|
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 |
$1,000.62
|
|
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 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$8,435.70 |
$8,435.70 |
$8,435.70 |
$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
|
$8,435.70 |
$8,435.70 |
$8,435.70 |
$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
|
$33,453.55 |
$33,453.55 |
$33,453.55 |
$22,958.00
|
|
Rplcmt a-valve tlcj autol pv
|
$16,640.00 |
$16,640.00 |
$16,640.00 |
$8,545.60
|
|
Rplc oi implt sk tc esp>=100
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$6,242.60 |
$6,242.60 |
$6,242.60 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$7,092.80 |
$7,092.80 |
$7,092.80 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,819.80
|
|
Rpl tun cvc wo subq port
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$158.60 |
$158.60 |
$158.60 |
$72.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$5,339.75 |
$5,339.75 |
$5,339.75 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$3,987.10 |
$3,987.10 |
$3,987.10 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$3,849.30 |
$3,849.30 |
$3,849.30 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$2,934.10 |
$2,934.10 |
$2,934.10 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$1,704.30 |
$1,704.30 |
$1,704.30 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$2,419.30 |
$2,419.30 |
$2,419.30 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$5,894.20 |
$5,894.20 |
$5,894.20 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$4,167.80 |
$4,167.80 |
$4,167.80 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$4,447.30 |
$4,447.30 |
$4,447.30 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$2,979.60 |
$2,979.60 |
$2,979.60 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$1,929.20 |
$1,929.20 |
$1,929.20 |
$4,271.28
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,685.20 |
$4,685.20 |
$4,685.20 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$4,469.40 |
$4,469.40 |
$4,469.40 |
$5,907.78
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$7,815.60 |
$7,815.60 |
$7,815.60 |
$7,815.60
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$4,069.00 |
$4,069.00 |
$4,069.00 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$3,634.80 |
$3,634.80 |
$3,634.80 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$4,176.15
|
|
Rpr nsl vlv collapse w/implt
|
$728.00 |
$728.00 |
$728.00 |
$8,139.99
|
|
Rpr nsl vlv collapse w/rmdlg
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$8,139.99
|
|
Rpr parastomal hernia rdc 49621
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$4,435.60 |
$4,435.60 |
$4,435.60 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$1,229.80 |
$1,229.80 |
$1,229.80 |
$5,959.65
|
|
Rsv assay w/optic
|
$58.50 |
$58.50 |
$58.50 |
$75.45
|
|
Rtm 1st set-up&pt educaj eqp
|
$385.45 |
$385.45 |
$385.45 |
$177.66
|
|
Rtm dev sply cbt 16-30 d
|
$167.70 |
$167.70 |
$167.70 |
$68.12
|
|
Rtm dev sply mscskl 16-30 d
|
$111.80 |
$111.80 |
$111.80 |
$90.40
|
|
Rtm tx mgmt 1st 20 min
|
$161.20 |
$161.20 |
$161.20 |
$81.90
|
|
Rtm tx mgmt ea addl 20 min
|
$158.60 |
$158.60 |
$158.60 |
$70.85
|
|
Rubella antibody igg
|
$64.35 |
$64.35 |
$64.35 |
$77.80
|
|
Rubeola antibody igg
|
$57.85 |
$57.85 |
$57.85 |
$80.00
|
|
Russell viper venom diluted
|
$42.90 |
$42.90 |
$42.90 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$7,998.12 |
$7,998.12 |
$7,998.12 |
$5,174.32
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$542.75 |
$542.75 |
$542.75 |
$313.66
|
|
Salivary gland function exam
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$719.16
|
|
Salivary glnd img serial img
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$701.73
|
|
Same day nb discharge 99463
|
$553.80 |
$553.80 |
$553.80 |
$183.07
|
|
Sargramostim injection
|
$736.22 |
$736.22 |
$736.22 |
$552.52
|
|
S bowel endoscope w/stent
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$4,379.25
|
|
Sbrt management
|
$3,394.95 |
$3,394.95 |
$3,394.95 |
$1,156.00
|
|
Sbsq ic vlbw inf<1,500 gm
|
$786.50 |
$786.50 |
$786.50 |
$248.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$728.00 |
$728.00 |
$728.00 |
$198.31
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$338.00 |
$338.00 |
$338.00 |
$106.38
|
|
Sbsq nursing facil care/day new problem 25 min
|
$499.20 |
$499.20 |
$499.20 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$182.00 |
$182.00 |
$182.00 |
$67.60
|
|
Sbsq psyc collab care mgmt
|
$586.30 |
$586.30 |
$586.30 |
$109.46
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$767.40
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$540.15 |
$540.15 |
$540.15 |
$497.68
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$527.15 |
$527.15 |
$527.15 |
$582.40
|
|
Scan duplex extremity veins unilateral/limited study
|
$525.85 |
$525.85 |
$525.85 |
$721.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$527.15 |
$527.15 |
$527.15 |
$651.60
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$527.15 |
$527.15 |
$527.15 |
$595.35
|
|
Scan proc cranial extra
|
$909.35 |
$909.35 |
$909.35 |
$2,248.40
|
|
Scan proc cranial intra 61781
|
$975.00 |
$975.00 |
$975.00 |
$1,015.00
|
|
Scan proc spinal
|
$975.00 |
$975.00 |
$975.00 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,148.60
|
|
Scope plantar fasciotomy
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$3,839.54
|
|
Screening Colonoscopy (average risk)
|
$2,370.55 |
$2,370.55 |
$2,370.55 |
$1,800.00
|
