|
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
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$41.46 |
$207.05 |
$207.05 |
$234.12
|
|
Rho d immune globulin inj
|
$276.77 |
$287.82 |
$287.82 |
$217.71
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$196.95 |
$196.95 |
$196.95 |
$172.80
|
|
R hrt cath chd abnl nt cnj
|
$13,607.10 |
$13,607.10 |
$13,607.10 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$13,058.50 |
$13,058.50 |
$13,058.50 |
$6,104.00
|
|
Rhythm ecg with report
|
$39.00 |
$39.00 |
$39.00 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$477.10 |
$477.10 |
$547.30 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$477.10 |
$477.10 |
$560.30 |
$491.70
|
|
Rib cartilage graft
|
$5,167.50 |
$5,167.50 |
$5,167.50 |
$6,547.81
|
|
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 |
$560.30 |
$397.10
|
|
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 |
$5,143.45 |
$2,187.60
|
|
Ring fx reform 11-13x17mm
|
$1,488.50 |
$1,488.50 |
$1,488.50 |
$1,509.75
|
|
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 |
$302.88 |
$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
|
$14,329.90 |
$14,329.90 |
$14,329.90 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$13,799.50 |
$13,799.50 |
$13,799.50 |
$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
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$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 left heart vent thor inscn ecmo
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,086.60
|
|
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
|
$780.00 |
$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 prosthhumrl&ulnar cmpnt
|
$4,843.80 |
$4,843.80 |
$4,843.80 |
$5,810.00
|
|
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 tongs/halo anthr indiv
|
$353.60 |
$353.60 |
$353.60 |
$460.68
|
|
Rmvl tot arthrp 1ntrspc crv
|
$7,644.00 |
$7,644.00 |
$7,644.00 |
$4,511.76
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$8,255.00 |
$8,255.00 |
$8,255.00 |
$7,413.38
|
|
Rmvl transplanted rnl algrft
|
$4,908.80 |
$4,908.80 |
$4,908.80 |
$2,960.00
|
|
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
|
|
Rnl altrnsplj without rcp nfrct
|
$11,405.55 |
$11,405.55 |
$11,405.55 |
$5,928.00
|
|
Rnl altrnsplj w/rcp nfrct
|
$11,993.80 |
$11,993.80 |
$11,993.80 |
$14,084.80
|
|
Rnl autotrnsplj rimpltj kdn
|
$7,828.60 |
$7,828.60 |
$7,828.60 |
$4,915.20
|
|
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
|
|
Romiplostim injection
|
$121.21 |
$121.21 |
$121.21 |
$1,740.51
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$2,135.90 |
$2,628.91 |
$2,628.91 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$2.65 |
$2.65 |
$29.35 |
$188.16
|
|
Routine footcare pt w lops
|
$516.75 |
$516.75 |
$516.75 |
$223.08
|
|
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
|
|
Rplcmt oi implt skl prq esp
|
$18,573.75 |
$18,573.75 |
$18,573.75 |
$7,907.11
|
|
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 |
$2,011.10 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$5,855.20 |
$5,855.20 |
$6,242.60 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$6,541.60 |
$6,541.60 |
$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
|
$46.80 |
$46.80 |
$158.60 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$158.60 |
$158.60 |
$158.60 |
$73.60
|
|
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
|
