|
Revise/remove sling repair
|
$8,412.70 |
$8,412.70 |
$8,412.70 |
$3,615.39
|
|
Revise spine eltrd perq aray
|
$50,050.23 |
$50,050.23 |
$50,050.23 |
$7,264.21
|
|
Revise spine eltrd plate
|
$61,394.16 |
$61,394.16 |
$61,394.16 |
$10,115.75
|
|
Revise ulnar nerve at wrist
|
$12,854.91 |
$12,854.91 |
$12,854.91 |
$2,161.44
|
|
Revise vag graft via vagina
|
$10,258.21 |
$10,258.21 |
$10,258.21 |
$3,522.35
|
|
Revision of aqueous shunt
|
$12,414.82 |
$12,414.82 |
$12,414.82 |
$2,685.92
|
|
Revision of bladder neck
|
$12,378.05 |
$12,378.05 |
$12,378.05 |
$3,820.84
|
|
Revision of cervix
|
$4,998.64 |
$4,998.64 |
$4,998.64 |
$3,854.76
|
|
Revision of eyelid
|
$6,678.19 |
$6,678.19 |
$6,678.19 |
$2,582.26
|
|
Revision of eyelid
|
$14,294.50 |
$14,294.50 |
$14,294.50 |
$2,702.32
|
|
Revision of iris
|
$920.40 |
$920.40 |
$920.40 |
$1,531.10
|
|
Revision of iris
|
$18,017.00 |
$18,017.00 |
$18,017.00 |
$874.00
|
|
Revision of nose
|
$10,560.20 |
$10,560.20 |
$10,560.20 |
$3,723.23
|
|
Revision of urethra
|
$7,255.32 |
$7,255.32 |
$7,255.32 |
$3,817.53
|
|
Revision of urethra
|
$8,044.04 |
$8,044.04 |
$8,044.04 |
$3,769.31
|
|
Revision open av fistula without thromb
|
$17,082.00 |
$17,082.00 |
$17,082.00 |
$9,842.40
|
|
Revision tips
|
$15,037.75 |
$15,037.75 |
$15,037.75 |
$9,810.00
|
|
Rev-rem impl neurostim gen-rec
|
$11,935.78 |
$11,935.78 |
$11,935.78 |
$3,945.00
|
|
Rev/rmv perph nstim eltrd ra
|
$9,522.95 |
$9,522.95 |
$9,522.95 |
$4,108.26
|
|
Rev/rmv prph sac/gstr npg/r
|
$10,203.20 |
$10,203.20 |
$10,203.20 |
$3,958.14
|
|
Rf abltj nrv nrvtg si jt
|
$6,596.09 |
$6,596.09 |
$6,596.09 |
$2,509.91
|
|
Rheumatoid factor quantitative
|
$104.65 |
$104.65 |
$104.65 |
$59.80
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$346.22 |
$346.22 |
$346.22 |
$345.07
|
|
Rho d immune globulin inj
|
$166.91 |
$166.91 |
$166.91 |
$232.72
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$462.44 |
$462.44 |
$462.44 |
$300.54
|
|
Right ventric recording
|
$4,583.15 |
$4,583.15 |
$4,583.15 |
$1,795.00
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$23,737.80 |
$23,737.80 |
$23,737.80 |
$20.29
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,013.46 |
$3,013.46 |
$3,013.46 |
$1,771.44
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$6,320.63 |
$6,320.63 |
$6,320.63 |
$201.92
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$16,374.08 |
$16,374.08 |
$16,374.08 |
$17,105.60
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$9,213.73 |
$9,213.73 |
$9,213.73 |
$1,848.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$7,811.96 |
$7,811.96 |
$7,811.96 |
$196.20
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$7,811.96 |
$7,811.96 |
$7,811.96 |
$31.05
|
|
Rmv implant contraceptive capsule 11976
|
$1,980.55 |
$1,980.55 |
$1,980.55 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$11,978.28 |
$11,978.28 |
$11,978.28 |
$1,857.00
|
|
Rmvl icd by tv extr
|
$36,901.59 |
$36,901.59 |
$36,901.59 |
$4,589.40
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$36,151.73 |
$36,151.73 |
$36,151.73 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$48,501.84 |
$48,501.84 |
$48,501.84 |
$36,067.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$29,936.54 |
$29,936.54 |
$29,936.54 |
$27,258.51
|
|
Rmvl icd pulse gen only
|
$62,367.81 |
$62,367.81 |
$62,367.81 |
$4,069.52
|
|
Rmvl left heart vent thor inscn ecmo
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$1,159.45
|
|
Rmvl ndwellg tun pleural cath
|
$895.70 |
$895.70 |
$895.70 |
$1,061.36
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$20,007.90 |
$20,007.90 |
$20,007.90 |
$498.40
|
|
Rmvl perm pm pulse gen
|
$63,529.10 |
$63,529.10 |
$63,529.10 |
$6,820.50
|
|
Rmvl phrnc nrv stim pg only
|
$6,403.80 |
$6,403.80 |
$6,403.80 |
$4,023.75
|
|
Rmvl phrnc nrv stim sys
|
$10,238.80 |
$10,238.80 |
$10,238.80 |
$7,148.31
|
|
Rmvl phrnc nrv stim transvns
|
$7,047.95 |
$7,047.95 |
$7,047.95 |
$4,807.27
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$37,576.45 |
$37,576.45 |
$37,576.45 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$14,037.80 |
$14,037.80 |
$14,037.80 |
$11,241.96
|
|
Rmvl pq iabp
|
$1,166.10 |
$1,166.10 |
$1,166.10 |
$1,116.00
|
|
Rmvl pq vad left hrt vein sep session
|
$1,901.25 |
$1,901.25 |
$1,901.25 |
$3,145.16
|
|
Rmvl sq defib electrode
|
$4,953.00 |
$4,953.00 |
$4,953.00 |
$4,294.57
|
|
Rmvl subq card rhythm mntr
|
$5,314.26 |
$5,314.26 |
$5,314.26 |
$2,079.40
|
|
Rmvl tv pm lead dual
|
$31,339.67 |
$31,339.67 |
$31,339.67 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,631.85 |
$2,631.85 |
$2,631.85 |
$4,028.20
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$64,190.75 |
$64,190.75 |
$64,190.75 |
$33,167.94
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$61,794.20 |
$61,794.20 |
$61,794.20 |
$36,000.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$6,972.86 |
$6,972.86 |
$6,972.86 |
$11,720.42
|
|
Romiplostim 125 mcg subcutaneous solution
|
$11,311.16 |
$11,311.16 |
$11,311.16 |
$25.95
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,400.67 |
$5,400.67 |
$5,400.67 |
$5,400.67
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,012.49 |
$1,012.49 |
$1,012.49 |
$60.40
|
|
Rplcmt oi implt skl prq esp
|
$10,541.39 |
$10,541.39 |
$10,541.39 |
$7,359.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,189.85 |
$2,189.85 |
$2,189.85 |
$1,283.66
|
|
Rp loclzj tum spect w/ct 1
|
$3,747.25 |
$3,747.25 |
$3,747.25 |
$2,505.00
|
|
Rp loclzj tum spect w/ct 2
|
$4,284.80 |
$4,284.80 |
$4,284.80 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,502.80 |
$1,502.80 |
$1,502.80 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$4,193.80 |
$4,193.80 |
$4,193.80 |
$4,341.66
|
|
Rpl tun cvc wo subq port
|
$6,424.99 |
$6,424.99 |
$6,424.99 |
$4,115.61
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$24,195.69 |
$24,195.69 |
$24,195.69 |
$2,563.20
|
|
Rpr aa hrn 1st > 10 rdc
|
$24,134.71 |
$24,134.71 |
$24,134.71 |
$4,000.83
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$18,337.30 |
$18,337.30 |
$18,337.30 |
$3,849.30
|
|
Rpr aa hrn 1st 3-10 rdc
|
$17,462.44 |
$17,462.44 |
$17,462.44 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$14,721.88 |
$14,721.88 |
$14,721.88 |
$4,000.83
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$16,603.95 |
$16,603.95 |
$16,603.95 |
$6,397.53
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$29,172.64 |
$29,172.64 |
$29,172.64 |
$3,104.80
|
|
Rpr aa hrn rcr > 10 rdc
|
$30,234.23 |
$30,234.23 |
$30,234.23 |
$2,217.60
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$20,007.90 |
$20,007.90 |
$20,007.90 |
$2,148.00
|
|
Rpr aa hrn rcr 3-10 rdc
|
$18,597.71 |
$18,597.71 |
$18,597.71 |
$4,000.83
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$16,313.17 |
$16,313.17 |
$16,313.17 |
$2,665.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$16,601.96 |
$16,601.96 |
$16,601.96 |
$3,856.84
|
|
Rpr fem hernia init blocked
|
$19,447.95 |
$19,447.95 |
$19,447.95 |
$3,094.40
|
|
Rpr ing hernia init blocked
|
$13,429.48 |
$13,429.48 |
$13,429.48 |
$3,909.56
|
|
Rpr ing hernia init reduce
|
$11,864.85 |
$11,864.85 |
$11,864.85 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$24,355.80 |
$24,355.80 |
$24,355.80 |
$1,872.00
|
|
Rpr rem hernia init reduce
|
$15,971.63 |
$15,971.63 |
$15,971.63 |
$2,825.60
|
|
Rsv assay w/optic
|
$68.90 |
$68.90 |
$68.90 |
$64.13
|
|
Rtm 1st set-up&pt educaj eqp
|
$278.85 |
$278.85 |
$278.85 |
$183.07
|
|
Rtm dev sply mscskl 16-30 d
|
$89.70 |
$89.70 |
$89.70 |
$78.65
|
|
Rubella antibody igg
|
$104.00 |
$104.00 |
$104.00 |
$73.05
|
|
Rubeola antibody igg
|
$102.70 |
$102.70 |
$102.70 |
$80.00
|
|
Russell viper venom diluted
|
$118.30 |
$118.30 |
$118.30 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$5,701.46 |
$5,701.46 |
$5,701.46 |
$1,441.80
|
|
Salivary glnd img serial img
|
$878.80 |
$878.80 |
$878.80 |
$585.00
|
|
Sarscov coronavirus ag ia
|
$62.40 |
$62.40 |
$62.40 |
$65.00
|
|
Sarscov & inf vir a&b ag ia
|
$149.50 |
$149.50 |
$149.50 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$494.65 |
$494.65 |
$494.65 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$793.00 |
$793.00 |
$793.00 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$774.15 |
$774.15 |
$774.15 |
$788.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$331.50 |
$331.50 |
$331.50 |
$507.18
|
