|
Repair foot dislocation
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$4,379.20 |
$4,379.20 |
$4,379.20 |
$4,350.00
|
|
Repair forearm tendon/muscle
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$6,311.00
|
|
Repair forearm tendon sheath
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$15,495.20 |
$15,495.20 |
$15,495.20 |
$8,429.28
|
|
Repair/graft eye lesion
|
$8,131.20 |
$8,131.20 |
$8,131.20 |
$5,741.00
|
|
Repair/graft finger tendon
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Repair/graft finger tendon
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,821.05
|
|
Repair/graft finger tendon
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,259.84
|
|
Repair/graft hand tendon
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$5,560.25
|
|
Repair/graft hand tendon
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$6,311.00
|
|
Repair/graft hand tendon
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$6,839.00
|
|
Repair/graft hand tendon
|
$10,225.60 |
$10,225.60 |
$10,225.60 |
$5,886.74
|
|
Repair/graft hand tendon
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$9,839.20 |
$9,839.20 |
$9,839.20 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$9,245.60 |
$9,245.60 |
$9,245.60 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$5,023.20
|
|
Repair/graft of thigh muscle
|
$10,959.20 |
$10,959.20 |
$10,959.20 |
$5,741.00
|
|
Repair/graft of tibia
|
$7,464.80 |
$7,464.80 |
$7,464.80 |
$7,464.80
|
|
Repair/graft radius or ulna
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,907.11
|
|
Repair/graft radius or ulna
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,907.11
|
|
Repair/graft radius & ulna
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,913.97
|
|
Repair/graft radius & ulna
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$5,528.00
|
|
Repair/graft wrist bone
|
$5,376.00 |
$5,376.00 |
$5,376.00 |
$5,376.00
|
|
Repair hand joint
|
$9,049.60 |
$9,049.60 |
$9,049.60 |
$3,839.54
|
|
Repair hand joint with graft
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Repair hand joint with graft
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$2,856.00
|
|
Repair humerus with graft
|
$24,768.80 |
$24,768.80 |
$24,768.80 |
$11,718.66
|
|
Repair ing hernia sliding
|
$13,535.20 |
$13,535.20 |
$13,535.20 |
$2,812.80
|
|
Repair iris & ciliary body
|
$5,045.60 |
$5,045.60 |
$5,045.60 |
$2,698.92
|
|
Repair iris & ciliary body
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$3,110.11
|
|
Repair lac palate<2 cm
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$780.65
|
|
Repair leg fascia defect
|
$7,588.00 |
$7,588.00 |
$7,588.00 |
$3,821.05
|
|
Repair lip full thkns =<one-half vert height
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,631.20 |
$4,631.20 |
$4,631.20 |
$1,928.07
|
|
Repair lower leg epiphyses
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Repair lower leg tendons
|
$7,470.40 |
$7,470.40 |
$7,470.40 |
$3,821.05
|
|
Repair lower leg tendons
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$7,807.24
|
|
Repair lumbar hernia
|
$12,807.20 |
$12,807.20 |
$12,807.20 |
$6,457.82
|
|
Repair middle ear structures
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$4,558.89
|
|
Repair middle ear structures
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,961.60
|
|
Repair multi-comp penis pros
|
$12,504.80 |
$12,504.80 |
$12,504.80 |
$6,015.75
|
|
Repair muscles of hand
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$3,591.33
|
|
Repair nasal septum defect
|
$6,977.60 |
$6,977.60 |
$6,977.60 |
$3,819.23
|
|
Repair nasal stenosis
|
$13,143.20 |
$13,143.20 |
$13,143.20 |
$6,547.81
|
|
Repair nerve add-on
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$4,063.62
|
|
Repair nerve add-on 64832
|
$6,938.40 |
$6,938.40 |
$6,938.40 |
$2,199.60
|
|
Repair nerve/shorten bone
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$4,448.60
|
|
Repair nonunion carpal bone
|
$14,162.40 |
$14,162.40 |
$14,162.40 |
$7,907.11
|
|
Repair nonunion hand
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$5,886.74
|
|
Repair nose to lip fistula
|
$7,756.00 |
$7,756.00 |
$7,756.00 |
$6,547.81
|
|
Repair of achilles tendon
|
$9,738.40 |
$9,738.40 |
$9,738.40 |
$5,326.50
|
|
Repair of anal sphincter
|
$7,336.00 |
$7,336.00 |
$7,336.00 |
$3,986.00
|
|
Repair of anal sphincter
|
$5,292.00 |
$5,292.00 |
$5,292.00 |
$3,975.40
|
|
Repair of anal stricture
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
$3,035.44
|
|
Repair of ankle ligament
|
$12,286.40 |
$12,286.40 |
$12,286.40 |
$7,913.97
|
|
Repair of ankle ligament
|
$12,286.40 |
$12,286.40 |
$12,286.40 |
$5,741.00
|
|
Repair of ankle ligaments
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$5,741.00
|
|
Repair of arm nerves
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$5,110.00
|
|
Repair of bladder opening
|
$5,947.20 |
$5,947.20 |
$5,947.20 |
$4,081.37
|
|
Repair of body cast
|
$683.20 |
$683.20 |
$683.20 |
$223.45
|
|
Repair of circumcision
|
$7,336.00 |
$7,336.00 |
$7,336.00 |
$2,874.36
|
|
Repair of digit nerve hand/foot 1 nerve
|
$11,715.20 |
$11,715.20 |
$11,715.20 |
$3,505.32
|
|
Repair of enterocele vaginal approach 57268
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$4,900.30
|
|
Repair of eye socket wound
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$4,462.45
|
|
Repair of eye wound
|
$6,994.40 |
$6,994.40 |
$6,994.40 |
$2,760.73
|
|
Repair of eye wound
|
$6,899.20 |
$6,899.20 |
$6,899.20 |
$3,655.60
|
|
Repair of eye wound
|
$8,814.40 |
$8,814.40 |
$8,814.40 |
$4,625.45
|
|
Repair of eye wound
|
$8,467.20 |
$8,467.20 |
$8,467.20 |
$5,638.94
|
|
Repair of eye wound
|
$11,289.60 |
$11,289.60 |
$11,289.60 |
$5,741.00
|
|
Repair of eye wound
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$2,698.92
|
|
Repair of facial nerve
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$6,998.88
|
|
Repair of facial nerve
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$6,839.00
|
|
Repair of fibula epiphysis
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Repair of foot bones
|
$20,176.80 |
$20,176.80 |
$20,176.80 |
$14,061.89
|
|
Repair of foot tendon
|
$9,245.60 |
$9,245.60 |
$9,245.60 |
$3,842.58
|
|
Repair of hand or foot nerve
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$4,697.33
|
|
Repair of humerus
|
$24,768.80 |
$24,768.80 |
$24,768.80 |
$12,591.64
|
|
Repair of hydrocele 55060
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$3,817.53
|
|
Repair of kneecap tendon
|
$10,595.20 |
$10,595.20 |
$10,595.20 |
$7,907.11
|
|
Repair of knee cartilage
|
$7,431.20 |
$7,431.20 |
$7,431.20 |
$5,613.67
|
|
Repair of knee ligament
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$5,886.13
|
|
Repair of knee ligament
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,338.57
|
|
Repair of knee ligaments
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$8,453.60
|
|
Repair of leg epiphyses
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,499.12
|
|
Repair of leg epiphyses
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Repair of leg nerve
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$7,088.41
|
|
Repair of leg tendon each
|
$9,105.60 |
$9,105.60 |
$9,105.60 |
$3,680.78
|
|
Repair of leg tendon each
|
$9,105.60 |
$9,105.60 |
$9,105.60 |
$6,311.00
|
|
Repair of leg tendon each
|
$7,756.00 |
$7,756.00 |
$7,756.00 |
$7,177.39
|
|
Repair of low back nerves
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$7,088.41
|
|
Repair of metatarsals
|
$6,512.80 |
$6,512.80 |
$6,512.80 |
$6,512.80
|
|
Repair of nasal septum
|
$9,990.40 |
$9,990.40 |
$9,990.40 |
$4,803.84
|
|
Repair of penis
|
$9,592.80 |
$9,592.80 |
$9,592.80 |
$4,081.37
|
|
Repair of rectocele 45560
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$3,038.07
|
|
Repair of rectum
|
$7,425.60 |
$7,425.60 |
$7,425.60 |
$3,245.23
|
|
Repair of rectum
|
$8,909.60 |
$8,909.60 |
$8,909.60 |
$3,432.60
|
