|
Revision of ulna
|
$429.87 |
$429.87 |
$429.87 |
$5,376.00
|
|
Revision of unstable kneecap
|
$487.60 |
$487.60 |
$487.60 |
$6,036.13
|
|
Revision of unstable kneecap
|
$485.76 |
$485.76 |
$485.76 |
$7,112.94
|
|
Revision of ureter
|
$597.54 |
$597.54 |
$597.54 |
$4,339.40
|
|
Revision of urethra
|
$265.88 |
$265.88 |
$265.88 |
$4,081.37
|
|
Revision of urethra
|
$296.70 |
$296.70 |
$296.70 |
$4,081.37
|
|
Revision of urethra
|
$223.33 |
$223.33 |
$223.33 |
$5,741.00
|
|
Revision of urinary tract
|
$699.66 |
$699.66 |
$699.66 |
$1,411.27
|
|
Revision open av fistula without thromb
|
$478.63 |
$478.63 |
$478.63 |
$8,319.20
|
|
Revision orbitofacial bones
|
$544.64 |
$544.64 |
$544.64 |
$6,547.81
|
|
Revision/removal of kneecap
|
$489.67 |
$489.67 |
$489.67 |
$6,311.00
|
|
Revision tips
|
$236.44 |
$236.44 |
$236.44 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$1,039.83 |
$1,039.83 |
$1,039.83 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$7,841.60
|
|
Revj fem anast autog vn grf
|
$785.68 |
$785.68 |
$785.68 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$755.09 |
$755.09 |
$755.09 |
$6,396.89
|
|
Revj mstdc rsltg compl mstdc
|
$649.75 |
$649.75 |
$649.75 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$708.40 |
$708.40 |
$708.40 |
$6,547.81
|
|
Revj open gstr rstcv px
|
$1,249.82 |
$1,249.82 |
$1,249.82 |
$4,667.00
|
|
Revj prior hypspad repair
|
$909.42 |
$909.42 |
$909.42 |
$6,015.75
|
|
Revj/rmvl nea pn w/int nstim
|
$10,062.36 |
$10,062.36 |
$10,062.36 |
$5,682.40
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$692.99 |
$692.99 |
$692.99 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$194.12 |
$194.12 |
$194.12 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$92.92 |
$92.92 |
$92.92 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$148.81 |
$148.81 |
$148.81 |
$4,721.00
|
|
Rev rplcm arthrp 1ntrspc crv
|
$1,509.95 |
$1,509.95 |
$1,509.95 |
$5,440.80
|
|
Rev rplcm rthrp 1ntrspc lmbr
|
$1,509.72 |
$1,509.72 |
$1,509.72 |
$17,913.59
|
|
Rev/rplct hpglsl nstm ary pg
|
$558.67 |
$558.67 |
$558.67 |
$14,685.79
|
|
Revsc opn/prq tib/pero stent
|
$39,406.29 |
$39,406.29 |
$39,406.29 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$126.73 |
$126.73 |
$126.73 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$40.04 |
$40.04 |
$40.04 |
$57.07
|
|
Rheumatoid factor quantitative
|
$36.96 |
$36.96 |
$36.96 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$776.48 |
$776.48 |
$776.48 |
$4,256.00
|
|
Rho d immune globulin inj
|
$170.94 |
$170.94 |
$170.94 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$184.46 |
$184.46 |
$184.46 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$120.06 |
$120.06 |
$120.06 |
$6,104.00
|
|
Rhythm ecg with report
|
$8.51 |
$8.51 |
$8.51 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$428.12 |
$428.12 |
$428.12 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$856.24 |
$856.24 |
$856.24 |
$491.70
|
|
Rib cartilage graft
|
$482.31 |
$482.31 |
$482.31 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$856.24 |
$856.24 |
$856.24 |
$397.10
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.23 |
$0.23 |
$0.23 |
$455.01
|
|
Right ventric recording
|
$71.99 |
$71.99 |
$71.99 |
$2,187.60
|
|
Ring fx reform 11-13x17mm
|
$500.83 |
$500.83 |
$500.83 |
$1,509.75
|
|
Risk ascvd tst once pr 12 mo
|
$5.75 |
$5.75 |
$5.75 |
$35.25
|
|
R&l hrt cath chd abnl nt cnj
|
$266.11 |
$266.11 |
$266.11 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$204.93 |
$204.93 |
$204.93 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$720.59 |
$720.59 |
$720.59 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$59.57 |
$59.57 |
$59.57 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$435.16 |
$435.16 |
$435.16 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$224.02 |
$224.02 |
$224.02 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$262.89 |
$262.89 |
$262.89 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$148.58 |
$148.58 |
$148.58 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,740.89 |
$4,740.89 |
$4,740.89 |
$1,876.00
|
|
Rmvl hpglsl nstim ary pg
|
$471.04 |
$471.04 |
$471.04 |
$7,578.32
|
|
Rmvl i-artic rx delivery dev 20705
|
$79.81 |
$79.81 |
$79.81 |
$559.00
|
|
Rmvl icd by tv extr
|
$545.79 |
$545.79 |
$545.79 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$245.41 |
$245.41 |
$245.41 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$255.53 |
$255.53 |
$255.53 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$235.75 |
$235.75 |
$235.75 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$136.62 |
$136.62 |
$136.62 |
$4,069.52
|
|
Rmvl imed rx delivery device
|
$67.39 |
$67.39 |
$67.39 |
$761.60
|
|
Rmvl left heart vent thor inscn ecmo
|
$310.27 |
$310.27 |
$310.27 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$1,487.41 |
$1,487.41 |
$1,487.41 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$1,808.73 |
$1,808.73 |
$1,808.73 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$130.87 |
$130.87 |
$130.87 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$147.89 |
$147.89 |
$147.89 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$101.89 |
$101.89 |
$101.89 |
$1,745.00
|
|
Rmvl phrnc nrv stim sys
|
$367.77 |
$367.77 |
$367.77 |
$5,339.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$235.98 |
$235.98 |
$235.98 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$215.05 |
$215.05 |
$215.05 |
$10,542.00
|
|
Rmvl pq iabp
|
$361.90 |
$361.90 |
$361.90 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$118.91 |
$118.91 |
$118.91 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$815.35 |
$815.35 |
$815.35 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$221.26 |
$221.26 |
$221.26 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$54.28 |
$54.28 |
$54.28 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$358.34 |
$358.34 |
$358.34 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$64.17 |
$64.17 |
$64.17 |
$460.68
|
|
Rmvl tot arthrp 1ntrspc crv
|
$1,348.26 |
$1,348.26 |
$1,348.26 |
$4,511.76
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$1,474.07 |
$1,474.07 |
$1,474.07 |
$7,413.38
|
|
Rmvl transplanted rnl algrft
|
$790.28 |
$790.28 |
$790.28 |
$2,960.00
|
|
Rmvl tv pm lead dual
|
$403.19 |
$403.19 |
$403.19 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$307.05 |
$307.05 |
$307.05 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$305.67 |
$305.67 |
$305.67 |
$4,499.12
|
|
Rmv ntr oi imp sk tc>=100
|
$381.11 |
$381.11 |
$381.11 |
$4,499.12
|
|
Rmv ntr oi imp sk tc esp<100
|
$341.55 |
$341.55 |
$341.55 |
$5,272.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$174.57 |
$174.57 |
$174.57 |
$521.40
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$535.44 |
$535.44 |
$535.44 |
$4,355.20
|
|
Rnl altrnsplj without rcp nfrct
|
$1,576.88 |
$1,576.88 |
$1,576.88 |
$5,928.00
|
|
Rnl altrnsplj w/rcp nfrct
|
$1,879.79 |
$1,879.79 |
$1,879.79 |
$14,084.80
|
|
Rnl autotrnsplj rimpltj kdn
|
$1,324.57 |
$1,324.57 |
$1,324.57 |
$4,915.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$18.19 |
$18.19 |
$18.19 |
$188.16
|
|
Rotavirus antibody
|
$120.12 |
$120.12 |
$120.12 |
$107.50
|
|
Routine footcare pt w lops
|
$19.55 |
$19.55 |
$19.55 |
$223.08
|
|
Rplcm oi implt sk tc esp<100
|
$414.23 |
$414.23 |
$414.23 |
$22,958.00
|
|
Rplcmt a-valve tlcj autol pv
|
$2,151.65 |
$2,151.65 |
$2,151.65 |
$8,545.60
|
|
Rplcmt oi implt skl prq esp
|
$532.45 |
$532.45 |
$532.45 |
$7,907.11
|
|
Rplc oi implt sk tc esp>=100
|
$441.60 |
$441.60 |
$441.60 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,545.31 |
$4,545.31 |
$4,545.31 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,310.00
|
