|
Repair of ankle ligaments
|
$617.50 |
$617.50 |
$617.50 |
$5,741.00
|
|
Repair of bladder opening
|
$522.50 |
$522.50 |
$522.50 |
$4,081.37
|
|
Repair of circumcision
|
$250.00 |
$250.00 |
$250.00 |
$2,874.36
|
|
Repair of diaphragm hernia
|
$6,599.50 |
$6,599.50 |
$6,599.50 |
$14,392.80
|
|
Repair of diaphragm hernia
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,246.56
|
|
Repair of enterocele vaginal approach 57268
|
$553.00 |
$553.00 |
$553.00 |
$4,900.30
|
|
Repair of eye wound
|
$2,277.50 |
$2,277.50 |
$2,277.50 |
$2,760.73
|
|
Repair of eye wound
|
$680.50 |
$680.50 |
$680.50 |
$5,638.94
|
|
Repair of eye wound
|
$1,119.50 |
$1,119.50 |
$1,119.50 |
$5,741.00
|
|
Repair of foot tendon
|
$376.50 |
$376.50 |
$376.50 |
$3,842.58
|
|
Repair of humerus
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$12,591.64
|
|
Repair of hydrocele 55060
|
$429.00 |
$429.00 |
$429.00 |
$3,817.53
|
|
Repair of kneecap tendon
|
$714.50 |
$714.50 |
$714.50 |
$7,907.11
|
|
Repair of knee ligament
|
$766.50 |
$766.50 |
$766.50 |
$5,886.13
|
|
Repair of leg tendon each
|
$428.50 |
$428.50 |
$428.50 |
$3,680.78
|
|
Repair of leg tendon each
|
$538.50 |
$538.50 |
$538.50 |
$6,311.00
|
|
Repair of leg tendon each
|
$479.00 |
$479.00 |
$479.00 |
$7,177.39
|
|
Repair of metatarsals
|
$653.00 |
$653.00 |
$653.00 |
$6,512.80
|
|
Repair of ruptured tendon
|
$864.00 |
$864.00 |
$864.00 |
$6,484.80
|
|
Repair of ruptured uterus
|
$862.50 |
$862.50 |
$862.50 |
$1,989.60
|
|
Repair of shoulder
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$6,661.18
|
|
Repair of thigh
|
$1,313.50 |
$1,313.50 |
$1,313.50 |
$4,456.40
|
|
Repair of thigh muscle
|
$702.00 |
$702.00 |
$702.00 |
$6,727.70
|
|
Repair of ureter
|
$929.50 |
$929.50 |
$929.50 |
$3,910.40
|
|
Repair palate
|
$7,499.00 |
$7,499.00 |
$7,499.00 |
$6,966.64
|
|
Repair paravag defect vag 57285
|
$750.50 |
$750.50 |
$750.50 |
$8,185.02
|
|
Repair pm/icd lead dual
|
$2,625.50 |
$2,625.50 |
$2,625.50 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,625.50 |
$2,625.50 |
$2,625.50 |
$4,339.00
|
|
Repair radius or ulna
|
$890.00 |
$890.00 |
$890.00 |
$8,412.89
|
|
Repair radius & ulna
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$8,453.60
|
|
Repair rectourethral fistula
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,822.36
|
|
Repair rectum & vagina
|
$664.50 |
$664.50 |
$664.50 |
$5,394.95
|
|
Repair/revise wrist joint
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$6,311.00
|
|
Repair rotator cuff acute
|
$922.50 |
$922.50 |
$922.50 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$955.50 |
$955.50 |
$955.50 |
$6,311.00
|
|
Repair rpr lip full thickness vermilion only
|
$416.00 |
$416.00 |
$416.00 |
$1,224.63
|
|
Repair ruptd popliteal art
|
$1,575.50 |
$1,575.50 |
$1,575.50 |
$1,964.29
|
|
Repair shoulder capsule
|
$1,067.50 |
$1,067.50 |
$1,067.50 |
$7,842.71
|
|
Repair shoulder capsule
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$6,820.77
|
|
Repair shoulder capsule
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$5,855.00
|
|
Repair stomach-bowel fistula 43880
|
$1,832.50 |
$1,832.50 |
$1,832.50 |
$2,477.40
|
|
Repair stomach opening
|
$820.00 |
$820.00 |
$820.00 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$372.00 |
$372.00 |
$372.00 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$718.50 |
$718.50 |
$718.50 |
$4,350.00
|
|
Repair toe dislocation
|
$556.50 |
$556.50 |
$556.50 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$269.50 |
$269.50 |
$269.50 |
$478.00
|
|
Repair umbilical lesion
|
$856.00 |
$856.00 |
$856.00 |
$4,176.15
|
|
Repair umbilical lesion
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$2,778.40
|
|
Repair umbilical lesion
|
$5,523.50 |
$5,523.50 |
$5,523.50 |
$6,916.28
|
|
Repair umbilical lesion
|
$806.00 |
$806.00 |
$806.00 |
$1,691.20
|
|
Repair umbilical lesion
|
$716.50 |
$716.50 |
$716.50 |
$1,489.60
|
|
Repair upper arm/elbow tendon/muscle ea
|
$7,166.00 |
$7,166.00 |
$7,166.00 |
$8,453.60
|
|
Repair urethrovaginal lesion
|
$622.50 |
$622.50 |
$622.50 |
$622.50
|
|
Repair urethrovaginal lesion 57310
|
$543.00 |
$543.00 |
$543.00 |
$7,093.16
|
|
Repair vagina/perineum
|
$429.50 |
$429.50 |
$429.50 |
$4,094.65
|
|
Repair vessel graft defect
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$3,031.20
|
|
Repair webbed toe(s)
|
$410.00 |
$410.00 |
$410.00 |
$1,893.86
|
|
Replace g/c tube perc
|
$70.00 |
$70.00 |
$70.00 |
$1,341.50
|
|
Replace tunneled cv cath
|
$230.00 |
$230.00 |
$230.00 |
$3,724.63
|
|
Reposition intraocular lens
|
$868.00 |
$868.00 |
$868.00 |
$3,057.60
|
|
Reposition pm/icd lead
|
$336.00 |
$336.00 |
$336.00 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$521.50 |
$521.50 |
$521.50 |
$3,724.63
|
|
Repos sq defib eltrd
|
$2,625.50 |
$2,625.50 |
$2,625.50 |
$4,297.60
|
|
Repr elbow lat ligmnt w/tiss
|
$812.00 |
$812.00 |
$812.00 |
$3,839.54
|
|
Repr elbw med ligmnt w/tissu
|
$809.50 |
$809.50 |
$809.50 |
$4,919.44
|
|
Reremove wrist tendon lesion
|
$450.50 |
$450.50 |
$450.50 |
$1,904.00
|
|
Rerepair fem hernia blocked
|
$843.00 |
$843.00 |
$843.00 |
$4,176.15
|
|
Rerepair ing hernia blocked
|
$834.00 |
$834.00 |
$834.00 |
$5,110.00
|
|
Rerepair ing hernia reduce
|
$739.50 |
$739.50 |
$739.50 |
$4,881.00
|
|
Resect condyle distal phalanx ea toe 28153
|
$301.00 |
$301.00 |
$301.00 |
$3,296.80
|
|
Resect diaphragm complex
|
$1,480.50 |
$1,480.50 |
$1,480.50 |
$2,780.58
|
|
Resect diaphragm simple 39560
|
$924.00 |
$924.00 |
$924.00 |
$1,959.20
|
|
Resect face/scalp tum 2 cm/>
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$3,386.84
|
|
Resect mediastinal cyst 39200
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$2,124.80
|
|
Resect mediastinal tumor 39220
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$2,773.60
|
|
Resect part/compl phalangeal base ea 28126
|
$286.00 |
$286.00 |
$286.00 |
$3,821.05
|
|
Resuscitation cardiopulmonary
|
$499.00 |
$499.00 |
$499.00 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$152.50 |
$152.50 |
$152.50 |
$780.42
|
|
Reticulocyte automated
|
$50.00 |
$50.00 |
$50.00 |
$52.57
|
|
Reticulocyte direct measurement automated
|
$17.00 |
$17.00 |
$17.00 |
$36.57
|
|
Revasc evasc ivt angio cplx 1st
|
$610.50 |
$610.50 |
$610.50 |
$10,094.56
|
|
Revasc evasc ivt stent cplx 1st
|
$720.00 |
$720.00 |
$720.00 |
$20,474.72
|
|
Revasc evasc ivt stent sf 1st
|
$498.00 |
$498.00 |
$498.00 |
$20,474.72
|
|
Revise additional leg tendon
|
$110.00 |
$110.00 |
$110.00 |
$486.20
|
|
Revise arm/leg nerve
|
$555.50 |
$555.50 |
$555.50 |
$3,754.40
|
|
Revise eyelashes
|
$128.00 |
$128.00 |
$128.00 |
$659.20
|
|
Revise eyelid defect
|
$573.50 |
$573.50 |
$573.50 |
$2,784.00
|
|
Revise eyelid lining
|
$476.00 |
$476.00 |
$476.00 |
$2,698.92
|
|
Revise eyelid lining
|
$425.00 |
$425.00 |
$425.00 |
$3,482.06
|
|
Revise eyelid lining
|
$671.50 |
$671.50 |
$671.50 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$560.00 |
$560.00 |
$560.00 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$662.50 |
$662.50 |
$662.50 |
$4,440.96
|
|
Revise/graft eyelid lining
|
$664.50 |
$664.50 |
$664.50 |
$4,462.45
|
|
Revise graft w/vein
|
$1,038.50 |
$1,038.50 |
$1,038.50 |
$5,419.00
|
|
Revise graft w/vein 35881
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$5,615.12
|
|
Revise hip joint replacement
|
$2,066.50 |
$2,066.50 |
$2,066.50 |
$6,930.55
|
|
Revise hip joint replacement
|
$1,663.50 |
$1,663.50 |
$1,663.50 |
$6,778.20
|
|
Revise hip joint replacement
|
$1,602.50 |
$1,602.50 |
$1,602.50 |
$6,492.20
|
|
Revise kneecap with implant
|
$944.00 |
$944.00 |
$944.00 |
$9,625.50
|
|
Revise lower leg tendon
|
$732.00 |
$732.00 |
$732.00 |
$3,986.00
|
