|
Rmvl tv pm lead dual
|
$1,348.80 |
$3,314.80 |
$50,400.77 |
|
|
Rmvl tv pm lead sgl
|
$1,106.28 |
$3,767.18 |
$8,515.65 |
|
|
Rmv ntr oi implt skl prq esp
|
$38,516.88 |
$38,516.88 |
$38,516.88 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$496.80 |
$672.80 |
$21,075.65 |
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$965.60 |
$965.60 |
$965.60 |
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,355.20 |
$4,355.20 |
$4,355.20 |
|
|
Rmv suture/anesthesia/not local 15850
|
$120.00 |
$126.00 |
$126.00 |
|
|
Rnl altrnsplj without rcp nfrct
|
$5,928.00 |
$5,928.00 |
$5,928.00 |
|
|
Rnl altrnsplj w/rcp nfrct
|
$14,084.80 |
$14,084.80 |
$14,084.80 |
|
|
Rnl autotrnsplj rimpltj kdn
|
$4,915.20 |
$4,915.20 |
$4,915.20 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$49.90 |
$8,826.40 |
$8,826.40 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17.16 |
$17,344.00 |
$17,344.00 |
|
|
Romiplostim injection
|
$2,504.00 |
$2,861.72 |
$4,236.68 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12.00 |
$4,118.84 |
$13,801.85 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.66 |
$188.16 |
$219.52 |
|
|
Rotavirus antibody
|
$38.40 |
$38.40 |
$38.40 |
|
|
Routine footcare pt w lops
|
$114.00 |
$196.00 |
$196.00 |
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$34.70 |
$56,796.70 |
$56,796.70 |
|
|
Rplcmt a-valve tlcj autol pv
|
$8,370.40 |
$8,370.40 |
$8,370.40 |
|
|
Rplcmt oi implt skl prq esp
|
$5,468.80 |
$5,468.80 |
$5,468.80 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$401.40 |
$1,764.60 |
$5,099.90 |
|
|
Rp loclzj tum 2+area 1+d img
|
$573.60 |
$868.32 |
$2,150.20 |
|
|
Rp loclzj tum spect w/ct 1
|
$767.20 |
$2,645.76 |
$3,285.10 |
|
|
Rp loclzj tum spect w/ct 2
|
$1,446.40 |
$3,001.09 |
$3,204.93 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$851.20 |
$2,003.87 |
$7,956.24 |
|
|
Rpl tun-cvad w subq port
|
$1,948.20 |
$3,520.18 |
$12,825.02 |
|
|
Rpl tun-cvad w subq pump
|
$2,171.40 |
$3,062.40 |
$3,062.40 |
|
|
Rpl tun cvc wo subq port
|
$1,462.20 |
$3,802.20 |
$6,314.75 |
|
|
Rpm tx mgmt 1st 20 min
|
$69.00 |
$90.40 |
$122.00 |
|
|
Rpm tx mgmt ea addl 20 min
|
$56.40 |
$73.60 |
$73.60 |
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,357.20 |
$2,563.20 |
$3,648.00 |
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,021.80 |
$1,928.80 |
$41,917.21 |
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$988.20 |
$1,865.60 |
$43,190.68 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$759.60 |
$1,434.40 |
$48,176.21 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$453.60 |
$856.00 |
$40,317.93 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$630.00 |
$1,189.60 |
$51,873.40 |
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,644.00 |
$3,104.80 |
$4,418.00 |
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,174.20 |
$2,217.60 |
$3,156.00 |
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,137.60 |
$2,148.00 |
$81,569.71 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$847.80 |
$1,600.80 |
$50,959.11 |
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$757.80 |
$1,431.20 |
$33,462.90 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$559.20 |
$1,056.80 |
$55,739.59 |
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,858.80 |
$4,923.20 |
$4,923.20 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,777.20 |
$4,564.80 |
$4,564.80 |
|
|
Rpr blvs gr ot/th vn ntrth w
|
$6,742.40 |
$6,742.40 |
$6,742.40 |
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$7,948.80 |
$7,948.80 |
$7,948.80 |
|
|
Rpr choanal atresia ntranasl
|
$1,745.60 |
$1,745.60 |
$1,745.60 |
|
|
Rpr choanal atresia trsnpltn
|
$2,387.20 |
$2,387.20 |
$2,387.20 |
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$1,841.40 |
$2,661.60 |
$2,661.60 |
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,705.80 |
$2,301.60 |
$2,301.60 |
|
|
Rpr diaphragm lac/any approach 39501
|
$1,539.60 |
$2,092.00 |
$2,092.00 |
|
|
Rpr fem hernia init blocked
|
$820.80 |
$3,094.40 |
$33,885.29 |
|
|
Rpr hern preemie reduc
|
$1,378.80 |
$3,897.60 |
$3,897.60 |
|
|
Rpr hypopl a-arch w/byp
|
$4,469.60 |
$4,469.60 |
$4,469.60 |
|
|
Rpr hypspad comp dsj & urtp
|
$2,556.80 |
$2,556.80 |
$2,556.80 |
|
|
Rpr hypspad comp simple
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
|
|
Rpr ing hernia baby blocked
|
$1,067.40 |
$3,006.40 |
$3,006.40 |
|
|
Rpr ing hernia baby reduc
|
$2,000.00 |
$2,000.00 |
$19,785.92 |
|
|
Rpr ing hernia init blocked
|
$2,963.20 |
$2,963.20 |
$2,963.20 |
|
|
Rpr ing hernia init reduce
|
$730.80 |
$2,017.60 |
$18,452.97 |
|
|
Rpr ing hern premie blocked
|
$4,691.20 |
$4,691.20 |
$4,691.20 |
|
|
Rpr nsl vlv collapse w/implt
|
$7,606.40 |
$7,606.40 |
$7,606.40 |
|
|
Rpr parastomal hernia rdc 49621
|
$1,015.80 |
$1,872.00 |
$2,663.00 |
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,254.00 |
$2,311.20 |
$2,311.20 |
|
|
Rpr&refit spct prsth aphakia
|
$25.60 |
$25.60 |
$25.60 |
|
|
Rpr rem hernia init reduce
|
$748.32 |
$2,825.60 |
$41,581.51 |
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$510.60 |
$893.60 |
$3,083.07 |
|
|
Rrp hypspad comp moblj&urtp
|
$2,390.40 |
$2,390.40 |
$2,390.40 |
|
|
Rsv assay w/optic
|
$17.28 |
$38.58 |
$845.00 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$117.00 |
$134.40 |
$149.40 |
|
|
Rtm dev sply mscskl 16-30 d
|
$52.80 |
$58.80 |
$58.80 |
|
|
Rtm dev sply resp sys 16-30d
|
$52.80 |
$58.80 |
$58.80 |
|
|
Rubella antibody igg
|
$48.57 |
$76.70 |
$1,956.00 |
|
|
Rubeola ag if
|
$121.60 |
$121.60 |
$121.60 |
|
|
Rubeola antibody igg
|
$42.25 |
$48.57 |
$371.80 |
|
|
Runx1 gene targeted seq alys
|
$659.20 |
$659.20 |
$659.20 |
|
|
Russell viper venom diluted
|
$32.85 |
$81.90 |
$349.70 |
|
|
Rx metab gen seq alys pnl 6
|
$1,834.40 |
$1,834.40 |
$1,834.40 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$53.41 |
$7,844.35 |
$7,844.35 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$169.20 |
$236.88 |
$600.00 |
|
|
Salivary gland function exam
|
$228.00 |
$228.00 |
$228.00 |
|
|
Salivary gland imaging
|
$378.40 |
$378.40 |
$378.40 |
|
|
Salivary glnd img serial img
|
$282.40 |
$282.40 |
$282.40 |
|
|
Salmonella antibody
|
$48.57 |
$48.57 |
$48.57 |
|
|
Salpingostomy 58770
|
$1,576.80 |
$4,304.00 |
$4,304.00 |
|
|
Same day nb discharge 99463
|
$199.20 |
$199.20 |
$265.00 |
|
|
Sargramostim injection
|
$463.93 |
$463.93 |
$1,573.15 |
|
|
Sarscov coronavirus ag ia
|
$46.20 |
$71.20 |
$122.85 |
|
|
Sarscov & inf vir a&b ag ia
|
$161.00 |
$168.80 |
$194.53 |
|
|
S bowel endoscope w/stent
|
$547.68 |
$1,034.40 |
$1,034.40 |
|
|
Sbrt management
|
$1,189.60 |
$1,189.60 |
$2,068.00 |
|
|
Sbsq ic vlbw inf<1,500 gm
|
$248.00 |
$248.00 |
$346.00 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$246.60 |
$281.60 |
$328.00 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$119.60 |
$136.80 |
$166.79 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$122.40 |
$197.60 |
$228.00 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$78.00 |
$79.20 |
$105.00 |
|
|
Sbsq psyc collab care mgmt
|
$53.28 |
$251.20 |
$251.20 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$406.40 |
$483.00 |
$2,082.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$87.10 |
$266.60 |
$788.80 |
|
