|
Removal clot in graft oth/thn 35875
|
$4,099.68 |
$4,099.68 |
$4,099.68 |
$5,803.50
|
|
Removal clot in graft xcp 35876
|
$4,099.68 |
$4,099.68 |
$4,099.68 |
$5,988.54
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$266.40 |
$266.40 |
$266.40 |
$245.60
|
|
Removal duct glbldr calculi
|
$4,519.20 |
$4,519.20 |
$4,519.20 |
$2,946.00
|
|
Removal embedded foreign body vestibule mouth smpl
|
$710.40 |
$710.40 |
$710.40 |
$899.85
|
|
Removal foreign body extrn auditory canal with anes
|
$4,164.96 |
$4,164.96 |
$4,164.96 |
$2,271.01
|
|
Removal foreign body foot cmplx
|
$2,412.48 |
$2,412.48 |
$2,412.48 |
$2,412.48
|
|
Removal foreign body foot subcutaneous right
|
$2,823.84 |
$2,823.84 |
$2,823.84 |
$1,256.00
|
|
Removal foreign body gum 41805
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$2,301.60
|
|
Removal foreign body mouth
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$1,375.15
|
|
Removal implant from finger/hand 26320
|
$4,824.00 |
$4,824.00 |
$4,824.00 |
$2,112.60
|
|
Removal implant superficial separate procedure
|
$2,412.48 |
$2,412.48 |
$2,412.48 |
$2,945.80
|
|
Removal of anal tags
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,402.97
|
|
Removal of foreign body
|
$6,353.28 |
$6,353.28 |
$6,353.28 |
$4,149.00
|
|
Removal of hip foreign body 27087
|
$6,826.08 |
$6,826.08 |
$6,826.08 |
$4,499.12
|
|
Removal of implant deep
|
$6,971.52 |
$6,971.52 |
$6,971.52 |
$3,813.70
|
|
Removal of scrotum lesion
|
$4,371.84 |
$4,371.84 |
$4,371.84 |
$2,507.31
|
|
Removal of skin tags each add'l 10
|
$420.48 |
$420.48 |
$420.48 |
$138.45
|
|
Removal/replacement ppm generator dual lead system
|
$17,990.88 |
$17,990.88 |
$17,990.88 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$968.16 |
$968.16 |
$968.16 |
$303.80
|
|
Removal sutr and stapl no anes
|
$27.84 |
$27.84 |
$27.84 |
$73.66
|
|
Removal sutr or stapl no anes
|
$32.16 |
$32.16 |
$32.16 |
$85.18
|
|
Removal sutr/staple req anes
|
$5,083.20 |
$5,083.20 |
$5,083.20 |
$2,164.64
|
|
Removal tunnled intprtnl cath
|
$5,387.04 |
$5,387.04 |
$5,387.04 |
$4,293.90
|
|
Remove anal fist inter
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,619.14
|
|
Remove anal fist subq
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,417.12
|
|
Remove cva lumen obstruct
|
$802.56 |
$802.56 |
$802.56 |
$494.00
|
|
Remove ear canal lesion(s)
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,334.38
|
|
Remove ext hem groups 2+
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,316.74
|
|
Remove eyelid lesion
|
$886.56 |
$886.56 |
$886.56 |
$496.50
|
|
Remove foreign body from eye
|
$5,737.44 |
$5,737.44 |
$5,737.44 |
$3,433.80
|
|
Remove hand bone lesion
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$1,919.13
|
|
Remove hip foreign body 27086
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,127.88
|
|
Remove intact mammary implant
|
$2,216.64 |
$2,216.64 |
$2,216.64 |
$4,531.42
|
|
Remove int/ext hem 1 group
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,638.59
|
|
Remove lower leg bone lesion
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,839.54
|
|
Remove nasal foreign body
|
$5,524.32 |
$5,524.32 |
$5,524.32 |
$3,837.72
|
|
Remove nasal foreign body
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$2,706.60
|
|
Remove pilonidal cyst compl
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,386.84
|
|
Remove renal tube w/fluoro
|
$780.48 |
$780.48 |
$780.48 |
$1,281.75
|
|
Remove shoulder fb deep
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,370.52
|
|
Remove shoulder foreign body subq 23330
|
$2,412.48 |
$2,412.48 |
$2,412.48 |
$1,917.33
|
|
Remove spine eltrd perq aray
|
$1,158.72 |
$1,158.72 |
$1,158.72 |
$2,882.60
|
|
Remove stent via transureth
|
$4,379.04 |
$4,379.04 |
$4,379.04 |
$3,332.80
|
|
Remove ureter stent percut
|
$4,236.48 |
$4,236.48 |
$4,236.48 |
$3,525.30
|
|
Remove vaginal foreign body 57415
|
$4,723.68 |
$4,723.68 |
$4,723.68 |
$3,762.53
|
|
Remove wrist tendon lesion
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$2,211.05
|
|
Remvl peritoneal fb frm cavity
|
$2,284.32 |
$2,284.32 |
$2,284.32 |
$4,516.05
|
|
Renal function panel
|
$59.04 |
$59.04 |
$59.04 |
$110.10
|
|
Renal venogram bil s&i
|
$2,565.12 |
$2,565.12 |
$2,565.12 |
$3,615.28
|
|
Repair achilles tendon
|
$4,265.28 |
$4,265.28 |
$4,265.28 |
$7,233.80
|
|
Repair arm/leg nerve
|
$3,984.00 |
$3,984.00 |
$3,984.00 |
$5,339.00
|
|
Repair av fistula ext 35190
|
$2,596.32 |
$2,596.32 |
$2,596.32 |
$5,907.78
|
|
Repair blood ves direct neck 35201
|
$2,596.32 |
$2,596.32 |
$2,596.32 |
$5,413.25
|
|
Repair blood vessel direct hand finger
|
$2,011.68 |
$2,011.68 |
$2,011.68 |
$4,083.20
|
|
Repair blood vessel dir lower extr
|
$907.20 |
$907.20 |
$907.20 |
$1,788.00
|
|
Repair blood vessel dir upper extr
|
$3,861.12 |
$3,861.12 |
$3,861.12 |
$4,255.67
|
|
Repair blood vessel lesion
|
$2,596.32 |
$2,596.32 |
$2,596.32 |
$5,988.54
|
|
Repair cardiac wound without bypass
|
$4,224.48 |
$4,224.48 |
$4,224.48 |
$7,369.60
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$1,193.40
|
|
Repair dental ellis ii fx
|
$487.20 |
$487.20 |
$487.20 |
$432.55
|
|
Repair extns tendon finger without grft ea
|
$5,680.80 |
$5,680.80 |
$5,680.80 |
$2,702.15
|
|
Repair eyelid wound
|
$5,249.28 |
$5,249.28 |
$5,249.28 |
$2,917.20
|
|
Repair eyelid wound
|
$4,687.68 |
$4,687.68 |
$4,687.68 |
$3,254.34
|
|
Repair finger/hand tendon
|
$7,858.08 |
$7,858.08 |
$7,858.08 |
$4,108.00
|
|
Repair finger/hand tendon
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,958.50
|
|
Repair finger/hand tendon
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,842.58
|
|
Repair finger tendon
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,752.25
|
|
Repair forearm tendon/muscle sec 25263
|
$4,258.08 |
$4,258.08 |
$4,258.08 |
$5,855.00
|
|
Repair/graft achilles tendon
|
$4,265.28 |
$4,265.28 |
$4,265.28 |
$8,453.60
|
|
Repair/graft hand tendon
|
$5,935.68 |
$5,935.68 |
$5,935.68 |
$3,931.20
|
|
Repair hand joint
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,839.54
|
|
Repair lac palate<2 cm
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$686.89
|
|
Repair lip full thkns =<one-half vert height
|
$2,576.64 |
$2,576.64 |
$2,576.64 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,576.64 |
$2,576.64 |
$2,576.64 |
$1,928.07
|
|
Repair major blood vessel(s) without bypass 33320
|
$4,224.48 |
$4,224.48 |
$4,224.48 |
$2,412.90
|
|
Repair muscles of hand
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,839.54
|
|
Repair of ankle ligament
|
$4,258.08 |
$4,258.08 |
$4,258.08 |
$7,807.24
|
|
Repair of body cast
|
$324.48 |
$324.48 |
$324.48 |
$203.20
|
|
Repair of digit nerve hand/foot 1 nerve
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$3,702.07
|
|
Repair of eye socket wound
|
$2,250.72 |
$2,250.72 |
$2,250.72 |
$4,456.89
|
|
Repair of eye wound
|
$4,632.48 |
$4,632.48 |
$4,632.48 |
$2,747.43
|
|
Repair of foot tendon
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,839.54
|
|
Repair of kneecap tendon
|
$4,258.08 |
$4,258.08 |
$4,258.08 |
$6,311.00
|
|
Repair of nasal septum
|
$4,803.84 |
$4,803.84 |
$4,803.84 |
$3,837.72
|
|
Repair of rectum
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,316.74
|
|
Repair of toe dislocation
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,821.05
|
|
Repair palate
|
$7,573.92 |
$7,573.92 |
$7,573.92 |
$6,966.64
|
|
Repair pm/icd lead sgl
|
$2,988.48 |
$2,988.48 |
$2,988.48 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,809.60 |
$1,809.60 |
$1,809.60 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$2,576.64 |
$2,576.64 |
$2,576.64 |
$1,268.80
|
|
Repair tendon extensor foot 1/2 each tendon
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$9,699.36 |
$9,699.36 |
$9,699.36 |
$4,627.00
|
|
Repair throat wound
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$1,955.10
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$1,029.12 |
$1,029.12 |
$1,029.12 |
$504.12
|
|
Repair upper arm/elbow tendon/muscle ea
|
$4,258.08 |
$4,258.08 |
$4,258.08 |
$8,293.50
|
|
Repair vagina/perineum
|
$4,107.36 |
$4,107.36 |
$4,107.36 |
$3,986.00
|
|
Replace aortic valve open axillry 33363
|
$12,599.52 |
$12,599.52 |
$12,599.52 |
$18,333.90
|
|
Replace duod/jej tube perc
|
$2,188.32 |
$2,188.32 |
$2,188.32 |
$1,383.00
|
