|
Removal cerumen impacted (both sides)
|
$192.00 |
$192.00 |
$192.00 |
$163.20
|
|
Removal devitalized tissue non-selective debridement without anesthesia per session
|
$336.80 |
$336.80 |
$336.80 |
$255.97
|
|
Removal foreign body foot subcutaneous right
|
$1,662.40 |
$1,662.40 |
$1,662.40 |
$1,260.80
|
|
Removal implant superficial separate procedure
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$3,065.04
|
|
Removal of anal tags
|
$3,236.80 |
$3,236.80 |
$3,236.80 |
$3,552.60
|
|
Removal of calcium deposits
|
$6,336.00 |
$6,336.00 |
$6,336.00 |
$3,386.84
|
|
Removal of finger lesion
|
$3,019.20 |
$3,019.20 |
$3,019.20 |
$1,893.86
|
|
Removal of forearm lesion
|
$4,669.60 |
$4,669.60 |
$4,669.60 |
$3,594.44
|
|
Removal of implant deep
|
$6,617.60 |
$6,617.60 |
$6,617.60 |
$4,520.60
|
|
Removal of palm tendon each
|
$3,023.20 |
$3,023.20 |
$3,023.20 |
$2,167.61
|
|
Removal of skin tags each add'l 10
|
$64.00 |
$64.00 |
$64.00 |
$134.02
|
|
Removal/replacement ppm generator dual lead system
|
$18,356.80 |
$18,356.80 |
$18,356.80 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$533.60 |
$533.60 |
$533.60 |
$292.50
|
|
Removal sutr or stapl no anes
|
$118.40 |
$118.40 |
$118.40 |
$93.88
|
|
Removal tunnled intprtnl cath
|
$6,446.40 |
$6,446.40 |
$6,446.40 |
$4,284.80
|
|
Remove cva lumen obstruct
|
$618.40 |
$618.40 |
$618.40 |
$494.00
|
|
Remove ext hem groups 2+
|
$5,829.60 |
$5,829.60 |
$5,829.60 |
$3,425.94
|
|
Remove eyelid lesions
|
$1,567.20 |
$1,567.20 |
$1,567.20 |
$1,381.88
|
|
Remove femur lesion/bursa
|
$8,128.00 |
$8,128.00 |
$8,128.00 |
$4,175.98
|
|
Remove foreign body from eye
|
$4,028.00 |
$4,028.00 |
$4,028.00 |
$3,433.80
|
|
Remove hip/pelvis lesion 27047
|
$4,516.00 |
$4,516.00 |
$4,516.00 |
$3,386.84
|
|
Remove in/ex hem groups 2+
|
$5,646.40 |
$5,646.40 |
$5,646.40 |
$4,247.20
|
|
Remove in/ex hem grp & fiss 46257
|
$4,625.60 |
$4,625.60 |
$4,625.60 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$5,420.80 |
$5,420.80 |
$5,420.80 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$7,316.80 |
$7,316.80 |
$7,316.80 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$5,610.40 |
$5,610.40 |
$5,610.40 |
$3,245.23
|
|
Remove int/ext hem 1 group
|
$4,749.60 |
$4,749.60 |
$4,749.60 |
$4,281.96
|
|
Remove nasal foreign body
|
$4,214.40 |
$4,214.40 |
$4,214.40 |
$3,837.72
|
|
Remove pilonidal cyst compl
|
$6,313.60 |
$6,313.60 |
$6,313.60 |
$3,786.00
|
|
Remove pilonidal cyst exten
|
$5,247.20 |
$5,247.20 |
$5,247.20 |
$3,638.88
|
|
Remove renal tube w/fluoro
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$1,172.80
|
|
Remove skin nerve lesion 64788
|
$3,605.60 |
$3,605.60 |
$3,605.60 |
$2,310.83
|
|
Remove vaginal foreign body 57415
|
$5,218.40 |
$5,218.40 |
$5,218.40 |
$3,762.53
|
|
Remove wrist/forearm lesion
|
$3,377.60 |
$3,377.60 |
$3,377.60 |
$3,496.72
|
|
Remove wrist tendon lesion
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$3,287.08
|
|
Reopening of recent laparotomy 49002
|
$4,867.20 |
$4,867.20 |
$4,867.20 |
$2,568.00
|
|
Repair blood vessel direct hand finger
|
$4,498.40 |
$4,498.40 |
$4,498.40 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$2,644.80 |
$2,644.80 |
$2,644.80 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$6,783.20 |
$6,783.20 |
$6,783.20 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,055.69
|
|
Repair dental ellis ii fx
|
$373.60 |
$373.60 |
$373.60 |
$442.48
|
|
Repair elbow perc
|
$5,540.80 |
$5,540.80 |
$5,540.80 |
$4,350.00
|
|
Repair extns tendon finger without grft ea
|
$4,557.60 |
$4,557.60 |
$4,557.60 |
$2,340.00
|
|
Repair eyelid wound
|
$3,660.00 |
$3,660.00 |
$3,660.00 |
$2,760.73
|
|
Repair eyelid wound
|
$3,396.80 |
$3,396.80 |
$3,396.80 |
$3,254.34
|
|
Repair finger/hand tendon
|
$4,541.60 |
$4,541.60 |
$4,541.60 |
$4,350.00
|
|
Repair lip full thkns =<one-half vert height
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,928.07
|
|
Repair of eye wound
|
$6,932.00 |
$6,932.00 |
$6,932.00 |
$2,760.73
|
|
Repair of leg tendon each
|
$6,052.80 |
$6,052.80 |
$6,052.80 |
$3,786.00
|
|
Repair pm/icd lead dual
|
$6,323.20 |
$6,323.20 |
$6,323.20 |
$4,498.80
|
|
Repair pm/icd lead sgl
|
$6,323.20 |
$6,323.20 |
$6,323.20 |
$4,343.82
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$954.20
|
|
Repair rpr lip full thickness vermilion only
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$1,244.09
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$5,252.00 |
$5,252.00 |
$5,252.00 |
$4,499.12
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$684.80 |
$684.80 |
$684.80 |
$478.00
|
|
Repair vagina/perineum
|
$7,132.80 |
$7,132.80 |
$7,132.80 |
$4,096.68
|
|
Replace duod/jej tube perc
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,357.60
|
|
Replace g/c tube perc
|
$1,745.60 |
$1,745.60 |
$1,745.60 |
$1,366.30
|
|
Replace g-j tube perc
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$1,568.05
|
|
Reposition pm/icd lead
|
$3,980.00 |
$3,980.00 |
$3,980.00 |
$3,802.20
|
|
Reposition vad w/image rt/lt sep session
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$5,861.60 |
$5,861.60 |
$5,861.60 |
$3,802.20
|
|
Reremove wrist tendon lesion
|
$4,692.00 |
$4,692.00 |
$4,692.00 |
$1,904.00
|
|
Respirator motion mgmt simul
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$1,200.53
|
|
Revasc evasc fpvt angio cplx 1st
|
$16,249.60 |
$16,249.60 |
$16,249.60 |
$10,094.56
|
|
Revasc evasc fpvt angio sf 1st
|
$13,849.60 |
$13,849.60 |
$13,849.60 |
$10,094.56
|
|
Revasc evasc fpvt athrec cplx 1st
|
$27,232.00 |
$27,232.00 |
$27,232.00 |
$28,092.75
|
|
Revasc evasc fpvt athrec sf 1st
|
$24,832.00 |
$24,832.00 |
$24,832.00 |
$25,206.69
|
|
Revasc evasc fpvt st athrec sf 1st
|
$41,608.00 |
$41,608.00 |
$41,608.00 |
$32,513.04
|
|
Revasc evasc fpvt stent cplx 1st
|
$30,223.20 |
$30,223.20 |
$30,223.20 |
$20,474.72
|
|
Revasc evasc fpvt stent sf 1st
|
$27,823.20 |
$27,823.20 |
$27,823.20 |
$20,474.72
|
|
Revasc evasc imvt angio cplx 1st
|
$17,120.00 |
$17,120.00 |
$17,120.00 |
$19,149.11
|
|
Revasc evasc imvt angio sf 1st
|
$14,720.00 |
$14,720.00 |
$14,720.00 |
$17,691.50
|
|
Revasc evasc ivt angio cplx 1st
|
$15,138.40 |
$15,138.40 |
$15,138.40 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$30,212.80 |
$30,212.80 |
$30,212.80 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$27,012.80 |
$27,012.80 |
$27,012.80 |
$20,474.72
|
|
Revasc evasc tpvt angio cplx 1st
|
$17,120.00 |
$17,120.00 |
$17,120.00 |
$20,474.72
|
|
Revasc evasc tpvt angio sf 1st
|
$14,720.00 |
$14,720.00 |
$14,720.00 |
$16,491.68
|
|
Revasc evasc tpvt athrec cplx 1st
|
$30,458.40 |
$30,458.40 |
$30,458.40 |
$31,546.50
|
|
Revasc evasc tpvt athrec sf 1st
|
$28,058.40 |
$28,058.40 |
$28,058.40 |
$26,819.25
|
|
Revasc intra lithotrip-ather
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$19,666.50
|
|
Revasc intra lithotrip-stent
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$7,176.00 |
$7,176.00 |
$7,176.00 |
$11,101.80
|
|
Revasc lithotr-ather tib/per
|
$28,418.40 |
$28,418.40 |
$28,418.40 |
$19,995.50
|
|
Revasc lithotrip-stent-ather
|
$19,843.20 |
$19,843.20 |
$19,843.20 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$13,518.40 |
$13,518.40 |
$13,518.40 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$31,056.80 |
$31,056.80 |
$31,056.80 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$29,917.60 |
$29,917.60 |
$29,917.60 |
$19,624.54
|
|
Revefenacin inh non-com 1mcg
|
$17.65 |
$17.65 |
$17.65 |
$15.56
|
|
Revise arm/leg nerve
|
$3,389.60 |
$3,389.60 |
$3,389.60 |
$3,754.40
|
|
Revise spine eltrd perq aray
|
$9,417.60 |
$9,417.60 |
$9,417.60 |
$7,728.86
|
|
Revise ulnar nerve at wrist
|
$3,563.20 |
$3,563.20 |
$3,563.20 |
$3,151.20
|
|
Revision of penis
|
$5,430.40 |
$5,430.40 |
$5,430.40 |
$4,040.25
|
|
Revision of penis
|
$5,887.20 |
$5,887.20 |
$5,887.20 |
$4,367.48
|
|
Revision open av fistula without thromb
|
$8,672.00 |
$8,672.00 |
$8,672.00 |
$8,672.00
|
|
Rf abltj nrv nrvtg si jt
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
$3,188.50
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$110.32 |
$110.32 |
$110.32 |
$234.12
|
|
Rho(d) immune globulin (rhig) human full dose im
|
$272.00 |
$272.00 |
$272.00 |
$172.80
|
|
Rib and Chest X-ray (3 views, left side)
|
$503.20 |
$503.20 |
$503.20 |
$359.47
|
