|
Remove eye/insert implant
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,462.45
|
|
Remove eye lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,173.34
|
|
Remove eye lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,483.20
|
|
Remove eyelid lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$496.50
|
|
Remove eyelid lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,370.74
|
|
Remove eyelid lesion(s)
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,747.43
|
|
Remove eyelid lesions
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,370.74
|
|
Remove eyelid lesions
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$500.80
|
|
Remove eye/revise socket
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,078.00
|
|
Remove eye/revise socket
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,881.00
|
|
Remove femur lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove femur lesion/bursa
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove femur lesion/graft
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,146.77
|
|
Remove femur lesion/graft
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,855.00
|
|
Remove finger bone
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,211.05
|
|
Remove forearm bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove foreign body from eye
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,433.80
|
|
Remove foreign body from eye
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,831.01
|
|
Remove foreign body from eye
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,190.11
|
|
Remove gastric port open 43887
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,164.64
|
|
Remove/graft bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,886.74
|
|
Remove/graft finger lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove/graft foot lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,434.35
|
|
Remove/graft foot lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,683.04
|
|
Remove/graft foot lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,311.00
|
|
Remove/graft forearm lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,915.20
|
|
Remove/graft forearm lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove/graft hip bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,839.00
|
|
Remove/graft leg bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,855.00
|
|
Remove/graft leg bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,886.74
|
|
Remove & graft wrist lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,339.00
|
|
Remove & graft wrist lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,855.00
|
|
Remove groin lymph nodes
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,349.54
|
|
Remove hand bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,919.13
|
|
Remove hip bone les deep
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,987.20
|
|
Remove hip bone les super
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,339.00
|
|
Remove hip foreign body 27086
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,127.88
|
|
Remove hip/pelvis lesion 27047
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,348.75
|
|
Remove humerus lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,419.00
|
|
Remove humerus lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,886.74
|
|
Remove implant of eye
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,921.60
|
|
Remove in/ex hem groups 2+
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,245.23
|
|
Remove in/ex hem grp & fiss 46257
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,245.23
|
|
Remove inner ear
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,881.00
|
|
Remove inner ear lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,000.36
|
|
Remove inner ear & mastoid
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,553.49
|
|
Remove intact mammary implant
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,531.42
|
|
Remove int/ext hem 1 group
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,638.59
|
|
Remove iris and lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,452.74
|
|
Remove jaw joint cartilage
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,741.00
|
|
Remove knee cyst
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove knee joint lining
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove knee joint lining
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,741.00
|
|
Remove lamina/facets lumbar
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,688.90
|
|
Remove limb nerve lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,310.83
|
|
Remove lower leg bone lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove mandible cyst complex
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,465.11
|
|
Remove mastoid air cells
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,385.89
|
|
Remove mastoid structures
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,547.81
|
|
Remove maxilla cyst complex
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,410.84
|
|
Remove middle ear nerve
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,837.72
|
|
Remove muti-comp penis pros
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,081.37
|
|
Remove nasal foreign body
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,837.72
|
|
Remove nasal foreign body
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,706.60
|
|
Remove nerve lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,310.83
|
|
Remove part lumbar vertebra
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,807.24
|
|
Remove part of neck vertebra
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,304.17
|
|
Remove pilonidal cyst compl
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,386.84
|
|
Remove prostate regrowth
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,631.74
|
|
Remove renal tube w/fluoro
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,281.75
|
|
Remove/repair hearing aid
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,150.40
|
|
Remove/replace penis prosth
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$11,884.95
|
|
Remove/replace ur sphincter
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$11,573.41
|
|
Remove/revise male sling
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,741.00
|
|
Remove sacrum pressure sore close 15936
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,568.00
|
|
Remove sciatic nerve lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,311.00
|
|
Remove self-contd penis pros
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,081.37
|
|
Remove shoulder blade lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,839.54
|
|
Remove shoulder fb deep
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,370.52
|
|
Remove shoulder foreign body subq 23330
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$1,917.33
|
|
Remove skin nerve lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,310.83
|
|
Remove sperm pouch lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$4,081.37
|
|
Remove spinal canal catheter 62355
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,286.90
|
|
Remove spinal cord lesion
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,563.20
|
|
Remove spine eltrd perq aray
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$2,882.60
|
|
Remove spine eltrd plate
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$3,866.99
|
|
Remove spine infusion device
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$5,788.94
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,311.00
|
|
Remove spine lamina 1/2 crvl
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,807.24
|
|
Remove spine lamina 1/2 lmbr
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,907.11
|
|
Remove spine lamina 1/2 scrl
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,731.17
|
|
Remove spine lamina 1/2 thrc
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,734.04
|
|
Remove spine lamina >2 lmbr
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$7,907.11
|
|
Remove spine lamina >2 thrc
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
$6,996.90
|
