|
Repair shoulder capsule
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$7,807.24
|
|
Repair spigelian hernia 49590
|
$990.00 |
$990.00 |
$990.00 |
$6,805.84
|
|
Repair spinal fluid leakage 63707
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$1,708.80
|
|
Repair stomach opening
|
$1,151.40 |
$1,151.40 |
$1,151.40 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$580.80 |
$580.80 |
$580.80 |
$3,839.54
|
|
Repair umbil hern incar > 5 yr 49587
|
$709.80 |
$709.80 |
$709.80 |
$5,645.89
|
|
Repair umbil hern reduc > 5 yr 49585
|
$598.80 |
$598.80 |
$598.80 |
$5,925.95
|
|
Repair upper arm/elbow tendon/muscle ea
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$8,412.89
|
|
Repair ventral hern init incar 49561
|
$1,648.20 |
$1,648.20 |
$1,648.20 |
$4,846.78
|
|
Repair ventral hern init reduc 49560
|
$1,354.20 |
$1,354.20 |
$1,354.20 |
$3,776.87
|
|
Repeat thyroid surgery
|
$1,954.20 |
$1,954.20 |
$1,954.20 |
$6,547.81
|
|
Replace picvad cath
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$3,724.63
|
|
Reremove wrist tendon lesion
|
$771.60 |
$771.60 |
$771.60 |
$1,904.00
|
|
Rerepair ing hernia blocked
|
$1,417.80 |
$1,417.80 |
$1,417.80 |
$5,185.20
|
|
Rerepair ing hernia reduce
|
$1,140.60 |
$1,140.60 |
$1,140.60 |
$4,923.19
|
|
Resect back tum < 5 cm
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$3,386.84
|
|
Resect condyle distal phalanx ea toe 28153
|
$485.40 |
$485.40 |
$485.40 |
$3,296.80
|
|
Resect hip/pelv tum < 5 cm
|
$1,775.40 |
$1,775.40 |
$1,775.40 |
$5,419.00
|
|
Resect inferior turbinate
|
$709.80 |
$709.80 |
$709.80 |
$3,837.72
|
|
Resect neck tumor 5 cm/>
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$3,994.09
|
|
Resect part/compl phalangeal base ea 28126
|
$451.20 |
$451.20 |
$451.20 |
$3,821.05
|
|
Resuscitation delivery/birthing room
|
$726.60 |
$726.60 |
$726.60 |
$795.60
|
|
Revise arm/leg nerve
|
$884.40 |
$884.40 |
$884.40 |
$3,754.40
|
|
Revise hernia & sperm veins
|
$828.60 |
$828.60 |
$828.60 |
$4,176.15
|
|
Revise hip joint replacement
|
$3,774.60 |
$3,774.60 |
$3,774.60 |
$8,659.95
|
|
Revise hip joint replacement
|
$2,976.60 |
$2,976.60 |
$2,976.60 |
$7,536.00
|
|
Revise lower leg tendon
|
$790.80 |
$790.80 |
$790.80 |
$4,627.00
|
|
Revise lower leg tendon
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$5,339.00
|
|
Revise middle ear & mastoid 69645
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$7,000.36
|
|
Revise/remove sling repair
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$3,744.41
|
|
Revise/replace knee joint
|
$2,658.00 |
$2,658.00 |
$2,658.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$3,401.40 |
$3,401.40 |
$3,401.40 |
$7,048.60
|
|
Revise spine eltrd perq aray
|
$780.60 |
$780.60 |
$780.60 |
$7,728.86
|
|
Revise spine eltrd plate
|
$19,071.00 |
$19,071.00 |
$19,071.00 |
$14,756.87
|
|
Revision of big toe
|
$621.60 |
$621.60 |
$621.60 |
$6,307.00
|
|
Revision of bladder neck
|
$973.20 |
$973.20 |
$973.20 |
$4,350.00
|
|
Revision of calf tendon
|
$860.40 |
$860.40 |
$860.40 |
$3,839.54
|
|
Revision of collar bone
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$12,147.50
|
|
Revision of colostomy comp in-depth 44345
|
$1,569.60 |
$1,569.60 |
$1,569.60 |
$1,990.20
|
|
Revision of colostomy paraclt hernia 44346
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$2,622.18
|
|
Revision of eyelid
|
$837.00 |
$837.00 |
$837.00 |
$2,654.40
|
|
Revision of foot
|
$1,074.60 |
$1,074.60 |
$1,074.60 |
$3,839.54
|
|
Revision of foot bones
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$10,629.07
|
|
Revision of foot tendon
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$5,886.74
|
|
Revision of nose
|
$860.40 |
$860.40 |
$860.40 |
$3,811.00
|
|
Revision of thigh muscles
|
$1,313.40 |
$1,313.40 |
$1,313.40 |
$6,834.58
|
|
Revision of unstable kneecap
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$6,036.13
|
|
Rev-rem impl neurostim gen-rec
|
$784.20 |
$784.20 |
$784.20 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$171.00 |
$171.00 |
$171.00 |
$4,329.39
|
|
Rev/rmv prph sac/gstr npg/r
|
$273.60 |
$273.60 |
$273.60 |
$4,721.00
|
|
Rf abltj nrv nrvtg si jt
|
$747.00 |
$747.00 |
$747.00 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$42.00 |
$42.00 |
$42.00 |
$57.07
|
|
Rheumatoid factor quantitative
|
$42.00 |
$42.00 |
$42.00 |
$57.50
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$4,256.00
|
|
Rho d immune globulin inj
|
$345.00 |
$345.00 |
$345.00 |
$217.71
|
|
Rib and Chest X-ray (3 views, left side)
|
$192.00 |
$192.00 |
$192.00 |
$359.47
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$249.00 |
$249.00 |
$249.00 |
$491.70
|
|
Rib X-ray (3 views, both sides)
|
$99.00 |
$99.00 |
$99.00 |
$400.00
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$25,827.60 |
$25,827.60 |
$25,827.60 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$11,697.00 |
$11,697.00 |
$11,697.00 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$16,375.80 |
$16,375.80 |
$16,375.80 |
$15,057.18
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$8,923.80 |
$8,923.80 |
$8,923.80 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$1,410.60 |
$1,410.60 |
$1,410.60 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$132.60 |
$132.60 |
$132.60 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$657.00 |
$657.00 |
$657.00 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$637.80 |
$637.80 |
$637.80 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$2,111.20
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$682.80 |
$682.80 |
$682.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$708.00 |
$708.00 |
$708.00 |
$33,467.20
|
|
Rmvl ndwellg tun pleural cath
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$481.20 |
$481.20 |
$481.20 |
$6,097.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$682.80 |
$682.80 |
$682.80 |
$15,399.00
|
|
Rmvl tiss expndr without implant insrtn
|
$515.40 |
$515.40 |
$515.40 |
$3,832.40
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$7,964.40 |
$7,964.40 |
$7,964.40 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$13,710.00 |
$13,710.00 |
$13,710.00 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,117.00 |
$3,117.00 |
$3,117.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$40.20 |
$40.20 |
$40.20 |
$188.16
|
|
Rp loclzj tum 2+area 1+d img
|
$882.00 |
$882.00 |
$882.00 |
$1,310.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$94.80 |
$94.80 |
$94.80 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$1,446.00 |
$1,446.00 |
$1,446.00 |
$4,760.85
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,308.60 |
$1,308.60 |
$1,308.60 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$985.80 |
$985.80 |
$985.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$954.60 |
$954.60 |
$954.60 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$732.60 |
$732.60 |
$732.60 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$438.00 |
$438.00 |
$438.00 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$609.60 |
$609.60 |
$609.60 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$817.80 |
$817.80 |
$817.80 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$730.80 |
$730.80 |
$730.80 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$808.80 |
$808.80 |
$808.80 |
$4,271.28
|
|
Rpr fem hernia init blocked
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$690.60 |
$690.60 |
$690.60 |
$5,411.37
|
|
Rpr rem hernia init reduce
|
$982.80 |
$982.80 |
$982.80 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$603.60 |
$603.60 |
$603.60 |
$5,959.65
|
|
Rubella antibody igg
|
$97.80 |
$97.80 |
$97.80 |
$77.50
|
|
Rubeola antibody igg
|
$82.20 |
$82.20 |
$82.20 |
$80.00
|
|
Russell viper venom diluted
|
$44.40 |
$44.40 |
$44.40 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$6,258.00 |
$6,258.00 |
$6,258.00 |
$5,174.32
|
