|
Remove in/ex hem grp & fiss 46257
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$1,666.60 |
$1,666.60 |
$1,666.60 |
$3,245.23
|
|
Remove inner ear
|
$3,220.10 |
$3,220.10 |
$3,220.10 |
$6,465.11
|
|
Remove inner ear lesion
|
$8,426.60 |
$8,426.60 |
$8,426.60 |
$7,000.36
|
|
Remove intact mammary implant
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$4,662.00
|
|
Remove int/ext hem 1 group
|
$1,385.80 |
$1,385.80 |
$1,385.80 |
$3,891.00
|
|
Remove knee cyst
|
$1,749.80 |
$1,749.80 |
$1,749.80 |
$3,839.54
|
|
Remove knee joint lining
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$3,839.54
|
|
Remove lower leg bone lesion
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$3,839.54
|
|
Remove mandible cyst complex
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$6,465.11
|
|
Remove maxilla cyst complex
|
$3,824.60 |
$3,824.60 |
$3,824.60 |
$6,465.11
|
|
Remove muti-comp penis pros
|
$3,351.40 |
$3,351.40 |
$3,351.40 |
$4,081.37
|
|
Remove part of neck vertebra
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$2,502.40
|
|
Remove pilonidal cyst compl
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$1,742.00 |
$1,742.00 |
$1,742.00 |
$3,564.80
|
|
Remove pituit tumor w/scope
|
$6,039.80 |
$6,039.80 |
$6,039.80 |
$3,663.20
|
|
Remove prostate regrowth
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$5,986.78
|
|
Remove renal tube w/fluoro
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,172.80
|
|
Remove/replace penis prosth
|
$3,946.80 |
$3,946.80 |
$3,946.80 |
$22,279.50
|
|
Remove/replace ur sphincter
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$16,482.71
|
|
Remove self-contd penis pros
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$4,081.37
|
|
Remove skin nerve lesion
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$2,310.83
|
|
Remove skull plate/flap 62142
|
$3,075.80 |
$3,075.80 |
$3,075.80 |
$1,644.60
|
|
Remove spinal canal catheter 62355
|
$923.00 |
$923.00 |
$923.00 |
$2,300.50
|
|
Remove spinal lamina add-on 63048
|
$992.55 |
$992.55 |
$992.55 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$3,537.36
|
|
Remove spine eltrd plate
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$4,069.59
|
|
Remove spine fixation device
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$1,760.80
|
|
Remove spine fixation device
|
$2,436.20 |
$2,436.20 |
$2,436.20 |
$1,692.00
|
|
Remove spine infusion device
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$7,166.63
|
|
Remove stent via transureth
|
$793.00 |
$793.00 |
$793.00 |
$3,398.00
|
|
Remove thyroid duct lesion
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$6,311.00
|
|
Remove thyroid lesion 60200
|
$2,605.20 |
$2,605.20 |
$2,605.20 |
$5,822.89
|
|
Remove ureter stent percut
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,742.31
|
|
Remove uro sphincter
|
$2,865.20 |
$2,865.20 |
$2,865.20 |
$5,626.86
|
|
Remove vert bodycerv 63081
|
$6,786.00 |
$6,786.00 |
$6,786.00 |
$3,662.40
|
|
Remove vert body dcmprn thrc
|
$7,662.20 |
$7,662.20 |
$7,662.20 |
$4,624.80
|
|
Remove vert body dcmprn thrc
|
$8,866.00 |
$8,866.00 |
$8,866.00 |
$5,534.40
|
|
Remove vert xdrl body thrc
|
$8,208.20 |
$8,208.20 |
$8,208.20 |
$3,344.09
|
|
Remove windpipe lesion
|
$4,294.55 |
$4,294.55 |
$4,294.55 |
$6,465.11
|
|
Remove wrist tendon lesion
|
$917.80 |
$917.80 |
$917.80 |
$3,248.19
|
|
Remvl peritoneal fb frm cavity
|
$3,663.40 |
$3,663.40 |
$3,663.40 |
$4,156.03
|
|
Remv/repl penis contain pros
|
$3,140.80 |
$3,140.80 |
$3,140.80 |
$22,279.50
|
|
Renal cyst study s&i
|
$154.70 |
$154.70 |
$154.70 |
$751.34
|
|
Renal function panel
|
$93.60 |
$93.60 |
$93.60 |
$113.52
|
|
Renal venogram bil s&i
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,615.28
|
|
Reopen fallopian tube
|
$275.60 |
$275.60 |
$275.60 |
$6,653.00
|
|
Reopening of recent laparotomy 49002
|
$4,583.80 |
$4,583.80 |
$4,583.80 |
$2,484.00
|
|
Repair achilles tendon
|
$2,394.60 |
$2,394.60 |
$2,394.60 |
$7,906.00
|
|
Repair anorectal fist w/plug
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$3,812.76
|
|
Repair artery w/tunnel
|
$9,984.00 |
$9,984.00 |
$9,984.00 |
$2,901.59
|
|
Repair biceps tendon
|
$2,644.20 |
$2,644.20 |
$2,644.20 |
$7,502.40
|
|
Repair bladder defect
|
$3,469.05 |
$3,469.05 |
$3,469.05 |
$6,311.00
|
|
Repair bladder & vagina
|
$3,328.00 |
$3,328.00 |
$3,328.00 |
$8,192.12
|
|
Repair bladder/vagina lesion
|
$3,803.80 |
$3,803.80 |
$3,803.80 |
$2,080.80
|
|
Repair blood vess/direct/intra/abd 35221
|
$6,921.20 |
$6,921.20 |
$6,921.20 |
$1,602.50
|
|
Repair blood vessel dir lower extr
|
$3,978.00 |
$3,978.00 |
$3,978.00 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,051.32
|
|
Repair bowel-bladder fistula 44660
|
$6,682.65 |
$6,682.65 |
$6,682.65 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$7,111.00 |
$7,111.00 |
$7,111.00 |
$2,664.80
|
|
Repair bowel fistula 44650
|
$6,531.20 |
$6,531.20 |
$6,531.20 |
$1,558.00
|
|
Repair brow defect
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$2,820.92
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,059.20
|
|
Repair corporeal tear
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$2,990.00
|
|
Repair dental ellis ii fx
|
$676.65 |
$676.65 |
$676.65 |
$442.48
|
|
Repair elbow perc
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$4,160.00
|
|
Repair elbow w/deb open
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$3,839.54
|
|
Repair esophagus opening
|
$4,362.80 |
$4,362.80 |
$4,362.80 |
$3,837.72
|
|
Repair extns tendon finger without grft ea
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,353.50
|
|
Repair eyelid defect
|
$975.00 |
$975.00 |
$975.00 |
$2,760.73
|
|
Repair eyelid defect
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$2,760.73
|
|
Repair foot dislocation
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$7,907.11
|
|
Repair/graft kneecap tendon
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$5,855.00
|
|
Repair/graft of thigh muscle
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$5,943.97
|
|
Repair heart wound w/bypass 33305
|
$20,001.80 |
$20,001.80 |
$20,001.80 |
$17,708.60
|
|
Repair humerus with graft
|
$3,897.40 |
$3,897.40 |
$3,897.40 |
$9,791.00
|
|
Repair ing hernia sliding
|
$2,321.80 |
$2,321.80 |
$2,321.80 |
$3,856.84
|
|
Repair lac palate<2 cm
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$780.65
|
|
Repair laminectomy defect
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$482.70
|
|
Repair lip full thkns =<one-half vert height
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$1,928.07
|
|
Repair lung hernia 32800
|
$4,084.60 |
$4,084.60 |
$4,084.60 |
$2,303.20
|
|
Repair major blood vessel(s) without bypass 33320
|
$4,820.40 |
$4,820.40 |
$4,820.40 |
$2,071.80
|
|
Repair multi-comp penis pros
|
$3,616.60 |
$3,616.60 |
$3,616.60 |
$6,015.75
|
|
Repair nerve add-on 64832
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$2,386.86
|
|
Repair of bowel lesion
|
$5,740.80 |
$5,740.80 |
$5,740.80 |
$2,006.40
|
|
Repair of circumcision
|
$863.20 |
$863.20 |
$863.20 |
$3,316.80
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$3,619.45
|
|
Repair of facial nerve
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$6,588.00
|
|
Repair of facial nerve
|
$4,183.40 |
$4,183.40 |
$4,183.40 |
$5,855.00
|
|
Repair of heart damage
|
$14,835.60 |
$14,835.60 |
$14,835.60 |
$4,353.24
|
|
Repair of heart defects incplt/prtl without av valve 33660
|
$9,103.25 |
$9,103.25 |
$9,103.25 |
$3,557.40
|
|
Repair of humerus
|
$3,965.00 |
$3,965.00 |
$3,965.00 |
$6,588.00
|
|
Repair of kneecap tendon
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$6,311.00
|
|
Repair of metatarsals
|
$2,217.80 |
$2,217.80 |
$2,217.80 |
$6,512.80
|
|
Repair of mitral valve w/bypass 33425
|
$12,989.60 |
$12,989.60 |
$12,989.60 |
$6,668.80
|
