|
Repair of tibia
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,948.40
|
|
Repair of tibia epiphysis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,721.84
|
|
Repair of toe dislocation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,821.05
|
|
Repair of ulnar motor nerve 64836
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,858.97
|
|
Repair of urethra defect
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,820.82
|
|
Repair of urethra defect
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,631.74
|
|
Repair of urethra injury
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,110.00
|
|
Repair of urethra injury
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Repair of urethra injury
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Repair of urethra injury 53502
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Repair of urethral lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,762.53
|
|
Repair of web finger
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,893.86
|
|
Repair of web finger
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Repair of web finger
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,821.05
|
|
Repair of windpipe
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,269.27
|
|
Repair of windpipe
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,818.88
|
|
Repair of windpipe defect
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
Repair oronasal fistula 30600
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,465.11
|
|
Repair palate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,966.64
|
|
Repair palate
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,110.00
|
|
Repair palate pharynx/uvula
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,690.22
|
|
Repair paravag defect lap
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Repair paravag defect vag 57285
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,862.86
|
|
Repair penis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,424.12
|
|
Repair penis
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,424.12
|
|
Repair pm/icd lead dual
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,306.60
|
|
Repair pm/icd lead sgl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,343.82
|
|
Repair radius or ulna
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,907.11
|
|
Repair radius & ulna
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,807.24
|
|
Repair rectum & vagina
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,339.00
|
|
Repair rectum-vagina fistula
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,762.53
|
|
Repair recur fem hernia reduce 49555
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,176.15
|
|
Repair retinal detach cplx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,105.79
|
|
Repair/revise wrist joint
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,727.70
|
|
Repair rotator cuff acute
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Repair rotator cuff chronic
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,579.10
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$867.75
|
|
Repair rpr lip full thickness vermilion only
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,268.80
|
|
Repair salivary duct
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,447.37
|
|
Repair salivary duct
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,664.38
|
|
Repair sciatic nerve
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,633.20
|
|
Repair shoulder capsule
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,070.30
|
|
Repair shoulder capsule
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Repair shoulder capsule
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,820.77
|
|
Repair shoulder capsule
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,907.11
|
|
Repair shoulder capsule
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,154.78
|
|
Repair shoulder capsule
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,690.89
|
|
Repair stern/nuss without scope
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Repair sternum/nuss w/scope
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,889.60
|
|
Repair stomach opening
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,211.08
|
|
Repair tear ducts
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,993.60
|
|
Repair tendon extensor foot 1/2 each tendon
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,627.00
|
|
Repair testis injury
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Repair throat wound
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,955.10
|
|
Repair toe dislocation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,806.93
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$504.12
|
|
Repair/transpose mp nerve 64856
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,406.49
|
|
Repair umbilical lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,919.49
|
|
Repair upper arm/elbow tendon/muscle ea
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$8,293.50
|
|
Repair upper jaw fistula
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,916.67
|
|
Repair urethrovaginal lesion 57310
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Repair uro sphincter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,855.00
|
|
Repair vagina
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,463.96
|
|
Repair vagina/perineum
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,986.00
|
|
Repair valve femoral vein
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,907.78
|
|
Repair webbed toe(s)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,893.86
|
|
Repair windpipe opening
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,896.80
|
|
Repeat thyroid surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,863.20
|
|
Replace duod/jej tube perc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,383.00
|
|
Replace elbow joint
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,088.25
|
|
Replace eye fluid
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,651.20
|
|
Replace g/c tube perc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,413.60
|
|
Replace g-j tube perc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,600.45
|
|
Replace/irrigate catheter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,310.83
|
|
Replace/irrigate catheter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,110.00
|
|
Replace picvad cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,724.63
|
|
Replace/revise brain shunt
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,094.56
|
|
Replace tissue expander w/perm prost 11970
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,943.04
|
|
Replace tunneled cv cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,001.25
|
|
Replantation digit complete
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,609.20
|
|
Reposg phrnc nrv stim trnsvn
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,807.27
|
|
Reposition intraocular lens
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,173.34
|
|
Reposition pm/icd lead
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,827.46
|
|
Repos lv lead pm/icd
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,770.00
|
|
Repos sq defib eltrd
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,776.28
|
|
Repr elbow lat ligmnt w/tiss
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Repr elbw med ligmnt w/tissu
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,919.44
|
|
Repr of anal fistula w/glue
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,038.07
|
|
Reptilase test
|
$10.84 |
$10.84 |
$10.84 |
$65.65
|
|
Reremove wrist tendon lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,904.00
|
|
Rerepair fem hernia blocked
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,176.15
|
|
Rerepair ing hernia blocked
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,185.20
|
|
Rerepair ing hernia reduce
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,986.00
|
|
Resect back tum < 5 cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,370.52
|
|
Resect back tum 5 cm/>
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,464.80
|
|
Resect condyle distal phalanx ea toe 28153
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,545.97
|
|
Resect distal finger tumor
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,893.86
|
|
Resect enlarged toe
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,594.44
|
|
Resect enlarged toe tissue
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
