|
R&l hrt cath chd abnl nt cnj
|
$300.82 |
$300.82 |
$300.82 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$231.66 |
$231.66 |
$231.66 |
$6,104.00
|
|
Rmv anterior spine instrumentation 22855
|
$814.58 |
$814.58 |
$814.58 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$67.34 |
$67.34 |
$67.34 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$491.92 |
$491.92 |
$491.92 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$253.24 |
$253.24 |
$253.24 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$297.18 |
$297.18 |
$297.18 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$167.96 |
$167.96 |
$167.96 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$105.56 |
$105.56 |
$105.56 |
$1,876.00
|
|
Rmvl hpglsl nstim ary pg
|
$532.48 |
$532.48 |
$532.48 |
$7,578.32
|
|
Rmvl i-artic rx delivery dev 20705
|
$90.22 |
$90.22 |
$90.22 |
$559.00
|
|
Rmvl icd by tv extr
|
$616.98 |
$616.98 |
$616.98 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$277.42 |
$277.42 |
$277.42 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$288.86 |
$288.86 |
$288.86 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$266.50 |
$266.50 |
$266.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$154.44 |
$154.44 |
$154.44 |
$4,069.52
|
|
Rmvl imed rx delivery device
|
$76.18 |
$76.18 |
$76.18 |
$761.60
|
|
Rmvl left heart vent thor inscn ecmo
|
$350.74 |
$350.74 |
$350.74 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$1,681.42 |
$1,681.42 |
$1,681.42 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$1,738.26 |
$1,738.26 |
$1,738.26 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$147.94 |
$147.94 |
$147.94 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$167.18 |
$167.18 |
$167.18 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$115.18 |
$115.18 |
$115.18 |
$1,745.00
|
|
Rmvl phrnc nrv stim pg only
|
$9,670.32 |
$9,670.32 |
$9,670.32 |
$4,551.75
|
|
Rmvl phrnc nrv stim sys
|
$9,670.32 |
$9,670.32 |
$9,670.32 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$9,670.32 |
$9,670.32 |
$9,670.32 |
$6,014.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$266.76 |
$266.76 |
$266.76 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$243.10 |
$243.10 |
$243.10 |
$10,542.00
|
|
Rmvl pq iabp
|
$347.80 |
$347.80 |
$347.80 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$1,137.38 |
$1,137.38 |
$1,137.38 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$921.70 |
$921.70 |
$921.70 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$250.12 |
$250.12 |
$250.12 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$61.36 |
$61.36 |
$61.36 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$405.08 |
$405.08 |
$405.08 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$72.54 |
$72.54 |
$72.54 |
$460.68
|
|
Rmvl tot arthrp 1ntrspc crv
|
$1,524.12 |
$1,524.12 |
$1,524.12 |
$4,511.76
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$1,666.34 |
$1,666.34 |
$1,666.34 |
$7,413.38
|
|
Rmvl transplanted rnl algrft
|
$893.36 |
$893.36 |
$893.36 |
$2,960.00
|
|
Rmvl tv pm lead dual
|
$455.78 |
$455.78 |
$455.78 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$347.10 |
$347.10 |
$347.10 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$345.54 |
$345.54 |
$345.54 |
$4,499.12
|
|
Rmv ntr oi imp sk tc>=100
|
$430.82 |
$430.82 |
$430.82 |
$4,499.12
|
|
Rmv ntr oi imp sk tc esp<100
|
$386.10 |
$386.10 |
$386.10 |
$5,272.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$197.34 |
$197.34 |
$197.34 |
$521.40
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$35,066.38 |
$35,066.38 |
$35,066.38 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$85,691.26 |
$85,691.26 |
$85,691.26 |
$36,000.00
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$605.28 |
$605.28 |
$605.28 |
$4,355.20
|
|
Rnl altrnsplj without rcp nfrct
|
$1,782.56 |
$1,782.56 |
$1,782.56 |
$5,928.00
|
|
Rnl altrnsplj w/rcp nfrct
|
$2,124.98 |
$2,124.98 |
$2,124.98 |
$14,084.80
|
|
Rnl autotrnsplj rimpltj kdn
|
$1,497.34 |
$1,497.34 |
$1,497.34 |
$4,915.20
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$113.61 |
$113.61 |
$113.61 |
$188.16
|
|
Rotavirus antibody
|
$14.04 |
$14.04 |
$14.04 |
$107.50
|
|
Routine footcare pt w lops
|
$22.10 |
$22.10 |
$22.10 |
$223.08
|
|
Rplcm oi implt sk tc esp<100
|
$468.26 |
$468.26 |
$468.26 |
$22,958.00
|
|
Rplcmt a-valve tlcj autol pv
|
$2,432.30 |
$2,432.30 |
$2,432.30 |
$8,545.60
|
|
Rplcmt oi implt skl prq esp
|
$601.90 |
$601.90 |
$601.90 |
$7,907.11
|
|
Rplc oi implt sk tc esp>=100
|
$499.20 |
$499.20 |
$499.20 |
$15,226.08
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$4,368.22 |
$4,368.22 |
$4,368.22 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$988.64 |
$988.64 |
$988.64 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$48.88 |
$48.88 |
$48.88 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$70.20 |
$70.20 |
$70.20 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$4,368.22 |
$4,368.22 |
$4,368.22 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$8,851.14 |
$8,851.14 |
$8,851.14 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$15,201.08 |
$15,201.08 |
$15,201.08 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$8,851.14 |
$8,851.14 |
$8,851.14 |
$3,724.63
|
|
Rpm tx mgmt 1st 20 min
|
$21.84 |
$21.84 |
$21.84 |
$72.60
|
|
Rpm tx mgmt ea addl 20 min
|
$21.84 |
$21.84 |
$21.84 |
$73.60
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$750.62 |
$750.62 |
$750.62 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$565.24 |
$565.24 |
$565.24 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$545.48 |
$545.48 |
$545.48 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$419.12 |
$419.12 |
$419.12 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$250.12 |
$250.12 |
$250.12 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$348.40 |
$348.40 |
$348.40 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$910.00 |
$910.00 |
$910.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$649.48 |
$649.48 |
$649.48 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$627.64 |
$627.64 |
$627.64 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$467.22 |
$467.22 |
$467.22 |
$6,856.20
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$417.82 |
$417.82 |
$417.82 |
$6,463.42
|
|
Rpr aa hrn rcr < 3 rdc
|
$307.84 |
$307.84 |
$307.84 |
$4,271.28
|
|
Rpr acq av fistula thrx&abd
|
$1,081.86 |
$1,081.86 |
$1,081.86 |
$2,122.76
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$725.92 |
$725.92 |
$725.92 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$663.78 |
$663.78 |
$663.78 |
$5,907.78
|
|
Rpr blvs gr ot/th vn ntrth w
|
$992.68 |
$992.68 |
$992.68 |
$6,390.80
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$1,047.02 |
$1,047.02 |
$1,047.02 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$1,242.80 |
$1,242.80 |
$1,242.80 |
$1,848.50
|
|
Rpr blvsl vn grf ntrthrc w/b
|
$1,030.38 |
$1,030.38 |
$1,030.38 |
$2,049.00
|
|
Rpr cgen av fistula thrx&abd
|
$1,290.12 |
$1,290.12 |
$1,290.12 |
$1,141.26
|
|
Rpr choanal atresia ntranasl
|
$530.92 |
$530.92 |
$530.92 |
$6,839.00
|
|
Rpr choanal atresia trsnpltn
|
$720.20 |
$720.20 |
$720.20 |
$6,553.49
|
|
Rpr csf leak/pseudomeng/laminectomy63709
|
$821.60 |
$821.60 |
$821.60 |
$1,933.20
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$682.50 |
$682.50 |
$682.50 |
$1,705.80
|
|
Rpr diaphragm lac/any approach 39501
|
$620.62 |
$620.62 |
$620.62 |
$1,509.66
|
|
Rpr fem hernia init blocked
|
$465.14 |
$465.14 |
$465.14 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$586.04 |
$586.04 |
$586.04 |
$6,839.00
|
|
Rpr hypopl a-arch w/byp
|
$1,320.02 |
$1,320.02 |
$1,320.02 |
$4,469.60
|
|
Rpr hypopl a-arch wo byp
|
$1,009.84 |
$1,009.84 |
$1,009.84 |
$2,009.87
|
|
Rpr hypspad comp dsj & urtp
|
$736.84 |
$736.84 |
$736.84 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$416.78 |
$416.78 |
$416.78 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$453.18 |
$453.18 |
$453.18 |
$4,156.03
|
