|
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
|
|
Repair of sperm duct
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$4,525.95
|
|
Repair of thigh muscle
|
$2,897.60 |
$2,897.60 |
$2,897.60 |
$6,727.70
|
|
Repair of tibia
|
$4,312.00 |
$4,312.00 |
$4,312.00 |
$7,604.02
|
|
Repair of tibia epiphysis
|
$2,883.20 |
$2,883.20 |
$2,883.20 |
$3,839.54
|
|
Repair of toe dislocation
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$3,958.50
|
|
Repair of ulnar motor nerve 64836
|
$4,016.00 |
$4,016.00 |
$4,016.00 |
$4,858.97
|
|
Repair of ureter
|
$4,254.40 |
$4,254.40 |
$4,254.40 |
$3,910.40
|
|
Repair of urethra defect
|
$661.60 |
$661.60 |
$661.60 |
$4,081.37
|
|
Repair of urethra defect
|
$1,404.80 |
$1,404.80 |
$1,404.80 |
$6,015.75
|
|
Repair of urethra injury
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$5,631.74
|
|
Repair of urethra injury
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
$5,986.78
|
|
Repair of urethra injury
|
$2,009.60 |
$2,009.60 |
$2,009.60 |
$6,015.75
|
|
Repair of urethra injury 53502
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$4,272.89
|
|
Repair of urethral lesion
|
$1,020.80 |
$1,020.80 |
$1,020.80 |
$3,852.58
|
|
Repair of web finger
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$2,211.05
|
|
Repair of web finger
|
$2,346.40 |
$2,346.40 |
$2,346.40 |
$3,839.54
|
|
Repair of web finger
|
$3,310.40 |
$3,310.40 |
$3,310.40 |
$3,839.54
|
|
Repair of windpipe
|
$3,364.00 |
$3,364.00 |
$3,364.00 |
$6,523.41
|
|
Repair of windpipe
|
$4,239.20 |
$4,239.20 |
$4,239.20 |
$6,547.81
|
|
Repair of windpipe defect
|
$1,479.20 |
$1,479.20 |
$1,479.20 |
$3,592.74
|
|
Repair of windpipe injury
|
$1,756.80 |
$1,756.80 |
$1,756.80 |
$1,756.80
|
|
Repair of windpipe injury
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$1,986.40
|
|
Repair oronasal fistula 30600
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$6,705.77
|
|
Repair palate
|
$806.40 |
$806.40 |
$806.40 |
$7,000.36
|
|
Repair palate
|
$1,785.60 |
$1,785.60 |
$1,785.60 |
$6,547.81
|
|
Repair palate pharynx/uvula
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$5,544.00
|
|
Repair paravag defect lap
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$11,378.21
|
|
Repair paravag defect vag 57285
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$8,081.64
|
|
Repair pda by ligation
|
$2,360.00 |
$2,360.00 |
$2,360.00 |
$2,360.00
|
|
Repair pda div<18 years
|
$2,488.00 |
$2,488.00 |
$2,488.00 |
$2,488.00
|
|
Repair penis
|
$2,018.40 |
$2,018.40 |
$2,018.40 |
$2,874.36
|
|
Repair penis
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$2,424.12
|
|
Repair pm/icd lead dual
|
$2,636.21 |
$2,636.21 |
$2,636.21 |
$4,495.26
|
|
Repair pm/icd lead sgl
|
$1,760.32 |
$1,760.32 |
$7,005.05 |
$4,343.82
|
|
Repair pulm artery stenosis w/patch/graft 33917
|
$3,551.20 |
$3,551.20 |
$3,551.20 |
$3,551.20
|
|
Repair radius or ulna
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$7,913.97
|
|
Repair radius & ulna
|
$4,761.60 |
$4,761.60 |
$4,761.60 |
$7,913.97
|
|
Repair rect/bladder fistula
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
$3,104.00
|
|
Repair rectum; remove sigmoid 45550
|
$3,631.20 |
$3,631.20 |
$3,631.20 |
$2,293.20
|
|
Repair rectum & vagina
|
$1,520.00 |
$1,520.00 |
$1,848.00 |
$5,463.96
|
|
Repair rectum-vagina fistula
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$2,950.40 |
$2,950.40 |
$2,950.40 |
$4,176.15
|
|
Repair retinal detach cplx
|
$6,657.60 |
$6,657.60 |
$6,657.60 |
$6,657.60
|
|
Repair & revise nerve add-on
|
$430.40 |
$430.40 |
$430.40 |
$4,448.60
|
|
Repair/revise wrist joint
|
$4,846.40 |
$4,846.40 |
$4,846.40 |
$6,653.00
|
|
Repair rotator cuff acute
|
$4,036.80 |
$4,036.80 |
$44,723.06 |
$7,807.24
|
|
Repair rotator cuff chronic
|
$4,193.60 |
$4,193.60 |
$55,772.91 |
$6,848.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$787.20 |
$787.20 |
$787.20 |
$951.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$1,244.09
|
|
Repair salivary duct
|
$1,076.80 |
$1,076.80 |
$1,076.80 |
$6,447.37
|
|
Repair salivary duct
|
$1,381.60 |
$1,381.60 |
$1,381.60 |
$6,465.11
|
|
Repair sciatic nerve
|
$5,793.60 |
$5,793.60 |
$5,793.60 |
$4,858.97
|
|
Repair shoulder capsule
|
$4,662.40 |
$4,662.40 |
$4,662.40 |
$8,070.30
|
|
Repair shoulder capsule
|
$4,902.40 |
$4,902.40 |
$4,902.40 |
$7,842.71
|
|
Repair shoulder capsule
|
$5,361.60 |
$5,361.60 |
$5,361.60 |
$6,820.77
|
|
Repair shoulder capsule
|
$5,262.40 |
$5,262.40 |
$5,262.40 |
$7,807.24
|
|
Repair shoulder capsule
|
$5,504.00 |
$5,504.00 |
$5,504.00 |
$7,807.24
|
|
Repair shoulder capsule
|
$5,467.20 |
$5,467.20 |
$5,467.20 |
$7,807.24
|
|
Repair spinal fluid leakage 63707
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$1,708.80
|
|
Repair stern/nuss without scope
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$4,499.12
|
|
Repair sternum/nuss w/scope
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$4,499.12
|
|
Repair stomach-bowel fistula 43880
|
$3,911.20 |
$3,911.20 |
$3,911.20 |
$2,359.20
|
|
Repair stomach opening
|
$1,746.40 |
$1,746.40 |
$1,746.40 |
$4,402.32
|
|
Repair tear ducts
|
$2,993.60 |
$2,993.60 |
$2,993.60 |
$3,115.73
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,200.80 |
$1,200.80 |
$1,200.80 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$2,866.87 |
$2,866.87 |
$2,866.87 |
$4,499.12
|
|
Repair testis injury
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$3,863.60
|
|
Repair throat wound
|
$828.80 |
$828.80 |
$828.80 |
$1,856.91
|
|
Repair toe dislocation
|
$1,640.80 |
$1,640.80 |
$56,063.49 |
$3,594.44
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$751.20 |
$751.20 |
$751.20 |
$478.00
|
|
Repair/transpose mp nerve 64856
|
$2,496.80 |
$2,496.80 |
$3,108.00 |
$6,311.00
|
|
Repair umbilical lesion
|
$1,795.20 |
$1,795.20 |
$1,795.20 |
$4,176.15
|
|
Repair umbilical lesion
|
$2,778.40 |
$2,778.40 |
$2,778.40 |
$2,507.20
|
|
Repair umbilical lesion
|
$12,097.60 |
$12,097.60 |
$12,097.60 |
$6,916.28
|
|
Repair umbilical lesion
|
$1,691.20 |
$1,691.20 |
$1,691.20 |
$1,540.80
|
|
Repair umbilical lesion
|
$1,489.60 |
$1,489.60 |
$1,489.60 |
$1,359.20
|
|
Repair upper arm/elbow tendon/muscle ea
|
$3,664.00 |
$3,664.00 |
$3,664.00 |
$8,412.89
|
|
Repair upper jaw fistula
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$6,547.81
|
|
Repair urethrovaginal lesion 57310
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$7,093.16
|
|
Repair uro sphincter
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$10,106.03
|
|
Repair vagina
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$5,813.46
|
|
Repair vagina/perineum
|
$953.60 |
$953.60 |
$953.60 |
$4,096.68
|
|
Repair valve femoral vein
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$5,983.35
|
|
Repair vessel graft defect
|
$3,031.20 |
$3,031.20 |
$3,031.20 |
$2,209.60
|
|
Repair webbed toe(s)
|
$1,309.60 |
$1,309.60 |
$1,309.60 |
$1,893.86
|
|
Repair windpipe opening
|
$1,787.20 |
$1,787.20 |
$1,787.20 |
$6,547.81
|
|
Repeat thyroid surgery
|
$5,384.00 |
$5,384.00 |
$5,384.00 |
$6,547.81
|
|
Replac av w/bypas/other pros valve 33405
|
$5,542.40 |
$5,542.40 |
$5,542.40 |
$7,683.90
|
|
Replace aortic valve allograft freehand 33406
|
$7,027.20 |
$7,027.20 |
$7,027.20 |
$7,027.20
|
|
Replace aortic valve annulus enlgment 33411
|
$8,201.60 |
$8,201.60 |
$8,201.60 |
$8,201.60
|
|
Replace aortic valve open axillry 33363
|
$22,498.70 |
$22,498.70 |
$22,498.70 |
$19,502.91
|
|
Replace aortic valve open femoral 33362
|
$22,833.32 |
$22,833.32 |
$22,833.32 |
$17,768.00
|
|
Replace aortic valve open iliac 33364
|
$3,348.80 |
$3,348.80 |
$3,348.80 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$3,541.60 |
$3,541.60 |
$3,541.60 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$2,399.20 |
$2,399.20 |
$2,399.20 |
$2,399.20
|
