|
Repair/graft eye lesion
|
$564.96 |
$564.96 |
$564.96 |
$6,076.38
|
|
Repair/graft femur head/neck
|
$726.22 |
$726.22 |
$726.22 |
$1,292.50
|
|
Repair/graft finger tendon
|
$452.10 |
$452.10 |
$452.10 |
$3,839.54
|
|
Repair/graft finger tendon
|
$486.64 |
$486.64 |
$486.64 |
$3,786.00
|
|
Repair/graft finger tendon
|
$425.04 |
$425.04 |
$425.04 |
$4,259.84
|
|
Repair/graft hand tendon
|
$507.98 |
$507.98 |
$507.98 |
$5,741.00
|
|
Repair/graft hand tendon
|
$612.26 |
$612.26 |
$612.26 |
$7,807.24
|
|
Repair/graft hand tendon
|
$558.58 |
$558.58 |
$558.58 |
$7,807.24
|
|
Repair/graft hand tendon
|
$611.60 |
$611.60 |
$611.60 |
$6,307.00
|
|
Repair/graft hand tendon
|
$436.04 |
$436.04 |
$436.04 |
$3,977.49
|
|
Repair/graft kneecap tendon
|
$509.96 |
$509.96 |
$509.96 |
$5,855.00
|
|
Repair/graft of bronchus
|
$809.60 |
$809.60 |
$809.60 |
$1,897.67
|
|
Repair/graft of foot tendon
|
$269.50 |
$269.50 |
$269.50 |
$6,653.00
|
|
Repair/graft of foot tendon
|
$262.24 |
$262.24 |
$262.24 |
$5,023.20
|
|
Repair/graft of thigh
|
$784.52 |
$784.52 |
$784.52 |
$2,875.62
|
|
Repair/graft of thigh muscle
|
$531.96 |
$531.96 |
$531.96 |
$5,943.97
|
|
Repair/graft of tibia
|
$557.70 |
$557.70 |
$557.70 |
$7,464.80
|
|
Repair/graft of tibia
|
$777.04 |
$777.04 |
$777.04 |
$6,208.00
|
|
Repair/graft radius or ulna
|
$646.14 |
$646.14 |
$646.14 |
$7,913.97
|
|
Repair/graft radius or ulna
|
$599.72 |
$599.72 |
$599.72 |
$7,807.24
|
|
Repair/graft radius & ulna
|
$724.46 |
$724.46 |
$724.46 |
$8,159.00
|
|
Repair/graft radius & ulna
|
$697.40 |
$697.40 |
$697.40 |
$5,528.00
|
|
Repair/graft wrist bone
|
$480.92 |
$480.92 |
$480.92 |
$5,376.00
|
|
Repair hand joint
|
$428.78 |
$428.78 |
$428.78 |
$3,839.54
|
|
Repair hand joint with graft
|
$513.92 |
$513.92 |
$513.92 |
$3,839.54
|
|
Repair hand joint with graft
|
$442.86 |
$442.86 |
$442.86 |
$3,336.65
|
|
Repair heart septum defect 33681
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$4,489.60
|
|
Repair heart septum defects dir/patch 33647
|
$1,103.96 |
$1,103.96 |
$1,103.96 |
$2,805.51
|
|
Repair heart-vein defect 33732
|
$1,005.18 |
$1,005.18 |
$1,005.18 |
$2,362.17
|
|
Repair heart-vein defect(s)
|
$1,220.56 |
$1,220.56 |
$1,220.56 |
$2,854.30
|
|
Repair heart vessel fistula
|
$947.76 |
$947.76 |
$947.76 |
$2,242.54
|
|
Repair heart vessel fistula
|
$679.14 |
$679.14 |
$679.14 |
$5,987.80
|
|
Repair heart wound w/bypass 33305
|
$2,478.74 |
$2,478.74 |
$2,478.74 |
$17,708.60
|
|
Repair humerus with graft
|
$672.32 |
$672.32 |
$672.32 |
$9,791.00
|
|
Repair ing hernia sliding
|
$357.72 |
$357.72 |
$357.72 |
$3,856.84
|
|
Repair iris & ciliary body
|
$360.58 |
$360.58 |
$360.58 |
$2,698.92
|
|
Repair iris & ciliary body
|
$401.06 |
$401.06 |
$401.06 |
$3,173.34
|
|
Repair lac palate<2 cm
|
$116.16 |
$116.16 |
$116.16 |
$780.65
|
|
Repair laminectomy defect
|
$204.16 |
$204.16 |
$204.16 |
$482.70
|
|
Repair leg fascia defect
|
$211.42 |
$211.42 |
$211.42 |
$3,839.54
|
|
Repair lip full thkns =<one-half vert height
|
$1,191.84 |
$1,191.84 |
$1,191.84 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,466.32 |
$3,466.32 |
$3,466.32 |
$1,928.07
|
|
Repair liver wound 47350
|
$840.62 |
$840.62 |
$840.62 |
$2,581.80
|
|
Repair liver wound 47360
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$2,909.40
|
|
Repair lower leg epiphyses
|
$412.06 |
$412.06 |
$412.06 |
$3,839.54
|
|
Repair lower leg tendons
|
$310.42 |
$310.42 |
$310.42 |
$3,839.54
|
|
Repair lower leg tendons
|
$380.82 |
$380.82 |
$380.82 |
$7,906.00
|
|
Repair lumbar hernia
|
$418.88 |
$418.88 |
$418.88 |
$6,457.82
|
|
Repair lung hernia 32800
|
$580.80 |
$580.80 |
$580.80 |
$2,303.20
|
|
Repair major blood vessel(s) w/bypass 33322
|
$845.02 |
$845.02 |
$845.02 |
$3,392.00
|
|
Repair major blood vessel(s) without bypass 33320
|
$652.30 |
$652.30 |
$652.30 |
$2,071.80
|
|
Repair major vessel
|
$722.70 |
$722.70 |
$722.70 |
$1,717.69
|
|
Repair meningocele <5cm diam 63700
|
$822.14 |
$822.14 |
$822.14 |
$2,028.72
|
|
Repair middle ear structures
|
$492.14 |
$492.14 |
$492.14 |
$4,558.89
|
|
Repair middle ear structures
|
$492.36 |
$492.36 |
$492.36 |
$3,961.60
|
|
Repair modified fontan
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$2,843.12
|
|
Repair multi-comp penis pros
|
$489.72 |
$489.72 |
$489.72 |
$6,015.75
|
|
Repair muscles of hand
|
$297.66 |
$297.66 |
$297.66 |
$3,591.33
|
|
Repair nasal septum defect
|
$406.34 |
$406.34 |
$406.34 |
$3,837.72
|
|
Repair nasal stenosis
|
$624.36 |
$624.36 |
$624.36 |
$6,547.81
|
|
Repair nerve add-on
|
$222.64 |
$222.64 |
$222.64 |
$4,063.62
|
|
Repair nerve add-on 64832
|
$203.28 |
$203.28 |
$203.28 |
$2,386.86
|
|
Repair nerve/shorten bone
|
$119.90 |
$119.90 |
$119.90 |
$4,448.60
|
|
Repair nonunion carpal bone
|
$492.58 |
$492.58 |
$492.58 |
$7,907.11
|
|
Repair nonunion hand
|
$641.96 |
$641.96 |
$641.96 |
$5,886.74
|
|
Repair nose to lip fistula
|
$414.92 |
$414.92 |
$414.92 |
$6,547.81
|
|
Repair of achilles tendon
|
$447.70 |
$447.70 |
$447.70 |
$5,594.25
|
|
Repair of anal sphincter
|
$680.46 |
$680.46 |
$680.46 |
$3,816.64
|
|
Repair of anal sphincter
|
$562.76 |
$562.76 |
$562.76 |
$3,816.64
|
|
Repair of anal sphincter
|
$416.02 |
$416.02 |
$416.02 |
$979.32
|
|
Repair of anal stricture
|
$405.90 |
$405.90 |
$405.90 |
$3,038.07
|
|
Repair of anal stricture
|
$355.74 |
$355.74 |
$355.74 |
$1,376.80
|
|
Repair of aneurysm
|
$661.10 |
$661.10 |
$661.10 |
$4,560.00
|
|
Repair of ankle ligament
|
$303.82 |
$303.82 |
$303.82 |
$6,311.00
|
|
Repair of ankle ligament
|
$397.98 |
$397.98 |
$397.98 |
$5,886.74
|
|
Repair of ankle ligaments
|
$342.32 |
$342.32 |
$342.32 |
$5,339.00
|
|
Repair of aortic valve
|
$1,304.60 |
$1,304.60 |
$1,304.60 |
$5,242.40
|
|
Repair of arm nerves
|
$951.94 |
$951.94 |
$951.94 |
$4,858.97
|
|
Repair of bladder opening
|
$287.76 |
$287.76 |
$287.76 |
$4,081.37
|
|
Repair of body cast
|
$27.28 |
$27.28 |
$27.28 |
$223.45
|
|
Repair of bowel lesion
|
$794.64 |
$794.64 |
$794.64 |
$2,006.40
|
|
Repair of circumcision
|
$136.18 |
$136.18 |
$136.18 |
$3,316.80
|
|
Repair of cloacal anomaly
|
$2,183.50 |
$2,183.50 |
$2,183.50 |
$5,004.13
|
|
Repair of cloacal anomaly
|
$2,404.16 |
$2,404.16 |
$2,404.16 |
$5,502.86
|
|
Repair of cloacal anomaly
|
$2,604.58 |
$2,604.58 |
$2,604.58 |
$5,956.30
|
|
Repair of diaphragm hernia
|
$3,530.34 |
$3,530.34 |
$3,530.34 |
$10,292.00
|
|
Repair of diaphragm hernia
|
$531.74 |
$531.74 |
$531.74 |
$1,232.66
|
|
Repair of digit nerve hand/foot 1 nerve
|
$433.18 |
$433.18 |
$433.18 |
$3,619.45
|
|
Repair of enterocele abdominal approach 57270
|
$501.38 |
$501.38 |
$501.38 |
$2,022.40
|
|
Repair of enterocele vaginal approach 57268
|
$312.62 |
$312.62 |
$312.62 |
$4,900.30
|
|
Repair of esophagus
|
$388.52 |
$388.52 |
$388.52 |
$793.36
|
|
Repair of esophagus
|
$905.30 |
$905.30 |
$905.30 |
$3,617.60
|
|
Repair of eye socket wound
|
$295.46 |
$295.46 |
$295.46 |
$4,462.45
|
|
Repair of eye wound
|
$85.14 |
$85.14 |
$85.14 |
$2,760.73
|
|
Repair of eye wound
|
$213.18 |
$213.18 |
$213.18 |
$3,269.14
|
|
Repair of eye wound
|
$278.52 |
$278.52 |
$278.52 |
$4,625.45
|
|
Repair of eye wound
|
$403.92 |
$403.92 |
$403.92 |
$5,741.00
|
|
Repair of eye wound
|
$666.60 |
$666.60 |
$666.60 |
$6,076.38
|
|
Repair of eye wound
|
$298.98 |
$298.98 |
$298.98 |
$2,888.50
|
|
Repair of eye wound
|
$229.24 |
$229.24 |
$229.24 |
$448.86
|