|
Repair blood vessel lesion
|
$919.20 |
$919.20 |
$919.20 |
$2,346.40
|
|
Repair blood vessel lesion
|
$1,276.50 |
$1,276.50 |
$1,276.50 |
$5,988.54
|
|
Repair blood vessel lesion
|
$837.30 |
$837.30 |
$837.30 |
$5,983.35
|
|
Repair blood vessel w/graft lower extremity 35286
|
$980.70 |
$980.70 |
$980.70 |
$5,983.35
|
|
Repair bowel-bladder fistula 44660
|
$1,346.10 |
$1,346.10 |
$1,346.10 |
$2,961.42
|
|
Repair bowel-bladder fistula 44661
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$1,558.00
|
|
Repair carpal bone shorten
|
$824.70 |
$824.70 |
$824.70 |
$3,856.00
|
|
Repair cleft hand
|
$1,606.80 |
$1,606.80 |
$1,606.80 |
$4,499.12
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$450.30 |
$450.30 |
$450.30 |
$1,025.95
|
|
Repair corporeal tear
|
$705.30 |
$705.30 |
$705.30 |
$3,769.31
|
|
Repair defect arm art 35045
|
$930.60 |
$930.60 |
$930.60 |
$6,396.89
|
|
Repair defect of artery
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$2,168.66
|
|
Repair defect of artery
|
$951.00 |
$951.00 |
$951.00 |
$855.90
|
|
Repair defect of artery
|
$1,231.80 |
$1,231.80 |
$1,231.80 |
$1,422.50
|
|
Repair defect of artery
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$3,131.20
|
|
Repair defect of artery
|
$1,261.20 |
$1,261.20 |
$1,261.20 |
$1,471.00
|
|
Repair defect of artery 35011
|
$967.80 |
$967.80 |
$967.80 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,642.80 |
$1,642.80 |
$1,642.80 |
$3,497.40
|
|
Repair defect of artery 35102
|
$1,782.90 |
$1,782.90 |
$1,782.90 |
$3,772.80
|
|
Repair defect of artery 35121
|
$1,497.30 |
$1,497.30 |
$1,497.30 |
$2,224.66
|
|
Repair defect of artery aneurysm 35151
|
$1,178.70 |
$1,178.70 |
$1,178.70 |
$5,776.00
|
|
Repair defect of artery carotid subclav 35001
|
$1,062.30 |
$1,062.30 |
$1,062.30 |
$2,165.40
|
|
Repair deformity of toe
|
$387.60 |
$387.60 |
$387.60 |
$3,545.97
|
|
Repair degenerated kneecap
|
$857.70 |
$857.70 |
$857.70 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$63.30 |
$63.30 |
$63.30 |
$442.48
|
|
Repair detached retina pc
|
$288.90 |
$288.90 |
$288.90 |
$1,513.20
|
|
Repair eardrum structures
|
$934.50 |
$934.50 |
$934.50 |
$6,553.49
|
|
Repair elbow deb/attch open
|
$702.30 |
$702.30 |
$702.30 |
$3,839.54
|
|
Repair elbow perc
|
$446.10 |
$446.10 |
$446.10 |
$3,986.00
|
|
Repair elbow w/deb open
|
$568.50 |
$568.50 |
$568.50 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$674.10 |
$674.10 |
$674.10 |
$2,224.00
|
|
Repair eyelid defect
|
$503.70 |
$503.70 |
$503.70 |
$2,966.40
|
|
Repair eyelid defect
|
$455.70 |
$455.70 |
$455.70 |
$2,732.50
|
|
Repair eyelid defect
|
$349.20 |
$349.20 |
$349.20 |
$2,760.73
|
|
Repair eyelid defect
|
$453.30 |
$453.30 |
$453.30 |
$2,982.40
|
|
Repair eyelid defect
|
$479.40 |
$479.40 |
$479.40 |
$2,760.73
|
|
Repair eyelid defect
|
$332.40 |
$332.40 |
$332.40 |
$2,760.73
|
|
Repair eyelid defect
|
$453.30 |
$453.30 |
$453.30 |
$2,982.40
|
|
Repair eyelid defect
|
$480.30 |
$480.30 |
$480.30 |
$2,856.80
|
|
Repair fibula nonunion
|
$994.80 |
$994.80 |
$994.80 |
$6,879.60
|
|
Repair finger/hand tendon
|
$801.00 |
$801.00 |
$801.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$850.20 |
$850.20 |
$850.20 |
$4,150.20
|
|
Repair finger/hand tendon
|
$836.10 |
$836.10 |
$836.10 |
$3,848.00
|
|
Repair finger/hand tendon
|
$933.90 |
$933.90 |
$933.90 |
$3,839.54
|
|
Repair finger/hand tendon
|
$541.20 |
$541.20 |
$541.20 |
$3,839.54
|
|
Repair finger tendon
|
$612.90 |
$612.90 |
$612.90 |
$3,594.44
|
|
Repair foot dislocation
|
$684.30 |
$684.30 |
$684.30 |
$5,886.74
|
|
Repair foot dislocation
|
$876.90 |
$876.90 |
$876.90 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$595.80 |
$595.80 |
$595.80 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$708.00 |
$708.00 |
$708.00 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$675.60 |
$675.60 |
$675.60 |
$6,311.00
|
|
Repair forearm tendon sheath
|
$715.20 |
$715.20 |
$715.20 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$700.80 |
$700.80 |
$700.80 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$1,293.00
|
|
Repair/graft finger tendon
|
$789.00 |
$789.00 |
$789.00 |
$3,839.54
|
|
Repair/graft finger tendon
|
$847.80 |
$847.80 |
$847.80 |
$3,821.05
|
|
Repair/graft hand tendon
|
$885.90 |
$885.90 |
$885.90 |
$5,560.25
|
|
Repair/graft hand tendon
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$6,311.00
|
|
Repair/graft hand tendon
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$5,886.74
|
|
Repair/graft hand tendon
|
$762.60 |
$762.60 |
$762.60 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$862.80 |
$862.80 |
$862.80 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$456.30 |
$456.30 |
$456.30 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$444.90 |
$444.90 |
$444.90 |
$5,023.20
|
|
Repair/graft of thigh
|
$1,307.10 |
$1,307.10 |
$1,307.10 |
$5,354.05
|
|
Repair/graft of thigh muscle
|
$900.90 |
$900.90 |
$900.90 |
$5,741.00
|
|
Repair/graft of tibia
|
$1,288.50 |
$1,288.50 |
$1,288.50 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$1,083.30 |
$1,083.30 |
$1,083.30 |
$7,907.11
|
|
Repair/graft radius & ulna
|
$1,208.70 |
$1,208.70 |
$1,208.70 |
$7,913.97
|
|
Repair/graft wrist bone
|
$810.90 |
$810.90 |
$810.90 |
$5,376.00
|
|
Repair hand joint
|
$747.90 |
$747.90 |
$747.90 |
$3,839.54
|
|
Repair hand joint with graft
|
$889.20 |
$889.20 |
$889.20 |
$3,839.54
|
|
Repair humerus with graft
|
$1,130.40 |
$1,130.40 |
$1,130.40 |
$11,718.66
|
|
Repair ing hernia sliding
|
$584.70 |
$584.70 |
$584.70 |
$2,812.80
|
|
Repair leg fascia defect
|
$361.50 |
$361.50 |
$361.50 |
$3,821.05
|
|
Repair lip full thkns =<one-half vert height
|
$385.80 |
$385.80 |
$385.80 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$453.60 |
$453.60 |
$453.60 |
$1,928.07
|
|
Repair liver wound 47350
|
$1,367.10 |
$1,367.10 |
$1,367.10 |
$2,581.80
|
|
Repair liver wound 47360
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$2,909.40
|
|
Repair lower leg tendons
|
$525.90 |
$525.90 |
$525.90 |
$3,821.05
|
|
Repair lumbar hernia
|
$683.40 |
$683.40 |
$683.40 |
$6,457.82
|
|
Repair major blood vessel(s) without bypass 33320
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$2,071.80
|
|
Repair middle ear structures
|
$846.90 |
$846.90 |
$846.90 |
$3,961.60
|
|
Repair muscles of hand
|
$529.80 |
$529.80 |
$529.80 |
$3,591.33
|
|
Repair nasal septum defect
|
$705.60 |
$705.60 |
$705.60 |
$3,819.23
|
|
Repair nasal stenosis
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$6,547.81
|
|
Repair nerve add-on 64832
|
$333.60 |
$333.60 |
$333.60 |
$2,199.60
|
|
Repair nonunion hand
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$5,886.74
|
|
Repair of achilles tendon
|
$757.50 |
$757.50 |
$757.50 |
$5,326.50
|
|
Repair of aneurysm
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$4,013.30
|
|
Repair of ankle ligament
|
$516.90 |
$516.90 |
$516.90 |
$7,913.97
|
|
Repair of ankle ligament
|
$670.80 |
$670.80 |
$670.80 |
$5,741.00
|
|
Repair of ankle ligaments
|
$578.40 |
$578.40 |
$578.40 |
$5,741.00
|
|
Repair of bladder opening
|
$481.20 |
$481.20 |
$481.20 |
$4,081.37
|
|
Repair of bowel lesion
|
$1,284.90 |
$1,284.90 |
$1,284.90 |
$2,048.40
|
|
Repair of circumcision
|
$231.00 |
$231.00 |
$231.00 |
$2,874.36
|
|
Repair of diaphragm hernia
|
$859.50 |
$859.50 |
$859.50 |
$1,246.56
|
|
Repair of digit nerve hand/foot 1 nerve
|
$734.70 |
$734.70 |
$734.70 |
$3,505.32
|
|
Repair of enterocele vaginal approach 57268
|
$525.90 |
$525.90 |
$525.90 |
$4,900.30
|
|
Repair of eye socket wound
|
$511.50 |
$511.50 |
$511.50 |
$4,462.45
|