|
Renal function panel
|
$113.52 |
$113.52 |
$142.50 |
$113.52
|
|
Renal venogram bil s&i
|
$3,145.00 |
$3,635.28 |
$3,635.28 |
$3,615.28
|
|
Repair blood vessel direct hand finger
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$3,879.03
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,186.68 |
$1,186.68 |
$1,186.68 |
$1,025.95
|
|
Repair dental ellis ii fx
|
$542.52 |
$542.52 |
$542.52 |
$442.48
|
|
Repair elbow perc
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$3,986.00
|
|
Repair extns tendon finger without grft ea
|
$1,878.36 |
$1,878.36 |
$1,878.36 |
$2,224.00
|
|
Repair lip full thkns =<one-half vert height
|
$988.02 |
$988.02 |
$988.02 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,710.72 |
$1,710.72 |
$1,710.72 |
$1,928.07
|
|
Repair of facial nerve
|
$7,396.62 |
$7,396.62 |
$7,396.62 |
$6,998.88
|
|
Repair of kneecap tendon
|
$9,804.30 |
$9,804.30 |
$9,804.30 |
$7,907.11
|
|
Repair pm/icd lead dual
|
$6,358.44 |
$6,358.44 |
$6,358.44 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$6,358.44 |
$6,358.44 |
$6,358.44 |
$4,339.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$568.26 |
$568.26 |
$568.26 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$988.02 |
$988.02 |
$988.02 |
$1,224.63
|
|
Replace aortic valve open axillry 33363
|
$13,473.90 |
$13,473.90 |
$13,473.90 |
$17,009.00
|
|
Replace aortic valve open femoral 33362
|
$13,473.90 |
$13,473.90 |
$13,473.90 |
$15,454.40
|
|
Replace aortic valve open iliac 33364
|
$13,473.90 |
$13,473.90 |
$13,473.90 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$19,462.74 |
$19,462.74 |
$19,462.74 |
$14,593.50
|
|
Replace aortic valve w/byp open aprch 33368
|
$2,638.68 |
$2,638.68 |
$2,638.68 |
$2,638.68
|
|
Replace aortic valve w/byp prq aprch 33367
|
$2,638.68 |
$2,638.68 |
$2,638.68 |
$3,088.80
|
|
Replace duod/jej tube perc
|
$665.00 |
$1,364.88 |
$1,364.88 |
$1,354.54
|
|
Replace g/c tube perc
|
$665.00 |
$2,228.82 |
$2,228.82 |
$1,341.50
|
|
Replace g-j tube perc
|
$560.00 |
$1,250.04 |
$1,250.04 |
$1,498.53
|
|
Replace tunneled cv cath
|
$2,555.00 |
$2,728.44 |
$2,728.44 |
$3,724.63
|
|
Reposition pm/icd lead
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$3,790.00
|
|
Reposition vad w/image rt/lt sep session
|
$7,152.42 |
$7,152.42 |
$7,152.42 |
$1,863.40
|
|
Repos lv lead pm/icd
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$3,724.63
|
|
Repos sq defib eltrd
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,297.60
|
|
Reptilase test
|
$108.90 |
$108.90 |
$108.90 |
$72.00
|
|
Respirator motion mgmt simul
|
$582.12 |
$582.12 |
$2,120.00 |
$1,197.50
|
|
#resp virpnl dfa-adenovirus
|
$75.24 |
$75.24 |
$75.24 |
$45.80
|
|
#resp virpnl dfa-parainfluenza
|
$75.24 |
$75.24 |
$75.24 |
$35.20
|
|
Resuscitation cardiopulmonary
|
$601.92 |
$601.92 |
$1,225.00 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$515.00 |
$515.00 |
$755.70 |
$780.42
|
|
Reticulated platelet assay
|
$75.00 |
$178.86 |
$178.86 |
$75.00
|
|
Reticulocyte automated
|
$30.36 |
$30.36 |
$30.36 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$47.50 |
$47.50 |
$47.50 |
$36.57
|
|
Revasc intra lithotrip-ather
|
$20,739.84 |
$20,739.84 |
$20,739.84 |
$19,624.54
|
|
Revasc intra lithotrip-stent
|
$12,420.00 |
$20,739.84 |
$20,739.84 |
$20,329.50
|
|
Revasc intravasc lithotripsy
|
$7,455.00 |
$13,098.36 |
$13,098.36 |
$11,320.00
|
|
Revasc lithotr-ather tib/per
|
$18,078.06 |
$18,078.06 |
$18,078.06 |
$19,875.58
|
|
Revasc lithotrip-stent-ather
|
$20,739.84 |
$20,739.84 |
$20,739.84 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$7,914.72 |
$7,914.72 |
$7,914.72 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$18,078.06 |
$18,078.06 |
$18,078.06 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$18,078.06 |
$18,078.06 |
$18,078.06 |
$19,385.85
|
|
Revision of cervix
|
$2,165.00 |
$2,165.00 |
$2,165.00 |
$3,854.76
|
|
Revision open av fistula without thromb
|
$6,243.60 |
$6,243.60 |
$6,243.60 |
$8,037.35
|
|
Revision tips
|
$8,940.00 |
$10,876.14 |
$10,876.14 |
$9,879.50
|
|
Revsc opn/prq tib/pero stent
|
$3,320.00 |
$6,666.00 |
$6,666.00 |
$8,869.59
|
|
Rf abltj nrv nrvtg si jt
|
$1,660.00 |
$3,262.38 |
$3,262.38 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$42.24 |
$42.24 |
$42.24 |
$57.20
|
|
Rheumatoid factor quantitative
|
$38.94 |
$38.94 |
$57.50 |
$57.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$12.50 |
$12.50 |
$37.28 |
$243.11
|
|
Rho d immune globulin inj
|
$94.94 |
$94.94 |
$207.50 |
$217.71
|
|
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr
|
$0.84 |
$0.84 |
$0.84 |
$455.01
|
|
Ring fx reform 11-13x17mm
|
$1,313.25 |
$1,313.25 |
$1,313.25 |
$1,509.75
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$34.39 |
$34.39 |
$37.08 |
$30,071.50
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$208.51 |
$208.51 |
$290.56 |
$9,301.22
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$88.65 |
$88.65 |
$88.65 |
$15,057.18
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$131.31 |
$131.31 |
$261.91 |
$5,343.99
|
|
Rituximab-arrx 10 mg/ml intravenous solution
|
$93.19 |
$93.19 |
$93.19 |
$6,287.16
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$236.84 |
$236.84 |
$236.84 |
$5,309.20
|
|
Rmv implant contraceptive capsule 11976
|
$1,223.64 |
$1,223.64 |
$1,223.64 |
$846.42
|
|
Rmvl fecal impaction/fb spx under anes
|
$2,226.18 |
$2,226.18 |
$2,226.18 |
$2,093.02
|
|
Rmvl icd by tv extr
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$11,482.68 |
$11,482.68 |
$11,482.68 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,016.32 |
$15,016.32 |
$15,016.32 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$11,482.68 |
$11,482.68 |
$11,482.68 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$427.50 |
$1,285.02 |
$1,285.02 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$2,544.96 |
$2,544.96 |
$2,544.96 |
$6,094.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$7,155.06 |
$7,155.06 |
$7,155.06 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,592.28 |
$4,592.28 |
$4,592.28 |
$10,542.00
|
|
Rmvl pq iabp
|
$2,075.70 |
$2,075.70 |
$2,075.70 |
$1,008.04
|
|
Rmvl pq vad left hrt vein sep session
|
$4,422.00 |
$4,422.00 |
$4,422.00 |
$2,407.50
|
|
Rmvl sq defib electrode
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$1,197.24 |
$1,197.24 |
$1,197.24 |
$1,734.00
|
|
Rmvl tongs/halo anthr indiv
|
$115.00 |
$115.00 |
$460.68 |
$441.68
|
|
Rmvl tv pm lead dual
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$4,203.54 |
$4,203.54 |
$4,203.54 |
$4,031.69
|
|
Romiplostim 125 mcg subcutaneous solution
|
$13,736.42 |
$13,736.42 |
$13,736.42 |
$8,950.11
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$24.29 |
$24.29 |
$24.29 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.71 |
$0.71 |
$0.73 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$1,125.00 |
$2,373.36 |
$2,373.36 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$1,310.00 |
$1,310.00 |
$1,535.82 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,650.00 |
$1,791.90 |
$1,791.90 |
$2,542.20
|
|
Rp loclzj tum spect w/ct 2
|
$2,026.20 |
$2,026.20 |
$2,180.00 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$910.00 |
$2,175.36 |
$2,175.36 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$2,905.00 |
$5,536.74 |
$5,536.74 |
$4,647.04
|
|
Rpl tun cvc wo subq port
|
$2,245.00 |
$3,657.72 |
$3,657.72 |
$3,687.00
|
|
Rsv assay w/optic
|
$99.00 |
$99.00 |
$105.00 |
$79.38
|
|
Rtm 1st set-up&pt educaj eqp
|
$70.00 |
$70.00 |
$70.00 |
$177.66
|
|
Rtm dev sply mscskl 16-30 d
|
$115.00 |
$115.00 |
$115.00 |
$90.40
|
|
Rtm dev sply resp sys 16-30d
|
$115.00 |
$115.00 |
$115.00 |
$67.80
|
|
Rubella antibody igg
|
$80.00 |
$99.00 |
$99.00 |
$77.03
|
|
Rubeola antibody igg
|
$80.00 |
$89.10 |
$89.10 |
$80.00
|
|
Russell viper venom diluted
|
$68.64 |
$68.64 |
$87.50 |
$72.54
|
