|
Removal of tendon for graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,695.80
|
|
Removal of tendon lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Removal of testis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,820.84
|
|
Removal of testis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,176.15
|
|
Removal of thyroid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Removal of thyroid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Removal of thyroid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Removal of toe lesions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,893.86
|
|
Removal of toe lesions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,884.74
|
|
Removal of ureter stone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,424.12
|
|
Removal of urethra
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Removal of urethra
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,110.00
|
|
Removal of urethra gland
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,061.71
|
|
Removal of urethra gland
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,868.34
|
|
Removal of urethra lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,631.74
|
|
Removal of urethra lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Removal of vein clot
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,724.63
|
|
Removal of vein clot
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Removal of vein clot 34490
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,724.63
|
|
Removal of wrist bone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,668.21
|
|
Removal of wrist bones
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Removal of wrist lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Removal of wrist prosthesis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,211.05
|
|
Removal of wrist prosthesis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,721.84
|
|
Removal prosth radial head
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Removal/replacement ppm generator dual lead system
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$12,384.25
|
|
Removal skin tags fibrocutaneous any area <= 15 lesions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$303.80
|
|
Removal sutr/staple req anes
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,164.64
|
|
Removal tunnled intprtnl cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,293.90
|
|
Removal w/reinsrt nonbiogrdble
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$538.40
|
|
Remove anal fist complex
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Remove anal fist inter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,619.14
|
|
Remove anal fist subq
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,417.12
|
|
Remove ankle joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove ankle joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove armpit lymph nodes
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,814.80
|
|
Remove bladder stone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Remove bladder stone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,350.00
|
|
Remove blood clot from eye
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,179.20
|
|
Remove brain canal fluid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$783.48
|
|
Remove cartilage for graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,150.40
|
|
Remove cartilage for graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,052.18
|
|
Remove collar bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove coronoid process
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,547.81
|
|
Remove cranial cavity fluid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$819.50
|
|
Remove digit nerve lesion 64776
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,310.83
|
|
Remove ear canal lesion(s)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,334.38
|
|
Remove ear canal lesion(s) 69140
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,547.81
|
|
Remove epididymis lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,923.56
|
|
Remove epididymis lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,424.12
|
|
Remove exostosis maxilla
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,666.17
|
|
Remove ext hem groups 2+
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,316.74
|
|
Remove eye/attach implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,462.45
|
|
Remove eye implant material
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,173.34
|
|
Remove eye implant material
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,502.40
|
|
Remove eye/insert implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,462.45
|
|
Remove eye lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,173.34
|
|
Remove eye lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,483.20
|
|
Remove eyelid lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$496.50
|
|
Remove eyelid lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,370.74
|
|
Remove eyelid lesion(s)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,747.43
|
|
Remove eyelid lesions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,370.74
|
|
Remove eyelid lesions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$500.80
|
|
Remove eye/revise socket
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,078.00
|
|
Remove eye/revise socket
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,881.00
|
|
Remove femur lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove femur lesion/bursa
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove femur lesion/graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,146.77
|
|
Remove femur lesion/graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Remove finger bone
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,211.05
|
|
Remove forearm bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove foreign body from eye
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,433.80
|
|
Remove foreign body from eye
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,831.01
|
|
Remove foreign body from eye
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,190.11
|
|
Remove gastric port open 43887
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,164.64
|
|
Remove/graft bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,886.74
|
|
Remove/graft finger lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove/graft foot lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,434.35
|
|
Remove/graft foot lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,683.04
|
|
Remove/graft foot lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Remove/graft forearm lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,915.20
|
|
Remove/graft forearm lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove/graft hip bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Remove/graft leg bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Remove/graft leg bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,886.74
|
|
Remove & graft wrist lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Remove & graft wrist lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Remove groin lymph nodes
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,349.54
|
|
Remove hand bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,919.13
|
|
Remove hip bone les deep
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,987.20
|
|
Remove hip bone les super
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Remove hip foreign body 27086
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,127.88
|
|
Remove hip/pelvis lesion 27047
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,348.75
|
|
Remove humerus lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Remove humerus lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,886.74
|
|
Remove implant of eye
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,921.60
|
|
Remove in/ex hem groups 2+
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Remove in/ex hem grp & fiss 46257
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
