|
Repair finger/hand tendon
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
$4,351.50
|
|
Repair finger/hand tendon
|
$1,878.40 |
$1,878.40 |
$1,878.40 |
$3,848.00
|
|
Repair finger/hand tendon
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$3,839.54
|
|
Repair finger/hand tendon
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$3,839.54
|
|
Repair finger tendon
|
$1,334.40 |
$1,334.40 |
$1,334.40 |
$3,752.25
|
|
Repair fistula w/colostomy
|
$3,759.20 |
$3,759.20 |
$3,759.20 |
$3,759.20
|
|
Repair foot dislocation
|
$4,235.20 |
$4,235.20 |
$4,235.20 |
$5,810.00
|
|
Repair foot dislocation
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$6,307.00
|
|
Repair foot dislocation
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$1,847.20 |
$1,847.20 |
$1,847.20 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$1,370.40 |
$1,370.40 |
$1,370.40 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$3,313.60 |
$3,313.60 |
$3,313.60 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$3,339.20 |
$3,339.20 |
$3,339.20 |
$7,907.11
|
|
Repair/graft eye lesion
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$6,076.38
|
|
Repair/graft finger tendon
|
$1,766.40 |
$1,766.40 |
$1,766.40 |
$3,839.54
|
|
Repair/graft finger tendon
|
$1,885.60 |
$1,885.60 |
$1,885.60 |
$3,786.00
|
|
Repair/graft finger tendon
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
$4,259.84
|
|
Repair/graft hand tendon
|
$1,992.80 |
$1,992.80 |
$1,992.80 |
$5,741.00
|
|
Repair/graft hand tendon
|
$2,414.40 |
$2,414.40 |
$2,414.40 |
$7,807.24
|
|
Repair/graft hand tendon
|
$2,192.00 |
$2,192.00 |
$2,192.00 |
$7,807.24
|
|
Repair/graft hand tendon
|
$2,406.40 |
$2,406.40 |
$2,406.40 |
$6,307.00
|
|
Repair/graft hand tendon
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$3,977.49
|
|
Repair/graft kneecap tendon
|
$3,982.40 |
$3,982.40 |
$3,982.40 |
$5,855.00
|
|
Repair/graft of foot tendon
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$6,653.00
|
|
Repair/graft of foot tendon
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$5,023.20
|
|
Repair/graft of thigh muscle
|
$4,156.80 |
$4,156.80 |
$4,156.80 |
$5,943.97
|
|
Repair/graft of tibia
|
$4,388.80 |
$4,388.80 |
$4,388.80 |
$7,464.80
|
|
Repair/graft of tibia
|
$6,208.00 |
$6,208.00 |
$6,208.00 |
$6,208.00
|
|
Repair/graft radius or ulna
|
$5,116.80 |
$5,116.80 |
$5,116.80 |
$7,913.97
|
|
Repair/graft radius or ulna
|
$4,739.20 |
$4,739.20 |
$4,739.20 |
$7,807.24
|
|
Repair/graft radius & ulna
|
$5,739.20 |
$5,739.20 |
$5,739.20 |
$8,159.00
|
|
Repair/graft radius & ulna
|
$5,528.00 |
$5,528.00 |
$5,528.00 |
$5,528.00
|
|
Repair/graft wrist bone
|
$3,788.80 |
$3,788.80 |
$3,788.80 |
$5,376.00
|
|
Repair hand joint
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$3,839.54
|
|
Repair hand joint with graft
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$3,839.54
|
|
Repair hand joint with graft
|
$1,703.20 |
$1,703.20 |
$1,703.20 |
$3,336.65
|
|
Repair heart septum defect 33681
|
$4,489.60 |
$4,489.60 |
$4,489.60 |
$4,489.60
|
|
Repair heart wound w/bypass 33305
|
$10,007.20 |
$10,007.20 |
$10,007.20 |
$17,708.60
|
|
Repair humerus with graft
|
$5,291.20 |
$5,291.20 |
$5,291.20 |
$9,791.00
|
|
Repair ing hernia sliding
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$3,856.84
|
|
Repair iris & ciliary body
|
$2,572.80 |
$2,572.80 |
$2,572.80 |
$2,698.92
|
|
Repair iris & ciliary body
|
$3,332.80 |
$3,332.80 |
$3,332.80 |
$3,173.34
|
|
Repair lac palate<2 cm
|
$618.40 |
$618.40 |
$618.40 |
$780.65
|
|
Repair leg fascia defect
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$3,839.54
|
|
Repair lip full thkns =<one-half vert height
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,004.18 |
$3,004.18 |
$3,004.18 |
$1,928.07
|
|
Repair liver wound 47350
|
$3,361.60 |
$3,361.60 |
$3,361.60 |
$2,581.80
|
|
Repair liver wound 47360
|
$4,600.00 |
$4,600.00 |
$4,600.00 |
$2,909.40
|
|
Repair lower leg epiphyses
|
$3,227.20 |
$3,227.20 |
$3,227.20 |
$3,839.54
|
|
Repair lower leg tendons
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$3,839.54
|
|
Repair lower leg tendons
|
$2,972.80 |
$2,972.80 |
$2,972.80 |
$7,906.00
|
|
Repair lumbar hernia
|
$3,308.80 |
$3,308.80 |
$3,308.80 |
$6,457.82
|
|
Repair lung hernia 32800
|
$2,303.20 |
$2,303.20 |
$2,303.20 |
$2,303.20
|
|
Repair major blood vessel(s) w/bypass 33322
|
$3,392.00 |
$3,392.00 |
$3,392.00 |
$3,392.00
|
|
Repair major blood vessel(s) without bypass 33320
|
$2,569.60 |
$2,569.60 |
$2,569.60 |
$2,071.80
|
|
Repair middle ear structures
|
$3,966.40 |
$3,966.40 |
$3,966.40 |
$4,558.89
|
|
Repair middle ear structures
|
$3,961.60 |
$3,961.60 |
$3,961.60 |
$3,961.60
|
|
Repair multi-comp penis pros
|
$1,995.20 |
$1,995.20 |
$1,995.20 |
$6,015.75
|
|
Repair muscles of hand
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$3,591.33
|
|
Repair nasal septum defect
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$3,837.72
|
|
Repair nasal stenosis
|
$2,464.00 |
$2,464.00 |
$22,387.69 |
$6,547.81
|
|
Repair nerve add-on
|
$905.60 |
$905.60 |
$905.60 |
$4,063.62
|
|
Repair nerve add-on 64832
|
$833.60 |
$833.60 |
$833.60 |
$2,386.86
|
|
Repair nerve/shorten bone
|
$487.20 |
$487.20 |
$487.20 |
$4,448.60
|
|
Repair nonunion carpal bone
|
$3,876.80 |
$3,876.80 |
$3,876.80 |
$7,907.11
|
|
Repair nonunion hand
|
$4,947.20 |
$4,947.20 |
$4,947.20 |
$5,886.74
|
|
Repair nose to lip fistula
|
$2,055.20 |
$2,055.20 |
$2,055.20 |
$6,547.81
|
|
Repair of achilles tendon
|
$3,550.40 |
$3,550.40 |
$3,550.40 |
$5,594.25
|
|
Repair of anal sphincter
|
$2,747.20 |
$2,747.20 |
$2,747.20 |
$3,816.64
|
|
Repair of anal sphincter
|
$2,298.40 |
$2,298.40 |
$2,298.40 |
$3,816.64
|
|
Repair of anal stricture
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$3,038.07
|
|
Repair of anal stricture
|
$1,376.80 |
$1,376.80 |
$1,376.80 |
$1,376.80
|
|
Repair of aneurysm
|
$5,380.80 |
$5,380.80 |
$5,380.80 |
$4,560.00
|
|
Repair of ankle ligament
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$6,311.00
|
|
Repair of ankle ligament
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$5,886.74
|
|
Repair of ankle ligaments
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
$5,339.00
|
|
Repair of aortic valve
|
$5,242.40 |
$5,242.40 |
$5,242.40 |
$5,242.40
|
|
Repair of arm nerves
|
$7,123.20 |
$7,123.20 |
$7,123.20 |
$4,858.97
|
|
Repair of bladder opening
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$4,081.37
|
|
Repair of body cast
|
$203.20 |
$203.20 |
$203.20 |
$223.45
|
|
Repair of bowel lesion
|
$3,206.40 |
$3,206.40 |
$3,206.40 |
$2,006.40
|
|
Repair of circumcision
|
$546.40 |
$546.40 |
$546.40 |
$3,316.80
|
|
Repair of diaphragm hernia
|
$14,392.80 |
$14,392.80 |
$14,392.80 |
$10,292.00
|
|
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
|
