|
Revision of foot tendon
|
$1,301.40 |
$1,301.40 |
$1,301.40 |
$5,886.74
|
|
Revision of heart veins dir/ptch 33645
|
$3,666.60 |
$3,666.60 |
$3,666.60 |
$3,492.00
|
|
Revision of ileostomy complicated 44314
|
$1,529.40 |
$1,529.40 |
$1,529.40 |
$2,236.08
|
|
Revision of ileostomy; simple 44312
|
$864.60 |
$864.60 |
$864.60 |
$4,332.25
|
|
Revision of leg vein 37780
|
$508.80 |
$508.80 |
$508.80 |
$3,724.63
|
|
Revision of nose
|
$1,792.20 |
$1,792.20 |
$1,792.20 |
$5,773.60
|
|
Revision of nose
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$4,082.40
|
|
Revision of nose
|
$2,953.80 |
$2,953.80 |
$2,953.80 |
$7,000.36
|
|
Revision of spinal shunt
|
$1,246.20 |
$1,246.20 |
$1,246.20 |
$6,998.88
|
|
Revision of thigh muscles
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$6,834.58
|
|
Revision of tricuspid valve w/bypass 33460
|
$4,709.40 |
$4,709.40 |
$4,709.40 |
$5,873.60
|
|
Revision open av fistula without thromb
|
$1,145.40 |
$1,145.40 |
$1,145.40 |
$8,319.20
|
|
Revj mstdc rsltg compl mstdc
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$6,547.81
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$2,144.40 |
$2,144.40 |
$2,144.40 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$772.20 |
$772.20 |
$772.20 |
$4,534.00
|
|
Rezafungin 200 mg intravenous solution
|
$3,713.59 |
$3,713.59 |
$3,713.59 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$49.20 |
$49.20 |
$49.20 |
$57.07
|
|
Rheumatoid factor quantitative
|
$59.40 |
$59.40 |
$59.40 |
$57.50
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$1,979.40 |
$1,979.40 |
$1,979.40 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$313.79 |
$313.79 |
$313.79 |
$234.12
|
|
Rho d immune globulin 50 mcg
|
$92.66 |
$92.66 |
$92.66 |
$106.14
|
|
Rho(d) immune globulin h, sd
|
$2,223.29 |
$2,223.29 |
$2,223.29 |
$3,228.05
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$99.00 |
$99.00 |
$99.00 |
$172.80
|
|
Rhythm ecg with report
|
$25.20 |
$25.20 |
$25.20 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$323.40 |
$323.40 |
$323.40 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$345.60 |
$345.60 |
$345.60 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$280.80 |
$280.80 |
$280.80 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$144.74 |
$144.74 |
$144.74 |
$455.01
|
|
Ring fx reform 11-13x17mm
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$39,645.64 |
$39,645.64 |
$39,645.64 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,298.46 |
$2,298.46 |
$2,298.46 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$8,361.79 |
$8,361.79 |
$8,361.79 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$13,353.90 |
$13,353.90 |
$13,353.90 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$7,529.59 |
$7,529.59 |
$7,529.59 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$6,389.38 |
$6,389.38 |
$6,389.38 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$6,389.38 |
$6,389.38 |
$6,389.38 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$2,086.20 |
$2,086.20 |
$2,086.20 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$277.20 |
$277.20 |
$277.20 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$601.80 |
$601.80 |
$601.80 |
$2,797.08
|
|
Rmvl fecal impaction/fb spx under anes
|
$615.60 |
$615.60 |
$615.60 |
$2,111.20
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$385.20 |
$385.20 |
$385.20 |
$1,876.00
|
|
Rmvl i-artic rx delivery dev 20705
|
$190.20 |
$190.20 |
$190.20 |
$559.00
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$704.40 |
$704.40 |
$704.40 |
$33,467.20
|
|
Rmvl icd pulse gen only
|
$431.40 |
$431.40 |
$431.40 |
$4,039.56
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$4,549.20 |
$4,549.20 |
$4,549.20 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$352.80 |
$352.80 |
$352.80 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$284.40 |
$284.40 |
$284.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$499.80 |
$499.80 |
$499.80 |
$6,097.00
|
|
Rmvl pq iabp
|
$66.60 |
$66.60 |
$66.60 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$464.40 |
$464.40 |
$464.40 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$777.60 |
$777.60 |
$777.60 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$199.80 |
$199.80 |
$199.80 |
$1,736.70
|
|
Rmvl tiss expndr without implant insrtn
|
$894.60 |
$894.60 |
$894.60 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$4,190.98
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$521.40 |
$521.40 |
$521.40 |
$521.40
|
|
Rmv suture/anesthesia/not local 15850
|
$126.00 |
$126.00 |
$126.00 |
$975.64
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,226.07 |
$5,226.07 |
$5,226.07 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$9,764.68 |
$9,764.68 |
$9,764.68 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,668.76 |
$4,668.76 |
$4,668.76 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$39.34 |
$39.34 |
$39.34 |
$188.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$401.40 |
$401.40 |
$401.40 |
$2,217.76
|
|
Rpl tun-cvad w subq port
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$1,462.20 |
$1,462.20 |
$1,462.20 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$72.60 |
$72.60 |
$72.60 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$59.40 |
$59.40 |
$59.40 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$797.40 |
$797.40 |
$797.40 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$476.40 |
$476.40 |
$476.40 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$661.80 |
$661.80 |
$661.80 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,726.20 |
$1,726.20 |
$1,726.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$890.40 |
$890.40 |
$890.40 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$795.60 |
$795.60 |
$795.60 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$587.40 |
$587.40 |
$587.40 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,866.00 |
$1,866.00 |
$1,866.00 |
$5,907.78
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,933.20 |
$1,933.20 |
$1,933.20 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$6,839.00
|
|
Rpr ing hernia baby blocked
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$4,156.03
|
|
Rpr ing hernia init reduce
|
$767.40 |
$767.40 |
$767.40 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$1,081.80 |
$1,081.80 |
$1,081.80 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$510.60 |
$510.60 |
$510.60 |
$5,959.65
|
|
Rtm 1st set-up&pt educaj eqp
|
$149.40 |
$149.40 |
$149.40 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$58.80 |
$58.80 |
$58.80 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$58.80 |
$58.80 |
$58.80 |
$67.80
|
|
Rubella antibody igg
|
$198.60 |
$198.60 |
$198.60 |
$77.50
|
|
Rubeola antibody igg
|
$156.60 |
$156.60 |
$156.60 |
$80.00
|
|
Russell viper venom diluted
|
$91.20 |
$91.20 |
$91.20 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$4,492.85 |
$4,492.85 |
$4,492.85 |
$5,174.32
|