|
Revise hip joint replacement
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$7,536.00
|
|
Revise hip joint replacement
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$6,492.20
|
|
Revise/implant finger joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,376.00
|
|
Revise kneecap
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,700.67
|
|
Revise kneecap with implant
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,629.07
|
|
Revise knuckle joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,023.20
|
|
Revise knuckle with implant
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,511.82
|
|
Revise low back nerve(s)
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,603.20
|
|
Revise lower leg tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$4,627.00
|
|
Revise lower leg tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,339.00
|
|
Revise lower leg tendons
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Revise middle ear bone
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,680.76
|
|
Revise middle ear bone
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,465.11
|
|
Revise middle ear bone
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Revise ocular implant
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Revise ocular implant
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$4,462.45
|
|
Revise ovarian tube(s)
|
$1,177.75 |
$1,177.75 |
$1,177.75 |
$1,177.75
|
|
Revise palsy hand tendon(s)
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Revise palsy hand tendon(s)
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Revise penis/urethra
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,478.01
|
|
Revise penis/urethra
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,478.01
|
|
Revise penis/urethra
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,478.01
|
|
Revise prosth vag graft lap
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
$8,185.02
|
|
Revise radius or ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Revise radius & ulna
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,629.07
|
|
Revise radius & ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,692.80
|
|
Revise reconst elbow joint
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$14,061.89
|
|
Revise reconst elbow joint
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$14,873.09
|
|
Revise/remove neuroelectrode
|
$4,807.27 |
$4,807.27 |
$4,807.27 |
$4,069.59
|
|
Revise/remove neuroreceiver
|
$15,321.63 |
$15,321.63 |
$15,321.63 |
$9,079.85
|
|
Revise/remove sling repair
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,744.41
|
|
Revise & repair chest wall
|
$2,351.80 |
$2,351.80 |
$2,351.80 |
$4,015.20
|
|
Revise/repair chest wall 32905
|
$1,914.75 |
$1,914.75 |
$1,914.75 |
$3,250.40
|
|
Revise/replace knee joint
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$5,491.20
|
|
Revise/replace knee joint
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$7,048.60
|
|
Revise/repl vagus n eltrd
|
$15,321.63 |
$15,321.63 |
$15,321.63 |
$13,628.55
|
|
Revise spermatic cord veins
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,345.52
|
|
Revise spermatic cord veins
|
$8,901.75 |
$8,901.75 |
$8,901.75 |
$7,149.07
|
|
Revise spinal cord vsls crvl
|
$4,443.42 |
$4,443.42 |
$4,443.42 |
$6,965.60
|
|
Revise spinal cord vsls thrc
|
$4,548.69 |
$4,548.69 |
$4,548.69 |
$4,548.69
|
|
Revise spine cord vsl thrlmb
|
$4,547.78 |
$4,547.78 |
$4,547.78 |
$4,547.78
|
|
Revise spine eltrd perq aray
|
$8,763.11 |
$8,763.11 |
$8,763.11 |
$7,766.27
|
|
Revise spine eltrd plate
|
$15,321.63 |
$15,321.63 |
$15,321.63 |
$14,756.87
|
|
Revise stomach bowel fusion 43860
|
$2,292.46 |
$2,292.46 |
$2,292.46 |
$3,110.40
|
|
Revise thigh muscles/tendons
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Revise thumb tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,594.44
|
|
Revise thumb tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,591.33
|
|
Revise two eye muscles
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$4,462.45
|
|
Revise two eye muscles
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,151.20
|
|
Revise ureter
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Revise ureter
|
$917.58 |
$917.58 |
$917.58 |
$917.58
|
|
Revise urethra stage 1
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,882.50
|
|
Revise urethra stage 2
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,645.75
|
|
Revise urine flow
|
$2,322.51 |
$2,322.51 |
$2,322.51 |
$2,322.51
|
|
Revise vag graft open abd
|
$1,242.77 |
$1,242.77 |
$1,242.77 |
$2,372.80
|
|
Revise vag graft via vagina
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Revise windpipe scar
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,017.99
|
|
Revise wrist joint
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,155.20
|
|
Revision gastrojejunal anastomosis w/reconstruct-43865
|
$2,412.28 |
$2,412.28 |
$2,412.28 |
$4,189.60
|
|
Revision of amputation
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Revision of ankle joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Revision of aqueous shunt
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,833.60
|
|
Revision of big toe
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,307.00
|
|
Revision of bladder & bowel
|
$1,792.73 |
$1,792.73 |
$1,792.73 |
$1,792.73
|
|
Revision of bladder neck
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,350.00
|
|
Revision of bladder/urethra
|
$1,348.58 |
$1,348.58 |
$1,348.58 |
$1,082.50
|
|
Revision of calf tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Revision of cervix
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,721.00
|
|
Revision of cervix
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,891.90
|
|
Revision of circulation
|
$3,256.92 |
$3,256.92 |
$3,256.92 |
$2,547.00
|
|
Revision of circulation
|
$3,023.91 |
$3,023.91 |
$3,023.91 |
$2,364.00
|
|
Revision of circulation
|
$3,105.28 |
$3,105.28 |
$3,105.28 |
$3,884.80
|
|
Revision of circulation
|
$2,986.32 |
$2,986.32 |
$2,986.32 |
$3,735.20
|
|
Revision of collar bone
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Revision of collar bone
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$12,147.50
|
|
Revision of colostomy
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,311.38
|
|
Revision of colostomy comp in-depth 44345
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$1,990.20
|
|
Revision of colostomy paraclt hernia 44346
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$2,622.18
|
|
Revision of cornea
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Revision of cranial nerve
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,310.83
|
|
Revision of eyelid
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Revision of eyelid
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,654.40
|
|
Revision of eyelid
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,860.80
|
|
Revision of eyelid
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Revision of eyelid
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,417.95
|
|
Revision of femur epiphysis
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,342.87
|
|
Revision of foot
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Revision of foot and ankle
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Revision of foot bones
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,629.07
|
|
Revision of foot fascia 28250
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Revision of foot tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
