|
Remove/graft foot lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Remove/graft forearm lesion
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,915.20
|
|
Remove/graft forearm lesion
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Remove/graft hip bone lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,913.97
|
|
Remove/graft leg bone lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,906.00
|
|
Remove/graft leg bone lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,906.00
|
|
Remove & graft wrist lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,307.00
|
|
Remove & graft wrist lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Remove groin lymph nodes
|
$9,130.48 |
$9,130.48 |
$9,130.48 |
$6,349.54
|
|
Remove hand bone lesion
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,416.05
|
|
Remove hip bone les deep
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,987.20
|
|
Remove hip bone les super
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,855.00
|
|
Remove hip foreign body 27086
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$2,396.00
|
|
Remove hip/pelvis lesion 27047
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Remove humerus lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,855.00
|
|
Remove humerus lesion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,913.97
|
|
Remove implant of eye
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,204.00
|
|
Remove in/ex hem groups 2+
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$4,185.98
|
|
Remove in/ex hem grp & fiss 46257
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Remove inguinofem lymph nodes 38765
|
$1,826.94 |
$1,826.94 |
$1,826.94 |
$2,452.20
|
|
Remove inner ear
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Remove inner ear lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Remove inner ear & mastoid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,590.27
|
|
Remove intact mammary implant
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,662.00
|
|
Remove int/ext hem 1 group
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,891.00
|
|
Remove intra-aortic balloon
|
$1,300.88 |
$1,300.88 |
$1,300.88 |
$1,300.88
|
|
Remove intracorporeal device
|
$2,499.95 |
$2,499.95 |
$2,499.95 |
$4,345.60
|
|
Remove iris and lesion
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$4,760.49
|
|
Remove jaw joint cartilage
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Remove kidney living donor
|
$2,204.61 |
$2,204.61 |
$2,204.61 |
$7,352.00
|
|
Remove knee cyst
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Remove knee joint lining
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Remove knee joint lining
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Remove lamina/facets lumbar
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,688.90
|
|
Remove limb nerve lesion
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,163.32
|
|
Remove lower leg bone lesion
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Remove lung artery emboli 33910
|
$3,719.86 |
$3,719.86 |
$3,719.86 |
$6,490.40
|
|
Remove lung artery emboli without bypass 33915
|
$1,968.61 |
$1,968.61 |
$1,968.61 |
$2,889.88
|
|
Remove lung foreign body
|
$1,454.49 |
$1,454.49 |
$1,454.49 |
$2,446.40
|
|
Remove lung pneumonectomy 32440
|
$2,249.06 |
$2,249.06 |
$2,249.06 |
$3,815.20
|
|
Remove mandible cyst complex
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Remove mastoid air cells
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Remove mastoid structures
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Remove maxilla cyst complex
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Remove middle ear nerve
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,067.20
|
|
Remove muti-comp penis pros
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Remove nasal foreign body
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Remove nasal foreign body
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$3,062.80
|
|
Remove nerve lesion
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,761.20
|
|
Remove part lumbar vertebra
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Remove part lumbar vertebra
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$2,548.26
|
|
Remove part of neck vertebra
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,304.17
|
|
Remove part of neck vertebra
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$2,502.40
|
|
Remove part of temporal bone
|
$3,383.17 |
$3,383.17 |
$3,383.17 |
$3,383.17
|
|
Remove part thorax vertebra
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$2,640.00
|
|
Remove pelvis lymph nodes 38770
|
$1,083.23 |
$1,083.23 |
$1,083.23 |
$1,366.40
|
|
Remove penis & nodes
|
$1,548.32 |
$1,548.32 |
$1,548.32 |
$3,015.20
|
|
Remove penis & nodes
|
$1,952.29 |
$1,952.29 |
$1,952.29 |
$1,952.29
|
|
Remove pilonidal cyst compl
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,564.80
|
|
Remove pituit tumor w/scope
|
$2,121.58 |
$2,121.58 |
$2,121.58 |
$3,663.20
|
|
Remove prostate regrowth
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,986.78
|
|
Remove pulmonary shunt
|
$397.11 |
$397.11 |
$397.11 |
$397.11
|
|
Remove rectum w/reservoir
|
$2,483.01 |
$2,483.01 |
$2,483.01 |
$4,801.60
|
|
Remove renal tube w/fluoro
|
$958.81 |
$958.81 |
$958.81 |
$1,185.00
|
|
Remove/repair hearing aid
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,457.98
|
|
Remove/replace penis prosth
|
$28,499.19 |
$28,499.19 |
$28,499.19 |
$22,279.50
|
|
Remove/replace ur sphincter
|
$28,499.19 |
$28,499.19 |
$28,499.19 |
$16,482.71
|
|
Remove/revise male sling
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,163.20
|
|
Remove sacrum pressure sore close 15936
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,861.10
|
|
Remove sciatic nerve lesion
|
$4,697.33 |
$4,697.33 |
$4,697.33 |
$6,998.88
|
|
Remove self-contd penis pros
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Remove shoulder blade lesion
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Remove shoulder fb deep
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,788.80
|
|
Remove skin nerve lesion
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,310.83
|
|
Remove skull plate/flap 62142
|
$1,372.88 |
$1,372.88 |
$1,372.88 |
$1,644.60
|
|
Remove sperm duct pouch
|
$940.54 |
$940.54 |
$940.54 |
$3,624.00
|
|
Remove sperm pouch lesion
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Remove spinal canal catheter 62355
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,300.50
|
|
Remove spinal cord lesion
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,563.20
|
|
Remove spinal lamina add-on 63048
|
$291.54 |
$291.54 |
$291.54 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,636.18
|
|
Remove spine eltrd plate
|
$4,807.27 |
$4,807.27 |
$4,807.27 |
$4,069.59
|
|
Remove spine fixation device
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$1,760.80
|
|
Remove spine fixation device
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$1,692.00
|
|
Remove spine infusion device
|
$4,697.33 |
$4,697.33 |
$4,697.33 |
$7,166.63
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,741.00
|
|
Remove spine lamina 1/2 crvl
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Remove spine lamina 1/2 lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Remove spine lamina 1/2 scrl
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,731.17
|
|
Remove spine lamina 1/2 thrc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Remove spine lamina >2 lmbr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,388.71
|
|
Remove spine lamina >2 thrc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,996.90
|
|
Remove stent via transureth
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$3,398.00
|
