|
Remove bladder/create pouch
|
$5,948.80 |
$5,948.80 |
$5,948.80 |
$5,948.80
|
|
Remove bladder/revise tract
|
$4,885.60 |
$4,885.60 |
$4,885.60 |
$4,885.60
|
|
Remove bladder/revise tract
|
$5,532.00 |
$5,532.00 |
$5,532.00 |
$5,532.00
|
|
Remove bladder stone
|
$2,152.00 |
$2,152.00 |
$2,152.00 |
$4,881.00
|
|
Remove bladder stone
|
$1,197.60 |
$1,197.60 |
$1,197.60 |
$5,741.00
|
|
Remove blood clot from eye
|
$3,179.20 |
$3,179.20 |
$3,179.20 |
$3,179.20
|
|
Remove brain canal fluid
|
$214.40 |
$214.40 |
$214.40 |
$859.60
|
|
Remove brain cavity shunt 62256
|
$1,423.20 |
$1,423.20 |
$1,423.20 |
$1,423.20
|
|
Remove brain lining lesion 61512
|
$5,994.40 |
$5,994.40 |
$5,994.40 |
$5,994.40
|
|
Remove cadaver donor kidney
|
$2,403.20 |
$2,403.20 |
$2,403.20 |
$2,816.80
|
|
Remove cartilage for graft
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$1,150.40
|
|
Remove cartilage for graft
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$4,332.25
|
|
Remove collar bone lesion
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$4,499.12
|
|
Remove coronoid process
|
$3,132.80 |
$3,132.80 |
$3,132.80 |
$6,776.06
|
|
Remove cranial cavity fluid
|
$252.00 |
$252.00 |
$252.00 |
$970.61
|
|
Remove cva lumen obstruct
|
$954.89 |
$954.89 |
$954.89 |
$494.00
|
|
Remove digit nerve lesion 64776
|
$969.60 |
$969.60 |
$969.60 |
$2,310.83
|
|
Remove drug implant
|
$604.80 |
$604.80 |
$604.80 |
$472.21
|
|
Remove ear canal lesion(s)
|
$1,947.20 |
$1,947.20 |
$1,947.20 |
$3,494.08
|
|
Remove ear canal lesion(s) 69140
|
$4,281.60 |
$4,281.60 |
$4,281.60 |
$6,465.11
|
|
Remove electrode/thoracotomy
|
$2,293.60 |
$2,293.60 |
$2,293.60 |
$4,004.00
|
|
Remove eltrd/thoracotomy 33243
|
$3,344.00 |
$3,344.00 |
$3,344.00 |
$2,777.60
|
|
Remove epididymis lesion
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$4,061.71
|
|
Remove epididymis lesion
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$2,874.36
|
|
Remove esophagus obstruction
|
$351.20 |
$351.20 |
$351.20 |
$538.85
|
|
Remove exostosis maxilla
|
$964.80 |
$964.80 |
$964.80 |
$3,837.72
|
|
Remove ext hem groups 2+
|
$1,162.40 |
$1,162.40 |
$1,162.40 |
$3,316.74
|
|
Remove extra spine segment
|
$340.80 |
$340.80 |
$340.80 |
$608.40
|
|
Remove extra spine segment
|
$338.40 |
$338.40 |
$338.40 |
$338.40
|
|
Remove eye/attach implant
|
$4,462.40 |
$4,462.40 |
$4,462.40 |
$5,339.00
|
|
Remove eye implant material
|
$3,297.60 |
$3,297.60 |
$3,297.60 |
$3,297.60
|
|
Remove eye implant material
|
$4,502.40 |
$4,502.40 |
$4,502.40 |
$4,502.40
|
|
Remove eye/insert implant
|
$4,072.00 |
$4,072.00 |
$4,072.00 |
$5,364.00
|
|
Remove eye lesion
|
$4,867.20 |
$4,867.20 |
$4,867.20 |
$4,867.20
|
|
Remove eye lesion
|
$3,483.20 |
$3,483.20 |
$3,483.20 |
$3,269.14
|
|
Remove eyelid lesion
|
$318.40 |
$318.40 |
$318.40 |
$536.76
|
|
Remove eyelid lesion
|
$1,371.20 |
$1,371.20 |
$1,371.20 |
$1,371.20
|
|
Remove eyelid lesion(s)
|
$912.00 |
$912.00 |
$912.00 |
$2,741.28
|
|
Remove eyelid lesions
|
$404.00 |
$404.00 |
$404.00 |
$1,381.88
|
|
Remove eyelid lesions
|
$500.80 |
$500.80 |
$500.80 |
$746.31
|
|
Remove eye/revise socket
|
$7,281.60 |
$7,281.60 |
$7,281.60 |
$5,078.00
|
|
Remove eye/revise socket
|
$7,622.40 |
$7,622.40 |
$7,622.40 |
$5,855.00
|
|
Remove femur lesion
|
$2,972.80 |
$2,972.80 |
$2,972.80 |
$3,839.54
|
|
Remove femur lesion/bursa
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$4,175.98
|
|
Remove femur lesion/fixation
|
$684.00 |
$684.00 |
$684.00 |
$3,721.84
|
|
Remove femur lesion/graft
|
$3,633.60 |
$3,633.60 |
$3,633.60 |
$9,791.00
|
|
Remove femur lesion/graft
|
$4,011.20 |
$4,011.20 |
$4,011.20 |
$7,807.24
|
|
Remove finger bone
|
$2,705.60 |
$2,705.60 |
$2,705.60 |
$2,705.60
|
|
Remove forearm bone lesion
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$3,839.54
|
|
Remove foreign body brain
|
$4,387.20 |
$4,387.20 |
$4,387.20 |
$4,387.20
|
|
Remove foreign body from eye
|
$3,566.40 |
$3,566.40 |
$3,566.40 |
$3,433.80
|
|
Remove foreign body from eye
|
$4,828.80 |
$4,828.80 |
$4,828.80 |
$2,895.20
|
|
Remove foreign body from eye
|
$5,427.20 |
$5,427.20 |
$5,427.20 |
$4,190.11
|
|
Remove gastric port open 43887
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$2,164.64
|
|
Remove/graft bone lesion
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$6,311.00
|
|
Remove/graft finger lesion
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$4,067.93
|
|
Remove/graft foot lesion
|
$2,987.20 |
$2,987.20 |
$2,987.20 |
$6,653.00
|
|
Remove/graft foot lesion
|
$1,987.20 |
$1,987.20 |
$1,987.20 |
$6,683.04
|
|
Remove/graft foot lesion
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$7,907.11
|
|
Remove/graft forearm lesion
|
$2,915.20 |
$2,915.20 |
$2,915.20 |
$2,915.20
|
|
Remove/graft forearm lesion
|
$2,936.00 |
$2,936.00 |
$2,936.00 |
$4,499.12
|
|
Remove/graft hip bone lesion
|
$5,088.00 |
$5,088.00 |
$5,088.00 |
$7,913.97
|
|
Remove/graft leg bone lesion
|
$3,689.60 |
$3,689.60 |
$3,689.60 |
$7,906.00
|
|
Remove/graft leg bone lesion
|
$3,780.80 |
$3,780.80 |
$3,780.80 |
$7,906.00
|
|
Remove & graft wrist lesion
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$6,307.00
|
|
Remove & graft wrist lesion
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$7,907.11
|
|
Remove groin lymph nodes
|
$4,124.80 |
$4,124.80 |
$4,124.80 |
$6,349.54
|
|
Remove hand bone lesion
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$2,416.05
|
|
Remove hip bone les deep
|
$3,987.20 |
$3,987.20 |
$3,987.20 |
$3,987.20
|
|
Remove hip bone les super
|
$2,556.80 |
$2,556.80 |
$2,556.80 |
$5,855.00
|
|
Remove hip foreign body 27086
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$2,396.00
|
|
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
|
$14,450.72 |
$14,450.72 |
$14,450.72 |
$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
|
