|
Revision of ileostomy; simple 44312
|
$4,055.70 |
$4,055.70 |
$4,055.70 |
$4,332.25
|
|
Revision of infusion pump
|
$4,031.69 |
$4,031.69 |
$4,031.69 |
$4,285.86
|
|
Revision of iris
|
$607.75 |
$607.75 |
$607.75 |
$1,480.00
|
|
Revision of iris
|
$607.75 |
$607.75 |
$607.75 |
$1,271.00
|
|
Revision of jaw muscle/bone
|
$1,640.99 |
$1,640.99 |
$1,640.99 |
$1,752.89
|
|
Revision of jaw muscle/bone
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,837.72
|
|
Revision of knee joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$15,069.60
|
|
Revision of knee joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$12,555.20
|
|
Revision of knee joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$8,885.39
|
|
Revision of knee joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$12,555.20
|
|
Revision of knee joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$14,254.12
|
|
Revision of larynx
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$7,000.36
|
|
Revision of leg vein 37780
|
$3,486.86 |
$3,486.86 |
$3,486.86 |
$3,724.63
|
|
Revision of neck muscle
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,419.00
|
|
Revision of neck muscle
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,839.54
|
|
Revision of neck muscle
|
$779.45 |
$779.45 |
$779.45 |
$1,328.80
|
|
Revision of nose
|
$3,592.74 |
$3,592.74 |
$3,592.74 |
$3,811.00
|
|
Revision of nose
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$5,773.60
|
|
Revision of nose
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$4,082.40
|
|
Revision of nose
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$7,000.36
|
|
Revision of nose
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,759.31
|
|
Revision of nose
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,839.00
|
|
Revision of penis
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,667.00
|
|
Revision of penis
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,081.37
|
|
Revision of penis
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,040.25
|
|
Revision of penis
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,453.20
|
|
Revision of pharyngeal walls
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Revision of radius
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,871.42
|
|
Revision of radius
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$4,499.12
|
|
Revision of sciatic nerve
|
$2,163.32 |
$2,163.32 |
$2,163.32 |
$2,888.00
|
|
Revision of scrotum
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,081.37
|
|
Revision of scrotum
|
$5,631.74 |
$5,631.74 |
$5,631.74 |
$5,626.86
|
|
Revision of spinal shunt
|
$7,094.56 |
$7,094.56 |
$7,094.56 |
$6,998.88
|
|
Revision of testis
|
$5,631.74 |
$5,631.74 |
$5,631.74 |
$5,986.78
|
|
Revision of thigh muscles
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,834.58
|
|
Revision of toe
|
$3,594.44 |
$3,594.44 |
$3,594.44 |
$3,108.00
|
|
Revision of ulna
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$5,376.00
|
|
Revision of unstable kneecap
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,036.13
|
|
Revision of unstable kneecap
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$7,112.94
|
|
Revision of urethra
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,081.37
|
|
Revision of urethra
|
$3,820.84 |
$3,820.84 |
$3,820.84 |
$4,081.37
|
|
Revision of urethra
|
$5,468.70 |
$5,468.70 |
$5,468.70 |
$5,741.00
|
|
Revision open av fistula without thromb
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$8,319.20
|
|
Revision orbitofacial bones
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Revision/removal of kneecap
|
$7,913.97 |
$7,913.97 |
$7,913.97 |
$6,311.00
|
|
Revision tips
|
$6,316.26 |
$6,316.26 |
$6,316.26 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$14,254.12 |
$14,254.12 |
$14,254.12 |
$10,629.07
|
|
Revj fem anast autog vn grf
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$5,988.54 |
$5,988.54 |
$5,988.54 |
$6,396.89
|
|
Revj mstdc rsltg compl mstdc
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Revj prior hypspad repair
|
$5,631.74 |
$5,631.74 |
$5,631.74 |
$6,015.75
|
|
Revj/rmvl nea pn w/int nstim
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$5,682.40
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$4,721.00
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$23,756.52 |
$23,756.52 |
$23,756.52 |
$23,756.52
|
|
Rev/rplct hpglsl nstm ary pg
|
$13,814.86 |
$13,814.86 |
$13,814.86 |
$14,685.79
|
|
Rezafungin 200 mg intravenous solution
|
$10.62 |
$10.62 |
$10.62 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$2,163.32 |
$2,163.32 |
$2,163.32 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$6.14 |
$6.14 |
$6.14 |
$57.07
|
|
Rheumatoid factor quantitative
|
$5.67 |
$5.67 |
$5.67 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$4,256.00
|
|
Rho(d) immune globulin h, sd
|
$30.77 |
$30.77 |
$30.77 |
$3,228.05
|
|
R hrt cath chd abnl nt cnj
|
$3,563.20 |
$3,563.20 |
$3,563.20 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$3,563.20 |
$3,563.20 |
$3,563.20 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$117.81 |
$117.81 |
$117.81 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$117.81 |
$117.81 |
$117.81 |
$491.70
|
|
Rib cartilage graft
|
$6,553.49 |
$6,553.49 |
$6,553.49 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$117.81 |
$117.81 |
$117.81 |
$397.10
|
|
Right ventric recording
|
$1,344.88 |
$1,344.88 |
$1,344.88 |
$2,220.16
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$14.84 |
$14.84 |
$14.84 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$33.00 |
$33.00 |
$33.00 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$10.94 |
$10.94 |
$10.94 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$75.93 |
$75.93 |
$75.93 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$36.96 |
$36.96 |
$36.96 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$31.18 |
$31.18 |
$31.18 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$29.92 |
$29.92 |
$29.92 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$26.50 |
$26.50 |
$26.50 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$3,563.20 |
$3,563.20 |
$3,563.20 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$3,563.20 |
$3,563.20 |
$3,563.20 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$779.45 |
$779.45 |
$779.45 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$6,463.42 |
$6,463.42 |
$6,463.42 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$1,772.97 |
$1,772.97 |
$1,772.97 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$3,170.64 |
$3,170.64 |
$3,170.64 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,306.21 |
$1,306.21 |
$1,306.21 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,794.93 |
$1,794.93 |
$1,794.93 |
$1,876.00
|
|
Rmvl hpglsl nstim ary pg
|
$7,094.56 |
$7,094.56 |
$7,094.56 |
$7,578.32
|
|
Rmvl icd by tv extr
|
$4,031.69 |
$4,031.69 |
$4,031.69 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$24,866.34 |
$24,866.34 |
$24,866.34 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$35,518.46 |
$35,518.46 |
$35,518.46 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$24,866.34 |
$24,866.34 |
$24,866.34 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,031.69 |
$4,031.69 |
$4,031.69 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$684.92 |
$684.92 |
$684.92 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$9,168.30 |
$9,168.30 |
$9,168.30 |
$6,097.00
|
|
Rmvl phrnc nrv stim pg only
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$4,551.75
|
|
Rmvl phrnc nrv stim sys
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$3,809.80 |
$3,809.80 |
$3,809.80 |
$6,014.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$21,127.41 |
$21,127.41 |
$21,127.41 |
$15,399.00
|
