|
Revision of toe
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
|
|
Revision of tricuspid valve w/bypass 33460
|
$4,485.00 |
$5,873.60 |
$5,873.60 |
|
|
Revision of ulna
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
|
|
Revision of unstable kneecap
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
|
|
Revision of unstable kneecap
|
$2,560.00 |
$3,660.80 |
$3,660.80 |
|
|
Revision of ureter
|
$4,675.20 |
$4,675.20 |
$4,675.20 |
|
|
Revision of urethra
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
|
|
Revision of urethra
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
|
|
Revision of urethra
|
$833.60 |
$833.60 |
$833.60 |
|
|
Revision open av fistula without thromb
|
$1,090.80 |
$1,846.40 |
$76,023.93 |
|
|
Revision orbitofacial bones
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
|
|
Revision/removal of kneecap
|
$3,676.80 |
$3,676.80 |
$3,676.80 |
|
|
Revision tips
|
$11,752.02 |
$15,049.60 |
$15,049.60 |
|
|
Revis reconst shoulder joint
|
$7,987.20 |
$7,987.20 |
$7,987.20 |
|
|
Revis reconst shoulder joint
|
$4,315.20 |
$4,315.20 |
$5,941.00 |
|
|
Revita, per sq cm
|
$118.20 |
$118.75 |
$118.75 |
|
|
Revj fem anast autog vn grf
|
$6,035.20 |
$6,035.20 |
$6,035.20 |
|
|
Revj fem anast nonautog grf
|
$3,842.00 |
$5,864.00 |
$5,864.00 |
|
|
Revj mstdc rsltg compl mstdc
|
$1,963.20 |
$5,049.60 |
$5,049.60 |
|
|
Revj mstdc rsltg tympanplsty
|
$2,092.20 |
$5,456.00 |
$5,456.00 |
|
|
Revj open gstr rstcv px
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
|
|
Revj prior hypspad repair
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
|
|
Revj/rmvl nea pn w/int nstim
|
$7,651.95 |
$7,651.95 |
$7,651.95 |
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$2,042.40 |
$5,336.00 |
$5,336.00 |
|
|
Rev-rem impl neurostim gen-rec
|
$735.60 |
$908.00 |
$50,758.77 |
|
|
Rev/rmvl gstr nstim eltrd
|
$3,552.00 |
$3,552.00 |
$3,552.00 |
|
|
Rev/rmv perph nstim eltrd ra
|
$332.16 |
$607.20 |
$20,559.85 |
|
|
Rev/rmv prph sac/gstr npg/r
|
$603.00 |
$645.60 |
$20,559.85 |
|
|
Rev rplcm arthrp 1ntrspc crv
|
$5,440.80 |
$5,440.80 |
$5,440.80 |
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$3,140.80 |
$3,140.80 |
$3,140.80 |
|
|
Rev rplc/rmv thrc vrt tethrg
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
|
|
Revsc opn/prq tib/pero stent
|
$7,374.60 |
$18,817.60 |
$25,202.00 |
|
|
Rezafungin 200 mg intravenous solution
|
$16.57 |
$10,657.15 |
$10,657.15 |
|
|
Rf abltj nrv nrvtg si jt
|
$1,375.20 |
$2,441.60 |
$7,423.06 |
|
|
Rheumatoid factor qualitative
|
$26.00 |
$48.57 |
$229.80 |
|
|
Rheumatoid factor quantitative
|
$44.94 |
$59.40 |
$274.30 |
|
|
Rh ig minidose im
|
$80.00 |
$80.00 |
$80.00 |
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$1,885.20 |
$2,936.00 |
$91,053.82 |
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$9.60 |
$294.95 |
$313.79 |
|
|
Rho d immune globulin 50 mcg
|
$28.00 |
$28.00 |
$191.83 |
|
|
Rho(d) immune globulin h, sd
|
$305.20 |
$2,223.29 |
$2,223.29 |
|
|
Rho d immune globulin inj
|
$94.40 |
$200.07 |
$615.00 |
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$99.00 |
$142.20 |
$245.00 |
|
|
R hrt cath chd abnl nt cnj
|
$5,938.32 |
$5,938.32 |
$6,306.30 |
|
|
R hrt cath chd nml nt cnj
|
$5,938.32 |
$5,938.32 |
$6,306.30 |
|
|
Rhythm ecg with report
|
$24.00 |
$28.00 |
$38.00 |
|
|
Rib and Chest X-ray (3 views, left side)
|
$210.60 |
$365.56 |
$760.00 |
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$254.62 |
$481.00 |
$819.00 |
|
|
Rib cartilage graft
|
$1,844.00 |
$1,844.00 |
$54,741.22 |
|
|
Rib X-ray (3 views, both sides)
|
$215.04 |
$341.08 |
$777.00 |
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.64 |
$82.10 |
$821.20 |
|
|
Right heart cath congenital
|
$2,774.94 |
$2,774.94 |
$2,774.94 |
|
|
Right ventric recording
|
$453.60 |
$1,273.20 |
$5,041.63 |
|
|
Ring barrier skin cx 1 9/16 adapt
|
$0.66 |
$0.66 |
$2.63 |
|
|
Ring fx reform 11-13x17mm
|
$333.90 |
$1,052.12 |
$1,912.80 |
|
|
Ring ostmy barr adapt 48mm
|
$0.33 |
$0.33 |
$1.33 |
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$27.11 |
$30,071.50 |
$52,920.18 |
|
|
Risk ascvd tst once pr 12 mo
|
$34.40 |
$34.40 |
$63.00 |
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$13.60 |
$2,114.50 |
$6,314.65 |
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$136.68 |
$14,092.80 |
$15,459.60 |
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$75.67 |
$22,548.30 |
$31,203.09 |
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$131.32 |
$12,035.25 |
$12,035.25 |
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$14.79 |
$6,434.04 |
$8,300.55 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$111.76 |
$6,417.12 |
$23,148.20 |
|
|
R & l heart cath congenital
|
$2,774.94 |
$2,774.94 |
$2,774.94 |
|
|
R & l heart cath congenital
|
$2,319.66 |
$2,319.66 |
$2,319.66 |
|
|
R&l hrt cath chd abnl nt cnj
|
$5,938.32 |
$5,938.32 |
$6,306.30 |
|
|
R&l hrt cath chd nml nt cnj
|
$5,938.32 |
$6,306.30 |
$6,492.48 |
|
|
Rmv anterior spine instrumentation 22855
|
$1,986.60 |
$2,667.20 |
$3,717.00 |
|
|
Rmv implant contraceptive capsule 11976
|
$264.00 |
$356.80 |
$1,178.10 |
|
|
Rmvl esophgl sphnctr dev
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
|
|
Rmvl ext fixj sys under anes
|
$601.80 |
$1,047.20 |
$35,380.54 |
|
|
Rmvl fb upr arm/elbow deep
|
$732.96 |
$2,676.80 |
$3,105.95 |
|
|
Rmvl fecal impaction/fb spx under anes
|
$478.56 |
$848.00 |
$4,891.96 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$295.68 |
$1,060.80 |
$3,040.40 |
|
|
Rmvl i-artic rx delivery dev 20705
|
$181.20 |
$298.40 |
$298.40 |
|
|
Rmvl icd by tv extr
|
$1,813.14 |
$3,508.84 |
$6,435.16 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$952.80 |
$42,451.80 |
$85,371.17 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$704.40 |
$39,772.20 |
$67,028.09 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$916.00 |
$29,986.38 |
$55,028.36 |
|
|
Rmvl icd pulse gen only
|
$431.40 |
$3,314.80 |
$24,659.08 |
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,035.00 |
$1,086.60 |
$1,086.60 |
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$4,332.60 |
$5,736.80 |
$5,736.80 |
|
|
Rmvl ndwellg tun pleural cath
|
$352.80 |
$739.20 |
$1,829.60 |
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$270.60 |
$498.40 |
$68,325.18 |
|
|
Rmvl perm pm pulse gen
|
$499.80 |
$4,349.90 |
$10,417.20 |
|
|
Rmvl perq right heart vad
|
$2,465.21 |
$2,597.70 |
$5,871.00 |
|
|
Rmvl phrnc nrv stim pg only
|
$539.20 |
$539.20 |
$539.20 |
|
|
Rmvl phrnc nrv stim sys
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
|
|
Rmvl phrnc nrv stim transvns
|
$865.60 |
$865.60 |
$865.60 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$919.20 |
$20,629.80 |
$53,670.17 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$830.40 |
$14,246.82 |
$19,531.90 |
|
|
Rmvl pq iabp
|
$66.60 |
$1,147.32 |
$6,342.70 |
|
|
Rmvl pq vad left hrt vein sep session
|
$464.40 |
$3,145.16 |
$16,554.85 |
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,204.80 |
$6,204.80 |
$6,204.80 |
|
|
Rmvl sq defib electrode
|
$740.40 |
$852.00 |
$9,117.21 |
|
|
Rmvl subq card rhythm mntr
|
$199.80 |
$1,255.15 |
$8,064.55 |
|
|
Rmvl tiss expndr without implant insrtn
|
$852.00 |
$2,353.60 |
$28,862.50 |
|
|
Rmvl tongs/halo anthr indiv
|
$94.92 |
$280.00 |
$280.00 |
|
|
Rmvl transplanted rnl algrft
|
$2,960.00 |
$2,960.00 |
$2,960.00 |
|
