|
|
Repair ventral hern init reduc 49560
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$3,776.87
|
|
Repair vessel defect 33802
|
$2,980.20 |
$2,980.20 |
$2,980.20 |
$1,570.99
|
|
Repeat thyroid surgery
|
$2,111.40 |
$2,111.40 |
$2,111.40 |
$6,547.81
|
|
Replac av w/bypas/other pros valve 33405
|
$4,461.00 |
$4,461.00 |
$4,461.00 |
$7,683.90
|
|
Replace aortic valve allograft freehand 33406
|
$5,596.80 |
$5,596.80 |
$5,596.80 |
$7,027.20
|
|
Replace aortic valve annulus enlgment 33411
|
$5,596.20 |
$5,596.20 |
$5,596.20 |
$8,201.60
|
|
Replace aortic valve open axillry 33363
|
$3,248.40 |
$3,248.40 |
$3,248.40 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$3,138.60 |
$3,138.60 |
$3,138.60 |
$17,687.80
|
|
Replace aortic valve open iliac 33364
|
$3,417.00 |
$3,417.00 |
$3,417.00 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$3,768.00 |
$3,768.00 |
$3,768.00 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$2,105.40 |
$2,105.40 |
$2,105.40 |
$2,399.20
|
|
Replace aortic valve w/byp open aprch 33368
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$3,741.40
|
|
Replace aortic valve w/byp prq aprch 33367
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$3,088.80
|
|
Replace duod/jej tube perc
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$1,360.63
|
|
Replace g/c tube perc
|
$962.40 |
$962.40 |
$962.40 |
$1,382.70
|
|
Replacement pulmonary valve 33475
|
$4,545.00 |
$4,545.00 |
$4,545.00 |
$8,390.55
|
|
Replacement tricuspid valve 33465
|
$5,336.40 |
$5,336.40 |
$5,336.40 |
$6,737.60
|
|
Replace/revise brain shunt
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$7,592.10
|
|
Replace tissue expander w/perm prost 11970
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$8,453.60
|
|
Reposition pm/icd lead
|
$588.00 |
$588.00 |
$588.00 |
$3,802.20
|
|
Repos sq defib eltrd
|
$862.20 |
$862.20 |
$862.20 |
$4,306.60
|
|
Repr of anal fistula w/glue
|
$175.80 |
$175.80 |
$175.80 |
$3,245.23
|
|
Reptilase test
|
$34.20 |
$34.20 |
$34.20 |
$72.15
|
|
Reremove wrist tendon lesion
|
$732.60 |
$732.60 |
$732.60 |
$1,904.00
|
|
Rerepair ing hernia blocked
|
$1,349.40 |
$1,349.40 |
$1,349.40 |
$5,185.20
|
|
Rerepair ing hernia reduce
|
$1,187.40 |
$1,187.40 |
$1,187.40 |
$4,923.19
|
|
Resect apical lung tum/chest with rcnstj 32504
|
$4,233.00 |
$4,233.00 |
$4,233.00 |
$4,984.00
|
|
Resect apical lung tumor without rcnstj 32503
|
$3,516.00 |
$3,516.00 |
$3,516.00 |
$4,374.40
|
|
Resect back tum 5 cm/>
|
$2,682.00 |
$2,682.00 |
$2,682.00 |
$3,994.09
|
|
Resect condyle distal phalanx ea toe 28153
|
$784.80 |
$784.80 |
$784.80 |
$3,296.80
|
|
Resect/debrid pancreas 48105
|
$6,007.20 |
$6,007.20 |
$6,007.20 |
$5,874.40
|
|
Resect diaphragm simple 39560
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$1,516.20
|
|
Resect extraplural rib(s) 32900
|
$2,682.00 |
$2,682.00 |
$2,682.00 |
$3,459.20
|
|
Resect forarm/wrist tum 3cm>
|
$2,394.60 |
$2,394.60 |
$2,394.60 |
$4,127.76
|
|
Resect heart sac lesion 33050
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$2,446.40
|
|
Resect/incis/subva tissue/subva as 33415
|
$4,161.00 |
$4,161.00 |
$4,161.00 |
$4,970.40
|
|
Resect inferior turbinate
|
$852.60 |
$852.60 |
$852.60 |
$3,837.72
|
|
Resection palate/lesion 42120
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$5,339.00
|
|
Resect mediastinal cyst 39200
|
$1,701.60 |
$1,701.60 |
$1,701.60 |
$1,701.60
|
|
Resect mediastinal tumor 39220
|
$2,201.40 |
$2,201.40 |
$2,201.40 |
$2,201.40
|
|
Resect neck tumor 5 cm/>
|
$2,587.80 |
$2,587.80 |
$2,587.80 |
$3,994.09
|
|
Resect ovarian malignancy w/bso 58950
|
$2,101.20 |
$2,101.20 |
$2,101.20 |
$2,813.60
|
|
Resect ovarian malignancy w/bso+omntc tah 58951
|
$2,703.60 |
$2,703.60 |
$2,703.60 |
$3,564.00
|
|
Resect part/compl phalangeal base ea 28126
|
$752.40 |
$752.40 |
$752.40 |
$3,821.05
|
|
Resect talus/calcaneus tum
|
$1,418.40 |
$1,418.40 |
$1,418.40 |
$5,110.00
|
|
Reslizumab 10 mg/ml intravenous solution
|
$1,946.57 |
$1,946.57 |
$1,946.57 |
$2,079.00
|
|
#resp virpnl dfa-adenovirus
|
$39.00 |
$39.00 |
$39.00 |
$48.00
|
|
#resp virpnl dfa-parainfluenza
|
$44.40 |
$44.40 |
$44.40 |
$35.20
|
|
Restore/remodelventricle 33548
|
$5,800.20 |
$5,800.20 |
$5,800.20 |
$7,226.40
|
|
Resuscitation delivery/birthing room
|
$299.40 |
$299.40 |
$299.40 |
$795.60
|
|
Reticulocyte automated
|
$81.60 |
$81.60 |
$81.60 |
$52.65
|
|
Reticulocyte direct measurement automated
|
$37.80 |
$37.80 |
$37.80 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$26,154.20 |
$26,154.20 |
$26,154.20 |
$23,780.31
|
|
Revise additional leg tendon
|
$139.20 |
$139.20 |
$139.20 |
$3,532.79
|
|
Revise arm/leg nerve
|
$940.20 |
$940.20 |
$940.20 |
$3,754.40
|
|
Revise breast reconst 19380
|
$1,492.20 |
$1,492.20 |
$1,492.20 |
$7,127.17
|
|
Revise esophagus & stomach 43325
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$3,326.40
|
|
Revise gastric port open 43886
|
$573.60 |
$573.60 |
$573.60 |
$4,055.70
|
|
Revise graft w/vein
|
$1,405.20 |
$1,405.20 |
$1,405.20 |
$5,110.00
|
|
Revise graft w/vein 35881
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$5,339.00
|
|
Revise hernia & sperm veins
|
$797.40 |
$797.40 |
$797.40 |
$4,176.15
|
|
Revise hip joint replacement
|
$2,620.20 |
$2,620.20 |
$2,620.20 |
$8,659.95
|
|
Revise lower leg tendon
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$4,627.00
|
|
Revise lower leg tendon
|
$1,039.80 |
$1,039.80 |
$1,039.80 |
$5,339.00
|
|
Revise middle ear bone
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$6,680.76
|
|
Revise middle ear bone
|
$2,380.20 |
$2,380.20 |
$2,380.20 |
$6,465.11
|
|
Revise middle ear bone
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$2,408.40 |
$2,408.40 |
$2,408.40 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$2,911.80 |
$2,911.80 |
$2,911.80 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$2,857.80 |
$2,857.80 |
$2,857.80 |
$7,000.36
|
|
Revise/remove sling repair
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$3,744.41
|
|
Revise/repair chest wall 32905
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$3,250.40
|
|
Revise/replace knee joint
|
$1,937.40 |
$1,937.40 |
$1,937.40 |
$5,491.20
|
|
Revise/replace knee joint
|
$2,413.80 |
$2,413.80 |
$2,413.80 |
$7,048.60
|
|
Revise spermatic cord veins
|
$780.00 |
$780.00 |
$780.00 |
$4,345.52
|
|
Revise stomach bowel fusion 43860
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$3,110.40
|
|
Revise ulnar nerve at wrist
|
$756.00 |
$756.00 |
$756.00 |
$3,151.20
|
|
Revise vag graft via vagina
|
$934.80 |
$934.80 |
$934.80 |
$3,762.53
|
|
Revision gastrojejunal anastomosis w/reconstruct-43865
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$4,189.60
|
|
Revision of calf tendon
|
$638.40 |
$638.40 |
$638.40 |
$3,839.54
|
|
Revision of cervix
|
$598.80 |
$598.80 |
$598.80 |
$3,721.00
|
|
Revision of cervix
|
$349.80 |
$349.80 |
$349.80 |
$3,891.90
|
|
Revision of colostomy
|
$1,320.60 |
$1,320.60 |
$1,320.60 |
$4,311.38
|
|
Revision of colostomy comp in-depth 44345
|
$1,990.20 |
$1,990.20 |
$1,990.20 |
$1,990.20
|
|
Revision of colostomy paraclt hernia 44346
|
$2,273.40 |
$2,273.40 |
$2,273.40 |
$2,622.18
|
|
Revision of eyelid
|
$896.40 |
$896.40 |
$896.40 |
$2,860.80
|
|
Revision of eyelid
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$2,760.73
|
|
Revision of eyelid
|
$1,465.80 |
$1,465.80 |
$1,465.80 |
$3,417.95
|
|
Revision of foot
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$3,839.54
|
|
Revision of foot fascia 28250
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$3,839.54
|
