|
Resect ovarian malignancy w/bso 58950
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$2,813.60
|
|
Resect ovarian malignancy w/bso+omntc tah 58951
|
$6,307.60 |
$6,307.60 |
$6,307.60 |
$3,564.00
|
|
Resect part/compl phalangeal base ea 28126
|
$946.40 |
$946.40 |
$946.40 |
$3,821.05
|
|
Resect thigh/knee tum < 5 cm
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
$4,087.20
|
|
Resect thigh/knee tum 5 cm/>
|
$6,367.40 |
$6,367.40 |
$6,367.40 |
$4,881.00
|
|
Resin three surfaces-anterio
|
$227.50 |
$227.50 |
$227.50 |
$408.80
|
|
Reslizumab 10 mg/ml intravenous solution
|
$265.82 |
$265.82 |
$265.82 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$2,509.65 |
$2,509.65 |
$2,509.65 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$65.00 |
$65.00 |
$65.00 |
$48.00
|
|
Restore/remodelventricle 33548
|
$14,076.40 |
$14,076.40 |
$14,076.40 |
$7,226.40
|
|
Resuscitation delivery/birthing room
|
$2,934.75 |
$2,934.75 |
$2,934.75 |
$802.00
|
|
Reticulated platelet assay
|
$160.55 |
$160.55 |
$160.55 |
$75.00
|
|
Reticulocyte automated
|
$18.20 |
$18.20 |
$18.20 |
$52.65
|
|
Reticulocyte direct measurement automated
|
$24.70 |
$24.70 |
$24.70 |
$36.57
|
|
Retifanlimab-dlwr 500 mg/20 ml intravenous solution
|
$2,299.91 |
$2,299.91 |
$2,299.91 |
$23,780.31
|
|
Retrieval of oocyte
|
$1,006.85 |
$1,006.85 |
$1,006.85 |
$1,266.48
|
|
Retrograde ejaculation anal
|
$87.75 |
$87.75 |
$87.75 |
$79.05
|
|
Revasc evasc fpvt angio cplx 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$32,513.04
|
|
Revasc evasc fpvt athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$26,503.49
|
|
Revasc evasc fpvt st athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$33,266.00
|
|
Revasc evasc fpvt stent cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$21,047.60
|
|
Revasc evasc imvt angio cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$19,938.40
|
|
Revasc evasc imvt angio sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,304.60
|
|
Revasc evasc ivt angio cplx 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,190.80
|
|
Revasc evasc ivt stent cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$18,036.15
|
|
Revasc evasc tpvt athrec cplx 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$32,513.04
|
|
Revasc evasc tpvt athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$27,582.58
|
|
Revasc intra lithotrip-ather
|
$67,113.15 |
$67,113.15 |
$67,113.15 |
$19,875.58
|
|
Revasc intra lithotrip-stent
|
$24,252.15 |
$24,252.15 |
$24,252.15 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$11,278.00
|
|
Revasc lithotr-ather tib/per
|
$23,623.60 |
$23,623.60 |
$23,623.60 |
$20,300.00
|
|
Revasc lithotrip-stent-ather
|
$22,399.65 |
$22,399.65 |
$22,399.65 |
$21,280.02
|
|
Revasc lithotrip tibi/perone
|
$17,438.85 |
$17,438.85 |
$17,438.85 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$29,996.85 |
$29,996.85 |
$29,996.85 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$25,245.35 |
$25,245.35 |
$25,245.35 |
$19,688.49
|
|
Revise abdomen-venous shunt
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$4,176.15
|
|
Revise additional leg tendon
|
$486.20 |
$486.20 |
$486.20 |
$3,532.79
|
|
Revise arm/leg nerve
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$3,754.40
|
|
Revise bladder & ureter(s)
|
$6,156.80 |
$6,156.80 |
$6,156.80 |
$3,277.60
|
|
Revise breast reconst 19380
|
$3,194.75 |
$3,194.75 |
$3,194.75 |
$7,127.17
|
|
Revise finger joint each
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$3,839.54
|
|
Revise finger joint each
|
$1,648.40 |
$1,648.40 |
$1,648.40 |
$2,211.05
|
|
Revise graft w/vein 35881
|
$5,031.00 |
$5,031.00 |
$5,031.00 |
$5,339.00
|
|
Revise hand/finger tendon
|
$2,451.80 |
$2,451.80 |
$2,451.80 |
$7,807.24
|
|
Revise hernia & sperm veins
|
$2,158.00 |
$2,158.00 |
$2,158.00 |
$4,176.15
|
|
Revise hip joint replacement
|
$8,659.95 |
$8,659.95 |
$8,659.95 |
$8,659.95
|
|
Revise hip joint replacement
|
$6,778.20 |
$6,778.20 |
$6,778.20 |
$7,536.00
|
|
Revise hip joint replacement
|
$6,492.20 |
$6,492.20 |
$6,492.20 |
$6,492.20
|
|
Revise/implant finger joint
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$5,376.00
|
|
Revise kneecap
|
$2,321.80 |
$2,321.80 |
$2,321.80 |
$7,700.67
|
|
Revise kneecap with implant
|
$3,091.40 |
$3,091.40 |
$3,091.40 |
$10,629.07
|
|
Revise knuckle with implant
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$6,511.82
|
|
Revise lower leg tendon
|
$2,384.20 |
$2,384.20 |
$2,384.20 |
$4,627.00
|
|
Revise lower leg tendon
|
$2,727.40 |
$2,727.40 |
$2,727.40 |
$5,339.00
|
|
Revise middle ear & mastoid
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$4,479.80 |
$4,479.80 |
$4,479.80 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$4,344.60 |
$4,344.60 |
$4,344.60 |
$7,000.36
|
|
Revise prosth vag graft lap
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$8,185.02
|
|
Revise reconst elbow joint
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$14,873.09
|
|
Revise/remove neuroreceiver
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$9,079.85
|
|
Revise/remove sling repair
|
$2,899.00 |
$2,899.00 |
$2,899.00 |
$3,744.41
|
|
Revise/replace knee joint
|
$5,491.20 |
$5,491.20 |
$5,491.20 |
$5,491.20
|
|
Revise/replace knee joint
|
$7,048.60 |
$7,048.60 |
$7,048.60 |
$7,048.60
|
|
Revise spermatic cord veins
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$4,345.52
|
|
Revise spinal cord vsls thrc
|
$11,606.40 |
$11,606.40 |
$11,606.40 |
$4,548.69
|
|
Revise spine eltrd perq aray
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$7,728.86
|
|
Revise spine eltrd plate
|
$3,294.85 |
$3,294.85 |
$3,294.85 |
$14,756.87
|
|
Revise stomach bowel fusion 43860
|
$7,251.40 |
$7,251.40 |
$7,251.40 |
$3,110.40
|
|
Revise thumb tendon
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$3,594.44
|
|
Revise thumb tendon
|
$2,542.80 |
$2,542.80 |
$2,542.80 |
$3,591.33
|
|
Revise ulnar nerve at wrist
|
$1,292.20 |
$1,292.20 |
$1,292.20 |
$3,151.20
|
|
Revise ureter
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$4,081.37
|
|
Revise urethra stage 1
|
$3,673.80 |
$3,673.80 |
$3,673.80 |
$5,882.50
|
|
Revise vag graft via vagina
|
$2,033.20 |
$2,033.20 |
$2,033.20 |
$3,762.53
|
|
Revise windpipe scar
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$1,921.40 |
$1,921.40 |
$1,921.40 |
$3,017.99
|
|
Revise wrist joint
|
$3,052.40 |
$3,052.40 |
$3,052.40 |
$4,155.20
|
|
Revision of arm nerve(s)
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$3,833.60
|
|
Revision of big toe
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$6,307.00
|
|
Revision of bladder neck
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$4,350.00
|
|
Revision of calf tendon
|
$1,666.60 |
$1,666.60 |
$1,666.60 |
$3,839.54
|
|
Revision of cervix
|
$1,198.60 |
$1,198.60 |
$1,198.60 |
$3,721.00
|
|
Revision of cervix
|
$644.80 |
$644.80 |
$644.80 |
$3,891.90
|
|
Revision of collar bone
|
$3,000.40 |
$3,000.40 |
$3,000.40 |
$5,886.74
|
|
Revision of collar bone
|
$3,616.60 |
$3,616.60 |
$3,616.60 |
$12,147.50
|
|
Revision of colostomy
|
$2,412.80 |
$2,412.80 |
$2,412.80 |
$4,311.38
|
|
Revision of colostomy comp in-depth 44345
|
$4,477.20 |
$4,477.20 |
$4,477.20 |
$1,990.20
|
|
Revision of colostomy paraclt hernia 44346
|
$5,103.80 |
$5,103.80 |
$5,103.80 |
$2,622.18
|
|
Revision of cranial nerve
|
$1,999.40 |
$1,999.40 |
$1,999.40 |
$2,310.83
|
|
Revision of eyelid
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$2,860.80
|
|
Revision of foot
|
$2,376.40 |
$2,376.40 |
$2,376.40 |
$3,839.54
|
|
Revision of foot and ankle
|
$4,921.80 |
$4,921.80 |
$4,921.80 |
$7,907.11
|
|
Revision of foot bones
|
$2,867.80 |
$2,867.80 |
$2,867.80 |
$10,629.07
|
|
Revision of foot tendon
|
$2,069.60 |
$2,069.60 |
$2,069.60 |
$5,886.74
|
