|
Revise kneecap with implant
|
$151,591.66 |
$151,591.66 |
$151,591.66 |
$9,625.50
|
|
Revise lower leg tendon
|
$40,146.04 |
$40,146.04 |
$40,146.04 |
$4,934.00
|
|
Revise middle ear bone
|
$25,317.05 |
$25,317.05 |
$25,317.05 |
$6,839.00
|
|
Revise middle ear bone
|
$22,805.00 |
$22,805.00 |
$22,805.00 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$20,975.23 |
$20,975.23 |
$20,975.23 |
$6,553.49
|
|
Revise middle ear & mastoid
|
$36,245.83 |
$36,245.83 |
$36,245.83 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$32,572.88 |
$32,572.88 |
$32,572.88 |
$7,000.36
|
|
Revise/replace knee joint
|
$43,588.09 |
$43,588.09 |
$43,588.09 |
$5,491.20
|
|
Revise/replace knee joint
|
$198,591.86 |
$198,591.86 |
$198,591.86 |
$7,048.60
|
|
Revision of big toe
|
$54,575.50 |
$54,575.50 |
$54,575.50 |
$5,855.00
|
|
Revision of bladder neck
|
$24,256.82 |
$24,256.82 |
$24,256.82 |
$4,526.00
|
|
Revision of calf tendon
|
$96,174.01 |
$96,174.01 |
$96,174.01 |
$3,839.54
|
|
Revision of cervix
|
$6,753.00 |
$6,753.00 |
$6,753.00 |
$3,721.00
|
|
Revision of cervix
|
$10,318.78 |
$10,318.78 |
$10,318.78 |
$3,854.76
|
|
Revision of collar bone
|
$78,238.53 |
$78,238.53 |
$78,238.53 |
$5,886.74
|
|
Revision of collar bone
|
$102,303.22 |
$102,303.22 |
$102,303.22 |
$12,147.50
|
|
Revision of eyelid
|
$5,150.40 |
$5,150.40 |
$5,150.40 |
$2,760.73
|
|
Revision of foot tendon
|
$14,893.15 |
$14,893.15 |
$14,893.15 |
$5,886.74
|
|
Revision of foot tendon
|
$127,406.09 |
$127,406.09 |
$127,406.09 |
$3,388.00
|
|
Revision of iris
|
$27,336.29 |
$27,336.29 |
$27,336.29 |
$1,388.40
|
|
Revision of knee joint
|
$54,961.01 |
$54,961.01 |
$54,961.01 |
$14,241.77
|
|
Revision of penis
|
$7,913.40 |
$7,913.40 |
$7,913.40 |
$4,350.00
|
|
Revision of toe
|
$33,874.10 |
$33,874.10 |
$33,874.10 |
$3,108.00
|
|
Revision of unstable kneecap
|
$30,168.68 |
$30,168.68 |
$30,168.68 |
$6,973.47
|
|
Revision open av fistula without thromb
|
$16,178.29 |
$16,178.29 |
$16,178.29 |
$8,037.35
|
|
Revis reconst shoulder joint
|
$166,256.08 |
$166,256.08 |
$166,256.08 |
$7,074.60
|
|
Rev-rem impl neurostim gen-rec
|
$16,167.62 |
$16,167.62 |
$16,167.62 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$10,866.69 |
$10,866.69 |
$18,396.15 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$10,866.69 |
$10,866.69 |
$18,396.15 |
$4,807.27
|
|
Rheumatoid factor qualitative
|
$107.40 |
$107.40 |
$107.40 |
$57.20
|
|
Rheumatoid factor quantitative
|
$99.00 |
$99.00 |
$99.00 |
$57.00
|
|
Rho d immune globulin inj
|
$347.89 |
$347.89 |
$397.58 |
$217.71
|
|
Rib gusset (elastic) each
|
$493.95 |
$493.95 |
$493.95 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,280.57 |
$1,280.57 |
$1,433.13 |
$455.01
|
|
Ring flange plas/leather mol
|
$1,800.05 |
$1,800.05 |
$1,800.05 |
$669.31
|
|
Ring flange plastic/leather
|
$1,073.61 |
$1,073.61 |
$1,073.61 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$5,523.87 |
$5,523.87 |
$5,523.87 |
$1,509.75
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$23,394.05 |
$23,394.05 |
$26,776.32 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$37,430.12 |
$37,430.12 |
$42,841.70 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$4,210.84 |
$4,210.84 |
$4,819.64 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$17,848.32 |
$17,848.32 |
$20,428.80 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$17,848.32 |
$17,848.32 |
$20,428.80 |
$5,309.20
|
|
Rmvl ext fixj sys under anes
|
$3,841.20 |
$3,841.20 |
$10,670.06 |
$2,370.00
|
|
Rmvl icd by tv extr
|
$5,317.20 |
$5,317.20 |
$5,317.20 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$33,193.20 |
$33,193.20 |
$33,193.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$29,626.80 |
$29,626.80 |
$29,626.80 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$32,091.60 |
$32,091.60 |
$32,091.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,522.80 |
$4,522.80 |
$4,522.80 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$424.80 |
$424.80 |
$424.80 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$5,095.20 |
$5,095.20 |
$5,095.20 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$16,591.80 |
$16,591.80 |
$16,591.80 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$16,762.20 |
$16,762.20 |
$16,762.20 |
$10,542.00
|
|
Rmvl pq iabp
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$179.40 |
$179.40 |
$179.40 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$5,912.40 |
$5,912.40 |
$5,912.40 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$2,701.80 |
$2,701.80 |
$2,701.80 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$4,765.20 |
$4,765.20 |
$4,765.20 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,849.80 |
$4,849.80 |
$4,849.80 |
$4,031.69
|
|
Rocker bottom, contact afo
|
$549.19 |
$549.19 |
$549.19 |
$210.00
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$15,779.88 |
$15,779.88 |
$18,061.31 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$23,125.28 |
$23,125.28 |
$26,428.90 |
$8,950.11
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$141.48 |
$141.48 |
$158.33 |
$188.50
|
|
Rplcmt oi implt skl prq esp
|
$40,391.74 |
$40,391.74 |
$40,391.74 |
$7,913.97
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,867.40 |
$2,867.40 |
$2,867.40 |
$2,173.60
|
|
Rp loclzj tum spect w/ct 1
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$2,542.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$3,570.60 |
$3,570.60 |
$3,570.60 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$4,434.60 |
$4,434.60 |
$4,434.60 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,888.00 |
$3,888.00 |
$3,888.00 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$21,555.09 |
$21,555.09 |
$35,443.38 |
$1,982.40
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$21,376.68 |
$21,376.68 |
$30,437.85 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$19,969.08 |
$19,969.08 |
$28,266.26 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$15,618.85 |
$15,618.85 |
$18,056.85 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$24,987.43 |
$24,987.43 |
$24,987.43 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 rdc
|
$24,483.10 |
$24,483.10 |
$36,930.17 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$28,392.17 |
$28,392.17 |
$28,392.17 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$23,233.91 |
$23,233.91 |
$29,543.50 |
$6,819.30
|
|
Rpr blood vsl grf oth vein lo ex
|
$16,727.54 |
$16,727.54 |
$16,727.54 |
$5,983.35
|
|
Rpr intst excl anrect fist
|
$6,420.60 |
$6,420.60 |
$6,420.60 |
$3,035.44
|
|
Rpr nsl vlv collapse w/rmdlg
|
$25,106.64 |
$25,106.64 |
$25,106.64 |
$7,000.36
|
|
Rsv assay w/optic
|
$121.80 |
$121.80 |
$121.80 |
$79.38
|
|
Rubella antibody igg
|
$105.00 |
$105.00 |
$152.40 |
$77.03
|
|
Rubeola antibody igg
|
$130.80 |
$130.80 |
$130.80 |
$80.00
|
|
Russell viper venom diluted
|
$164.40 |
$164.40 |
$164.40 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$12,766.23 |
$12,766.23 |
$14,611.95 |
$5,174.32
|
|
Salmonella antibody
|
$39.60 |
$39.60 |
$39.60 |
$37.58
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$670.80 |
$670.80 |
$670.80 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$664.80 |
$664.80 |
$664.80 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$767.40 |
$767.40 |
$767.40 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$250.20 |
$250.20 |
$250.20 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$541.80 |
$541.80 |
$541.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$949.20 |
$949.20 |
$949.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,395.60 |
$1,395.60 |
$1,395.60 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$685.80 |
$685.80 |
$685.80 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$567.00 |
$567.00 |
$567.00 |
$595.35
|
|
Scan proc cranial extra
|
$27,574.49 |
$27,574.49 |
$27,574.49 |
$2,366.00
|
|
Scan proc spinal
|
$35,309.77 |
$35,309.77 |
$35,309.77 |
$2,544.58
|
|
Sclerotherapy fluid collection pq w/img
|
$2,832.60 |
$2,832.60 |
$2,832.60 |
$2,114.45
|
|
Scope plantar fasciotomy
|
$34,259.42 |
$34,259.42 |
$34,259.42 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$36,679.50 |
$36,679.50 |
$36,679.50 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$7,831.37 |
$7,831.37 |
$7,940.90 |
$1,792.00
|