|
Revise lower leg tendon
|
$846.00 |
$846.00 |
$846.00 |
$4,934.00
|
|
Revise reconst elbow joint
|
$1,911.50 |
$1,911.50 |
$1,911.50 |
$16,139.55
|
|
Revise/remove sling repair
|
$799.50 |
$799.50 |
$799.50 |
$3,720.50
|
|
Revise/replace knee joint
|
$1,547.00 |
$1,547.00 |
$1,547.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$7,048.60
|
|
Revise spermatic cord veins
|
$396.00 |
$396.00 |
$396.00 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$3,018.00 |
$3,018.00 |
$3,018.00 |
$7,496.58
|
|
Revise stomach bowel fusion 43860
|
$1,856.50 |
$1,856.50 |
$1,856.50 |
$3,110.40
|
|
Revise ulnar nerve at wrist
|
$464.00 |
$464.00 |
$464.00 |
$2,823.38
|
|
Revise vag graft via vagina
|
$545.00 |
$545.00 |
$545.00 |
$3,762.53
|
|
Revise windpipe scar
|
$397.00 |
$397.00 |
$397.00 |
$3,837.72
|
|
Revision of arm nerve(s)
|
$901.00 |
$901.00 |
$901.00 |
$3,833.60
|
|
Revision of big toe
|
$421.50 |
$421.50 |
$421.50 |
$5,855.00
|
|
Revision of bladder neck
|
$426.50 |
$426.50 |
$426.50 |
$4,526.00
|
|
Revision of bladder/urethra
|
$1,139.00 |
$1,139.00 |
$1,139.00 |
$1,348.58
|
|
Revision of calf tendon
|
$522.00 |
$522.00 |
$522.00 |
$3,839.54
|
|
Revision of cervix
|
$361.50 |
$361.50 |
$361.50 |
$3,721.00
|
|
Revision of circulation
|
$2,622.50 |
$2,622.50 |
$2,622.50 |
$2,547.00
|
|
Revision of circulation
|
$2,435.00 |
$2,435.00 |
$2,435.00 |
$2,435.00
|
|
Revision of circulation
|
$2,501.00 |
$2,501.00 |
$2,501.00 |
$5,409.60
|
|
Revision of circulation
|
$2,405.00 |
$2,405.00 |
$2,405.00 |
$5,200.00
|
|
Revision of collar bone
|
$922.00 |
$922.00 |
$922.00 |
$5,886.74
|
|
Revision of colostomy
|
$734.00 |
$734.00 |
$734.00 |
$4,332.25
|
|
Revision of colostomy comp in-depth 44345
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$2,338.38
|
|
Revision of colostomy paraclt hernia 44346
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$2,912.80
|
|
Revision of cornea
|
$358.50 |
$358.50 |
$358.50 |
$2,760.73
|
|
Revision of eyelid
|
$383.00 |
$383.00 |
$383.00 |
$2,760.73
|
|
Revision of eyelid
|
$668.00 |
$668.00 |
$668.00 |
$3,417.95
|
|
Revision of foot
|
$589.50 |
$589.50 |
$589.50 |
$3,839.54
|
|
Revision of foot bones
|
$765.50 |
$765.50 |
$765.50 |
$6,411.60
|
|
Revision of foot tendon
|
$556.00 |
$556.00 |
$556.00 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$1,140.50 |
$1,140.50 |
$1,140.50 |
$2,486.40
|
|
Revision of infusion pump
|
$491.00 |
$491.00 |
$491.00 |
$4,306.60
|
|
Revision of iris
|
$242.00 |
$242.00 |
$242.00 |
$1,388.40
|
|
Revision of jaw muscle/bone
|
$219.50 |
$219.50 |
$219.50 |
$1,752.89
|
|
Revision of knee joint
|
$972.50 |
$972.50 |
$972.50 |
$8,885.39
|
|
Revision of knee joint
|
$1,269.50 |
$1,269.50 |
$1,269.50 |
$14,241.77
|
|
Revision of leg vein 37780
|
$270.00 |
$270.00 |
$270.00 |
$3,724.63
|
|
Revision of sciatic nerve
|
$671.50 |
$671.50 |
$671.50 |
$2,888.00
|
|
Revision of toe
|
$415.00 |
$415.00 |
$415.00 |
$3,108.00
|
|
Revision of unstable kneecap
|
$849.50 |
$849.50 |
$849.50 |
$5,886.74
|
|
Revision of unstable kneecap
|
$842.00 |
$842.00 |
$842.00 |
$6,973.47
|
|
Revision of ureter
|
$1,018.50 |
$1,018.50 |
$1,018.50 |
$4,339.40
|
|
Revision of urethra
|
$460.00 |
$460.00 |
$460.00 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$846.50 |
$846.50 |
$846.50 |
$8,037.35
|
|
Revis reconst shoulder joint
|
$1,751.50 |
$1,751.50 |
$1,751.50 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$1,889.00 |
$1,889.00 |
$1,889.00 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$1,341.50 |
$1,341.50 |
$1,341.50 |
$6,396.89
|
|
Rev-rem impl neurostim gen-rec
|
$368.50 |
$368.50 |
$368.50 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$164.00 |
$164.00 |
$164.00 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$255.00 |
$255.00 |
$255.00 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$215.00 |
$215.00 |
$215.00 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$36.00 |
$36.00 |
$36.00 |
$57.00
|
|
Rho d immune globulin inj
|
$131.50 |
$131.50 |
$131.50 |
$217.71
|
|
Riboflavin 5'phos opth<=3ml
|
$6,840.00 |
$6,840.00 |
$6,840.00 |
$7,970.03
|
|
Risk ascvd tst once pr 12 mo
|
$28.00 |
$28.00 |
$28.00 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$18.00 |
$18.00 |
$18.00 |
$2,429.37
|
|
Rmv implant contraceptive capsule 11976
|
$99.00 |
$99.00 |
$99.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$393.50 |
$393.50 |
$393.50 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$468.50 |
$468.50 |
$468.50 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$278.50 |
$278.50 |
$278.50 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$171.50 |
$171.50 |
$171.50 |
$1,822.05
|
|
Rmvl i-artic rx delivery dev 20705
|
$130.50 |
$130.50 |
$130.50 |
$769.60
|
|
Rmvl ndwellg tun pleural cath
|
$179.00 |
$179.00 |
$179.00 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$226.50 |
$226.50 |
$226.50 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$256.50 |
$256.50 |
$256.50 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$402.00 |
$402.00 |
$402.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$368.50 |
$368.50 |
$368.50 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$2,625.50 |
$2,625.50 |
$2,625.50 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$92.00 |
$92.00 |
$92.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$692.50 |
$692.50 |
$692.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$523.50 |
$523.50 |
$523.50 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$301.50 |
$301.50 |
$301.50 |
$538.85
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,755.61 |
$3,755.61 |
$3,755.61 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.50 |
$0.50 |
$0.50 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$80.00 |
$80.00 |
$80.00 |
$2,542.20
|
|
Rpl tun-cvad w subq port
|
$317.00 |
$317.00 |
$317.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$201.50 |
$201.50 |
$201.50 |
$3,687.00
|
|
Rpm tx mgmt 1st 20 min
|
$32.50 |
$32.50 |
$32.50 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$32.50 |
$32.50 |
$32.50 |
$101.25
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,153.00 |
$1,153.00 |
$1,153.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$867.00 |
$867.00 |
$867.00 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$839.50 |
$839.50 |
$839.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$645.50 |
$645.50 |
$645.50 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$387.00 |
$387.00 |
$387.00 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$2,578.50 |
$2,578.50 |
$2,578.50 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$995.00 |
$995.00 |
$995.00 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$965.00 |
$965.00 |
$965.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$718.00 |
$718.00 |
$718.00 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$644.50 |
$644.50 |
$644.50 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$475.50 |
$475.50 |
$475.50 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,038.50 |
$1,038.50 |
$1,038.50 |
$5,983.35
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$1,832.50 |
$1,832.50 |
$1,832.50 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$1,930.00 |
$1,930.00 |
$1,930.00 |
$1,881.00
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$986.00 |
$986.00 |
$986.00 |
$1,539.60
|
