|
Revasc evasc tpvt angio cplx 1st
|
$19,814.30 |
$19,814.30 |
$19,814.30 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$19,814.30 |
$19,814.30 |
$19,814.30 |
$16,491.68
|
|
Revasc intra lithotrip-ather
|
$37,532.35 |
$37,532.35 |
$37,532.35 |
$19,875.58
|
|
Revasc intra lithotrip-stent
|
$29,747.38 |
$29,747.38 |
$29,747.38 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$26,434.94 |
$26,434.94 |
$26,434.94 |
$11,278.00
|
|
Revasc lithotr-ather tib/per
|
$35,064.29 |
$35,064.29 |
$35,064.29 |
$20,300.00
|
|
Revasc lithotrip-stent-ather
|
$45,428.69 |
$45,428.69 |
$45,428.69 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$26,081.52 |
$26,081.52 |
$26,081.52 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$29,374.13 |
$29,374.13 |
$29,374.13 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$53,804.06 |
$53,804.06 |
$53,804.06 |
$19,688.49
|
|
Revefenacin inh non-com 1mcg
|
$12.67 |
$12.67 |
$12.67 |
$15.56
|
|
Revise spine eltrd perq aray
|
$10,155.55 |
$10,155.55 |
$10,155.55 |
$7,728.86
|
|
Revise spine eltrd plate
|
$19,832.83 |
$19,832.83 |
$19,832.83 |
$14,756.87
|
|
Revise urethra stage 1
|
$1,498.13 |
$1,498.13 |
$1,498.13 |
$5,882.50
|
|
Revision of cervix
|
$1,913.52 |
$1,913.52 |
$1,913.52 |
$3,891.90
|
|
Revision of circulation
|
$5,543.90 |
$5,543.90 |
$5,543.90 |
$2,547.00
|
|
Revision of cornea
|
$2,444.59 |
$2,444.59 |
$2,444.59 |
$2,760.73
|
|
Revision of iris
|
$2,510.30 |
$2,510.30 |
$2,510.30 |
$1,271.00
|
|
Revision tips
|
$8,032.80 |
$8,032.80 |
$8,032.80 |
$10,358.00
|
|
Rev/rmv perph nstim eltrd ra
|
$3,755.33 |
$3,755.33 |
$3,755.33 |
$4,329.39
|
|
Rf abltj nrv nrvtg si jt
|
$3,589.87 |
$3,589.87 |
$3,589.87 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$38.35 |
$38.35 |
$38.35 |
$57.50
|
|
Rho(d) immune globulin h, sd
|
$1,461.03 |
$1,461.03 |
$1,461.03 |
$3,228.05
|
|
Rho d immune globulin inj
|
$88.99 |
$88.99 |
$88.99 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$5,487.60 |
$5,487.60 |
$5,487.60 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$5,487.60 |
$5,487.60 |
$5,487.60 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$138.43 |
$138.43 |
$138.43 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$138.43 |
$138.43 |
$138.43 |
$491.70
|
|
Rib gusset (elastic) each
|
$161.95 |
$161.95 |
$161.95 |
$161.95
|
|
Rib X-ray (3 views, both sides)
|
$138.43 |
$138.43 |
$138.43 |
$400.00
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$313.57 |
$313.57 |
$313.57 |
$455.01
|
|
Right ventric recording
|
$5,483.09 |
$5,483.09 |
$5,483.09 |
$2,345.00
|
|
Ring flange plas/leather mol
|
$573.70 |
$573.70 |
$573.70 |
$669.31
|
|
Ring flange plastic/leather
|
$351.94 |
$351.94 |
$351.94 |
$410.59
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,922.16 |
$1,922.16 |
$1,922.16 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$6,623.06 |
$6,623.06 |
$6,623.06 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$10,546.39 |
$10,546.39 |
$10,546.39 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$4,289.50 |
$4,289.50 |
$4,289.50 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$3,587.25 |
$3,587.25 |
$3,587.25 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$8,167.82 |
$8,167.82 |
$8,167.82 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$8,167.82 |
$8,167.82 |
$8,167.82 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$3,071.62 |
$3,071.62 |
$3,071.62 |
$846.42
|
|
Rmvl icd by tv extr
|
$4,824.05 |
$4,824.05 |
$4,824.05 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$14,266.80 |
$14,266.80 |
$14,266.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$14,266.80 |
$14,266.80 |
$14,266.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$12,793.87 |
$12,793.87 |
$12,793.87 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,198.34 |
$3,198.34 |
$3,198.34 |
$4,039.56
|
|
Rmvl left heart vent thor inscn ecmo
|
$3,736.46 |
$3,736.46 |
$3,736.46 |
$1,086.60
|
|
Rmvl ndwellg tun pleural cath
|
$883.44 |
$883.44 |
$883.44 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$4,064.40 |
$4,064.40 |
$4,064.40 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$5,267.47 |
$5,267.47 |
$5,267.47 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$16,725.60 |
$16,725.60 |
$16,725.60 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$14,335.44 |
$14,335.44 |
$14,335.44 |
$10,542.00
|
|
Rmvl pq iabp
|
$482.21 |
$482.21 |
$482.21 |
$960.30
|
|
Rmvl pq vad left hrt vein sep session
|
$5,267.47 |
$5,267.47 |
$5,267.47 |
$2,553.60
|
|
Rmvl sq defib electrode
|
$3,651.22 |
$3,651.22 |
$3,651.22 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$1,587.31 |
$1,587.31 |
$1,587.31 |
$1,736.70
|
|
Rmvl tiss expndr without implant insrtn
|
$2,363.18 |
$2,363.18 |
$2,363.18 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$4,326.72 |
$4,326.72 |
$4,326.72 |
$4,190.98
|
|
Rmvl tv pm lead sgl
|
$3,800.35 |
$3,800.35 |
$3,800.35 |
$4,225.20
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$15,285.55 |
$15,285.55 |
$15,285.55 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$3,714.53 |
$3,714.53 |
$3,714.53 |
$36,000.00
|
|
Rocker bottom, contact afo
|
$180.00 |
$180.00 |
$180.00 |
$208.98
|
|
Romiplostim 125 mcg subcutaneous solution
|
$7,382.69 |
$7,382.69 |
$7,382.69 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$4,170.10 |
$4,170.10 |
$4,170.10 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$136.68 |
$136.68 |
$136.68 |
$188.16
|
|
Rotation wrst with cable lock
|
$954.53 |
$954.53 |
$954.53 |
$798.00
|
|
Round caliper and plate atta
|
$176.40 |
$176.40 |
$176.40 |
$120.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,912.94 |
$1,912.94 |
$1,912.94 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$597.46 |
$597.46 |
$597.46 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$892.80 |
$892.80 |
$892.80 |
$2,566.53
|
|
Rp loclzj tum spect w/ct 2
|
$3,125.23 |
$3,125.23 |
$3,125.23 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,275.65 |
$4,275.65 |
$4,275.65 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$4,316.83 |
$4,316.83 |
$4,316.83 |
$4,760.85
|
|
Rpl tun-cvad w subq pump
|
$6,067.30 |
$6,067.30 |
$6,067.30 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$1,929.02 |
$1,929.02 |
$1,929.02 |
$3,724.63
|
|
Rsv assay w/optic
|
$45.46 |
$45.46 |
$45.46 |
$75.96
|
|
Rtm 1st set-up&pt educaj eqp
|
$17.38 |
$17.38 |
$17.38 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$52.27 |
$52.27 |
$52.27 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$52.27 |
$52.27 |
$52.27 |
$67.80
|
|
Rubella antibody igg
|
$41.09 |
$41.09 |
$41.09 |
$77.50
|
|
Rubeola antibody igg
|
$55.30 |
$55.30 |
$55.30 |
$80.00
|
|
Russell viper venom diluted
|
$184.90 |
$184.90 |
$184.90 |
$73.03
|
|
Sach foot, replacement
|
$403.34 |
$403.34 |
$403.34 |
$288.40
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$138.43 |
$138.43 |
$138.43 |
$314.79
|
|
Salivary gland imaging
|
$597.46 |
$597.46 |
$597.46 |
$585.00
|
|
Sargramostim injection
|
$628.09 |
$628.09 |
$628.09 |
$552.52
|
|
Sarscov coronavirus ag ia
|
$195.89 |
$195.89 |
$195.89 |
$60.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$480.91 |
$480.91 |
$480.91 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$332.88 |
$332.88 |
$332.88 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$295.87 |
$295.87 |
$295.87 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$369.94 |
$369.94 |
$369.94 |
$726.18
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$443.95 |
$443.95 |
$443.95 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$480.91 |
$480.91 |
$480.91 |
$595.35
|
|
Scan proc cranial extra
|
$2,098.46 |
$2,098.46 |
$2,098.46 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$2,098.46 |
$2,098.46 |
$2,098.46 |
$1,015.00
|
|
Scan proc spinal
|
$2,098.46 |
$2,098.46 |
$2,098.46 |
$2,544.58
|
|
Scap thorac prosth tiss shap
|
$8,594.59 |
$8,594.59 |
$8,594.59 |
$6,563.20
|
|
Sclerotherapy fluid collection pq w/img
|
$1,473.22 |
$1,473.22 |
$1,473.22 |
$2,148.60
|
|
Scope uretscp lithovue dig disp
|
$7,213.68 |
$7,213.68 |
$7,213.68 |
$4,246.72
|
