|
Repair of diaphragm hernia
|
$2,133.60 |
$2,133.60 |
$2,133.60 |
$1,232.66
|
|
Repair of digit nerve hand/foot 1 nerve
|
$3,398.40 |
$3,398.40 |
$3,398.40 |
$3,619.45
|
|
Repair of enterocele abdominal approach 57270
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$2,022.40
|
|
Repair of enterocele vaginal approach 57268
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$4,900.30
|
|
Repair of esophagus
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
$3,617.60
|
|
Repair of eye socket wound
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$4,462.45
|
|
Repair of eye wound
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$2,760.73
|
|
Repair of eye wound
|
$2,555.20 |
$2,555.20 |
$2,555.20 |
$3,269.14
|
|
Repair of eye wound
|
$2,891.20 |
$2,891.20 |
$2,891.20 |
$4,625.45
|
|
Repair of eye wound
|
$3,340.80 |
$3,340.80 |
$3,340.80 |
$5,741.00
|
|
Repair of eye wound
|
$5,523.20 |
$5,523.20 |
$5,523.20 |
$6,076.38
|
|
Repair of eye wound
|
$3,472.00 |
$3,472.00 |
$3,472.00 |
$2,888.50
|
|
Repair of facial nerve
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$6,588.00
|
|
Repair of facial nerve
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$5,855.00
|
|
Repair of fibula epiphysis
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
$3,839.54
|
|
Repair of foot bones
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$10,629.07
|
|
Repair of foot tendon
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$3,977.49
|
|
Repair of hand or foot nerve
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$4,016.00 |
$4,016.00 |
$4,016.00 |
$4,697.33
|
|
Repair of heart defect
|
$3,772.80 |
$3,772.80 |
$3,772.80 |
$3,772.80
|
|
Repair of humerus
|
$5,198.40 |
$5,198.40 |
$5,198.40 |
$6,588.00
|
|
Repair of hydrocele 55060
|
$1,912.00 |
$1,912.00 |
$1,912.00 |
$3,786.00
|
|
Repair of imperforated anus
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$6,104.80
|
|
Repair of kidney wound
|
$3,058.40 |
$3,058.40 |
$3,058.40 |
$3,058.40
|
|
Repair of kneecap tendon
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
$6,311.00
|
|
Repair of knee cartilage
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
$5,855.00
|
|
Repair of knee ligament
|
$3,324.80 |
$3,324.80 |
$3,324.80 |
$5,886.13
|
|
Repair of knee ligament
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$6,311.00
|
|
Repair of knee ligaments
|
$4,755.20 |
$4,755.20 |
$4,755.20 |
$8,453.60
|
|
Repair of leg epiphyses
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$4,350.00
|
|
Repair of leg epiphyses
|
$3,822.40 |
$3,822.40 |
$3,822.40 |
$3,839.54
|
|
Repair of leg nerve
|
$4,732.80 |
$4,732.80 |
$4,732.80 |
$6,998.88
|
|
Repair of leg tendon each
|
$919.20 |
$919.20 |
$919.20 |
$3,680.78
|
|
Repair of leg tendon each
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$5,810.00
|
|
Repair of leg tendon each
|
$1,028.80 |
$1,028.80 |
$1,028.80 |
$7,177.39
|
|
Repair of low back nerves
|
$6,776.00 |
$6,776.00 |
$6,776.00 |
$7,088.41
|
|
Repair of lower leg
|
$5,979.20 |
$5,979.20 |
$5,979.20 |
$5,979.20
|
|
Repair of mesentery 44850
|
$1,829.60 |
$1,829.60 |
$1,829.60 |
$1,219.80
|
|
Repair of metatarsals
|
$1,942.40 |
$1,942.40 |
$1,942.40 |
$6,512.80
|
|
Repair of mitral valve w/bypass 33425
|
$6,668.80 |
$6,668.80 |
$6,668.80 |
$6,668.80
|
|
Repair of nasal septum
|
$1,590.40 |
$1,590.40 |
$1,590.40 |
$4,924.40
|
|
Repair of penis
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$4,081.37
|
|
Repair of rectocele 45560
|
$1,730.40 |
$1,730.40 |
$1,730.40 |
$3,035.44
|
|
Repair of rectum
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$3,245.23
|
|
Repair of rectum
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$3,432.60
|
|
Repair of ruptured spleen 38115
|
$3,138.40 |
$3,138.40 |
$3,138.40 |
$2,660.40
|
|
Repair of ruptured tendon
|
$3,824.00 |
$3,824.00 |
$3,824.00 |
$6,484.80
|
|
Repair of ruptured uterus
|
$1,989.60 |
$1,989.60 |
$1,989.60 |
$1,723.20
|
|
Repair of shoulder
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$7,250.26
|
|
Repair of skull & brain
|
$3,346.40 |
$3,346.40 |
$3,346.40 |
$3,346.40
|
|
Repair of skull defect 62140
|
$2,439.20 |
$2,439.20 |
$2,439.20 |
$2,439.20
|
|
Repair of sperm duct
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$4,525.95
|
|
Repair of thigh muscle
|
$2,897.60 |
$2,897.60 |
$2,897.60 |
$6,727.70
|
|
Repair of tibia
|
$4,312.00 |
$4,312.00 |
$4,312.00 |
$7,604.02
|
|
Repair of tibia epiphysis
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
$3,839.54
|
|
Repair of toe dislocation
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$3,958.50
|
|
Repair of ulnar motor nerve 64836
|
$4,016.00 |
$4,016.00 |
$4,016.00 |
$4,858.97
|
|
Repair of ureter
|
$4,254.40 |
$4,254.40 |
$4,254.40 |
$3,910.40
|
|
Repair of urethra defect
|
$661.60 |
$661.60 |
$661.60 |
$4,081.37
|
|
Repair of urethra defect
|
$1,404.80 |
$1,404.80 |
$1,404.80 |
$6,015.75
|
|
Repair of urethra injury
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$5,631.74
|
|
Repair of urethra injury
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
$5,986.78
|
|
Repair of urethra injury
|
$2,009.60 |
$2,009.60 |
$2,009.60 |
$6,015.75
|
|
Repair of urethra injury 53502
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$4,272.89
|
|
Repair of urethral lesion
|
$1,020.80 |
$1,020.80 |
$1,020.80 |
$3,852.58
|
|
Repair of web finger
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$2,211.05
|
|
Repair of web finger
|
$2,346.40 |
$2,346.40 |
$2,346.40 |
$3,839.54
|
|
Repair of web finger
|
$3,310.40 |
$3,310.40 |
$3,310.40 |
$3,839.54
|
|
Repair of windpipe
|
$3,364.00 |
$3,364.00 |
$3,364.00 |
$6,523.41
|
|
Repair of windpipe
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
$6,547.81
|
|
Repair of windpipe defect
|
$1,479.20 |
$1,479.20 |
$1,479.20 |
$3,592.74
|
|
Repair of windpipe injury
|
$1,756.80 |
$1,756.80 |
$1,756.80 |
$1,756.80
|
|
Repair of windpipe injury
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$1,986.40
|
|
Repair oronasal fistula 30600
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$6,705.77
|
|
Repair palate
|
$806.40 |
$806.40 |
$806.40 |
$7,000.36
|
|
Repair palate
|
$1,785.60 |
$1,785.60 |
$1,785.60 |
$6,547.81
|
|
Repair palate pharynx/uvula
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$5,544.00
|
|
Repair paravag defect lap
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$11,378.21
|
|
Repair paravag defect vag 57285
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$8,081.64
|
|
Repair pda by ligation
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$2,360.00
|
|
Repair pda div<18 years
|
$2,488.00 |
$2,488.00 |
$2,488.00 |
$2,488.00
|
|
Repair penis
|
$2,018.40 |
$2,018.40 |
$2,018.40 |
$2,874.36
|
|
Repair penis
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$2,424.12
|
|
Repair pm/icd lead dual
|
$922.40 |
$922.40 |
$922.40 |
$4,495.26
|
|
Repair pm/icd lead sgl
|
$948.00 |
$948.00 |
$948.00 |
$4,343.82
|
|
Repair pulm artery stenosis w/patch/graft 33917
|
$3,551.20 |
$3,551.20 |
$3,551.20 |
$3,551.20
|
|
Repair radius or ulna
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$7,913.97
|
|
Repair radius & ulna
|
$4,761.60 |
$4,761.60 |
$4,761.60 |
$7,913.97
|
|
Repair rect/bladder fistula
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
$3,104.00
|
|
Repair rectum; remove sigmoid 45550
|
$3,631.20 |
$3,631.20 |
$3,631.20 |
$2,293.20
|
|
Repair rectum & vagina
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
$5,463.96
|
|
Repair rectum-vagina fistula
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$2,950.40 |
$2,950.40 |
$2,950.40 |
$4,176.15
|
|
Repair retinal detach cplx
|
$6,657.60 |
$6,657.60 |
$6,657.60 |
$6,657.60
|
|
Repair & revise nerve add-on
|
$430.40 |
$430.40 |
$430.40 |
$4,448.60
|
|
Repair/revise wrist joint
|
$4,846.40 |
$4,846.40 |
$4,846.40 |
$6,653.00
|
|
Repair rotator cuff acute
|
$4,036.80 |
$4,036.80 |
$4,036.80 |
$7,807.24
|
|
Repair rotator cuff chronic
|
$4,193.60 |
$4,193.60 |
$4,193.60 |
$6,848.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$864.45 |
$864.45 |
$864.45 |
$951.00
|