|
Revise/implant finger joint
|
$508.25 |
$508.25 |
$508.25 |
$5,376.00
|
|
Revise kneecap
|
$441.94 |
$441.94 |
$441.94 |
$7,700.67
|
|
Revise kneecap with implant
|
$557.27 |
$557.27 |
$557.27 |
$9,625.50
|
|
Revise knuckle joint
|
$368.41 |
$368.41 |
$368.41 |
$5,023.20
|
|
Revise knuckle with implant
|
$428.07 |
$428.07 |
$428.07 |
$5,886.74
|
|
Revise low back nerve(s)
|
$504.45 |
$504.45 |
$504.45 |
$3,603.20
|
|
Revise lower leg tendon
|
$429.21 |
$429.21 |
$429.21 |
$3,986.00
|
|
Revise lower leg tendon
|
$496.66 |
$496.66 |
$496.66 |
$4,934.00
|
|
Revise middle ear bone
|
$611.23 |
$611.23 |
$611.23 |
$6,839.00
|
|
Revise middle ear bone
|
$795.15 |
$795.15 |
$795.15 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$690.27 |
$690.27 |
$690.27 |
$6,553.49
|
|
Revise middle ear & mastoid
|
$884.07 |
$884.07 |
$884.07 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$808.64 |
$808.64 |
$808.64 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$1,006.62 |
$1,006.62 |
$1,006.62 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$1,044.24 |
$1,044.24 |
$1,044.24 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$988.76 |
$988.76 |
$988.76 |
$7,000.36
|
|
Revise radius or ulna
|
$670.32 |
$670.32 |
$670.32 |
$4,627.00
|
|
Revise radius & ulna
|
$630.23 |
$630.23 |
$630.23 |
$4,692.80
|
|
Revise/remove sling repair
|
$487.16 |
$487.16 |
$487.16 |
$3,720.50
|
|
Revise/replace knee joint
|
$916.37 |
$916.37 |
$916.37 |
$5,491.20
|
|
Revise/replace knee joint
|
$1,136.77 |
$1,136.77 |
$1,136.77 |
$7,048.60
|
|
Revise spermatic cord veins
|
$233.13 |
$233.13 |
$233.13 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$293.36 |
$293.36 |
$293.36 |
$7,496.58
|
|
Revise spine eltrd plate
|
$573.80 |
$573.80 |
$573.80 |
$14,685.79
|
|
Revise stomach bowel fusion 43860
|
$1,032.84 |
$1,032.84 |
$1,032.84 |
$3,110.40
|
|
Revise thumb tendon
|
$563.54 |
$563.54 |
$563.54 |
$3,591.33
|
|
Revise two eye muscles
|
$439.28 |
$439.28 |
$439.28 |
$4,462.45
|
|
Revise ulnar nerve at wrist
|
$276.26 |
$276.26 |
$276.26 |
$2,823.38
|
|
Revise vag graft via vagina
|
$328.89 |
$328.89 |
$328.89 |
$3,762.53
|
|
Revise windpipe scar
|
$246.24 |
$246.24 |
$246.24 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$382.66 |
$382.66 |
$382.66 |
$3,017.99
|
|
Revise wrist joint
|
$563.92 |
$563.92 |
$563.92 |
$4,155.20
|
|
Revision of arm nerve(s)
|
$524.02 |
$524.02 |
$524.02 |
$3,833.60
|
|
Revision of big toe
|
$246.81 |
$246.81 |
$246.81 |
$5,855.00
|
|
Revision of bladder neck
|
$325.85 |
$325.85 |
$325.85 |
$4,526.00
|
|
Revision of calf tendon
|
$306.09 |
$306.09 |
$306.09 |
$3,839.54
|
|
Revision of cervix
|
$220.78 |
$220.78 |
$220.78 |
$3,721.00
|
|
Revision of cervix
|
$94.81 |
$94.81 |
$94.81 |
$3,854.76
|
|
Revision of collar bone
|
$543.78 |
$543.78 |
$543.78 |
$5,886.74
|
|
Revision of collar bone
|
$627.57 |
$627.57 |
$627.57 |
$12,147.50
|
|
Revision of colostomy
|
$408.31 |
$408.31 |
$408.31 |
$4,332.25
|
|
Revision of colostomy comp in-depth 44345
|
$673.17 |
$673.17 |
$673.17 |
$2,338.38
|
|
Revision of colostomy paraclt hernia 44346
|
$754.87 |
$754.87 |
$754.87 |
$2,912.80
|
|
Revision of cornea
|
$229.14 |
$229.14 |
$229.14 |
$2,760.73
|
|
Revision of cranial nerve
|
$340.10 |
$340.10 |
$340.10 |
$2,310.83
|
|
Revision of eyelid
|
$302.67 |
$302.67 |
$302.67 |
$2,760.73
|
|
Revision of eyelid
|
$433.01 |
$433.01 |
$433.01 |
$3,417.95
|
|
Revision of foot and ankle
|
$731.50 |
$731.50 |
$731.50 |
$6,915.20
|
|
Revision of foot fascia 28250
|
$277.40 |
$277.40 |
$277.40 |
$3,839.54
|
|
Revision of foot tendon
|
$323.57 |
$323.57 |
$323.57 |
$5,886.74
|
|
Revision of ileostomy complicated 44314
|
$643.72 |
$643.72 |
$643.72 |
$2,486.40
|
|
Revision of ileostomy; simple 44312
|
$386.27 |
$386.27 |
$386.27 |
$4,332.25
|
|
Revision of iris
|
$156.56 |
$156.56 |
$156.56 |
$1,388.40
|
|
Revision of kidney/ureter
|
$747.08 |
$747.08 |
$747.08 |
$5,865.60
|
|
Revision of knee joint
|
$529.91 |
$529.91 |
$529.91 |
$15,069.60
|
|
Revision of knee joint
|
$576.84 |
$576.84 |
$576.84 |
$8,885.39
|
|
Revision of knee joint
|
$541.69 |
$541.69 |
$541.69 |
$12,555.20
|
|
Revision of knee joint
|
$750.88 |
$750.88 |
$750.88 |
$14,241.77
|
|
Revision of leg vein 37780
|
$147.63 |
$147.63 |
$147.63 |
$3,724.63
|
|
Revision of nose
|
$281.20 |
$281.20 |
$281.20 |
$3,819.23
|
|
Revision of penis
|
$459.04 |
$459.04 |
$459.04 |
$4,040.25
|
|
Revision of penis
|
$418.95 |
$418.95 |
$418.95 |
$2,739.10
|
|
Revision of penis
|
$274.36 |
$274.36 |
$274.36 |
$4,350.00
|
|
Revision of radius
|
$452.96 |
$452.96 |
$452.96 |
$6,871.42
|
|
Revision of sciatic nerve
|
$394.06 |
$394.06 |
$394.06 |
$2,888.00
|
|
Revision of scrotum
|
$242.44 |
$242.44 |
$242.44 |
$4,081.37
|
|
Revision of thigh muscles
|
$493.81 |
$493.81 |
$493.81 |
$5,886.74
|
|
Revision of ulna
|
$440.80 |
$440.80 |
$440.80 |
$5,376.00
|
|
Revision of unstable kneecap
|
$497.42 |
$497.42 |
$497.42 |
$5,886.74
|
|
Revision of unstable kneecap
|
$495.33 |
$495.33 |
$495.33 |
$6,973.47
|
|
Revision of urethra
|
$301.53 |
$301.53 |
$301.53 |
$4,081.37
|
|
Revision open av fistula without thromb
|
$462.46 |
$462.46 |
$462.46 |
$8,037.35
|
|
Revision/removal of kneecap
|
$499.13 |
$499.13 |
$499.13 |
$6,839.00
|
|
Revis reconst shoulder joint
|
$1,044.81 |
$1,044.81 |
$1,044.81 |
$10,029.25
|
|
Revis reconst shoulder joint
|
$1,126.32 |
$1,126.32 |
$1,126.32 |
$7,074.60
|
|
Revj fem anast autog vn grf
|
$743.47 |
$743.47 |
$743.47 |
$6,035.20
|
|
Revj fem anast nonautog grf
|
$717.44 |
$717.44 |
$717.44 |
$6,396.89
|
|
Revj open gstr rstcv px
|
$1,222.27 |
$1,222.27 |
$1,222.27 |
$4,748.80
|
|
Rev-rem impl neurostim gen-rec
|
$195.32 |
$195.32 |
$195.32 |
$4,534.00
|
|
Rev/rmv perph nstim eltrd ra
|
$95.38 |
$95.38 |
$95.38 |
$4,121.65
|
|
Rev/rmv prph sac/gstr npg/r
|
$150.48 |
$150.48 |
$150.48 |
$4,807.27
|
|
Rf abltj nrv nrvtg si jt
|
$129.20 |
$129.20 |
$129.20 |
$3,138.15
|
|
Rheumatoid factor qualitative
|
$29.64 |
$29.64 |
$29.64 |
$57.20
|
|
Rheumatoid factor quantitative
|
$18.81 |
$18.81 |
$18.81 |
$57.00
|
|
Rhinp prim lat&alr crtlge&/elvtn nsl tip
|
$824.60 |
$824.60 |
$824.60 |
$4,256.00
|
|
Rho d immune globulin inj
|
$25.87 |
$25.87 |
$25.87 |
$217.71
|
|
Right ventric recording
|
$847.59 |
$847.59 |
$847.59 |
$2,345.00
|
|
Rmv anterior spine instrumentation 22855
|
$710.98 |
$710.98 |
$710.98 |
$2,667.20
|
|
Rmv implant contraceptive capsule 11976
|
$58.52 |
$58.52 |
$58.52 |
$846.42
|
|
Rmvl esophgl sphnctr dev
|
$430.16 |
$430.16 |
$430.16 |
$5,553.60
|
|
Rmvl ext fixj sys under anes
|
$231.80 |
$231.80 |
$231.80 |
$2,370.00
|
|
Rmvl fb upr arm/elbow deep
|
$272.46 |
$272.46 |
$272.46 |
$3,638.88
|
|
Rmvl fecal impaction/fb spx under anes
|
$151.62 |
$151.62 |
$151.62 |
$2,093.02
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$96.33 |
$96.33 |
$96.33 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$3,081.04 |
$3,081.04 |
$3,081.04 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$14,212.00 |
$14,212.00 |
$14,212.00 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$18,293.20 |
$18,293.20 |
$18,293.20 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$13,358.71 |
$13,358.71 |
$13,358.71 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$636.50 |
$636.50 |
$636.50 |
$1,156.80
|
