|
Remove part lumbar vertebra
|
$6,818.25 |
$6,818.25 |
$6,818.25 |
$8,429.28
|
|
Remove pilonidal cyst compl
|
$5,670.00 |
$5,670.00 |
$5,670.00 |
$3,638.88
|
|
Remove pilonidal cyst exten
|
$4,419.00 |
$4,419.00 |
$4,419.00 |
$3,444.42
|
|
Remove prostate regrowth
|
$11,312.50 |
$11,312.50 |
$11,312.50 |
$6,015.75
|
|
Remove renal tube w/fluoro
|
$10,362.50 |
$10,362.50 |
$10,362.50 |
$1,141.31
|
|
Remove/replace penis prosth
|
$16,178.32 |
$16,178.32 |
$16,178.32 |
$22,279.50
|
|
Remove sacrum pressure sore close 15936
|
$4,016.50 |
$4,016.50 |
$4,016.50 |
$2,211.20
|
|
Remove sacrum pressure sore ostc 15937
|
$10,327.00 |
$10,327.00 |
$10,327.00 |
$2,984.90
|
|
Remove sciatic nerve lesion
|
$3,425.42 |
$3,425.42 |
$3,425.42 |
$7,282.24
|
|
Remove shoulder fb deep
|
$5,183.50 |
$5,183.50 |
$5,183.50 |
$3,278.34
|
|
Remove skin nerve lesion
|
$7,276.67 |
$7,276.67 |
$7,276.67 |
$2,310.83
|
|
Remove skin nerve lesion 64788
|
$2,621.50 |
$2,621.50 |
$2,621.50 |
$2,310.83
|
|
Remove spinal canal catheter 62355
|
$2,307.83 |
$2,307.83 |
$2,307.83 |
$2,300.50
|
|
Remove spinal lamina add-on 63048
|
$9,416.88 |
$9,416.88 |
$9,416.88 |
$5,796.16
|
|
Remove spine eltrd perq aray
|
$2,561.50 |
$2,561.50 |
$2,561.50 |
$3,325.40
|
|
Remove spine eltrd plate
|
$5,796.34 |
$5,796.34 |
$5,796.34 |
$4,069.59
|
|
Remove spine fixation device
|
$10,487.00 |
$10,487.00 |
$10,487.00 |
$1,760.80
|
|
Remove spine fixation device
|
$7,960.50 |
$7,960.50 |
$7,960.50 |
$1,692.00
|
|
Remove spine infusion device
|
$4,615.67 |
$4,615.67 |
$4,615.67 |
$7,166.63
|
|
Remove spine lamieieiotina >2 crvcl 63015
|
$5,884.19 |
$5,884.19 |
$5,884.19 |
$5,855.00
|
|
Remove spine lamina 1/2 crvl
|
$2,780.17 |
$2,780.17 |
$2,780.17 |
$8,453.60
|
|
Remove spine lamina 1/2 lmbr
|
$19,496.00 |
$19,496.00 |
$19,496.00 |
$8,453.60
|
|
Remove spine lamina >2 lmbr
|
$9,861.00 |
$9,861.00 |
$9,861.00 |
$8,412.89
|
|
Remove stent via transureth
|
$2,753.00 |
$2,753.00 |
$2,753.00 |
$3,332.80
|
|
Remove thyroid duct lesion
|
$12,620.00 |
$12,620.00 |
$12,620.00 |
$5,346.18
|
|
Remove tonsils and adenoids
|
$10,408.50 |
$10,408.50 |
$10,408.50 |
$6,465.11
|
|
Remove tonsils and adenoids
|
$10,773.50 |
$10,773.50 |
$10,773.50 |
$3,786.00
|
|
Remove/transplant tendon
|
$16,130.00 |
$16,130.00 |
$16,130.00 |
$5,023.20
|
|
Remove ureter stent percut
|
$4,852.00 |
$4,852.00 |
$4,852.00 |
$3,612.60
|
|
Remove vaginal foreign body 57415
|
$4,149.50 |
$4,149.50 |
$4,149.50 |
$3,762.53
|
|
Remove vc lesion w/scope 31545
|
$7,077.50 |
$7,077.50 |
$7,077.50 |
$4,362.99
|
|
Remove ventilating tube
|
$1,691.83 |
$1,691.83 |
$1,691.83 |
$3,819.23
|
|
Remove ventricular device
|
$14,135.00 |
$14,135.00 |
$14,135.00 |
$1,964.30
|
|
Remove ventricular device 33977
|
$11,826.50 |
$11,826.50 |
$11,826.50 |
$3,014.39
|
|
Remove vert bodycerv 63081
|
$6,932.07 |
$6,932.07 |
$6,932.07 |
$3,886.08
|
|
Remove wrist/forearm lesion
|
$4,483.34 |
$4,483.34 |
$4,483.34 |
$2,623.40
|
|
Remove wrist/forearm lesion
|
$5,614.50 |
$5,614.50 |
$5,614.50 |
$3,839.54
|
|
Remove wrist joint cartilage
|
$7,233.67 |
$7,233.67 |
$7,233.67 |
$3,839.54
|
|
Remove wrist joint lining
|
$1,442.13 |
$1,442.13 |
$1,442.13 |
$3,529.86
|
|
Remove wrist tendon lesion
|
$3,842.75 |
$3,842.75 |
$3,842.75 |
$1,893.86
|
|
Remove wrist tendon lesion
|
$6,573.50 |
$6,573.50 |
$6,573.50 |
$3,229.32
|
|
Renal cyst study s&i
|
$1,313.00 |
$1,313.00 |
$1,313.00 |
$751.34
|
|
Renal function panel
|
$40.00 |
$40.00 |
$40.00 |
$113.52
|
|
Renal venogram bil s&i
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
$3,615.28
|
|
Reopen fallopian tube
|
$8,388.00 |
$8,388.00 |
$8,388.00 |
$6,728.80
|
|
Repair achilles tendon
|
$11,716.50 |
$11,716.50 |
$11,716.50 |
$7,494.45
|
|
Repair anal fistula
|
$7,824.50 |
$7,824.50 |
$7,824.50 |
$3,038.07
|
|
Repair arm/leg nerve
|
$7,768.34 |
$7,768.34 |
$7,768.34 |
$6,839.00
|
|
Repair biceps tendon
|
$8,007.50 |
$8,007.50 |
$8,007.50 |
$6,839.00
|
|
Repair bladder defect
|
$11,821.25 |
$11,821.25 |
$11,821.25 |
$5,841.60
|
|
Repair bladder-vagina lesion
|
$8,582.00 |
$8,582.00 |
$8,582.00 |
$5,841.60
|
|
Repair blood ves direct neck 35201
|
$5,783.00 |
$5,783.00 |
$5,783.00 |
$5,907.78
|
|
Repair blood vessel direct hand finger
|
$36,875.00 |
$36,875.00 |
$36,875.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$11,562.50 |
$11,562.50 |
$11,562.50 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$5,273.13 |
$5,273.13 |
$5,273.13 |
$3,879.03
|
|
Repair brow defect
|
$11,706.67 |
$11,706.67 |
$11,706.67 |
$2,760.73
|
|
Repair cleft lip/nasal
|
$15,008.50 |
$15,008.50 |
$15,008.50 |
$6,553.49
|
|
Repair cleft lip/nasal
|
$20,398.50 |
$20,398.50 |
$20,398.50 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$3,461.75 |
$3,461.75 |
$3,461.75 |
$5,108.80
|
|
Repair cleft lip/nasal
|
$8,312.75 |
$8,312.75 |
$8,312.75 |
$6,839.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$4,105.42 |
$4,105.42 |
$4,105.42 |
$1,025.95
|
|
Repair corporeal tear
|
$12,236.50 |
$12,236.50 |
$12,236.50 |
$3,769.31
|
|
Repair defect arm art 35045
|
$11,833.00 |
$11,833.00 |
$11,833.00 |
$6,396.89
|
|
Repair defect of artery 35011
|
$9,546.00 |
$9,546.00 |
$9,546.00 |
$6,305.95
|
|
Repair deformity of toe
|
$4,658.25 |
$4,658.25 |
$4,658.25 |
$3,545.97
|
|
Repair degenerated kneecap
|
$9,711.34 |
$9,711.34 |
$9,711.34 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$16,540.50 |
$16,540.50 |
$16,540.50 |
$442.48
|
|
Repair detached retina
|
$11,399.50 |
$11,399.50 |
$11,399.50 |
$5,912.40
|
|
Repair detached retina
|
$9,137.00 |
$9,137.00 |
$9,137.00 |
$6,889.27
|
|
Repair detached retina
|
$5,036.67 |
$5,036.67 |
$5,036.67 |
$3,468.40
|
|
Repair detached retina crtx
|
$2,947.50 |
$2,947.50 |
$2,947.50 |
$3,786.00
|
|
Repair detached retina pc
|
$6,331.50 |
$6,331.50 |
$6,331.50 |
$1,513.20
|
|
Repair eardrum structures
|
$19,991.00 |
$19,991.00 |
$19,991.00 |
$6,553.49
|
|
Repair elbow deb/attch open
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$3,839.54
|
|
Repair elbow perc
|
$4,183.50 |
$4,183.50 |
$4,183.50 |
$3,986.00
|
|
Repair extns tendon finger without grft ea
|
$6,874.50 |
$6,874.50 |
$6,874.50 |
$2,224.00
|
|
Repair eyelid defect
|
$7,308.50 |
$7,308.50 |
$7,308.50 |
$3,849.60
|
|
Repair eyelid defect
|
$6,769.50 |
$6,769.50 |
$6,769.50 |
$4,462.45
|
|
Repair eyelid defect
|
$1,692.38 |
$1,692.38 |
$1,692.38 |
$2,966.40
|
|
Repair eyelid defect
|
$6,868.00 |
$6,868.00 |
$6,868.00 |
$3,357.30
|
|
Repair eyelid defect
|
$7,104.00 |
$7,104.00 |
$7,104.00 |
$2,732.50
|
|
Repair eyelid defect
|
$5,186.34 |
$5,186.34 |
$5,186.34 |
$2,760.73
|
|
Repair eyelid defect
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$2,982.40
|
|
Repair eyelid defect
|
$7,921.00 |
$7,921.00 |
$7,921.00 |
$2,760.73
|
|
Repair eyelid defect
|
$3,458.50 |
$3,458.50 |
$3,458.50 |
$2,760.73
|
|
Repair eyelid defect
|
$3,434.00 |
$3,434.00 |
$3,434.00 |
$2,982.40
|
|
Repair eyelid defect
|
$4,151.50 |
$4,151.50 |
$4,151.50 |
$2,856.80
|
|
Repair eyelid wound
|
$5,392.00 |
$5,392.00 |
$5,392.00 |
$2,760.73
|
|
Repair eyelid wound
|
$3,410.00 |
$3,410.00 |
$3,410.00 |
$3,254.34
|
|
Repair fibula nonunion
|
$12,395.00 |
$12,395.00 |
$12,395.00 |
$6,879.60
|
|
Repair finger/hand tendon
|
$24,190.00 |
$24,190.00 |
$24,190.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$18,880.00 |
$18,880.00 |
$18,880.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$10,915.00 |
$10,915.00 |
$10,915.00 |
$3,848.00
|
|
Repair finger/hand tendon
|
$4,179.00 |
$4,179.00 |
$4,179.00 |
$3,839.54
|
|
Repair finger tendon
|
$8,899.00 |
$8,899.00 |
$8,899.00 |
$3,594.44
|
|
Repair foot dislocation
|
$5,368.50 |
$5,368.50 |
$5,368.50 |
$5,886.74
|
|
Repair foot dislocation
|
$6,696.00 |
$6,696.00 |
$6,696.00 |
$5,886.74
|
|
Repair foot dislocation
|
$12,553.14 |
$12,553.14 |
$12,553.14 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$11,920.50 |
$11,920.50 |
$11,920.50 |
$4,350.00
|
|
Repair forearm tendon sheath
|
$9,918.00 |
$9,918.00 |
$9,918.00 |
$3,839.54
|
