|
Repair corporeal tear
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$2,990.00
|
|
Repair defect arm art 35045
|
$4,682.60 |
$4,682.60 |
$4,682.60 |
$6,366.08
|
|
Repair defect of artery
|
$6,864.00 |
$6,864.00 |
$6,864.00 |
$2,168.66
|
|
Repair defect of artery
|
$5,764.20 |
$5,764.20 |
$5,764.20 |
$1,335.50
|
|
Repair defect of artery
|
$9,191.00 |
$9,191.00 |
$9,191.00 |
$5,706.00
|
|
Repair defect of artery
|
$6,832.80 |
$6,832.80 |
$6,832.80 |
$1,471.00
|
|
Repair defect of artery 35011
|
$4,830.80 |
$4,830.80 |
$4,830.80 |
$6,305.95
|
|
Repair defect of artery 35081
|
$8,717.80 |
$8,717.80 |
$8,717.80 |
$3,497.40
|
|
Repair defect of artery 35102
|
$9,497.80 |
$9,497.80 |
$9,497.80 |
$3,922.38
|
|
Repair defect of artery 35121
|
$8,195.20 |
$8,195.20 |
$8,195.20 |
$1,751.50
|
|
Repair defect of artery aneurysm 35151
|
$6,167.20 |
$6,167.20 |
$6,167.20 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$5,410.60 |
$5,410.60 |
$5,410.60 |
$5,410.60
|
|
Repair deformity of toe
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$3,591.33
|
|
Repair degenerated kneecap
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$6,311.00
|
|
Repair dental ellis ii fx
|
$232.05 |
$232.05 |
$232.05 |
$442.48
|
|
Repair double ventricle
|
$9,508.20 |
$9,508.20 |
$9,508.20 |
$2,839.06
|
|
Repair eardrum structures
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$2,334.80 |
$2,334.80 |
$2,334.80 |
$3,839.54
|
|
Repair elbow perc
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,350.00
|
|
Repair elbow w/deb open
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$3,839.54
|
|
Repair esophagus wound 43415
|
$11,668.80 |
$11,668.80 |
$11,668.80 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$2,353.50
|
|
Repair eyelid defect
|
$2,279.55 |
$2,279.55 |
$2,279.55 |
$3,609.60
|
|
Repair eyelid defect
|
$975.00 |
$975.00 |
$975.00 |
$2,760.73
|
|
Repair eyelid defect
|
$1,541.80 |
$1,541.80 |
$1,541.80 |
$2,760.73
|
|
Repair eyelid defect
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$2,760.73
|
|
Repair eyelid wound
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$3,296.00
|
|
Repair fibula nonunion
|
$3,728.40 |
$3,728.40 |
$3,728.40 |
$7,807.24
|
|
Repair finger/hand tendon
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$4,204.20
|
|
Repair finger/hand tendon
|
$2,485.60 |
$2,485.60 |
$2,485.60 |
$4,150.20
|
|
Repair finger/hand tendon
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$4,351.50
|
|
Repair finger/hand tendon
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$3,848.00
|
|
Repair finger/hand tendon
|
$2,186.60 |
$2,186.60 |
$2,186.60 |
$3,839.54
|
|
Repair finger/hand tendon
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$3,839.54
|
|
Repair finger tendon
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$3,752.25
|
|
Repair fistula w/colostomy
|
$6,063.20 |
$6,063.20 |
$6,063.20 |
$2,094.00
|
|
Repair foot dislocation
|
$2,509.00 |
$2,509.00 |
$2,509.00 |
$5,810.00
|
|
Repair foot dislocation
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$6,307.00
|
|
Repair foot dislocation
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$1,874.60 |
$1,874.60 |
$1,874.60 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$7,907.11
|
|
Repair/graft finger tendon
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$3,839.54
|
|
Repair/graft finger tendon
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$3,786.00
|
|
Repair/graft hand tendon
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$7,807.24
|
|
Repair/graft hand tendon
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$6,307.00
|
|
Repair/graft kneecap tendon
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$5,855.00
|
|
Repair/graft of foot tendon
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$6,653.00
|
|
Repair/graft of foot tendon
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$5,023.20
|
|
Repair/graft of thigh
|
$5,354.05 |
$5,354.05 |
$5,354.05 |
$2,875.62
|
|
Repair/graft of thigh muscle
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$5,943.97
|
|
Repair/graft of tibia
|
$3,560.70 |
$3,560.70 |
$3,560.70 |
$7,464.80
|
|
Repair/graft of tibia
|
$5,020.60 |
$5,020.60 |
$5,020.60 |
$6,208.00
|
|
Repair/graft radius or ulna
|
$3,902.60 |
$3,902.60 |
$3,902.60 |
$7,913.97
|
|
Repair/graft radius & ulna
|
$4,430.40 |
$4,430.40 |
$4,430.40 |
$8,159.00
|
|
Repair/graft wrist bone
|
$2,776.80 |
$2,776.80 |
$2,776.80 |
$5,376.00
|
|
Repair hand joint
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$3,839.54
|
|
Repair hand joint with graft
|
$2,290.60 |
$2,290.60 |
$2,290.60 |
$3,839.54
|
|
Repair hand joint with graft
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$3,336.65
|
|
Repair humerus with graft
|
$3,897.40 |
$3,897.40 |
$3,897.40 |
$9,791.00
|
|
Repair ing hernia sliding
|
$2,321.80 |
$2,321.80 |
$2,321.80 |
$3,856.84
|
|
Repair lip full thkns =<one-half vert height
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,928.07
|
|
Repair liver wound 47350
|
$5,847.40 |
$5,847.40 |
$5,847.40 |
$2,581.80
|
|
Repair liver wound 47360
|
$8,140.60 |
$8,140.60 |
$8,140.60 |
$2,909.40
|
|
Repair lower leg tendons
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$3,839.54
|
|
Repair lower leg tendons
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$7,906.00
|
|
Repair lumbar hernia
|
$2,792.40 |
$2,792.40 |
$2,792.40 |
$6,457.82
|
|
Repair major blood vessel(s) w/bypass 33322
|
$6,349.20 |
$6,349.20 |
$6,349.20 |
$3,392.00
|
|
Repair major blood vessel(s) without bypass 33320
|
$4,820.40 |
$4,820.40 |
$4,820.40 |
$2,071.80
|
|
Repair muscles of hand
|
$966.55 |
$966.55 |
$966.55 |
$3,591.33
|
|
Repair nasal septum defect
|
$1,895.40 |
$1,895.40 |
$1,895.40 |
$3,837.72
|
|
Repair nasal stenosis
|
$3,213.60 |
$3,213.60 |
$3,213.60 |
$6,547.81
|
|
Repair nerve add-on
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$4,063.62
|
|
Repair nerve add-on 64832
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$2,386.86
|
|
Repair nerve/shorten bone
|
$876.20 |
$876.20 |
$876.20 |
$4,448.60
|
|
Repair nonunion hand
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$5,886.74
|
|
Repair of achilles tendon
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$5,594.25
|
|
Repair of anal sphincter
|
$3,975.40 |
$3,975.40 |
$3,975.40 |
$3,816.64
|
|
Repair of anal stricture
|
$2,550.60 |
$2,550.60 |
$2,550.60 |
$3,038.07
|
|
Repair of aneurysm
|
$5,436.60 |
$5,436.60 |
$5,436.60 |
$4,560.00
|
|
Repair of ankle ligament
|
$1,742.00 |
$1,742.00 |
$1,742.00 |
$6,311.00
|
|
Repair of ankle ligament
|
$2,498.60 |
$2,498.60 |
$2,498.60 |
$5,886.74
|
|
Repair of ankle ligaments
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$5,339.00
|
|
Repair of bladder opening
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,081.37
|
|
Repair of bowel lesion
|
$5,740.80 |
$5,740.80 |
$5,740.80 |
$2,006.40
|
|
Repair of circumcision
|
$863.20 |
$863.20 |
$863.20 |
$3,316.80
|
|
Repair of diaphragm hernia
|
$3,788.20 |
$3,788.20 |
$3,788.20 |
$1,232.66
|
|
Repair of digit nerve hand/foot 1 nerve
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$3,619.45
|
|
Repair of enterocele abdominal approach 57270
|
$3,554.20 |
$3,554.20 |
$3,554.20 |
$2,022.40
|
|
Repair of enterocele vaginal approach 57268
|
$1,968.20 |
$1,968.20 |
$1,968.20 |
$4,900.30
|
|
Repair of facial nerve
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$6,588.00
|
|
Repair of foot bones
|
$2,436.20 |
$2,436.20 |
$2,436.20 |
$10,629.07
|
|
Repair of foot tendon
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$3,977.49
|
|
Repair of hand or foot nerve
|
$2,810.60 |
$2,810.60 |
$2,810.60 |
$4,858.97
|
|
Repair of hand or foot nerve
|
$3,354.65 |
$3,354.65 |
$3,354.65 |
$4,697.33
|
|
Repair of humerus
|
$3,965.00 |
$3,965.00 |
$3,965.00 |
$6,588.00
|
|
Repair of hydrocele 55060
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$3,786.00
|
