|
Revise/replace knee joint
|
$64,784.91 |
$64,784.91 |
$64,784.91 |
$7,048.60
|
|
Revise ulnar nerve at wrist
|
$29,545.96 |
$29,545.96 |
$29,545.96 |
$2,823.38
|
|
Revise wrist/forearm tendon
|
$37,116.49 |
$37,116.49 |
$37,116.49 |
$3,017.99
|
|
Revision of arm nerve(s)
|
$71,533.60 |
$71,533.60 |
$71,533.60 |
$3,833.60
|
|
Revision of big toe
|
$51,494.86 |
$51,494.86 |
$51,494.86 |
$5,855.00
|
|
Revision of calf tendon
|
$34,343.53 |
$34,343.53 |
$34,343.53 |
$3,839.54
|
|
Revision of cervix
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
$3,721.00
|
|
Revision of cervix
|
$8,871.60 |
$8,871.60 |
$8,871.60 |
$3,854.76
|
|
Revision of eyelid
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,760.73
|
|
Revision of hip tendon
|
$12,126.01 |
$12,126.01 |
$12,126.01 |
$3,839.54
|
|
Revision of nose
|
$14,932.05 |
$14,932.05 |
$14,932.05 |
$3,819.23
|
|
Revision of penis
|
$2,671.80 |
$2,671.80 |
$2,671.80 |
$4,350.00
|
|
Revision of scrotum
|
$35,810.13 |
$35,810.13 |
$35,810.13 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$21,768.01 |
$21,768.01 |
$21,768.01 |
$8,037.35
|
|
Rev rplcm arthrp 1ntrspc crv
|
$69,701.83 |
$69,701.83 |
$69,701.83 |
$8,673.60
|
|
Rf abltj nrv nrvtg si jt
|
$3,651.00 |
$3,651.00 |
$3,651.00 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$88.20 |
$88.20 |
$88.20 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$22,648.16 |
$22,648.16 |
$22,648.16 |
$4,256.00
|
|
Rho d immune globulin inj
|
$671.58 |
$671.58 |
$671.58 |
$217.71
|
|
Rib gusset (elastic) each
|
$409.58 |
$409.58 |
$409.58 |
$161.95
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$1,606.50 |
$1,606.50 |
$1,606.50 |
$455.01
|
|
Ring flange plas/leather mol
|
$1,492.58 |
$1,492.58 |
$1,492.58 |
$669.31
|
|
Ring flange plastic/leather
|
$890.23 |
$890.23 |
$890.23 |
$410.59
|
|
Ring fx reform 11-13x17mm
|
$4,580.32 |
$4,580.32 |
$4,580.32 |
$1,509.75
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$26,776.32 |
$26,776.32 |
$26,776.32 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$42,841.70 |
$42,841.70 |
$42,841.70 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$24,098.18 |
$24,098.18 |
$24,098.18 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$20,428.80 |
$20,428.80 |
$20,428.80 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$20,428.80 |
$20,428.80 |
$20,428.80 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$99,241.91 |
$99,241.91 |
$99,241.91 |
$2,370.00
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$71,731.80 |
$71,731.80 |
$71,731.80 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$93,251.40 |
$93,251.40 |
$93,251.40 |
$33,467.20
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$21,780.00 |
$21,780.00 |
$21,780.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$17,020.80 |
$17,020.80 |
$17,020.80 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$7,425.00 |
$7,425.00 |
$7,425.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$2,655.60 |
$2,655.60 |
$2,655.60 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$26,232.07 |
$26,232.07 |
$26,232.07 |
$3,832.40
|
|
Rocker bottom, contact afo
|
$455.38 |
$455.38 |
$455.38 |
$210.00
|
|
Romiplostim 125 mcg subcutaneous solution
|
$15,031.49 |
$15,031.49 |
$15,031.49 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$14,353.91 |
$14,353.91 |
$14,353.91 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$115.92 |
$115.92 |
$115.92 |
$188.50
|
|
Rpr aa hrn 1st > 10 rdc
|
$33,344.83 |
$33,344.83 |
$33,344.83 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$17,374.56 |
$17,374.56 |
$17,374.56 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$15,200.45 |
$15,200.45 |
$15,200.45 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$41,630.21 |
$41,630.21 |
$41,630.21 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$13,521.12 |
$13,521.12 |
$13,521.12 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 rdc
|
$15,567.97 |
$15,567.97 |
$15,567.97 |
$6,819.30
|
|
Rsv vacc mrna lipid nano im
|
$704.40 |
$704.40 |
$704.40 |
$509.49
|
|
Rubella antibody igg
|
$134.40 |
$134.40 |
$134.40 |
$77.03
|
|
Rubeola antibody igg
|
$156.00 |
$156.00 |
$156.00 |
$80.00
|
|
Russell viper venom diluted
|
$130.80 |
$130.80 |
$130.80 |
$72.54
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$14,611.95 |
$14,611.95 |
$14,611.95 |
$5,174.32
|
|
Salmonella antibody
|
$39.60 |
$39.60 |
$39.60 |
$37.58
|
|
Sarscov & inf vir a&b ag ia
|
$55.80 |
$55.80 |
$55.80 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$1,000.20 |
$1,000.20 |
$1,000.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$379.20 |
$379.20 |
$379.20 |
$662.00
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$325.80 |
$325.80 |
$325.80 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,420.20 |
$1,420.20 |
$1,420.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$444.00 |
$444.00 |
$444.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$556.80 |
$556.80 |
$556.80 |
$595.35
|
|
Scan proc cranial extra
|
$28,095.41 |
$28,095.41 |
$28,095.41 |
$2,366.00
|
|
Scan proc spinal
|
$63,319.12 |
$63,319.12 |
$63,319.12 |
$2,544.58
|
|
Scope plantar fasciotomy
|
$44,546.44 |
$44,546.44 |
$44,546.44 |
$3,839.54
|
|
Scope uretscp lithovue dig disp
|
$30,414.15 |
$30,414.15 |
$30,414.15 |
$4,490.64
|
|
Screening Colonoscopy (average risk)
|
$5,879.96 |
$5,879.96 |
$5,879.96 |
$1,792.00
|
|
Screening Colonoscopy (high risk)
|
$4,515.66 |
$4,515.66 |
$4,515.66 |
$1,951.46
|
|
Screening hepatitis b non-obstetric high risk
|
$93.00 |
$93.00 |
$93.00 |
$60.00
|
|
Screening Mammogram
|
$471.00 |
$471.00 |
$471.00 |
$312.55
|
|
Screw cortex 2.0 x 10mm
|
$561,070.88 |
$561,070.88 |
$561,070.88 |
$29,055.00
|
|
Sedimentation rate erythrocyte automated
|
$21.60 |
$21.60 |
$21.60 |
$42.00
|
|
Serpina1 gene
|
$255.00 |
$255.00 |
$255.00 |
$197.00
|
|
Sevelamer carbonate 800 mg tablet
|
$6.00 |
$6.00 |
$6.00 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$160.63 |
$160.63 |
$160.63 |
$21.96
|
|
Sewho cap design without jnts cf
|
$7,167.71 |
$7,167.71 |
$7,167.71 |
$1,685.60
|
|
Sf3b1 gene common variants
|
$639.00 |
$639.00 |
$639.00 |
$248.10
|
|
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<
|
$376.20 |
$376.20 |
$376.20 |
$284.00
|
|
Shave sgl skin lsn s/n/h/f/g 0.5cm/<
|
$378.60 |
$378.60 |
$378.60 |
$235.13
|
|
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm
|
$378.60 |
$378.60 |
$378.60 |
$223.00
|
|
Shave sgl skin lsn t/a/l 0.5cm/<
|
$777.60 |
$777.60 |
$777.60 |
$314.00
|
|
Shave sgl skin lsn t/a/l 0.6-1.0cm
|
$376.20 |
$376.20 |
$376.20 |
$235.13
|
|
Shave sgl skin lsn t/a/l 1.1-2.0cm
|
$376.20 |
$376.20 |
$376.20 |
$289.30
|
|
Sheath below knee
|
$75.59 |
$75.59 |
$75.59 |
$40.88
|
|
Sheath gldlight lasr 12fx50cm
|
$17,286.68 |
$17,286.68 |
$17,286.68 |
$6,570.70
|
|
Sheath laser cavaclear 14f
|
$25,969.01 |
$25,969.01 |
$25,969.01 |
$7,625.52
|
|
Sho arthrs srg bicp tenodsis
|
$58,792.17 |
$58,792.17 |
$58,792.17 |
$4,950.40
|
|
Sho arthrs srg xtnsv dbrdmt
|
$25,553.55 |
$25,553.55 |
$25,553.55 |
$5,148.00
|
|
Shoe clubfoot wedge
|
$232.50 |
$232.50 |
$232.50 |
$111.56
|
|
Shoe dennis browne splint bo
|
$202.81 |
$202.81 |
$202.81 |
$93.52
|
|
Shoe heel new leather standa
|
$190.81 |
$190.81 |
$190.81 |
$88.03
|
|
Shoe heel new rubber standar
|
$161.06 |
$161.06 |
$161.06 |
$63.70
|
|
Shoe heel pad & depress for
|
$292.08 |
$292.08 |
$292.08 |
$149.60
|
|
Shoe heel sach cushion type
|
$494.68 |
$494.68 |
$494.68 |
$228.09
|
|
Shoe heel thomas extend to b
|
$292.08 |
$292.08 |
$292.08 |
$134.68
|
|
Shoe heel thomas with wedge
|
$274.40 |
$274.40 |
$274.40 |
$126.56
|
|
Shoe lift elev heel/sole neo
|
$347.09 |
$347.09 |
$347.09 |
$175.04
|
|
Shoe metatarsal bar between
|
$435.16 |
$435.16 |
$435.16 |
$200.76
|
|
Shoe metatarsal bar wedge ro
|
$190.81 |
$190.81 |
$190.81 |
$69.03
|
|
Shoe outflare wedge
|
$232.50 |
$232.50 |
$232.50 |
$107.24
|