|
Revise arm/leg nerve
|
$12,791.50 |
$12,791.50 |
$12,791.50 |
$3,754.40
|
|
Revise breast reconst 19380
|
$10,462.67 |
$10,462.67 |
$10,462.67 |
$6,869.50
|
|
Revise eyelid defect
|
$2,777.00 |
$2,777.00 |
$2,777.00 |
$2,760.73
|
|
Revise eyelid lining
|
$5,799.50 |
$5,799.50 |
$5,799.50 |
$3,269.14
|
|
Revise eye muscle
|
$7,318.34 |
$7,318.34 |
$7,318.34 |
$3,269.14
|
|
Revise eye muscle
|
$6,056.50 |
$6,056.50 |
$6,056.50 |
$3,366.40
|
|
Revise eye with implant
|
$12,259.00 |
$12,259.00 |
$12,259.00 |
$4,173.97
|
|
Revise/graft eyelid lining
|
$4,795.50 |
$4,795.50 |
$4,795.50 |
$3,269.14
|
|
Revise hip joint replacement
|
$20,561.50 |
$20,561.50 |
$20,561.50 |
$6,778.20
|
|
Revise/implant finger joint
|
$15,487.00 |
$15,487.00 |
$15,487.00 |
$5,376.00
|
|
Revise knuckle with implant
|
$11,669.67 |
$11,669.67 |
$11,669.67 |
$5,886.74
|
|
Revise lower leg tendon
|
$8,090.25 |
$8,090.25 |
$8,090.25 |
$3,986.00
|
|
Revise/remove sling repair
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,720.50
|
|
Revise/replace knee joint
|
$16,974.50 |
$16,974.50 |
$16,974.50 |
$5,491.20
|
|
Revise/replace knee joint
|
$31,106.50 |
$31,106.50 |
$31,106.50 |
$7,048.60
|
|
Revise spermatic cord veins
|
$12,610.00 |
$12,610.00 |
$12,610.00 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$6,475.50 |
$6,475.50 |
$6,475.50 |
$7,496.58
|
|
Revise spine eltrd plate
|
$13,642.34 |
$13,642.34 |
$13,642.34 |
$14,685.79
|
|
Revise two eye muscles
|
$17,107.50 |
$17,107.50 |
$17,107.50 |
$4,462.45
|
|
Revise two eye muscles
|
$10,120.00 |
$10,120.00 |
$10,120.00 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$15,218.00 |
$15,218.00 |
$15,218.00 |
$2,823.38
|
|
Revision of aqueous shunt
|
$2,838.34 |
$2,838.34 |
$2,838.34 |
$3,173.34
|
|
Revision of bladder neck
|
$3,478.00 |
$3,478.00 |
$3,478.00 |
$4,526.00
|
|
Revision of calf tendon
|
$7,265.33 |
$7,265.33 |
$7,265.33 |
$3,839.54
|
|
Revision of cornea
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$2,760.73
|
|
Revision of eyelid
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$2,760.73
|
|
Revision of eyelid
|
$6,200.50 |
$6,200.50 |
$6,200.50 |
$2,860.80
|
|
Revision of eyelid
|
$4,037.67 |
$4,037.67 |
$4,037.67 |
$2,760.73
|
|
Revision of iris
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$1,388.40
|
|
Revision of iris
|
$3,872.50 |
$3,872.50 |
$3,872.50 |
$1,335.24
|
|
Revision of knee joint
|
$15,107.50 |
$15,107.50 |
$15,107.50 |
$14,241.77
|
|
Revision of nose
|
$8,448.50 |
$8,448.50 |
$8,448.50 |
$3,819.23
|
|
Revision of penis
|
$2,101.67 |
$2,101.67 |
$2,101.67 |
$4,846.99
|
|
Revision of scrotum
|
$4,631.67 |
$4,631.67 |
$4,631.67 |
$4,081.37
|
|
Revision of scrotum
|
$6,305.01 |
$6,305.01 |
$6,305.01 |
$5,631.74
|
|
Revision of testis
|
$10,554.00 |
$10,554.00 |
$10,554.00 |
$5,631.74
|
|
Revision of unstable kneecap
|
$16,294.00 |
$16,294.00 |
$16,294.00 |
$6,973.47
|
|
Revision open av fistula without thromb
|
$18,580.50 |
$18,580.50 |
$18,580.50 |
$8,037.35
|
|
Revis reconst shoulder joint
|
$29,517.50 |
$29,517.50 |
$29,517.50 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$19,008.50 |
$19,008.50 |
$19,008.50 |
$7,074.60
|
|
Rev-rem impl neurostim gen-rec
|
$4,808.67 |
$4,808.67 |
$4,808.67 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$13,638.00 |
$13,638.00 |
$13,638.00 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$2,858.00 |
$2,858.00 |
$2,858.00 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$7,610.00 |
$7,610.00 |
$7,610.00 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$42.00 |
$42.00 |
$42.00 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$162.23 |
$162.23 |
$162.23 |
$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
|
|
Riboflavin 5'phos opth<=3ml
|
$10,260.00 |
$10,260.00 |
$10,260.00 |
$7,970.03
|
|
Right ventric recording
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$2,345.00
|
|
Ring fx reform 11-13x17mm
|
$1,067.25 |
$1,067.25 |
$1,067.25 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$19,531.04 |
$19,531.04 |
$19,531.04 |
$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-pvvr 10 mg/ml intravenous solution
|
$10,088.78 |
$10,088.78 |
$10,088.78 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$13,373.34 |
$13,373.34 |
$13,373.34 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$3,114.00 |
$3,114.00 |
$3,114.00 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$3,274.00 |
$3,274.00 |
$3,274.00 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$8,488.50 |
$8,488.50 |
$8,488.50 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$11,634.00 |
$11,634.00 |
$11,634.00 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$8,488.50 |
$8,488.50 |
$8,488.50 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$3,274.00 |
$3,274.00 |
$3,274.00 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$695.50 |
$695.50 |
$695.50 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$4,489.83 |
$4,489.83 |
$4,489.83 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$5,915.00 |
$5,915.00 |
$5,915.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$15,418.00 |
$15,418.00 |
$15,418.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,408.00 |
$6,408.00 |
$6,408.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$537.50 |
$537.50 |
$537.50 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$3,273.50 |
$3,273.50 |
$3,273.50 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,361.00 |
$1,361.00 |
$1,361.00 |
$1,734.00
|
|
Rmvl tiss expndr without implant insrtn
|
$5,928.00 |
$5,928.00 |
$5,928.00 |
$3,832.40
|
|
Rmvl tv pm lead dual
|
$3,274.00 |
$3,274.00 |
$3,274.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$3,274.00 |
$3,274.00 |
$3,274.00 |
$4,031.69
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$16,728.97 |
$16,728.97 |
$16,728.97 |
$6,333.33
|
|
Romiplostim 125 mcg subcutaneous solution
|
$10,350.31 |
$10,350.31 |
$10,350.31 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$5,670.00 |
$5,670.00 |
$5,670.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$20.03 |
$20.03 |
$20.03 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,429.00 |
$1,429.00 |
$1,429.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,277.00 |
$1,277.00 |
$1,277.00 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$3,363.50 |
$3,363.50 |
$3,363.50 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$15,756.00 |
$15,756.00 |
$15,756.00 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$6,157.00 |
$6,157.00 |
$6,157.00 |
$3,687.00
|
|
Rpr aa hrn 1st > 10 rdc
|
$24,303.50 |
$24,303.50 |
$24,303.50 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$12,124.50 |
$12,124.50 |
$12,124.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$10,376.00 |
$10,376.00 |
$10,376.00 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$14,472.17 |
$14,472.17 |
$14,472.17 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$8,369.50 |
$8,369.50 |
$8,369.50 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 rdc
|
$34,029.34 |
$34,029.34 |
$34,029.34 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$10,914.00 |
$10,914.00 |
$10,914.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$22,212.00 |
$22,212.00 |
$22,212.00 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$30,873.50 |
$30,873.50 |
$30,873.50 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$20,931.50 |
$20,931.50 |
$20,931.50 |
$4,176.15
|
|
Rsv assay w/optic
|
$26.00 |
$26.00 |
$26.00 |
$79.38
|
|
Rubella antibody igg
|
$104.50 |
$104.50 |
$104.50 |
$77.03
|
