|
Revision of infusion pump
|
$743.20 |
$743.20 |
$743.20 |
$4,306.60
|
|
Revision of iris
|
$352.80 |
$352.80 |
$352.80 |
$1,388.40
|
|
Revision of jaw muscle/bone
|
$319.20 |
$319.20 |
$319.20 |
$1,752.89
|
|
Revision of knee joint
|
$1,464.80 |
$1,464.80 |
$1,464.80 |
$8,885.39
|
|
Revision of knee joint
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
$14,241.77
|
|
Revision of leg vein 37780
|
$416.00 |
$416.00 |
$416.00 |
$3,724.63
|
|
Revision of sciatic nerve
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,888.00
|
|
Revision of toe
|
$613.60 |
$613.60 |
$613.60 |
$3,108.00
|
|
Revision of unstable kneecap
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$5,886.74
|
|
Revision of unstable kneecap
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$6,973.47
|
|
Revision of ureter
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$4,339.40
|
|
Revision of urethra
|
$686.40 |
$686.40 |
$686.40 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$8,037.35
|
|
Revis reconst shoulder joint
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$2,868.80 |
$2,868.80 |
$2,868.80 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$2,197.60 |
$2,197.60 |
$2,197.60 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$6,396.89
|
|
Rev-rem impl neurostim gen-rec
|
$556.80 |
$556.80 |
$556.80 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$243.20 |
$243.20 |
$243.20 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$382.40 |
$382.40 |
$382.40 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$319.20 |
$319.20 |
$319.20 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$17.60 |
$17.60 |
$17.60 |
$57.20
|
|
Rheumatoid factor quantitative
|
$169.60 |
$169.60 |
$169.60 |
$57.00
|
|
Rho d immune globulin inj
|
$210.40 |
$210.40 |
$210.40 |
$217.71
|
|
Riboflavin 5'phos opth<=3ml
|
$10,944.00 |
$10,944.00 |
$10,944.00 |
$7,970.03
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$24,623.76 |
$24,623.76 |
$24,623.76 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$44.80 |
$44.80 |
$44.80 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$28.80 |
$28.80 |
$28.80 |
$2,429.37
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$11,440.08 |
$11,440.08 |
$11,440.08 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$10,761.36 |
$10,761.36 |
$10,761.36 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$152.00 |
$152.00 |
$152.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$584.00 |
$584.00 |
$584.00 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$4,722.40 |
$4,722.40 |
$4,722.40 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$415.20 |
$415.20 |
$415.20 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$254.40 |
$254.40 |
$254.40 |
$1,822.05
|
|
Rmvl i-artic rx delivery dev 20705
|
$200.80 |
$200.80 |
$200.80 |
$769.60
|
|
Rmvl ndwellg tun pleural cath
|
$267.20 |
$267.20 |
$267.20 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$354.40 |
$354.40 |
$354.40 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$387.20 |
$387.20 |
$387.20 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$616.00 |
$616.00 |
$616.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$564.00 |
$564.00 |
$564.00 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$143.20 |
$143.20 |
$143.20 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$803.20 |
$803.20 |
$803.20 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$471.20 |
$471.20 |
$471.20 |
$538.85
|
|
Romiplostim 125 mcg subcutaneous solution
|
$4,781.91 |
$4,781.91 |
$4,781.91 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$6,008.98 |
$6,008.98 |
$6,008.98 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$12.12 |
$12.12 |
$12.12 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$117.60 |
$117.60 |
$117.60 |
$2,542.20
|
|
Rpl tun-cvad w subq port
|
$480.80 |
$480.80 |
$480.80 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$302.40 |
$302.40 |
$302.40 |
$3,687.00
|
|
Rpm tx mgmt 1st 20 min
|
$52.00 |
$52.00 |
$52.00 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$156.00 |
$156.00 |
$156.00 |
$101.25
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,349.60 |
$1,349.60 |
$1,349.60 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,309.60 |
$1,309.60 |
$1,309.60 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$5,491.20 |
$5,491.20 |
$5,491.20 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$6,489.60 |
$6,489.60 |
$6,489.60 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,176.00 |
$2,176.00 |
$2,176.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$6,905.60 |
$6,905.60 |
$6,905.60 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$11,315.20 |
$11,315.20 |
$11,315.20 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$738.40 |
$738.40 |
$738.40 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,746.40 |
$1,746.40 |
$1,746.40 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$1,620.80 |
$1,620.80 |
$1,620.80 |
$5,983.35
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$2,629.60 |
$2,629.60 |
$2,629.60 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$3,009.60 |
$3,009.60 |
$3,009.60 |
$1,881.00
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,673.60 |
$1,673.60 |
$1,673.60 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$1,511.20 |
$1,511.20 |
$1,511.20 |
$1,539.60
|
|
Rpr fem hernia init blocked
|
$1,133.60 |
$1,133.60 |
$1,133.60 |
$4,176.15
|
|
Rpr ing hernia init reduce
|
$754.40 |
$754.40 |
$754.40 |
$5,411.37
|
|
Rpr parastomal hernia rdc 49621
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$1,450.40
|
|
Rpr parastomal hrna ncr/strn 49622
|
$1,627.20 |
$1,627.20 |
$1,627.20 |
$1,786.40
|
|
Rpr rem hernia init reduce
|
$1,037.60 |
$1,037.60 |
$1,037.60 |
$3,906.18
|
|
Rpr xtnsr tndn leg prim without grft ea tndn
|
$608.80 |
$608.80 |
$608.80 |
$5,959.65
|
|
Rsv assay w/optic
|
$33.60 |
$33.60 |
$33.60 |
$79.38
|
|
Rubella antibody igg
|
$12.80 |
$12.80 |
$12.80 |
$77.03
|
|
Rubeola antibody igg
|
$36.00 |
$36.00 |
$36.00 |
$80.00
|
|
Russell viper venom diluted
|
$244.00 |
$244.00 |
$244.00 |
$72.54
|
|
Salmonella antibody
|
$60.80 |
$60.80 |
$60.80 |
$37.58
|
|
Same day nb discharge 99463
|
$172.80 |
$172.80 |
$172.80 |
$183.07
|
|
Sarscov2 vac 5mcg/0.5ml im
|
$252.00 |
$252.00 |
$252.00 |
$222.30
|
|
Sarscov coronavirus ag ia
|
$110.40 |
$110.40 |
$110.40 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$136.00 |
$136.00 |
$136.00 |
$104.00
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$252.80 |
$252.80 |
$252.80 |
$213.20
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$128.00 |
$128.00 |
$128.00 |
$109.85
|
|
Sbsq nursing facil care/day new problem 25 min
|
$185.60 |
$185.60 |
$185.60 |
$144.30
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$68.80 |
$68.80 |
$68.80 |
$67.84
|
|
Sbsq psyc collab care mgmt
|
$164.00 |
$164.00 |
$164.00 |
$109.46
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$539.20 |
$539.20 |
$539.20 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$350.40 |
$350.40 |
$350.40 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$512.80 |
$512.80 |
$512.80 |
$750.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$43.20 |
$43.20 |
$43.20 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$260.00 |
$260.00 |
$260.00 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$67.20 |
$67.20 |
$67.20 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$41.60 |
$41.60 |
$41.60 |
$660.00
|
