|
Revision of ileostomy complicated 44314
|
$4,352.40 |
$4,352.40 |
$4,352.40 |
$2,236.08
|
|
Revision of ileostomy; simple 44312
|
$2,451.80 |
$2,451.80 |
$2,451.80 |
$4,332.25
|
|
Revision of knee joint
|
$3,216.20 |
$3,216.20 |
$3,216.20 |
$8,885.39
|
|
Revision of knee joint
|
$4,453.80 |
$4,453.80 |
$4,453.80 |
$14,254.12
|
|
Revision of nose
|
$1,401.40 |
$1,401.40 |
$1,401.40 |
$3,811.00
|
|
Revision of nose
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$5,773.60
|
|
Revision of nose
|
$3,640.65 |
$3,640.65 |
$3,640.65 |
$4,082.40
|
|
Revision of penis
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$4,667.00
|
|
Revision of penis
|
$2,875.60 |
$2,875.60 |
$2,875.60 |
$2,739.10
|
|
Revision of penis
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$4,453.20
|
|
Revision of radius
|
$2,363.40 |
$2,363.40 |
$2,363.40 |
$6,871.42
|
|
Revision of sciatic nerve
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$2,888.00
|
|
Revision of scrotum
|
$3,062.80 |
$3,062.80 |
$3,062.80 |
$5,626.86
|
|
Revision of spinal shunt
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$6,998.88
|
|
Revision of testis
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$5,986.78
|
|
Revision of thigh muscles
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$6,834.58
|
|
Revision of toe
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$3,108.00
|
|
Revision of ulna
|
$2,272.40 |
$2,272.40 |
$2,272.40 |
$5,376.00
|
|
Revision of unstable kneecap
|
$2,667.60 |
$2,667.60 |
$2,667.60 |
$6,036.13
|
|
Revision of unstable kneecap
|
$2,654.60 |
$2,654.60 |
$2,654.60 |
$7,112.94
|
|
Revision open av fistula without thromb
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$8,319.20
|
|
Revision tips
|
$13,252.20 |
$13,252.20 |
$13,252.20 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$6,500.00 |
$6,500.00 |
$6,500.00 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$7,074.60 |
$7,074.60 |
$7,074.60 |
$7,841.60
|
|
Revj fem anast nonautog grf
|
$6,019.00 |
$6,019.00 |
$6,019.00 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$8,515.00 |
$8,515.00 |
$8,515.00 |
$4,667.00
|
|
Revj/rmvl nea pn w/int nstim
|
$680.55 |
$680.55 |
$680.55 |
$5,682.40
|
|
Rev-rem impl neurostim gen-rec
|
$1,244.10 |
$1,244.10 |
$1,244.10 |
$4,534.00
|
|
Rev/rmvl gstr nstim eltrd
|
$1,151.80 |
$1,151.80 |
$1,151.80 |
$3,552.00
|
|
Rev/rmv perph nstim eltrd ra
|
$15,423.85 |
$15,423.85 |
$15,423.85 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$15,423.85 |
$15,423.85 |
$15,423.85 |
$4,721.00
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$23,756.52
|
|
Rev rplc/rmv thrc vrt tethrg
|
$10,296.00 |
$10,296.00 |
$10,296.00 |
$5,033.60
|
|
Rev/rplct hpglsl nstm ary pg
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$14,685.79
|
|
Rezafungin 200 mg intravenous solution
|
$4,987.55 |
$4,987.55 |
$4,987.55 |
$4,987.55
|
|
Rf abltj nrv nrvtg si jt
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$3,188.50
|
|
Rheumatoid factor quantitative
|
$25.35 |
$25.35 |
$25.35 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$207.05 |
$207.05 |
$207.05 |
$234.12
|
|
Rho d immune globulin inj
|
$287.82 |
$287.82 |
$287.82 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$547.30 |
$547.30 |
$547.30 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$560.30 |
$560.30 |
$560.30 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$560.30 |
$560.30 |
$560.30 |
$400.50
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$417.83 |
$417.83 |
$417.83 |
$455.01
|
|
Right ventric recording
|
$5,143.45 |
$5,143.45 |
$5,143.45 |
$2,345.00
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$52,377.37 |
$52,377.37 |
$52,377.37 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$240.50 |
$240.50 |
$240.50 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$3,020.16 |
$3,020.16 |
$3,020.16 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$293.12 |
$293.12 |
$293.12 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$1,753.75 |
$1,753.75 |
$1,753.75 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$263.82 |
$263.82 |
$263.82 |
$5,004.42
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$167.74 |
$167.74 |
$167.74 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$223.65 |
$223.65 |
$223.65 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$4,535.70 |
$4,535.70 |
$4,535.70 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$2,722.20 |
$2,722.20 |
$2,722.20 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$829.40 |
$829.40 |
$829.40 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,876.00
|
|
Rmvl hpglsl nstim ary pg
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$7,578.32
|
|
Rmvl i-artic rx delivery dev 20705
|
$559.00 |
$559.00 |
$559.00 |
$559.00
|
|
Rmvl icd by tv extr
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$26,317.20 |
$26,317.20 |
$26,317.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$34,271.25 |
$34,271.25 |
$34,271.25 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$27,340.30 |
$27,340.30 |
$27,340.30 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,069.52
|
|
Rmvl imed rx delivery device
|
$468.00 |
$468.00 |
$468.00 |
$761.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$11,148.80 |
$11,148.80 |
$11,148.80 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$975.00 |
$975.00 |
$975.00 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$30,931.55 |
$30,931.55 |
$30,931.55 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$2,950.35 |
$2,950.35 |
$2,950.35 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$27,926.60 |
$27,926.60 |
$27,926.60 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$13,971.75 |
$13,971.75 |
$13,971.75 |
$10,542.00
|
|
Rmvl pq iabp
|
$901.55 |
$901.55 |
$901.55 |
$955.00
|
|
Rmvl pq vad left hrt vein sep session
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$2,542.65
|
|
Rmvl rplcmt hrt sys f/trnspl
|
$17,834.70 |
$17,834.70 |
$17,834.70 |
$3,595.20
|
|
Rmvl & rplcmt tot hrt sys
|
$13,020.15 |
$13,020.15 |
$13,020.15 |
$5,112.80
|
|
Rmvl sq defib electrode
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,629.90 |
$2,629.90 |
$2,629.90 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$1,825.20 |
$1,825.20 |
$1,825.20 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$4,499.12
|
|
Rmv ntr oi imp sk tc>=100
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$4,499.12
|
|
Rmv ntr oi imp sk tc esp<100
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$5,272.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$521.40
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$4,355.20
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$9,979.79 |
$9,979.79 |
$9,979.79 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$12,884.08 |
$12,884.08 |
$12,884.08 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,628.91 |
$2,628.91 |
$2,628.91 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$4.55 |
$4.55 |
$4.55 |
$188.16
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$7,256.57 |
$7,256.57 |
$7,256.57 |
$15,007.16
|
|
Rplcm oi implt sk tc esp<100
|
$2,705.30 |
$2,705.30 |
$2,705.30 |
$22,958.00
|
|
Rplcmt a-valve tlcj autol pv
|
$16,640.00 |
$16,640.00 |
$16,640.00 |
$8,545.60
|