|
Revision of scrotum
|
$8,228.75 |
$8,228.75 |
$8,228.75 |
$4,081.37
|
|
Revision of thigh muscles
|
$7,868.00 |
$7,868.00 |
$7,868.00 |
$6,834.58
|
|
Revision of tricuspid valve
|
$21,909.60 |
$21,909.60 |
$21,909.60 |
$3,465.62
|
|
Revision of tricuspid valve w/bypass 33460
|
$16,232.00 |
$16,232.00 |
$16,232.00 |
$5,873.60
|
|
Revision of ulna
|
$6,276.80 |
$6,276.80 |
$6,276.80 |
$5,376.00
|
|
Revision of unstable kneecap
|
$9,387.20 |
$9,387.20 |
$9,387.20 |
$7,112.94
|
|
Revision of upper arm
|
$11,488.80 |
$11,488.80 |
$11,488.80 |
$13,116.76
|
|
Revision open av fistula without thromb
|
$16,988.59 |
$16,988.59 |
$16,988.59 |
$8,319.20
|
|
Revision orbitofacial bones
|
$10,451.20 |
$10,451.20 |
$10,451.20 |
$6,547.81
|
|
Revision tips
|
$14,012.35 |
$14,012.35 |
$14,012.35 |
$10,358.00
|
|
Revis reconst shoulder joint
|
$14,838.40 |
$14,838.40 |
$14,838.40 |
$10,629.07
|
|
Revis reconst shoulder joint
|
$16,029.60 |
$16,029.60 |
$16,029.60 |
$7,841.60
|
|
Revj fem anast autog vn grf
|
$8,519.20 |
$8,519.20 |
$8,519.20 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$8,519.20 |
$8,519.20 |
$8,519.20 |
$6,396.89
|
|
Revj mstdc rsltg compl mstdc
|
$4,988.80 |
$4,988.80 |
$4,988.80 |
$6,966.64
|
|
Revj mstdc rsltg tympanplsty
|
$7,787.20 |
$7,787.20 |
$7,787.20 |
$6,547.81
|
|
Rev mastoidectomy rsltg modf rad mstdc 69602
|
$7,787.20 |
$7,787.20 |
$7,787.20 |
$6,966.64
|
|
Rev-rem impl neurostim gen-rec
|
$3,950.40 |
$3,950.40 |
$3,950.40 |
$4,534.00
|
|
Rev rplcm arthrp 1ntrspc crv
|
$10,944.80 |
$10,944.80 |
$10,944.80 |
$5,440.80
|
|
Rev rplcm rthrp 1ntrspc lmbr
|
$10,944.80 |
$10,944.80 |
$10,944.80 |
$17,913.59
|
|
Rev/rplcmt sk-mnt crnl nstm
|
$2,353.60 |
$2,353.60 |
$2,353.60 |
$23,756.52
|
|
Rev rplc/rmv thrc vrt tethrg
|
$5,028.80 |
$5,028.80 |
$5,028.80 |
$5,033.60
|
|
Revsc opn/prq tib/pero stent
|
$5,058.90 |
$5,058.90 |
$20,427.30 |
$9,196.55
|
|
Rezafungin 200 mg intravenous solution
|
$16.74 |
$16.74 |
$16.74 |
$4,987.55
|
|
Rheumatoid factor qualitative
|
$72.80 |
$72.80 |
$74.25 |
$57.07
|
|
Rheumatoid factor quantitative
|
$26.95 |
$26.95 |
$82.60 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$4,704.80 |
$4,704.80 |
$4,704.80 |
$4,256.00
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$22.77 |
$22.77 |
$22.77 |
$234.12
|
|
Rho d immune globulin 50 mcg
|
$117.76 |
$117.76 |
$117.76 |
$106.14
|
|
Rho(d) immune globulin h, sd
|
$63.98 |
$63.98 |
$63.98 |
$3,228.05
|
|
Rho d immune globulin inj
|
$643.72 |
$643.72 |
$643.72 |
$217.71
|
|
Rhythm ecg with report
|
$209.60 |
$209.60 |
$209.60 |
$28.00
|
|
Rib and Chest X-ray (3 views, left side)
|
$519.20 |
$519.20 |
$675.44 |
$360.85
|
|
Rib and Chest X-ray (4 or more views, both sides)
|
$519.75 |
$519.75 |
$925.86 |
$491.70
|
|
Rib cartilage graft
|
$4,912.00 |
$4,912.00 |
$4,912.00 |
$6,547.81
|
|
Rib X-ray (3 views, both sides)
|
$485.10 |
$485.10 |
$675.44 |
$397.10
|
|
Right ventric recording
|
$754.05 |
$754.05 |
$1,391.20 |
$2,187.60
|
|
Risankizumab-rzaa 60 mg/ml intravenous solution
|
$26.76 |
$26.76 |
$26.76 |
$30,071.50
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$21.59 |
$21.59 |
$21.59 |
$2,429.37
|
|
Rituximab 10 mg/ml concentrate,intravenous
|
$145.61 |
$145.61 |
$145.61 |
$9,301.22
|
|
Rituximab-abbs 10 mg/ml intravenous solution
|
$135.53 |
$135.53 |
$135.53 |
$5,004.42
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$113.63 |
$113.63 |
$113.63 |
$5,309.20
|
|
Rmv anterior spine instrumentation 22855
|
$5,474.40 |
$5,474.40 |
$5,474.40 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$342.40 |
$342.40 |
$342.40 |
$846.42
|
|
Rmvl ext fixj sys under anes
|
$1,668.80 |
$1,668.80 |
$1,668.80 |
$2,797.08
|
|
Rmvl fb upr arm/elbow deep
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$3,648.96
|
|
Rmvl fecal impaction/fb spx under anes
|
$3,711.83 |
$3,711.83 |
$3,711.83 |
$2,111.46
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$4,785.00 |
$4,785.00 |
$4,785.00 |
$1,876.00
|
|
Rmvl icd by tv extr
|
$3,339.60 |
$3,339.60 |
$8,483.20 |
$4,375.80
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$19,228.00 |
$19,228.00 |
$82,202.91 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$21,668.35 |
$21,668.35 |
$82,202.91 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$14,456.20 |
$14,456.20 |
$82,202.91 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,978.35 |
$1,978.35 |
$5,389.16 |
$4,069.52
|
|
Rmvl left heart vent thor inscn ecmo
|
$4,283.20 |
$4,283.20 |
$4,283.20 |
$1,086.60
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$10,354.40 |
$10,354.40 |
$10,354.40 |
$5,736.80
|
|
Rmvl ndwellg tun pleural cath
|
$1,688.50 |
$1,688.50 |
$1,909.74 |
$1,172.40
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$732.80 |
$732.80 |
$732.80 |
$470.40
|
|
Rmvl perm pm pulse gen
|
$5,033.05 |
$5,033.05 |
$5,423.53 |
$6,097.00
|
|
Rmvl perq right heart vad
|
$203.50 |
$203.50 |
$203.50 |
$1,745.00
|
|
Rmvl phrnc nrv stim pg only
|
$768.80 |
$768.80 |
$768.80 |
$4,551.75
|
|
Rmvl phrnc nrv stim sys
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
$5,339.00
|
|
Rmvl phrnc nrv stim transvns
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
$6,014.40
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$13,059.75 |
$13,059.75 |
$24,578.93 |
$15,399.00
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$6,865.10 |
$6,865.10 |
$22,427.09 |
$10,542.00
|
|
Rmvl pq iabp
|
$1,787.50 |
$1,787.50 |
$3,696.40 |
$1,000.62
|
|
Rmvl pq vad left hrt vein sep session
|
$2,225.85 |
$2,225.85 |
$7,513.99 |
$2,542.65
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,351.20 |
$6,351.20 |
$6,351.20 |
$5,810.00
|
|
Rmvl sq defib electrode
|
$3,339.60 |
$3,339.60 |
$11,065.52 |
$4,189.80
|
|
Rmvl subq card rhythm mntr
|
$744.15 |
$744.15 |
$2,348.65 |
$1,758.00
|
|
Rmvl tiss expndr without implant insrtn
|
$4,203.20 |
$4,203.20 |
$4,203.20 |
$3,832.40
|
|
Rmvl tot arthrp 1ntrspc crv
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
$4,511.76
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
$7,413.38
|
|
Rmvl tv pm lead dual
|
$3,224.10 |
$3,224.10 |
$5,423.53 |
$4,219.88
|
|
Rmvl tv pm lead sgl
|
$3,224.10 |
$3,224.10 |
$5,165.26 |
$4,276.80
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
$521.40
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
$15,792.75
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$1,380.80 |
$1,380.80 |
$1,380.80 |
$36,000.00
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$3,263.20 |
$3,263.20 |
$3,263.20 |
$4,355.20
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17.36 |
$17.36 |
$17.36 |
$8,935.57
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12.00 |
$12.00 |
$12.00 |
$4,820.04
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.94 |
$0.94 |
$0.94 |
$188.16
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$34.70 |
$34.70 |
$34.70 |
$15,007.16
|
|
Rplcmt oi implt skl prq esp
|
$9,672.00 |
$9,672.00 |
$9,672.00 |
$7,907.11
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$939.95 |
$939.95 |
$3,815.16 |
$2,217.76
|
|
Rp loclzj tum 2+area 1+d img
|
$1,462.61 |
$1,462.61 |
$1,462.61 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$1,338.70 |
$1,338.70 |
$4,701.69 |
$2,573.55
|
|
Rp loclzj tum spect w/ct 2
|
$1,975.60 |
$1,975.60 |
$5,333.97 |
$3,186.00
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$1,146.75 |
$1,146.75 |
$1,775.12 |
$2,175.36
|
|
Rpl tun-cvad w subq port
|
$3,684.45 |
$3,684.45 |
$7,530.00 |
$4,819.80
|
|
Rpl tun cvc wo subq port
|
$2,544.85 |
$2,544.85 |
$6,740.49 |
$3,724.63
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$2,259.20 |
$2,259.20 |
$2,259.20 |
$1,982.40
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,700.80 |
$1,700.80 |
$1,700.80 |
$5,855.00
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,644.80 |
$1,644.80 |
$1,644.80 |
$6,904.15
|
|
Rpr aa hrn 1st 3-10 rdc
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$7,383.87
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$4,500.75
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$6,904.15
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,736.80 |
$2,736.80 |
$2,736.80 |
$2,402.40
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,719.20
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,893.60 |
$1,893.60 |
$1,893.60 |
$1,663.20
|
|
Rpr aa hrn rcr 3-10 rdc
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$6,856.20
|
