|
Remove bladder stone
|
$2,580.60 |
$2,580.60 |
$2,580.60 |
$4,881.00
|
|
Remove bladder stone
|
$973.20 |
$973.20 |
$973.20 |
$5,741.00
|
|
Remove ear canal lesion(s)
|
$431.40 |
$431.40 |
$431.40 |
$3,494.08
|
|
Remove epididymis lesion
|
$682.20 |
$682.20 |
$682.20 |
$4,061.71
|
|
Remove ext hem groups 2+
|
$708.00 |
$708.00 |
$708.00 |
$3,316.74
|
|
Remove femur lesion/bursa
|
$845.40 |
$845.40 |
$845.40 |
$4,175.98
|
|
Remove foreign body from eye
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$3,433.80
|
|
Remove/graft foot lesion
|
$896.40 |
$896.40 |
$896.40 |
$6,653.00
|
|
Remove/graft foot lesion
|
$640.20 |
$640.20 |
$640.20 |
$7,907.11
|
|
Remove/graft leg bone lesion
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$7,906.00
|
|
Remove hand bone lesion
|
$837.60 |
$837.60 |
$837.60 |
$2,416.05
|
|
Remove hip/pelvis lesion 27047
|
$922.80 |
$922.80 |
$922.80 |
$3,386.84
|
|
Remove in/ex hem groups 2+
|
$956.40 |
$956.40 |
$956.40 |
$4,185.98
|
|
Remove int/ext hem 1 group
|
$583.80 |
$583.80 |
$583.80 |
$3,891.00
|
|
Remove knee cyst
|
$900.60 |
$900.60 |
$900.60 |
$3,839.54
|
|
Remove knee joint lining
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$3,839.54
|
|
Remove limb nerve lesion
|
$826.20 |
$826.20 |
$826.20 |
$2,163.32
|
|
Remove lower leg bone lesion
|
$871.20 |
$871.20 |
$871.20 |
$3,839.54
|
|
Remove pilonidal cyst exten
|
$890.40 |
$890.40 |
$890.40 |
$3,564.80
|
|
Remove prostate regrowth
|
$1,156.20 |
$1,156.20 |
$1,156.20 |
$5,986.78
|
|
Remove renal tube w/fluoro
|
$82.20 |
$82.20 |
$82.20 |
$1,172.80
|
|
Remove skin nerve lesion
|
$559.20 |
$559.20 |
$559.20 |
$2,310.83
|
|
Remove spinal canal catheter 62355
|
$447.60 |
$447.60 |
$447.60 |
$2,300.50
|
|
Remove spinal lamina add-on 63048
|
$402.60 |
$402.60 |
$402.60 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$486.00 |
$486.00 |
$486.00 |
$3,537.36
|
|
Remove spine fixation device
|
$913.20 |
$913.20 |
$913.20 |
$1,760.80
|
|
Remove spine fixation device
|
$869.40 |
$869.40 |
$869.40 |
$1,692.00
|
|
Remove spine infusion device
|
$494.40 |
$494.40 |
$494.40 |
$7,166.63
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$5,741.00
|
|
Remove spine lamina 1/2 crvl
|
$1,519.80 |
$1,519.80 |
$1,519.80 |
$8,453.60
|
|
Remove spine lamina 1/2 lmbr
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$8,453.60
|
|
Remove spine lamina >2 lmbr
|
$1,532.40 |
$1,532.40 |
$1,532.40 |
$8,388.71
|
|
Remove thyroid duct lesion
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$6,870.89
|
|
Remove tonsils and adenoids
|
$559.20 |
$559.20 |
$559.20 |
$3,837.72
|
|
Remove ventilating tube
|
$117.00 |
$117.00 |
$117.00 |
$3,837.72
|
|
Remove wrist joint lining
|
$914.40 |
$914.40 |
$914.40 |
$3,529.86
|
|
Remove wrist tendon lesion
|
$771.60 |
$771.60 |
$771.60 |
$1,893.86
|
|
Remove wrist tendon lesion
|
$633.00 |
$633.00 |
$633.00 |
$3,248.19
|
|
Renal function panel
|
$82.80 |
$82.80 |
$82.80 |
$113.52
|
|
Repair achilles tendon
|
$1,332.60 |
$1,332.60 |
$1,332.60 |
$7,906.00
|
|
Repair anorectal fist w/plug
|
$730.20 |
$730.20 |
$730.20 |
$3,812.76
|
|
Repair arm/leg nerve
|
$1,898.40 |
$1,898.40 |
$1,898.40 |
$6,905.00
|
|
Repair biceps tendon
|
$1,458.60 |
$1,458.60 |
$1,458.60 |
$7,502.40
|
|
Repair bladder defect
|
$1,183.80 |
$1,183.80 |
$1,183.80 |
$6,311.00
|
|
Repair blood vessel dir upper extr
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$4,051.32
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$1,059.20
|
|
Repair deformity of toe
|
$690.60 |
$690.60 |
$690.60 |
$3,591.33
|
|
Repair degenerated kneecap
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$6,311.00
|
|
Repair elbow perc
|
$714.00 |
$714.00 |
$714.00 |
$4,160.00
|
|
Repair elbow w/deb open
|
$838.80 |
$838.80 |
$838.80 |
$3,839.54
|
|
Repair epigastric hernia reduce 49570
|
$646.80 |
$646.80 |
$646.80 |
$4,221.10
|
|
Repair epigastric hern incar 49572
|
$813.00 |
$813.00 |
$813.00 |
$3,929.97
|
|
Repair extns tendon finger without grft ea
|
$2,391.60 |
$2,391.60 |
$2,391.60 |
$2,353.50
|
|
Repair fibula nonunion
|
$1,627.20 |
$1,627.20 |
$1,627.20 |
$7,807.24
|
|
Repair finger/hand tendon
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$1,151.40 |
$1,151.40 |
$1,151.40 |
$3,839.54
|
|
Repair foot dislocation
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$5,810.00
|
|
Repair foot dislocation
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$6,307.00
|
|
Repair foot dislocation
|
$1,392.60 |
$1,392.60 |
$1,392.60 |
$5,886.74
|
|
Repair/graft achilles tendon
|
$1,169.40 |
$1,169.40 |
$1,169.40 |
$7,907.11
|
|
Repair/graft of foot tendon
|
$847.20 |
$847.20 |
$847.20 |
$6,653.00
|
|
Repair/graft of thigh muscle
|
$1,453.80 |
$1,453.80 |
$1,453.80 |
$5,943.97
|
|
Repair/graft radius or ulna
|
$2,125.20 |
$2,125.20 |
$2,125.20 |
$7,913.97
|
|
Repair hand joint
|
$1,282.20 |
$1,282.20 |
$1,282.20 |
$3,839.54
|
|
Repair ing hernia sliding
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$3,856.84
|
|
Repair lower leg tendons
|
$889.20 |
$889.20 |
$889.20 |
$3,839.54
|
|
Repair lower leg tendons
|
$859.20 |
$859.20 |
$859.20 |
$7,906.00
|
|
Repair lumbar hernia
|
$846.60 |
$846.60 |
$846.60 |
$6,457.82
|
|
Repair nasal septum defect
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$3,837.72
|
|
Repair nasal stenosis
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$6,547.81
|
|
Repair nonunion hand
|
$1,849.80 |
$1,849.80 |
$1,849.80 |
$5,886.74
|
|
Repair of achilles tendon
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$5,594.25
|
|
Repair of ankle ligament
|
$923.40 |
$923.40 |
$923.40 |
$6,311.00
|
|
Repair of ankle ligament
|
$1,225.80 |
$1,225.80 |
$1,225.80 |
$5,886.74
|
|
Repair of ankle ligaments
|
$1,203.60 |
$1,203.60 |
$1,203.60 |
$5,339.00
|
|
Repair of bowel lesion
|
$2,048.40 |
$2,048.40 |
$2,048.40 |
$2,006.40
|
|
Repair of digit nerve hand/foot 1 nerve
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$3,619.45
|
|
Repair of foot bones
|
$988.80 |
$988.80 |
$988.80 |
$10,629.07
|
|
Repair of foot tendon
|
$587.40 |
$587.40 |
$587.40 |
$3,977.49
|
|
Repair of hand or foot nerve
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$1,446.00 |
$1,446.00 |
$1,446.00 |
$4,697.33
|
|
Repair of hydrocele 55060
|
$648.00 |
$648.00 |
$648.00 |
$3,786.00
|
|
Repair of kneecap tendon
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$6,311.00
|
|
Repair of knee cartilage
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$5,855.00
|
|
Repair of leg tendon each
|
$529.20 |
$529.20 |
$529.20 |
$3,680.78
|
|
Repair of leg tendon each
|
$888.00 |
$888.00 |
$888.00 |
$5,810.00
|
|
Repair of metatarsals
|
$1,177.80 |
$1,177.80 |
$1,177.80 |
$6,512.80
|
|
Repair of nasal septum
|
$990.00 |
$990.00 |
$990.00 |
$4,924.40
|
|
Repair of rectum
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$3,432.60
|
|
Repair of ruptured tendon
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$6,484.80
|
|
Repair of thigh muscle
|
$1,229.40 |
$1,229.40 |
$1,229.40 |
$6,727.70
|
|
Repair of tibia
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$7,604.02
|
|
Repair palate pharynx/uvula
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$5,544.00
|
|
Repair rectum & vagina
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$5,463.96
|
|
Repair recur ventrl hern incar 49566
|
$1,666.80 |
$1,666.80 |
$1,666.80 |
$2,117.64
|
|
Repair recur ventrl hern reduce 49565
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$4,247.29
|
|
Repair rotator cuff acute
|
$1,766.40 |
$1,766.40 |
$1,766.40 |
$7,807.24
|
|
Repair rotator cuff chronic
|
$1,875.60 |
$1,875.60 |
$1,875.60 |
$6,848.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$949.41
|
|
Repair shoulder capsule
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$8,070.30
|
