|
Revision of neck muscle
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$3,098.15
|
|
Revision of neck muscle
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Revision of neck muscle
|
$768.94 |
$768.94 |
$768.94 |
$973.71
|
|
Revision of nose
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,837.72
|
|
Revision of nose
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$4,627.00
|
|
Revision of nose
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$4,627.00
|
|
Revision of nose
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Revision of nose
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Revision of nose
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,553.49
|
|
Revision of penis
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,081.37
|
|
Revision of penis
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,081.37
|
|
Revision of penis
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,044.67
|
|
Revision of penis
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,031.47
|
|
Revision of pharyngeal walls
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,741.00
|
|
Revision of radius
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$6,871.42
|
|
Revision of radius
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Revision of sciatic nerve
|
$2,134.14 |
$2,134.14 |
$2,134.14 |
$2,888.00
|
|
Revision of scrotum
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$3,820.84
|
|
Revision of scrotum
|
$5,555.79 |
$5,555.79 |
$5,555.79 |
$4,881.00
|
|
Revision of spinal shunt
|
$6,998.88 |
$6,998.88 |
$6,998.88 |
$5,419.00
|
|
Revision of testis
|
$5,555.79 |
$5,555.79 |
$5,555.79 |
$5,110.00
|
|
Revision of thigh muscles
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$5,886.74
|
|
Revision of toe
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Revision of ulna
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$5,855.00
|
|
Revision of unstable kneecap
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$5,886.74
|
|
Revision of unstable kneecap
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$6,973.47
|
|
Revision of urethra
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,081.37
|
|
Revision of urethra
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$3,891.34
|
|
Revision of urethra
|
$5,394.95 |
$5,394.95 |
$5,394.95 |
$5,110.00
|
|
Revision open av fistula without thromb
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$7,651.38
|
|
Revision orbitofacial bones
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,103.72
|
|
Revision/removal of kneecap
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$5,886.74
|
|
Revision tips
|
$6,231.08 |
$6,231.08 |
$6,231.08 |
$9,805.25
|
|
Revis reconst shoulder joint
|
$14,061.89 |
$14,061.89 |
$14,061.89 |
$9,257.14
|
|
Revj fem anast autog vn grf
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$5,907.78 |
$5,907.78 |
$5,907.78 |
$6,019.00
|
|
Revj mstdc rsltg compl mstdc
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,465.11
|
|
Revj mstdc rsltg tympanplsty
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Revj prior hypspad repair
|
$5,555.79 |
$5,555.79 |
$5,555.79 |
$5,626.86
|
|
Revj/rmvl nea pn w/int nstim
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$4,069.59
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,465.11
|
|
Rev-rem impl neurostim gen-rec
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$4,069.59
|
|
Rev/rmv perph nstim eltrd ra
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$4,108.26
|
|
Rev/rmv prph sac/gstr npg/r
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$4,069.59
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$23,436.14 |
$23,436.14 |
$23,436.14 |
$5,419.00
|
|
Rev/rplct hpglsl nstm ary pg
|
$13,628.55 |
$13,628.55 |
$13,628.55 |
$13,780.06
|
|
Rezafungin 200 mg intravenous solution
|
$10.62 |
$10.62 |
$10.62 |
$1,479.63
|
|
Rf abltj nrv nrvtg si jt
|
$2,134.14 |
$2,134.14 |
$2,134.14 |
$2,685.07
|
|
Rheumatoid factor qualitative
|
$6.14 |
$6.14 |
$6.14 |
$54.60
|
|
Rheumatoid factor quantitative
|
$5.67 |
$5.67 |
$5.67 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,741.00
|
|
Rho(d) immune globulin h, sd
|
$30.77 |
$30.77 |
$30.77 |
$1,069.69
|
|
R hrt cath chd abnl nt cnj
|
$3,515.15 |
$3,515.15 |
$3,515.15 |
$4,880.85
|
|
R hrt cath chd nml nt cnj
|
$3,515.15 |
$3,515.15 |
$3,515.15 |
$4,880.85
|
|
Rib cartilage graft
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,167.50
|
|
Right ventric recording
|
$1,326.75 |
$1,326.75 |
$1,326.75 |
$1,916.64
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$14.84 |
$14.84 |
$14.84 |
$394.74
|
|
Risk ascvd tst once pr 12 mo
|
$32.56 |
$32.56 |
$32.56 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$10.94 |
$10.94 |
$10.94 |
$1,536.05
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$75.93 |
$75.93 |
$75.93 |
$7,069.99
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$36.96 |
$36.96 |
$36.96 |
$17,785.56
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$31.18 |
$31.18 |
$31.18 |
$4,660.87
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$29.92 |
$29.92 |
$29.92 |
$3,475.50
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$26.50 |
$26.50 |
$26.50 |
$7,582.77
|
|
R&l hrt cath chd abnl nt cnj
|
$3,515.15 |
$3,515.15 |
$3,515.15 |
$4,925.61
|
|
R&l hrt cath chd nml nt cnj
|
$3,515.15 |
$3,515.15 |
$3,515.15 |
$4,925.61
|
|
Rmv implant contraceptive capsule 11976
|
$768.94 |
$768.94 |
$768.94 |
$832.60
|
|
Rmvl esophgl sphnctr dev
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,022.89
|
|
Rmvl ext fixj sys under anes
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,159.40
|
|
Rmvl fb upr arm/elbow deep
|
$3,127.88 |
$3,127.88 |
$3,127.88 |
$3,386.84
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,288.59 |
$1,288.59 |
$1,288.59 |
$1,985.50
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$1,917.33
|
|
Rmvl hpglsl nstim ary pg
|
$6,998.88 |
$6,998.88 |
$6,998.88 |
$6,839.00
|
|
Rmvl icd by tv extr
|
$3,977.32 |
$3,977.32 |
$3,977.32 |
$4,350.24
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$24,530.99 |
$24,530.99 |
$24,530.99 |
$26,030.94
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$35,039.46 |
$35,039.46 |
$35,039.46 |
$34,798.50
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$24,530.99 |
$24,530.99 |
$24,530.99 |
$26,561.92
|
|
Rmvl icd pulse gen only
|
$3,977.32 |
$3,977.32 |
$3,977.32 |
$4,114.00
|
|
Rmvl ndwellg tun pleural cath
|
$675.68 |
$675.68 |
$675.68 |
$1,217.97
|
|
Rmvl perm pm pulse gen
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$6,608.00
|
|
Rmvl phrnc nrv stim pg only
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$4,069.59
|
|
Rmvl phrnc nrv stim sys
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$4,989.29
|
|
Rmvl phrnc nrv stim transvns
|
$3,758.43 |
$3,758.43 |
$3,758.43 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$20,842.49 |
$20,842.49 |
$20,842.49 |
$17,475.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$9,044.65 |
$9,044.65 |
$9,044.65 |
$10,319.90
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,881.00
|
|
Rmvl sq defib electrode
|
$3,977.32 |
$3,977.32 |
$3,977.32 |
$4,306.60
|
|
Rmvl subq card rhythm mntr
|
$768.94 |
$768.94 |
$768.94 |
$2,054.83
|
|
Rmvl tiss expndr without implant insrtn
|
$3,127.88 |
$3,127.88 |
$3,127.88 |
$3,170.64
|
|
Rmvl tongs/halo anthr indiv
|
$436.10 |
$436.10 |
$436.10 |
$469.93
|
|
Rmvl tv pm lead dual
|
$3,977.32 |
$3,977.32 |
$3,977.32 |
$4,069.52
|
|
Rmvl tv pm lead sgl
|
$3,977.32 |
$3,977.32 |
$3,977.32 |
$4,190.98
|
|
Rmv ntr oi implt skl prq esp
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Rmv ntr oi imp sk tc>=100
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Rmv ntr oi imp sk tc esp<100
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,350.00
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$13,628.55 |
$13,628.55 |
$13,628.55 |
$15,321.63
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$33,303.98 |
$33,303.98 |
$33,303.98 |
$36,000.00
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,290.00
|
|
Rolapitant, oral, 1mg
|
$1.56 |
$1.56 |
$1.56 |
$1.58
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$31.08 |
$31.08 |
$31.08 |
$7,510.72
|
