|
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
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,721.00
|
|
Revision of cervix
|
$8,266.70 |
$8,266.70 |
$8,266.70 |
$3,891.90
|
|
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
|
$10,946.00 |
$10,946.00 |
$10,946.00 |
$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
|
|
Revision of ileostomy complicated 44314
|
$4,352.40 |
$4,352.40 |
$4,352.40 |
$2,236.08
|
|
Revision of ileostomy; simple 44312
|
$10,946.00 |
$10,946.00 |
$10,946.00 |
$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
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$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
|
|
Riboflavin 5'phos opth<=3ml
|
$2,034.50 |
$2,034.50 |
$2,034.50 |
$7,970.03
|
|
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
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$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
|
