|
Repair/graft hand tendon
|
$797.31 |
$797.31 |
$797.31 |
$5,560.25
|
|
Repair/graft hand tendon
|
$933.66 |
$933.66 |
$933.66 |
$6,311.00
|
|
Repair/graft hand tendon
|
$949.32 |
$949.32 |
$949.32 |
$5,886.74
|
|
Repair/graft hand tendon
|
$686.34 |
$686.34 |
$686.34 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$776.52 |
$776.52 |
$776.52 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$410.67 |
$410.67 |
$410.67 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$400.41 |
$400.41 |
$400.41 |
$5,023.20
|
|
Repair/graft of thigh
|
$1,176.39 |
$1,176.39 |
$1,176.39 |
$5,354.05
|
|
Repair/graft of thigh muscle
|
$810.81 |
$810.81 |
$810.81 |
$5,741.00
|
|
Repair/graft of tibia
|
$1,159.65 |
$1,159.65 |
$1,159.65 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$974.97 |
$974.97 |
$974.97 |
$7,907.11
|
|
Repair/graft radius & ulna
|
$1,087.83 |
$1,087.83 |
$1,087.83 |
$7,913.97
|
|
Repair/graft wrist bone
|
$729.81 |
$729.81 |
$729.81 |
$5,376.00
|
|
Repair hand joint
|
$673.11 |
$673.11 |
$673.11 |
$3,839.54
|
|
Repair hand joint with graft
|
$800.28 |
$800.28 |
$800.28 |
$3,839.54
|
|
Repair humerus with graft
|
$1,017.36 |
$1,017.36 |
$1,017.36 |
$11,718.66
|
|
Repair ing hernia sliding
|
$526.23 |
$526.23 |
$526.23 |
$2,812.80
|
|
Repair leg fascia defect
|
$325.35 |
$325.35 |
$325.35 |
$3,821.05
|
|
Repair lip full thkns =<one-half vert height
|
$347.22 |
$347.22 |
$347.22 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$408.24 |
$408.24 |
$408.24 |
$1,928.07
|
|
Repair liver wound 47350
|
$1,230.39 |
$1,230.39 |
$1,230.39 |
$2,581.80
|
|
Repair liver wound 47360
|
$1,676.70 |
$1,676.70 |
$1,676.70 |
$2,909.40
|
|
Repair lower leg tendons
|
$473.31 |
$473.31 |
$473.31 |
$3,821.05
|
|
Repair lumbar hernia
|
$615.06 |
$615.06 |
$615.06 |
$6,457.82
|
|
Repair major blood vessel(s) without bypass 33320
|
$942.30 |
$942.30 |
$942.30 |
$2,071.80
|
|
Repair middle ear structures
|
$762.21 |
$762.21 |
$762.21 |
$3,961.60
|
|
Repair muscles of hand
|
$476.82 |
$476.82 |
$476.82 |
$3,591.33
|
|
Repair nasal septum defect
|
$635.04 |
$635.04 |
$635.04 |
$3,819.23
|
|
Repair nasal stenosis
|
$967.68 |
$967.68 |
$967.68 |
$6,547.81
|
|
Repair nerve add-on 64832
|
$300.24 |
$300.24 |
$300.24 |
$2,199.60
|
|
Repair nonunion hand
|
$1,000.62 |
$1,000.62 |
$1,000.62 |
$5,886.74
|
|
Repair of achilles tendon
|
$681.75 |
$681.75 |
$681.75 |
$5,326.50
|
|
Repair of aneurysm
|
$936.36 |
$936.36 |
$936.36 |
$4,013.30
|
|
Repair of ankle ligament
|
$465.21 |
$465.21 |
$465.21 |
$7,913.97
|
|
Repair of ankle ligament
|
$603.72 |
$603.72 |
$603.72 |
$5,741.00
|
|
Repair of ankle ligaments
|
$520.56 |
$520.56 |
$520.56 |
$5,741.00
|
|
Repair of bladder opening
|
$433.08 |
$433.08 |
$433.08 |
$4,081.37
|
|
Repair of bowel lesion
|
$1,156.41 |
$1,156.41 |
$1,156.41 |
$2,048.40
|
|
Repair of circumcision
|
$207.90 |
$207.90 |
$207.90 |
$2,874.36
|
|
Repair of diaphragm hernia
|
$773.55 |
$773.55 |
$773.55 |
$1,246.56
|
|
Repair of digit nerve hand/foot 1 nerve
|
$661.23 |
$661.23 |
$661.23 |
$3,505.32
|
|
Repair of enterocele vaginal approach 57268
|
$473.31 |
$473.31 |
$473.31 |
$4,900.30
|
|
Repair of eye socket wound
|
$460.35 |
$460.35 |
$460.35 |
$4,462.45
|
|
Repair of eye wound
|
$270.00 |
$270.00 |
$270.00 |
$2,760.73
|
|
Repair of eye wound
|
$559.71 |
$559.71 |
$559.71 |
$4,625.45
|
|
Repair of eye wound
|
$1,034.91 |
$1,034.91 |
$1,034.91 |
$5,741.00
|
|
Repair of facial nerve
|
$799.74 |
$799.74 |
$799.74 |
$6,998.88
|
|
Repair of foot tendon
|
$313.74 |
$313.74 |
$313.74 |
$3,842.58
|
|
Repair of hand or foot nerve
|
$704.70 |
$704.70 |
$704.70 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$764.37 |
$764.37 |
$764.37 |
$4,697.33
|
|
Repair of humerus
|
$989.28 |
$989.28 |
$989.28 |
$12,591.64
|
|
Repair of hydrocele 55060
|
$357.75 |
$357.75 |
$357.75 |
$3,817.53
|
|
Repair of kneecap tendon
|
$594.54 |
$594.54 |
$594.54 |
$7,907.11
|
|
Repair of knee cartilage
|
$614.25 |
$614.25 |
$614.25 |
$5,613.67
|
|
Repair of knee ligament
|
$642.33 |
$642.33 |
$642.33 |
$5,886.13
|
|
Repair of knee ligament
|
$754.65 |
$754.65 |
$754.65 |
$7,338.57
|
|
Repair of leg tendon each
|
$355.86 |
$355.86 |
$355.86 |
$3,680.78
|
|
Repair of leg tendon each
|
$450.09 |
$450.09 |
$450.09 |
$6,311.00
|
|
Repair of leg tendon each
|
$399.60 |
$399.60 |
$399.60 |
$7,177.39
|
|
Repair of mesentery 44850
|
$682.29 |
$682.29 |
$682.29 |
$1,219.80
|
|
Repair of metatarsals
|
$547.29 |
$547.29 |
$547.29 |
$6,512.80
|
|
Repair of nasal septum
|
$641.79 |
$641.79 |
$641.79 |
$4,803.84
|
|
Repair of penis
|
$585.09 |
$585.09 |
$585.09 |
$4,081.37
|
|
Repair of rectocele 45560
|
$638.82 |
$638.82 |
$638.82 |
$3,038.07
|
|
Repair of rectum
|
$567.00 |
$567.00 |
$567.00 |
$3,432.60
|
|
Repair of ruptured spleen 38115
|
$1,155.87 |
$1,155.87 |
$1,155.87 |
$2,697.57
|
|
Repair of ruptured tendon
|
$731.43 |
$731.43 |
$731.43 |
$6,484.80
|
|
Repair of shoulder
|
$918.54 |
$918.54 |
$918.54 |
$6,661.18
|
|
Repair of thigh muscle
|
$582.12 |
$582.12 |
$582.12 |
$6,727.70
|
|
Repair of tibia
|
$821.88 |
$821.88 |
$821.88 |
$7,349.27
|
|
Repair of toe dislocation
|
$397.44 |
$397.44 |
$397.44 |
$3,839.54
|
|
Repair of urethra defect
|
$243.00 |
$243.00 |
$243.00 |
$4,081.37
|
|
Repair of urethra injury
|
$454.68 |
$454.68 |
$454.68 |
$5,741.00
|
|
Repair of windpipe defect
|
$456.84 |
$456.84 |
$456.84 |
$3,589.62
|
|
Repair palate pharynx/uvula
|
$647.73 |
$647.73 |
$647.73 |
$5,544.00
|
|
Repair pm/icd lead sgl
|
$350.73 |
$350.73 |
$350.73 |
$4,339.00
|
|
Repair radius or ulna
|
$758.70 |
$758.70 |
$758.70 |
$8,412.89
|
|
Repair radius & ulna
|
$908.01 |
$908.01 |
$908.01 |
$8,453.60
|
|
Repair rectum; remove sigmoid 45550
|
$1,324.35 |
$1,324.35 |
$1,324.35 |
$2,293.20
|
|
Repair rectum & vagina
|
$569.43 |
$569.43 |
$569.43 |
$5,394.95
|
|
Repair rectum-vagina fistula
|
$570.78 |
$570.78 |
$570.78 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$895.59 |
$895.59 |
$895.59 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$553.50 |
$553.50 |
$553.50 |
$4,176.15
|
|
Repair retinal detach cplx
|
$1,242.27 |
$1,242.27 |
$1,242.27 |
$6,657.60
|
|
Repair & revise nerve add-on
|
$155.25 |
$155.25 |
$155.25 |
$4,448.60
|
|
Repair/revise wrist joint
|
$947.97 |
$947.97 |
$947.97 |
$6,311.00
|
|
Repair rotator cuff acute
|
$773.55 |
$773.55 |
$773.55 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$802.71 |
$802.71 |
$802.71 |
$6,311.00
|
|
Repair rpr lip full thickness vermilion only
|
$304.02 |
$304.02 |
$304.02 |
$1,224.63
|
|
Repair salivary duct
|
$330.48 |
$330.48 |
$330.48 |
$6,447.37
|
|
Repair salivary duct
|
$434.70 |
$434.70 |
$434.70 |
$6,547.81
|
|
Repair shoulder capsule
|
$908.01 |
$908.01 |
$908.01 |
$7,842.71
|
|
Repair shoulder capsule
|
$1,018.44 |
$1,018.44 |
$1,018.44 |
$6,820.77
|
|
Repair shoulder capsule
|
$994.95 |
$994.95 |
$994.95 |
$5,855.00
|
|
Repair shoulder capsule
|
$1,043.55 |
$1,043.55 |
$1,043.55 |
$7,154.78
|
|
Repair shoulder capsule
|
$1,050.30 |
$1,050.30 |
$1,050.30 |
$7,690.89
|
|
Repair spinal fluid leakage 63707
|
$868.05 |
$868.05 |
$868.05 |
$1,708.80
|
|
Repair stomach-bowel fistula 43880
|
$1,439.64 |
$1,439.64 |
$1,439.64 |
$2,477.40
|
|
Repair stomach opening
|
$645.03 |
$645.03 |
$645.03 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$307.80 |
$307.80 |
$307.80 |
$3,839.54
|