|
Radic resect shoulder tumor 5cm/> 23078
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,460.78
|
|
Radiology port images(s)
|
$177.46 |
$177.46 |
$177.46 |
$260.07
|
|
Radiotherapy dose plan imrt
|
$3,482.12 |
$3,482.12 |
$3,482.12 |
$5,996.21
|
|
Radium ra223 dichl ther/uci
|
$126.27 |
$126.27 |
$126.27 |
$237.25
|
|
Radphm lcl tmr plnr bdy sgl day img
|
$548.39 |
$548.39 |
$548.39 |
$2,014.64
|
|
Radphm lcl tmr plnr bdy two day img
|
$1,204.93 |
$1,204.93 |
$1,204.93 |
$2,728.42
|
|
Radphm lcl tmr spect/ct 2+ areas/2+ days
|
$909.08 |
$909.08 |
$909.08 |
$2,573.55
|
|
Radphm lcl tomogr sgl area sgl day
|
$664.21 |
$664.21 |
$664.21 |
$2,377.65
|
|
Radphm lcl tumor plr sgl day
|
$454.75 |
$454.75 |
$454.75 |
$1,139.40
|
|
Rad rescj tum dstl/shft hum
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,628.80
|
|
Rad rescj tum shoulder<5 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,994.09
|
|
Rad rescj tum tiss a/e 5 cm+
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,460.78
|
|
Rad rescj tum tiss a/e <5cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,986.00
|
|
Rad resec soft tis tum/ft/toe/<3cm 28046
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,386.84
|
|
Rad resect abd tumor 5 cm/>
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,386.84
|
|
Rad resect hand tumor < 3 cm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,167.89
|
|
Rad resect hand tumor 3 cm/>
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,386.84
|
|
Rad resection tum radial h/n
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,807.24
|
|
Rad resect tumor/neck/ant thor/<5cm21557
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,167.89
|
|
Rapid Strep Test
|
$18.18 |
$18.18 |
$18.18 |
$74.10
|
|
Rbc count only automated
|
$3.32 |
$3.32 |
$3.32 |
$20.00
|
|
Rbc deglycerolized each unit
|
$478.21 |
$478.21 |
$478.21 |
$841.75
|
|
Rbc depletion of harvest
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,673.75
|
|
Rbc irradiated each unit
|
$203.48 |
$203.48 |
$203.48 |
$490.75
|
|
Rbc serum pretx incubj drugs
|
$110.48 |
$110.48 |
$110.48 |
$223.08
|
|
Rcnst bfrnt sp orb rm&lw fhd
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Rdctj forehead cntrg only
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Rdctj forehead cntrg&setback
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Realignment of tendons
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Rebuild eardrum structures
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Rebuild eardrum structures
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Rebuild eardrum structures
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,771.20
|
|
Rebuild outer ear canal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,017.08
|
|
Rebuild outer ear canal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,839.00
|
|
Reconst lwr jaw w/fixation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconst lwr jaw w/graft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconst lwr jaw without fixation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Reconst lwr jaw without graft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstr lwr jaw segment
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstr lwr jaw w/advance
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Reconstruct ankle joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Reconstruct cleft foot
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,907.11
|
|
Reconstruct cleft palate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,493.56
|
|
Reconstruct cleft palate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,837.72
|
|
Reconstruct cleft palate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,289.89
|
|
Reconstruct cleft palate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Reconstruct cleft palate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruct cleft palate
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Reconstruct elbow joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,855.00
|
|
Reconstruct elbow joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$16,139.55
|
|
Reconstruct elbow joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,787.28
|
|
Reconstruct elbow lat ligmnt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,907.11
|
|
Reconstruct elbow med ligmnt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$11,365.24
|
|
Reconstruct extra finger
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,534.24
|
|
Reconstruct finger joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Reconstruct finger joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,017.51
|
|
Reconstruct head of radius
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,300.31
|
|
Reconstruct head of radius
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,629.07
|
|
Reconstruction knee
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Reconstruction knee
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$8,814.96
|
|
Reconstruction knee
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,629.07
|
|
Reconstruction of anus
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Reconstruction of eyelid
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,590.40
|
|
Reconstruction of eyelid
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,269.14
|
|
Reconstruction of eyelid
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,462.45
|
|
Reconstruction of eyelid
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,760.73
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,289.89
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,465.11
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconstruction of jaw joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of jaw joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of jaw joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,157.83
|
|
Reconstruction of lower jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,349.67
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,465.11
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,465.11
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of nail bed
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,164.64
|
|
Reconstruction of nose
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,925.35
|
|
Reconstruction of nose
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of orbit
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,161.60
|
|
Reconstruction of throat
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,626.86
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,631.74
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,769.31
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction tongue fold
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,589.62
|
|
Reconstruct lip with flap
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruct lip w/local flap 40525
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,837.72
|
|
Reconstruct lower jaw bone
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconstruct orbit/forehead
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconstruct shoulder joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,629.07
|
