|
Repair biceps tendon
|
$3,665.60 |
$3,665.60 |
$3,665.60 |
$7,502.40
|
|
Repair bladder defect
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$6,311.00
|
|
Repair bladder neck
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$5,841.60
|
|
Repair bladder & vagina
|
$1,952.00 |
$1,952.00 |
$1,952.00 |
$8,192.12
|
|
Repair bladder-vagina lesion
|
$1,376.80 |
$1,376.80 |
$1,376.80 |
$5,841.60
|
|
Repair bladder-vagina lesion
|
$1,912.00 |
$1,912.00 |
$1,912.00 |
$8,081.64
|
|
Repair bladder/vagina lesion
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,080.80
|
|
Repair blood ves direct neck 35201
|
$4,608.00 |
$4,608.00 |
$4,608.00 |
$5,783.00
|
|
Repair blood vess/direct/intra/abd 35221
|
$7,171.20 |
$7,171.20 |
$7,171.20 |
$1,647.50
|
|
Repair blood vessel direct hand finger
|
$6,434.95 |
$6,434.95 |
$6,434.95 |
$3,898.50
|
|
Repair blood vessel direct intrathoracic without bypass 35216
|
$10,137.60 |
$10,137.60 |
$10,137.60 |
$8,080.00
|
|
Repair blood vessel dir lower extr
|
$4,065.60 |
$4,065.60 |
$4,065.60 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$3,879.03 |
$3,879.03 |
$3,879.03 |
$4,051.32
|
|
Repair blood vessel lesion
|
$2,144.00 |
$2,144.00 |
$2,144.00 |
$2,164.52
|
|
Repair blood vessel lesion
|
$2,346.40 |
$2,346.40 |
$2,346.40 |
$2,346.40
|
|
Repair blood vessel lesion
|
$3,008.80 |
$3,008.80 |
$3,008.80 |
$5,983.35
|
|
Repair blood vessel lesion
|
$4,766.40 |
$4,766.40 |
$4,766.40 |
$4,627.00
|
|
Repair blood vessel lesion
|
$4,228.80 |
$4,228.80 |
$4,228.80 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$6,787.20 |
$6,787.20 |
$6,787.20 |
$2,285.40
|
|
Repair blood vessel w/graft lower extremity 35286
|
$5,006.40 |
$5,006.40 |
$5,006.40 |
$5,988.54
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$6,212.80 |
$6,212.80 |
$6,212.80 |
$4,341.66
|
|
Repair bowel-bladder fistula 44660
|
$3,323.20 |
$3,323.20 |
$3,323.20 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$3,829.60 |
$3,829.60 |
$3,829.60 |
$2,664.80
|
|
Repair bowel fistula 44650
|
$3,564.80 |
$3,564.80 |
$3,564.80 |
$1,558.00
|
|
Repair bronchus add-on
|
$593.60 |
$593.60 |
$593.60 |
$593.60
|
|
Repair brow defect
|
$3,185.60 |
$3,185.60 |
$3,185.60 |
$2,820.92
|
|
Repair cardiac wound without bypass
|
$5,984.80 |
$5,984.80 |
$5,984.80 |
$7,369.60
|
|
Repair carpal bone shorten
|
$3,856.00 |
$3,856.00 |
$3,856.00 |
$3,856.00
|
|
Repair cleft hand
|
$7,454.40 |
$7,454.40 |
$7,454.40 |
$3,986.00
|
|
Repair cleft lip/nasal
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$2,487.20 |
$2,487.20 |
$2,487.20 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$5,108.80 |
$5,108.80 |
$5,108.80 |
$5,108.80
|
|
Repair cleft lip/nasal
|
$2,693.60 |
$2,693.60 |
$2,693.60 |
$6,553.49
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,205.64 |
$1,205.64 |
$1,205.64 |
$1,059.20
|
|
Repair corporeal tear
|
$1,700.80 |
$1,700.80 |
$1,700.80 |
$2,990.00
|
|
Repair defect arm art 35045
|
$4,785.60 |
$4,785.60 |
$4,785.60 |
$6,366.08
|
|
Repair defect of artery
|
$6,715.20 |
$6,715.20 |
$6,715.20 |
$2,168.66
|
|
Repair defect of artery
|
$8,723.20 |
$8,723.20 |
$8,723.20 |
$5,706.00
|
|
Repair defect of artery 35011
|
$4,892.80 |
$4,892.80 |
$4,892.80 |
$6,305.95
|
|
Repair defect of artery 35081
|
$4,223.20 |
$4,223.20 |
$4,223.20 |
$3,497.40
|
|
Repair defect of artery 35102
|
$9,164.80 |
$9,164.80 |
$9,164.80 |
$3,922.38
|
|
Repair defect of artery aneurysm 35151
|
$6,035.20 |
$6,035.20 |
$6,035.20 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$5,473.60 |
$5,473.60 |
$5,473.60 |
$5,410.60
|
|
Repair deformity of toe
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$3,591.33
|
|
Repair degenerated kneecap
|
$4,083.20 |
$4,083.20 |
$4,083.20 |
$6,311.00
|
|
Repair dental ellis ii fx
|
$307.84 |
$307.84 |
$307.84 |
$442.48
|
|
Repair detached retina
|
$5,624.00 |
$5,624.00 |
$5,624.00 |
$5,912.40
|
|
Repair detached retina
|
$5,960.00 |
$5,960.00 |
$5,960.00 |
$6,889.27
|
|
Repair detached retina
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$3,468.40
|
|
Repair detached retina crtx
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$3,905.20
|
|
Repair detached retina pc
|
$2,539.20 |
$2,539.20 |
$2,539.20 |
$1,513.20
|
|
Repair eardrum structures
|
$4,329.60 |
$4,329.60 |
$4,329.60 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$3,259.20 |
$3,259.20 |
$3,259.20 |
$3,839.54
|
|
Repair elbow perc
|
$6,861.01 |
$6,861.01 |
$6,861.01 |
$4,350.00
|
|
Repair elbow w/deb open
|
$2,590.40 |
$2,590.40 |
$2,590.40 |
$3,839.54
|
|
Repair esophagus and fistula
|
$3,888.00 |
$3,888.00 |
$3,888.00 |
$3,888.00
|
|
Repair esophagus opening
|
$2,524.00 |
$2,524.00 |
$2,524.00 |
$3,837.72
|
|
Repair esophagus opening
|
$3,518.40 |
$3,518.40 |
$3,518.40 |
$3,518.40
|
|
Repair esophagus wound 43410
|
$2,546.40 |
$2,546.40 |
$2,546.40 |
$2,546.40
|
|
Repair esophagus wound 43415
|
$6,279.20 |
$6,279.20 |
$6,279.20 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$4,446.10 |
$4,446.10 |
$4,446.10 |
$2,353.50
|
|
Repair extra toe(s)
|
$2,137.60 |
$2,137.60 |
$2,137.60 |
$4,350.00
|
|
Repair eyelid defect
|
$3,849.60 |
$3,849.60 |
$3,849.60 |
$3,849.60
|
|
Repair eyelid defect
|
$3,595.20 |
$3,595.20 |
$3,595.20 |
$4,462.45
|
|
Repair eyelid defect
|
$2,966.40 |
$2,966.40 |
$2,966.40 |
$2,966.40
|
|
Repair eyelid defect
|
$3,649.60 |
$3,649.60 |
$3,649.60 |
$3,609.60
|
|
Repair eyelid defect
|
$2,518.40 |
$2,518.40 |
$2,518.40 |
$3,986.00
|
|
Repair eyelid defect
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$2,733.00
|
|
Repair eyelid defect
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$2,760.73
|
|
Repair eyelid defect
|
$1,499.20 |
$1,499.20 |
$1,499.20 |
$2,838.93
|
|
Repair eyelid defect
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$2,982.40
|
|
Repair eyelid defect
|
$3,044.80 |
$3,044.80 |
$3,044.80 |
$2,760.73
|
|
Repair eyelid defect
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$2,760.73
|
|
Repair eyelid defect
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$2,760.73
|
|
Repair eyelid defect
|
$2,982.40 |
$2,982.40 |
$2,982.40 |
$2,982.40
|
|
Repair eyelid defect
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$3,176.00
|
|
Repair eyelid wound
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
$2,760.73
|
|
Repair eyelid wound
|
$2,947.20 |
$2,947.20 |
$2,947.20 |
$3,296.00
|
|
Repair facial nerve
|
$5,726.40 |
$5,726.40 |
$5,726.40 |
$6,759.31
|
|
Repair facial nerve
|
$6,097.60 |
$6,097.60 |
$6,097.60 |
$6,839.00
|
|
Repair fibula nonunion
|
$4,726.40 |
$4,726.40 |
$4,726.40 |
$7,807.24
|
|
Repair finger deformity
|
$3,471.20 |
$3,471.20 |
$3,471.20 |
$3,471.20
|
|
Repair finger/hand tendon
|
$1,776.80 |
$1,776.80 |
$1,776.80 |
$4,204.20
|
|
Repair finger/hand tendon
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$4,150.20
|
|
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
|
