|
Revis reconst shoulder joint
|
$4,315.20 |
$4,315.20 |
$4,315.20 |
$7,841.60
|
|
Revita, per sq cm
|
$118.75 |
$118.75 |
$118.75 |
$389.83
|
|
Revj fem anast autog vn grf
|
$6,035.20 |
$6,035.20 |
$6,035.20 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$5,864.00 |
$5,864.00 |
$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 |
$908.00 |
$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 |
$607.20 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$645.60 |
$645.60 |
$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
|
$18,817.60 |
$18,817.60 |
$18,817.60 |
$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
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$26.00 |
$26.00 |
$48.57 |
$57.07
|
|
Rheumatoid factor quantitative
|
$48.57 |
$48.57 |
$77.35 |
$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 inj
|
$262.00 |
$262.00 |
$615.00 |
$217.71
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$132.00 |
$132.00 |
$159.25 |
$172.80
|
|
R hrt cath chd abnl nt cnj
|
$5,938.32 |
$5,938.32 |
$5,938.32 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$5,938.32 |
$5,938.32 |
$5,938.32 |
$6,104.00
|
|
Rhythm ecg with report
|
$28.00 |
$28.00 |
$28.00 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$239.36 |
$239.36 |
$486.85 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$357.19 |
$357.19 |
$559.65 |
$491.70
|
|
Rib cartilage graft
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$341.08 |
$341.08 |
$377.00 |
$397.10
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.64 |
$0.64 |
$821.20 |
$455.01
|
|
Right ventric recording
|
$619.00 |
$619.00 |
$1,916.64 |
$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
|
$30,071.50 |
$30,071.50 |
$30,071.50 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$34.40 |
$34.40 |
$63.00 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$21.07 |
$21.07 |
$6,314.65 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$15,459.60 |
$15,459.60 |
$15,459.60 |
$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
|
$116.09 |
$116.09 |
$8,300.55 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$112.84 |
$112.84 |
$9,889.65 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$5,938.32 |
$5,938.32 |
$5,938.32 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$5,938.32 |
$5,938.32 |
$5,938.32 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$2,667.20 |
$2,667.20 |
$2,667.20 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$413.40 |
$413.40 |
$1,177.06 |
$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 |
$1,047.20 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,111.20 |
$2,111.20 |
$2,111.20 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,876.00
|
|
Rmvl i-artic rx delivery dev 20705
|
$298.40 |
$298.40 |
$298.40 |
$559.00
|
|
Rmvl icd by tv extr
|
$2,813.02 |
$2,813.02 |
$2,813.02 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$46,625.96 |
$46,625.96 |
$46,625.96 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$64,939.98 |
$64,939.98 |
$65,538.85 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$47,558.88 |
$47,558.88 |
$47,558.88 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,031.90 |
$2,031.90 |
$2,813.02 |
$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
|
$742.95 |
$742.95 |
$1,368.20 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$498.40 |
$498.40 |
$709.00 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$771.00 |
$771.00 |
$6,085.68 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$2,597.70 |
$2,597.70 |
$2,597.70 |
$1,745.00
|
|
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
|
$15,602.60 |
$15,602.60 |
$24,012.84 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$11,430.25 |
$11,430.25 |
$18,258.89 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,322.84 |
$2,322.84 |
$2,322.84 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$3,145.16 |
$3,145.16 |
$3,145.16 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,204.80 |
$6,204.80 |
$6,204.80 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$852.00 |
$852.00 |
$852.00 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,533.64 |
$1,533.64 |
$8,064.55 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$2,353.60 |
$2,353.60 |
$2,353.60 |
$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
|
$2,091.00 |
$2,091.00 |
$2,813.02 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$2,813.02 |
$2,813.02 |
$2,813.02 |
$4,276.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$672.80 |
$672.80 |
$672.80 |
$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
|
$17.72 |
$17.72 |
$17,344.00 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$20.01 |
$20.01 |
$13,801.85 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$3.95 |
$3.95 |
$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
|
$56,796.70 |
$56,796.70 |
$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
|
$535.20 |
$535.20 |
$535.20 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$792.50 |
$792.50 |
$792.50 |
$1,310.00
|
