|
Reconstruction of jaw
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruction of jaw
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruction of jaw
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Reconstruction of jaw
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,720.89
|
|
Reconstruction of jaw joint
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Reconstruction of jaw joint
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Reconstruction of jaw joint
|
$21,762.05 |
$21,762.05 |
$21,762.05 |
$15,372.00
|
|
Reconstruction of lower jaw
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,523.41
|
|
Reconstruction of mouth
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Reconstruction of mouth
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Reconstruction of mouth
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Reconstruction of mouth
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Reconstruction of mouth
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,740.73
|
|
Reconstruction of nail bed
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,164.64
|
|
Reconstruction of nose
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$5,925.35
|
|
Reconstruction of nose
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,966.64
|
|
Reconstruction of orbit
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruction of throat
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Reconstruction of urethra
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$6,015.75
|
|
Reconstruction of urethra
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$6,015.75
|
|
Reconstruction of urethra
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,631.74
|
|
Reconstruction of urethra
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$3,986.00
|
|
Reconstruction of urethra
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
$10,235.30
|
|
Reconstruction of urethra
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Reconstruction of urethra
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,627.00
|
|
Reconstruction of urethra
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,627.96
|
|
Reconstruction of urethra
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,478.01
|
|
Reconstruction tongue fold
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$2,866.40
|
|
Reconstruct lip with flap
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Reconstruct lip w/local flap 40525
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Reconstruct lower jaw bone
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reconstruct orbit/forehead
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Reconstruct shoulder joint
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$10,771.50
|
|
Reconstruct shoulder joint
|
$21,762.05 |
$21,762.05 |
$21,762.05 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,215.99
|
|
Reconstruct urethra/bladder
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,626.86
|
|
Reconstruct urethra stage 1
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,626.86
|
|
Reconstruct urethra stage 2
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,631.74
|
|
Rectal sensation test
|
$368.50 |
$368.50 |
$368.50 |
$564.48
|
|
Red blood cells each unit
|
$170.78 |
$170.78 |
$170.78 |
$393.90
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$574.37 |
$574.37 |
$574.37 |
$748.34
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$263.72 |
$263.72 |
$263.72 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$215.37 |
$215.37 |
$215.37 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$302.70 |
$302.70 |
$302.70 |
$535.00
|
|
Red blood cells washed each unit
|
$469.64 |
$469.64 |
$469.64 |
$583.68
|
|
Red cell mass multiple
|
$636.97 |
$636.97 |
$636.97 |
$636.97
|
|
Red cell mass single
|
$475.51 |
$475.51 |
$475.51 |
$545.61
|
|
Red cell sequestration
|
$475.51 |
$475.51 |
$475.51 |
$618.80
|
|
Red cell survival study
|
$475.51 |
$475.51 |
$475.51 |
$549.70
|
|
Redo endovas vena cava filtr
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$4,582.08
|
|
Reduce testis torsion
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,129.78
|
|
Reduction of facial bones
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reduction of procidentia 45900
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,226.10
|
|
Re-explore parathyroids
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,444.80
|
|
Refill maint impl spine pump
|
$349.32 |
$349.32 |
$349.32 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$249.32 |
$249.32 |
$249.32 |
$403.76
|
|
Reinforce clavicle
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Reinforce eye wall
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,269.14
|
|
Reinforce/graft eye wall
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$4,737.56
|
|
Reinforce shoulder bones
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$14,241.77
|
|
Reinforce tibia
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,824.40
|
|
Reinnervate larynx
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Reinsert ocular implant
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
$4,462.45
|
|
Release encircling material
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$4,737.56
|
|
Release eye tissue
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,262.40
|
|
Release facial nerve
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,759.31
|
|
Release facial nerve
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Release facial nerve
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Release finger contracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,893.86
|
|
Release forearm/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release inner ear canal
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Release knuckle contracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$2,811.20
|
|
Release middle ear bone
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,986.00
|
|
Release muscles of hand
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release of eye fluid
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$3,292.00
|
|
Release of foot tendon
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,260.80
|
|
Release of foot tendon 28225
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release of foot tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,821.05
|
|
Release of foot tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release of lower leg tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release of lower leg tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,040.02
|
|
Release of midfoot joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release of midfoot joint
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$4,238.61
|
|
Release of shoulder ligament
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,855.00
|
|
Release palm contracture
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Release palm contracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release palm contracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,112.00
|
|
Release palm contracture 26045
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Release palm & finger tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,272.47
|
|
Release palm/finger tendon
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Release thumb contracture
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,309.60
|
|
Release wrist/forearm tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Relieve bladder contracture
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Relocation of testis(es)
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Relocation skin pocket aicd
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$3,004.80
|
|
Relocation skin pocket pm
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,688.70
|
|
Rem/biv cast full arm/leg
|
$314.28 |
$314.28 |
$314.28 |
$324.00
|
|
Rem/biv cast shldr/hip spica
|
$314.28 |
$314.28 |
$314.28 |
$420.00
|
|
Remdesivir 100 mg intravenous powder for solution
|
$6.35 |
$6.35 |
$6.35 |
$1,524.70
|