|
Remove anal fist complex
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$3,245.23
|
|
Remove anal fist inter
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$3,619.14
|
|
Remove anal fist subq
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$3,816.64
|
|
Remove ankle joint lining
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$3,839.54
|
|
Remove ankle joint lining
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$3,814.29
|
|
Remove armpit lymph nodes
|
$3,606.20 |
$3,606.20 |
$3,606.20 |
$6,376.26
|
|
Remove bladder/create pouch
|
$11,507.60 |
$11,507.60 |
$11,507.60 |
$5,948.80
|
|
Remove bladder/revise tract
|
$9,445.80 |
$9,445.80 |
$9,445.80 |
$4,885.60
|
|
Remove bladder/revise tract
|
$10,743.20 |
$10,743.20 |
$10,743.20 |
$5,532.00
|
|
Remove bladder stone
|
$1,744.60 |
$1,744.60 |
$1,744.60 |
$4,881.00
|
|
Remove bladder stone
|
$2,386.80 |
$2,386.80 |
$2,386.80 |
$5,741.00
|
|
Remove brain canal fluid
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$835.00
|
|
Remove brain cavity shunt 62256
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$1,423.20
|
|
Remove brain lining lesion 61512
|
$9,656.40 |
$9,656.40 |
$9,656.40 |
$5,994.40
|
|
Remove brain tumor w/scope
|
$7,651.80 |
$7,651.80 |
$7,651.80 |
$3,192.48
|
|
Remove cartilage for graft
|
$1,437.80 |
$1,437.80 |
$1,437.80 |
$1,150.40
|
|
Remove cartilage for graft
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$4,332.25
|
|
Remove colloid cyst w/scope
|
$6,968.00 |
$6,968.00 |
$6,968.00 |
$2,877.58
|
|
Remove cva lumen obstruct
|
$272.35 |
$272.35 |
$272.35 |
$494.00
|
|
Remove digit nerve lesion 64776
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$2,310.83
|
|
Remove ear canal lesion(s)
|
$702.00 |
$702.00 |
$702.00 |
$3,494.08
|
|
Remove eltrd/thoracotomy 33243
|
$6,128.20 |
$6,128.20 |
$6,128.20 |
$2,777.60
|
|
Remove epididymis lesion
|
$1,562.60 |
$1,562.60 |
$1,562.60 |
$4,061.71
|
|
Remove epididymis lesion
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$2,874.36
|
|
Remove exostosis maxilla
|
$868.40 |
$868.40 |
$868.40 |
$3,837.72
|
|
Remove ext hem groups 2+
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$3,316.74
|
|
Remove extra spine segment
|
$608.40 |
$608.40 |
$608.40 |
$608.40
|
|
Remove eyelid lesion
|
$366.60 |
$366.60 |
$366.60 |
$529.78
|
|
Remove femur lesion
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$3,839.54
|
|
Remove femur lesion/bursa
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,175.98
|
|
Remove femur lesion/graft
|
$2,623.40 |
$2,623.40 |
$2,623.40 |
$9,791.00
|
|
Remove foreign body brain
|
$6,892.60 |
$6,892.60 |
$6,892.60 |
$4,387.20
|
|
Remove foreign body from eye
|
$6,819.15 |
$6,819.15 |
$6,819.15 |
$3,433.80
|
|
Remove/graft foot lesion
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$6,653.00
|
|
Remove/graft foot lesion
|
$1,734.20 |
$1,734.20 |
$1,734.20 |
$6,683.04
|
|
Remove/graft foot lesion
|
$1,489.80 |
$1,489.80 |
$1,489.80 |
$7,907.11
|
|
Remove/graft forearm lesion
|
$2,012.40 |
$2,012.40 |
$2,012.40 |
$4,499.12
|
|
Remove/graft leg bone lesion
|
$2,857.40 |
$2,857.40 |
$2,857.40 |
$7,906.00
|
|
Remove & graft wrist lesion
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$6,307.00
|
|
Remove groin lymph nodes
|
$3,541.20 |
$3,541.20 |
$3,541.20 |
$6,349.54
|
|
Remove hand bone lesion
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$2,416.05
|
|
Remove hip bone les deep
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$3,987.20
|
|
Remove hip/pelvis lesion 27047
|
$1,413.10 |
$1,413.10 |
$1,413.10 |
$3,386.84
|
|
Remove humerus lesion
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$7,913.97
|
|
Remove in/ex hem groups 2+
|
$1,749.80 |
$1,749.80 |
$1,749.80 |
$4,185.98
|
|
Remove in/ex hem grp & fiss 46257
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$3,245.23
|
|
Remove in/ex hem grps & fiss
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$3,245.23
|
|
Remove in/ex hem grps w/fist
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$1,666.60 |
$1,666.60 |
$1,666.60 |
$3,245.23
|
|
Remove inguinofem lymph nodes 38765
|
$5,696.60 |
$5,696.60 |
$5,696.60 |
$2,452.20
|
|
Remove inner ear
|
$3,220.10 |
$3,220.10 |
$3,220.10 |
$6,465.11
|
|
Remove intact mammary implant
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$4,662.00
|
|
Remove int/ext hem 1 group
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$3,891.00
|
|
Remove intra-aortic balloon
|
$3,907.80 |
$3,907.80 |
$3,907.80 |
$1,300.88
|
|
Remove knee cyst
|
$1,749.80 |
$1,749.80 |
$1,749.80 |
$3,839.54
|
|
Remove knee joint lining
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$3,839.54
|
|
Remove knee joint lining
|
$2,743.00 |
$2,743.00 |
$2,743.00 |
$5,886.74
|
|
Remove lamina/facets lumbar
|
$4,381.00 |
$4,381.00 |
$4,381.00 |
$7,688.90
|
|
Remove limb nerve lesion
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$2,163.32
|
|
Remove lower leg bone lesion
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$3,839.54
|
|
Remove lung pneumonectomy 32440
|
$7,092.80 |
$7,092.80 |
$7,092.80 |
$3,815.20
|
|
Remove maxilla cyst complex
|
$3,824.60 |
$3,824.60 |
$3,824.60 |
$6,465.11
|
|
Remove muti-comp penis pros
|
$3,351.40 |
$3,351.40 |
$3,351.40 |
$4,081.37
|
|
Remove nerve lesion
|
$2,761.20 |
$2,761.20 |
$2,761.20 |
$2,761.20
|
|
Remove part lumbar vertebra
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$8,412.89
|
|
Remove part lumbar vertebra
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
$2,548.26
|
|
Remove part of neck vertebra
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$7,304.17
|
|
Remove pelvis lymph nodes 38770
|
$3,655.60 |
$3,655.60 |
$3,655.60 |
$1,366.40
|
|
Remove pilonidal cyst compl
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$1,742.00 |
$1,742.00 |
$1,742.00 |
$3,564.80
|
|
Remove pituit tumor w/scope
|
$6,039.80 |
$6,039.80 |
$6,039.80 |
$3,663.20
|
|
Remove prostate regrowth
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$5,986.78
|
|
Remove rectum w/reservoir
|
$8,704.80 |
$8,704.80 |
$8,704.80 |
$4,801.60
|
|
Remove renal tube w/fluoro
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,172.80
|
|
Remove/replace penis prosth
|
$3,946.80 |
$3,946.80 |
$3,946.80 |
$22,279.50
|
|
Remove/replace ur sphincter
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$16,482.71
|
|
Remove sacrum pressure sore close 15936
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$3,936.40 |
$3,936.40 |
$3,936.40 |
$2,861.10
|
|
Remove self-contd penis pros
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$4,081.37
|
|
Remove shoulder fb deep
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$3,278.34
|
|
Remove shoulder foreign body subq 23330
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,788.80
|
|
Remove skin nerve lesion
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$2,310.83
|
|
Remove skull plate/flap 62142
|
$3,075.80 |
$3,075.80 |
$3,075.80 |
$1,644.60
|
|
Remove sperm duct pouch
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$3,624.00
|
|
Remove spinal canal catheter 62355
|
$923.00 |
$923.00 |
$923.00 |
$2,300.50
|
|
Remove spinal lamina add-on 63048
|
$992.55 |
$992.55 |
$992.55 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$1,452.75 |
$1,452.75 |
$1,452.75 |
$3,537.36
|
|
Remove spine eltrd plate
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$4,069.59
|
|
Remove spine fixation device
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$1,760.80
|
|
Remove spine fixation device
|
$2,436.20 |
$2,436.20 |
$2,436.20 |
$1,692.00
|
|
Remove spine infusion device
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$7,166.63
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$5,421.00 |
$5,421.00 |
$5,421.00 |
$5,741.00
|
|
Remove spine lamina 1/2 crvl
|
$4,578.60 |
$4,578.60 |
$4,578.60 |
$8,453.60
|
|
Remove spine lamina 1/2 lmbr
|
$4,271.80 |
$4,271.80 |
$4,271.80 |
$8,453.60
|
|
Remove spine lamina 1/2 thrc
|
$4,612.40 |
$4,612.40 |
$4,612.40 |
$8,412.89
|
|
Remove spine lamina >2 lmbr
|
$4,505.80 |
$4,505.80 |
$4,505.80 |
$8,388.71
|
|
Remove spine lamina >2 thrc
|
$5,727.80 |
$5,727.80 |
$5,727.80 |
$6,996.90
|
|
Remove sympathetic nerves
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$3,839.54
|
|
Remove sympathetic nerves
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$3,839.54
|
