|
Repair artery rupture aorta
|
$477.47 |
$477.47 |
$477.47 |
$3,846.40
|
|
Repair art rupture aorta 35082
|
$480.06 |
$480.06 |
$480.06 |
$4,366.80
|
|
Repair art rupture groin 35132
|
$361.13 |
$361.13 |
$361.13 |
$3,404.94
|
|
Repair av fistula ext 35190
|
$170.45 |
$170.45 |
$170.45 |
$6,366.08
|
|
Repair biceps tendon
|
$182.70 |
$182.70 |
$182.70 |
$6,839.00
|
|
Repair bladder defect
|
$178.85 |
$178.85 |
$178.85 |
$5,841.60
|
|
Repair blood ves direct neck 35201
|
$210.28 |
$210.28 |
$210.28 |
$5,907.78
|
|
Repair blood vess/direct/intra/abd 35221
|
$332.85 |
$332.85 |
$332.85 |
$1,904.24
|
|
Repair blood vessel direct hand finger
|
$183.75 |
$183.75 |
$183.75 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$186.13 |
$186.13 |
$186.13 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$182.77 |
$182.77 |
$182.77 |
$3,879.03
|
|
Repair blood vessel lesion
|
$214.48 |
$214.48 |
$214.48 |
$2,346.40
|
|
Repair blood vessel lesion
|
$297.85 |
$297.85 |
$297.85 |
$5,988.54
|
|
Repair blood vessel lesion
|
$195.37 |
$195.37 |
$195.37 |
$5,983.35
|
|
Repair blood vessel w/graft lower extremity 35286
|
$228.83 |
$228.83 |
$228.83 |
$5,983.35
|
|
Repair bowel-bladder fistula 44660
|
$314.09 |
$314.09 |
$314.09 |
$2,961.42
|
|
Repair bowel-bladder fistula 44661
|
$359.66 |
$359.66 |
$359.66 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$334.60 |
$334.60 |
$334.60 |
$1,558.00
|
|
Repair carpal bone shorten
|
$192.43 |
$192.43 |
$192.43 |
$3,856.00
|
|
Repair cleft hand
|
$374.92 |
$374.92 |
$374.92 |
$4,499.12
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$105.07 |
$105.07 |
$105.07 |
$1,025.95
|
|
Repair corporeal tear
|
$164.57 |
$164.57 |
$164.57 |
$3,769.31
|
|
Repair defect arm art 35045
|
$217.14 |
$217.14 |
$217.14 |
$6,396.89
|
|
Repair defect of artery
|
$308.56 |
$308.56 |
$308.56 |
$2,168.66
|
|
Repair defect of artery
|
$221.90 |
$221.90 |
$221.90 |
$855.90
|
|
Repair defect of artery
|
$287.42 |
$287.42 |
$287.42 |
$1,422.50
|
|
Repair defect of artery
|
$393.12 |
$393.12 |
$393.12 |
$3,131.20
|
|
Repair defect of artery
|
$294.28 |
$294.28 |
$294.28 |
$1,471.00
|
|
Repair defect of artery 35011
|
$225.82 |
$225.82 |
$225.82 |
$6,305.95
|
|
Repair defect of artery 35081
|
$383.32 |
$383.32 |
$383.32 |
$3,497.40
|
|
Repair defect of artery 35102
|
$416.01 |
$416.01 |
$416.01 |
$3,772.80
|
|
Repair defect of artery 35121
|
$349.37 |
$349.37 |
$349.37 |
$2,224.66
|
|
Repair defect of artery aneurysm 35151
|
$275.03 |
$275.03 |
$275.03 |
$5,776.00
|
|
Repair defect of artery carotid subclav 35001
|
$247.87 |
$247.87 |
$247.87 |
$2,165.40
|
|
Repair deformity of toe
|
$90.44 |
$90.44 |
$90.44 |
$3,545.97
|
|
Repair degenerated kneecap
|
$200.13 |
$200.13 |
$200.13 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$14.77 |
$14.77 |
$14.77 |
$442.48
|
|
Repair detached retina pc
|
$67.41 |
$67.41 |
$67.41 |
$1,513.20
|
|
Repair eardrum structures
|
$218.05 |
$218.05 |
$218.05 |
$6,553.49
|
|
Repair elbow deb/attch open
|
$163.87 |
$163.87 |
$163.87 |
$3,839.54
|
|
Repair elbow perc
|
$104.09 |
$104.09 |
$104.09 |
$3,986.00
|
|
Repair elbow w/deb open
|
$132.65 |
$132.65 |
$132.65 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$184.87 |
$184.87 |
$184.87 |
$2,224.00
|
|
Repair eyelid defect
|
$117.53 |
$117.53 |
$117.53 |
$2,966.40
|
|
Repair eyelid defect
|
$106.33 |
$106.33 |
$106.33 |
$2,732.50
|
|
Repair eyelid defect
|
$81.48 |
$81.48 |
$81.48 |
$2,760.73
|
|
Repair eyelid defect
|
$105.77 |
$105.77 |
$105.77 |
$2,982.40
|
|
Repair eyelid defect
|
$111.86 |
$111.86 |
$111.86 |
$2,760.73
|
|
Repair eyelid defect
|
$77.56 |
$77.56 |
$77.56 |
$2,760.73
|
|
Repair eyelid defect
|
$105.77 |
$105.77 |
$105.77 |
$2,982.40
|
|
Repair eyelid defect
|
$112.07 |
$112.07 |
$112.07 |
$2,856.80
|
|
Repair fibula nonunion
|
$232.12 |
$232.12 |
$232.12 |
$6,879.60
|
|
Repair finger/hand tendon
|
$186.90 |
$186.90 |
$186.90 |
$4,150.20
|
|
Repair finger/hand tendon
|
$374.57 |
$374.57 |
$374.57 |
$4,150.20
|
|
Repair finger/hand tendon
|
$195.09 |
$195.09 |
$195.09 |
$3,848.00
|
|
Repair finger/hand tendon
|
$217.91 |
$217.91 |
$217.91 |
$3,839.54
|
|
Repair finger/hand tendon
|
$126.28 |
$126.28 |
$126.28 |
$3,839.54
|
|
Repair finger tendon
|
$143.01 |
$143.01 |
$143.01 |
$3,594.44
|
|
Repair foot dislocation
|
$159.67 |
$159.67 |
$159.67 |
$5,886.74
|
|
Repair foot dislocation
|
$204.61 |
$204.61 |
$204.61 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$139.02 |
$139.02 |
$139.02 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$165.20 |
$165.20 |
$165.20 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$157.64 |
$157.64 |
$157.64 |
$6,311.00
|
|
Repair forearm tendon sheath
|
$166.88 |
$166.88 |
$166.88 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$163.52 |
$163.52 |
$163.52 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$281.68 |
$281.68 |
$281.68 |
$1,293.00
|
|
Repair/graft finger tendon
|
$184.10 |
$184.10 |
$184.10 |
$3,839.54
|
|
Repair/graft finger tendon
|
$197.82 |
$197.82 |
$197.82 |
$3,821.05
|
|
Repair/graft hand tendon
|
$206.71 |
$206.71 |
$206.71 |
$5,560.25
|
|
Repair/graft hand tendon
|
$242.06 |
$242.06 |
$242.06 |
$6,311.00
|
|
Repair/graft hand tendon
|
$246.12 |
$246.12 |
$246.12 |
$5,886.74
|
|
Repair/graft hand tendon
|
$177.94 |
$177.94 |
$177.94 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$201.32 |
$201.32 |
$201.32 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$106.47 |
$106.47 |
$106.47 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$103.81 |
$103.81 |
$103.81 |
$5,023.20
|
|
Repair/graft of thigh
|
$304.99 |
$304.99 |
$304.99 |
$5,354.05
|
|
Repair/graft of thigh muscle
|
$210.21 |
$210.21 |
$210.21 |
$5,741.00
|
|
Repair/graft of tibia
|
$300.65 |
$300.65 |
$300.65 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$252.77 |
$252.77 |
$252.77 |
$7,907.11
|
|
Repair/graft radius & ulna
|
$282.03 |
$282.03 |
$282.03 |
$7,913.97
|
|
Repair/graft wrist bone
|
$189.21 |
$189.21 |
$189.21 |
$5,376.00
|
|
Repair hand joint
|
$174.51 |
$174.51 |
$174.51 |
$3,839.54
|
|
Repair hand joint with graft
|
$207.48 |
$207.48 |
$207.48 |
$3,839.54
|
|
Repair humerus with graft
|
$263.76 |
$263.76 |
$263.76 |
$11,718.66
|
|
Repair ing hernia sliding
|
$136.43 |
$136.43 |
$136.43 |
$2,812.80
|
|
Repair leg fascia defect
|
$84.35 |
$84.35 |
$84.35 |
$3,821.05
|
|
Repair lip full thkns =<one-half vert height
|
$90.02 |
$90.02 |
$90.02 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$105.84 |
$105.84 |
$105.84 |
$1,928.07
|
|
Repair liver wound 47350
|
$318.99 |
$318.99 |
$318.99 |
$2,581.80
|
|
Repair liver wound 47360
|
$434.70 |
$434.70 |
$434.70 |
$2,909.40
|
|
Repair lower leg tendons
|
$122.71 |
$122.71 |
$122.71 |
$3,821.05
|
|
Repair lumbar hernia
|
$159.46 |
$159.46 |
$159.46 |
$6,457.82
|
|
Repair major blood vessel(s) without bypass 33320
|
$244.30 |
$244.30 |
$244.30 |
$2,071.80
|
|
Repair middle ear structures
|
$197.61 |
$197.61 |
$197.61 |
$3,961.60
|
|
Repair muscles of hand
|
$123.62 |
$123.62 |
$123.62 |
$3,591.33
|
|
Repair nasal septum defect
|
$164.64 |
$164.64 |
$164.64 |
$3,819.23
|
|
Repair nasal stenosis
|
$250.88 |
$250.88 |
$250.88 |
$6,547.81
|
|
Repair nerve add-on 64832
|
$77.84 |
$77.84 |
$77.84 |
$2,199.60
|
|
Repair nonunion hand
|
$259.42 |
$259.42 |
$259.42 |
$5,886.74
|
|
Repair of achilles tendon
|
$176.75 |
$176.75 |
$176.75 |
$5,326.50
|