|
Remove in/ex hem grp w/fistu
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Remove inner ear
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,881.00
|
|
Remove inner ear lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,000.36
|
|
Remove inner ear & mastoid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,553.49
|
|
Remove intact mammary implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,531.42
|
|
Remove int/ext hem 1 group
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,638.59
|
|
Remove iris and lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,452.74
|
|
Remove jaw joint cartilage
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,741.00
|
|
Remove knee cyst
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove knee joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove knee joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,741.00
|
|
Remove lamina/facets lumbar
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,688.90
|
|
Remove limb nerve lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,310.83
|
|
Remove lower leg bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove mandible cyst complex
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,465.11
|
|
Remove mastoid air cells
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,385.89
|
|
Remove mastoid structures
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,547.81
|
|
Remove maxilla cyst complex
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,410.84
|
|
Remove middle ear nerve
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
Remove muti-comp penis pros
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Remove nasal foreign body
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
Remove nasal foreign body
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,706.60
|
|
Remove nerve lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,310.83
|
|
Remove part lumbar vertebra
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,807.24
|
|
Remove part of neck vertebra
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,304.17
|
|
Remove pilonidal cyst compl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,386.84
|
|
Remove prostate regrowth
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,631.74
|
|
Remove renal tube w/fluoro
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,281.75
|
|
Remove/repair hearing aid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,150.40
|
|
Remove/replace penis prosth
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$11,884.95
|
|
Remove/replace ur sphincter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$11,573.41
|
|
Remove/revise male sling
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,741.00
|
|
Remove sacrum pressure sore close 15936
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,568.00
|
|
Remove sciatic nerve lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Remove self-contd penis pros
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Remove shoulder blade lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove shoulder fb deep
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,370.52
|
|
Remove shoulder foreign body subq 23330
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,917.33
|
|
Remove skin nerve lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,310.83
|
|
Remove sperm pouch lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Remove spinal canal catheter 62355
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,286.90
|
|
Remove spinal cord lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,563.20
|
|
Remove spine eltrd perq aray
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,882.60
|
|
Remove spine eltrd plate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,866.99
|
|
Remove spine infusion device
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,788.94
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Remove spine lamina 1/2 crvl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,807.24
|
|
Remove spine lamina 1/2 lmbr
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,907.11
|
|
Remove spine lamina 1/2 scrl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,731.17
|
|
Remove spine lamina 1/2 thrc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,734.04
|
|
Remove spine lamina >2 lmbr
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,907.11
|
|
Remove spine lamina >2 thrc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,996.90
|
|
Remove stent via transureth
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,332.80
|
|
Remove sympathetic nerves
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,685.07
|
|
Remove sympathetic nerves
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Remove sympathetic nerves
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Remove tear gland lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,275.35
|
|
Remove tear gland lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,627.00
|
|
Remove thyroid duct lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,346.18
|
|
Remove thyroid duct lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,457.82
|
|
Remove thyroid lesion 60200
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,822.89
|
|
Remove tonsils and adenoids
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Remove tonsils and adenoids
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,780.25
|
|
Remove/transplant tendon
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,881.00
|
|
Remove ureter calculus
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,891.34
|
|
Remove ureter stent percut
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,525.30
|
|
Remove uro sphincter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,555.79
|
|
Remove vaginal foreign body 57415
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,762.53
|
|
Remove vagina tissue part
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,762.53
|
|
Remove vagus n eltrd
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,663.02
|
|
Remove vc lesion scope/graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Remove vc lesion w/scope 31545
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,084.48
|
|
Remove ventilating tube
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,592.74
|
|
Remove windpipe lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,771.00
|
|
Remove wrist/forearm lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,496.72
|
|
Remove wrist/forearm lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Remove wrist joint cartilage
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Remove wrist joint implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,606.60
|
|
Remove wrist joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Remove wrist joint lining
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Remove wrist tendon lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,893.86
|
|
Remove wrist tendon lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,211.05
|
|
Remov/replc penis pros comp
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Remvl peritoneal fb frm cavity
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,516.05
|
|
Remv/replc penis pros compl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$14,380.79
|
|
Remv/repl penis contain pros
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$12,951.62
|
|
Renal abscess open drng 50020
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,801.44
|
|
Renal endoscopy 50572
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,271.40
|
|
Renal function panel
|
$9.55 |
$9.55 |
$9.55 |
$110.10
|
|
Renal scope w/tumor resect
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Renal venogram bil s&i
|
$1,683.44 |
$1,683.44 |
$1,683.44 |
$3,615.28
|
|
Reopen fallopian tube
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,463.96
|
|
Repair achilles tendon
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,233.80
|
|
Repair anal fistula
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,035.44
|
|
Repair anorectal fist w/plug
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,245.23
|
|
Repair arm/leg nerve
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Repair av fistula ext 35190
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,907.78
|
