|
Repair of tibia
|
$3,213.60 |
$3,213.60 |
$3,213.60 |
$7,604.02
|
|
Repair of toe dislocation
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$3,958.50
|
|
Repair of ulnar motor nerve 64836
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$4,858.97
|
|
Repair of ureter
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$3,910.40
|
|
Repair of urethra defect
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$4,081.37
|
|
Repair of urethra defect
|
$2,464.80 |
$2,464.80 |
$2,464.80 |
$6,015.75
|
|
Repair of urethra injury
|
$2,147.60 |
$2,147.60 |
$2,147.60 |
$5,631.74
|
|
Repair of urethra injury
|
$2,849.60 |
$2,849.60 |
$2,849.60 |
$5,986.78
|
|
Repair of urethra injury 53502
|
$2,147.60 |
$2,147.60 |
$2,147.60 |
$4,272.89
|
|
Repair of urethral lesion
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$3,852.58
|
|
Repair of web finger
|
$2,886.00 |
$2,886.00 |
$2,886.00 |
$3,839.54
|
|
Repair of windpipe
|
$4,401.80 |
$4,401.80 |
$4,401.80 |
$6,523.41
|
|
Repair of windpipe
|
$5,016.70 |
$5,016.70 |
$5,016.70 |
$6,547.81
|
|
Repair of windpipe defect
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$3,592.74
|
|
Repair of windpipe injury
|
$2,126.80 |
$2,126.80 |
$2,126.80 |
$1,756.80
|
|
Repair of windpipe injury
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$1,986.40
|
|
Repair oronasal fistula 30600
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$6,705.77
|
|
Repair palate
|
$22,109.75 |
$22,109.75 |
$22,109.75 |
$7,000.36
|
|
Repair palate
|
$2,082.60 |
$2,082.60 |
$2,082.60 |
$6,547.81
|
|
Repair palate pharynx/uvula
|
$2,542.80 |
$2,542.80 |
$2,542.80 |
$5,544.00
|
|
Repair paravag defect lap
|
$4,180.80 |
$4,180.80 |
$4,180.80 |
$11,378.21
|
|
Repair paravag defect vag 57285
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$8,081.64
|
|
Repair pda by ligation
|
$4,339.40 |
$4,339.40 |
$4,339.40 |
$2,360.00
|
|
Repair pm/icd lead dual
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,495.26
|
|
Repair pm/icd lead sgl
|
$17,002.70 |
$17,002.70 |
$17,002.70 |
$4,343.82
|
|
Repair prosth valve clot 33496
|
$7,758.40 |
$7,758.40 |
$7,758.40 |
$2,524.29
|
|
Repair pulm artery stenosis w/patch/graft 33917
|
$6,578.00 |
$6,578.00 |
$6,578.00 |
$3,551.20
|
|
Repair radius or ulna
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$7,913.97
|
|
Repair radius & ulna
|
$3,588.00 |
$3,588.00 |
$3,588.00 |
$7,913.97
|
|
Repair rect/bladder fistula
|
$5,280.60 |
$5,280.60 |
$5,280.60 |
$3,104.00
|
|
Repair rectourethral fistula
|
$5,296.20 |
$5,296.20 |
$5,296.20 |
$1,419.00
|
|
Repair rectum; remove sigmoid 45550
|
$6,448.00 |
$6,448.00 |
$6,448.00 |
$2,293.20
|
|
Repair rectum & vagina
|
$2,882.75 |
$2,882.75 |
$2,882.75 |
$5,463.96
|
|
Repair rectum-vagina fistula
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$3,991.00 |
$3,991.00 |
$3,991.00 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$2,441.40 |
$2,441.40 |
$2,441.40 |
$4,176.15
|
|
Repair & revise nerve add-on
|
$774.80 |
$774.80 |
$774.80 |
$4,448.60
|
|
Repair/revise wrist joint
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$6,653.00
|
|
Repair rotator cuff acute
|
$2,961.40 |
$2,961.40 |
$2,961.40 |
$7,807.24
|
|
Repair rotator cuff chronic
|
$3,101.80 |
$3,101.80 |
$3,101.80 |
$6,848.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$867.75 |
$867.75 |
$867.75 |
$951.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,244.09
|
|
Repair ruptd popliteal art
|
$7,191.60 |
$7,191.60 |
$7,191.60 |
$1,547.50
|
|
Repair salivary duct
|
$22,109.75 |
$22,109.75 |
$22,109.75 |
$6,447.37
|
|
Repair salivary duct
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$6,465.11
|
|
Repair septal defect
|
$5,089.50 |
$5,089.50 |
$5,089.50 |
$805.00
|
|
Repair shoulder capsule
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$8,070.30
|
|
Repair shoulder capsule
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$7,842.71
|
|
Repair shoulder capsule
|
$4,524.65 |
$4,524.65 |
$4,524.65 |
$6,820.77
|
|
Repair shoulder capsule
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
$7,807.24
|
|
Repair shoulder capsule
|
$4,238.00 |
$4,238.00 |
$4,238.00 |
$7,807.24
|
|
Repair shoulder capsule
|
$4,518.80 |
$4,518.80 |
$4,518.80 |
$7,807.24
|
|
Repair skull cavity lesion
|
$6,393.40 |
$6,393.40 |
$6,393.40 |
$3,231.39
|
|
Repair spinal fluid leakage 63707
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$1,708.80
|
|
Repair stern/nuss without scope
|
$6,285.50 |
$6,285.50 |
$6,285.50 |
$4,499.12
|
|
Repair sternum/nuss w/scope
|
$7,001.80 |
$7,001.80 |
$7,001.80 |
$4,499.12
|
|
Repair stomach-bowel fistula 43880
|
$7,066.80 |
$7,066.80 |
$7,066.80 |
$2,359.20
|
|
Repair stomach opening
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$4,499.12
|
|
Repair throat esophagus 42953
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$1,486.20
|
|
Repair throat wound
|
$1,375.40 |
$1,375.40 |
$1,375.40 |
$1,856.91
|
|
Repair toe dislocation
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$3,594.44
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$867.75 |
$867.75 |
$867.75 |
$478.00
|
|
Repair/transpose mp nerve 64856
|
$3,918.20 |
$3,918.20 |
$3,918.20 |
$6,311.00
|
|
Repair upper arm/elbow tendon/muscle ea
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
$8,412.89
|
|
Repair upper jaw fistula
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$6,547.81
|
|
Repair urethrovaginal lesion
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$569.00
|
|
Repair urethrovaginal lesion 57310
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$7,093.16
|
|
Repair uro sphincter
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$10,106.03
|
|
Repair vagina/perineum
|
$1,484.60 |
$1,484.60 |
$1,484.60 |
$4,096.68
|
|
Repair venous anomaly
|
$7,183.80 |
$7,183.80 |
$7,183.80 |
$2,188.98
|
|
Repair webbed toe(s)
|
$1,583.40 |
$1,583.40 |
$1,583.40 |
$1,893.86
|
|
Repair windpipe opening
|
$2,243.80 |
$2,243.80 |
$2,243.80 |
$6,547.81
|
|
Repeat thyroid surgery
|
$4,747.60 |
$4,747.60 |
$4,747.60 |
$6,547.81
|
|
Replac av w/bypas/other pros valve 33405
|
$11,817.65 |
$11,817.65 |
$11,817.65 |
$7,683.90
|
|
Replace aortic valve allograft freehand 33406
|
$13,696.80 |
$13,696.80 |
$13,696.80 |
$7,027.20
|
|
Replace aortic valve annulus enlgment 33411
|
$16,138.20 |
$16,138.20 |
$16,138.20 |
$8,201.60
|
|
Replace aortic valve open axillry 33363
|
$18,333.90 |
$18,333.90 |
$18,333.90 |
$19,502.91
|
|
Replace aortic valve open femoral 33362
|
$23,105.55 |
$23,105.55 |
$23,105.55 |
$17,768.00
|
|
Replace aortic valve open iliac 33364
|
$6,752.20 |
$6,752.20 |
$6,752.20 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$33,168.20 |
$33,168.20 |
$33,168.20 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$2,399.20
|
|
Replace aortic valve w/byp open aprch 33368
|
$3,741.40 |
$3,741.40 |
$3,741.40 |
$3,741.40
|
|
Replace aortic valve w/byp prq aprch 33367
|
$3,088.80 |
$3,088.80 |
$3,088.80 |
$3,088.80
|
|
Replace brain cavity shunt
|
$4,066.40 |
$4,066.40 |
$4,066.40 |
$2,624.00
|
|
Replace duod/jej tube perc
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,364.88
|
|
Replace elbow joint
|
$5,720.00 |
$5,720.00 |
$5,720.00 |
$15,440.00
|
|
Replace foot drop spint
|
$209.95 |
$209.95 |
$209.95 |
$19.60
|
|
Replace g/c tube perc
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,382.70
|
|
Replace g-j tube perc
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,583.28
|
|
Replace/irrigate catheter
|
$1,502.80 |
$1,502.80 |
$1,502.80 |
$2,685.07
|
|
Replace/irrigate catheter
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$6,998.88
|
|
Replacement aortic valve opn
|
$13,273.00 |
$13,273.00 |
$13,273.00 |
$6,208.80
|
|
Replacement of aortic valve
|
$15,340.00 |
$15,340.00 |
$15,340.00 |
$4,458.32
|
|
Replacement of aortic valve
|
$15,566.20 |
$15,566.20 |
$15,566.20 |
$4,574.64
|
|
Replacement pulmonary valve 33475
|
$11,024.00 |
$11,024.00 |
$11,024.00 |
$8,390.55
|
|
Replacement tricuspid valve 33465
|
$13,187.20 |
$13,187.20 |
$13,187.20 |
$6,737.60
|
|
Replace picvad cath
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$3,724.63
|
|
Replace/revise brain shunt
|
$35,902.75 |
$35,902.75 |
$35,902.75 |
$7,592.10
|
