|
Repair blood vessel dir upper extr
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$4,051.32
|
|
Repair blood vessel lesion 35211
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$2,814.60 |
$2,814.60 |
$2,814.60 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$2,028.60 |
$2,028.60 |
$2,028.60 |
$5,988.54
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$2,648.40 |
$2,648.40 |
$2,648.40 |
$4,341.66
|
|
Repair bowel-bladder fistula 44660
|
$2,041.80 |
$2,041.80 |
$2,041.80 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$2,664.80
|
|
Repair bowel fistula 44650
|
$2,222.40 |
$2,222.40 |
$2,222.40 |
$1,558.00
|
|
Repair brow defect
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$2,820.92
|
|
Repair cardiac wound without bypass
|
$4,728.60 |
$4,728.60 |
$4,728.60 |
$7,369.60
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$844.80 |
$844.80 |
$844.80 |
$1,059.20
|
|
Repair defect arm art 35045
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$6,366.08
|
|
Repair defect of artery 35011
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$6,305.95
|
|
Repair defect of artery 35081
|
$3,497.40 |
$3,497.40 |
$3,497.40 |
$3,497.40
|
|
Repair defect of artery 35102
|
$3,772.80 |
$3,772.80 |
$3,772.80 |
$3,922.38
|
|
Repair defect of artery 35121
|
$2,404.20 |
$2,404.20 |
$2,404.20 |
$1,751.50
|
|
Repair defect of artery aneurysm 35151
|
$4,292.40 |
$4,292.40 |
$4,292.40 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$2,165.40 |
$2,165.40 |
$2,165.40 |
$5,410.60
|
|
Repair deformity of toe
|
$737.40 |
$737.40 |
$737.40 |
$3,591.33
|
|
Repair dental ellis ii fx
|
$466.80 |
$466.80 |
$466.80 |
$442.48
|
|
Repair eardrum structures
|
$1,738.20 |
$1,738.20 |
$1,738.20 |
$6,804.50
|
|
Repair elbow perc
|
$607.20 |
$607.20 |
$607.20 |
$4,160.00
|
|
Repair epigastric hernia reduce 49570
|
$781.20 |
$781.20 |
$781.20 |
$4,221.10
|
|
Repair epigastric hern incar 49572
|
$966.00 |
$966.00 |
$966.00 |
$3,929.97
|
|
Repair esophagus wound 43410
|
$2,074.20 |
$2,074.20 |
$2,074.20 |
$2,546.40
|
|
Repair esophagus wound 43415
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,353.50
|
|
Repair eyelid defect
|
$960.60 |
$960.60 |
$960.60 |
$2,760.73
|
|
Repair finger/hand tendon
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$4,204.20
|
|
Repair finger/hand tendon
|
$2,057.40 |
$2,057.40 |
$2,057.40 |
$4,150.20
|
|
Repair finger/hand tendon
|
$1,433.40 |
$1,433.40 |
$1,433.40 |
$3,848.00
|
|
Repair forearm tendon/muscle sec 25263
|
$1,210.20 |
$1,210.20 |
$1,210.20 |
$5,507.00
|
|
Repair/graft of foot tendon
|
$842.40 |
$842.40 |
$842.40 |
$6,653.00
|
|
Repair hand joint
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$3,839.54
|
|
Repair heart septum defect 33681
|
$4,681.80 |
$4,681.80 |
$4,681.80 |
$4,489.60
|
|
Repair heart septum defects dir/patch 33647
|
$3,832.80 |
$3,832.80 |
$3,832.80 |
$2,805.51
|
|
Repair heart-vein defect 33732
|
$3,405.60 |
$3,405.60 |
$3,405.60 |
$2,362.17
|
|
Repair heart wound w/bypass 33305
|
$6,857.40 |
$6,857.40 |
$6,857.40 |
$17,708.60
|
|
Repair ing hernia sliding
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$3,856.84
|
|
Repair lip full thkns =<one-half vert height
|
$948.00 |
$948.00 |
$948.00 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$1,928.07
|
|
Repair liver wound 47350
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$2,581.80
|
|
Repair liver wound 47360
|
$2,909.40 |
$2,909.40 |
$2,909.40 |
$2,909.40
|
|
Repair lung hernia 32800
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$2,303.20
|
|
Repair major blood vessel(s) w/bypass 33322
|
$3,033.00 |
$3,033.00 |
$3,033.00 |
$3,392.00
|
|
Repair major blood vessel(s) without bypass 33320
|
$2,071.80 |
$2,071.80 |
$2,071.80 |
$2,071.80
|
|
Repair meningocele <5cm diam 63700
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$2,028.72
|
|
Repair nasal septum defect
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$3,837.72
|
|
Repair nerve add-on
|
$556.80 |
$556.80 |
$556.80 |
$4,063.62
|
|
Repair nerve add-on 64832
|
$656.40 |
$656.40 |
$656.40 |
$2,386.86
|
|
Repair of achilles tendon
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$5,594.25
|
|
Repair of aneurysm
|
$2,215.20 |
$2,215.20 |
$2,215.20 |
$4,560.00
|
|
Repair of ankle ligament
|
$680.40 |
$680.40 |
$680.40 |
$6,311.00
|
|
Repair of ankle ligament
|
$897.60 |
$897.60 |
$897.60 |
$5,886.74
|
|
Repair of ankle ligaments
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$5,339.00
|
|
Repair of bowel lesion
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$2,006.40
|
|
Repair of circumcision
|
$430.20 |
$430.20 |
$430.20 |
$3,316.80
|
|
Repair of digit nerve hand/foot 1 nerve
|
$1,306.20 |
$1,306.20 |
$1,306.20 |
$3,619.45
|
|
Repair of enterocele abdominal approach 57270
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$2,022.40
|
|
Repair of enterocele vaginal approach 57268
|
$937.80 |
$937.80 |
$937.80 |
$4,900.30
|
|
Repair of foot bones
|
$858.60 |
$858.60 |
$858.60 |
$10,629.07
|
|
Repair of foot tendon
|
$690.60 |
$690.60 |
$690.60 |
$3,977.49
|
|
Repair of hand or foot nerve
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$4,697.33
|
|
Repair of heart defects incplt/prtl without av valve 33660
|
$3,735.00 |
$3,735.00 |
$3,735.00 |
$3,557.40
|
|
Repair of hydrocele 55060
|
$748.20 |
$748.20 |
$748.20 |
$3,786.00
|
|
Repair of kneecap tendon
|
$567.00 |
$567.00 |
$567.00 |
$6,311.00
|
|
Repair of mesentery 44850
|
$1,219.80 |
$1,219.80 |
$1,219.80 |
$1,219.80
|
|
Repair of mitral valve w/bypass 33425
|
$5,633.40 |
$5,633.40 |
$5,633.40 |
$6,668.80
|
|
Repair of nasal septum
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$4,924.40
|
|
Repair of rectocele 45560
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$3,035.44
|
|
Repair of rectum
|
$1,246.20 |
$1,246.20 |
$1,246.20 |
$3,432.60
|
|
Repair of ruptured spleen 38115
|
$2,660.40 |
$2,660.40 |
$2,660.40 |
$2,660.40
|
|
Repair of skull defect 62140
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$2,439.20
|
|
Repair of ulnar motor nerve 64836
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$4,858.97
|
|
Repair of urethra injury 53502
|
$740.40 |
$740.40 |
$740.40 |
$4,272.89
|
|
Repair oronasal fistula 30600
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$6,705.77
|
|
Repair palate pharynx/uvula
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$5,544.00
|
|
Repair paravag defect vag 57285
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$8,081.64
|
|
Repair prosth valve clot 33496
|
$2,950.80 |
$2,950.80 |
$2,950.80 |
$2,524.29
|
|
Repair pulm artery stenosis w/patch/graft 33917
|
$4,465.20 |
$4,465.20 |
$4,465.20 |
$3,551.20
|
|
Repair rectum; remove sigmoid 45550
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$2,293.20
|
|
Repair rectum & vagina
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$5,463.96
|
|
Repair rectum-vagina fistula
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$4,176.15
|
|
Repair recur ventrl hern incar 49566
|
$1,767.60 |
$1,767.60 |
$1,767.60 |
$2,117.64
|
|
Repair recur ventrl hern reduce 49565
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$4,247.29
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$608.40 |
$608.40 |
$608.40 |
$949.41
|
|
Repair rpr lip full thickness vermilion only
|
$827.40 |
$827.40 |
$827.40 |
$1,244.09
|
|
Repair spigelian hernia 49590
|
$1,073.40 |
$1,073.40 |
$1,073.40 |
$6,805.84
|
|
Repair spinal fluid leakage 63707
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$1,708.80
|
|
Repair stomach-bowel fistula 43880
|
$2,477.40 |
$2,477.40 |
$2,477.40 |
$2,359.20
|
|
Repair stomach opening
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$883.20 |
$883.20 |
$883.20 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$981.60 |
$981.60 |
$981.60 |
$4,499.12
|
|
Repair throat esophagus 42953
|
$1,486.20 |
$1,486.20 |
$1,486.20 |
$1,486.20
|
|
Repair toe dislocation
|
$909.60 |
$909.60 |
$909.60 |
$3,594.44
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$532.80 |
$532.80 |
$532.80 |
$478.00
|
|
Repair/transpose mp nerve 64856
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$6,311.00
|