|
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
|
$2,160.20 |
$2,160.20 |
$2,160.20 |
$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 |
$2,464.00 |
$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
|
$9,175.45 |
$9,175.45 |
$9,175.45 |
$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
|
|
Repair of foot bones
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$10,629.07
|
|
Repair of foot tendon
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$3,977.49
|
|
Repair of hand or foot nerve
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$4,016.00 |
$4,016.00 |
$4,016.00 |
$4,697.33
|
|
Repair of heart defect
|
$3,772.80 |
$3,772.80 |
$3,772.80 |
$3,772.80
|
|
Repair of humerus
|
$5,198.40 |
$5,198.40 |
$5,198.40 |
$6,588.00
|
|
Repair of hydrocele 55060
|
$1,912.00 |
$1,912.00 |
$1,912.00 |
$3,786.00
|
|
Repair of imperforated anus
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$6,104.80
|
|
Repair of kidney wound
|
$3,058.40 |
$3,058.40 |
$3,058.40 |
$3,058.40
|
|
Repair of kneecap tendon
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
$6,311.00
|
|
Repair of knee cartilage
|
$3,161.60 |
$3,161.60 |
$3,161.60 |
$5,855.00
|
|
Repair of knee ligament
|
$3,324.80 |
$3,324.80 |
$3,324.80 |
$5,886.13
|
|
Repair of knee ligament
|
$3,907.20 |
$3,907.20 |
$3,907.20 |
$6,311.00
|
|
Repair of knee ligaments
|
$4,755.20 |
$4,755.20 |
$4,755.20 |
$8,453.60
|
|
Repair of leg epiphyses
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$4,350.00
|
|
Repair of leg epiphyses
|
$3,822.40 |
$3,822.40 |
$3,822.40 |
$3,839.54
|
|
Repair of leg nerve
|
$4,732.80 |
$4,732.80 |
$4,732.80 |
$6,998.88
|
|
Repair of leg tendon each
|
$919.20 |
$919.20 |
$919.20 |
$3,680.78
|
|
Repair of leg tendon each
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$5,810.00
|
|
Repair of leg tendon each
|
$1,028.80 |
$1,028.80 |
$1,028.80 |
$7,177.39
|
|
Repair of low back nerves
|
$6,776.00 |
$6,776.00 |
$6,776.00 |
$7,088.41
|
|
Repair of lower leg
|
$5,979.20 |
$5,979.20 |
$5,979.20 |
$5,979.20
|
|
Repair of mesentery 44850
|
$1,829.60 |
$1,829.60 |
$1,829.60 |
$1,219.80
|
|
Repair of metatarsals
|
$1,942.40 |
$1,942.40 |
$1,942.40 |
$6,512.80
|
|
Repair of mitral valve w/bypass 33425
|
$6,668.80 |
$6,668.80 |
$6,668.80 |
$6,668.80
|
|
Repair of nasal septum
|
$1,590.40 |
$1,590.40 |
$1,590.40 |
$4,924.40
|
|
Repair of penis
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$4,081.37
|
|
Repair of rectocele 45560
|
$1,730.40 |
$1,730.40 |
$1,730.40 |
$3,035.44
|
|
Repair of rectum
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$3,245.23
|
|
Repair of rectum
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$3,432.60
|
|
Repair of ruptured spleen 38115
|
$3,138.40 |
$3,138.40 |
$3,138.40 |
$2,660.40
|
|
Repair of ruptured tendon
|
$3,824.00 |
$3,824.00 |
$3,824.00 |
$6,484.80
|
|
Repair of ruptured uterus
|
$1,989.60 |
$1,989.60 |
$1,989.60 |
$1,723.20
|
|
Repair of shoulder
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$7,250.26
|
|
Repair of skull & brain
|
$3,346.40 |
$3,346.40 |
$3,346.40 |
$3,346.40
|
|
Repair of skull defect 62140
|
$2,439.20 |
$2,439.20 |
$2,439.20 |
$2,439.20
|
