|
Rcnstj mdfc lefort iii w/i
|
$13,478.40 |
$13,478.40 |
$13,478.40 |
$6,048.05
|
|
Rcnstj mdfc lefort iii without i
|
$11,712.00 |
$11,712.00 |
$11,712.00 |
$6,048.05
|
|
Rcnstj mdfc lefrtii w/b1 grf
|
$10,828.00 |
$10,828.00 |
$10,828.00 |
$6,048.05
|
|
Rcnst mdfc lfrtiii advm w/i
|
$17,678.40 |
$17,678.40 |
$17,678.40 |
$6,048.05
|
|
Rcnst mdfc lfrtiii advm wo i
|
$15,909.60 |
$15,909.60 |
$15,909.60 |
$6,048.05
|
|
Rdctj forehead cntrg only
|
$3,802.40 |
$3,802.40 |
$3,802.40 |
$3,837.72
|
|
Rdctj forehead cntrg&prostc
|
$4,973.60 |
$4,973.60 |
$4,973.60 |
$6,547.81
|
|
Rdctj forehead cntrg&setback
|
$5,307.20 |
$5,307.20 |
$5,307.20 |
$6,839.00
|
|
Realignment of knee
|
$7,072.00 |
$7,072.00 |
$7,072.00 |
$4,732.80
|
|
Realignment of knee
|
$6,939.20 |
$6,939.20 |
$6,939.20 |
$4,681.60
|
|
Realignment of thigh bone
|
$9,551.20 |
$9,551.20 |
$9,551.20 |
$7,413.38
|
|
Rebuild eardrum structures
|
$7,764.80 |
$7,764.80 |
$7,764.80 |
$6,839.00
|
|
Rebuild eardrum structures
|
$8,404.00 |
$8,404.00 |
$8,404.00 |
$6,547.81
|
|
Rebuild eardrum structures
|
$6,145.60 |
$6,145.60 |
$6,145.60 |
$6,771.20
|
|
Rebuild outer ear canal
|
$6,116.00 |
$6,116.00 |
$6,116.00 |
$6,017.08
|
|
Rebuild outer ear canal
|
$6,632.00 |
$6,632.00 |
$6,632.00 |
$7,000.36
|
|
Rechanneling of artery
|
$15,350.40 |
$15,350.40 |
$15,350.40 |
$2,697.60
|
|
Rechanneling of artery
|
$3,364.80 |
$3,364.80 |
$3,364.80 |
$495.50
|
|
Rechanneling of artery
|
$14,253.60 |
$14,253.60 |
$14,253.60 |
$2,213.55
|
|
Rechanneling of artery
|
$17,544.80 |
$17,544.80 |
$17,544.80 |
$1,800.00
|
|
Rechanneling of artery 35305
|
$12,061.60 |
$12,061.60 |
$12,061.60 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$13,160.80 |
$13,160.80 |
$13,160.80 |
$4,439.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$12,170.40 |
$12,170.40 |
$12,170.40 |
$6,219.20
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$14,253.60 |
$14,253.60 |
$14,253.60 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$10,173.90 |
$10,173.90 |
$10,173.90 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$12,061.60 |
$12,061.60 |
$12,061.60 |
$3,143.32
|
|
Recon, cta for surg plan
|
$2,456.85 |
$2,456.85 |
$2,456.85 |
$596.19
|
|
Reconst lwr jaw w/fixation
|
$8,398.40 |
$8,398.40 |
$8,398.40 |
$5,339.00
|
|
Reconst lwr jaw w/graft
|
$9,326.40 |
$9,326.40 |
$9,326.40 |
$6,547.81
|
|
Reconst lwr jaw without fixation
|
$7,956.80 |
$7,956.80 |
$7,956.80 |
$6,547.81
|
|
Reconst lwr jaw without graft
|
$6,631.20 |
$6,631.20 |
$6,631.20 |
$6,547.81
|
|
Reconst major injured chest 32820
|
$8,866.40 |
$8,866.40 |
$8,866.40 |
$3,236.80
|
|
Reconst pectus excavatum/carinatum opn 21740
|
$7,932.80 |
$7,932.80 |
$7,932.80 |
$2,510.40
|
|
Reconstr lwr jaw segment
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$6,547.81
|
|
Reconstr lwr jaw w/advance
|
$4,648.80 |
$4,648.80 |
$4,648.80 |
$4,349.80
|
|
Reconstruct ankle joint
|
$6,887.20 |
$6,887.20 |
$6,887.20 |
$4,881.00
|
|
Reconstruct cleft palate
|
$7,089.60 |
$7,089.60 |
$7,089.60 |
$5,493.56
|
|
Reconstruct cleft palate
|
$7,452.00 |
$7,452.00 |
$7,452.00 |
$4,558.89
|
|
Reconstruct cleft palate
|
$9,392.80 |
$9,392.80 |
$9,392.80 |
$6,523.41
|
|
Reconstruct cleft palate
|
$9,088.00 |
$9,088.00 |
$9,088.00 |
$6,547.81
|
|
Reconstruct cleft palate
|
$6,968.00 |
$6,968.00 |
$6,968.00 |
$6,547.81
|
|
Reconstruct cleft palate
|
$6,060.00 |
$6,060.00 |
$6,060.00 |
$6,547.81
|
|
Reconstruct cranial bone
|
$9,906.40 |
$9,906.40 |
$9,906.40 |
$6,048.05
|
|
Reconstruct cranial bone
|
$9,944.80 |
$9,944.80 |
$9,944.80 |
$6,048.05
|
|
Reconstruct cranial bone
|
$10,456.00 |
$10,456.00 |
$10,456.00 |
$6,048.05
|
|
Reconstruct elbow joint
|
$9,808.00 |
$9,808.00 |
$9,808.00 |
$7,807.24
|
|
Reconstruct elbow joint
|
$11,540.00 |
$11,540.00 |
$11,540.00 |
$20,355.21
|
|
Reconstruct elbow joint
|
$11,540.00 |
$11,540.00 |
$11,540.00 |
$14,241.77
|
|
Reconstruct elbow lat ligmnt
|
$9,408.00 |
$9,408.00 |
$9,408.00 |
$7,907.11
|
|
Reconstruct elbow med ligmnt
|
$10,385.60 |
$10,385.60 |
$10,385.60 |
$10,385.60
|
|
Reconstruct extra finger
|
$5,555.50 |
$5,555.50 |
$5,555.50 |
$3,591.33
|
|
Reconstruct head of radius
|
$5,194.40 |
$5,194.40 |
$5,194.40 |
$11,148.00
|
|
Reconstruct head of radius
|
$6,351.20 |
$6,351.20 |
$6,351.20 |
$9,878.40
|
|
Reconstruction knee
|
$7,575.20 |
$7,575.20 |
$7,575.20 |
$7,222.25
|
|
Reconstruction of hip socket
|
$9,486.40 |
$9,486.40 |
$9,486.40 |
$13,116.76
|
|
Reconstruction of hip socket
|
$8,103.20 |
$8,103.20 |
$8,103.20 |
$2,710.40
|
|
Reconstruction of jaw
|
$5,750.40 |
$5,750.40 |
$5,750.40 |
$6,547.81
|
|
Reconstruction of jaw
|
$6,794.40 |
$6,794.40 |
$6,794.40 |
$6,547.81
|
|
Reconstruction of jaw
|
$5,541.60 |
$5,541.60 |
$5,541.60 |
$6,839.00
|
|
Reconstruction of jaw
|
$7,525.60 |
$7,525.60 |
$7,525.60 |
$6,720.89
|
|
Reconstruction of jaw joint
|
$10,348.80 |
$10,348.80 |
$10,348.80 |
$7,000.36
|
|
Reconstruction of jaw joint
|
$9,249.60 |
$9,249.60 |
$9,249.60 |
$6,839.00
|
|
Reconstruction of jaw joint
|
$12,385.60 |
$12,385.60 |
$12,385.60 |
$15,372.00
|
|
Reconstruction of lower jaw
|
$5,750.40 |
$5,750.40 |
$5,750.40 |
$6,523.41
|
|
Reconstruction of midface
|
$7,736.80 |
$7,736.80 |
$7,736.80 |
$6,048.05
|
|
Reconstruction of nose
|
$5,227.20 |
$5,227.20 |
$5,227.20 |
$5,925.35
|
|
Reconstruction of nose
|
$6,935.20 |
$6,935.20 |
$6,935.20 |
$6,966.64
|
|
Reconstruction of orbit
|
$18,812.80 |
$18,812.80 |
$18,812.80 |
$6,547.81
|
|
Reconstruction of throat
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
$6,553.49
|
|
Reconstruction of urethra
|
$4,602.40 |
$4,602.40 |
$4,602.40 |
$6,015.75
|
|
Reconstruction of urethra
|
$5,316.80 |
$5,316.80 |
$5,316.80 |
$2,856.00
|
|
Reconstruction of urethra
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$4,627.96
|
|
Reconstruction tongue fold
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$2,866.40
|
|
Reconstruct larynx & pharynx
|
$8,512.00 |
$8,512.00 |
$8,512.00 |
$3,677.66
|
|
Reconstruct lip with flap
|
$3,497.60 |
$3,497.60 |
$3,497.60 |
$6,553.49
|
|
Reconstruct lip w/local flap 40525
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$3,837.72
|
|
Reconstruct lower jaw bone
|
$11,288.80 |
$11,288.80 |
$11,288.80 |
$6,547.81
|
|
Reconstruct lower jaw bone
|
$12,385.60 |
$12,385.60 |
$12,385.60 |
$6,048.05
|
|
Reconstruct orbit/forehead
|
$10,721.60 |
$10,721.60 |
$10,721.60 |
$6,553.49
|
|
Reconstruct shoulder joint
|
$19,166.40 |
$19,166.40 |
$19,166.40 |
$10,771.50
|
|
Reconstruct shoulder joint
|
$25,300.00 |
$25,300.00 |
$25,300.00 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$9,688.80 |
$9,688.80 |
$9,688.80 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$5,525.60 |
$5,525.60 |
$5,525.60 |
$6,215.99
|
|
Rectal sensation test
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$508.04
|
|
Red blood cells each unit
|
$389.40 |
$389.40 |
$389.40 |
$393.90
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$238.15 |
$238.15 |
$238.15 |
$748.34
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$305.25 |
$305.25 |
$305.25 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$339.90 |
$339.90 |
$792.38 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$287.65 |
$287.65 |
$287.65 |
$535.00
|
|
Red blood cells washed each unit
|
$217.25 |
$217.25 |
$848.47 |
$583.68
|
|
Red cell mass single
|
$626.45 |
$626.45 |
$626.45 |
$545.61
|
|
Redo endovas vena cava filtr
|
$5,348.20 |
$5,348.20 |
$8,969.60 |
$4,582.08
|
|
Reduce bowel obstruction 44050
|
$3,627.20 |
$3,627.20 |
$3,627.20 |
$1,681.47
|
|
Reduce testis torsion
|
$5,644.00 |
$5,644.00 |
$5,644.00 |
$4,129.78
|
|
Reduction of facial bones
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$6,547.81
|
|
Re-exploration of chest 32120
|
$6,024.80 |
$6,024.80 |
$6,024.80 |
$1,912.02
|
|
Re-explore parathyroids
|
$6,444.80 |
$6,444.80 |
$6,444.80 |
$6,444.80
|
|
Refill maint impl spine pump
|
$1,839.52 |
$1,839.52 |
$1,839.52 |
$366.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$120.61 |
$120.61 |
$120.61 |
$357.91
|
|
Reimplant artery each 35697
|
$457.60 |
$457.60 |
$457.60 |
$360.80
|
