|
Resuscitation delivery/birthing room
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$795.60
|
|
Reticulocyte automated
|
$82.00 |
$82.00 |
$82.00 |
$52.65
|
|
Revasc intra lithotrip-ather
|
$20,213.00 |
$20,213.00 |
$20,213.00 |
$19,875.58
|
|
Revasc intra lithotrip-stent
|
$20,213.00 |
$20,213.00 |
$20,213.00 |
$20,213.00
|
|
Revasc intravasc lithotripsy
|
$10,106.00 |
$10,106.00 |
$10,106.00 |
$11,278.00
|
|
Revasc lithotr-ather tib/per
|
$40,674.00 |
$40,674.00 |
$40,674.00 |
$20,300.00
|
|
Revasc lithotrip-stent-ather
|
$32,518.00 |
$32,518.00 |
$32,518.00 |
$21,249.26
|
|
Revasc lithotrip tibi/perone
|
$25,429.00 |
$25,429.00 |
$25,429.00 |
$13,925.00
|
|
Revasc lithotr-stent tib/per
|
$40,674.00 |
$40,674.00 |
$40,674.00 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$41,226.00 |
$41,226.00 |
$41,226.00 |
$19,688.49
|
|
Revise abdomen-venous shunt
|
$14,970.00 |
$14,970.00 |
$14,970.00 |
$4,176.15
|
|
Revise additional leg tendon
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,532.79
|
|
Revise aqueous shunt eye
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$4,538.03
|
|
Revise arm/leg nerve
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,754.40
|
|
Revise breast reconst 19380
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$7,127.17
|
|
Revise eyelashes
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$659.20
|
|
Revise eyelashes
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$3,655.60
|
|
Revise eyelid defect
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,760.73
|
|
Revise eyelid defect
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$2,784.00
|
|
Revise eyelid lining
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,698.92
|
|
Revise eyelid lining
|
$4,548.00 |
$4,548.00 |
$4,548.00 |
$3,482.06
|
|
Revise eyelid lining
|
$4,548.00 |
$4,548.00 |
$4,548.00 |
$3,269.14
|
|
Revise eye muscle
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$3,566.44
|
|
Revise eye muscle
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$3,758.84
|
|
Revise eye muscle add-on
|
$6,450.00 |
$6,450.00 |
$6,450.00 |
$1,934.00
|
|
Revise eye muscle(s)
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$3,269.14
|
|
Revise eye muscle(s) add-on
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,199.19
|
|
Revise eye muscle w/suture
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$1,507.20
|
|
Revise eye socket implant
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$5,008.35
|
|
Revise eye with implant
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$4,173.97
|
|
Revise finger joint each
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$3,839.54
|
|
Revise/graft eyelid lining
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$3,628.80
|
|
Revise/graft eyelid lining
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$4,462.45
|
|
Revise/graft eyelid lining
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$4,462.45
|
|
Revise hand/finger tendon
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$7,807.24
|
|
Revise hip joint replacement
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$8,659.95
|
|
Revise hip joint replacement
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$7,536.00
|
|
Revise hip joint replacement
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$6,492.20
|
|
Revise/implant finger joint
|
$8,893.00 |
$8,893.00 |
$8,893.00 |
$5,376.00
|
|
Revise kneecap
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$7,700.67
|
|
Revise kneecap with implant
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$10,629.07
|
|
Revise knuckle joint
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$5,023.20
|
|
Revise knuckle with implant
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$6,511.82
|
|
Revise lower leg tendon
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$4,627.00
|
|
Revise lower leg tendon
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$5,339.00
|
|
Revise lower leg tendons
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,839.54
|
|
Revise ocular implant
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$4,462.45
|
|
Revise radius & ulna
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$10,629.07
|
|
Revise reconst elbow joint
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$14,873.09
|
|
Revise/remove neuroelectrode
|
$6,343.00 |
$6,343.00 |
$6,343.00 |
$4,069.59
|
|
Revise/remove sling repair
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$3,744.41
|
|
Revise/replace knee joint
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$7,048.60
|
|
Revise spermatic cord veins
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$17,375.00 |
$17,375.00 |
$17,375.00 |
$7,728.86
|
|
Revise spine eltrd plate
|
$17,375.00 |
$17,375.00 |
$17,375.00 |
$14,756.87
|
|
Revise thumb tendon
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,594.44
|
|
Revise two eye muscles
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$4,462.45
|
|
Revise two eye muscles
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,151.20
|
|
Revise vag graft via vagina
|
$9,762.00 |
$9,762.00 |
$9,762.00 |
$3,762.53
|
|
Revise wrist/forearm tendon
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$3,017.99
|
|
Revise wrist joint
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$4,155.20
|
|
Revision of ankle joint
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
$8,412.89
|
|
Revision of aqueous shunt
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,833.60
|
|
Revision of big toe
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$6,307.00
|
|
Revision of calf tendon
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$3,839.54
|
|
Revision of cervix
|
$10,666.00 |
$10,666.00 |
$10,666.00 |
$3,891.90
|
|
Revision of collar bone
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$5,886.74
|
|
Revision of collar bone
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
$12,147.50
|
|
Revision of cranial nerve
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$2,310.83
|
|
Revision of eyelid
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$2,760.73
|
|
Revision of eyelid
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$2,654.40
|
|
Revision of eyelid
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$2,860.80
|
|
Revision of eyelid
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$2,760.73
|
|
Revision of eyelid
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
$3,417.95
|
|
Revision of foot
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$3,839.54
|
|
Revision of foot and ankle
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$7,907.11
|
|
Revision of foot bones
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$10,629.07
|
|
Revision of foot fascia 28250
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,839.54
|
|
Revision of foot tendon
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$5,886.74
|
|
Revision of hip tendon
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$3,839.54
|
|
Revision of iris
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,388.40
|
|
Revision of iris
|
$1,271.00 |
$1,271.00 |
$1,271.00 |
$1,271.00
|
|
Revision of knee joint
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$14,254.12
|
|
Revision of knee joint
|
$10,881.00 |
$10,881.00 |
$10,881.00 |
$10,881.00
|
|
Revision of nose
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$5,773.60
|
|
Revision of nose
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$7,000.36
|
|
Revision of nose
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$6,839.00
|
|
Revision of penis
|
$8,666.00 |
$8,666.00 |
$8,666.00 |
$4,367.48
|
|
Revision of radius
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$6,871.42
|
|
Revision of sciatic nerve
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,888.00
|
|
Revision of testis
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$5,986.78
|
|
Revision of thigh muscles
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$6,834.58
|
|
Revision of toe
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,108.00
|
|
Revision of ulna
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$5,376.00
|
|
Revision of unstable kneecap
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$6,036.13
|
|
Revision of unstable kneecap
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$7,112.94
|
|
Revision of urethra
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$4,081.37
|
