|
Repair eyelid defect
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,760.73
|
|
Repair eyelid defect
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,760.73
|
|
Repair eyelid defect
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,760.73
|
|
Repair eyelid defect
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,982.40
|
|
Repair eyelid defect
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,176.00
|
|
Repair eyelid wound
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,760.73
|
|
Repair eyelid wound
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,296.00
|
|
Repair facial nerve
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,759.31
|
|
Repair facial nerve
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,839.00
|
|
Repair fibula nonunion
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Repair finger deformity
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$3,471.20
|
|
Repair finger/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,204.20
|
|
Repair finger/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,150.20
|
|
Repair finger/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,351.50
|
|
Repair finger/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,848.00
|
|
Repair finger/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair finger/hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair finger tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,752.25
|
|
Repair foot dislocation
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,810.00
|
|
Repair foot dislocation
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,307.00
|
|
Repair foot dislocation
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Repair/graft eye lesion
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
$6,076.38
|
|
Repair/graft finger tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair/graft finger tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,786.00
|
|
Repair/graft finger tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,259.84
|
|
Repair/graft hand tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,741.00
|
|
Repair/graft hand tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Repair/graft hand tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Repair/graft hand tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,307.00
|
|
Repair/graft hand tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,977.49
|
|
Repair/graft kneecap tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,855.00
|
|
Repair/graft of foot tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,653.00
|
|
Repair/graft of foot tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,023.20
|
|
Repair/graft of thigh muscle
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,943.97
|
|
Repair/graft of tibia
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,464.80
|
|
Repair/graft radius or ulna
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,913.97
|
|
Repair/graft radius or ulna
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Repair/graft radius & ulna
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,159.00
|
|
Repair/graft radius & ulna
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,528.00
|
|
Repair/graft wrist bone
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,376.00
|
|
Repair hand joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair hand joint with graft
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair hand joint with graft
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,336.65
|
|
Repair humerus with graft
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$9,791.00
|
|
Repair ing hernia sliding
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$3,856.84
|
|
Repair iris & ciliary body
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$2,698.92
|
|
Repair iris & ciliary body
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$3,173.34
|
|
Repair lac palate<2 cm
|
$602.63 |
$602.63 |
$602.63 |
$780.65
|
|
Repair leg fascia defect
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair lip full thkns =<one-half vert height
|
$602.63 |
$602.63 |
$602.63 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,928.07
|
|
Repair lower leg epiphyses
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair lower leg tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair lower leg tendons
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,906.00
|
|
Repair lumbar hernia
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,457.82
|
|
Repair middle ear structures
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$4,558.89
|
|
Repair middle ear structures
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,961.60
|
|
Repair multi-comp penis pros
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$6,015.75
|
|
Repair muscles of hand
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,591.33
|
|
Repair nasal septum defect
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Repair nasal stenosis
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Repair nonunion carpal bone
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Repair nonunion hand
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Repair nose to lip fistula
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,547.81
|
|
Repair of achilles tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,594.25
|
|
Repair of anal sphincter
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,816.64
|
|
Repair of anal sphincter
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,816.64
|
|
Repair of anal stricture
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,038.07
|
|
Repair of ankle ligament
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,311.00
|
|
Repair of ankle ligament
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Repair of ankle ligaments
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,339.00
|
|
Repair of arm nerves
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$4,858.97
|
|
Repair of bladder opening
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Repair of body cast
|
$186.72 |
$186.72 |
$186.72 |
$223.45
|
|
Repair of circumcision
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$3,316.80
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$3,619.45
|
|
Repair of enterocele vaginal approach 57268
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
$4,900.30
|
|
Repair of eye socket wound
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
$4,462.45
|
|
Repair of eye wound
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$2,760.73
|
|
Repair of eye wound
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,269.14
|
|
Repair of eye wound
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
$4,625.45
|
|
Repair of eye wound
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
$5,741.00
|
|
Repair of eye wound
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
$6,076.38
|
|
Repair of eye wound
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$2,888.50
|
|
Repair of facial nerve
|
$7,578.32 |
$7,578.32 |
$7,578.32 |
$6,588.00
|
|
Repair of facial nerve
|
$7,578.32 |
$7,578.32 |
$7,578.32 |
$5,855.00
|
|
Repair of fibula epiphysis
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Repair of foot bones
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$10,629.07
|
|
Repair of foot tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,977.49
|
|
Repair of hand or foot nerve
|
$7,578.32 |
$7,578.32 |
$7,578.32 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$7,578.32 |
$7,578.32 |
$7,578.32 |
$4,697.33
|
|
Repair of humerus
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$6,588.00
|
|
Repair of hydrocele 55060
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$3,786.00
|
|
Repair of kneecap tendon
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,311.00
|