|
Repair/revise wrist joint
|
$1,659.20 |
$1,659.20 |
$1,659.20 |
$6,311.00
|
|
Repair rotator cuff acute
|
$5,975.20 |
$5,975.20 |
$5,975.20 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$3,182.80 |
$3,182.80 |
$3,182.80 |
$6,311.00
|
|
Repair rpr lip full thickness vermilion only
|
$840.80 |
$840.80 |
$840.80 |
$1,224.63
|
|
Repair ruptd popliteal art
|
$2,476.00 |
$2,476.00 |
$2,476.00 |
$1,964.29
|
|
Repair shoulder capsule
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$7,842.71
|
|
Repair shoulder capsule
|
$1,829.60 |
$1,829.60 |
$1,829.60 |
$6,820.77
|
|
Repair shoulder capsule
|
$1,791.20 |
$1,791.20 |
$1,791.20 |
$5,855.00
|
|
Repair stomach-bowel fistula 43880
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$2,477.40
|
|
Repair stomach opening
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$548.00 |
$548.00 |
$548.00 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$5,354.40 |
$5,354.40 |
$5,354.40 |
$4,350.00
|
|
Repair toe dislocation
|
$824.00 |
$824.00 |
$824.00 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$398.40 |
$398.40 |
$398.40 |
$478.00
|
|
Repair umbilical lesion
|
$1,314.40 |
$1,314.40 |
$1,314.40 |
$4,176.15
|
|
Repair umbilical lesion
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$2,778.40
|
|
Repair umbilical lesion
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$6,916.28
|
|
Repair umbilical lesion
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
$1,691.20
|
|
Repair umbilical lesion
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$1,489.60
|
|
Repair upper arm/elbow tendon/muscle ea
|
$11,787.20 |
$11,787.20 |
$11,787.20 |
$8,453.60
|
|
Repair urethrovaginal lesion
|
$910.40 |
$910.40 |
$910.40 |
$622.50
|
|
Repair urethrovaginal lesion 57310
|
$807.20 |
$807.20 |
$807.20 |
$7,093.16
|
|
Repair vagina/perineum
|
$644.80 |
$644.80 |
$644.80 |
$4,094.65
|
|
Repair vessel graft defect
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
$3,031.20
|
|
Repair webbed toe(s)
|
$604.00 |
$604.00 |
$604.00 |
$1,893.86
|
|
Replace g/c tube perc
|
$1,547.20 |
$1,547.20 |
$1,547.20 |
$1,341.50
|
|
Replace tunneled cv cath
|
$348.80 |
$348.80 |
$348.80 |
$3,724.63
|
|
Reposition intraocular lens
|
$1,256.80 |
$1,256.80 |
$1,256.80 |
$3,057.60
|
|
Reposition pm/icd lead
|
$516.00 |
$516.00 |
$516.00 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$810.40 |
$810.40 |
$810.40 |
$3,724.63
|
|
Repos sq defib eltrd
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,297.60
|
|
Repr elbow lat ligmnt w/tiss
|
$1,210.40 |
$1,210.40 |
$1,210.40 |
$3,839.54
|
|
Repr elbw med ligmnt w/tissu
|
$2,225.06 |
$2,225.06 |
$2,225.06 |
$4,919.44
|
|
Reremove wrist tendon lesion
|
$667.20 |
$667.20 |
$667.20 |
$1,904.00
|
|
Rerepair fem hernia blocked
|
$1,294.40 |
$1,294.40 |
$1,294.40 |
$4,176.15
|
|
Rerepair ing hernia blocked
|
$17,746.40 |
$17,746.40 |
$17,746.40 |
$5,110.00
|
|
Rerepair ing hernia reduce
|
$1,134.40 |
$1,134.40 |
$1,134.40 |
$4,881.00
|
|
Resect condyle distal phalanx ea toe 28153
|
$441.60 |
$441.60 |
$441.60 |
$3,296.80
|
|
Resect diaphragm complex
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$2,780.58
|
|
Resect diaphragm simple 39560
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$1,959.20
|
|
Resect face/scalp tum 2 cm/>
|
$1,648.80 |
$1,648.80 |
$1,648.80 |
$3,386.84
|
|
Resect mediastinal cyst 39200
|
$1,568.80 |
$1,568.80 |
$1,568.80 |
$2,124.80
|
|
Resect mediastinal tumor 39220
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$2,773.60
|
|
Resect part/compl phalangeal base ea 28126
|
$420.80 |
$420.80 |
$420.80 |
$3,821.05
|
|
Reslizumab 10 mg/ml intravenous solution
|
$11,085.98 |
$11,085.98 |
$11,085.98 |
$2,079.00
|
|
Resuscitation cardiopulmonary
|
$785.60 |
$785.60 |
$785.60 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$780.42
|
|
Reticulated platelet assay
|
$110.40 |
$110.40 |
$110.40 |
$75.00
|
|
Reticulocyte direct measurement automated
|
$21.60 |
$21.60 |
$21.60 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$15.14 |
$15.14 |
$15.14 |
$15.56
|
|
Revise additional leg tendon
|
$168.80 |
$168.80 |
$168.80 |
$486.20
|
|
Revise arm/leg nerve
|
$818.40 |
$818.40 |
$818.40 |
$3,754.40
|
|
Revise eyelashes
|
$186.40 |
$186.40 |
$186.40 |
$659.20
|
|
Revise eyelid defect
|
$839.20 |
$839.20 |
$839.20 |
$2,784.00
|
|
Revise eyelid lining
|
$692.80 |
$692.80 |
$692.80 |
$2,698.92
|
|
Revise eyelid lining
|
$619.20 |
$619.20 |
$619.20 |
$3,482.06
|
|
Revise eyelid lining
|
$980.80 |
$980.80 |
$980.80 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$815.20 |
$815.20 |
$815.20 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$968.00 |
$968.00 |
$968.00 |
$4,440.96
|
|
Revise/graft eyelid lining
|
$971.20 |
$971.20 |
$971.20 |
$4,462.45
|
|
Revise graft w/vein
|
$1,623.20 |
$1,623.20 |
$1,623.20 |
$5,419.00
|
|
Revise graft w/vein 35881
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$5,615.12
|
|
Revise hip joint replacement
|
$3,151.20 |
$3,151.20 |
$3,151.20 |
$6,930.55
|
|
Revise hip joint replacement
|
$7,654.40 |
$7,654.40 |
$7,654.40 |
$6,778.20
|
|
Revise hip joint replacement
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$6,492.20
|
|
Revise kneecap with implant
|
$1,421.60 |
$1,421.60 |
$1,421.60 |
$9,625.50
|
|
Revise lower leg tendon
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$3,986.00
|
|
Revise lower leg tendon
|
$1,260.80 |
$1,260.80 |
$1,260.80 |
$4,934.00
|
|
Revise reconst elbow joint
|
$2,899.20 |
$2,899.20 |
$2,899.20 |
$16,139.55
|
|
Revise/remove sling repair
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$3,720.50
|
|
Revise/replace knee joint
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$2,911.20 |
$2,911.20 |
$2,911.20 |
$7,048.60
|
|
Revise spermatic cord veins
|
$590.40 |
$590.40 |
$590.40 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$749.60 |
$749.60 |
$749.60 |
$7,496.58
|
|
Revise stomach bowel fusion 43860
|
$2,868.80 |
$2,868.80 |
$2,868.80 |
$3,110.40
|
|
Revise ulnar nerve at wrist
|
$4,076.80 |
$4,076.80 |
$4,076.80 |
$2,823.38
|
|
Revise vag graft via vagina
|
$818.40 |
$818.40 |
$818.40 |
$3,762.53
|
|
Revise windpipe scar
|
$585.60 |
$585.60 |
$585.60 |
$3,837.72
|
|
Revision of arm nerve(s)
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$3,833.60
|
|
Revision of big toe
|
$623.20 |
$623.20 |
$623.20 |
$5,855.00
|
|
Revision of bladder neck
|
$634.40 |
$634.40 |
$634.40 |
$4,526.00
|
|
Revision of bladder/urethra
|
$1,712.00 |
$1,712.00 |
$1,712.00 |
$1,348.58
|
|
Revision of calf tendon
|
$775.20 |
$775.20 |
$775.20 |
$3,839.54
|
|
Revision of cervix
|
$540.00 |
$540.00 |
$540.00 |
$3,721.00
|
|
Revision of cervix
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$3,854.76
|
|
Revision of circulation
|
$4,075.20 |
$4,075.20 |
$4,075.20 |
$2,547.00
|
|
Revision of circulation
|
$3,782.40 |
$3,782.40 |
$3,782.40 |
$2,435.00
|
|
Revision of circulation
|
$3,884.80 |
$3,884.80 |
$3,884.80 |
$5,409.60
|
|
Revision of circulation
|
$3,735.20 |
$3,735.20 |
$3,735.20 |
$5,200.00
|
|
Revision of collar bone
|
$1,388.80 |
$1,388.80 |
$1,388.80 |
$5,886.74
|
|
Revision of colostomy
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$4,332.25
|
|
Revision of colostomy comp in-depth 44345
|
$1,835.20 |
$1,835.20 |
$1,835.20 |
$2,338.38
|
|
Revision of colostomy paraclt hernia 44346
|
$2,050.40 |
$2,050.40 |
$2,050.40 |
$2,912.80
|
|
Revision of cornea
|
$521.60 |
$521.60 |
$521.60 |
$2,760.73
|
|
Revision of eyelid
|
$558.40 |
$558.40 |
$558.40 |
$2,760.73
|
|
Revision of eyelid
|
$978.40 |
$978.40 |
$978.40 |
$3,417.95
|
|
Revision of foot
|
$870.40 |
$870.40 |
$870.40 |
$3,839.54
|
|
Revision of foot bones
|
$1,138.40 |
$1,138.40 |
$1,138.40 |
$6,411.60
|
|
Revision of foot tendon
|
$17,760.80 |
$17,760.80 |
$17,760.80 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$2,486.40
|
