|
Rebuild eardrum structures
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Rebuild eardrum structures
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,771.20
|
|
Rebuild outer ear canal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,017.08
|
|
Rebuild outer ear canal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,839.00
|
|
Reconst lwr jaw w/fixation
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,553.49
|
|
Reconst lwr jaw w/graft
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,553.49
|
|
Reconst lwr jaw without fixation
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,419.00
|
|
Reconst lwr jaw without graft
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reconstr lwr jaw segment
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reconstr lwr jaw w/advance
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,311.00
|
|
Reconstruct ankle joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,741.00
|
|
Reconstruct cleft foot
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,907.11
|
|
Reconstruct cleft palate
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,493.56
|
|
Reconstruct cleft palate
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,837.72
|
|
Reconstruct cleft palate
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,289.89
|
|
Reconstruct cleft palate
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,419.00
|
|
Reconstruct cleft palate
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reconstruct cleft palate
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,419.00
|
|
Reconstruct elbow joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,855.00
|
|
Reconstruct elbow joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$16,139.55
|
|
Reconstruct elbow joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$9,787.28
|
|
Reconstruct elbow lat ligmnt
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,907.11
|
|
Reconstruct elbow med ligmnt
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$11,365.24
|
|
Reconstruct extra finger
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,534.24
|
|
Reconstruct finger joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Reconstruct finger joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,017.51
|
|
Reconstruct head of radius
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,300.31
|
|
Reconstruct head of radius
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$10,629.07
|
|
Reconstruction knee
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,741.00
|
|
Reconstruction knee
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$8,814.96
|
|
Reconstruction knee
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$10,629.07
|
|
Reconstruction of anus
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,245.23
|
|
Reconstruction of eyelid
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,590.40
|
|
Reconstruction of eyelid
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,269.14
|
|
Reconstruction of eyelid
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,462.45
|
|
Reconstruction of eyelid
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,760.73
|
|
Reconstruction of jaw
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reconstruction of jaw
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,289.89
|
|
Reconstruction of jaw
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,465.11
|
|
Reconstruction of jaw
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,553.49
|
|
Reconstruction of jaw joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Reconstruction of jaw joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Reconstruction of jaw joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$10,157.83
|
|
Reconstruction of lower jaw
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,349.67
|
|
Reconstruction of mouth
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,741.00
|
|
Reconstruction of mouth
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,311.00
|
|
Reconstruction of mouth
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,465.11
|
|
Reconstruction of mouth
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,465.11
|
|
Reconstruction of mouth
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Reconstruction of nail bed
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,164.64
|
|
Reconstruction of nose
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,925.35
|
|
Reconstruction of nose
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Reconstruction of orbit
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,161.60
|
|
Reconstruction of throat
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,741.00
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,626.86
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,631.74
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,769.31
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Reconstruction of urethra
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Reconstruction tongue fold
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,589.62
|
|
Reconstruct lip with flap
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Reconstruct lip w/local flap 40525
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,837.72
|
|
Reconstruct lower jaw bone
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,553.49
|
|
Reconstruct orbit/forehead
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,553.49
|
|
Reconstruct shoulder joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$10,629.07
|
|
Reconstruct shoulder joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,160.00
|
|
Reconstruct ulna/radioulnar
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,886.74
|
|
Reconstruct upper jaw bone
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,215.99
|
|
Reconstruct urethra/bladder
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,506.80
|
|
Reconstruct urethra stage 1
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,110.00
|
|
Reconstruct urethra stage 2
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,110.00
|
|
Rectal sensation test
|
$192.85 |
$192.85 |
$192.85 |
$564.48
|
|
Red blood cells each unit
|
$102.81 |
$102.81 |
$102.81 |
$389.40
|
|
Red blood cells leukocytes reduced each unit
|
$118.93 |
$118.93 |
$118.93 |
$446.55
|
|
Red blood cells leukocytes reduced irradiated each unit
|
$123.06 |
$123.06 |
$123.06 |
$534.15
|
|
Redo endovas vena cava filtr
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,397.96
|
|
Reduce testis torsion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,081.37
|
|
Reduction of facial bones
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,495.98
|
|
Reduction of procidentia 45900
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,105.02
|
|
Re-explore parathyroids
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,499.00
|
|
Reinforce clavicle
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,907.11
|
|
Reinforce eye wall
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,269.14
|
|
Reinforce/graft eye wall
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,452.74
|
|
Reinforce shoulder bones
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$10,629.07
|
|
Reinforce tibia
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,824.40
|
|
Reinnervate larynx
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Reinsert ocular implant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,462.45
|
|
Release encircling material
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,452.74
|
|
Release eye tissue
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,760.73
|
|
Release facial nerve
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Release facial nerve
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,000.36
|
|
Release facial nerve
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,966.64
|
|
Release finger contracture
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,893.86
|
|
Release forearm/hand tendon
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,591.33
|
|
Release inner ear canal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,966.64
|
|
Release knuckle contracture
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,591.33
|
