|
Rmvl fecal impaction/fb spx under anes
|
$237.44 |
$2,226.18 |
$3,711.83 |
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$140.98 |
$3,025.55 |
$8,856.88 |
|
|
Rmvl i-artic rx delivery dev 20705
|
$103.88 |
$103.88 |
$103.88 |
|
|
Rmvl icd by tv extr
|
$2,292.40 |
$4,203.54 |
$8,483.20 |
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$11,482.68 |
$22,564.30 |
$82,202.91 |
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,016.32 |
$23,558.70 |
$82,202.91 |
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$11,482.68 |
$18,979.40 |
$82,202.91 |
|
|
Rmvl icd pulse gen only
|
$1,978.35 |
$3,916.70 |
$6,463.88 |
|
|
Rmvl imed rx delivery device
|
$86.92 |
$86.92 |
$86.92 |
|
|
Rmvl left heart vent thor inscn ecmo
|
$4,283.20 |
$4,283.20 |
$4,283.20 |
|
|
Rmvl lung xcp tot pneumonectomy sleeve lob 32486
|
$10,354.40 |
$10,354.40 |
$10,354.40 |
|
|
Rmvl ndwellg tun pleural cath
|
$382.47 |
$489.72 |
$1,909.74 |
|
|
Rmvl ninfct mesh hernia rpr 49623
|
$324.90 |
$324.90 |
$732.80 |
|
|
Rmvl perm pm pulse gen
|
$2,544.96 |
$5,414.75 |
$16,097.94 |
|
|
Rmvl perq right heart vad
|
$203.50 |
$1,784.51 |
$36,651.00 |
|
|
Rmvl phrnc nrv stim pg only
|
$768.80 |
$768.80 |
$5,080.00 |
|
|
Rmvl phrnc nrv stim sys
|
$1,432.00 |
$1,432.00 |
$1,432.00 |
|
|
Rmvl phrnc nrv stim transvns
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$6,551.60 |
$14,434.20 |
$40,351.44 |
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$4,592.28 |
$6,991.76 |
$22,427.09 |
|
|
Rmvl pq iabp
|
$960.30 |
$2,075.70 |
$5,040.30 |
|
|
Rmvl pq vad left hrt vein sep session
|
$2,225.85 |
$5,040.30 |
$36,651.00 |
|
|
Rmvl prosthhumrl&ulnar cmpnt
|
$6,351.20 |
$6,351.20 |
$6,351.20 |
|
|
Rmvl sq defib electrode
|
$305.25 |
$2,952.10 |
$11,065.52 |
|
|
Rmvl subq card rhythm mntr
|
$744.15 |
$1,197.24 |
$3,857.34 |
|
|
Rmvl tiss expndr without implant insrtn
|
$4,203.20 |
$4,203.20 |
$4,203.20 |
|
|
Rmvl tongs/halo anthr indiv
|
$115.00 |
$115.00 |
$460.68 |
|
|
Rmvl tot arthrp 1ntrspc crv
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
|
|
Rmvl tot arthrp 1ntrspc lmbr
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
|
|
Rmvl tv pm lead dual
|
$1,855.15 |
$4,203.54 |
$5,423.53 |
|
|
Rmvl tv pm lead sgl
|
$2,152.70 |
$3,378.75 |
$5,165.26 |
|
|
Rmv prosth mat/mesh/abd wall/infec 11008
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
|
|
Rmv&rplcmt phrnc nrv stim ld
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
|
|
Rmv&rplcmt phrnc nrv stim pg
|
$1,380.80 |
$1,380.80 |
$8,215.00 |
|
|
Rmv sk-mnt crnl nstm pg/rcvr
|
$3,263.20 |
$3,263.20 |
$3,263.20 |
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$80.90 |
$80.90 |
$501.76 |
|
|
Romiplostim 125 mcg subcutaneous solution
|
$17.36 |
$27.79 |
$13,736.42 |
|
|
Romiplostim injection
|
$90.10 |
$90.10 |
$90.10 |
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$12.00 |
$24.29 |
$5,298.88 |
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$0.33 |
$0.73 |
$586.54 |
|
|
Rotavirus antibody
|
$29.68 |
$29.68 |
$29.68 |
|
|
Rozanolixizumab-noli 140 mg/ml subcutaneous solution
|
$34.70 |
$34.70 |
$34.70 |
|
|
Rplcmt oi implt skl prq esp
|
$9,672.00 |
$9,672.00 |
$9,672.00 |
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$333.85 |
$1,125.00 |
$3,815.16 |
|
|
Rp loclzj tum 2+area 1+d img
|
$782.10 |
$1,310.00 |
$1,783.45 |
|
|
Rp loclzj tum spect w/ct 1
|
$1,338.70 |
$1,791.90 |
$4,701.69 |
|
|
Rp loclzj tum spect w/ct 2
|
$1,975.60 |
$2,180.00 |
$5,333.97 |
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$910.00 |
$1,322.88 |
$2,991.93 |
|
|
Rpl tun-cvad w subq port
|
$661.77 |
$3,557.95 |
$7,530.00 |
|
|
Rpl tun-cvad w subq pump
|
$2,074.42 |
$2,074.42 |
$2,074.42 |
|
|
Rpl tun cvc wo subq port
|
$2,086.08 |
$2,245.00 |
$6,740.49 |
|
|
Rpr aa hrn 1st > 10 ncr/strn
|
$2,259.20 |
$2,259.20 |
$2,259.20 |
|
|
Rpr aa hrn 1st > 10 rdc
|
$1,205.55 |
$1,205.55 |
$1,700.80 |
|
|
Rpr aa hrn 1st 3-10 ncr/strn
|
$1,164.51 |
$1,164.51 |
$1,644.80 |
|
|
Rpr aa hrn 1st 3-10 rdc
|
$887.49 |
$887.49 |
$1,264.00 |
|
|
Rpr aa hrn 1st < 3 cm rdc
|
$515.85 |
$515.85 |
$1,257.60 |
|
|
Rpr aa hrn 1st < 3 ncr/strn
|
$731.31 |
$731.31 |
$1,748.00 |
|
|
Rpr aa hrn rcr > 10 ncr/strn
|
$2,736.80 |
$2,736.80 |
$2,736.80 |
|
|
Rpr aa hrn rcr > 10 rdc
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
|
|
Rpr aa hrn rcr 3-10 ncr/strn
|
$1,893.60 |
$1,893.60 |
$1,893.60 |
|
|
Rpr aa hrn rcr 3-10 rdc
|
$991.23 |
$991.23 |
$1,411.20 |
|
|
Rpr aa hrn rcr < 3 ncr/strn
|
$886.92 |
$886.92 |
$1,260.80 |
|
|
Rpr aa hrn rcr < 3 rdc
|
$642.39 |
$642.39 |
$1,551.20 |
|
|
Rpr blood vsl grf oth vein lo ex
|
$7,199.20 |
$7,199.20 |
$7,199.20 |
|
|
Rpr choanal atresia ntranasl
|
$3,452.00 |
$3,452.00 |
$3,452.00 |
|
|
Rpr choanal atresia trsnpltn
|
$4,185.60 |
$4,185.60 |
$4,185.60 |
|
|
Rpr diaphragm hernia/chronic/not neonate 39541
|
$7,708.80 |
$7,708.80 |
$7,708.80 |
|
|
Rpr fem hernia init blocked
|
$1,126.32 |
$1,126.32 |
$5,808.00 |
|
|
Rpr hypopl a-arch w/byp
|
$19,964.00 |
$19,964.00 |
$19,964.00 |
|
|
Rpr hypopl a-arch wo byp
|
$15,014.40 |
$15,014.40 |
$15,014.40 |
|
|
Rpr hypspad comp simple
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
|
|
Rpr ing hernia baby reduc
|
$2,064.80 |
$2,064.80 |
$2,064.80 |
|
|
Rpr ing hernia init reduce
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
|
|
Rpr parastomal hernia rdc 49621
|
$1,649.60 |
$1,649.60 |
$1,649.60 |
|
|
Rpr parastomal hrna ncr/strn 49622
|
$2,036.80 |
$2,036.80 |
$2,036.80 |
|
|
Rsect hip tum incl femur
|
$15,161.60 |
$15,161.60 |
$15,161.60 |
|
|
Rsv assay w/optic
|
$29.07 |
$103.20 |
$127.60 |
|
|
Rtm 1st set-up&pt educaj eqp
|
$70.00 |
$70.00 |
$70.00 |
|
|
Rtm dev sply cbt 16-30 d
|
$72.50 |
$72.50 |
$72.50 |
|
|
Rtm dev sply mscskl 16-30 d
|
$115.00 |
$115.00 |
$115.00 |
|
|
Rtm dev sply resp sys 16-30d
|
$115.00 |
$115.00 |
$115.00 |
|
|
Rubella antibody igg
|
$35.34 |
$80.00 |
$330.00 |
|
|
Rubeola antibody igg
|
$50.35 |
$80.00 |
$176.54 |
|
|
Russell viper venom diluted
|
$19.38 |
$87.50 |
$162.77 |
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$51.67 |
$76.92 |
$92.21 |
|
|
Sacroiliac Joint X-ray (3 or more views)
|
$60.99 |
$322.50 |
$601.04 |
|
|
Salivary gland function exam
|
$1,267.38 |
$1,267.38 |
$1,267.38 |
|
|
Salivary glnd img serial img
|
$649.00 |
$1,023.66 |
$1,206.70 |
|
|
Salmonella antibody
|
$25.44 |
$27.50 |
$66.00 |
|
|
Same day nb discharge 99463
|
$227.43 |
$227.43 |
$466.40 |
|
|
Sargramostim injection
|
$55.12 |
$55.12 |
$55.12 |
|
|
Sarscov coronavirus ag ia
|
$37.50 |
$55.55 |
$144.65 |
|
|
Sarscov & inf vir a&b ag ia
|
$52.50 |
$52.50 |
$204.00 |
|
|
S bowel endoscope w/stent
|
$1,801.60 |
$1,801.60 |
$1,801.60 |
|
|
Sbsq ic vlbw inf<1,500 gm
|
$384.18 |
$384.18 |
$384.18 |
|
|
Sbsq nurs facil care/day unstabl/new prob 35 min 99310
|
$215.46 |
$215.46 |
$372.80 |
|
|
Sbsq nursing facil care/day minor complj 15 min
|
$215.20 |
$215.20 |
$215.20 |
|
|
Sbsq nursing facil care/day new problem 25 min
|
$161.31 |
$161.31 |
$278.40 |
|
|
Sbsq nursing facility care/day e/m stable 10 min
|
$67.84 |
$67.84 |
$140.80 |
|
|
Sbsq psyc collab care mgmt
|
$536.00 |
$536.00 |
$536.00 |
|
