|
Remove/graft foot lesion
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,807.24
|
|
Remove/graft foot lesion
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,907.11
|
|
Remove/graft forearm lesion
|
$9,105.60 |
$9,105.60 |
$9,105.60 |
$2,915.20
|
|
Remove/graft forearm lesion
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,499.12
|
|
Remove/graft hip bone lesion
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$8,412.89
|
|
Remove/graft leg bone lesion
|
$13,148.80 |
$13,148.80 |
$13,148.80 |
$7,907.11
|
|
Remove/graft leg bone lesion
|
$13,148.80 |
$13,148.80 |
$13,148.80 |
$7,807.24
|
|
Remove & graft wrist lesion
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$6,384.00
|
|
Remove & graft wrist lesion
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Remove groin lymph nodes
|
$11,312.00 |
$11,312.00 |
$11,312.00 |
$7,218.34
|
|
Remove hand bone lesion
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$2,416.05
|
|
Remove hip bone les deep
|
$9,105.60 |
$9,105.60 |
$9,105.60 |
$3,987.20
|
|
Remove hip bone les super
|
$7,588.00 |
$7,588.00 |
$7,588.00 |
$6,839.00
|
|
Remove hip foreign body 27086
|
$4,681.60 |
$4,681.60 |
$4,681.60 |
$2,094.26
|
|
Remove hip/pelvis lesion 27047
|
$4,844.00 |
$4,844.00 |
$4,844.00 |
$3,386.84
|
|
Remove humerus lesion
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$6,839.00
|
|
Remove humerus lesion
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Remove implant of eye
|
$7,330.40 |
$7,330.40 |
$7,330.40 |
$3,173.34
|
|
Remove in/ex hem groups 2+
|
$7,268.80 |
$7,268.80 |
$7,268.80 |
$4,185.98
|
|
Remove in/ex hem grp & fiss 46257
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$6,400.80 |
$6,400.80 |
$6,400.80 |
$3,245.23
|
|
Remove inner ear
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Remove inner ear lesion
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Remove inner ear & mastoid
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,590.27
|
|
Remove intact mammary implant
|
$8,775.20 |
$8,775.20 |
$8,775.20 |
$4,662.00
|
|
Remove int/ext hem 1 group
|
$10,057.60 |
$10,057.60 |
$10,057.60 |
$3,816.64
|
|
Remove iris and lesion
|
$8,013.60 |
$8,013.60 |
$8,013.60 |
$4,760.49
|
|
Remove jaw joint cartilage
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Remove knee cyst
|
$5,000.80 |
$5,000.80 |
$5,000.80 |
$3,839.54
|
|
Remove knee joint lining
|
$10,712.80 |
$10,712.80 |
$10,712.80 |
$3,839.54
|
|
Remove knee joint lining
|
$11,177.60 |
$11,177.60 |
$11,177.60 |
$5,419.00
|
|
Remove lamina/facets lumbar
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,807.24
|
|
Remove limb nerve lesion
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$2,161.44
|
|
Remove lower leg bone lesion
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Remove mandible cyst complex
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.09
|
|
Remove mastoid air cells
|
$6,736.80 |
$6,736.80 |
$6,736.80 |
$6,547.81
|
|
Remove mastoid structures
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,000.36
|
|
Remove maxilla cyst complex
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Remove middle ear nerve
|
$7,352.80 |
$7,352.80 |
$7,352.80 |
$4,067.20
|
|
Remove muti-comp penis pros
|
$9,856.00 |
$9,856.00 |
$9,856.00 |
$4,081.37
|
|
Remove nasal foreign body
|
$7,190.40 |
$7,190.40 |
$7,190.40 |
$3,786.00
|
|
Remove nasal foreign body
|
$4,065.60 |
$4,065.60 |
$4,065.60 |
$3,062.80
|
|
Remove nerve lesion
|
$6,003.20 |
$6,003.20 |
$6,003.20 |
$2,685.07
|
|
Remove part lumbar vertebra
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$8,429.28
|
|
Remove part of neck vertebra
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,304.17
|
|
Remove pilonidal cyst compl
|
$7,716.80 |
$7,716.80 |
$7,716.80 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$8,472.80 |
$8,472.80 |
$8,472.80 |
$3,444.42
|
|
Remove prostate regrowth
|
$17,600.80 |
$17,600.80 |
$17,600.80 |
$6,015.75
|
|
Remove renal tube w/fluoro
|
$2,710.40 |
$2,710.40 |
$2,710.40 |
$1,141.31
|
|
Remove/repair hearing aid
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$4,457.98
|
|
Remove/replace penis prosth
|
$29,596.00 |
$29,596.00 |
$29,596.00 |
$22,279.50
|
|
Remove/replace ur sphincter
|
$36,904.00 |
$36,904.00 |
$36,904.00 |
$16,482.71
|
|
Remove/revise male sling
|
$5,163.20 |
$5,163.20 |
$5,163.20 |
$5,339.00
|
|
Remove sacrum pressure sore close 15936
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$2,984.90
|
|
Remove sciatic nerve lesion
|
$10,444.00 |
$10,444.00 |
$10,444.00 |
$7,282.24
|
|
Remove self-contd penis pros
|
$9,856.00 |
$9,856.00 |
$9,856.00 |
$4,081.37
|
|
Remove shoulder blade lesion
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Remove shoulder fb deep
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$1,788.80
|
|
Remove skin nerve lesion
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$7,106.40 |
$7,106.40 |
$7,106.40 |
$2,310.83
|
|
Remove sperm pouch lesion
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,081.37
|
|
Remove spinal canal catheter 62355
|
$7,963.20 |
$7,963.20 |
$7,963.20 |
$2,300.50
|
|
Remove spinal cord lesion
|
$5,924.80 |
$5,924.80 |
$5,924.80 |
$2,685.07
|
|
Remove spinal lamina add-on 63048
|
$13,518.40 |
$13,518.40 |
$13,518.40 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$6,736.80 |
$6,736.80 |
$6,736.80 |
$3,325.40
|
|
Remove spine eltrd plate
|
$10,236.80 |
$10,236.80 |
$10,236.80 |
$4,069.59
|
|
Remove spine infusion device
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,166.63
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$5,855.00
|
|
Remove spine lamina 1/2 crvl
|
$16,559.20 |
$16,559.20 |
$16,559.20 |
$8,453.60
|
|
Remove spine lamina 1/2 lmbr
|
$19,465.60 |
$19,465.60 |
$19,465.60 |
$8,453.60
|
|
Remove spine lamina 1/2 scrl
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$6,731.17
|
|
Remove spine lamina 1/2 thrc
|
$19,465.60 |
$19,465.60 |
$19,465.60 |
$8,453.60
|
|
Remove spine lamina >2 lmbr
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,412.89
|
|
Remove spine lamina >2 thrc
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,807.24
|
|
Remove stent via transureth
|
$5,465.60 |
$5,465.60 |
$5,465.60 |
$3,332.80
|
|
Remove sympathetic nerves
|
$5,924.80 |
$5,924.80 |
$5,924.80 |
$4,350.00
|
|
Remove sympathetic nerves
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Remove sympathetic nerves
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Remove tear gland lesion
|
$6,238.40 |
$6,238.40 |
$6,238.40 |
$4,627.00
|
|
Remove tear gland lesion
|
$8,562.40 |
$8,562.40 |
$8,562.40 |
$5,741.00
|
|
Remove thyroid duct lesion
|
$16,251.20 |
$16,251.20 |
$16,251.20 |
$5,346.18
|
|
Remove thyroid duct lesion
|
$13,540.80 |
$13,540.80 |
$13,540.80 |
$6,904.15
|
|
Remove thyroid lesion 60200
|
$14,509.60 |
$14,509.60 |
$14,509.60 |
$5,822.89
|
|
Remove tonsils and adenoids
|
$10,634.40 |
$10,634.40 |
$10,634.40 |
$6,465.11
|
|
Remove tonsils and adenoids
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$3,786.00
|
|
Remove/transplant tendon
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$5,023.20
|
|
Remove ureter calculus
|
$9,744.00 |
$9,744.00 |
$9,744.00 |
$4,081.37
|
|
Remove ureter stent percut
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$3,612.60
|
|
Remove uro sphincter
|
$12,751.20 |
$12,751.20 |
$12,751.20 |
$5,631.74
|
|
Remove vaginal foreign body 57415
|
$8,758.40 |
$8,758.40 |
$8,758.40 |
$3,762.53
|
|
Remove vagina tissue part
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$4,883.20
|
|
Remove vagus n eltrd
|
$11,922.40 |
$11,922.40 |
$11,922.40 |
$6,663.02
|
|
Remove vc lesion scope/graft
|
$9,195.20 |
$9,195.20 |
$9,195.20 |
$7,662.21
|
|
Remove vc lesion w/scope 31545
|
$8,696.80 |
$8,696.80 |
$8,696.80 |
$4,362.99
|
|
Remove ventilating tube
|
$9,144.80 |
$9,144.80 |
$9,144.80 |
$3,819.23
|
|
Remove windpipe lesion
|
$7,756.00 |
$7,756.00 |
$7,756.00 |
$6,523.41
|
