|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,289.89
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,465.11
|
|
Reconstruction of jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconstruction of jaw joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of jaw joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of jaw joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,157.83
|
|
Reconstruction of lower jaw
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,349.67
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,465.11
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,465.11
|
|
Reconstruction of mouth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of nail bed
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,164.64
|
|
Reconstruction of nose
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,925.35
|
|
Reconstruction of nose
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruction of orbit
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,161.60
|
|
Reconstruction of throat
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,741.00
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,626.86
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,631.74
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,769.31
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reconstruction tongue fold
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,589.62
|
|
Reconstruct lip with flap
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Reconstruct lip w/local flap 40525
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,837.72
|
|
Reconstruct lower jaw bone
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconstruct orbit/forehead
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,553.49
|
|
Reconstruct shoulder joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,160.00
|
|
Reconstruct ulna/radioulnar
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,215.99
|
|
Reconstruct urethra/bladder
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,506.80
|
|
Reconstruct urethra stage 1
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Reconstruct urethra stage 2
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Rectal sensation test
|
$398.65 |
$398.65 |
$398.65 |
$564.48
|
|
Red blood cells each unit
|
$170.00 |
$170.00 |
$170.00 |
$389.40
|
|
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit
|
$328.69 |
$328.69 |
$328.69 |
$850.85
|
|
Red blood cells leukocytes reduced cmv negative irradiated each unit
|
$248.28 |
$248.28 |
$248.28 |
$601.55
|
|
Red blood cells leukocytes reduced each unit
|
$196.66 |
$196.66 |
$196.66 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$203.48 |
$203.48 |
$203.48 |
$534.15
|
|
Red blood cells washed each unit
|
$278.14 |
$278.14 |
$278.14 |
$583.68
|
|
Redo endovas vena cava filtr
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,397.96
|
|
Reduce testis torsion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Reduction of facial bones
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,495.98
|
|
Reduction of procidentia 45900
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,105.02
|
|
Re-explore parathyroids
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,499.00
|
|
Refill maint impl spine pump
|
$195.59 |
$195.59 |
$195.59 |
$366.60
|
|
Refill/maint pump/resvr syst
|
$175.97 |
$175.97 |
$175.97 |
$369.63
|
|
Reinforce clavicle
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,907.11
|
|
Reinforce eye wall
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,269.14
|
|
Reinforce/graft eye wall
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,452.74
|
|
Reinforce shoulder bones
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,629.07
|
|
Reinforce tibia
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,824.40
|
|
Reinnervate larynx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Reinsert ocular implant
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,462.45
|
|
Release encircling material
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,452.74
|
|
Release eye tissue
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,760.73
|
|
Release facial nerve
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Release facial nerve
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,000.36
|
|
Release facial nerve
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,966.64
|
|
Release finger contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,893.86
|
|
Release forearm/hand tendon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Release inner ear canal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,966.64
|
|
Release knuckle contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Release middle ear bone
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,932.80
|
|
Release muscles of hand
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,594.44
|
|
Release of eye fluid
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,977.26
|
|
Release of foot tendon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,214.14
|
|
Release of foot tendon 28225
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Release of foot tendons
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Release of foot tendons
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Release of lower leg tendon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Release of lower leg tendons
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Release of midfoot joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,594.44
|
|
Release of midfoot joint
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,211.05
|
|
Release of shoulder ligament
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,886.74
|
|
Release palm contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,893.86
|
|
Release palm contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Release palm contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,112.00
|
|
Release palm contracture 26045
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,545.97
|
|
Release palm & finger tendon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,594.44
|
|
Release palm/finger tendon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,211.05
|
|
Release thumb contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,594.44
|
|
Release wrist/forearm tendon
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Relieve bladder contracture
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,010.96
|
|
Relocation of testis(es)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,979.20
|
|
Relocation skin pocket aicd
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,153.93
|
|
Relocation skin pocket pm
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,939.25
|
|
Rem/biv cast full arm/leg
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$370.80
|
|
Rem/biv cast shldr/hip spica
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$384.59
|
|
Rem endovas vena cava filter
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,819.40
|
|
Removal anal seton other marker 46030
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,486.10
|
|
Removal biliary drg cath
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,427.25
|
|
Removal central venous catheter tunneled without port/pump
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,709.91
|
|
Removal central venous device tunneled w/port/pump central/peripheral insertion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,599.13
|
