|
Revasc evasc fpvt stent cplx 1st
|
$14,091.50 |
$14,091.50 |
$14,091.50 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$14,091.50 |
$14,091.50 |
$14,091.50 |
$20,474.72
|
|
Revasc evasc ivt angio cplx 1st
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$7,965.00 |
$7,965.00 |
$7,965.00 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$9,848.50 |
$9,848.50 |
$9,848.50 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$17,966.00 |
$17,966.00 |
$17,966.00 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$8,983.50 |
$8,983.50 |
$8,983.50 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$7,644.00 |
$7,644.00 |
$7,644.00 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$19,385.85
|
|
Revefenacin inh non-com 1mcg
|
$14.20 |
$14.20 |
$14.20 |
$15.56
|
|
Revise arm/leg nerve
|
$6,596.50 |
$6,596.50 |
$6,596.50 |
$3,754.40
|
|
Revise breast reconst 19380
|
$3,938.50 |
$3,938.50 |
$3,938.50 |
$6,869.50
|
|
Revise eyelashes
|
$434.00 |
$434.00 |
$434.00 |
$659.20
|
|
Revise eyelid defect
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,760.73
|
|
Revise eyelid lining
|
$2,653.00 |
$2,653.00 |
$2,653.00 |
$2,698.92
|
|
Revise eye socket implant
|
$3,862.50 |
$3,862.50 |
$3,862.50 |
$5,110.00
|
|
Revise lower leg tendon
|
$4,125.67 |
$4,125.67 |
$4,125.67 |
$3,986.00
|
|
Revise/remove sling repair
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,720.50
|
|
Revise/replace knee joint
|
$12,863.50 |
$12,863.50 |
$12,863.50 |
$5,491.20
|
|
Revise/replace knee joint
|
$14,551.50 |
$14,551.50 |
$14,551.50 |
$7,048.60
|
|
Revise spine eltrd perq aray
|
$3,621.50 |
$3,621.50 |
$3,621.50 |
$7,496.58
|
|
Revision of big toe
|
$2,164.83 |
$2,164.83 |
$2,164.83 |
$5,855.00
|
|
Revision of calf tendon
|
$4,656.75 |
$4,656.75 |
$4,656.75 |
$3,839.54
|
|
Revision of cervix
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,721.00
|
|
Revision of colostomy
|
$4,117.50 |
$4,117.50 |
$4,117.50 |
$4,332.25
|
|
Revision of cornea
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,760.73
|
|
Revision of eyelid
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$2,860.80
|
|
Revision of eyelid
|
$6,784.67 |
$6,784.67 |
$6,784.67 |
$3,417.95
|
|
Revision of foot tendon
|
$2,886.83 |
$2,886.83 |
$2,886.83 |
$5,886.74
|
|
Revision of iris
|
$648.50 |
$648.50 |
$648.50 |
$1,388.40
|
|
Revision of knee joint
|
$11,835.00 |
$11,835.00 |
$11,835.00 |
$14,241.77
|
|
Revision of nose
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,819.23
|
|
Revision of nose
|
$6,804.50 |
$6,804.50 |
$6,804.50 |
$5,773.60
|
|
Revision of sciatic nerve
|
$4,001.00 |
$4,001.00 |
$4,001.00 |
$2,888.00
|
|
Revision of toe
|
$1,819.34 |
$1,819.34 |
$1,819.34 |
$3,108.00
|
|
Revision of unstable kneecap
|
$9,624.00 |
$9,624.00 |
$9,624.00 |
$6,973.47
|
|
Revision open av fistula without thromb
|
$8,811.34 |
$8,811.34 |
$8,811.34 |
$8,037.35
|
|
Rev-rem impl neurostim gen-rec
|
$5,539.00 |
$5,539.00 |
$5,539.00 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$3,412.00 |
$3,412.00 |
$3,412.00 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$9,417.00 |
$9,417.00 |
$9,417.00 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$3,533.50 |
$3,533.50 |
$3,533.50 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$179.82 |
$179.82 |
$179.82 |
$57.00
|
|
Rho d immune globulin inj
|
$197.50 |
$197.50 |
$197.50 |
$217.71
|
|
R hrt cath chd abnl nt cnj
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$6,095.95
|
|
R hrt cath chd nml nt cnj
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$6,095.95
|
|
Riboflavin 5'phos opth<=3ml
|
$10,260.00 |
$10,260.00 |
$10,260.00 |
$7,970.03
|
|
Ring fx reform 11-13x17mm
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$39,062.08 |
$39,062.08 |
$39,062.08 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$33.50 |
$33.50 |
$33.50 |
$35.25
|
|
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
|
$5,362.54 |
$5,362.54 |
$5,362.54 |
$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
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$6,104.00
|
|
R&l hrt cath chd nml nt cnj
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$6,104.00
|
|
Rmv implant contraceptive capsule 11976
|
$814.00 |
$814.00 |
$814.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$4,297.25 |
$4,297.25 |
$4,297.25 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$3,341.50 |
$3,341.50 |
$3,341.50 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,107.00 |
$2,107.00 |
$2,107.00 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,438.50 |
$4,438.50 |
$4,438.50 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$3,383.50 |
$3,383.50 |
$3,383.50 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$9,156.50 |
$9,156.50 |
$9,156.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$11,920.00 |
$11,920.00 |
$11,920.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$10,242.50 |
$10,242.50 |
$10,242.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,904.00 |
$3,904.00 |
$3,904.00 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$1,175.50 |
$1,175.50 |
$1,175.50 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$6,380.88 |
$6,380.88 |
$6,380.88 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$3,493.00 |
$3,493.00 |
$3,493.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,195.50 |
$9,195.50 |
$9,195.50 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$3,440.50 |
$3,440.50 |
$3,440.50 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$3,150.50 |
$3,150.50 |
$3,150.50 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$2,053.00 |
$2,053.00 |
$2,053.00 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$3,500.50 |
$3,500.50 |
$3,500.50 |
$4,028.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$11,010.94 |
$11,010.94 |
$11,010.94 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,633.42 |
$5,633.42 |
$5,633.42 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$28.44 |
$28.44 |
$28.44 |
$188.50
|
|
Rp loclzj tum 2+area 1+d img
|
$1,702.50 |
$1,702.50 |
$1,702.50 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,104.50 |
$3,104.50 |
$3,104.50 |
$3,139.20
|
|
Rpl tun-cvad w subq port
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$3,062.00 |
$3,062.00 |
$3,062.00 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 rdc
|
$21,198.00 |
$21,198.00 |
$21,198.00 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$6,313.50 |
$6,313.50 |
$6,313.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$16,450.50 |
$16,450.50 |
$16,450.50 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$14,024.00 |
$14,024.00 |
$14,024.00 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$4,126.00 |
$4,126.00 |
$4,126.00 |
$6,904.15
|
|
Rpr aa hrn rcr 3-10 rdc
|
$3,938.50 |
$3,938.50 |
$3,938.50 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 rdc
|
$4,938.50 |
$4,938.50 |
$4,938.50 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$12,394.00 |
$12,394.00 |
$12,394.00 |
$5,983.35
|
|
Rpr fem hernia init blocked
|
$4,251.00 |
$4,251.00 |
$4,251.00 |
$4,176.15
|
