|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$3,581.60
|
|
Repair eyelid defect
|
$4,173.97 |
$4,173.97 |
$4,173.97 |
$4,177.59
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,682.42
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,760.73
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,702.32
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,982.40
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$3,044.80
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,760.73
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,702.32
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,982.40
|
|
Repair eyelid defect
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$3,176.00
|
|
Repair eyelid wound
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,745.75
|
|
Repair eyelid wound
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$3,254.34
|
|
Repair facial nerve
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,547.81
|
|
Repair facial nerve
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,097.60
|
|
Repair fibula nonunion
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,311.00
|
|
Repair finger deformity
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,211.05
|
|
Repair finger/hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,758.58
|
|
Repair finger/hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,705.22
|
|
Repair finger/hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,821.05
|
|
Repair finger/hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,594.44
|
|
Repair finger/hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,591.33
|
|
Repair finger/hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Repair finger tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,541.20
|
|
Repair foot dislocation
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$4,881.00
|
|
Repair foot dislocation
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,110.00
|
|
Repair foot dislocation
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,821.05
|
|
Repair forearm tendon/muscle
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,786.00
|
|
Repair forearm tendon/muscle sec 25263
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$3,957.20
|
|
Repair forearm tendon sheath
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,821.05
|
|
Repair/graft achilles tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$7,807.24
|
|
Repair/graft eye lesion
|
$5,711.08 |
$5,711.08 |
$5,711.08 |
$4,876.21
|
|
Repair/graft finger tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,791.08
|
|
Repair/graft finger tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,591.33
|
|
Repair/graft finger tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$4,259.84
|
|
Repair/graft hand tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,560.25
|
|
Repair/graft hand tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$4,627.00
|
|
Repair/graft hand tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,703.55
|
|
Repair/graft hand tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,886.74
|
|
Repair/graft hand tendon
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,705.22
|
|
Repair/graft kneecap tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,855.00
|
|
Repair/graft of foot tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,855.00
|
|
Repair/graft of foot tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,839.00
|
|
Repair/graft of thigh muscle
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,855.00
|
|
Repair/graft of tibia
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,419.00
|
|
Repair/graft radius or ulna
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,311.00
|
|
Repair/graft radius or ulna
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,419.00
|
|
Repair/graft radius & ulna
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,839.00
|
|
Repair/graft radius & ulna
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$5,419.00
|
|
Repair/graft wrist bone
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,839.00
|
|
Repair hand joint
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,591.33
|
|
Repair hand joint with graft
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,821.05
|
|
Repair hand joint with graft
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,591.33
|
|
Repair humerus with graft
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$6,347.40
|
|
Repair ing hernia sliding
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$3,856.84
|
|
Repair iris & ciliary body
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$2,667.57
|
|
Repair iris & ciliary body
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$3,173.34
|
|
Repair lac palate<2 cm
|
$563.67 |
$563.67 |
$563.67 |
$636.27
|
|
Repair leg fascia defect
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,699.61
|
|
Repair lip full thkns =<one-half vert height
|
$563.67 |
$563.67 |
$563.67 |
$1,507.35
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$1,928.07
|
|
Repair lower leg epiphyses
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,721.84
|
|
Repair lower leg tendons
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,561.39
|
|
Repair lower leg tendons
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,339.00
|
|
Repair lumbar hernia
|
$6,457.82 |
$6,457.82 |
$6,457.82 |
$6,311.00
|
|
Repair middle ear structures
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,966.40
|
|
Repair middle ear structures
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,961.60
|
|
Repair multi-comp penis pros
|
$5,626.86 |
$5,626.86 |
$5,626.86 |
$5,626.86
|
|
Repair muscles of hand
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,098.15
|
|
Repair nasal septum defect
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,108.75
|
|
Repair nasal stenosis
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$4,650.92
|
|
Repair nonunion carpal bone
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$6,095.33
|
|
Repair nonunion hand
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,886.74
|
|
Repair nose to lip fistula
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$4,627.00
|
|
Repair of achilles tendon
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$4,988.80
|
|
Repair of anal sphincter
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,786.00
|
|
Repair of anal sphincter
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,786.00
|
|
Repair of anal stricture
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,229.60
|
|
Repair of ankle ligament
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,110.00
|
|
Repair of ankle ligament
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,122.29
|
|
Repair of ankle ligaments
|
$7,907.11 |
$7,907.11 |
$7,907.11 |
$5,339.00
|
|
Repair of arm nerves
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$4,619.70
|
|
Repair of bladder opening
|
$3,817.53 |
$3,817.53 |
$3,817.53 |
$4,061.71
|
|
Repair of body cast
|
$174.65 |
$174.65 |
$174.65 |
$186.72
|
|
Repair of circumcision
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$2,355.42
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,161.44 |
$2,161.44 |
$2,161.44 |
$4,568.00
|
|
Repair of enterocele vaginal approach 57268
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,900.30
|
|
Repair of eye socket wound
|
$4,173.97 |
$4,173.97 |
$4,173.97 |
$3,986.00
|
|
Repair of eye wound
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$1,985.24
|
|
Repair of eye wound
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,584.50
|
|
Repair of eye wound
|
$4,173.97 |
$4,173.97 |
$4,173.97 |
$4,440.96
|
|
Repair of eye wound
|
$5,711.08 |
$5,711.08 |
$5,711.08 |
$4,646.90
|
|
Repair of eye wound
|
$5,711.08 |
$5,711.08 |
$5,711.08 |
$5,711.08
|
|
Repair of eye wound
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$2,943.33
|
|
Repair of facial nerve
|
$7,088.41 |
$7,088.41 |
$7,088.41 |
$6,555.93
|
|
Repair of facial nerve
|
$7,088.41 |
$7,088.41 |
$7,088.41 |
$4,697.33
|
|
Repair of fibula epiphysis
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,591.33
|
|
Repair of foot bones
|
$14,241.77 |
$14,241.77 |
$14,241.77 |
$5,855.00
|
