|
Remove in/ex hem groups 2+
|
$528.00 |
$528.00 |
$528.00 |
$4,185.98
|
|
Remove in/ex hem grps & fiss
|
$581.50 |
$581.50 |
$581.50 |
$3,245.23
|
|
Remove in/ex hem grp w/fistu
|
$546.00 |
$546.00 |
$546.00 |
$3,245.23
|
|
Remove inguinofem lymph nodes 38765
|
$1,430.50 |
$1,430.50 |
$1,430.50 |
$5,696.60
|
|
Remove int/ext hem 1 group
|
$388.00 |
$388.00 |
$388.00 |
$3,816.64
|
|
Remove knee cyst
|
$558.50 |
$558.50 |
$558.50 |
$3,839.54
|
|
Remove knee joint lining
|
$732.50 |
$732.50 |
$732.50 |
$3,839.54
|
|
Remove knee joint lining
|
$813.50 |
$813.50 |
$813.50 |
$5,419.00
|
|
Remove limb nerve lesion
|
$490.50 |
$490.50 |
$490.50 |
$2,161.44
|
|
Remove lower leg bone lesion
|
$612.00 |
$612.00 |
$612.00 |
$3,839.54
|
|
Remove muti-comp penis pros
|
$758.00 |
$758.00 |
$758.00 |
$4,081.37
|
|
Remove nasal foreign body
|
$205.50 |
$205.50 |
$205.50 |
$3,786.00
|
|
Remove pelvis lymph nodes 38770
|
$854.00 |
$854.00 |
$854.00 |
$1,815.66
|
|
Remove pilonidal cyst compl
|
$643.50 |
$643.50 |
$643.50 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$500.00 |
$500.00 |
$500.00 |
$3,444.42
|
|
Remove prostate regrowth
|
$424.50 |
$424.50 |
$424.50 |
$6,015.75
|
|
Remove/replace ur sphincter
|
$841.00 |
$841.00 |
$841.00 |
$16,482.71
|
|
Remove self-contd penis pros
|
$555.00 |
$555.00 |
$555.00 |
$4,081.37
|
|
Remove skin nerve lesion
|
$463.50 |
$463.50 |
$463.50 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$438.00 |
$438.00 |
$438.00 |
$2,310.83
|
|
Remove spine eltrd perq aray
|
$353.50 |
$353.50 |
$353.50 |
$3,325.40
|
|
Remove tonsils and adenoids
|
$293.00 |
$293.00 |
$293.00 |
$6,465.11
|
|
Remove tonsils and adenoids
|
$305.50 |
$305.50 |
$305.50 |
$3,786.00
|
|
Remove vaginal foreign body 57415
|
$3,279.50 |
$3,279.50 |
$3,279.50 |
$3,762.53
|
|
Remove wrist/forearm lesion
|
$789.50 |
$789.50 |
$789.50 |
$2,623.40
|
|
Remove wrist/forearm lesion
|
$635.50 |
$635.50 |
$635.50 |
$3,839.54
|
|
Remove wrist tendon lesion
|
$354.50 |
$354.50 |
$354.50 |
$3,229.32
|
|
Remvl peritoneal fb frm cavity
|
$936.00 |
$936.00 |
$936.00 |
$4,156.03
|
|
Renal function panel
|
$40.00 |
$40.00 |
$40.00 |
$113.52
|
|
Reopen fallopian tube
|
$92.50 |
$92.50 |
$92.50 |
$6,728.80
|
|
Reopening of recent laparotomy 49002
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$2,021.22
|
|
Reoperation carotid add-on 35390
|
$175.00 |
$175.00 |
$175.00 |
$346.80
|
|
Repair achilles tendon
|
$716.50 |
$716.50 |
$716.50 |
$7,494.45
|
|
Repair anal fistula
|
$619.00 |
$619.00 |
$619.00 |
$3,038.07
|
|
Repair artery rupture aorta
|
$2,802.50 |
$2,802.50 |
$2,802.50 |
$3,553.90
|
|
Repair artery rupture aorta
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$3,846.40
|
|
Repair artery rupture belly
|
$2,097.00 |
$2,097.00 |
$2,097.00 |
$9,204.80
|
|
Repair artery rupture neck
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,284.50
|
|
Repair artery rupture spleen
|
$1,811.50 |
$1,811.50 |
$1,811.50 |
$7,955.20
|
|
Repair artery rupture thigh 35142
|
$1,445.50 |
$1,445.50 |
$1,445.50 |
$6,489.60
|
|
Repair art rupture aorta 35082
|
$2,373.00 |
$2,373.00 |
$2,373.00 |
$4,366.80
|
|
Repair art rupture arm 35013
|
$1,312.00 |
$1,312.00 |
$1,312.00 |
$1,665.77
|
|
Repair art rupture chest 35022
|
$1,622.50 |
$1,622.50 |
$1,622.50 |
$2,799.00
|
|
Repair art rupture groin 35132
|
$1,811.50 |
$1,811.50 |
$1,811.50 |
$3,404.94
|
|
Repair av fistula ext 35190
|
$820.00 |
$820.00 |
$820.00 |
$6,366.08
|
|
Repair biceps tendon
|
$818.50 |
$818.50 |
$818.50 |
$6,839.00
|
|
Repair bladder defect
|
$819.00 |
$819.00 |
$819.00 |
$5,841.60
|
|
Repair blood ves direct neck 35201
|
$1,010.50 |
$1,010.50 |
$1,010.50 |
$5,907.78
|
|
Repair blood vess/direct/intra/abd 35221
|
$1,602.50 |
$1,602.50 |
$1,602.50 |
$1,904.24
|
|
Repair blood vessel direct hand finger
|
$777.50 |
$777.50 |
$777.50 |
$3,898.50
|
|
Repair blood vessel direct intrathoracic without bypass 35216
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$9,518.60
|
|
Repair blood vessel dir lower extr
|
$907.50 |
$907.50 |
$907.50 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$3,879.03
|
|
Repair blood vessel lesion
|
$1,067.50 |
$1,067.50 |
$1,067.50 |
$2,346.40
|
|
Repair blood vessel lesion
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$4,766.40
|
|
Repair blood vessel lesion
|
$945.50 |
$945.50 |
$945.50 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$1,560.50 |
$1,560.50 |
$1,560.50 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$1,756.00 |
$1,756.00 |
$1,756.00 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$5,983.35
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$1,264.50 |
$1,264.50 |
$1,264.50 |
$4,341.66
|
|
Repair bowel-bladder fistula 44661
|
$1,665.50 |
$1,665.50 |
$1,665.50 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$1,558.00 |
$1,558.00 |
$1,558.00 |
$1,558.00
|
|
Repair brow defect
|
$477.00 |
$477.00 |
$477.00 |
$2,760.73
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$886.50 |
$886.50 |
$886.50 |
$1,025.95
|
|
Repair defect arm art 35045
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$6,396.89
|
|
Repair defect of artery
|
$1,522.50 |
$1,522.50 |
$1,522.50 |
$2,168.66
|
|
Repair defect of artery
|
$1,422.50 |
$1,422.50 |
$1,422.50 |
$1,422.50
|
|
Repair defect of artery
|
$1,957.00 |
$1,957.00 |
$1,957.00 |
$3,131.20
|
|
Repair defect of artery
|
$1,471.00 |
$1,471.00 |
$1,471.00 |
$1,471.00
|
|
Repair defect of artery 35011
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,909.50 |
$1,909.50 |
$1,909.50 |
$3,497.40
|
|
Repair defect of artery 35102
|
$2,065.00 |
$2,065.00 |
$2,065.00 |
$3,772.80
|
|
Repair defect of artery 35121
|
$1,751.50 |
$1,751.50 |
$1,751.50 |
$2,224.66
|
|
Repair defect of artery carotid subclav 35001
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$2,165.40
|
|
Repair deformity of toe
|
$385.00 |
$385.00 |
$385.00 |
$3,545.97
|
|
Repair degenerated kneecap
|
$864.50 |
$864.50 |
$864.50 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$28.50 |
$28.50 |
$28.50 |
$442.48
|
|
Repair detached retina
|
$762.50 |
$762.50 |
$762.50 |
$3,468.40
|
|
Repair elbow deb/attch open
|
$695.00 |
$695.00 |
$695.00 |
$3,839.54
|
|
Repair elbow w/deb open
|
$557.50 |
$557.50 |
$557.50 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$1,972.50 |
$1,972.50 |
$1,972.50 |
$2,224.00
|
|
Repair eyelid defect
|
$677.00 |
$677.00 |
$677.00 |
$4,462.45
|
|
Repair eyelid defect
|
$558.50 |
$558.50 |
$558.50 |
$3,357.30
|
|
Repair eyelid defect
|
$408.00 |
$408.00 |
$408.00 |
$2,732.50
|
|
Repair eyelid defect
|
$316.00 |
$316.00 |
$316.00 |
$2,760.73
|
|
Repair eyelid defect
|
$2,277.50 |
$2,277.50 |
$2,277.50 |
$2,982.40
|
|
Repair eyelid defect
|
$429.50 |
$429.50 |
$429.50 |
$2,760.73
|
|
Repair eyelid defect
|
$429.00 |
$429.00 |
$429.00 |
$2,856.80
|
|
Repair fibula nonunion
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$6,879.60
|
|
Repair finger/hand tendon
|
$791.00 |
$791.00 |
$791.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$835.50 |
$835.50 |
$835.50 |
$4,150.20
|
|
Repair finger/hand tendon
|
$821.00 |
$821.00 |
$821.00 |
$3,848.00
|
|
Repair finger/hand tendon
|
$529.50 |
$529.50 |
$529.50 |
$3,839.54
|
|
Repair finger tendon
|
$607.50 |
$607.50 |
$607.50 |
$3,594.44
|
|
Repair foot dislocation
|
$759.00 |
$759.00 |
$759.00 |
$5,886.74
|
|
Repair foot dislocation
|
$861.00 |
$861.00 |
$861.00 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$600.00 |
$600.00 |
$600.00 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$671.50 |
$671.50 |
$671.50 |
$6,311.00
|
|
Repair/graft achilles tendon
|
$696.50 |
$696.50 |
$696.50 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$1,224.50 |
$1,224.50 |
$1,224.50 |
$1,293.00
|
