|
Remove hip/pelvis lesion 27047
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$3,386.84
|
|
Remove humerus lesion
|
$3,736.00 |
$3,736.00 |
$3,736.00 |
$5,855.00
|
|
Remove humerus lesion
|
$3,627.20 |
$3,627.20 |
$3,627.20 |
$7,913.97
|
|
Remove implant of eye
|
$3,921.60 |
$3,921.60 |
$3,921.60 |
$3,204.00
|
|
Remove in/ex hem groups 2+
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$4,185.98
|
|
Remove in/ex hem grp & fiss 46257
|
$1,055.20 |
$1,055.20 |
$1,055.20 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$1,382.40 |
$1,382.40 |
$1,382.40 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$1,155.20 |
$1,155.20 |
$1,155.20 |
$3,245.23
|
|
Remove inguinofem lymph nodes 38765
|
$6,412.80 |
$6,412.80 |
$6,412.80 |
$2,452.20
|
|
Remove inner ear
|
$4,494.40 |
$4,494.40 |
$4,494.40 |
$6,465.11
|
|
Remove inner ear lesion
|
$10,539.20 |
$10,539.20 |
$10,539.20 |
$7,000.36
|
|
Remove inner ear & mastoid
|
$4,924.80 |
$4,924.80 |
$4,924.80 |
$6,590.27
|
|
Remove intact mammary implant
|
$2,467.20 |
$2,467.20 |
$2,467.20 |
$4,662.00
|
|
Remove int/ext hem 1 group
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$3,891.00
|
|
Remove intracorporeal device
|
$4,345.60 |
$4,345.60 |
$4,345.60 |
$4,345.60
|
|
Remove iris and lesion
|
$4,304.00 |
$4,304.00 |
$4,304.00 |
$4,760.49
|
|
Remove jaw joint cartilage
|
$4,008.00 |
$4,008.00 |
$4,008.00 |
$6,553.49
|
|
Remove kidney living donor
|
$7,352.00 |
$7,352.00 |
$7,352.00 |
$7,352.00
|
|
Remove knee cyst
|
$2,590.40 |
$2,590.40 |
$2,590.40 |
$3,839.54
|
|
Remove knee joint lining
|
$3,366.40 |
$3,366.40 |
$3,366.40 |
$3,839.54
|
|
Remove knee joint lining
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$5,886.74
|
|
Remove lamina/facets lumbar
|
$2,853.60 |
$2,853.60 |
$2,853.60 |
$7,688.90
|
|
Remove limb nerve lesion
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$2,163.32
|
|
Remove lower leg bone lesion
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$3,839.54
|
|
Remove lung artery emboli 33910
|
$6,490.40 |
$6,490.40 |
$6,490.40 |
$6,490.40
|
|
Remove lung foreign body
|
$2,446.40 |
$2,446.40 |
$2,446.40 |
$2,446.40
|
|
Remove lung pneumonectomy 32440
|
$3,815.20 |
$3,815.20 |
$3,815.20 |
$3,815.20
|
|
Remove mandible cyst complex
|
$2,628.80 |
$2,628.80 |
$2,628.80 |
$6,465.11
|
|
Remove mastoid air cells
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$6,547.81
|
|
Remove mastoid structures
|
$5,902.40 |
$5,902.40 |
$5,902.40 |
$7,000.36
|
|
Remove maxilla cyst complex
|
$2,666.40 |
$2,666.40 |
$2,666.40 |
$6,465.11
|
|
Remove middle ear nerve
|
$4,067.20 |
$4,067.20 |
$4,067.20 |
$4,067.20
|
|
Remove muti-comp penis pros
|
$1,845.60 |
$1,845.60 |
$1,845.60 |
$4,081.37
|
|
Remove nasal foreign body
|
$500.00 |
$500.00 |
$500.00 |
$3,837.72
|
|
Remove nasal foreign body
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$3,062.80
|
|
Remove nerve lesion
|
$1,801.60 |
$1,801.60 |
$1,801.60 |
$2,761.20
|
|
Remove part lumbar vertebra
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$8,412.89
|
|
Remove part of neck vertebra
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$7,304.17
|
|
Remove part of neck vertebra
|
$2,502.40 |
$2,502.40 |
$2,502.40 |
$2,502.40
|
|
Remove part thorax vertebra
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$2,640.00
|
|
Remove pelvis lymph nodes 38770
|
$4,028.80 |
$4,028.80 |
$4,028.80 |
$1,366.40
|
|
Remove penis & nodes
|
$3,015.20 |
$3,015.20 |
$3,015.20 |
$3,015.20
|
|
Remove pilonidal cyst compl
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
$3,564.80
|
|
Remove pituit tumor w/scope
|
$3,663.20 |
$3,663.20 |
$3,663.20 |
$3,663.20
|
|
Remove prostate regrowth
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$5,986.78
|
|
Remove rectum w/reservoir
|
$4,801.60 |
$4,801.60 |
$4,801.60 |
$4,801.60
|
|
Remove renal tube w/fluoro
|
$1,833.60 |
$1,833.60 |
$1,833.60 |
$1,185.00
|
|
Remove/repair hearing aid
|
$4,150.40 |
$4,150.40 |
$4,150.40 |
$4,457.98
|
|
Remove/replace penis prosth
|
$2,172.80 |
$2,172.80 |
$2,172.80 |
$22,279.50
|
|
Remove/replace ur sphincter
|
$2,039.20 |
$2,039.20 |
$2,039.20 |
$16,482.71
|
|
Remove/revise male sling
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$5,163.20
|
|
Remove sacrum pressure sore close 15936
|
$2,211.20 |
$2,211.20 |
$2,211.20 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$2,861.10
|
|
Remove sciatic nerve lesion
|
$4,908.80 |
$4,908.80 |
$4,908.80 |
$6,998.88
|
|
Remove self-contd penis pros
|
$1,333.60 |
$1,333.60 |
$1,333.60 |
$4,081.37
|
|
Remove shoulder blade lesion
|
$2,788.80 |
$2,788.80 |
$2,788.80 |
$3,839.54
|
|
Remove shoulder fb deep
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$1,412.80 |
$1,412.80 |
$1,412.80 |
$1,788.80
|
|
Remove skin nerve lesion
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$987.20 |
$987.20 |
$987.20 |
$2,310.83
|
|
Remove sperm duct pouch
|
$3,624.00 |
$3,624.00 |
$3,624.00 |
$3,624.00
|
|
Remove sperm pouch lesion
|
$1,745.60 |
$1,745.60 |
$1,745.60 |
$4,081.37
|
|
Remove spinal canal catheter 62355
|
$2,274.30 |
$2,274.30 |
$2,274.30 |
$2,300.50
|
|
Remove spinal cord lesion
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$2,563.20
|
|
Remove spinal lamina add-on 63048
|
$508.00 |
$508.00 |
$508.00 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$2,882.60 |
$2,882.60 |
$2,882.60 |
$3,636.18
|
|
Remove spine eltrd plate
|
$2,008.80 |
$2,008.80 |
$2,008.80 |
$4,069.59
|
|
Remove spine fixation device
|
$1,760.80 |
$1,760.80 |
$1,760.80 |
$1,760.80
|
|
Remove spine fixation device
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,692.00
|
|
Remove spine infusion device
|
$716.80 |
$716.80 |
$716.80 |
$7,166.63
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$3,508.80 |
$3,508.80 |
$3,508.80 |
$5,741.00
|
|
Remove spine lamina 1/2 crvl
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
$8,453.60
|
|
Remove spine lamina 1/2 lmbr
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$8,453.60
|
|
Remove spine lamina 1/2 scrl
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$6,731.17
|
|
Remove spine lamina 1/2 thrc
|
$2,944.00 |
$2,944.00 |
$2,944.00 |
$8,412.89
|
|
Remove spine lamina >2 lmbr
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
$8,388.71
|
|
Remove spine lamina >2 thrc
|
$3,621.60 |
$3,621.60 |
$3,621.60 |
$6,996.90
|
|
Remove stent via transureth
|
$3,622.40 |
$3,622.40 |
$3,622.40 |
$3,398.00
|
|
Remove sympathetic nerves
|
$5,571.20 |
$5,571.20 |
$5,571.20 |
$4,136.60
|
|
Remove sympathetic nerves
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$3,839.54
|
|
Remove sympathetic nerves
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$3,839.54
|
|
Remove tear gland lesion
|
$4,737.60 |
$4,737.60 |
$4,737.60 |
$3,986.00
|
|
Remove tear gland lesion
|
$5,849.60 |
$5,849.60 |
$5,849.60 |
$5,405.82
|
|
Remove thyroid duct lesion
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$6,311.00
|
|
Remove thyroid duct lesion
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$6,870.89
|
|
Remove thyroid lesion 60200
|
$1,633.60 |
$1,633.60 |
$1,633.60 |
$5,822.89
|
|
Remove tonsils and adenoids
|
$715.20 |
$715.20 |
$715.20 |
$6,966.64
|
|
Remove tonsils and adenoids
|
$746.40 |
$746.40 |
$746.40 |
$3,837.72
|
|
Remove/transplant tendon
|
$3,721.60 |
$3,721.60 |
$3,721.60 |
$5,023.20
|
|
Remove/tx lung lesions 32141
|
$3,712.00 |
$3,712.00 |
$3,712.00 |
$3,712.00
|
|
Remove ureter calculus
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$4,081.37
|
|
Remove ureter stent percut
|
$4,406.40 |
$4,406.40 |
$4,406.40 |
$3,640.89
|
|
Remove uro sphincter
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$5,626.86
|
|
Remove vaginal foreign body 57415
|
$2,959.22 |
$2,959.22 |
$2,959.22 |
$3,762.53
|
|
Remove vagina tissue part
|
$3,590.40 |
$3,590.40 |
$3,590.40 |
$4,627.00
|
|
Remove vagus n eltrd
|
$3,448.00 |
$3,448.00 |
$3,448.00 |
$6,663.02
|
|
Remove vc lesion scope/graft
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$7,662.21
|
|
Remove vc lesion w/scope 31545
|
$1,795.20 |
$1,795.20 |
$1,795.20 |
$4,362.99
|
