|
Remove hip foreign body 27086
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$2,396.00
|
|
Remove hip/pelvis lesion 27047
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$3,386.84
|
|
Remove humerus lesion
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$5,855.00
|
|
Remove humerus lesion
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$7,913.97
|
|
Remove implant of eye
|
$6,819.15 |
$6,819.15 |
$6,819.15 |
$3,204.00
|
|
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
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$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 inner ear lesion
|
$8,426.60 |
$8,426.60 |
$8,426.60 |
$7,000.36
|
|
Remove inner ear & mastoid
|
$3,616.60 |
$3,616.60 |
$3,616.60 |
$6,590.27
|
|
Remove intact mammary implant
|
$7,467.20 |
$7,467.20 |
$7,467.20 |
$4,662.00
|
|
Remove intestinal allograft
|
$9,120.80 |
$9,120.80 |
$9,120.80 |
$9,120.80
|
|
Remove int/ext hem 1 group
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,891.00
|
|
Remove intra-aortic balloon
|
$3,907.80 |
$3,907.80 |
$3,907.80 |
$1,300.88
|
|
Remove intracorporeal device
|
$8,710.00 |
$8,710.00 |
$8,710.00 |
$4,345.60
|
|
Remove iris and lesion
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$4,760.49
|
|
Remove jaw joint cartilage
|
$2,878.20 |
$2,878.20 |
$2,878.20 |
$6,553.49
|
|
Remove kidney living donor
|
$5,831.80 |
$5,831.80 |
$5,831.80 |
$7,352.00
|
|
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 artery emboli 33910
|
$12,534.60 |
$12,534.60 |
$12,534.60 |
$6,490.40
|
|
Remove lung artery emboli without bypass 33915
|
$6,487.00 |
$6,487.00 |
$6,487.00 |
$2,889.88
|
|
Remove lung foreign body
|
$4,404.40 |
$4,404.40 |
$4,404.40 |
$2,446.40
|
|
Remove lung pneumonectomy 32440
|
$7,092.80 |
$7,092.80 |
$7,092.80 |
$3,815.20
|
|
Remove mandible cyst complex
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$6,465.11
|
|
Remove mastoid air cells
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$6,547.81
|
|
Remove mastoid structures
|
$3,424.20 |
$3,424.20 |
$3,424.20 |
$7,000.36
|
|
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 nasal foreign body
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
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 part of neck vertebra
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$2,502.40
|
|
Remove part of temporal bone
|
$9,729.20 |
$9,729.20 |
$9,729.20 |
$3,383.17
|
|
Remove part thorax vertebra
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
$2,640.00
|
|
Remove pelvis lymph nodes 38770
|
$3,655.60 |
$3,655.60 |
$3,655.60 |
$1,366.40
|
|
Remove penis & nodes
|
$5,678.40 |
$5,678.40 |
$5,678.40 |
$3,015.20
|
|
Remove penis & nodes
|
$7,324.20 |
$7,324.20 |
$7,324.20 |
$1,952.29
|
|
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 pulmonary shunt
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$397.11
|
|
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 |
$1,185.00
|
|
Remove/repair hearing aid
|
$2,761.20 |
$2,761.20 |
$2,761.20 |
$4,457.98
|
|
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/revise male sling
|
$3,507.40 |
$3,507.40 |
$3,507.40 |
$5,163.20
|
|
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 sciatic nerve lesion
|
$4,225.00 |
$4,225.00 |
$4,225.00 |
$6,998.88
|
|
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
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$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 sperm pouch lesion
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$4,081.37
|
|
Remove spinal canal catheter 62355
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$2,300.50
|
|
Remove spinal lamina add-on 63048
|
$992.55 |
$992.55 |
$992.55 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$3,636.18
|
|
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
|
$28,722.20 |
$28,722.20 |
$28,722.20 |
$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 scrl
|
$4,136.60 |
$4,136.60 |
$4,136.60 |
$6,731.17
|
|
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 stent via transureth
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,398.00
|
|
Remove sympathetic nerves
|
$4,136.60 |
$4,136.60 |
$4,136.60 |
$4,136.60
|
|
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
|
|
Remove tear gland lesion
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$3,986.00
|
|
Remove tear gland lesion
|
$3,941.60 |
$3,941.60 |
$3,941.60 |
$5,405.82
|
|
Remove thyroid duct lesion
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$6,311.00
|
|
Remove thyroid duct lesion
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$6,870.89
|
|
Remove thyroid lesion 60200
|
$2,605.20 |
$2,605.20 |
$2,605.20 |
$5,822.89
|
|
Remove tonsils and adenoids
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$6,966.64
|
|
Remove tonsils and adenoids
|
$1,133.60 |
$1,133.60 |
$1,133.60 |
$3,837.72
|
|
Remove/transplant tendon
|
$2,766.40 |
$2,766.40 |
$2,766.40 |
$5,023.20
|
|
Remove & treat brain lesion
|
$7,113.60 |
$7,113.60 |
$7,113.60 |
$2,877.22
|
|
Remove/tx lung lesions 32141
|
$7,066.80 |
$7,066.80 |
$7,066.80 |
$3,712.00
|
|
Remove ureter calculus
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$4,081.37
|
|
Remove ureter stent percut
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,640.89
|
