|
Revision of foot
|
$35,366.31 |
$35,366.31 |
$35,366.31 |
$3,839.54
|
|
Revision of foot tendon
|
$42,187.98 |
$42,187.98 |
$42,187.98 |
$5,886.74
|
|
Revision open av fistula without thromb
|
$29,279.22 |
$29,279.22 |
$29,279.22 |
$8,659.20
|
|
Rev-rem impl neurostim gen-rec
|
$50,889.54 |
$50,889.54 |
$50,889.54 |
$4,069.59
|
|
Rev/rmv perph nstim eltrd ra
|
$17,351.10 |
$17,351.10 |
$17,351.10 |
$4,108.26
|
|
Rev/rmv prph sac/gstr npg/r
|
$11,442.90 |
$11,442.90 |
$11,442.90 |
$4,721.00
|
|
Rev/rplct hpglsl nstm ary pg
|
$58,383.19 |
$58,383.19 |
$58,383.19 |
$14,685.79
|
|
Rf abltj nrv nrvtg si jt
|
$8,218.14 |
$8,218.14 |
$8,218.14 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$27.00 |
$27.00 |
$27.00 |
$57.20
|
|
Rheumatoid factor quantitative
|
$162.00 |
$162.00 |
$162.00 |
$56.58
|
|
Rho d immune globulin inj
|
$126.60 |
$126.60 |
$126.60 |
$217.71
|
|
Rib gusset (elastic) each
|
$761.14 |
$761.14 |
$761.14 |
$188.94
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$2,089.20 |
$2,089.20 |
$2,089.20 |
$458.00
|
|
Ring flange plas/leather mol
|
$2,773.75 |
$2,773.75 |
$2,773.75 |
$669.31
|
|
Ring flange plastic/leather
|
$1,654.36 |
$1,654.36 |
$1,654.36 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$6,942.58 |
$6,942.58 |
$6,942.58 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$42,421.80 |
$42,421.80 |
$42,421.80 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$4,994.94 |
$4,994.94 |
$4,994.94 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$3,748.74 |
$3,748.74 |
$3,748.74 |
$9,301.22
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$14,300.16 |
$14,300.16 |
$14,300.16 |
$5,309.20
|
|
Rmvl ext fixj sys under anes
|
$51,191.05 |
$51,191.05 |
$51,191.05 |
$2,370.00
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$39,090.60 |
$39,090.60 |
$39,090.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$55,844.40 |
$55,844.40 |
$55,844.40 |
$24,844.79
|
|
Rmvl ndwellg tun pleural cath
|
$874.20 |
$874.20 |
$874.20 |
$1,119.00
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$67,985.80 |
$67,985.80 |
$67,985.80 |
$470.40
|
|
Rmvl pq iabp
|
$3,598.20 |
$3,598.20 |
$3,598.20 |
$1,047.28
|
|
Rmvl pq vad left hrt vein sep session
|
$4,039.80 |
$4,039.80 |
$4,039.80 |
$2,542.65
|
|
Rmvl sq defib electrode
|
$4,968.60 |
$4,968.60 |
$4,968.60 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$2,740.80 |
$2,740.80 |
$2,740.80 |
$1,758.00
|
|
Rocker bottom, contact afo
|
$846.26 |
$846.26 |
$846.26 |
$210.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$12,762.66 |
$12,762.66 |
$12,762.66 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$21,308.34 |
$21,308.34 |
$21,308.34 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$10,173.96 |
$10,173.96 |
$10,173.96 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$238.68 |
$238.68 |
$238.68 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,775.60 |
$2,775.60 |
$2,775.60 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$1,343.22
|
|
Rp loclzj tum spect w/ct 1
|
$2,556.60 |
$2,556.60 |
$2,556.60 |
$2,556.60
|
|
Rp loclzj tum spect w/ct 2
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$3,176.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,213.40 |
$2,213.40 |
$2,213.40 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$6,963.60 |
$6,963.60 |
$6,963.60 |
$4,530.39
|
|
Rpl tun cvc wo subq port
|
$3,793.80 |
$3,793.80 |
$3,793.80 |
$3,697.28
|
|
Rpr aa hrn 1st > 10 rdc
|
$19,364.90 |
$19,364.90 |
$19,364.90 |
$4,627.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$61,660.67 |
$61,660.67 |
$61,660.67 |
$6,870.89
|
|
Rpr aa hrn 1st 3-10 rdc
|
$57,070.82 |
$57,070.82 |
$57,070.82 |
$6,906.53
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$23,566.63 |
$23,566.63 |
$23,566.63 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$26,742.58 |
$26,742.58 |
$26,742.58 |
$6,870.89
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$59,888.00 |
$59,888.00 |
$59,888.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$63,683.44 |
$63,683.44 |
$63,683.44 |
$5,419.00
|
|
Rpr aa hrn rcr < 3 rdc
|
$21,028.16 |
$21,028.16 |
$21,028.16 |
$4,176.15
|
|
Rpr fem hernia init blocked
|
$83,524.63 |
$83,524.63 |
$83,524.63 |
$4,176.15
|
|
Rpr nsl vlv collapse w/implt
|
$46,203.38 |
$46,203.38 |
$46,203.38 |
$7,606.40
|
|
Rsv assay w/optic
|
$127.80 |
$127.80 |
$127.80 |
$82.68
|
|
Rubella antibody igg
|
$117.00 |
$117.00 |
$117.00 |
$76.86
|
|
Rubeola antibody igg
|
$64.80 |
$64.80 |
$64.80 |
$80.00
|
|
Russell viper venom diluted
|
$70.20 |
$70.20 |
$70.20 |
$71.88
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$10,228.38 |
$10,228.38 |
$10,228.38 |
$5,051.50
|
|
Salmonella antibody
|
$23.40 |
$23.40 |
$23.40 |
$39.60
|
|
Sarscov coronavirus ag ia
|
$23.40 |
$23.40 |
$23.40 |
$59.25
|
|
Scan proc cranial extra
|
$48,010.22 |
$48,010.22 |
$48,010.22 |
$2,366.00
|
|
Sclerotherapy fluid collection pq w/img
|
$1,747.80 |
$1,747.80 |
$1,747.80 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$39,163.59 |
$39,163.59 |
$39,163.59 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$20,680.22 |
$20,680.22 |
$20,680.22 |
$4,800.00
|
|
Scr c/v cyto,thinlayer,rescr
|
$83.40 |
$83.40 |
$83.40 |
$83.40
|
|
Screen cerv/vag thin layer
|
$83.40 |
$83.40 |
$83.40 |
$84.60
|
|
Screening Colonoscopy (average risk)
|
$4,166.28 |
$4,166.28 |
$4,166.28 |
$1,700.40
|
|
Screening Colonoscopy (high risk)
|
$4,382.39 |
$4,382.39 |
$4,382.39 |
$1,864.80
|
|
Screening hepatitis b non-obstetric high risk
|
$47.40 |
$47.40 |
$47.40 |
$56.55
|
|
Screening prostate cancer PSA
|
$105.60 |
$105.60 |
$105.60 |
$98.28
|
|
Screen pap by tech w md supv
|
$103.20 |
$103.20 |
$103.20 |
$53.46
|
|
Screw cortex 2.0 x 10mm
|
$219,118.74 |
$219,118.74 |
$219,118.74 |
$28,563.75
|
|
Sec art mech thrmbc non-intracranial add-on
|
$5,469.60 |
$5,469.60 |
$5,469.60 |
$4,389.60
|
|
Sedimentation rate erythrocyte automated
|
$39.00 |
$39.00 |
$39.00 |
$42.48
|
|
Semen analysis presence/motility
|
$27.60 |
$27.60 |
$27.60 |
$75.40
|
|
Semen analysis w/count
|
$118.20 |
$118.20 |
$118.20 |
$56.44
|
|
Serpina1 gene
|
$202.20 |
$202.20 |
$202.20 |
$197.00
|
|
Set radiation therapy field
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$744.25
|
|
Set radiation therapy field
|
$1,786.20 |
$1,786.20 |
$1,786.20 |
$1,149.50
|
|
Set radiation therapy field
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,621.20
|
|
Sewho cap design without jnts cf
|
$6,185.40 |
$6,185.40 |
$6,185.40 |
$1,685.60
|
|
Sheath below knee
|
$149.11 |
$149.11 |
$149.11 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$12,988.42 |
$12,988.42 |
$12,988.42 |
$6,739.20
|
|
Sheath laser cavaclear 14f
|
$17,657.72 |
$17,657.72 |
$17,657.72 |
$8,264.23
|
|
Sho arthrs srg bicp tenodsis
|
$67,897.70 |
$67,897.70 |
$67,897.70 |
$4,950.40
|
|
Sho arthrs srg lmtd dbrdmt
|
$73,125.98 |
$73,125.98 |
$73,125.98 |
$4,521.67
|
|
Sho arthrs srg xtnsv dbrdmt
|
$28,535.67 |
$28,535.67 |
$28,535.67 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$458.62 |
$458.62 |
$458.62 |
$111.56
|
|
Shoe dennis browne splint bo
|
$400.06 |
$400.06 |
$400.06 |
$93.52
|
|
Shoe heel new leather standa
|
$376.37 |
$376.37 |
$376.37 |
$88.03
|
|
Shoe heel new rubber standar
|
$317.71 |
$317.71 |
$317.71 |
$63.70
|
|
Shoe heel pad & depress for
|
$542.79 |
$542.79 |
$542.79 |
$149.60
|
|
Shoe heel sach cushion type
|
$919.30 |
$919.30 |
$919.30 |
$228.09
|
|
Shoe heel thomas extend to b
|
$542.79 |
$542.79 |
$542.79 |
$134.68
|
|
Shoe heel thomas with wedge
|
$509.94 |
$509.94 |
$509.94 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$645.01 |
$645.01 |
$645.01 |
$175.19
|
|
Shoe metatarsal bar between
|
$808.68 |
$808.68 |
$808.68 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$376.37 |
$376.37 |
$376.37 |
$69.03
|
|
Shoe outflare wedge
|
$458.62 |
$458.62 |
$458.62 |
$107.24
|
|
Shoe post-op mens m
|
$1,062.78 |
$1,062.78 |
$1,062.78 |
$49.25
|
|
Shoe sole wedge between sole
|
$458.62 |
$458.62 |
$458.62 |
$107.24
|
|
Shoe sole wedge outside sole
|
$329.20 |
$329.20 |
$329.20 |
$77.00
|
