|
Revision/removal of kneecap
|
$468.38 |
$468.38 |
$468.38 |
$6,311.00
|
|
Revision tips
|
$226.16 |
$226.16 |
$226.16 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$994.62 |
$994.62 |
$994.62 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
$7,841.60
|
|
Revj fem anast autog vn grf
|
$751.52 |
$751.52 |
$751.52 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$722.26 |
$722.26 |
$722.26 |
$6,396.89
|
|
Revj mstdc rsltg compl mstdc
|
$621.50 |
$621.50 |
$621.50 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$677.60 |
$677.60 |
$677.60 |
$6,547.81
|
|
Revj open gstr rstcv px
|
$1,195.48 |
$1,195.48 |
$1,195.48 |
$4,667.00
|
|
Revj prior hypspad repair
|
$869.88 |
$869.88 |
$869.88 |
$6,015.75
|
|
Revj/rmvl nea pn w/int nstim
|
$89.32 |
$89.32 |
$89.32 |
$5,682.40
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$662.86 |
$662.86 |
$662.86 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$185.68 |
$185.68 |
$185.68 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$88.88 |
$88.88 |
$88.88 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$142.34 |
$142.34 |
$142.34 |
$4,721.00
|
|
Rev rplcm arthrp 1ntrspc crv
|
$1,444.30 |
$1,444.30 |
$1,444.30 |
$5,440.80
|
|
Rev rplcm rthrp 1ntrspc lmbr
|
$1,444.08 |
$1,444.08 |
$1,444.08 |
$17,913.59
|
|
Rev/rplct hpglsl nstm ary pg
|
$534.38 |
$534.38 |
$534.38 |
$14,685.79
|
|
Revsc opn/prq tib/pero stent
|
$31,514.34 |
$31,514.34 |
$31,514.34 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$121.22 |
$121.22 |
$121.22 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$3.96 |
$3.96 |
$3.96 |
$57.07
|
|
Rheumatoid factor quantitative
|
$29.64 |
$29.64 |
$29.64 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$742.72 |
$742.72 |
$742.72 |
$4,256.00
|
|
Rho d immune globulin inj
|
$173.16 |
$173.16 |
$173.16 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$176.44 |
$176.44 |
$176.44 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$114.84 |
$114.84 |
$114.84 |
$6,104.00
|
|
Rhythm ecg with report
|
$8.14 |
$8.14 |
$8.14 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$342.42 |
$342.42 |
$342.42 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$684.84 |
$684.84 |
$684.84 |
$491.70
|
|
Rib cartilage graft
|
$461.34 |
$461.34 |
$461.34 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$684.84 |
$684.84 |
$684.84 |
$397.10
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.22 |
$0.22 |
$0.22 |
$455.01
|
|
Right ventric recording
|
$68.86 |
$68.86 |
$68.86 |
$2,187.60
|
|
Risk ascvd tst once pr 12 mo
|
$5.50 |
$5.50 |
$5.50 |
$35.25
|
|
R&l hrt cath chd abnl nt cnj
|
$254.54 |
$254.54 |
$254.54 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$196.02 |
$196.02 |
$196.02 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$689.26 |
$689.26 |
$689.26 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$56.98 |
$56.98 |
$56.98 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$416.24 |
$416.24 |
$416.24 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$214.28 |
$214.28 |
$214.28 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$251.46 |
$251.46 |
$251.46 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$142.12 |
$142.12 |
$142.12 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$89.32 |
$89.32 |
$89.32 |
$1,876.00
|
|
Rmvl hpglsl nstim ary pg
|
$450.56 |
$450.56 |
$450.56 |
$7,578.32
|
|
Rmvl i-artic rx delivery dev 20705
|
$76.34 |
$76.34 |
$76.34 |
$559.00
|
|
Rmvl icd by tv extr
|
$522.06 |
$522.06 |
$522.06 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$234.74 |
$234.74 |
$234.74 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$244.42 |
$244.42 |
$244.42 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$225.50 |
$225.50 |
$225.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$130.68 |
$130.68 |
$130.68 |
$4,069.52
|
|
Rmvl imed rx delivery device
|
$64.46 |
$64.46 |
$64.46 |
$761.60
|
|
Rmvl left heart vent thor inscn ecmo
|
$296.78 |
$296.78 |
$296.78 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$1,422.74 |
$1,422.74 |
$1,422.74 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$95.70 |
$95.70 |
$95.70 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$125.18 |
$125.18 |
$125.18 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$141.46 |
$141.46 |
$141.46 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$97.46 |
$97.46 |
$97.46 |
$1,745.00
|
|
Rmvl phrnc nrv stim sys
|
$351.78 |
$351.78 |
$351.78 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$225.72 |
$225.72 |
$225.72 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$205.70 |
$205.70 |
$205.70 |
$10,542.00
|
|
Rmvl pq iabp
|
$20.68 |
$20.68 |
$20.68 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$113.74 |
$113.74 |
$113.74 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$779.90 |
$779.90 |
$779.90 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$211.64 |
$211.64 |
$211.64 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$51.92 |
$51.92 |
$51.92 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$342.76 |
$342.76 |
$342.76 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$61.38 |
$61.38 |
$61.38 |
$460.68
|
|
Rmvl tot arthrp 1ntrspc crv
|
$1,289.64 |
$1,289.64 |
$1,289.64 |
$4,511.76
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$1,409.98 |
$1,409.98 |
$1,409.98 |
$7,413.38
|
|
Rmvl transplanted rnl algrft
|
$755.92 |
$755.92 |
$755.92 |
$2,960.00
|
|
Rmvl tv pm lead dual
|
$385.66 |
$385.66 |
$385.66 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$293.70 |
$293.70 |
$293.70 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$292.38 |
$292.38 |
$292.38 |
$4,499.12
|
|
Rmv ntr oi imp sk tc>=100
|
$364.54 |
$364.54 |
$364.54 |
$4,499.12
|
|
Rmv ntr oi imp sk tc esp<100
|
$326.70 |
$326.70 |
$326.70 |
$5,272.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$166.98 |
$166.98 |
$166.98 |
$521.40
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$512.16 |
$512.16 |
$512.16 |
$4,355.20
|
|
Rnl altrnsplj without rcp nfrct
|
$1,508.32 |
$1,508.32 |
$1,508.32 |
$5,928.00
|
|
Rnl altrnsplj w/rcp nfrct
|
$1,798.06 |
$1,798.06 |
$1,798.06 |
$14,084.80
|
|
Rnl autotrnsplj rimpltj kdn
|
$1,266.98 |
$1,266.98 |
$1,266.98 |
$4,915.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$6.54 |
$6.54 |
$6.54 |
$188.16
|
|
Rotavirus antibody
|
$11.88 |
$11.88 |
$11.88 |
$107.50
|
|
Routine footcare pt w lops
|
$18.70 |
$18.70 |
$18.70 |
$223.08
|
|
Rplcm oi implt sk tc esp<100
|
$396.22 |
$396.22 |
$396.22 |
$22,958.00
|
|
Rplcmt a-valve tlcj autol pv
|
$2,058.10 |
$2,058.10 |
$2,058.10 |
$8,545.60
|
|
Rplcmt oi implt skl prq esp
|
$509.30 |
$509.30 |
$509.30 |
$7,907.11
|
|
Rplc oi implt sk tc esp>=100
|
$422.40 |
$422.40 |
$422.40 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$3,635.58 |
$3,635.58 |
$3,635.58 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$20.68 |
$20.68 |
$20.68 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,673.06 |
$2,673.06 |
$2,673.06 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$2,986.62 |
$2,986.62 |
$2,986.62 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,635.58 |
$3,635.58 |
$3,635.58 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$12,649.26 |
$12,649.26 |
$12,649.26 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$18.48 |
$18.48 |
$18.48 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$18.48 |
$18.48 |
$18.48 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$635.14 |
$635.14 |
$635.14 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$478.28 |
$478.28 |
$478.28 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$461.56 |
$461.56 |
$461.56 |
$6,904.15
|