|
Retrograde ejaculation anal
|
$21.55 |
$21.55 |
$21.55 |
$48.80
|
|
Revasc intra lithotrip-ather
|
$4,095.23 |
$4,095.23 |
$4,095.23 |
$20,329.50
|
|
Revasc intra lithotrip-stent
|
$4,095.23 |
$4,095.23 |
$4,095.23 |
$20,672.83
|
|
Revasc intravasc lithotripsy
|
$2,936.75 |
$2,936.75 |
$2,936.75 |
$12,393.88
|
|
Revasc lithotr-ather tib/per
|
$5,227.25 |
$5,227.25 |
$5,227.25 |
$20,329.50
|
|
Revasc lithotrip-stent-ather
|
$4,641.63 |
$4,641.63 |
$4,641.63 |
$21,280.02
|
|
Revasc lithotrip tibi/perone
|
$2,757.68 |
$2,757.68 |
$2,757.68 |
$14,318.70
|
|
Revasc lithotr-stent tib/per
|
$4,366.46 |
$4,366.46 |
$4,366.46 |
$20,865.50
|
|
Revasc lith-sten-ath tib/per
|
$4,652.89 |
$4,652.89 |
$4,652.89 |
$20,300.00
|
|
Revise abdomen-venous shunt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,176.15
|
|
Revise aqueous shunt eye
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,198.40
|
|
Revise arm/leg nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Revise breast reconst 19380
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,668.64
|
|
Revise eye
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Revise eyelashes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$353.74
|
|
Revise eyelashes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,760.73
|
|
Revise eyelid defect
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,760.73
|
|
Revise eyelid defect
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,760.73
|
|
Revise eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,038.40
|
|
Revise eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,177.59
|
|
Revise eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,251.20
|
|
Revise eye muscle
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,964.80
|
|
Revise eye muscle
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,366.40
|
|
Revise eye muscle(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,865.19
|
|
Revise eye socket implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,008.35
|
|
Revise eye sockets
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,465.11
|
|
Revise eye sockets
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,465.11
|
|
Revise eye sockets
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,465.11
|
|
Revise eye sockets
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Revise eye with implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Revise finger joint each
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Revise finger joint each
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,021.04
|
|
Revise gastric port open 43886
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,001.00
|
|
Revise/graft eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Revise/graft eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,173.97
|
|
Revise/graft eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,774.04
|
|
Revise/graft eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,455.36
|
|
Revise graft w/vein
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,615.12
|
|
Revise graft w/vein 35881
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Revise hand/finger tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Revise head/neck of femur
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,907.11
|
|
Revise hernia & sperm veins
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,156.03
|
|
Revise/implant finger joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Revise kneecap
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,700.67
|
|
Revise kneecap with implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,625.50
|
|
Revise knuckle joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Revise knuckle with implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Revise low back nerve(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,603.20
|
|
Revise lower leg tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Revise lower leg tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,233.60
|
|
Revise lower leg tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Revise middle ear bone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,632.80
|
|
Revise middle ear bone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,547.81
|
|
Revise middle ear bone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,000.36
|
|
Revise ocular implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,760.73
|
|
Revise ocular implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Revise palsy hand tendon(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Revise palsy hand tendon(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,907.11
|
|
Revise penis/urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,081.37
|
|
Revise penis/urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,081.37
|
|
Revise penis/urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,081.37
|
|
Revise prosth vag graft lap
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Revise radius or ulna
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,499.12
|
|
Revise radius & ulna
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,629.07
|
|
Revise radius & ulna
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,692.80
|
|
Revise reconst elbow joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$11,142.98
|
|
Revise reconst elbow joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$14,873.09
|
|
Revise/remove neuroelectrode
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,758.43
|
|
Revise/remove neuroreceiver
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,381.71
|
|
Revise/remove sling repair
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,720.00
|
|
Revise/repl vagus n eltrd
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,358.39
|
|
Revise spermatic cord veins
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,986.00
|
|
Revise spermatic cord veins
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,619.51
|
|
Revise spine eltrd perq aray
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,496.58
|
|
Revise spine eltrd plate
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,115.75
|
|
Revise thigh muscles/tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,086.47
|
|
Revise thumb tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Revise thumb tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Revise two eye muscles
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Revise two eye muscles
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,642.91
|
|
Revise ulnar nerve at wrist
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Revise ureter
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,817.53
|
|
Revise urethra stage 1
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Revise urethra stage 2
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,645.75
|
|
Revise vag graft via vagina
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,762.53
|
|
Revise windpipe scar
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Revise wrist joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,155.20
|
|
Revision of amputation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Revision of ankle joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Revision of aqueous shunt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,698.92
|
|
Revision of arm nerve(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,833.60
|
|
Revision of big toe
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
