|
Revision of spinal shunt
|
$7,769.63 |
$7,769.63 |
$7,769.63 |
$6,998.88
|
|
Revision of testis
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$5,986.78
|
|
Revision of thigh muscles
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,834.58
|
|
Revision of toe
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,108.00
|
|
Revision of ulna
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,376.00
|
|
Revision of unstable kneecap
|
$6,036.13 |
$6,036.13 |
$6,036.13 |
$6,036.13
|
|
Revision of unstable kneecap
|
$7,112.94 |
$7,112.94 |
$7,112.94 |
$7,112.94
|
|
Revision of urethra
|
$3,504.67 |
$3,504.67 |
$3,504.67 |
$4,081.37
|
|
Revision of urethra
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$4,081.37
|
|
Revision of urethra
|
$4,441.08 |
$4,441.08 |
$4,441.08 |
$5,741.00
|
|
Revision open av fistula without thromb
|
$8,037.35 |
$8,037.35 |
$8,037.35 |
$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
|
$13,111.45 |
$13,111.45 |
$13,111.45 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$3,445.15 |
$3,445.15 |
$3,445.15 |
$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
|
$7,976.07 |
$7,976.07 |
$7,976.07 |
$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
|
$5,394.24 |
$5,394.24 |
$5,394.24 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$4,121.65 |
$4,121.65 |
$4,121.65 |
$4,412.35
|
|
Rev/rmv prph sac/gstr npg/r
|
$3,958.14 |
$3,958.14 |
$3,958.14 |
$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
|
$13,210.50 |
$13,210.50 |
$13,210.50 |
$9,196.55
|
|
Rf abltj nrv nrvtg si jt
|
$2,272.60 |
$2,272.60 |
$2,272.60 |
$3,188.50
|
|
Rheumatoid factor qualitative
|
$80.14 |
$80.14 |
$80.14 |
$57.07
|
|
Rheumatoid factor quantitative
|
$72.58 |
$72.58 |
$72.58 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$6,016.66 |
$6,016.66 |
$6,016.66 |
$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
|
$7,217.72 |
$7,217.72 |
$7,217.72 |
$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)
|
$370.58 |
$370.58 |
$370.58 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$589.58 |
$589.58 |
$589.58 |
$491.70
|
|
Rib cartilage graft
|
$4,832.78 |
$4,832.78 |
$4,832.78 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$425.96 |
$425.96 |
$425.96 |
$400.50
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$485.11 |
$485.11 |
$485.11 |
$455.01
|
|
Right heart cath congenital
|
$7,217.72 |
$7,217.72 |
$7,217.72 |
$8,191.00
|
|
Right ventric recording
|
$4,284.00 |
$4,284.00 |
$4,284.00 |
$2,345.00
|
|
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
|
$10,961.25 |
$10,961.25 |
$10,961.25 |
$10,707.77
|
|
R & l heart cath congenital
|
$10,296.09 |
$10,296.09 |
$10,296.09 |
$7,547.27
|
|
R & l heart cath congenital
|
$10,565.10 |
$10,565.10 |
$10,565.10 |
$7,072.50
|
|
R&l hrt cath chd abnl nt cnj
|
$10,607.48 |
$10,607.48 |
$10,607.48 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$10,607.48 |
$10,607.48 |
$10,607.48 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$976.85 |
$976.85 |
$976.85 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$5,022.89 |
$5,022.89 |
$5,022.89 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$4,122.44 |
$4,122.44 |
$4,122.44 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$2,704.75 |
$2,704.75 |
$2,704.75 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,259.13 |
$2,259.13 |
$2,259.13 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,272.44 |
$1,272.44 |
$1,272.44 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$7,314.94 |
$7,314.94 |
$7,314.94 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$31,991.42 |
$31,991.42 |
$31,991.42 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$40,970.38 |
$40,970.38 |
$40,970.38 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$28,337.36 |
$28,337.36 |
$28,337.36 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,563.57 |
$4,563.57 |
$4,563.57 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,172.40
|
|
Rmvl perm pm pulse gen
|
$8,286.08 |
$8,286.08 |
$8,286.08 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$476.46 |
$476.46 |
$476.46 |
$1,745.00
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$21,154.47 |
$21,154.47 |
$21,154.47 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$11,293.45 |
$11,293.45 |
$11,293.45 |
$10,542.00
|
|
Rmvl pq iabp
|
$126.44 |
$126.44 |
$126.44 |
$955.00
|
|
Rmvl pq vad left hrt vein sep session
|
$476.46 |
$476.46 |
$476.46 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,208.22 |
$6,208.22 |
$6,208.22 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$4,294.57 |
$4,294.57 |
$4,294.57 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$2,766.44 |
$2,766.44 |
$2,766.44 |
$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
|
$346.51 |
$346.51 |
$346.51 |
$460.68
|
|
Rmvl tv pm lead dual
|
$6,520.86 |
$6,520.86 |
$6,520.86 |
$4,203.54
|
|
Rmvl tv pm lead sgl
|
$4,946.00 |
$4,946.00 |
$4,946.00 |
$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
|
$760.87 |
$760.87 |
$760.87 |
$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
|
|
Rotavirus antibody
|
$125.01 |
$125.01 |
$125.01 |
$107.50
|
|
Routine footcare pt w lops
|
$248.64 |
$248.64 |
$248.64 |
$223.08
|
|
Rplcmt oi implt skl prq esp
|
$7,359.08 |
$7,359.08 |
$7,359.08 |
$7,907.11
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$2,308.01 |
$2,308.01 |
$2,308.01 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,726.41 |
$1,726.41 |
$1,726.41 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,810.13 |
$1,810.13 |
$1,810.13 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$2,513.45 |
$2,513.45 |
$2,513.45 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$2,193.33 |
$2,193.33 |
$2,193.33 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$4,738.00 |
$4,738.00 |
$4,738.00 |
$4,819.80
|
|
Rpl tun-cvad w subq pump
|
$4,602.08 |
$4,602.08 |
$4,602.08 |
$6,067.30
|
|
Rpl tun cvc wo subq port
|
$5,354.07 |
$5,354.07 |
$5,354.07 |
$3,724.63
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$4,478.21 |
$4,478.21 |
$4,478.21 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$5,836.04 |
$5,836.04 |
$5,836.04 |
$5,907.78
|
|
Rpr choanal atresia ntranasl
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$6,839.00
|
|
Rpr fem hernia init blocked
|
$4,984.45 |
$4,984.45 |
$4,984.45 |
$4,176.15
|
|
Rpr hern preemie reduc
|
$4,713.11 |
$4,713.11 |
$4,713.11 |
$6,839.00
|
|
Rpr hypspad comp dsj & urtp
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$5,631.74
|
|
Rpr hypspad comp simple
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,350.00
|
|
Rpr ing hernia baby blocked
|
$3,919.49 |
$3,919.49 |
$3,919.49 |
$4,156.03
|
