|
Repair lac palate<2 cm
|
$342.50 |
$342.50 |
$342.50 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$647.50 |
$647.50 |
$647.50 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$853.50 |
$853.50 |
$853.50 |
$1,928.07
|
|
Repair of aneurysm
|
$1,118.50 |
$1,118.50 |
$1,118.50 |
$4,013.30
|
|
Repair of facial nerve
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$6,998.88
|
|
Repair pm/icd lead dual
|
$2,369.00 |
$2,369.00 |
$3,506.58 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$1,428.76 |
$1,428.76 |
$1,553.00 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$579.00 |
$579.00 |
$579.00 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$647.50 |
$647.50 |
$647.50 |
$1,224.63
|
|
Repair salivary duct
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$6,547.81
|
|
Repair tendon extensor foot 1/2 each tendon
|
$844.00 |
$844.00 |
$844.00 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$4,350.00
|
|
Repair valve femoral vein
|
$3,250.36 |
$3,250.36 |
$3,250.36 |
$5,983.35
|
|
Replac av w/bypas/other pros valve 33405
|
$8,494.82 |
$8,494.82 |
$8,494.82 |
$7,683.90
|
|
Replace aortic valve open axillry 33363
|
$7,939.14 |
$7,939.14 |
$7,939.14 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$8,177.42 |
$8,177.42 |
$8,177.42 |
$15,454.40
|
|
Replace aortic valve open iliac 33364
|
$7,939.14 |
$7,939.14 |
$7,939.14 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$8,494.82 |
$8,494.82 |
$8,494.82 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$4,619.32 |
$4,619.32 |
$4,619.32 |
$2,399.20
|
|
Replace aortic valve w/byp open aprch 33368
|
$5,799.68 |
$5,799.68 |
$5,799.68 |
$2,638.68
|
|
Replace aortic valve w/byp prq aprch 33367
|
$4,619.32 |
$4,619.32 |
$4,619.32 |
$3,088.80
|
|
Replace duod/jej tube perc
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$1,354.54
|
|
Replace g/c tube perc
|
$417.50 |
$417.50 |
$417.50 |
$1,341.50
|
|
Replace g-j tube perc
|
$963.00 |
$963.00 |
$963.00 |
$1,498.53
|
|
Replace tunneled cv cath
|
$2,173.50 |
$2,173.50 |
$2,173.50 |
$3,724.63
|
|
Replace vad intra without bp
|
$3,488.64 |
$3,488.64 |
$3,488.64 |
$3,705.00
|
|
Reposition pm/icd lead
|
$2,817.04 |
$2,817.04 |
$2,817.04 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$6,804.78 |
$6,804.78 |
$6,804.78 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$1,022.58 |
$1,022.58 |
$1,022.58 |
$3,724.63
|
|
Repos sq defib eltrd
|
$2,208.50 |
$2,208.50 |
$2,226.86 |
$4,297.60
|
|
Resect condyle distal phalanx ea toe 28153
|
$2,024.00 |
$2,024.00 |
$2,024.00 |
$3,296.80
|
|
Reslizumab 10 mg/ml intravenous solution
|
$51.07 |
$51.07 |
$55.51 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,197.50
|
|
Resuscitation cardiopulmonary
|
$626.98 |
$626.98 |
$674.00 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$603.00 |
$603.00 |
$603.00 |
$780.42
|
|
Reticulated platelet assay
|
$18.40 |
$18.40 |
$20.00 |
$75.00
|
|
Reticulocyte automated
|
$27.14 |
$27.14 |
$44.00 |
$52.57
|
|
Revasc intra lithotrip-ather
|
$17,898.50 |
$17,898.50 |
$17,898.50 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$18,735.50 |
$18,735.50 |
$21,454.40 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$4,059.50 |
$4,059.50 |
$4,059.50 |
$11,320.00
|
|
Revasc lithotrip tibi/perone
|
$8,542.66 |
$8,542.66 |
$9,285.50 |
$13,925.00
|
|
Revision open av fistula without thromb
|
$3,621.58 |
$3,621.58 |
$3,621.58 |
$8,037.35
|
|
Revision tips
|
$8,397.50 |
$8,397.50 |
$8,397.50 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$8,869.59
|
|
Rezafungin 200 mg intravenous solution
|
$942.39 |
$942.39 |
$1,024.34 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$1,464.18 |
$1,464.18 |
$1,492.00 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$17.02 |
$17.02 |
$17.02 |
$57.20
|
|
Rheumatoid factor quantitative
|
$31.74 |
$31.74 |
$51.50 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$16.32 |
$16.32 |
$17.74 |
$243.11
|
|
Rho d immune globulin inj
|
$37.57 |
$37.57 |
$40.83 |
$217.71
|
|
Right heart cath congenital
|
$2,030.44 |
$2,030.44 |
$2,030.44 |
$7,217.72
|
|
Right ventric recording
|
$2,403.04 |
$2,403.04 |
$4,633.50 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$365.70 |
$365.70 |
$397.50 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$9,936.04 |
$9,936.04 |
$10,800.04 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$532.15 |
$532.15 |
$578.42 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$43.22 |
$43.22 |
$46.98 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$20.73 |
$20.73 |
$22.54 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$24.67 |
$24.67 |
$26.81 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$24.60 |
$24.60 |
$26.74 |
$5,309.20
|
|
R & l heart cath congenital
|
$5,145.50 |
$5,145.50 |
$5,145.50 |
$7,046.49
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$789.50 |
$789.50 |
$789.50 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,553.00 |
$1,553.00 |
$2,648.68 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$7,646.58 |
$7,646.58 |
$7,646.58 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$18,650.70 |
$18,650.70 |
$18,650.70 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$7,087.22 |
$7,087.22 |
$8,165.00 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,553.00 |
$1,553.00 |
$2,175.80 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$442.98 |
$442.98 |
$520.00 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$3,439.88 |
$3,439.88 |
$3,439.88 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,212.30 |
$6,212.30 |
$6,212.30 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$7,922.58 |
$7,922.58 |
$7,922.58 |
$10,542.00
|
|
Rmvl pq iabp
|
$55.20 |
$55.20 |
$60.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$2,776.10 |
$2,776.10 |
$2,776.10 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$2,226.86 |
$2,226.86 |
$4,136.50 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$910.34 |
$910.34 |
$910.34 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$2,870.86 |
$2,870.86 |
$2,870.86 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$2,708.48 |
$2,708.48 |
$2,708.48 |
$4,031.69
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$9,412.98 |
$9,412.98 |
$9,412.98 |
$15,285.55
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$23,849.16 |
$23,849.16 |
$23,849.16 |
$34,440.90
|
|
Romiplostim injection
|
$548.50 |
$548.50 |
$596.19 |
$989.68
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$516.80 |
$516.80 |
$561.74 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.48 |
$0.48 |
$0.52 |
$188.50
|
|
Routine footcare pt w lops
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$223.08
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$1,391.50 |
$1,391.50 |
$1,512.50 |
$15,007.16
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$708.40 |
$708.40 |
$832.00 |
$2,173.60
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$708.40 |
$708.40 |
$832.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$3,558.50 |
$3,558.50 |
$3,558.50 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$1,582.40 |
$1,582.40 |
$2,471.00 |
$3,687.00
|
|
Rpr blood vsl grf oth vein lo ex
|
$2,214.44 |
$2,214.44 |
$2,214.44 |
$5,983.35
|
|
Rsv assay w/optic
|
$27.00 |
$27.00 |
$27.00 |
$79.38
|
|
Rubella antibody igg
|
$44.16 |
$44.16 |
$88.00 |
$77.03
|
|
Rubeola antibody igg
|
$40.94 |
$40.94 |
$83.00 |
$80.00
|
|
Russell viper venom diluted
|
$64.86 |
$64.86 |
$87.00 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$1,133.43 |
$1,133.43 |
$1,231.98 |
$5,174.32
|
|
Sarscov coronavirus ag ia
|
$50.60 |
$50.60 |
$55.00 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$193.20 |
$193.20 |
$210.00 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$735.00 |
$735.00 |
$952.66 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$316.00 |
$316.00 |
$339.02 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$507.00 |
$507.00 |
$538.20 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$389.50 |
$389.50 |
$419.98 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$249.78 |
$249.78 |
$255.50 |
$583.00
|
