|
Revise ocular implant
|
$2,012.75 |
$2,012.75 |
$2,012.75 |
$4,462.45
|
|
Revise palsy hand tendon(s)
|
$8,155.50 |
$8,155.50 |
$8,155.50 |
$7,907.11
|
|
Revise palsy hand tendon(s)
|
$4,307.67 |
$4,307.67 |
$4,307.67 |
$8,453.60
|
|
Revise penis/urethra
|
$12,544.50 |
$12,544.50 |
$12,544.50 |
$4,478.01
|
|
Revise/remove neuroelectrode
|
$8,617.50 |
$8,617.50 |
$8,617.50 |
$4,069.59
|
|
Revise/remove neuroreceiver
|
$6,230.50 |
$6,230.50 |
$6,230.50 |
$9,079.85
|
|
Revise/remove sling repair
|
$5,614.50 |
$5,614.50 |
$5,614.50 |
$3,720.50
|
|
Revise/replace knee joint
|
$54,922.00 |
$54,922.00 |
$54,922.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$40,135.00 |
$40,135.00 |
$40,135.00 |
$7,048.60
|
|
Revise/repl vagus n eltrd
|
$8,625.34 |
$8,625.34 |
$8,625.34 |
$13,628.55
|
|
Revise spermatic cord veins
|
$10,927.50 |
$10,927.50 |
$10,927.50 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$4,025.50 |
$4,025.50 |
$4,025.50 |
$7,496.58
|
|
Revise spine eltrd plate
|
$15,200.50 |
$15,200.50 |
$15,200.50 |
$14,685.79
|
|
Revise two eye muscles
|
$14,104.50 |
$14,104.50 |
$14,104.50 |
$4,462.45
|
|
Revise two eye muscles
|
$6,827.00 |
$6,827.00 |
$6,827.00 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$7,897.00 |
$7,897.00 |
$7,897.00 |
$2,823.38
|
|
Revise ureter
|
$21,546.50 |
$21,546.50 |
$21,546.50 |
$4,350.00
|
|
Revise ureter
|
$49,896.00 |
$49,896.00 |
$49,896.00 |
$3,166.80
|
|
Revise urethra stage 1
|
$16,627.00 |
$16,627.00 |
$16,627.00 |
$5,986.78
|
|
Revise vag graft via vagina
|
$4,921.50 |
$4,921.50 |
$4,921.50 |
$3,762.53
|
|
Revise wrist/forearm tendon
|
$9,229.00 |
$9,229.00 |
$9,229.00 |
$3,017.99
|
|
Revise wrist joint
|
$5,001.75 |
$5,001.75 |
$5,001.75 |
$4,155.20
|
|
Revision gastrojejunal anastomosis w/reconstruct-43865
|
$23,089.50 |
$23,089.50 |
$23,089.50 |
$4,189.60
|
|
Revision of aqueous shunt
|
$3,227.50 |
$3,227.50 |
$3,227.50 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$79,852.50 |
$79,852.50 |
$79,852.50 |
$3,833.60
|
|
Revision of big toe
|
$5,845.50 |
$5,845.50 |
$5,845.50 |
$5,855.00
|
|
Revision of bladder neck
|
$2,410.50 |
$2,410.50 |
$2,410.50 |
$4,526.00
|
|
Revision of calf tendon
|
$6,434.50 |
$6,434.50 |
$6,434.50 |
$3,839.54
|
|
Revision of cervix
|
$4,134.50 |
$4,134.50 |
$4,134.50 |
$3,721.00
|
|
Revision of cervix
|
$3,622.00 |
$3,622.00 |
$3,622.00 |
$3,854.76
|
|
Revision of collar bone
|
$16,377.00 |
$16,377.00 |
$16,377.00 |
$12,147.50
|
|
Revision of colostomy
|
$9,861.00 |
$9,861.00 |
$9,861.00 |
$4,332.25
|
|
Revision of cornea
|
$3,693.00 |
$3,693.00 |
$3,693.00 |
$2,760.73
|
|
Revision of eyelid
|
$10,668.00 |
$10,668.00 |
$10,668.00 |
$2,760.73
|
|
Revision of eyelid
|
$7,736.02 |
$7,736.02 |
$7,736.02 |
$2,860.80
|
|
Revision of eyelid
|
$6,016.50 |
$6,016.50 |
$6,016.50 |
$2,760.73
|
|
Revision of eyelid
|
$8,333.75 |
$8,333.75 |
$8,333.75 |
$3,417.95
|
|
Revision of femur epiphysis
|
$7,870.00 |
$7,870.00 |
$7,870.00 |
$4,499.12
|
|
Revision of foot
|
$8,232.50 |
$8,232.50 |
$8,232.50 |
$3,839.54
|
|
Revision of foot and ankle
|
$13,768.50 |
$13,768.50 |
$13,768.50 |
$6,915.20
|
|
Revision of foot bones
|
$7,669.00 |
$7,669.00 |
$7,669.00 |
$6,411.60
|
|
Revision of foot fascia 28250
|
$2,553.00 |
$2,553.00 |
$2,553.00 |
$3,839.54
|
|
Revision of foot tendon
|
$18,368.00 |
$18,368.00 |
$18,368.00 |
$5,886.74
|
|
Revision of ileostomy; simple 44312
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$4,332.25
|
|
Revision of iris
|
$2,216.38 |
$2,216.38 |
$2,216.38 |
$1,388.40
|
|
Revision of iris
|
$702.50 |
$702.50 |
$702.50 |
$1,335.24
|
|
Revision of jaw muscle/bone
|
$7,079.67 |
$7,079.67 |
$7,079.67 |
$1,752.89
|
|
Revision of kidney/ureter
|
$49,018.00 |
$49,018.00 |
$49,018.00 |
$5,865.60
|
|
Revision of knee joint
|
$21,535.00 |
$21,535.00 |
$21,535.00 |
$14,241.77
|
|
Revision of neck muscle
|
$98.00 |
$98.00 |
$98.00 |
$3,839.54
|
|
Revision of neck muscle/rib
|
$10,621.67 |
$10,621.67 |
$10,621.67 |
$7,413.38
|
|
Revision of nose
|
$5,819.00 |
$5,819.00 |
$5,819.00 |
$3,819.23
|
|
Revision of nose
|
$7,560.50 |
$7,560.50 |
$7,560.50 |
$5,773.60
|
|
Revision of nose
|
$27,964.50 |
$27,964.50 |
$27,964.50 |
$7,000.36
|
|
Revision of nose
|
$13,012.50 |
$13,012.50 |
$13,012.50 |
$6,759.31
|
|
Revision of penis
|
$4,667.00 |
$4,667.00 |
$4,667.00 |
$4,846.99
|
|
Revision of penis
|
$2,654.88 |
$2,654.88 |
$2,654.88 |
$4,081.37
|
|
Revision of sciatic nerve
|
$18,458.50 |
$18,458.50 |
$18,458.50 |
$2,888.00
|
|
Revision of scrotum
|
$5,847.67 |
$5,847.67 |
$5,847.67 |
$4,081.37
|
|
Revision of testis
|
$5,788.50 |
$5,788.50 |
$5,788.50 |
$5,631.74
|
|
Revision of thigh muscles
|
$4,811.00 |
$4,811.00 |
$4,811.00 |
$5,886.74
|
|
Revision of toe
|
$4,025.50 |
$4,025.50 |
$4,025.50 |
$3,108.00
|
|
Revision of unstable kneecap
|
$12,938.00 |
$12,938.00 |
$12,938.00 |
$5,886.74
|
|
Revision of unstable kneecap
|
$23,074.00 |
$23,074.00 |
$23,074.00 |
$6,973.47
|
|
Revision of urethra
|
$5,768.50 |
$5,768.50 |
$5,768.50 |
$4,081.37
|
|
Revision of urethra
|
$1,099.69 |
$1,099.69 |
$1,099.69 |
$5,741.00
|
|
Revision open av fistula without thromb
|
$11,673.00 |
$11,673.00 |
$11,673.00 |
$8,037.35
|
|
Revision tips
|
$12,786.00 |
$12,786.00 |
$12,786.00 |
$9,879.50
|
|
Revis reconst shoulder joint
|
$15,791.00 |
$15,791.00 |
$15,791.00 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$46,221.50 |
$46,221.50 |
$46,221.50 |
$7,074.60
|
|
Revj fem anast nonautog grf
|
$15,734.00 |
$15,734.00 |
$15,734.00 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$4,748.80
|
|
Revj prior hypspad repair
|
$4,769.67 |
$4,769.67 |
$4,769.67 |
$6,015.75
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$23,397.34 |
$23,397.34 |
$23,397.34 |
$7,000.36
|
|
Rev-rem impl neurostim gen-rec
|
$3,798.50 |
$3,798.50 |
$3,798.50 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$4,690.50 |
$4,690.50 |
$4,690.50 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$6,307.50 |
$6,307.50 |
$6,307.50 |
$4,807.27
|
|
Rev/rplct hpglsl nstm ary pg
|
$7,327.00 |
$7,327.00 |
$7,327.00 |
$14,685.79
|
|
Rf abltj nrv nrvtg si jt
|
$7,615.00 |
$7,615.00 |
$7,615.00 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$80.50 |
$80.50 |
$80.50 |
$57.20
|
|
Rheumatoid factor quantitative
|
$80.50 |
$80.50 |
$80.50 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$25,557.50 |
$25,557.50 |
$25,557.50 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$167.09 |
$167.09 |
$167.09 |
$243.11
|
|
Rho d immune globulin inj
|
$197.50 |
$197.50 |
$197.50 |
$217.71
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$182.50 |
$182.50 |
$182.50 |
$172.80
|
|
R hrt cath chd abnl nt cnj
|
$4,794.00 |
$4,794.00 |
$4,794.00 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$5,154.00 |
$5,154.00 |
$5,154.00 |
$6,095.95
|
|
Rib cartilage graft
|
$13,741.25 |
$13,741.25 |
$13,741.25 |
$6,547.81
|
|
Riboflavin 5'phos opth<=3ml
|
$18,675.00 |
$18,675.00 |
$18,675.00 |
$7,970.03
|
|
Right ventric recording
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$40,563.50 |
$40,563.50 |
$40,563.50 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$27.00 |
$27.00 |
$27.00 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$18,790.40 |
$18,790.40 |
$18,790.40 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$13,153.17 |
$13,153.17 |
$13,153.17 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$10,844.10 |
$10,844.10 |
$10,844.10 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$10,725.08 |
$10,725.08 |
$10,725.08 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$10,088.78 |
$10,088.78 |
$10,088.78 |
$5,309.20
|
|
R&l hrt cath chd abnl nt cnj
|
$5,154.00 |
$5,154.00 |
$5,154.00 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$9,770.50 |
$9,770.50 |
$9,770.50 |
$6,104.00
|
