|
Ring barrier skin cx 1 9/16 adapt
|
$10.02 |
$10.02 |
$10.02 |
|
|
Ring flange plas/leather mol
|
$540.01 |
$540.01 |
$540.01 |
|
|
Ring flange plastic/leather
|
$322.08 |
$322.08 |
$322.08 |
|
|
Ring fx reform 11-13x17mm
|
$694.96 |
$1,155.09 |
$1,155.09 |
|
|
Ring ostmy barr adapt 48mm
|
$9.40 |
$10.02 |
$10.02 |
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$20.61 |
$20.61 |
$20.61 |
|
|
Risk ascvd tst once pr 12 mo
|
$51.52 |
$51.52 |
$51.52 |
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$6.50 |
$15.43 |
$15.43 |
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$103.18 |
$103.18 |
$550.97 |
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$50.89 |
$50.89 |
$50.89 |
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$41.60 |
$41.60 |
$48.54 |
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$28.84 |
$28.84 |
$28.84 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$18.31 |
$18.31 |
$18.31 |
|
|
R&l hrt cath chd abnl nt cnj
|
$4,457.77 |
$4,656.00 |
$5,173.00 |
|
|
R&l hrt cath chd nml nt cnj
|
$4,457.77 |
$4,656.00 |
$5,173.00 |
|
|
Rmv anterior spine instrumentation 22855
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Rmv implant contraceptive capsule 11976
|
$973.71 |
$2,364.00 |
$2,525.00 |
|
|
Rmvl esophgl sphnctr dev
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Rmvl ext fixj sys under anes
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Rmvl fb upr arm/elbow deep
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,645.43 |
$1,671.00 |
$4,649.00 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,876.00 |
$1,877.00 |
$3,920.00 |
|
|
Rmvl hpglsl nstim ary pg
|
$4,697.33 |
$4,697.33 |
$4,697.33 |
|
|
Rmvl i-artic rx delivery dev 20705
|
$159.13 |
$159.13 |
$159.13 |
|
|
Rmvl icd by tv extr
|
$2,465.12 |
$5,138.46 |
$10,552.00 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$18,567.00 |
$40,093.76 |
$80,317.00 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$26,283.04 |
$54,438.00 |
$100,368.00 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$18,567.00 |
$30,585.75 |
$80,317.00 |
|
|
Rmvl icd pulse gen only
|
$3,036.88 |
$4,114.00 |
$20,990.00 |
|
|
Rmvl imed rx delivery device
|
$135.56 |
$135.56 |
$135.56 |
|
|
Rmvl left heart vent thor inscn ecmo
|
$689.75 |
$689.75 |
$689.75 |
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$3,315.93 |
$3,315.93 |
$3,315.93 |
|
|
Rmvl ndwellg tun pleural cath
|
$862.57 |
$2,609.00 |
$4,812.00 |
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$282.56 |
$282.56 |
$282.56 |
|
|
Rmvl perm pm pulse gen
|
$3,036.88 |
$7,299.00 |
$12,595.00 |
|
|
Rmvl perq right heart vad
|
$212.92 |
$2,214.00 |
$2,214.00 |
|
|
Rmvl phrnc nrv stim pg only
|
$4,807.27 |
$10,317.00 |
$10,317.00 |
|
|
Rmvl phrnc nrv stim sys
|
$4,807.27 |
$4,807.27 |
$4,807.27 |
|
|
Rmvl phrnc nrv stim transvns
|
$4,807.27 |
$4,807.27 |
$4,807.27 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$14,070.00 |
$24,502.00 |
$26,485.55 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$10,058.00 |
$11,600.00 |
$27,024.00 |
|
|
Rmvl pq iabp
|
$45.24 |
$229.00 |
$1,116.00 |
|
|
Rmvl pq vad left hrt vein sep session
|
$252.57 |
$2,214.00 |
$3,175.00 |
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Rmvl sq defib electrode
|
$2,752.00 |
$5,138.46 |
$10,552.00 |
|
|
Rmvl subq card rhythm mntr
|
$973.71 |
$2,267.00 |
$2,638.40 |
|
|
Rmvl tiss expndr without implant insrtn
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Rmvl tongs/halo anthr indiv
|
$571.00 |
$571.00 |
$614.27 |
|
|
Rmvl tot arthrp 1ntrspc crv
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Rmvl transplanted rnl algrft
|
$1,449.84 |
$1,742.71 |
$1,742.71 |
|
|
Rmvl tv pm lead dual
|
$2,606.80 |
$3,630.00 |
$12,134.00 |
|
|
Rmvl tv pm lead sgl
|
$2,606.80 |
$5,138.46 |
$5,550.00 |
|
|
Rmv ntr oi implt skl prq esp
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Rmv ntr oi imp sk tc>=100
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Rmv ntr oi imp sk tc esp<100
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$375.00 |
$375.00 |
$375.00 |
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$15,321.63 |
$15,321.63 |
$15,321.63 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$42,430.50 |
$42,430.50 |
$42,430.50 |
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Rnl altrnsplj without rcp nfrct
|
$3,271.52 |
$3,450.04 |
$3,450.04 |
|
|
Rnl altrnsplj w/rcp nfrct
|
$4,201.67 |
$4,201.67 |
$4,201.67 |
|
|
Rnl autotrnsplj rimpltj kdn
|
$2,153.20 |
$2,943.90 |
$2,943.90 |
|
|
Rocker bottom, contact afo
|
$164.74 |
$164.74 |
$164.74 |
|
|
Rolapitant, oral, 1mg
|
$2.76 |
$2.76 |
$2.76 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$42.65 |
$42.65 |
$42.65 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$15.25 |
$15.25 |
$15.25 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$16.71 |
$16.71 |
$16.71 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.07 |
$0.07 |
$75.20 |
|
|
Rotation wrst with cable lock
|
$898.53 |
$898.53 |
$898.53 |
|
|
Rotavirus antibody
|
$8.46 |
$25.16 |
$25.16 |
|
|
Round caliper and plate atta
|
$161.47 |
$161.47 |
$161.47 |
|
|
Routine footcare pt w lops
|
$275.88 |
$275.88 |
$275.88 |
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$32.26 |
$32.26 |
$32.26 |
|
|
Rplcm oi implt sk tc esp<100
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Rplcmt a-valve tlcj autol pv
|
$4,817.43 |
$4,817.43 |
$4,817.43 |
|
|
Rplcmt oi implt skl prq esp
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Rplc oi implt sk tc esp>=100
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,220.24 |
$3,517.00 |
$6,746.00 |
|
|
Rp loclzj tum 2+area 1+d img
|
$401.52 |
$549.70 |
$1,768.80 |
|
|
Rp loclzj tum spect w/ct 1
|
$1,076.88 |
$2,270.00 |
$5,151.00 |
|
|
Rp loclzj tum spect w/ct 2
|
$1,076.88 |
$5,842.00 |
$7,612.00 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,263.36 |
$3,122.00 |
$6,746.00 |
|
|
Rpl tun-cvad w subq port
|
$2,520.00 |
$6,738.00 |
$7,905.00 |
|
|
Rpl tun-cvad w subq pump
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
|
|
Rpl tun cvc wo subq port
|
$2,572.64 |
$4,608.00 |
$9,076.00 |
|
|
Rpm tx mgmt 1st 20 min
|
$37.45 |
$37.45 |
$37.45 |
|
|
Rpm tx mgmt ea addl 20 min
|
$37.45 |
$37.45 |
$37.45 |
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,433.78 |
$1,433.78 |
$1,433.78 |
|
|
Rpr aa hrn 1st > 10 rdc
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,731.73 |
$1,731.73 |
$1,731.73 |
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,234.56 |
$1,234.56 |
$1,234.56 |
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,198.78 |
$1,198.78 |
$1,198.78 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
|
