|
Revasc evasc ivt stent cplx 1st
|
$705.50 |
$705.50 |
$705.50 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$488.00 |
$488.00 |
$488.00 |
$20,474.72
|
|
Revise additional leg tendon
|
$105.50 |
$105.50 |
$105.50 |
$486.20
|
|
Revise arm/leg nerve
|
$525.00 |
$525.00 |
$525.00 |
$3,754.40
|
|
Revise eyelashes
|
$116.50 |
$116.50 |
$116.50 |
$659.20
|
|
Revise eyelid defect
|
$524.50 |
$524.50 |
$524.50 |
$2,784.00
|
|
Revise eyelid lining
|
$433.00 |
$433.00 |
$433.00 |
$2,698.92
|
|
Revise eyelid lining
|
$387.00 |
$387.00 |
$387.00 |
$3,482.06
|
|
Revise eyelid lining
|
$613.00 |
$613.00 |
$613.00 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$509.50 |
$509.50 |
$509.50 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$605.00 |
$605.00 |
$605.00 |
$4,440.96
|
|
Revise/graft eyelid lining
|
$607.00 |
$607.00 |
$607.00 |
$4,462.45
|
|
Revise graft w/vein
|
$1,014.50 |
$1,014.50 |
$1,014.50 |
$5,419.00
|
|
Revise graft w/vein 35881
|
$1,126.50 |
$1,126.50 |
$1,126.50 |
$5,615.12
|
|
Revise hip joint replacement
|
$2,108.00 |
$2,108.00 |
$2,108.00 |
$6,930.55
|
|
Revise hip joint replacement
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$6,778.20
|
|
Revise hip joint replacement
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$6,492.20
|
|
Revise kneecap with implant
|
$888.50 |
$888.50 |
$888.50 |
$9,625.50
|
|
Revise lower leg tendon
|
$679.00 |
$679.00 |
$679.00 |
$3,986.00
|
|
Revise lower leg tendon
|
$812.00 |
$812.00 |
$812.00 |
$4,934.00
|
|
Revise reconst elbow joint
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$16,139.55
|
|
Revise/remove sling repair
|
$748.50 |
$748.50 |
$748.50 |
$3,720.50
|
|
Revise/replace knee joint
|
$1,549.00 |
$1,549.00 |
$1,549.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$7,048.60
|
|
Revise spermatic cord veins
|
$369.00 |
$369.00 |
$369.00 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$3,018.00 |
$3,018.00 |
$3,018.00 |
$7,496.58
|
|
Revise stomach bowel fusion 43860
|
$1,793.00 |
$1,793.00 |
$1,793.00 |
$3,110.40
|
|
Revise ulnar nerve at wrist
|
$445.00 |
$445.00 |
$445.00 |
$2,823.38
|
|
Revise vag graft via vagina
|
$551.50 |
$551.50 |
$551.50 |
$3,762.53
|
|
Revise windpipe scar
|
$366.00 |
$366.00 |
$366.00 |
$3,837.72
|
|
Revision of arm nerve(s)
|
$852.50 |
$852.50 |
$852.50 |
$3,833.60
|
|
Revision of big toe
|
$389.50 |
$389.50 |
$389.50 |
$5,855.00
|
|
Revision of bladder neck
|
$396.50 |
$396.50 |
$396.50 |
$4,526.00
|
|
Revision of bladder/urethra
|
$1,082.50 |
$1,082.50 |
$1,082.50 |
$1,348.58
|
|
Revision of calf tendon
|
$484.50 |
$484.50 |
$484.50 |
$3,839.54
|
|
Revision of cervix
|
$337.50 |
$337.50 |
$337.50 |
$3,721.00
|
|
Revision of circulation
|
$2,547.00 |
$2,547.00 |
$2,547.00 |
$2,547.00
|
|
Revision of circulation
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$2,435.00
|
|
Revision of circulation
|
$2,428.00 |
$2,428.00 |
$2,428.00 |
$5,409.60
|
|
Revision of circulation
|
$2,334.50 |
$2,334.50 |
$2,334.50 |
$5,200.00
|
|
Revision of collar bone
|
$939.50 |
$939.50 |
$939.50 |
$5,886.74
|
|
Revision of colostomy
|
$692.50 |
$692.50 |
$692.50 |
$4,332.25
|
|
Revision of colostomy comp in-depth 44345
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$2,338.38
|
|
Revision of colostomy paraclt hernia 44346
|
$1,281.50 |
$1,281.50 |
$1,281.50 |
$2,912.80
|
|
Revision of cornea
|
$326.00 |
$326.00 |
$326.00 |
$2,760.73
|
|
Revision of eyelid
|
$349.00 |
$349.00 |
$349.00 |
$2,760.73
|
|
Revision of eyelid
|
$611.50 |
$611.50 |
$611.50 |
$3,417.95
|
|
Revision of foot
|
$544.00 |
$544.00 |
$544.00 |
$3,839.54
|
|
Revision of foot bones
|
$711.50 |
$711.50 |
$711.50 |
$6,411.60
|
|
Revision of foot tendon
|
$506.00 |
$506.00 |
$506.00 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,486.40
|
|
Revision of infusion pump
|
$464.50 |
$464.50 |
$464.50 |
$4,306.60
|
|
Revision of iris
|
$220.50 |
$220.50 |
$220.50 |
$1,388.40
|
|
Revision of jaw muscle/bone
|
$199.50 |
$199.50 |
$199.50 |
$1,752.89
|
|
Revision of knee joint
|
$915.50 |
$915.50 |
$915.50 |
$8,885.39
|
|
Revision of knee joint
|
$1,201.00 |
$1,201.00 |
$1,201.00 |
$14,241.77
|
|
Revision of leg vein 37780
|
$260.00 |
$260.00 |
$260.00 |
$3,724.63
|
|
Revision of sciatic nerve
|
$630.00 |
$630.00 |
$630.00 |
$2,888.00
|
|
Revision of toe
|
$383.50 |
$383.50 |
$383.50 |
$3,108.00
|
|
Revision of unstable kneecap
|
$797.50 |
$797.50 |
$797.50 |
$5,886.74
|
|
Revision of unstable kneecap
|
$790.00 |
$790.00 |
$790.00 |
$6,973.47
|
|
Revision of ureter
|
$955.50 |
$955.50 |
$955.50 |
$4,339.40
|
|
Revision of urethra
|
$429.00 |
$429.00 |
$429.00 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$822.00 |
$822.00 |
$822.00 |
$8,037.35
|
|
Revis reconst shoulder joint
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$1,918.00 |
$1,918.00 |
$1,918.00 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$1,373.50 |
$1,373.50 |
$1,373.50 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$6,396.89
|
|
Rev-rem impl neurostim gen-rec
|
$348.00 |
$348.00 |
$348.00 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$149.00 |
$149.00 |
$149.00 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$241.00 |
$241.00 |
$241.00 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$199.50 |
$199.50 |
$199.50 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$95.50 |
$95.50 |
$95.50 |
$57.00
|
|
Rho d immune globulin inj
|
$131.50 |
$131.50 |
$131.50 |
$217.71
|
|
Riboflavin 5'phos opth<=3ml
|
$6,840.00 |
$6,840.00 |
$6,840.00 |
$7,970.03
|
|
Risk ascvd tst once pr 12 mo
|
$28.00 |
$28.00 |
$28.00 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$18.00 |
$18.00 |
$18.00 |
$2,429.37
|
|
Rmv implant contraceptive capsule 11976
|
$95.00 |
$95.00 |
$95.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$372.00 |
$372.00 |
$372.00 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$434.50 |
$434.50 |
$434.50 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$259.50 |
$259.50 |
$259.50 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$159.00 |
$159.00 |
$159.00 |
$1,822.05
|
|
Rmvl i-artic rx delivery dev 20705
|
$125.50 |
$125.50 |
$125.50 |
$769.60
|
|
Rmvl ndwellg tun pleural cath
|
$167.00 |
$167.00 |
$167.00 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$221.50 |
$221.50 |
$221.50 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$242.00 |
$242.00 |
$242.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$385.00 |
$385.00 |
$385.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$352.50 |
$352.50 |
$352.50 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$2,625.50 |
$2,625.50 |
$2,625.50 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$89.50 |
$89.50 |
$89.50 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$662.50 |
$662.50 |
$662.50 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$502.00 |
$502.00 |
$502.00 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$294.50 |
$294.50 |
$294.50 |
$538.85
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$19.00 |
$19.00 |
$19.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.50 |
$0.50 |
$0.50 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$73.50 |
$73.50 |
$73.50 |
$2,542.20
|
|
Rpl tun-cvad w subq port
|
$300.50 |
$300.50 |
$300.50 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$189.00 |
$189.00 |
$189.00 |
$3,687.00
|
|
Rpm tx mgmt 1st 20 min
|
$30.00 |
$30.00 |
$30.00 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$30.00 |
$30.00 |
$30.00 |
$101.25
|
