|
Repair bladder/vagina lesion
|
$1,076.17 |
$1,076.17 |
$1,076.17 |
$2,080.80
|
|
Repair blood ves direct neck 35201
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,783.00
|
|
Repair blood vess/direct/intra/abd 35221
|
$2,042.30 |
$2,042.30 |
$2,042.30 |
$1,647.50
|
|
Repair blood vessel direct hand finger
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,898.50
|
|
Repair blood vessel direct intrathoracic without bypass 35216
|
$2,883.63 |
$2,883.63 |
$2,883.63 |
$8,080.00
|
|
Repair blood vessel dir lower extr
|
$1,156.16 |
$1,156.16 |
$1,156.16 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,051.32
|
|
Repair blood vessel lesion
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
$2,164.52
|
|
Repair blood vessel lesion
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$2,346.40
|
|
Repair blood vessel lesion
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,983.35
|
|
Repair blood vessel lesion
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,627.00
|
|
Repair blood vessel lesion
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$1,994.03 |
$1,994.03 |
$1,994.03 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$2,239.64 |
$2,239.64 |
$2,239.64 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$5,988.54
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$4,341.66
|
|
Repair bowel-bladder fistula 44660
|
$1,802.46 |
$1,802.46 |
$1,802.46 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$2,119.72 |
$2,119.72 |
$2,119.72 |
$2,664.80
|
|
Repair bowel fistula 44650
|
$1,984.59 |
$1,984.59 |
$1,984.59 |
$1,558.00
|
|
Repair brain fluid leakage
|
$2,223.26 |
$2,223.26 |
$2,223.26 |
$2,223.26
|
|
Repair bronchus add-on
|
$339.59 |
$339.59 |
$339.59 |
$593.60
|
|
Repair brow defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,820.92
|
|
Repair by enlargement
|
$2,539.74 |
$2,539.74 |
$2,539.74 |
$2,539.74
|
|
Repair cardiac wound without bypass
|
$3,452.84 |
$3,452.84 |
$3,452.84 |
$7,369.60
|
|
Repair carpal bone shorten
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,856.00
|
|
Repair cleft hand
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,986.00
|
|
Repair cleft lip/nasal
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$5,108.80
|
|
Repair cleft lip/nasal
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$558.97 |
$558.97 |
$558.97 |
$1,059.20
|
|
Repair corporeal tear
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$2,990.00
|
|
Repair defect arm art 35045
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$6,366.08
|
|
Repair defect of artery
|
$1,936.43 |
$1,936.43 |
$1,936.43 |
$2,168.66
|
|
Repair defect of artery
|
$1,400.16 |
$1,400.16 |
$1,400.16 |
$715.52
|
|
Repair defect of artery
|
$1,816.54 |
$1,816.54 |
$1,816.54 |
$1,335.50
|
|
Repair defect of artery
|
$2,482.33 |
$2,482.33 |
$2,482.33 |
$5,706.00
|
|
Repair defect of artery
|
$1,868.30 |
$1,868.30 |
$1,868.30 |
$1,471.00
|
|
Repair defect of artery 35011
|
$7,651.38 |
$7,651.38 |
$7,651.38 |
$6,305.95
|
|
Repair defect of artery 35081
|
$2,425.46 |
$2,425.46 |
$2,425.46 |
$3,497.40
|
|
Repair defect of artery 35102
|
$2,623.81 |
$2,623.81 |
$2,623.81 |
$3,922.38
|
|
Repair defect of artery 35121
|
$2,224.66 |
$2,224.66 |
$2,224.66 |
$1,751.50
|
|
Repair defect of artery aneurysm 35151
|
$1,728.81 |
$1,728.81 |
$1,728.81 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$5,410.60
|
|
Repair deformity of toe
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,591.33
|
|
Repair degenerated kneecap
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,311.00
|
|
Repair dental ellis ii fx
|
$325.68 |
$325.68 |
$325.68 |
$442.48
|
|
Repair detached retina
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$5,912.40
|
|
Repair detached retina
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$6,889.27
|
|
Repair detached retina
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,468.40
|
|
Repair detached retina crtx
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,905.20
|
|
Repair detached retina pc
|
$756.27 |
$756.27 |
$756.27 |
$1,513.20
|
|
Repair double ventricle
|
$2,765.23 |
$2,765.23 |
$2,765.23 |
$2,765.23
|
|
Repair double ventricle
|
$2,839.06 |
$2,839.06 |
$2,839.06 |
$2,839.06
|
|
Repair dura
|
$1,854.09 |
$1,854.09 |
$1,854.09 |
$1,854.09
|
|
Repair dura
|
$2,422.30 |
$2,422.30 |
$2,422.30 |
$2,422.30
|
|
Repair eardrum structures
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair elbow perc
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,350.00
|
|
Repair elbow w/deb open
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair esophagus and fistula
|
$1,370.78 |
$1,370.78 |
$1,370.78 |
$1,370.78
|
|
Repair esophagus and fistula
|
$2,254.42 |
$2,254.42 |
$2,254.42 |
$3,888.00
|
|
Repair esophagus opening
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Repair esophagus opening
|
$2,076.22 |
$2,076.22 |
$2,076.22 |
$3,518.40
|
|
Repair esophagus wound 43410
|
$1,304.98 |
$1,304.98 |
$1,304.98 |
$2,546.40
|
|
Repair esophagus wound 43415
|
$3,651.95 |
$3,651.95 |
$3,651.95 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,353.50
|
|
Repair extra toe(s)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,350.00
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,849.60
|
|
Repair eyelid defect
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$4,462.45
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,966.40
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,609.60
|
|
Repair eyelid defect
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$3,986.00
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,733.00
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,838.93
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,982.40
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,982.40
|
|
Repair eyelid defect
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,176.00
|
|
Repair eyelid wound
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Repair eyelid wound
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,296.00
|
|
Repair facial nerve
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,759.31
|
|
Repair facial nerve
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,839.00
|
|
Repair fibula nonunion
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair finger deformity
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$3,471.20
|
|
Repair finger/hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,204.20
|
|
Repair finger/hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,150.20
|
|
Repair finger/hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,351.50
|
|
Repair finger/hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,848.00
|
|
Repair finger/hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair finger/hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,752.25
|
|
Repair fistula w/colostomy
|
$2,094.00 |
$2,094.00 |
$2,094.00 |
$2,094.00
|
|
Repair fistula w/colostomy
|
$2,195.06 |
$2,195.06 |
$2,195.06 |
$3,759.20
|
|
Repair foot dislocation
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,810.00
|
|
Repair foot dislocation
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,307.00
|
