|
Revise hand/finger tendon
|
$2,084.00 |
$2,084.00 |
$2,084.00 |
$7,807.24
|
|
Revise head/neck of femur
|
$4,809.60 |
$4,809.60 |
$4,809.60 |
$8,453.60
|
|
Revise hernia & sperm veins
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$4,176.15
|
|
Revise hip joint replacement
|
$9,432.00 |
$9,432.00 |
$9,432.00 |
$8,659.95
|
|
Revise hip joint replacement
|
$7,536.00 |
$7,536.00 |
$7,536.00 |
$7,536.00
|
|
Revise hip joint replacement
|
$7,248.00 |
$7,248.00 |
$7,248.00 |
$6,492.20
|
|
Revise/implant finger joint
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$5,376.00
|
|
Revise kneecap
|
$3,241.60 |
$3,241.60 |
$3,241.60 |
$7,700.67
|
|
Revise kneecap with implant
|
$4,140.80 |
$4,140.80 |
$4,140.80 |
$10,629.07
|
|
Revise knuckle joint
|
$1,326.40 |
$1,326.40 |
$1,326.40 |
$5,023.20
|
|
Revise knuckle with implant
|
$1,546.40 |
$1,546.40 |
$1,546.40 |
$6,511.82
|
|
Revise low back nerve(s)
|
$3,603.20 |
$3,603.20 |
$3,603.20 |
$3,603.20
|
|
Revise lower leg tendon
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$4,627.00
|
|
Revise lower leg tendon
|
$3,688.00 |
$3,688.00 |
$3,688.00 |
$5,339.00
|
|
Revise lower leg tendons
|
$2,684.80 |
$2,684.80 |
$2,684.80 |
$3,839.54
|
|
Revise middle ear bone
|
$4,540.80 |
$4,540.80 |
$4,540.80 |
$6,680.76
|
|
Revise middle ear bone
|
$5,928.00 |
$5,928.00 |
$5,928.00 |
$6,465.11
|
|
Revise middle ear bone
|
$5,659.20 |
$5,659.20 |
$5,659.20 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$5,104.00 |
$5,104.00 |
$5,104.00 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$6,560.00 |
$6,560.00 |
$6,560.00 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$5,993.60 |
$5,993.60 |
$5,993.60 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$7,254.40 |
$7,254.40 |
$7,254.40 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$7,568.00 |
$7,568.00 |
$7,568.00 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$7,132.80 |
$7,132.80 |
$7,132.80 |
$7,000.36
|
|
Revise ocular implant
|
$2,244.80 |
$2,244.80 |
$2,244.80 |
$2,760.73
|
|
Revise ocular implant
|
$3,147.20 |
$3,147.20 |
$3,147.20 |
$4,462.45
|
|
Revise palsy hand tendon(s)
|
$3,787.20 |
$3,787.20 |
$3,787.20 |
$7,907.11
|
|
Revise palsy hand tendon(s)
|
$4,499.20 |
$4,499.20 |
$4,499.20 |
$8,453.60
|
|
Revise penis/urethra
|
$2,369.60 |
$2,369.60 |
$2,369.60 |
$4,478.01
|
|
Revise penis/urethra
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$4,478.01
|
|
Revise penis/urethra
|
$3,004.80 |
$3,004.80 |
$3,004.80 |
$4,478.01
|
|
Revise prosth vag graft lap
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$8,185.02
|
|
Revise radius or ulna
|
$4,961.60 |
$4,961.60 |
$4,961.60 |
$4,499.12
|
|
Revise radius & ulna
|
$4,504.00 |
$4,504.00 |
$4,504.00 |
$10,629.07
|
|
Revise radius & ulna
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$4,692.80
|
|
Revise reconst elbow joint
|
$7,622.40 |
$7,622.40 |
$7,622.40 |
$14,061.89
|
|
Revise reconst elbow joint
|
$8,792.00 |
$8,792.00 |
$8,792.00 |
$14,873.09
|
|
Revise/remove neuroelectrode
|
$2,724.80 |
$2,724.80 |
$2,724.80 |
$4,069.59
|
|
Revise/remove neuroreceiver
|
$1,868.80 |
$1,868.80 |
$1,868.80 |
$9,079.85
|
|
Revise/remove sling repair
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$3,744.41
|
|
Revise & repair chest wall
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$4,015.20
|
|
Revise/repair chest wall 32905
|
$3,250.40 |
$3,250.40 |
$3,250.40 |
$3,250.40
|
|
Revise/replace knee joint
|
$6,928.00 |
$6,928.00 |
$6,928.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$8,664.00 |
$8,664.00 |
$8,664.00 |
$7,048.60
|
|
Revise/repl vagus n eltrd
|
$3,632.00 |
$3,632.00 |
$3,632.00 |
$13,628.55
|
|
Revise spermatic cord veins
|
$1,769.60 |
$1,769.60 |
$1,769.60 |
$4,345.52
|
|
Revise spermatic cord veins
|
$2,168.00 |
$2,168.00 |
$2,168.00 |
$7,149.07
|
|
Revise spinal cord vsls crvl
|
$6,965.60 |
$6,965.60 |
$6,965.60 |
$6,965.60
|
|
Revise spine eltrd perq aray
|
$2,099.20 |
$2,099.20 |
$2,099.20 |
$7,766.27
|
|
Revise spine eltrd plate
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$14,756.87
|
|
Revise stomach bowel fusion 43860
|
$4,020.00 |
$4,020.00 |
$4,020.00 |
$3,110.40
|
|
Revise thigh muscles/tendons
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$7,907.11
|
|
Revise thumb tendon
|
$1,984.00 |
$1,984.00 |
$1,984.00 |
$3,594.44
|
|
Revise thumb tendon
|
$2,134.40 |
$2,134.40 |
$2,134.40 |
$3,591.33
|
|
Revise two eye muscles
|
$3,564.80 |
$3,564.80 |
$3,564.80 |
$4,462.45
|
|
Revise two eye muscles
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$3,151.20
|
|
Revise ureter
|
$1,277.60 |
$1,277.60 |
$1,277.60 |
$4,081.37
|
|
Revise urethra stage 1
|
$2,024.00 |
$2,024.00 |
$2,024.00 |
$5,882.50
|
|
Revise urethra stage 2
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$5,645.75
|
|
Revise vag graft open abd
|
$2,372.80 |
$2,372.80 |
$2,372.80 |
$2,372.80
|
|
Revise vag graft via vagina
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$3,762.53
|
|
Revise windpipe scar
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$1,395.20 |
$1,395.20 |
$1,395.20 |
$3,017.99
|
|
Revise wrist joint
|
$4,155.20 |
$4,155.20 |
$4,155.20 |
$4,155.20
|
|
Revision gastrojejunal anastomosis w/reconstruct-43865
|
$4,189.60 |
$4,189.60 |
$4,189.60 |
$4,189.60
|
|
Revision of amputation
|
$5,838.40 |
$5,838.40 |
$5,838.40 |
$8,412.89
|
|
Revision of ankle joint
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$8,412.89
|
|
Revision of aqueous shunt
|
$3,897.60 |
$3,897.60 |
$3,897.60 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$3,833.60 |
$3,833.60 |
$3,833.60 |
$3,833.60
|
|
Revision of big toe
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$6,307.00
|
|
Revision of bladder neck
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$4,350.00
|
|
Revision of calf tendon
|
$2,260.80 |
$2,260.80 |
$2,260.80 |
$3,839.54
|
|
Revision of cervix
|
$803.20 |
$803.20 |
$803.20 |
$3,721.00
|
|
Revision of cervix
|
$365.60 |
$365.60 |
$365.60 |
$3,891.90
|
|
Revision of circulation
|
$5,409.60 |
$5,409.60 |
$5,409.60 |
$3,884.80
|
|
Revision of circulation
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$3,735.20
|
|
Revision of collar bone
|
$4,035.20 |
$4,035.20 |
$4,035.20 |
$5,886.74
|
|
Revision of collar bone
|
$4,710.40 |
$4,710.40 |
$4,710.40 |
$12,147.50
|
|
Revision of colostomy
|
$1,532.00 |
$1,532.00 |
$1,532.00 |
$4,311.38
|
|
Revision of colostomy comp in-depth 44345
|
$2,588.00 |
$2,588.00 |
$2,588.00 |
$1,990.20
|
|
Revision of colostomy paraclt hernia 44346
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
$2,622.18
|
|
Revision of cornea
|
$2,043.20 |
$2,043.20 |
$2,043.20 |
$2,760.73
|
|
Revision of cranial nerve
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$2,310.83
|
|
Revision of eyelid
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$2,760.73
|
|
Revision of eyelid
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,654.40
|
|
Revision of eyelid
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$2,860.80
|
|
Revision of eyelid
|
$2,872.00 |
$2,872.00 |
$2,872.00 |
$2,760.73
|
|
Revision of eyelid
|
$3,836.80 |
$3,836.80 |
$3,836.80 |
$3,417.95
|
|
Revision of foot
|
$3,819.20 |
$3,819.20 |
$3,819.20 |
$3,839.54
|
|
Revision of foot and ankle
|
$6,915.20 |
$6,915.20 |
$6,915.20 |
$7,907.11
|
|
Revision of foot bones
|
$3,462.40 |
$3,462.40 |
$3,462.40 |
$10,629.07
|
|
Revision of foot fascia 28250
|
$2,892.80 |
$2,892.80 |
$2,892.80 |
$3,839.54
|
|
Revision of foot tendon
|
$3,337.60 |
$3,337.60 |
$3,337.60 |
$5,886.74
|
|
Revision of foot tendon
|
$5,900.80 |
$5,900.80 |
$5,900.80 |
$3,388.00
|
|
Revision of hip bones
|
$8,420.80 |
$8,420.80 |
$8,420.80 |
$8,420.80
|
|
Revision of hip tendon
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$3,839.54
|
|
Revision of ileostomy complicated 44314
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$2,236.08
|
|
Revision of ileostomy; simple 44312
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$4,332.25
|
|
Revision of infusion pump
|
$989.60 |
$989.60 |
$989.60 |
$4,285.86
|
