|
Remove wrist/forearm lesion
|
$432.60 |
$432.60 |
$432.60 |
$3,839.54
|
|
Remove wrist joint cartilage
|
$443.40 |
$443.40 |
$443.40 |
$3,839.54
|
|
Remove wrist joint lining
|
$349.60 |
$349.60 |
$349.60 |
$3,529.86
|
|
Remove wrist tendon lesion
|
$250.00 |
$250.00 |
$250.00 |
$1,893.86
|
|
Remove wrist tendon lesion
|
$964.20 |
$964.20 |
$964.20 |
$3,229.32
|
|
Remov vertbr dcmprn thrclmbr
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$5,790.40
|
|
Remvl peritoneal fb frm cavity
|
$574.40 |
$574.40 |
$574.40 |
$4,156.03
|
|
Renal abscess open drng 50020
|
$695.60 |
$695.60 |
$695.60 |
$2,874.36
|
|
Renal bx surg exposure kdn
|
$508.60 |
$508.60 |
$508.60 |
$1,678.38
|
|
Renal function panel
|
$57.00 |
$57.00 |
$57.00 |
$113.52
|
|
Renal venogram bil s&i
|
$52.80 |
$52.80 |
$52.80 |
$3,615.28
|
|
Reopen fallopian tube
|
$66.60 |
$66.60 |
$66.60 |
$6,728.80
|
|
Reopening of recent laparotomy 49002
|
$695.40 |
$695.40 |
$695.40 |
$2,021.22
|
|
Reoperation bypass graft 35700
|
$95.00 |
$95.00 |
$95.00 |
$372.80
|
|
Reoperation carotid add-on 35390
|
$100.00 |
$100.00 |
$100.00 |
$346.80
|
|
Repair achilles tendon
|
$465.40 |
$465.40 |
$465.40 |
$7,494.45
|
|
Repair anal fistula
|
$390.80 |
$390.80 |
$390.80 |
$3,038.07
|
|
Repair anorectal fist w/plug
|
$350.80 |
$350.80 |
$350.80 |
$3,245.23
|
|
Repair arm/leg nerve
|
$720.00 |
$720.00 |
$720.00 |
$6,839.00
|
|
Repair artery rupture aorta
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$3,553.90
|
|
Repair artery rupture aorta
|
$1,364.20 |
$1,364.20 |
$1,364.20 |
$3,846.40
|
|
Repair art rupture aorta 35082
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$4,366.80
|
|
Repair art rupture groin 35132
|
$1,031.80 |
$1,031.80 |
$1,031.80 |
$3,404.94
|
|
Repair av fistula ext 35190
|
$487.00 |
$487.00 |
$487.00 |
$6,366.08
|
|
Repair biceps tendon
|
$522.00 |
$522.00 |
$522.00 |
$6,839.00
|
|
Repair bladder defect
|
$2,626.20 |
$2,626.20 |
$2,626.20 |
$5,841.60
|
|
Repair blood ves direct neck 35201
|
$600.80 |
$600.80 |
$600.80 |
$5,907.78
|
|
Repair blood vess/direct/intra/abd 35221
|
$951.00 |
$951.00 |
$951.00 |
$1,904.24
|
|
Repair blood vessel direct hand finger
|
$525.00 |
$525.00 |
$525.00 |
$3,898.50
|
|
Repair blood vessel dir lower extr
|
$531.80 |
$531.80 |
$531.80 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$522.20 |
$522.20 |
$522.20 |
$3,879.03
|
|
Repair blood vessel lesion
|
$612.80 |
$612.80 |
$612.80 |
$2,346.40
|
|
Repair blood vessel lesion
|
$851.00 |
$851.00 |
$851.00 |
$5,988.54
|
|
Repair blood vessel lesion
|
$558.20 |
$558.20 |
$558.20 |
$5,983.35
|
|
Repair blood vessel w/graft lower extremity 35286
|
$653.80 |
$653.80 |
$653.80 |
$5,983.35
|
|
Repair bowel-bladder fistula 44660
|
$897.40 |
$897.40 |
$897.40 |
$2,961.42
|
|
Repair bowel-bladder fistula 44661
|
$1,027.60 |
$1,027.60 |
$1,027.60 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$956.00 |
$956.00 |
$956.00 |
$1,558.00
|
|
Repair carpal bone shorten
|
$549.80 |
$549.80 |
$549.80 |
$3,856.00
|
|
Repair cleft hand
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$4,499.12
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$300.20 |
$300.20 |
$300.20 |
$1,025.95
|
|
Repair corporeal tear
|
$470.20 |
$470.20 |
$470.20 |
$3,769.31
|
|
Repair defect arm art 35045
|
$620.40 |
$620.40 |
$620.40 |
$6,396.89
|
|
Repair defect of artery
|
$881.60 |
$881.60 |
$881.60 |
$2,168.66
|
|
Repair defect of artery
|
$634.00 |
$634.00 |
$634.00 |
$855.90
|
|
Repair defect of artery
|
$821.20 |
$821.20 |
$821.20 |
$1,422.50
|
|
Repair defect of artery
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$3,131.20
|
|
Repair defect of artery
|
$840.80 |
$840.80 |
$840.80 |
$1,471.00
|
|
Repair defect of artery 35011
|
$645.20 |
$645.20 |
$645.20 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$3,497.40
|
|
Repair defect of artery 35102
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$3,772.80
|
|
Repair defect of artery 35121
|
$998.20 |
$998.20 |
$998.20 |
$2,224.66
|
|
Repair defect of artery aneurysm 35151
|
$785.80 |
$785.80 |
$785.80 |
$5,776.00
|
|
Repair defect of artery carotid subclav 35001
|
$708.20 |
$708.20 |
$708.20 |
$2,165.40
|
|
Repair deformity of toe
|
$258.40 |
$258.40 |
$258.40 |
$3,545.97
|
|
Repair degenerated kneecap
|
$571.80 |
$571.80 |
$571.80 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$42.20 |
$42.20 |
$42.20 |
$442.48
|
|
Repair detached retina pc
|
$192.60 |
$192.60 |
$192.60 |
$1,513.20
|
|
Repair eardrum structures
|
$623.00 |
$623.00 |
$623.00 |
$6,553.49
|
|
Repair elbow deb/attch open
|
$468.20 |
$468.20 |
$468.20 |
$3,839.54
|
|
Repair elbow perc
|
$2,911.80 |
$2,911.80 |
$2,911.80 |
$3,986.00
|
|
Repair elbow w/deb open
|
$379.00 |
$379.00 |
$379.00 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$449.40 |
$449.40 |
$449.40 |
$2,224.00
|
|
Repair eyelid defect
|
$335.80 |
$335.80 |
$335.80 |
$2,966.40
|
|
Repair eyelid defect
|
$303.80 |
$303.80 |
$303.80 |
$2,732.50
|
|
Repair eyelid defect
|
$232.80 |
$232.80 |
$232.80 |
$2,760.73
|
|
Repair eyelid defect
|
$302.20 |
$302.20 |
$302.20 |
$2,982.40
|
|
Repair eyelid defect
|
$319.60 |
$319.60 |
$319.60 |
$2,760.73
|
|
Repair eyelid defect
|
$747.20 |
$747.20 |
$747.20 |
$2,760.73
|
|
Repair eyelid defect
|
$302.20 |
$302.20 |
$302.20 |
$2,982.40
|
|
Repair eyelid defect
|
$320.20 |
$320.20 |
$320.20 |
$2,856.80
|
|
Repair fibula nonunion
|
$663.20 |
$663.20 |
$663.20 |
$6,879.60
|
|
Repair finger/hand tendon
|
$534.00 |
$534.00 |
$534.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$566.80 |
$566.80 |
$566.80 |
$4,150.20
|
|
Repair finger/hand tendon
|
$557.40 |
$557.40 |
$557.40 |
$3,848.00
|
|
Repair finger/hand tendon
|
$622.60 |
$622.60 |
$622.60 |
$3,839.54
|
|
Repair finger/hand tendon
|
$360.80 |
$360.80 |
$360.80 |
$3,839.54
|
|
Repair finger tendon
|
$408.60 |
$408.60 |
$408.60 |
$3,594.44
|
|
Repair foot dislocation
|
$456.20 |
$456.20 |
$456.20 |
$5,886.74
|
|
Repair foot dislocation
|
$584.60 |
$584.60 |
$584.60 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$397.20 |
$397.20 |
$397.20 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$472.00 |
$472.00 |
$472.00 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$450.40 |
$450.40 |
$450.40 |
$6,311.00
|
|
Repair forearm tendon sheath
|
$476.80 |
$476.80 |
$476.80 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$467.20 |
$467.20 |
$467.20 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$804.80 |
$804.80 |
$804.80 |
$1,293.00
|
|
Repair/graft finger tendon
|
$526.00 |
$526.00 |
$526.00 |
$3,839.54
|
|
Repair/graft finger tendon
|
$565.20 |
$565.20 |
$565.20 |
$3,821.05
|
|
Repair/graft hand tendon
|
$590.60 |
$590.60 |
$590.60 |
$5,560.25
|
|
Repair/graft hand tendon
|
$691.60 |
$691.60 |
$691.60 |
$6,311.00
|
|
Repair/graft hand tendon
|
$703.20 |
$703.20 |
$703.20 |
$5,886.74
|
|
Repair/graft hand tendon
|
$508.40 |
$508.40 |
$508.40 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$575.20 |
$575.20 |
$575.20 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$304.20 |
$304.20 |
$304.20 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$296.60 |
$296.60 |
$296.60 |
$5,023.20
|
|
Repair/graft of thigh
|
$871.40 |
$871.40 |
$871.40 |
$5,354.05
|
|
Repair/graft of thigh muscle
|
$600.60 |
$600.60 |
$600.60 |
$5,741.00
|
|
Repair/graft of tibia
|
$859.00 |
$859.00 |
$859.00 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$722.20 |
$722.20 |
$722.20 |
$7,907.11
|
|
Repair/graft radius & ulna
|
$805.80 |
$805.80 |
$805.80 |
$7,913.97
|
