|
Revision of neck muscle
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$5,419.00
|
|
Revision of neck muscle
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Revision of nose
|
$4,397.32 |
$4,397.32 |
$4,397.32 |
$3,811.00
|
|
Revision of nose
|
$4,601.08 |
$4,601.08 |
$4,601.08 |
$5,773.60
|
|
Revision of nose
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$4,082.40
|
|
Revision of nose
|
$7,232.45 |
$7,232.45 |
$7,232.45 |
$7,000.36
|
|
Revision of nose
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$6,759.31
|
|
Revision of nose
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$6,839.00
|
|
Revision of penis
|
$4,629.94 |
$4,629.94 |
$4,629.94 |
$4,667.00
|
|
Revision of penis
|
$4,646.71 |
$4,646.71 |
$4,646.71 |
$4,081.37
|
|
Revision of penis
|
$4,836.25 |
$4,836.25 |
$4,836.25 |
$4,040.25
|
|
Revision of penis
|
$4,373.84 |
$4,373.84 |
$4,373.84 |
$2,739.10
|
|
Revision of penis
|
$6,056.08 |
$6,056.08 |
$6,056.08 |
$4,453.20
|
|
Revision of pharyngeal walls
|
$5,047.51 |
$5,047.51 |
$5,047.51 |
$6,547.81
|
|
Revision of radius
|
$6,871.42 |
$6,871.42 |
$6,871.42 |
$6,871.42
|
|
Revision of radius
|
$5,545.94 |
$5,545.94 |
$5,545.94 |
$4,499.12
|
|
Revision of sciatic nerve
|
$4,613.80 |
$4,613.80 |
$4,613.80 |
$2,888.00
|
|
Revision of scrotum
|
$3,341.52 |
$3,341.52 |
$3,341.52 |
$4,081.37
|
|
Revision of scrotum
|
$4,011.71 |
$4,011.71 |
$4,011.71 |
$5,626.86
|
|
Revision of spinal shunt
|
$7,769.63 |
$7,769.63 |
$7,769.63 |
$6,998.88
|
|
Revision of testis
|
$3,645.46 |
$3,645.46 |
$3,645.46 |
$5,986.78
|
|
Revision of thigh muscles
|
$6,834.58 |
$6,834.58 |
$6,834.58 |
$6,834.58
|
|
Revision of toe
|
$2,116.19 |
$2,116.19 |
$2,116.19 |
$3,108.00
|
|
Revision of ulna
|
$5,301.45 |
$5,301.45 |
$5,301.45 |
$5,376.00
|
|
Revision of unstable kneecap
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,036.13
|
|
Revision of unstable kneecap
|
$6,973.47 |
$6,973.47 |
$6,973.47 |
$7,112.94
|
|
Revision of urethra
|
$3,504.67 |
$3,504.67 |
$3,504.67 |
$4,081.37
|
|
Revision of urethra
|
$3,663.43 |
$3,663.43 |
$3,663.43 |
$4,081.37
|
|
Revision of urethra
|
$4,441.08 |
$4,441.08 |
$4,441.08 |
$5,741.00
|
|
Revision open av fistula without thromb
|
$9,740.70 |
$9,740.70 |
$9,740.70 |
$8,319.20
|
|
Revision orbitofacial bones
|
$6,103.72 |
$6,103.72 |
$6,103.72 |
$6,547.81
|
|
Revision/removal of kneecap
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,311.00
|
|
Revision tips
|
$14,711.04 |
$14,711.04 |
$14,711.04 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$9,257.14 |
$9,257.14 |
$9,257.14 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$3,281.09 |
$3,281.09 |
$3,281.09 |
$7,841.60
|
|
Revita, per sq cm
|
$389.83 |
$389.83 |
$389.83 |
$389.83
|
|
Revj fem anast autog vn grf
|
$5,002.03 |
$5,002.03 |
$5,002.03 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$8,324.36 |
$8,324.36 |
$8,324.36 |
$6,396.89
|
|
Revj mstdc rsltg compl mstdc
|
$7,685.50 |
$7,685.50 |
$7,685.50 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$8,176.78 |
$8,176.78 |
$8,176.78 |
$6,547.81
|
|
Revj prior hypspad repair
|
$5,166.93 |
$5,166.93 |
$5,166.93 |
$6,015.75
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$8,803.45 |
$8,803.45 |
$8,803.45 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$5,095.75 |
$5,095.75 |
$5,095.75 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$3,718.80 |
$3,718.80 |
$3,718.80 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$4,523.59 |
$4,523.59 |
$4,523.59 |
$4,721.00
|
|
Rev/rplct hpglsl nstm ary pg
|
$13,780.06 |
$13,780.06 |
$13,780.06 |
$14,685.79
|
|
Revsc opn/prq tib/pero stent
|
$11,094.73 |
$11,094.73 |
$11,094.73 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$2,779.25 |
$2,779.25 |
$2,779.25 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$89.83 |
$89.83 |
$89.83 |
$57.07
|
|
Rheumatoid factor quantitative
|
$65.27 |
$65.27 |
$65.27 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$4,584.13 |
$4,584.13 |
$4,584.13 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$449.62 |
$449.62 |
$449.62 |
$234.12
|
|
R hrt cath chd abnl nt cnj
|
$6,874.02 |
$6,874.02 |
$6,874.02 |
$6,104.00
|
|
R hrt cath chd nml nt cnj
|
$7,217.72 |
$7,217.72 |
$7,217.72 |
$6,104.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$394.69 |
$394.69 |
$394.69 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$524.27 |
$524.27 |
$524.27 |
$491.70
|
|
Rib cartilage graft
|
$4,832.78 |
$4,832.78 |
$4,832.78 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$445.78 |
$445.78 |
$445.78 |
$397.10
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$485.11 |
$485.11 |
$485.11 |
$455.01
|
|
Right heart cath congenital
|
$6,874.02 |
$6,874.02 |
$6,874.02 |
$8,191.00
|
|
Right ventric recording
|
$4,406.40 |
$4,406.40 |
$4,406.40 |
$2,187.60
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,659.38 |
$1,659.38 |
$1,659.38 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$8,485.68 |
$8,485.68 |
$8,485.68 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$1,551.99 |
$1,551.99 |
$1,551.99 |
$5,004.42
|
|
R & l heart cath congenital
|
$10,439.29 |
$10,439.29 |
$10,439.29 |
$10,707.77
|
|
R & l heart cath congenital
|
$9,805.80 |
$9,805.80 |
$9,805.80 |
$7,547.27
|
|
R & l heart cath congenital
|
$10,062.00 |
$10,062.00 |
$10,062.00 |
$7,072.50
|
|
R&l hrt cath chd abnl nt cnj
|
$10,102.36 |
$10,102.36 |
$10,102.36 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$10,102.36 |
$10,102.36 |
$10,102.36 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$1,023.35 |
$1,023.35 |
$1,023.35 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$5,022.89 |
$5,022.89 |
$5,022.89 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$3,645.46 |
$3,645.46 |
$3,645.46 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$2,921.13 |
$2,921.13 |
$2,921.13 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,093.02 |
$2,093.02 |
$2,093.02 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$7,631.53 |
$7,631.53 |
$7,631.53 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$53,511.93 |
$53,511.93 |
$53,511.93 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$43,215.38 |
$43,215.38 |
$43,215.38 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$46,872.23 |
$46,872.23 |
$46,872.23 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$5,255.75 |
$5,255.75 |
$5,255.75 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$1,538.00 |
$1,538.00 |
$1,538.00 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$6,256.66 |
$6,256.66 |
$6,256.66 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$547.93 |
$547.93 |
$547.93 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$21,967.52 |
$21,967.52 |
$21,967.52 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$15,676.55 |
$15,676.55 |
$15,676.55 |
$10,542.00
|
|
Rmvl pq iabp
|
$177.06 |
$177.06 |
$177.06 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$683.50 |
$683.50 |
$683.50 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,208.22 |
$6,208.22 |
$6,208.22 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$4,417.27 |
$4,417.27 |
$4,417.27 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,386.74 |
$2,386.74 |
$2,386.74 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$3,128.35 |
$3,128.35 |
$3,128.35 |
$3,832.40
|
|
Rmvl tongs/halo anthr indiv
|
$196.94 |
$196.94 |
$196.94 |
$460.68
|
|
Rmvl tv pm lead dual
|
$7,720.78 |
$7,720.78 |
$7,720.78 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$5,690.29 |
$5,690.29 |
$5,690.29 |
$4,276.80
|
|
Rmv ntr oi implt skl prq esp
|
$3,700.84 |
$3,700.84 |
$3,700.84 |
$4,499.12
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$674.12 |
$674.12 |
$674.12 |
$521.40
|
|
Rmv suture/anesthesia/not local 15850
|
$975.64 |
$975.64 |
$975.64 |
$975.64
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$5,787.57 |
$5,787.57 |
$5,787.57 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,736.26 |
$4,736.26 |
$4,736.26 |
$8,935.57
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$912.24 |
$912.24 |
$912.24 |
$188.16
|
