|
Rechanneling of artery 35305
|
$5,977.60 |
$5,977.60 |
$5,977.60 |
$3,029.35
|
|
Rechanneling of artery 35341
|
$6,707.20 |
$6,707.20 |
$6,707.20 |
$4,439.00
|
|
Rechanneling w/graft tibioperoneal trunk artery 35304
|
$6,219.20 |
$6,219.20 |
$6,219.20 |
$6,219.20
|
|
Rechanneling w/wo patch graft abd aorta 35331
|
$7,086.40 |
$7,086.40 |
$7,086.40 |
$2,912.40
|
|
Rechanneling w/wo patch graft deep profunda fem art 35372
|
$4,774.40 |
$4,774.40 |
$4,774.40 |
$9,706.55
|
|
Rechanneling w/wo patch grf axillary-brachial 35321
|
$6,044.80 |
$6,044.80 |
$6,044.80 |
$3,143.32
|
|
Recon, cta for surg plan
|
$80.80 |
$80.80 |
$80.80 |
$542.40
|
|
Reconst lwr jaw without fixation
|
$3,458.40 |
$3,458.40 |
$3,458.40 |
$6,547.81
|
|
Reconst lwr jaw without graft
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$6,547.81
|
|
Reconst major injured chest 32820
|
$3,236.80 |
$3,236.80 |
$3,236.80 |
$3,236.80
|
|
Reconst pectus excavatum/carinatum opn 21740
|
$2,510.40 |
$2,510.40 |
$2,510.40 |
$2,510.40
|
|
Reconstr lwr jaw segment
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$6,547.81
|
|
Reconstr lwr jaw w/advance
|
$2,623.20 |
$2,623.20 |
$2,623.20 |
$4,349.80
|
|
Reconstruct ankle joint
|
$4,768.00 |
$4,768.00 |
$4,768.00 |
$4,881.00
|
|
Reconstruct cleft foot
|
$5,368.00 |
$5,368.00 |
$5,368.00 |
$8,453.60
|
|
Reconstruct cleft palate
|
$2,333.60 |
$2,333.60 |
$2,333.60 |
$5,493.56
|
|
Reconstruct cleft palate
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$4,558.89
|
|
Reconstruct cleft palate
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$6,523.41
|
|
Reconstruct cleft palate
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$6,547.81
|
|
Reconstruct cleft palate
|
$1,454.40 |
$1,454.40 |
$1,454.40 |
$6,547.81
|
|
Reconstruct cleft palate
|
$2,416.00 |
$2,416.00 |
$2,416.00 |
$6,547.81
|
|
Reconstruct elbow joint
|
$4,432.00 |
$4,432.00 |
$4,432.00 |
$7,807.24
|
|
Reconstruct elbow joint
|
$4,953.60 |
$4,953.60 |
$4,953.60 |
$20,355.21
|
|
Reconstruct elbow joint
|
$5,216.00 |
$5,216.00 |
$5,216.00 |
$14,241.77
|
|
Reconstruct elbow lat ligmnt
|
$5,392.00 |
$5,392.00 |
$5,392.00 |
$7,907.11
|
|
Reconstruct elbow med ligmnt
|
$5,409.60 |
$5,409.60 |
$5,409.60 |
$10,385.60
|
|
Reconstruct extra finger
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$3,591.33
|
|
Reconstruct finger joint
|
$1,769.60 |
$1,769.60 |
$1,769.60 |
$3,839.54
|
|
Reconstruct finger joint
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$4,326.00
|
|
Reconstruct head of radius
|
$3,145.60 |
$3,145.60 |
$3,145.60 |
$11,148.00
|
|
Reconstruct head of radius
|
$3,361.60 |
$3,361.60 |
$3,361.60 |
$9,878.40
|
|
Reconstruction knee
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$7,222.25
|
|
Reconstruction knee
|
$5,483.20 |
$5,483.20 |
$5,483.20 |
$8,814.96
|
|
Reconstruction knee
|
$6,166.40 |
$6,166.40 |
$6,166.40 |
$10,629.07
|
|
Reconstruction of anus
|
$1,508.80 |
$1,508.80 |
$1,508.80 |
$3,245.23
|
|
Reconstruction of eyelid
|
$3,590.40 |
$3,590.40 |
$3,590.40 |
$3,786.00
|
|
Reconstruction of eyelid
|
$4,622.40 |
$4,622.40 |
$4,622.40 |
$4,194.40
|
|
Reconstruction of eyelid
|
$4,614.40 |
$4,614.40 |
$4,614.40 |
$4,462.45
|
|
Reconstruction of eyelid
|
$3,398.40 |
$3,398.40 |
$3,398.40 |
$3,398.40
|
|
Reconstruction of hip socket
|
$2,710.40 |
$2,710.40 |
$2,710.40 |
$2,710.40
|
|
Reconstruction of jaw
|
$3,007.20 |
$3,007.20 |
$3,007.20 |
$6,547.81
|
|
Reconstruction of jaw
|
$2,163.20 |
$2,163.20 |
$2,163.20 |
$6,547.81
|
|
Reconstruction of jaw
|
$2,562.40 |
$2,562.40 |
$2,562.40 |
$6,839.00
|
|
Reconstruction of jaw
|
$3,512.00 |
$3,512.00 |
$3,512.00 |
$6,720.89
|
|
Reconstruction of jaw joint
|
$5,404.80 |
$5,404.80 |
$5,404.80 |
$7,000.36
|
|
Reconstruction of jaw joint
|
$5,113.60 |
$5,113.60 |
$5,113.60 |
$6,839.00
|
|
Reconstruction of jaw joint
|
$8,240.00 |
$8,240.00 |
$8,240.00 |
$15,372.00
|
|
Reconstruction of lower jaw
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$6,523.41
|
|
Reconstruction of mouth
|
$2,063.20 |
$2,063.20 |
$2,063.20 |
$6,553.49
|
|
Reconstruction of mouth
|
$2,240.80 |
$2,240.80 |
$2,240.80 |
$6,553.49
|
|
Reconstruction of mouth
|
$2,923.20 |
$2,923.20 |
$2,923.20 |
$6,839.00
|
|
Reconstruction of mouth
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
$6,839.00
|
|
Reconstruction of mouth
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$6,740.73
|
|
Reconstruction of nail bed
|
$731.20 |
$731.20 |
$731.20 |
$2,164.64
|
|
Reconstruction of nose
|
$3,408.80 |
$3,408.80 |
$3,408.80 |
$5,925.35
|
|
Reconstruction of nose
|
$3,478.40 |
$3,478.40 |
$27,061.04 |
$6,966.64
|
|
Reconstruction of orbit
|
$6,161.60 |
$6,161.60 |
$6,161.60 |
$6,547.81
|
|
Reconstruction of throat
|
$1,968.80 |
$1,968.80 |
$1,968.80 |
$6,553.49
|
|
Reconstruction of urethra
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$6,015.75
|
|
Reconstruction of urethra
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$2,856.00
|
|
Reconstruction of urethra
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$6,015.75
|
|
Reconstruction of urethra
|
$1,807.20 |
$1,807.20 |
$1,807.20 |
$5,631.74
|
|
Reconstruction of urethra
|
$2,066.40 |
$2,066.40 |
$2,066.40 |
$3,986.00
|
|
Reconstruction of urethra
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$10,235.30
|
|
Reconstruction of urethra
|
$1,795.20 |
$1,795.20 |
$1,795.20 |
$4,081.37
|
|
Reconstruction of urethra
|
$1,974.40 |
$1,974.40 |
$1,974.40 |
$4,627.00
|
|
Reconstruction of urethra
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$4,627.96
|
|
Reconstruction of urethra
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$4,478.01
|
|
Reconstruction tongue fold
|
$873.60 |
$873.60 |
$873.60 |
$2,866.40
|
|
Reconstruct lip with flap
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$6,553.49
|
|
Reconstruct lip w/local flap 40525
|
$1,368.80 |
$1,368.80 |
$1,368.80 |
$3,837.72
|
|
Reconstruct orbit/forehead
|
$4,910.40 |
$4,910.40 |
$4,910.40 |
$6,553.49
|
|
Reconstruct shoulder joint
|
$5,921.60 |
$5,921.60 |
$5,921.60 |
$10,771.50
|
|
Reconstruct shoulder joint
|
$7,160.00 |
$7,160.00 |
$42,956.29 |
$11,340.00
|
|
Reconstruct ulna/radioulnar
|
$4,368.00 |
$4,368.00 |
$4,368.00 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$2,878.40 |
$2,878.40 |
$2,878.40 |
$6,215.99
|
|
Reconstruct urethra/bladder
|
$2,916.00 |
$2,916.00 |
$2,916.00 |
$5,626.86
|
|
Reconstruct urethra stage 1
|
$2,125.60 |
$2,125.60 |
$2,125.60 |
$5,626.86
|
|
Reconstruct urethra stage 2
|
$2,367.20 |
$2,367.20 |
$2,367.20 |
$5,631.74
|
|
Reconstruct vena cava 34502
|
$3,786.40 |
$3,786.40 |
$3,786.40 |
$3,786.40
|
|
Rectal sensation test
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$564.48
|
|
Red blood cells each unit
|
$302.84 |
$302.84 |
$302.84 |
$393.90
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$787.15 |
$787.15 |
$787.15 |
$748.34
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$302.84 |
$302.84 |
$877.50 |
$577.71
|
|
Red blood cells leukocytes reduced each unit
|
$302.84 |
$302.84 |
$2,100.86 |
$444.60
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$302.84 |
$302.84 |
$488.15 |
$535.00
|
|
Red blood cells washed each unit
|
$604.50 |
$604.50 |
$682.10 |
$583.68
|
|
Red cell mass multiple
|
$229.60 |
$229.60 |
$229.60 |
$636.97
|
|
Red cell mass single
|
$206.40 |
$206.40 |
$206.40 |
$545.61
|
|
Red cell sequestration
|
$296.00 |
$296.00 |
$296.00 |
$618.80
|
|
Red cell survival study
|
$348.80 |
$348.80 |
$348.80 |
$549.70
|
|
Redo endovas vena cava filtr
|
$3,249.60 |
$3,249.60 |
$3,249.60 |
$4,582.08
|
|
Reduce bowel obstruction 44050
|
$2,295.20 |
$2,295.20 |
$2,295.20 |
$1,681.47
|
|
Reduce testis torsion
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$4,129.78
|
|
Reduction of facial bones
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$6,547.81
|
|
Reduction of procidentia 45900
|
$516.80 |
$516.80 |
$516.80 |
$1,226.10
|
|
Re-exploration of chest 32120
|
$2,126.40 |
$2,126.40 |
$2,126.40 |
$1,912.02
|
|
Re-explore parathyroids
|
$3,178.40 |
$3,178.40 |
$3,178.40 |
$6,444.80
|
|
Refill maint impl spine pump
|
$246.40 |
$246.40 |
$246.40 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$208.80 |
$208.80 |
$208.80 |
$403.76
|
