|
Removal of inner eye lesion
|
$756.27 |
$756.27 |
$756.27 |
$2,625.60
|
|
Removal of intranasal lesion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,811.00
|
|
Removal of intranasal lesion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Removal of iris
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$5,339.00
|
|
Removal of iris
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$2,615.20
|
|
Removal of iris
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$2,817.60
|
|
Removal of iris
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$2,843.20
|
|
Removal of ischial bursa
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,741.00
|
|
Removal of jaw bone lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Removal of jaw joint
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,759.31
|
|
Removal of kidney & ureter
|
$1,688.53 |
$1,688.53 |
$1,688.53 |
$1,966.56
|
|
Removal of kidney & ureter
|
$1,895.32 |
$1,895.32 |
$1,895.32 |
$7,401.60
|
|
Removal of kneecap
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,339.00
|
|
Removal of kneecap bursa
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Removal of knee cartilage
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Removal of knee cartilage
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Removal of knee cyst
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Removal of knee prosthesis
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$4,576.00
|
|
Removal of larynx
|
$2,594.54 |
$2,594.54 |
$2,594.54 |
$5,122.40
|
|
Removal of larynx
|
$3,201.39 |
$3,201.39 |
$3,201.39 |
$3,201.39
|
|
Removal of larynx lesion
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Removal of larynx lesion 31512
|
$5,126.62 |
$5,126.62 |
$5,126.62 |
$4,362.99
|
|
Removal of larynx & pharynx
|
$3,505.19 |
$3,505.19 |
$3,505.19 |
$3,505.19
|
|
Removal of lens lesion
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,529.60
|
|
Removal of lens material
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,449.60
|
|
Removal of lens material
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,929.60
|
|
Removal of lens material
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$5,626.58
|
|
Removal of lung extrapleural
|
$5,009.79 |
$5,009.79 |
$5,009.79 |
$5,009.79
|
|
Removal of lung lesion 32540
|
$2,470.83 |
$2,470.83 |
$2,470.83 |
$4,224.00
|
|
Removal of lung lesion(s)
|
$1,433.92 |
$1,433.92 |
$1,433.92 |
$2,410.40
|
|
Removal of lung lesion(s) 32150
|
$1,461.31 |
$1,461.31 |
$1,461.31 |
$1,936.80
|
|
Removal of lymph nodes neck
|
$9,130.48 |
$9,130.48 |
$9,130.48 |
$6,244.35
|
|
Removal of lymph nodes neck
|
$1,841.64 |
$1,841.64 |
$1,841.64 |
$6,227.00
|
|
Removal of metatarsal
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,545.97
|
|
Removal of metatarsal heads
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,336.00
|
|
Removal of neck wrinkles
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,732.48
|
|
Removal of nerve lesion
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,146.00
|
|
Removal of nerve lesion
|
$4,697.33 |
$4,697.33 |
$4,697.33 |
$6,588.00
|
|
Removal of nose
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Removal of nose lesion
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$2,675.94
|
|
Removal of nose lesion
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Removal of nose polyp(s) 30115
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,589.62
|
|
Removal of ocular implant
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$3,920.00
|
|
Removal of omentum 49255
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$1,642.68
|
|
Removal of ovary(s) 58940
|
$754.75 |
$754.75 |
$754.75 |
$824.00
|
|
Removal of ovary/tube(s)
|
$1,029.96 |
$1,029.96 |
$1,029.96 |
$1,388.40
|
|
Removal of palm tendon each
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,167.61
|
|
Removal of pancreas
|
$2,567.74 |
$2,567.74 |
$2,567.74 |
$4,446.40
|
|
Removal of pancreas lesion
|
$1,582.93 |
$1,582.93 |
$1,582.93 |
$2,718.40
|
|
Removal of pancreatic duct
|
$1,777.01 |
$1,777.01 |
$1,777.01 |
$1,777.01
|
|
Removal of pancreatic stone
|
$1,678.27 |
$1,678.27 |
$1,678.27 |
$1,678.27
|
|
Removal of pelvic structures
|
$2,974.69 |
$2,974.69 |
$2,974.69 |
$2,974.69
|
|
Removal of pelvis contents
|
$3,969.92 |
$3,969.92 |
$3,969.92 |
$7,224.00
|
|
Removal of penis
|
$1,083.07 |
$1,083.07 |
$1,083.07 |
$2,055.20
|
|
Removal of pituitary gland
|
$3,483.26 |
$3,483.26 |
$3,483.26 |
$3,483.26
|
|
Removal of pituitary gland
|
$2,286.54 |
$2,286.54 |
$2,286.54 |
$3,725.60
|
|
Removal of prostate
|
$1,423.06 |
$1,423.06 |
$1,423.06 |
$1,423.06
|
|
Removal of prostate
|
$1,093.04 |
$1,093.04 |
$1,093.04 |
$1,892.88
|
|
Removal of prostate
|
$1,122.93 |
$1,122.93 |
$1,122.93 |
$1,305.12
|
|
Removal of rectum
|
$2,264.76 |
$2,264.76 |
$2,264.76 |
$3,908.00
|
|
Removal of rectum and colon
|
$2,469.04 |
$2,469.04 |
$2,469.04 |
$4,268.80
|
|
Removal of rib
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$3,006.40
|
|
Removal of salivary stone
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,986.00
|
|
Removal of salivary stone 42335
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,627.00
|
|
Removal of scrotum
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Removal of scrotum lesion
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$2,507.31
|
|
Removal of sesamoid bone
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Removal of shunt
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,455.00
|
|
Removal of skin tags each add'l 10
|
$18.80 |
$18.80 |
$18.80 |
$134.02
|
|
Removal of skin wrinkles
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$5,180.83
|
|
Removal of small intestine 44125
|
$1,649.32 |
$1,649.32 |
$1,649.32 |
$2,079.00
|
|
Removal of sperm cord lesion
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Removal of spinal shunt
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,310.83
|
|
Removal of spleen partial
|
$1,646.51 |
$1,646.51 |
$1,646.51 |
$1,646.51
|
|
Removal of spleen total 38102
|
$359.56 |
$359.56 |
$359.56 |
$496.80
|
|
Removal of stomach
|
$2,791.82 |
$2,791.82 |
$2,791.82 |
$4,858.40
|
|
Removal of stomach
|
$3,246.19 |
$3,246.19 |
$3,246.19 |
$3,246.19
|
|
Removal of stomach 43621
|
$3,172.54 |
$3,172.54 |
$3,172.54 |
$5,565.60
|
|
Removal of stomach partial
|
$2,988.42 |
$2,988.42 |
$2,988.42 |
$5,208.80
|
|
Removal of stomach partial 43631
|
$2,048.06 |
$2,048.06 |
$2,048.06 |
$3,024.60
|
|
Removal of stomachpartial 43632
|
$2,842.62 |
$2,842.62 |
$2,842.62 |
$3,625.04
|
|
Removal of suture from anus 46754
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,245.23
|
|
Removal of tail bone
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Removal of tear gland
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$5,028.80
|
|
Removal of tear sac
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$4,907.21
|
|
Removal of tendon for graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Removal of tendon lesion
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Removal of testis
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Removal of testis
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$5,475.60
|
|
Removal of thyroid
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Removal of thyroid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,839.00
|
|
Removal of thyroid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Removal of toe lesions
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,895.06
|
|
Removal of toe lesions
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,771.43
|
|
Removal of tongue
|
$2,749.93 |
$2,749.93 |
$2,749.93 |
$2,749.93
|
|
Removal of upper jaw
|
$2,269.07 |
$2,269.07 |
$2,269.07 |
$4,107.18
|
|
Removal of upper jaw
|
$2,517.23 |
$2,517.23 |
$2,517.23 |
$2,517.23
|
|
Removal of ureter
|
$1,352.46 |
$1,352.46 |
$1,352.46 |
$5,236.80
|
|
Removal of ureter
|
$1,481.10 |
$1,481.10 |
$1,481.10 |
$2,889.60
|
|
Removal of ureter stone
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$2,587.00
|
