Compare DVA fees against MBS rates for 5,800+ items — essential for practices treating DVA card holders
| Item No. | Description | MBS Fee | DVA Fee | ||||
|---|---|---|---|---|---|---|---|
| 48446 | $1444.30 | $1407.70 ▼ | |||||
|
Item Number
48446
Fee Comparison
MBS
$1444.30
→
DVA
$1407.70
-$36.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1970.80
Full Description
Treatment of non-union or malunion of fracture of pelvis, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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| 48448 | $1444.30 | $1407.70 ▼ | |||||
|
Item Number
48448
Fee Comparison
MBS
$1444.30
→
DVA
$1407.70
-$36.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1970.80
Full Description
Treatment of non-union or malunion of fracture of femur, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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| 48450 | $1309.00 | $1275.85 ▼ | |||||
|
Item Number
48450
Fee Comparison
MBS
$1309.00
→
DVA
$1275.85
-$33.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1786.25
Full Description
Treatment of non-union or malunion of fracture of tibia or fibula, proximal to ankle, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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| 48452 | $1309.00 | $1275.85 ▼ | |||||
|
Item Number
48452
Fee Comparison
MBS
$1309.00
→
DVA
$1275.85
-$33.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1786.25
Full Description
Treatment of non-union or malunion of fracture of humerus, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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| 48454 | $970.95 | $946.35 ▼ | |||||
|
Item Number
48454
Fee Comparison
MBS
$970.95
→
DVA
$946.35
-$24.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1325.00
Full Description
Treatment of non-union or malunion of fracture of radius, ulna, or carpus including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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| 48456 | $970.95 | $946.35 ▼ | |||||
|
Item Number
48456
Fee Comparison
MBS
$970.95
→
DVA
$946.35
-$24.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1325.00
Full Description
Treatment of non-union or malunion of fracture of hand, distal to wrist, including bone graft, and including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) osteotomy; (d) removal of hardware; (e) internal fixation; other than a service associated with a service to which item 48245, 48248, 48251, 48254, 48257 or 47929 applies that is performed on the same bone —one bone (H) (Anaes.) (Assist.)
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| 48507 | $438.30 | $427.20 ▼ | |||||
|
Item Number
48507
Fee Comparison
MBS
$438.30
→
DVA
$427.20
-$11.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$598.30
RMFS Out-Hosp
$598.10
Full Description
Epiphysiodesis of a long bone, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
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| 48509 | $394.45 | $384.45 ▼ | |||||
|
Item Number
48509
Fee Comparison
MBS
$394.45
→
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$352.80
Full Description
Hemiepiphysiodesis, partial growth plate arrest using internal fixation, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
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| 48512 | $1070.55 | $1043.40 ▼ | |||||
|
Item Number
48512
Fee Comparison
MBS
$1070.55
→
DVA
$1043.40
-$27.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1942.10
Full Description
Epiphysiolysis, release of focal growth plate closure, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
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| 48900 | $337.90 | $329.35 ▼ | |||||
|
Item Number
48900
Fee Comparison
MBS
$337.90
→
DVA
$329.35
-$8.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$473.90
Full Description
Shoulder, excision of coraco‑acromial ligament or removal of calcium deposit from cuff or both (H) (Anaes.) (Assist.)
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| 48903 | $676.10 | $658.95 ▼ | |||||
|
Item Number
48903
Fee Comparison
MBS
$676.10
→
DVA
$658.95
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$874.15
Full Description
Shoulder, decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.)
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| 48906 | $676.10 | $658.95 ▼ | |||||
|
Item Number
48906
Fee Comparison
MBS
$676.10
→
DVA
$658.95
-$17.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$807.40
Full Description
Shoulder, repair of rotator cuff, including excision of coraco‑acromial ligament or removal of calcium deposit from cuff, or both—other than a service associated with a service to which item 48900 applies (H) (Anaes.) (Assist.)
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| 48909 | $901.55 | $878.70 ▼ | |||||
|
Item Number
48909
Fee Comparison
MBS
$901.55
→
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1542.80
Full Description
Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item 48903 applies (H) (Anaes.) (Assist.)
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| 48915 | $901.55 | $878.70 ▼ | |||||
|
Item Number
48915
Fee Comparison
MBS
$901.55
→
DVA
$878.70
-$22.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1463.90
Full Description
Shoulder, hemi‑arthroplasty of (H) (Anaes.) (Assist.)
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| 48918 | $1803.15 | $1757.45 ▼ | |||||
|
Item Number
48918
Fee Comparison
MBS
$1803.15
→
DVA
$1757.45
-$45.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3192.10
Full Description
Anatomic or reverse total shoulder replacement, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by open or arthroscopic means (H) (Anaes.) (Assist.)
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| 48919 | $2041.70 | $1989.95 ▼ | |||||
|
Item Number
48919
Fee Comparison
MBS
$2041.70
→
DVA
$1989.95
-$51.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2786.00
Full Description
Anatomic or reverse total shoulder replacement with bone graft, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with: (d) a service to which another item in this Schedule applies that is performed on the shoulder region by open or arthroscopic means; or (e) a service to which item 48245, 48248, 48251, 48254 or 48257 applies that is performed on the same joint (H) (Anaes.) (Assist.)
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| 48921 | $1859.15 | $1812.05 ▼ | |||||
|
Item Number
48921
Fee Comparison
MBS
$1859.15
→
DVA
$1812.05
-$47.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3150.30
Full Description
Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.)
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| 48924 | $2141.05 | $2086.80 ▼ | |||||
|
Item Number
48924
Fee Comparison
MBS
$2141.05
→
DVA
$2086.80
-$54.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3403.70
Full Description
Revision of total shoulder replacement, including either or both of the following (if performed): (a) bone graft to humerus; (b) bone graft to scapula (H) (Anaes.) (Assist.)
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| 48925 | $840.80 | $819.50 ▼ | |||||
|
Item Number
48925
Fee Comparison
MBS
$840.80
→
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Arthroplasty of shoulder, other than: (a) a service to which another item applies; or (b) a service associated with a service to which any of items 48900 to 48909, 48948, 48951, or 48960 applies that is performed on the same joint (H) (Anaes.) (Assist.)
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| 48927 | $439.30 | $428.15 ▼ | |||||
|
Item Number
48927
Fee Comparison
MBS
$439.30
→
DVA
$428.15
-$11.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$633.50
Full Description
Shoulder prosthesis, removal of (H) (Anaes.) (Assist.)
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| 48932 | $840.80 | $819.50 ▼ | |||||
|
Item Number
48932
Fee Comparison
MBS
$840.80
→
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Arthroplasty of acromioclavicular joint or sternoclavicular joint, other than: (a) a service to which another item applies; or (b) a service associated with a service to which another item in this Schedule applies that is performed on the same joint by arthroscopic means —one joint (H) (Anaes.) (Assist.)
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| 48939 | $1295.85 | $1263.00 ▼ | |||||
|
Item Number
48939
Fee Comparison
MBS
$1295.85
→
DVA
$1263.00
-$32.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1893.55
Full Description
Shoulder, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
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| 48942 | $1690.25 | $1647.40 ▼ | |||||
|
Item Number
48942
Fee Comparison
MBS
$1690.25
→
DVA
$1647.40
-$42.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2529.10
Full Description
Arthrodesis of shoulder, with bone grafting or internal fixation, including either or both of the following (if performed): (a) removal of prosthesis; (b) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
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|||||||
| 48943 | $563.40 | $549.10 ▼ | |||||
|
Item Number
48943
Fee Comparison
MBS
$563.40
→
DVA
$549.10
-$14.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$768.80
Full Description
Arthrodesis of acromioclavicular or sternoclavicular joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
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| 48944 | $563.40 | $549.10 ▼ | |||||
|
Item Number
48944
Fee Comparison
MBS
$563.40
→
DVA
$549.10
-$14.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$768.80
Full Description
Arthrodesis of scapulothoracic joint, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy; —one joint (H) (Anaes.) (Assist.)
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| 48945 | $326.70 | $318.40 ▼ | |||||
|
Item Number
48945
Fee Comparison
MBS
$326.70
→
DVA
$318.40
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$471.30
Full Description
SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
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| 48948 | $732.50 | $713.95 ▼ | |||||
|
Item Number
48948
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1004.30
Full Description
SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
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| 48951 | $1070.55 | $1043.40 ▼ | |||||
|
Item Number
48951
Fee Comparison
MBS
$1070.55
→
DVA
$1043.40
-$27.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1806.55
Full Description
SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
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| 48952 | $732.50 | $713.95 ▼ | |||||
|
Item Number
48952
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$999.55
Full Description
Surgery of acromioclavicular joint or sternoclavicular joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
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|||||||
| 48953 | $732.50 | $713.95 ▼ | |||||
|
Item Number
48953
Fee Comparison
MBS
$732.50
→
DVA
$713.95
-$18.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$999.55
Full Description
Surgery of scapulothoracic joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies that is performed on the same joint by arthroscopic means (H) (Anaes.) (Assist.)
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| 48954 | $1126.80 | $1098.25 ▼ | |||||
|
Item Number
48954
Fee Comparison
MBS
$1126.80
→
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2024.05
Full Description
Synovectomy of shoulder, performed as an independent procedure, including release of contracture (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
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| 48958 | $1295.85 | $1263.00 ▼ | |||||
|
Item Number
48958
Fee Comparison
MBS
$1295.85
→
DVA
$1263.00
-$32.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1768.35
RMFS Out-Hosp
$1768.20
Full Description
Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or reattachment (if performed), excluding bone grafting and removal of hardware, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
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| 48959 | $1809.60 | $1763.75 ▼ | |||||
|
Item Number
48959
Fee Comparison
MBS
$1809.60
→
DVA
$1763.75
-$45.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2469.30
Full Description
Latarjet procedure by open or arthroscopic means, including any of the following (if performed) but excluding removal of hardware: (a) labral repair or reattachment; (b) bone grafting; (c) tendon transfer; other than a service associated with a service to which another item in this Schedule applies that is performed on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
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| 48960 | $1126.80 | $1098.25 ▼ | |||||
|
Item Number
48960
Fee Comparison
MBS
$1126.80
→
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1876.35
Full Description
SHOULDER, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate approach when performed - not being a service associated with any other procedure of the shoulder region (H) (Anaes.) (Assist.)
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| 48972 | $518.25 | $505.10 ▼ | |||||
|
Item Number
48972
Fee Comparison
MBS
$518.25
→
DVA
$505.10
-$13.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$707.15
RMFS Out-Hosp
$707.15
Full Description
Tenodesis of biceps, by open or arthroscopic means, performed as an independent procedure (H) (Anaes.) (Assist.)
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| 48980 | $957.80 | $933.55 ▼ | |||||
|
Item Number
48980
Fee Comparison
MBS
$957.80
→
DVA
$933.55
-$24.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1307.10
RMFS Out-Hosp
$1307.00
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the shoulder girdle (H) (Anaes.) (Assist.)
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| 48983 | $702.40 | $684.60 ▼ | |||||
|
Item Number
48983
Fee Comparison
MBS
$702.40
→
DVA
$684.60
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$958.65
RMFS Out-Hosp
$958.45
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the elbow (H) (Anaes.) (Assist.)
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| 48986 | $957.80 | $933.55 ▼ | |||||
|
Item Number
48986
Fee Comparison
MBS
$957.80
→
DVA
$933.55
-$24.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1307.10
RMFS Out-Hosp
$1307.00
Full Description
Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the forearm (H) (Anaes.) (Assist.)
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| 49100 | $394.45 | $384.45 ▼ | |||||
|
Item Number
49100
Fee Comparison
MBS
$394.45
→
DVA
$384.45
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$568.85
Full Description
ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.)
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| 49104 | $633.80 | $617.75 ▼ | |||||
|
Item Number
49104
Fee Comparison
MBS
$633.80
→
DVA
$617.75
-$16.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$865.00
RMFS Out-Hosp
$864.85
Full Description
Repair of one or more ligaments of the elbow, for acute instability—within 6 weeks after the time of injury (H) (Anaes.) (Assist.)
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| 49105 | $929.60 | $906.05 ▼ | |||||
|
Item Number
49105
Fee Comparison
MBS
$929.60
→
DVA
$906.05
-$23.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1268.65
RMFS Out-Hosp
$1268.50
Full Description
Stabilisation of one or more ligaments of the elbow, for chronic instability, including harvesting of tendon graft—6 weeks or more after the time of injury (H) (Anaes.) (Assist.)
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| 49106 | $1126.80 | $1098.25 ▼ | |||||
|
Item Number
49106
Fee Comparison
MBS
$1126.80
→
DVA
$1098.25
-$28.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1690.50
Full Description
Elbow, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
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| 49109 | $845.00 | $823.60 ▼ | |||||
|
Item Number
49109
Fee Comparison
MBS
$845.00
→
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1437.20
Full Description
ELBOW, total synovectomy of (H) (Anaes.) (Assist.)
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| 49112 | $845.00 | $823.60 ▼ | |||||
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Item Number
49112
Fee Comparison
MBS
$845.00
→
DVA
$823.60
-$21.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1203.10
Full Description
Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.)
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| 49113 | $840.80 | $819.50 ▼ | |||||
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Item Number
49113
Fee Comparison
MBS
$840.80
→
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Removal of radial head prosthesis (H) (Anaes.) (Assist.)
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| 49114 | $840.80 | $819.50 ▼ | |||||
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Item Number
49114
Fee Comparison
MBS
$840.80
→
DVA
$819.50
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.35
Full Description
Revision of radial head replacement (H) (Anaes.) (Assist.)
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| 49115 | $1352.05 | $1317.80 ▼ | |||||
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Item Number
49115
Fee Comparison
MBS
$1352.05
→
DVA
$1317.80
-$34.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2158.20
Full Description
Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.)
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| 49116 | $1784.70 | $1739.45 ▼ | |||||
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Item Number
49116
Fee Comparison
MBS
$1784.70
→
DVA
$1739.45
-$45.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2483.45
Full Description
ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.)
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| 49117 | $2141.65 | $2087.40 ▼ | |||||
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Item Number
49117
Fee Comparison
MBS
$2141.65
→
DVA
$2087.40
-$54.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2979.80
Full Description
Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.)
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| 49118 | $326.70 | $318.40 ▼ | |||||
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Item Number
49118
Fee Comparison
MBS
$326.70
→
DVA
$318.40
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$471.30
Full Description
ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
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