|
Revasc evasc fpvt athrec cplx 1st
|
$21,937.60 |
$21,937.60 |
$25,651.20 |
|
|
Revasc evasc fpvt athrec sf 1st
|
$19,537.60 |
$19,537.60 |
$22,451.20 |
|
|
Revasc evasc fpvt st athrec sf 1st
|
$32,351.20 |
$32,351.20 |
$33,574.40 |
|
|
Revasc evasc fpvt stent cplx 1st
|
$20,253.60 |
$20,253.60 |
$25,180.80 |
|
|
Revasc evasc fpvt stent sf 1st
|
$17,853.60 |
$17,853.60 |
$21,980.80 |
|
|
Revasc evasc imvt angio cplx 1st
|
$16,903.20 |
$16,903.20 |
$20,282.40 |
|
|
Revasc evasc imvt angio sf 1st
|
$14,503.20 |
$14,503.20 |
$17,082.40 |
|
|
Revasc evasc ivt angio cplx 1st
|
$11,432.00 |
$11,432.00 |
$16,241.60 |
|
|
Revasc evasc ivt stent cplx 1st
|
$19,604.00 |
$19,604.00 |
$23,391.20 |
|
|
Revasc evasc ivt stent sf 1st
|
$17,204.00 |
$17,204.00 |
$20,191.20 |
|
|
Revasc evasc tpvt angio cplx 1st
|
$15,303.20 |
$15,303.20 |
$20,282.40 |
|
|
Revasc evasc tpvt angio sf 1st
|
$12,903.20 |
$12,903.20 |
$17,082.40 |
|
|
Revasc evasc tpvt athrec cplx 1st
|
$20,333.60 |
$20,333.60 |
$31,840.80 |
|
|
Revasc evasc tpvt athrec sf 1st
|
$17,933.60 |
$17,933.60 |
$28,640.80 |
|
|
Revasc intra lithotrip-ather
|
$26,580.80 |
$26,580.80 |
$26,580.80 |
|
|
Revasc intra lithotrip-stent
|
$26,736.00 |
$26,736.00 |
$26,736.00 |
|
|
Revasc intravasc lithotripsy
|
$14,639.20 |
$14,639.20 |
$14,639.20 |
|
|
Revasc lithotr-ather tib/per
|
$27,004.00 |
$27,004.00 |
$27,004.00 |
|
|
Revasc lithotrip-stent-ather
|
$36,671.20 |
$36,671.20 |
$36,671.20 |
|
|
Revasc lithotrip tibi/perone
|
$20,178.40 |
$20,178.40 |
$20,178.40 |
|
|
Revasc lithotr-stent tib/per
|
$29,769.60 |
$29,769.60 |
$29,769.60 |
|
|
Revasc lith-sten-ath tib/per
|
$32,720.80 |
$32,720.80 |
$32,720.80 |
|
|
Revefenacin inh non-com 1mcg
|
$11.50 |
$14.81 |
$32.28 |
|
|
Revise arm/leg nerve
|
$5,822.40 |
$5,822.40 |
$5,822.40 |
|
|
Revise finger joint each
|
$3,376.00 |
$3,376.00 |
$3,376.00 |
|
|
Revise ulnar nerve at wrist
|
$4,199.20 |
$4,199.20 |
$4,199.20 |
|
|
Revision of leg vein 37780
|
$4,014.40 |
$4,014.40 |
$4,879.20 |
|
|
Revision of penis
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
|
|
Revision open av fistula without thromb
|
$2,973.60 |
$2,973.60 |
$9,961.60 |
|
|
Revision tips
|
$9,010.40 |
$9,010.40 |
$16,815.20 |
|
|
Rezafungin 200 mg intravenous solution
|
$5,538.23 |
$5,538.23 |
$5,538.23 |
|
|
Rheumatoid factor qualitative
|
$34.40 |
$66.40 |
$97.60 |
|
|
Rheumatoid factor quantitative
|
$50.40 |
$54.40 |
$88.00 |
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$19.20 |
$143.24 |
$370.20 |
|
|
Rho d immune globulin inj
|
$365.09 |
$365.09 |
$365.09 |
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$259.20 |
$267.20 |
$313.60 |
|
|
R hrt cath chd abnl nt cnj
|
$8,576.80 |
$8,576.80 |
$9,907.20 |
|
|
R hrt cath chd nml nt cnj
|
$8,576.80 |
$8,576.80 |
$9,907.20 |
|
|
Rib and Chest X-ray (3 views, left side)
|
$345.60 |
$444.00 |
$616.00 |
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$510.40 |
$653.60 |
$828.80 |
|
|
Rib X-ray (3 views, both sides)
|
$320.00 |
$444.00 |
$736.80 |
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$287.08 |
$287.08 |
$520.66 |
|
|
Right ventric recording
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
|
|
Ring fx reform 11-13x17mm
|
$2,478.40 |
$2,478.40 |
$2,478.40 |
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$15,666.72 |
$15,666.72 |
$27,441.84 |
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$2,089.00 |
$2,089.00 |
$2,089.00 |
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$4,148.28 |
$4,710.35 |
$13,353.28 |
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$7,151.60 |
$7,151.60 |
$7,151.60 |
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$3,267.60 |
$3,358.36 |
$7,890.91 |
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$5,579.36 |
$5,579.36 |
$9,778.88 |
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$8,026.15 |
$8,026.15 |
$8,026.15 |
|
|
R&l hrt cath chd abnl nt cnj
|
$11,634.40 |
$11,634.40 |
$12,718.40 |
|
|
R&l hrt cath chd nml nt cnj
|
$11,634.40 |
$11,634.40 |
$13,004.00 |
|
|
Rmvl fecal impaction/fb spx under anes
|
$3,634.40 |
$3,634.40 |
$3,634.40 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$2,218.40 |
$2,218.40 |
$2,218.40 |
|
|
Rmvl icd by tv extr
|
$5,892.80 |
$5,892.80 |
$5,892.80 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$40,118.40 |
$40,118.40 |
$40,118.40 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$55,776.80 |
$55,776.80 |
$55,776.80 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$37,828.00 |
$37,828.00 |
$37,828.00 |
|
|
Rmvl icd pulse gen only
|
$5,892.80 |
$5,892.80 |
$5,892.80 |
|
|
Rmvl ndwellg tun pleural cath
|
$1,587.20 |
$1,587.20 |
$1,812.00 |
|
|
Rmvl perm pm pulse gen
|
$4,180.00 |
$4,180.00 |
$13,796.80 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$30,041.60 |
$30,041.60 |
$30,041.60 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$16,161.60 |
$16,161.60 |
$16,161.60 |
|
|
Rmvl pq iabp
|
$3,037.60 |
$3,037.60 |
$3,037.60 |
|
|
Rmvl pq vad left hrt vein sep session
|
$1,969.60 |
$1,969.60 |
$1,969.60 |
|
|
Rmvl sq defib electrode
|
$5,301.60 |
$5,301.60 |
$5,301.60 |
|
|
Rmvl subq card rhythm mntr
|
$2,698.40 |
$2,698.40 |
$2,698.40 |
|
|
Rmvl tv pm lead dual
|
$4,003.20 |
$4,003.20 |
$5,903.20 |
|
|
Rmvl tv pm lead sgl
|
$4,276.80 |
$4,276.80 |
$6,294.40 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$2,842.40 |
$2,842.40 |
$2,842.40 |
|
|
Robot lin-radsurg com, first
|
$18,594.40 |
$18,594.40 |
$18,594.40 |
|
|
Robt lin-radsurg fractx 2-5
|
$8,750.40 |
$8,750.40 |
$8,750.40 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$2,052.58 |
$3,856.87 |
$7,423.22 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,152.55 |
$6,371.03 |
$8,031.27 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$78.40 |
$241.66 |
$339.36 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,433.60 |
$2,433.60 |
$3,291.20 |
|
|
Rp loclzj tum 2+area 1+d img
|
$2,108.80 |
$2,108.80 |
$2,116.80 |
|
|
Rp loclzj tum spect w/ct 1
|
$3,880.80 |
$3,880.80 |
$3,880.80 |
|
|
Rp loclzj tum spect w/ct 2
|
$4,759.20 |
$4,759.20 |
$4,759.20 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,692.00 |
$2,692.00 |
$2,753.60 |
|
|
Rpl tun-cvad w subq port
|
$5,361.60 |
$5,361.60 |
$7,005.60 |
|
|
Rpl tun cvc wo subq port
|
$4,243.20 |
$4,243.20 |
$5,529.60 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$6,431.20 |
$6,431.20 |
$6,431.20 |
|
|
Rsv assay w/optic
|
$91.20 |
$108.00 |
$137.60 |
|
|
Rubella antibody igg
|
$70.40 |
$78.40 |
$124.00 |
|
|
Rubeola antibody igg
|
$68.00 |
$101.60 |
$149.60 |
|
|
Russell viper venom diluted
|
$52.00 |
$89.60 |
$112.00 |
|
|
Rx metab gen seq alys pnl 6
|
$256.00 |
$256.00 |
$256.00 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$287.20 |
$420.00 |
$454.40 |
|
|
Salivary glnd img serial img
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
|
|
Sargramostim injection
|
$857.00 |
$857.00 |
$857.00 |
|
|
Sarscov coronavirus ag ia
|
$86.40 |
$86.40 |
$86.40 |
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$996.00 |
$1,125.60 |
$1,316.00 |
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$688.00 |
$764.00 |
$864.80 |
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$720.00 |
$804.80 |
$920.80 |
|
|
Scan duplex extremity veins unilateral/limited study
|
$848.00 |
$897.60 |
$982.40 |
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$797.60 |
$943.20 |
$1,066.40 |
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$775.20 |
$832.80 |
$996.80 |
|
|
Sclerotherapy fluid collection pq w/img
|
$2,544.80 |
$2,544.80 |
$2,544.80 |
|
