|
Reconstruct cleft palate
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Reconstruct cleft palate
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Reconstruct cleft palate
|
$9,413.60 |
$9,413.60 |
$9,413.60 |
$6,547.81
|
|
Reconstruct elbow joint
|
$12,555.20 |
$12,555.20 |
$12,555.20 |
$5,886.74
|
|
Reconstruct elbow joint
|
$34,412.00 |
$34,412.00 |
$34,412.00 |
$20,355.21
|
|
Reconstruct elbow joint
|
$16,251.20 |
$16,251.20 |
$16,251.20 |
$14,241.77
|
|
Reconstruct elbow lat ligmnt
|
$16,990.40 |
$16,990.40 |
$16,990.40 |
$8,453.60
|
|
Reconstruct elbow med ligmnt
|
$14,162.40 |
$14,162.40 |
$14,162.40 |
$11,365.24
|
|
Reconstruct extra finger
|
$7,431.20 |
$7,431.20 |
$7,431.20 |
$3,591.33
|
|
Reconstruct finger joint
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Reconstruct finger joint
|
$484.35 |
$484.35 |
$9,564.80 |
$4,313.40
|
|
Reconstruct head of radius
|
$378.60 |
$378.60 |
$15,366.40 |
$11,971.85
|
|
Reconstruct head of radius
|
$401.55 |
$401.55 |
$9,878.40 |
$7,860.75
|
|
Reconstruction knee
|
$14,772.80 |
$14,772.80 |
$14,772.80 |
$5,855.00
|
|
Reconstruction knee
|
$11,250.40 |
$11,250.40 |
$11,250.40 |
$8,814.96
|
|
Reconstruction knee
|
$733.05 |
$733.05 |
$20,641.60 |
$10,629.07
|
|
Reconstruction of anus
|
$8,803.20 |
$8,803.20 |
$8,803.20 |
$3,481.77
|
|
Reconstruction of eyelid
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,590.40
|
|
Reconstruction of eyelid
|
$4,194.40 |
$4,194.40 |
$4,194.40 |
$4,194.40
|
|
Reconstruction of eyelid
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$4,462.45
|
|
Reconstruction of eyelid
|
$3,584.00 |
$3,584.00 |
$3,584.00 |
$3,269.14
|
|
Reconstruction of hip socket
|
$633.30 |
$633.30 |
$633.30 |
$2,710.40
|
|
Reconstruction of jaw
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$6,547.81
|
|
Reconstruction of jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Reconstruction of jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,880.12
|
|
Reconstruction of jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,720.89
|
|
Reconstruction of jaw joint
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Reconstruction of jaw joint
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,942.99
|
|
Reconstruction of jaw joint
|
$15,372.00 |
$15,372.00 |
$15,372.00 |
$15,372.00
|
|
Reconstruction of lower jaw
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Reconstruction of mouth
|
$9,307.20 |
$9,307.20 |
$9,307.20 |
$6,553.49
|
|
Reconstruction of mouth
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,966.64
|
|
Reconstruction of mouth
|
$7,756.00 |
$7,756.00 |
$7,756.00 |
$6,966.64
|
|
Reconstruction of mouth
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,966.64
|
|
Reconstruction of mouth
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,740.73
|
|
Reconstruction of nail bed
|
$6,725.60 |
$6,725.60 |
$6,725.60 |
$2,164.64
|
|
Reconstruction of nose
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$5,925.35
|
|
Reconstruction of nose
|
$16,357.60 |
$16,357.60 |
$16,357.60 |
$6,839.00
|
|
Reconstruction of orbit
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Reconstruction of throat
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,839.00
|
|
Reconstruction of urethra
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$6,015.75
|
|
Reconstruction of urethra
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$6,015.75
|
|
Reconstruction of urethra
|
$10,416.00 |
$10,416.00 |
$10,416.00 |
$5,855.00
|
|
Reconstruction of urethra
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,055.01
|
|
Reconstruction of urethra
|
$10,248.00 |
$10,248.00 |
$10,248.00 |
$10,235.30
|
|
Reconstruction of urethra
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$4,081.37
|
|
Reconstruction of urethra
|
$6,848.80 |
$6,848.80 |
$6,848.80 |
$4,646.71
|
|
Reconstruction of urethra
|
$9,592.80 |
$9,592.80 |
$9,592.80 |
$4,627.96
|
|
Reconstruction of urethra
|
$10,248.00 |
$10,248.00 |
$10,248.00 |
$4,478.01
|
|
Reconstruction tongue fold
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$2,258.61
|
|
Reconstruct lip with flap
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,839.00
|
|
Reconstruct lip w/local flap 40525
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,837.72
|
|
Reconstruct orbit/forehead
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,612.37
|
|
Reconstruct shoulder joint
|
$685.20 |
$685.20 |
$19,544.00 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$820.20 |
$820.20 |
$11,340.00 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$6,215.99
|
|
Reconstruct urethra/bladder
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$5,631.74
|
|
Reconstruct urethra stage 1
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$5,631.74
|
|
Reconstruct urethra stage 2
|
$11,480.00 |
$11,480.00 |
$11,480.00 |
$5,741.00
|
|
Red blood cells each unit
|
$124.32 |
$124.32 |
$124.32 |
$387.36
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$362.28 |
$362.28 |
$362.28 |
$721.56
|
|
Red blood cells leukocytes reduced each unit
|
$38.25 |
$38.25 |
$214.48 |
$441.00
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$45.75 |
$45.75 |
$149.52 |
$528.45
|
|
Red blood cells washed each unit
|
$60.15 |
$60.15 |
$435.68 |
$572.46
|
|
Red cell mass multiple
|
$4,009.60 |
$4,009.60 |
$4,009.60 |
$636.97
|
|
Red cell mass single
|
$3,136.00 |
$3,136.00 |
$3,136.00 |
$545.61
|
|
Red cell sequestration
|
$3,253.60 |
$3,253.60 |
$3,253.60 |
$620.10
|
|
Red cell survival study
|
$3,136.00 |
$3,136.00 |
$3,136.00 |
$549.70
|
|
Redo compl cardiac anomaly
|
$11,004.00 |
$11,004.00 |
$11,004.00 |
$11,004.00
|
|
Redo endovas vena cava filtr
|
$1,840.95 |
$1,840.95 |
$8,898.40 |
$4,435.43
|
|
Reduce testis torsion
|
$10,152.80 |
$10,152.80 |
$10,152.80 |
$4,350.00
|
|
Reduction of facial bones
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,547.81
|
|
Reduction of procidentia 45900
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$1,226.10
|
|
Reexploration pelvic wound 49014
|
$862.40 |
$862.40 |
$862.40 |
$862.40
|
|
Re-explore parathyroids
|
$11,368.00 |
$11,368.00 |
$11,368.00 |
$6,465.11
|
|
Refill maint impl spine pump
|
$226.05 |
$226.05 |
$991.20 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$213.00 |
$213.00 |
$526.40 |
$397.60
|
|
Regadenoson 0.4 mg/5 ml intravenous syringe
|
$48.50 |
$48.50 |
$289.65 |
$364.47
|
|
Reinforce clavicle
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,453.60
|
|
Reinforced solid stirrup
|
$282.80 |
$282.80 |
$282.80 |
$405.22
|
|
Reinforce eye wall
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,986.00
|
|
Reinforce/graft eye wall
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$4,627.00
|
|
Reinforce shoulder bones
|
$24,768.80 |
$24,768.80 |
$24,768.80 |
$14,241.77
|
|
Reinforce tibia
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$7,907.11
|
|
Reinnervate larynx
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,547.81
|
|
Reinsert ocular implant
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$4,438.02
|
|
Release encircling material
|
$8,467.20 |
$8,467.20 |
$8,467.20 |
$4,760.49
|
|
Release eye tissue
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,262.40
|
|
Release facial nerve
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,759.31
|
|
Release facial nerve
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,905.30
|
|
Release facial nerve
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Release finger contracture
|
$3,953.60 |
$3,953.60 |
$3,953.60 |
$1,893.86
|
|
Release forearm/hand tendon
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,821.05
|
|
Release inner ear canal
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$7,000.36
|
|
Release knuckle contracture
|
$2,811.20 |
$2,811.20 |
$2,811.20 |
$2,811.20
|
|
Release middle ear bone
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$4,350.00
|
|
Release muscles of hand
|
$9,049.60 |
$9,049.60 |
$9,049.60 |
$3,839.54
|
|
Release of eye fluid
|
$7,330.40 |
$7,330.40 |
$7,330.40 |
$3,294.60
|
|
Release of foot tendon
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$2,260.80
|
