|
Repair pm/icd lead sgl
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$694.20 |
$694.20 |
$694.20 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,244.09
|
|
Repair salivary duct
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$6,447.37
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$694.20 |
$694.20 |
$694.20 |
$478.00
|
|
Replace aortic valve open femoral 33362
|
$18,484.05 |
$18,484.05 |
$18,484.05 |
$18,056.00
|
|
Replace aortic valve open transaortic 33365
|
$26,534.30 |
$26,534.30 |
$26,534.30 |
$14,782.60
|
|
Replace duod/jej tube perc
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,357.60
|
|
Replace g/c tube perc
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,366.30
|
|
Replace g-j tube perc
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,568.05
|
|
Replace tunneled cv cath
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,724.63
|
|
Reposition pm/icd lead
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$1,877.20 |
$1,877.20 |
$1,877.20 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,802.20
|
|
Reptilase test
|
$44.20 |
$44.20 |
$44.20 |
$72.15
|
|
Reslizumab 10 mg/ml intravenous solution
|
$265.82 |
$265.82 |
$265.82 |
$2,079.00
|
|
Respirator motion mgmt simul
|
$1,937.65 |
$1,937.65 |
$1,937.65 |
$1,200.53
|
|
#resp virpnl dfa-adenovirus
|
$65.00 |
$65.00 |
$65.00 |
$48.10
|
|
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 |
$53.00
|
|
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
|
|
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 |
$28,092.75
|
|
Revasc evasc fpvt athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$32,513.04
|
|
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 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$44,081.05 |
$44,081.05 |
$44,081.05 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$21,732.75 |
$21,732.75 |
$21,732.75 |
$10,094.56
|
|
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 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$69,998.50 |
$69,998.50 |
$69,998.50 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$67,113.15 |
$67,113.15 |
$67,113.15 |
$19,666.50
|
|
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 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$23,623.60 |
$23,623.60 |
$23,623.60 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$22,399.65 |
$22,399.65 |
$22,399.65 |
$21,249.26
|
|
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 |
$19,624.54
|
|
Revision of cervix
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,721.00
|
|
Revision of cervix
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$3,854.76
|
|
Revision of colostomy
|
$10,946.00 |
$10,946.00 |
$10,946.00 |
$4,332.25
|
|
Revision of ileostomy; simple 44312
|
$10,946.00 |
$10,946.00 |
$10,946.00 |
$4,332.25
|
|
Revision of nose
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,819.23
|
|
Revision open av fistula without thromb
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$8,672.00
|
|
Revision tips
|
$13,252.20 |
$13,252.20 |
$13,252.20 |
$10,311.70
|
|
Rev/rmv perph nstim eltrd ra
|
$15,423.85 |
$15,423.85 |
$15,423.85 |
$4,329.39
|
|
Rev/rmv prph sac/gstr npg/r
|
$15,423.85 |
$15,423.85 |
$15,423.85 |
$4,721.00
|
|
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 |
$57.50
|
|
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
|
|
Rib and Chest X-ray (3 views, left side)
|
$477.10 |
$477.10 |
$477.10 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$477.10 |
$477.10 |
$477.10 |
$491.70
|
|
Riboflavin 5'phos opth<=3ml
|
$2,034.50 |
$2,034.50 |
$2,034.50 |
$7,970.03
|
|
Rib X-ray (3 views, both sides)
|
$477.10 |
$477.10 |
$477.10 |
$397.60
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$417.83 |
$417.83 |
$417.83 |
$455.01
|
|
Right ventric recording
|
$4,537.00 |
$4,537.00 |
$4,537.00 |
$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
|
|
Rmv implant contraceptive capsule 11976
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$846.42
|
|
Rmvl fb upr arm/elbow deep
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$3,650.00
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,876.00
|
|
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 |
$24,620.00
|
|
Rmvl icd pulse gen only
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,039.56
|
|
Rmvl ndwellg tun pleural cath
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,172.40
|
|
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 |
$1,784.51
|
|
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 |
$969.10
|
|
Rmvl pq vad left hrt vein sep session
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$2,553.60
|
|
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 |
$1,734.00
|
|
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 |
$4,225.20
|
|
Rmv ntr oi implt skl prq esp
|
$8,435.70 |
$8,435.70 |
$8,435.70 |
$4,627.00
|
|
Rmv ntr oi imp sk tc esp<100
|
$8,435.70 |
$8,435.70 |
$8,435.70 |
$5,272.80
|
|
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
|
$2.65 |
$2.65 |
$2.65 |
$188.16
|
