|
Revise/replace knee joint
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$7,048.60
|
|
Revise spermatic cord veins
|
$368.00 |
$368.00 |
$368.00 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$3,170.50 |
$3,170.50 |
$3,170.50 |
$7,496.58
|
|
Revise stomach bowel fusion 43860
|
$1,764.50 |
$1,764.50 |
$1,764.50 |
$3,110.40
|
|
Revise ulnar nerve at wrist
|
$428.50 |
$428.50 |
$428.50 |
$2,823.38
|
|
Revise vag graft via vagina
|
$524.00 |
$524.00 |
$524.00 |
$3,762.53
|
|
Revise windpipe scar
|
$377.00 |
$377.00 |
$377.00 |
$3,837.72
|
|
Revision of arm nerve(s)
|
$852.50 |
$852.50 |
$852.50 |
$3,833.60
|
|
Revision of big toe
|
$382.50 |
$382.50 |
$382.50 |
$5,855.00
|
|
Revision of bladder neck
|
$514.50 |
$514.50 |
$514.50 |
$4,526.00
|
|
Revision of bladder/urethra
|
$1,082.50 |
$1,082.50 |
$1,082.50 |
$1,348.58
|
|
Revision of calf tendon
|
$476.00 |
$476.00 |
$476.00 |
$3,839.54
|
|
Revision of cervix
|
$347.50 |
$347.50 |
$347.50 |
$3,721.00
|
|
Revision of circulation
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$2,547.00
|
|
Revision of circulation
|
$2,321.50 |
$2,321.50 |
$2,321.50 |
$2,435.00
|
|
Revision of circulation
|
$2,383.50 |
$2,383.50 |
$2,383.50 |
$5,409.60
|
|
Revision of circulation
|
$2,291.50 |
$2,291.50 |
$2,291.50 |
$5,200.00
|
|
Revision of collar bone
|
$869.50 |
$869.50 |
$869.50 |
$5,886.74
|
|
Revision of colostomy
|
$664.00 |
$664.00 |
$664.00 |
$4,332.25
|
|
Revision of colostomy comp in-depth 44345
|
$1,118.50 |
$1,118.50 |
$1,118.50 |
$2,338.38
|
|
Revision of colostomy paraclt hernia 44346
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$2,912.80
|
|
Revision of cornea
|
$341.00 |
$341.00 |
$341.00 |
$2,760.73
|
|
Revision of eyelid
|
$368.00 |
$368.00 |
$368.00 |
$2,760.73
|
|
Revision of eyelid
|
$654.00 |
$654.00 |
$654.00 |
$3,417.95
|
|
Revision of foot
|
$542.00 |
$542.00 |
$542.00 |
$3,839.54
|
|
Revision of foot bones
|
$718.00 |
$718.00 |
$718.00 |
$6,411.60
|
|
Revision of foot tendon
|
$506.00 |
$506.00 |
$506.00 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,486.40
|
|
Revision of infusion pump
|
$439.50 |
$439.50 |
$439.50 |
$4,306.60
|
|
Revision of iris
|
$234.00 |
$234.00 |
$234.00 |
$1,388.40
|
|
Revision of jaw muscle/bone
|
$201.50 |
$201.50 |
$201.50 |
$1,752.89
|
|
Revision of knee joint
|
$923.50 |
$923.50 |
$923.50 |
$8,885.39
|
|
Revision of knee joint
|
$9,600.00 |
$9,600.00 |
$9,600.00 |
$14,241.77
|
|
Revision of leg vein 37780
|
$251.50 |
$251.50 |
$251.50 |
$3,724.63
|
|
Revision of sciatic nerve
|
$630.00 |
$630.00 |
$630.00 |
$2,888.00
|
|
Revision of toe
|
$369.50 |
$369.50 |
$369.50 |
$3,108.00
|
|
Revision of unstable kneecap
|
$790.50 |
$790.50 |
$790.50 |
$5,886.74
|
|
Revision of unstable kneecap
|
$787.50 |
$787.50 |
$787.50 |
$6,973.47
|
|
Revision of ureter
|
$966.50 |
$966.50 |
$966.50 |
$4,339.40
|
|
Revision of urethra
|
$427.50 |
$427.50 |
$427.50 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$803.00 |
$803.00 |
$803.00 |
$8,037.35
|
|
Revis reconst shoulder joint
|
$5,587.50 |
$5,587.50 |
$5,587.50 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$11,850.00 |
$11,850.00 |
$11,850.00 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$1,333.00 |
$1,333.00 |
$1,333.00 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$1,278.50 |
$1,278.50 |
$1,278.50 |
$6,396.89
|
|
Rev-rem impl neurostim gen-rec
|
$318.00 |
$318.00 |
$318.00 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$149.00 |
$149.00 |
$149.00 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$241.00 |
$241.00 |
$241.00 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$211.50 |
$211.50 |
$211.50 |
$3,138.15
|
|
Rheumatoid factor quantitative
|
$40.50 |
$40.50 |
$40.50 |
$57.00
|
|
Rho d immune globulin inj
|
$131.50 |
$131.50 |
$131.50 |
$217.71
|
|
Riboflavin 5'phos opth<=3ml
|
$6,840.00 |
$6,840.00 |
$6,840.00 |
$7,970.03
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$30,779.70 |
$30,779.70 |
$30,779.70 |
$30,071.50
|
|
Risk ascvd tst once pr 12 mo
|
$36.00 |
$36.00 |
$36.00 |
$35.25
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$18.00 |
$18.00 |
$18.00 |
$2,429.37
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$6,725.85 |
$6,725.85 |
$6,725.85 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$98.00 |
$98.00 |
$98.00 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$9,376.67 |
$9,376.67 |
$9,376.67 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$422.50 |
$422.50 |
$422.50 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$1,190.50 |
$1,190.50 |
$1,190.50 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$150.00 |
$150.00 |
$150.00 |
$1,822.05
|
|
Rmvl i-artic rx delivery dev 20705
|
$132.00 |
$132.00 |
$132.00 |
$769.60
|
|
Rmvl ndwellg tun pleural cath
|
$162.00 |
$162.00 |
$162.00 |
$1,156.80
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$1,862.50 |
$1,862.50 |
$1,862.50 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$241.00 |
$241.00 |
$241.00 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$389.00 |
$389.00 |
$389.00 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$354.50 |
$354.50 |
$354.50 |
$10,542.00
|
|
Rmvl sq defib electrode
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$90.50 |
$90.50 |
$90.50 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$665.00 |
$665.00 |
$665.00 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$507.00 |
$507.00 |
$507.00 |
$4,031.69
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$293.50 |
$293.50 |
$293.50 |
$538.85
|
|
Romiplostim 125 mcg subcutaneous solution
|
$5,977.38 |
$5,977.38 |
$5,977.38 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,755.61 |
$3,755.61 |
$3,755.61 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$7.66 |
$7.66 |
$7.66 |
$188.50
|
|
Rp loclzj tum spect w/ct 1
|
$68.50 |
$68.50 |
$68.50 |
$2,542.20
|
|
Rpl tun-cvad w subq port
|
$299.50 |
$299.50 |
$299.50 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$189.00 |
$189.00 |
$189.00 |
$3,687.00
|
|
Rpm tx mgmt 1st 20 min
|
$31.00 |
$31.00 |
$31.00 |
$77.91
|
|
Rpm tx mgmt ea addl 20 min
|
$31.00 |
$31.00 |
$31.00 |
$101.25
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$5,005.00 |
$5,005.00 |
$5,005.00 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$11,890.00 |
$11,890.00 |
$11,890.00 |
$5,110.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$2,957.50 |
$2,957.50 |
$2,957.50 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$6,912.52
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$2,561.67 |
$2,561.67 |
$2,561.67 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$2,411.50 |
$2,411.50 |
$2,411.50 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$1,412.00 |
$1,412.00 |
$1,412.00 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$962.50 |
$962.50 |
$962.50 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$978.00 |
$978.00 |
$978.00 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$3,725.00 |
$3,725.00 |
$3,725.00 |
$6,819.30
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$6,457.82
|
|
Rpr aa hrn rcr < 3 rdc
|
$478.00 |
$478.00 |
$478.00 |
$4,176.15
|
|
Rpr blood ves w/vein graft/up ext 35236
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$5,983.35
|
|
Rpr blood vsl grf oth vein lo ex
|
$989.50 |
$989.50 |
$989.50 |
$5,983.35
|
|
Rpr blvs gr ot/t vn ntrth wo
|
$1,545.50 |
$1,545.50 |
$1,545.50 |
$2,098.06
|
|
Rpr blvsl gr ot/th vn ntr-ab
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$7,815.60
|
|
Rpr blvsl vn grf intra-abdl
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,881.00
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$1,791.00
|
|
Rpr diaphragm lac/any approach 39501
|
$910.50 |
$910.50 |
$910.50 |
$1,539.60
|
