|
Repair/graft wrist bone
|
$540.60 |
$540.60 |
$540.60 |
$5,376.00
|
|
Repair hand joint
|
$498.60 |
$498.60 |
$498.60 |
$3,839.54
|
|
Repair hand joint with graft
|
$592.80 |
$592.80 |
$592.80 |
$3,839.54
|
|
Repair humerus with graft
|
$753.60 |
$753.60 |
$753.60 |
$11,718.66
|
|
Repair ing hernia sliding
|
$389.80 |
$389.80 |
$389.80 |
$2,812.80
|
|
Repair leg fascia defect
|
$241.00 |
$241.00 |
$241.00 |
$3,821.05
|
|
Repair lip full thkns =<one-half vert height
|
$257.20 |
$257.20 |
$257.20 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$302.40 |
$302.40 |
$302.40 |
$1,928.07
|
|
Repair liver wound 47350
|
$911.40 |
$911.40 |
$911.40 |
$2,581.80
|
|
Repair liver wound 47360
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$2,909.40
|
|
Repair lower leg tendons
|
$350.60 |
$350.60 |
$350.60 |
$3,821.05
|
|
Repair lumbar hernia
|
$455.60 |
$455.60 |
$455.60 |
$6,457.82
|
|
Repair major blood vessel(s) without bypass 33320
|
$698.00 |
$698.00 |
$698.00 |
$2,071.80
|
|
Repair middle ear structures
|
$564.60 |
$564.60 |
$564.60 |
$3,961.60
|
|
Repair muscles of hand
|
$353.20 |
$353.20 |
$353.20 |
$3,591.33
|
|
Repair nasal septum defect
|
$470.40 |
$470.40 |
$470.40 |
$3,819.23
|
|
Repair nasal stenosis
|
$716.80 |
$716.80 |
$716.80 |
$6,547.81
|
|
Repair nerve add-on 64832
|
$222.40 |
$222.40 |
$222.40 |
$2,199.60
|
|
Repair nonunion hand
|
$741.20 |
$741.20 |
$741.20 |
$5,886.74
|
|
Repair of achilles tendon
|
$505.00 |
$505.00 |
$505.00 |
$5,326.50
|
|
Repair of aneurysm
|
$693.60 |
$693.60 |
$693.60 |
$4,013.30
|
|
Repair of ankle ligament
|
$344.60 |
$344.60 |
$344.60 |
$7,913.97
|
|
Repair of ankle ligament
|
$447.20 |
$447.20 |
$447.20 |
$5,741.00
|
|
Repair of ankle ligaments
|
$385.60 |
$385.60 |
$385.60 |
$5,741.00
|
|
Repair of bladder opening
|
$320.80 |
$320.80 |
$320.80 |
$4,081.37
|
|
Repair of bowel lesion
|
$856.60 |
$856.60 |
$856.60 |
$2,048.40
|
|
Repair of circumcision
|
$154.00 |
$154.00 |
$154.00 |
$2,874.36
|
|
Repair of diaphragm hernia
|
$573.00 |
$573.00 |
$573.00 |
$1,246.56
|
|
Repair of digit nerve hand/foot 1 nerve
|
$489.80 |
$489.80 |
$489.80 |
$3,505.32
|
|
Repair of enterocele vaginal approach 57268
|
$350.60 |
$350.60 |
$350.60 |
$4,900.30
|
|
Repair of eye socket wound
|
$341.00 |
$341.00 |
$341.00 |
$4,462.45
|
|
Repair of eye wound
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
$2,760.73
|
|
Repair of eye wound
|
$414.60 |
$414.60 |
$414.60 |
$4,625.45
|
|
Repair of eye wound
|
$766.60 |
$766.60 |
$766.60 |
$5,741.00
|
|
Repair of facial nerve
|
$592.40 |
$592.40 |
$592.40 |
$6,998.88
|
|
Repair of foot tendon
|
$232.40 |
$232.40 |
$232.40 |
$3,842.58
|
|
Repair of hand or foot nerve
|
$522.00 |
$522.00 |
$522.00 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$566.20 |
$566.20 |
$566.20 |
$4,697.33
|
|
Repair of humerus
|
$732.80 |
$732.80 |
$732.80 |
$12,591.64
|
|
Repair of hydrocele 55060
|
$265.00 |
$265.00 |
$265.00 |
$3,817.53
|
|
Repair of kneecap tendon
|
$440.40 |
$440.40 |
$440.40 |
$7,907.11
|
|
Repair of knee cartilage
|
$455.00 |
$455.00 |
$455.00 |
$5,613.67
|
|
Repair of knee ligament
|
$475.80 |
$475.80 |
$475.80 |
$5,886.13
|
|
Repair of knee ligament
|
$559.00 |
$559.00 |
$559.00 |
$7,338.57
|
|
Repair of leg tendon each
|
$263.60 |
$263.60 |
$263.60 |
$3,680.78
|
|
Repair of leg tendon each
|
$333.40 |
$333.40 |
$333.40 |
$6,311.00
|
|
Repair of leg tendon each
|
$296.00 |
$296.00 |
$296.00 |
$7,177.39
|
|
Repair of mesentery 44850
|
$505.40 |
$505.40 |
$505.40 |
$1,219.80
|
|
Repair of metatarsals
|
$405.40 |
$405.40 |
$405.40 |
$6,512.80
|
|
Repair of nasal septum
|
$475.40 |
$475.40 |
$475.40 |
$4,803.84
|
|
Repair of penis
|
$433.40 |
$433.40 |
$433.40 |
$4,081.37
|
|
Repair of rectocele 45560
|
$473.20 |
$473.20 |
$473.20 |
$3,038.07
|
|
Repair of rectum
|
$420.00 |
$420.00 |
$420.00 |
$3,432.60
|
|
Repair of ruptured spleen 38115
|
$856.20 |
$856.20 |
$856.20 |
$2,697.57
|
|
Repair of ruptured tendon
|
$541.80 |
$541.80 |
$541.80 |
$6,484.80
|
|
Repair of shoulder
|
$680.40 |
$680.40 |
$680.40 |
$6,661.18
|
|
Repair of thigh muscle
|
$431.20 |
$431.20 |
$431.20 |
$6,727.70
|
|
Repair of tibia
|
$608.80 |
$608.80 |
$608.80 |
$7,349.27
|
|
Repair of toe dislocation
|
$294.40 |
$294.40 |
$294.40 |
$3,839.54
|
|
Repair of urethra defect
|
$180.00 |
$180.00 |
$180.00 |
$4,081.37
|
|
Repair of urethra injury
|
$336.80 |
$336.80 |
$336.80 |
$5,741.00
|
|
Repair of windpipe defect
|
$338.40 |
$338.40 |
$338.40 |
$3,589.62
|
|
Repair palate pharynx/uvula
|
$479.80 |
$479.80 |
$479.80 |
$5,544.00
|
|
Repair pm/icd lead sgl
|
$259.80 |
$259.80 |
$259.80 |
$4,339.00
|
|
Repair radius or ulna
|
$562.00 |
$562.00 |
$562.00 |
$8,412.89
|
|
Repair radius & ulna
|
$672.60 |
$672.60 |
$672.60 |
$8,453.60
|
|
Repair rectum; remove sigmoid 45550
|
$981.00 |
$981.00 |
$981.00 |
$2,293.20
|
|
Repair rectum & vagina
|
$421.80 |
$421.80 |
$421.80 |
$5,394.95
|
|
Repair rectum-vagina fistula
|
$422.80 |
$422.80 |
$422.80 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$663.40 |
$663.40 |
$663.40 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$410.00 |
$410.00 |
$410.00 |
$4,176.15
|
|
Repair retinal detach cplx
|
$920.20 |
$920.20 |
$920.20 |
$6,657.60
|
|
Repair & revise nerve add-on
|
$115.00 |
$115.00 |
$115.00 |
$4,448.60
|
|
Repair/revise wrist joint
|
$702.20 |
$702.20 |
$702.20 |
$6,311.00
|
|
Repair rotator cuff acute
|
$573.00 |
$573.00 |
$573.00 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$594.60 |
$594.60 |
$594.60 |
$6,311.00
|
|
Repair rpr lip full thickness vermilion only
|
$225.20 |
$225.20 |
$225.20 |
$1,224.63
|
|
Repair salivary duct
|
$244.80 |
$244.80 |
$244.80 |
$6,447.37
|
|
Repair salivary duct
|
$322.00 |
$322.00 |
$322.00 |
$6,547.81
|
|
Repair shoulder capsule
|
$672.60 |
$672.60 |
$672.60 |
$7,842.71
|
|
Repair shoulder capsule
|
$754.40 |
$754.40 |
$754.40 |
$6,820.77
|
|
Repair shoulder capsule
|
$737.00 |
$737.00 |
$737.00 |
$5,855.00
|
|
Repair shoulder capsule
|
$773.00 |
$773.00 |
$773.00 |
$7,154.78
|
|
Repair shoulder capsule
|
$778.00 |
$778.00 |
$778.00 |
$7,690.89
|
|
Repair spinal fluid leakage 63707
|
$643.00 |
$643.00 |
$643.00 |
$1,708.80
|
|
Repair stomach-bowel fistula 43880
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$2,477.40
|
|
Repair stomach opening
|
$477.80 |
$477.80 |
$477.80 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$228.00 |
$228.00 |
$228.00 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$452.80 |
$452.80 |
$452.80 |
$4,350.00
|
|
Repair testis injury
|
$285.20 |
$285.20 |
$285.20 |
$3,863.60
|
|
Repair toe dislocation
|
$344.40 |
$344.40 |
$344.40 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$127.60 |
$127.60 |
$127.60 |
$478.00
|
|
Repair/transpose mp nerve 64856
|
$691.40 |
$691.40 |
$691.40 |
$5,419.00
|
|
Repair upper arm/elbow tendon/muscle ea
|
$6,257.00 |
$6,257.00 |
$6,257.00 |
$8,453.60
|
|
Repair upper jaw fistula
|
$327.00 |
$327.00 |
$327.00 |
$6,523.41
|
|
Repair vagina/perineum
|
$272.20 |
$272.20 |
$272.20 |
$4,094.65
|
|
Repair webbed toe(s)
|
$256.20 |
$256.20 |
$256.20 |
$1,893.86
|
|
Repeat thyroid surgery
|
$737.60 |
$737.60 |
$737.60 |
$6,553.49
|
|
Replace duod/jej tube perc
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$1,354.54
|
|
Replace elbow joint
|
$996.40 |
$996.40 |
$996.40 |
$16,139.55
|
