|
Repair foot dislocation
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Repair/graft eye lesion
|
$7,316.99 |
$7,316.99 |
$7,316.99 |
$6,076.38
|
|
Repair/graft femur head/neck
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$1,292.50
|
|
Repair/graft finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair/graft finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,786.00
|
|
Repair/graft finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,259.84
|
|
Repair/graft hand tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,741.00
|
|
Repair/graft hand tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair/graft hand tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair/graft hand tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,307.00
|
|
Repair/graft hand tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,977.49
|
|
Repair/graft kneecap tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,855.00
|
|
Repair/graft of bronchus
|
$1,897.67 |
$1,897.67 |
$1,897.67 |
$1,897.67
|
|
Repair/graft of foot tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,653.00
|
|
Repair/graft of foot tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,023.20
|
|
Repair/graft of thigh
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$2,875.62
|
|
Repair/graft of thigh muscle
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,943.97
|
|
Repair/graft of tibia
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,464.80
|
|
Repair/graft of tibia
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,208.00
|
|
Repair/graft radius or ulna
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,913.97
|
|
Repair/graft radius or ulna
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Repair/graft radius & ulna
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,159.00
|
|
Repair/graft radius & ulna
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$5,528.00
|
|
Repair/graft wrist bone
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,376.00
|
|
Repair hand joint
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair hand joint with graft
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair hand joint with graft
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,336.65
|
|
Repair heart septum defect 33681
|
$2,640.04 |
$2,640.04 |
$2,640.04 |
$4,489.60
|
|
Repair heart septum defects dir/patch 33647
|
$2,578.79 |
$2,578.79 |
$2,578.79 |
$2,805.51
|
|
Repair heart-vein defect 33732
|
$2,362.17 |
$2,362.17 |
$2,362.17 |
$2,362.17
|
|
Repair heart-vein defect(s)
|
$2,854.30 |
$2,854.30 |
$2,854.30 |
$2,854.30
|
|
Repair heart vessel fistula
|
$2,242.54 |
$2,242.54 |
$2,242.54 |
$2,242.54
|
|
Repair heart vessel fistula
|
$1,613.70 |
$1,613.70 |
$1,613.70 |
$5,987.80
|
|
Repair heart wound w/bypass 33305
|
$5,758.48 |
$5,758.48 |
$5,758.48 |
$17,708.60
|
|
Repair humerus with graft
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$9,791.00
|
|
Repair ing hernia sliding
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$3,856.84
|
|
Repair iris & ciliary body
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$2,698.92
|
|
Repair iris & ciliary body
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$3,173.34
|
|
Repair lac palate<2 cm
|
$741.60 |
$741.60 |
$741.60 |
$780.65
|
|
Repair laminectomy defect
|
$482.70 |
$482.70 |
$482.70 |
$482.70
|
|
Repair leg fascia defect
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair lip full thkns =<one-half vert height
|
$741.60 |
$741.60 |
$741.60 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,928.07
|
|
Repair liver wound 47350
|
$1,924.88 |
$1,924.88 |
$1,924.88 |
$2,581.80
|
|
Repair liver wound 47360
|
$2,644.07 |
$2,644.07 |
$2,644.07 |
$2,909.40
|
|
Repair lower leg epiphyses
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair lower leg tendons
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Repair lower leg tendons
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,906.00
|
|
Repair lumbar hernia
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,457.82
|
|
Repair lung hernia 32800
|
$1,372.09 |
$1,372.09 |
$1,372.09 |
$2,303.20
|
|
Repair major blood vessel(s) w/bypass 33322
|
$2,004.45 |
$2,004.45 |
$2,004.45 |
$3,392.00
|
|
Repair major blood vessel(s) without bypass 33320
|
$1,535.24 |
$1,535.24 |
$1,535.24 |
$2,071.80
|
|
Repair major vessel
|
$1,717.69 |
$1,717.69 |
$1,717.69 |
$1,717.69
|
|
Repair meningocele <5cm diam 63700
|
$2,028.72 |
$2,028.72 |
$2,028.72 |
$2,028.72
|
|
Repair middle ear structures
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,558.89
|
|
Repair middle ear structures
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,961.60
|
|
Repair modified fontan
|
$2,843.12 |
$2,843.12 |
$2,843.12 |
$2,843.12
|
|
Repair multi-comp penis pros
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$6,015.75
|
|
Repair muscles of hand
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,591.33
|
|
Repair nasal septum defect
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Repair nasal stenosis
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repair nerve add-on
|
$468.03 |
$468.03 |
$468.03 |
$4,063.62
|
|
Repair nerve add-on 64832
|
$419.41 |
$419.41 |
$419.41 |
$2,386.86
|
|
Repair nerve/shorten bone
|
$251.97 |
$251.97 |
$251.97 |
$4,448.60
|
|
Repair nonunion carpal bone
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Repair nonunion hand
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Repair nose to lip fistula
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Repair of achilles tendon
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,594.25
|
|
Repair of anal sphincter
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,816.64
|
|
Repair of anal sphincter
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,816.64
|
|
Repair of anal sphincter
|
$979.32 |
$979.32 |
$979.32 |
$979.32
|
|
Repair of anal stricture
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,038.07
|
|
Repair of anal stricture
|
$843.54 |
$843.54 |
$843.54 |
$1,376.80
|
|
Repair of aneurysm
|
$1,523.99 |
$1,523.99 |
$1,523.99 |
$4,560.00
|
|
Repair of ankle ligament
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,311.00
|
|
Repair of ankle ligament
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Repair of ankle ligaments
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,339.00
|
|
Repair of aortic valve
|
$3,043.31 |
$3,043.31 |
$3,043.31 |
$5,242.40
|
|
Repair of arm nerves
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$4,858.97
|
|
Repair of bladder opening
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Repair of body cast
|
$223.45 |
$223.45 |
$223.45 |
$223.45
|
|
Repair of bowel lesion
|
$1,847.56 |
$1,847.56 |
$1,847.56 |
$2,006.40
|
|
Repair of circumcision
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$3,316.80
|
|
Repair of cloacal anomaly
|
$5,004.13 |
$5,004.13 |
$5,004.13 |
$5,004.13
|
|
Repair of cloacal anomaly
|
$5,502.86 |
$5,502.86 |
$5,502.86 |
$5,502.86
|
|
Repair of cloacal anomaly
|
$5,956.30 |
$5,956.30 |
$5,956.30 |
$5,956.30
|
|
Repair of diaphragm hernia
|
$8,188.88 |
$8,188.88 |
$8,188.88 |
$10,292.00
|
|
Repair of diaphragm hernia
|
$1,232.66 |
$1,232.66 |
$1,232.66 |
$1,232.66
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$3,619.45
|
|
Repair of enterocele abdominal approach 57270
|
$1,057.83 |
$1,057.83 |
$1,057.83 |
$2,022.40
|
|
Repair of enterocele vaginal approach 57268
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$4,900.30
|
|
Repair of esophagus
|
$793.36 |
$793.36 |
$793.36 |
$793.36
|
|
Repair of esophagus
|
$2,120.37 |
$2,120.37 |
$2,120.37 |
$3,617.60
|
|
Repair of eye socket wound
|
$5,405.82 |
$5,405.82 |
$5,405.82 |
$4,462.45
|
