|
Remove skin nerve lesion 64788
|
$469.00 |
$469.00 |
$469.00 |
$2,310.83
|
|
Remove spine eltrd perq aray
|
$374.50 |
$374.50 |
$374.50 |
$3,325.40
|
|
Remove tonsils and adenoids
|
$315.00 |
$315.00 |
$315.00 |
$6,465.11
|
|
Remove tonsils and adenoids
|
$328.50 |
$328.50 |
$328.50 |
$3,786.00
|
|
Remove vaginal foreign body 57415
|
$3,190.00 |
$3,190.00 |
$3,190.00 |
$3,762.53
|
|
Remove wrist/forearm lesion
|
$846.00 |
$846.00 |
$846.00 |
$2,623.40
|
|
Remove wrist/forearm lesion
|
$684.00 |
$684.00 |
$684.00 |
$3,839.54
|
|
Remove wrist tendon lesion
|
$381.50 |
$381.50 |
$381.50 |
$3,229.32
|
|
Remvl peritoneal fb frm cavity
|
$975.50 |
$975.50 |
$975.50 |
$4,156.03
|
|
Renal function panel
|
$246.00 |
$246.00 |
$246.00 |
$113.52
|
|
Reopen fallopian tube
|
$100.00 |
$100.00 |
$100.00 |
$6,728.80
|
|
Reopening of recent laparotomy 49002
|
$1,191.50 |
$1,191.50 |
$1,191.50 |
$2,021.22
|
|
Reoperation carotid add-on 35390
|
$177.50 |
$177.50 |
$177.50 |
$346.80
|
|
Repair achilles tendon
|
$797.00 |
$797.00 |
$797.00 |
$7,494.45
|
|
Repair anal fistula
|
$664.00 |
$664.00 |
$664.00 |
$3,038.07
|
|
Repair artery rupture aorta
|
$2,846.50 |
$2,846.50 |
$2,846.50 |
$3,553.90
|
|
Repair artery rupture aorta
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$3,846.40
|
|
Repair artery rupture belly
|
$2,131.50 |
$2,131.50 |
$2,131.50 |
$9,204.80
|
|
Repair artery rupture neck
|
$1,284.50 |
$1,284.50 |
$1,284.50 |
$1,284.50
|
|
Repair artery rupture spleen
|
$1,842.50 |
$1,842.50 |
$1,842.50 |
$7,955.20
|
|
Repair artery rupture thigh 35142
|
$1,477.50 |
$1,477.50 |
$1,477.50 |
$6,489.60
|
|
Repair art rupture aorta 35082
|
$2,420.50 |
$2,420.50 |
$2,420.50 |
$4,366.80
|
|
Repair art rupture arm 35013
|
$1,337.00 |
$1,337.00 |
$1,337.00 |
$1,665.77
|
|
Repair art rupture chest 35022
|
$1,684.00 |
$1,684.00 |
$1,684.00 |
$2,799.00
|
|
Repair art rupture groin 35132
|
$1,842.50 |
$1,842.50 |
$1,842.50 |
$3,404.94
|
|
Repair av fistula ext 35190
|
$843.50 |
$843.50 |
$843.50 |
$6,366.08
|
|
Repair biceps tendon
|
$838.50 |
$838.50 |
$838.50 |
$6,839.00
|
|
Repair bladder defect
|
$808.00 |
$808.00 |
$808.00 |
$5,841.60
|
|
Repair blood ves direct neck 35201
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$5,907.78
|
|
Repair blood vess/direct/intra/abd 35221
|
$1,647.50 |
$1,647.50 |
$1,647.50 |
$1,904.24
|
|
Repair blood vessel direct hand finger
|
$827.00 |
$827.00 |
$827.00 |
$3,898.50
|
|
Repair blood vessel direct intrathoracic without bypass 35216
|
$2,341.00 |
$2,341.00 |
$2,341.00 |
$9,518.60
|
|
Repair blood vessel dir lower extr
|
$932.00 |
$932.00 |
$932.00 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$2,472.50 |
$2,472.50 |
$2,472.50 |
$3,879.03
|
|
Repair blood vessel lesion
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$2,346.40
|
|
Repair blood vessel lesion
|
$1,109.50 |
$1,109.50 |
$1,109.50 |
$4,766.40
|
|
Repair blood vessel lesion
|
$971.00 |
$971.00 |
$971.00 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$1,819.50 |
$1,819.50 |
$1,819.50 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$5,983.35
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$1,328.50 |
$1,328.50 |
$1,328.50 |
$4,341.66
|
|
Repair bowel-bladder fistula 44661
|
$1,733.50 |
$1,733.50 |
$1,733.50 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$1,621.50 |
$1,621.50 |
$1,621.50 |
$1,558.00
|
|
Repair brow defect
|
$520.50 |
$520.50 |
$520.50 |
$2,760.73
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$834.50 |
$834.50 |
$834.50 |
$1,025.95
|
|
Repair defect arm art 35045
|
$1,075.50 |
$1,075.50 |
$1,075.50 |
$6,396.89
|
|
Repair defect of artery
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$2,168.66
|
|
Repair defect of artery
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$1,422.50
|
|
Repair defect of artery
|
$1,990.50 |
$1,990.50 |
$1,990.50 |
$3,131.20
|
|
Repair defect of artery
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$1,471.00
|
|
Repair defect of artery 35011
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,948.50 |
$1,948.50 |
$1,948.50 |
$3,497.40
|
|
Repair defect of artery 35102
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$3,772.80
|
|
Repair defect of artery 35121
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$2,224.66
|
|
Repair defect of artery carotid subclav 35001
|
$1,242.50 |
$1,242.50 |
$1,242.50 |
$2,165.40
|
|
Repair deformity of toe
|
$416.50 |
$416.50 |
$416.50 |
$3,545.97
|
|
Repair degenerated kneecap
|
$921.00 |
$921.00 |
$921.00 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$28.50 |
$28.50 |
$28.50 |
$442.48
|
|
Repair detached retina
|
$837.00 |
$837.00 |
$837.00 |
$3,468.40
|
|
Repair elbow deb/attch open
|
$743.00 |
$743.00 |
$743.00 |
$3,839.54
|
|
Repair elbow w/deb open
|
$599.50 |
$599.50 |
$599.50 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$735.50 |
$735.50 |
$735.50 |
$2,224.00
|
|
Repair eyelid defect
|
$740.00 |
$740.00 |
$740.00 |
$4,462.45
|
|
Repair eyelid defect
|
$610.50 |
$610.50 |
$610.50 |
$3,357.30
|
|
Repair eyelid defect
|
$448.50 |
$448.50 |
$448.50 |
$2,732.50
|
|
Repair eyelid defect
|
$347.50 |
$347.50 |
$347.50 |
$2,760.73
|
|
Repair eyelid defect
|
$2,277.50 |
$2,277.50 |
$2,277.50 |
$2,982.40
|
|
Repair eyelid defect
|
$470.50 |
$470.50 |
$470.50 |
$2,760.73
|
|
Repair eyelid defect
|
$470.50 |
$470.50 |
$470.50 |
$2,856.80
|
|
Repair fibula nonunion
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$6,879.60
|
|
Repair finger/hand tendon
|
$870.00 |
$870.00 |
$870.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$901.50 |
$901.50 |
$901.50 |
$4,150.20
|
|
Repair finger/hand tendon
|
$898.50 |
$898.50 |
$898.50 |
$3,848.00
|
|
Repair finger/hand tendon
|
$570.00 |
$570.00 |
$570.00 |
$3,839.54
|
|
Repair finger tendon
|
$668.50 |
$668.50 |
$668.50 |
$3,594.44
|
|
Repair foot dislocation
|
$816.50 |
$816.50 |
$816.50 |
$5,886.74
|
|
Repair foot dislocation
|
$951.00 |
$951.00 |
$951.00 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$643.00 |
$643.00 |
$643.00 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$729.50 |
$729.50 |
$729.50 |
$6,311.00
|
|
Repair/graft achilles tendon
|
$747.50 |
$747.50 |
$747.50 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$1,292.50 |
$1,292.50 |
$1,292.50 |
$1,293.00
|
|
Repair/graft hand tendon
|
$821.50 |
$821.50 |
$821.50 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$931.00 |
$931.00 |
$931.00 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$492.50 |
$492.50 |
$492.50 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$480.00 |
$480.00 |
$480.00 |
$5,023.20
|
|
Repair/graft of thigh muscle
|
$970.00 |
$970.00 |
$970.00 |
$5,741.00
|
|
Repair/graft of tibia
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$1,136.50 |
$1,136.50 |
$1,136.50 |
$7,907.11
|
|
Repair humerus with graft
|
$1,211.50 |
$1,211.50 |
$1,211.50 |
$11,718.66
|
|
Repair ing hernia sliding
|
$673.50 |
$673.50 |
$673.50 |
$2,812.80
|
|
Repair iris & ciliary body
|
$609.50 |
$609.50 |
$609.50 |
$2,698.92
|
|
Repair iris & ciliary body
|
$680.00 |
$680.00 |
$680.00 |
$3,110.11
|
|
Repair lac palate<2 cm
|
$203.00 |
$203.00 |
$203.00 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$432.50 |
$432.50 |
$432.50 |
$1,308.00
|
|
Repair lumbar hernia
|
$783.50 |
$783.50 |
$783.50 |
$6,457.82
|
|
Repair nonunion hand
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$5,886.74
|
|
Repair of achilles tendon
|
$815.50 |
$815.50 |
$815.50 |
$5,326.50
|
|
Repair of aneurysm
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$4,013.30
|
|
Repair of ankle ligament
|
$559.50 |
$559.50 |
$559.50 |
$7,913.97
|
|
Repair of ankle ligament
|
$721.00 |
$721.00 |
$721.00 |
$5,741.00
|
