|
Pvb thoracic single inj site
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,189.08
|
|
Pyloroplasty 43800
|
$1,379.20 |
$1,379.20 |
$1,379.20 |
$2,285.60
|
|
Pyruvate
|
$53.60 |
$53.60 |
$53.60 |
$65.00
|
|
Pyruvate kinase
|
$40.80 |
$40.80 |
$40.80 |
$65.00
|
|
Quan puplmtry phy/qhp uni/bi
|
$24.00 |
$24.00 |
$24.00 |
$152.54
|
|
Quest t3 uptake
|
$118.40 |
$118.40 |
$118.40 |
$56.10
|
|
Rabies immune globulin (pf) 300 unit/ml intramuscular solution
|
$1,257.52 |
$1,257.52 |
$1,257.52 |
$3,213.80
|
|
Ramucirumab 10 mg/ml intravenous solution
|
$9,855.65 |
$9,855.65 |
$9,855.65 |
$16,029.45
|
|
Rapid desensitization
|
$208.00 |
$208.00 |
$208.00 |
$442.06
|
|
Rapid Strep Test
|
$73.60 |
$73.60 |
$73.60 |
$74.10
|
|
Rbc irradiated each unit
|
$442.40 |
$442.40 |
$442.40 |
$343.85
|
|
Realignment of knee
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$4,732.80
|
|
Reconstruction knee
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$5,741.00
|
|
Reconstruct shoulder joint
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$1,916.80 |
$1,916.80 |
$1,916.80 |
$7,160.00
|
|
Red blood cells each unit
|
$320.80 |
$320.80 |
$320.80 |
$353.60
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$644.00 |
$644.00 |
$644.00 |
$618.80
|
|
Red blood cells leukocytes reduced each unit
|
$320.80 |
$320.80 |
$320.80 |
$398.20
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$442.40 |
$442.40 |
$442.40 |
$489.60
|
|
Reduce testis torsion
|
$680.00 |
$680.00 |
$680.00 |
$4,081.37
|
|
Release of shoulder ligament
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
$5,886.74
|
|
Release palm contracture
|
$919.20 |
$919.20 |
$919.20 |
$3,839.54
|
|
Release palm contracture
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$4,112.00
|
|
Release palm contracture
|
$400.00 |
$400.00 |
$400.00 |
$873.24
|
|
Rem/biv cast full arm/leg
|
$115.20 |
$115.20 |
$115.20 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$189.60 |
$189.60 |
$189.60 |
$384.59
|
|
Remdesivir 100 mg intravenous powder for solution
|
$1,795.79 |
$1,795.79 |
$1,795.79 |
$1,864.71
|
|
Rem interrog dev eval icpms
|
$89.60 |
$89.60 |
$89.60 |
$109.50
|
|
Rem interrog dev eval scrms
|
$150.40 |
$150.40 |
$150.40 |
$139.10
|
|
Rem interrog evl pm/ids
|
$30.40 |
$30.40 |
$30.40 |
$139.10
|
|
Rem mntr physiol 1st dev supply ea 30 days
|
$66.40 |
$66.40 |
$66.40 |
$78.00
|
|
Removal abdomen lymph nodes 38564
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$1,734.40
|
|
Removal central venous catheter tunneled without port/pump
|
$245.60 |
$245.60 |
$245.60 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$333.60 |
$333.60 |
$333.60 |
$2,599.13
|
|
Removal cerumen impacted (both sides)
|
$72.00 |
$72.00 |
$72.00 |
$177.60
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$293.60 |
$293.60 |
$293.60 |
$245.60
|
|
Removal embedded foreign body vestibule mouth smpl
|
$278.40 |
$278.40 |
$278.40 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$2,132.80 |
$2,132.80 |
$2,132.80 |
$2,271.01
|
|
Removal foreign body foot subcutaneous right
|
$359.20 |
$359.20 |
$359.20 |
$1,256.00
|
|
Removal implant superficial separate procedure
|
$536.80 |
$536.80 |
$536.80 |
$2,945.80
|
|
Removal of adenoids
|
$312.00 |
$312.00 |
$312.00 |
$3,837.72
|
|
Removal of adenoids
|
$338.40 |
$338.40 |
$338.40 |
$3,589.62
|
|
Removal of anal fissure
|
$712.00 |
$712.00 |
$712.00 |
$3,035.44
|
|
Removal of bone for graft
|
$584.80 |
$584.80 |
$584.80 |
$5,886.74
|
|
Removal of breast lesion
|
$771.20 |
$771.20 |
$771.20 |
$4,631.50
|
|
Removal of epididymis
|
$629.60 |
$629.60 |
$629.60 |
$4,081.37
|
|
Removal of finger lesion
|
$691.20 |
$691.20 |
$691.20 |
$1,893.86
|
|
Removal of foot fascia
|
$868.80 |
$868.80 |
$868.80 |
$3,594.44
|
|
Removal of foot lesion
|
$801.60 |
$801.60 |
$801.60 |
$1,893.86
|
|
Removal of foot lesion
|
$681.60 |
$681.60 |
$681.60 |
$2,336.00
|
|
Removal of forearm lesion
|
$771.20 |
$771.20 |
$771.20 |
$3,594.44
|
|
Removal of foreign body
|
$885.60 |
$885.60 |
$885.60 |
$4,149.00
|
|
Removal of gallbladder 47600
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,622.40
|
|
Removal of hydrocele
|
$493.60 |
$493.60 |
$493.60 |
$4,156.03
|
|
Removal of hydrocele
|
$576.00 |
$576.00 |
$576.00 |
$3,820.84
|
|
Removal of implant deep
|
$892.00 |
$892.00 |
$892.00 |
$3,813.70
|
|
Removal of intranasal lesion
|
$1,469.60 |
$1,469.60 |
$1,469.60 |
$3,592.74
|
|
Removal of intranasal lesion
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$3,837.72
|
|
Removal of ischial bursa
|
$689.60 |
$689.60 |
$689.60 |
$5,110.00
|
|
Removal of kneecap
|
$968.80 |
$968.80 |
$968.80 |
$5,476.16
|
|
Removal of kneecap bursa
|
$556.80 |
$556.80 |
$556.80 |
$3,591.33
|
|
Removal of knee cyst
|
$720.00 |
$720.00 |
$720.00 |
$3,780.44
|
|
Removal of omentum 49255
|
$1,167.20 |
$1,167.20 |
$1,167.20 |
$1,941.60
|
|
Removal of ovary(s) 58940
|
$824.00 |
$824.00 |
$824.00 |
$1,340.00
|
|
Removal of ovary/tube(s)
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,854.40
|
|
Removal of scrotum
|
$741.60 |
$741.60 |
$741.60 |
$4,081.34
|
|
Removal of sesamoid bone
|
$712.00 |
$712.00 |
$712.00 |
$3,594.44
|
|
Removal of skin tags each add'l 10
|
$27.20 |
$27.20 |
$27.20 |
$138.45
|
|
Removal of sperm cord lesion
|
$680.00 |
$680.00 |
$680.00 |
$3,058.38
|
|
Removal of tendon lesion
|
$803.20 |
$803.20 |
$803.20 |
$3,786.00
|
|
Removal of thyroid
|
$1,352.80 |
$1,352.80 |
$1,352.80 |
$6,311.00
|
|
Removal of toe lesions
|
$636.80 |
$636.80 |
$636.80 |
$1,884.74
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$293.60 |
$293.60 |
$293.60 |
$303.80
|
|
Removal sutr and stapl no anes
|
$21.60 |
$21.60 |
$21.60 |
$73.66
|
|
Removal sutr or stapl no anes
|
$31.20 |
$31.20 |
$31.20 |
$85.18
|
|
Removal sutr/staple req anes
|
$85.60 |
$85.60 |
$85.60 |
$2,164.64
|
|
Removal w/reinsrt nonbiogrdble
|
$210.40 |
$210.40 |
$210.40 |
$538.40
|
|
Remove anal fist complex
|
$728.00 |
$728.00 |
$728.00 |
$3,245.23
|
|
Remove anal fist subq
|
$803.20 |
$803.20 |
$803.20 |
$3,417.12
|
|
Remove armpit lymph nodes
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$5,814.80
|
|
Remove bladder stone
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$4,081.37
|
|
Remove bladder stone
|
$696.00 |
$696.00 |
$696.00 |
$4,350.00
|
|
Remove ear canal lesion(s)
|
$616.80 |
$616.80 |
$616.80 |
$3,334.38
|
|
Remove epididymis lesion
|
$560.80 |
$560.80 |
$560.80 |
$3,923.56
|
|
Remove epididymis lesion
|
$484.80 |
$484.80 |
$484.80 |
$2,424.12
|
|
Remove ext hem groups 2+
|
$719.20 |
$719.20 |
$719.20 |
$3,316.74
|
|
Remove eyelid lesion
|
$192.00 |
$192.00 |
$192.00 |
$496.50
|
|
Remove eyelid lesion
|
$416.80 |
$416.80 |
$416.80 |
$1,370.74
|
|
Remove femur lesion
|
$900.80 |
$900.80 |
$900.80 |
$3,839.54
|
|
Remove/graft leg bone lesion
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$5,855.00
|
|
Remove groin lymph nodes
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$6,349.54
|
|
Remove hip/pelvis lesion 27047
|
$738.40 |
$738.40 |
$738.40 |
$3,348.75
|
|
Remove in/ex hem groups 2+
|
$716.80 |
$716.80 |
$716.80 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$804.00 |
$804.00 |
$804.00 |
$3,245.23
|
|
Remove int/ext hem 1 group
|
$783.20 |
$783.20 |
$783.20 |
$3,638.59
|
|
Remove knee joint lining
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$3,839.54
|
|
Remove lower leg bone lesion
|
$854.40 |
$854.40 |
$854.40 |
$3,839.54
|
|
Remove nerve lesion
|
$1,100.80 |
$1,100.80 |
$1,100.80 |
$2,310.83
|
|
Remove pilonidal cyst compl
|
$1,160.80 |
$1,160.80 |
$1,160.80 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$944.00 |
$944.00 |
$944.00 |
$3,386.84
|