|
Repair blood vessel dir upper extr
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$4,051.32
|
|
Repair blood vessel lesion
|
$477.18 |
$477.18 |
$477.18 |
$2,164.52
|
|
Repair blood vessel lesion
|
$585.86 |
$585.86 |
$585.86 |
$2,346.40
|
|
Repair blood vessel lesion
|
$800.58 |
$800.58 |
$800.58 |
$5,983.35
|
|
Repair blood vessel lesion
|
$596.20 |
$596.20 |
$596.20 |
$4,627.00
|
|
Repair blood vessel lesion
|
$525.80 |
$525.80 |
$525.80 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$847.00 |
$847.00 |
$847.00 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$948.86 |
$948.86 |
$948.86 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$618.64 |
$618.64 |
$618.64 |
$5,988.54
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$766.04 |
$766.04 |
$766.04 |
$4,341.66
|
|
Repair bowel-bladder fistula 44660
|
$825.44 |
$825.44 |
$825.44 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$950.40 |
$950.40 |
$950.40 |
$2,664.80
|
|
Repair bowel fistula 44650
|
$12,293.58 |
$12,293.58 |
$12,293.58 |
$1,558.00
|
|
Repair brain fluid leakage
|
$977.90 |
$977.90 |
$977.90 |
$2,223.26
|
|
Repair bronchus add-on
|
$147.40 |
$147.40 |
$147.40 |
$593.60
|
|
Repair brow defect
|
$306.68 |
$306.68 |
$306.68 |
$2,820.92
|
|
Repair by enlargement
|
$1,082.62 |
$1,082.62 |
$1,082.62 |
$2,539.74
|
|
Repair cardiac wound without bypass
|
$1,486.32 |
$1,486.32 |
$1,486.32 |
$7,369.60
|
|
Repair carpal bone shorten
|
$490.82 |
$490.82 |
$490.82 |
$3,856.00
|
|
Repair cleft hand
|
$949.52 |
$949.52 |
$949.52 |
$3,986.00
|
|
Repair cleft lip/nasal
|
$623.70 |
$623.70 |
$623.70 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$735.24 |
$735.24 |
$735.24 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$618.42 |
$618.42 |
$618.42 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$634.48 |
$634.48 |
$634.48 |
$5,108.80
|
|
Repair cleft lip/nasal
|
$666.82 |
$666.82 |
$666.82 |
$6,553.49
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,790.88 |
$1,790.88 |
$1,790.88 |
$1,059.20
|
|
Repair corporeal tear
|
$420.86 |
$420.86 |
$420.86 |
$2,990.00
|
|
Repair defect arm art 35045
|
$587.18 |
$587.18 |
$587.18 |
$6,366.08
|
|
Repair defect of artery
|
$839.08 |
$839.08 |
$839.08 |
$2,168.66
|
|
Repair defect of artery
|
$605.44 |
$605.44 |
$605.44 |
$715.52
|
|
Repair defect of artery
|
$766.04 |
$766.04 |
$766.04 |
$1,335.50
|
|
Repair defect of artery
|
$1,078.22 |
$1,078.22 |
$1,078.22 |
$5,706.00
|
|
Repair defect of artery
|
$806.52 |
$806.52 |
$806.52 |
$1,471.00
|
|
Repair defect of artery 35011
|
$610.72 |
$610.72 |
$610.72 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,046.10 |
$1,046.10 |
$1,046.10 |
$3,497.40
|
|
Repair defect of artery 35102
|
$1,136.74 |
$1,136.74 |
$1,136.74 |
$3,922.38
|
|
Repair defect of artery 35121
|
$958.98 |
$958.98 |
$958.98 |
$1,751.50
|
|
Repair defect of artery aneurysm 35151
|
$749.32 |
$749.32 |
$749.32 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$671.88 |
$671.88 |
$671.88 |
$5,410.60
|
|
Repair deformity of toe
|
$227.26 |
$227.26 |
$227.26 |
$3,591.33
|
|
Repair degenerated kneecap
|
$509.30 |
$509.30 |
$509.30 |
$6,311.00
|
|
Repair detached retina
|
$678.48 |
$678.48 |
$678.48 |
$5,912.40
|
|
Repair detached retina
|
$718.52 |
$718.52 |
$718.52 |
$6,889.27
|
|
Repair detached retina
|
$490.16 |
$490.16 |
$490.16 |
$3,468.40
|
|
Repair detached retina crtx
|
$172.04 |
$172.04 |
$172.04 |
$3,905.20
|
|
Repair detached retina pc
|
$165.88 |
$165.88 |
$165.88 |
$1,513.20
|
|
Repair double ventricle
|
$1,184.70 |
$1,184.70 |
$1,184.70 |
$2,765.23
|
|
Repair double ventricle
|
$1,216.16 |
$1,216.16 |
$1,216.16 |
$2,839.06
|
|
Repair dura
|
$804.76 |
$804.76 |
$804.76 |
$1,854.09
|
|
Repair dura
|
$885.28 |
$885.28 |
$885.28 |
$2,422.30
|
|
Repair eardrum structures
|
$539.88 |
$539.88 |
$539.88 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$415.58 |
$415.58 |
$415.58 |
$3,839.54
|
|
Repair elbow perc
|
$259.16 |
$259.16 |
$259.16 |
$4,350.00
|
|
Repair elbow w/deb open
|
$333.52 |
$333.52 |
$333.52 |
$3,839.54
|
|
Repair esophagus and fistula
|
$677.38 |
$677.38 |
$677.38 |
$1,370.78
|
|
Repair esophagus and fistula
|
$966.90 |
$966.90 |
$966.90 |
$3,888.00
|
|
Repair esophagus opening
|
$629.42 |
$629.42 |
$629.42 |
$3,837.72
|
|
Repair esophagus opening
|
$882.42 |
$882.42 |
$882.42 |
$3,518.40
|
|
Repair esophagus wound 43410
|
$640.64 |
$640.64 |
$640.64 |
$2,546.40
|
|
Repair esophagus wound 43415
|
$1,571.24 |
$1,571.24 |
$1,571.24 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,353.50
|
|
Repair extra toe(s)
|
$174.46 |
$174.46 |
$174.46 |
$4,350.00
|
|
Repair eyelid defect
|
$356.62 |
$356.62 |
$356.62 |
$3,849.60
|
|
Repair eyelid defect
|
$439.12 |
$439.12 |
$439.12 |
$4,462.45
|
|
Repair eyelid defect
|
$291.28 |
$291.28 |
$291.28 |
$2,966.40
|
|
Repair eyelid defect
|
$360.58 |
$360.58 |
$360.58 |
$3,609.60
|
|
Repair eyelid defect
|
$306.02 |
$306.02 |
$306.02 |
$3,986.00
|
|
Repair eyelid defect
|
$261.36 |
$261.36 |
$261.36 |
$2,733.00
|
|
Repair eyelid defect
|
$199.54 |
$199.54 |
$199.54 |
$2,760.73
|
|
Repair eyelid defect
|
$120.12 |
$120.12 |
$120.12 |
$2,838.93
|
|
Repair eyelid defect
|
$261.14 |
$261.14 |
$261.14 |
$2,982.40
|
|
Repair eyelid defect
|
$276.76 |
$276.76 |
$276.76 |
$2,760.73
|
|
Repair eyelid defect
|
$189.42 |
$189.42 |
$189.42 |
$2,760.73
|
|
Repair eyelid defect
|
$121.22 |
$121.22 |
$121.22 |
$2,760.73
|
|
Repair eyelid defect
|
$261.14 |
$261.14 |
$261.14 |
$2,982.40
|
|
Repair eyelid defect
|
$276.98 |
$276.98 |
$276.98 |
$3,176.00
|
|
Repair eyelid wound
|
$5,459.22 |
$5,459.22 |
$5,459.22 |
$2,760.73
|
|
Repair eyelid wound
|
$5,459.22 |
$5,459.22 |
$5,459.22 |
$3,296.00
|
|
Repair facial nerve
|
$709.50 |
$709.50 |
$709.50 |
$6,759.31
|
|
Repair facial nerve
|
$755.26 |
$755.26 |
$755.26 |
$6,839.00
|
|
Repair fibula nonunion
|
$595.76 |
$595.76 |
$595.76 |
$7,807.24
|
|
Repair finger deformity
|
$881.32 |
$881.32 |
$881.32 |
$3,471.20
|
|
Repair finger/hand tendon
|
$455.18 |
$455.18 |
$455.18 |
$4,204.20
|
|
Repair finger/hand tendon
|
$496.54 |
$496.54 |
$496.54 |
$4,150.20
|
|
Repair finger/hand tendon
|
$555.06 |
$555.06 |
$555.06 |
$4,351.50
|
|
Repair finger/hand tendon
|
$478.94 |
$478.94 |
$478.94 |
$3,848.00
|
|
Repair finger/hand tendon
|
$537.24 |
$537.24 |
$537.24 |
$3,839.54
|
|
Repair finger/hand tendon
|
$317.02 |
$317.02 |
$317.02 |
$3,839.54
|
|
Repair finger tendon
|
$7,592.52 |
$7,592.52 |
$7,592.52 |
$3,752.25
|
|
Repair fistula w/colostomy
|
$905.74 |
$905.74 |
$905.74 |
$2,094.00
|
|
Repair fistula w/colostomy
|
$948.20 |
$948.20 |
$948.20 |
$3,759.20
|
|
Repair foot dislocation
|
$405.24 |
$405.24 |
$405.24 |
$5,810.00
|
|
Repair foot dislocation
|
$445.28 |
$445.28 |
$445.28 |
$6,307.00
|
|
Repair foot dislocation
|
$513.70 |
$513.70 |
$513.70 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$471.46 |
$471.46 |
$471.46 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$351.56 |
$351.56 |
$351.56 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$417.56 |
$417.56 |
$417.56 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$397.98 |
$397.98 |
$397.98 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$421.74 |
$421.74 |
$421.74 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$416.02 |
$416.02 |
$416.02 |
$7,907.11
|