|
Repair rect/bladder fistula
|
$1,818.37 |
$1,818.37 |
$1,818.37 |
$3,104.00
|
|
Repair rectourethral fistula
|
$1,822.36 |
$1,822.36 |
$1,822.36 |
$1,419.00
|
|
Repair rectum; remove sigmoid 45550
|
$1,992.21 |
$1,992.21 |
$1,992.21 |
$2,293.20
|
|
Repair rectum & vagina
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,463.96
|
|
Repair rectum-vagina fistula
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$1,320.26 |
$1,320.26 |
$1,320.26 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,176.15
|
|
Repair retinal detach cplx
|
$7,316.99 |
$7,316.99 |
$7,316.99 |
$6,657.60
|
|
Repair & revise nerve add-on
|
$222.90 |
$222.90 |
$222.90 |
$4,448.60
|
|
Repair/revise wrist joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,653.00
|
|
Repair rotator cuff acute
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair rotator cuff chronic
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,848.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$325.68 |
$325.68 |
$325.68 |
$951.00
|
|
Repair rpr lip full thickness vermilion only
|
$741.60 |
$741.60 |
$741.60 |
$1,244.09
|
|
Repair ruptd popliteal art
|
$1,964.29 |
$1,964.29 |
$1,964.29 |
$1,547.50
|
|
Repair salivary duct
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,447.37
|
|
Repair salivary duct
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Repair sciatic nerve
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$4,858.97
|
|
Repair shoulder capsule
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,070.30
|
|
Repair shoulder capsule
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,842.71
|
|
Repair shoulder capsule
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,820.77
|
|
Repair shoulder capsule
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair shoulder capsule
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair shoulder capsule
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair single ventricle
|
$3,076.23 |
$3,076.23 |
$3,076.23 |
$3,076.23
|
|
Repair single ventricle
|
$3,906.68 |
$3,906.68 |
$3,906.68 |
$3,906.68
|
|
Repair skull cavity lesion
|
$3,231.39 |
$3,231.39 |
$3,231.39 |
$3,231.39
|
|
Repair spinal fluid leakage 63707
|
$1,399.78 |
$1,399.78 |
$1,399.78 |
$1,708.80
|
|
Repair stern/nuss without scope
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Repair sternum/nuss w/scope
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Repair stomach-bowel fistula 43880
|
$2,271.52 |
$2,271.52 |
$2,271.52 |
$2,359.20
|
|
Repair stomach opening
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
$4,402.32
|
|
Repair tear ducts
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,115.73
|
|
Repair tendon extensor foot 1/2 each tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Repair testis injury
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$3,863.60
|
|
Repair throat esophagus 42953
|
$1,253.11 |
$1,253.11 |
$1,253.11 |
$1,486.20
|
|
Repair throat wound
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,856.91
|
|
Repair toe dislocation
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,594.44
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$325.68 |
$325.68 |
$325.68 |
$478.00
|
|
Repair/transpose mp nerve 64856
|
$12,067.12 |
$12,067.12 |
$12,067.12 |
$6,311.00
|
|
Repair umbilical lesion
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$4,176.15
|
|
Repair umbilical lesion
|
$1,605.86 |
$1,605.86 |
$1,605.86 |
$2,507.20
|
|
Repair umbilical lesion
|
$6,873.49 |
$6,873.49 |
$6,873.49 |
$6,916.28
|
|
Repair umbilical lesion
|
$994.03 |
$994.03 |
$994.03 |
$1,540.80
|
|
Repair umbilical lesion
|
$881.42 |
$881.42 |
$881.42 |
$1,359.20
|
|
Repair upper arm/elbow tendon/muscle ea
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Repair upper jaw fistula
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repair urethrovaginal lesion
|
$722.44 |
$722.44 |
$722.44 |
$569.00
|
|
Repair urethrovaginal lesion 57310
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
$7,093.16
|
|
Repair uro sphincter
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$10,106.03
|
|
Repair vagina
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,813.46
|
|
Repair vagina/perineum
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,096.68
|
|
Repair valve femoral vein
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,983.35
|
|
Repair venous anomaly
|
$2,188.98 |
$2,188.98 |
$2,188.98 |
$2,188.98
|
|
Repair vessel defect 33802
|
$1,570.99 |
$1,570.99 |
$1,570.99 |
$1,570.99
|
|
Repair vessel graft defect
|
$1,753.91 |
$1,753.91 |
$1,753.91 |
$2,209.60
|
|
Repair webbed toe(s)
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,893.86
|
|
Repair windpipe opening
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repeat thyroid surgery
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Replac av w/bypas/other pros valve 33405
|
$3,227.82 |
$3,227.82 |
$3,227.82 |
$7,683.90
|
|
Replace afo soft interface
|
$39.90 |
$39.90 |
$39.90 |
$31.08
|
|
Replace aortic valve allograft freehand 33406
|
$4,082.08 |
$4,082.08 |
$4,082.08 |
$7,027.20
|
|
Replace aortic valve annulus enlgment 33411
|
$4,745.90 |
$4,745.90 |
$4,745.90 |
$8,201.60
|
|
Replace aortic valve open axillry 33363
|
$1,866.31 |
$1,866.31 |
$1,866.31 |
$19,502.91
|
|
Replace aortic valve open femoral 33362
|
$1,795.95 |
$1,795.95 |
$1,795.95 |
$17,768.00
|
|
Replace aortic valve open iliac 33364
|
$1,927.03 |
$1,927.03 |
$1,927.03 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$1,947.44 |
$1,947.44 |
$1,947.44 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$1,368.17 |
$1,368.17 |
$1,368.17 |
$2,399.20
|
|
Replace aortic valve w/byp open aprch 33368
|
$1,035.12 |
$1,035.12 |
$1,035.12 |
$3,741.40
|
|
Replace aortic valve w/byp prq aprch 33367
|
$854.11 |
$854.11 |
$854.11 |
$3,088.80
|
|
Replace brain cavity shunt
|
$1,698.17 |
$1,698.17 |
$1,698.17 |
$2,624.00
|
|
Replace duod/jej tube perc
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,364.88
|
|
Replace elbow joint
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$15,440.00
|
|
Replace eye fluid
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,905.20
|
|
Replace foot drop spint
|
$29.10 |
$29.10 |
$29.10 |
$19.60
|
|
Replace g/c tube perc
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,382.70
|
|
Replace g-j tube perc
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,583.28
|
|
Replace high roll cuff
|
$551.06 |
$551.06 |
$551.06 |
$448.00
|
|
Replace/irrigate catheter
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,685.07
|
|
Replace/irrigate catheter
|
$4,697.33 |
$4,697.33 |
$4,697.33 |
$6,998.88
|
|
Replacement aortic valve opn
|
$3,622.40 |
$3,622.40 |
$3,622.40 |
$6,208.80
|
|
Replacement of aortic valve
|
$4,458.32 |
$4,458.32 |
$4,458.32 |
$4,458.32
|
|
Replacement of aortic valve
|
$4,574.64 |
$4,574.64 |
$4,574.64 |
$4,574.64
|
|
Replacement of contact lens
|
$81.12 |
$81.12 |
$81.12 |
$107.50
|
|
Replacement pulmonary valve 33475
|
$3,253.78 |
$3,253.78 |
$3,253.78 |
$8,390.55
|
|
Replacement tricuspid valve 33465
|
$3,896.18 |
$3,896.18 |
$3,896.18 |
$6,737.60
|
|
Replacemnt lithium ionbatter
|
$661.60 |
$661.60 |
$661.60 |
$431.20
|
|
Replace molded calf lacer
|
$697.41 |
$697.41 |
$697.41 |
$582.40
|
|
Replace molded thigh lacer
|
$704.20 |
$704.20 |
$704.20 |
$576.80
|
|
Replace non-molded calf lace
|
$423.94 |
$423.94 |
$423.94 |
$378.00
|
|
Replace non-molded thigh lac
|
$520.18 |
$520.18 |
$520.18 |
$462.00
|
|
Replace picvad cath
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,724.63
|
|
Replace pretibial shell
|
$812.89 |
$812.89 |
$812.89 |
$700.00
|
|
Replace prox & dist upright
|
$446.28 |
$446.28 |
$446.28 |
$397.60
|
|
Replace quadlat socket brim
|
$1,636.32 |
$1,636.32 |
$1,636.32 |
$1,212.40
|
|
Replace/revise brain shunt
|
$12,067.12 |
$12,067.12 |
$12,067.12 |
$7,592.10
|
|
Replace skull plate/flap
|
$1,598.03 |
$1,598.03 |
$1,598.03 |
$2,454.40
|
|
Replace socket above knee
|
$6,466.27 |
$6,466.27 |
$6,466.27 |
$5,098.80
|
|
Replace socket below knee
|
$5,212.25 |
$5,212.25 |
$5,212.25 |
$5,212.25
|
