|
Repair of kneecap tendon
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$6,311.00
|
|
Repair of knee cartilage
|
$2,241.20 |
$2,241.20 |
$2,241.20 |
$5,855.00
|
|
Repair of knee ligament
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$5,886.13
|
|
Repair of knee ligaments
|
$3,564.60 |
$3,564.60 |
$3,564.60 |
$8,453.60
|
|
Repair of leg tendon each
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$3,680.78
|
|
Repair of leg tendon each
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$5,810.00
|
|
Repair of leg tendon each
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$7,177.39
|
|
Repair of mesentery 44850
|
$3,148.60 |
$3,148.60 |
$3,148.60 |
$1,219.80
|
|
Repair of metatarsals
|
$2,217.80 |
$2,217.80 |
$2,217.80 |
$6,512.80
|
|
Repair of mitral valve w/bypass 33425
|
$12,989.60 |
$12,989.60 |
$12,989.60 |
$6,668.80
|
|
Repair of nasal septum
|
$1,822.60 |
$1,822.60 |
$1,822.60 |
$4,924.40
|
|
Repair of penis
|
$3,607.50 |
$3,607.50 |
$3,607.50 |
$4,081.37
|
|
Repair of rectocele 45560
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$3,035.44
|
|
Repair of rectum
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$3,432.60
|
|
Repair of ruptured spleen 38115
|
$5,688.80 |
$5,688.80 |
$5,688.80 |
$2,660.40
|
|
Repair of ruptured tendon
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$6,484.80
|
|
Repair of shoulder
|
$3,520.40 |
$3,520.40 |
$3,520.40 |
$7,250.26
|
|
Repair of skull & brain
|
$5,223.40 |
$5,223.40 |
$5,223.40 |
$3,346.40
|
|
Repair of skull defect 62140
|
$3,783.00 |
$3,783.00 |
$3,783.00 |
$2,439.20
|
|
Repair of sperm duct
|
$2,462.20 |
$2,462.20 |
$2,462.20 |
$4,525.95
|
|
Repair of thigh
|
$4,456.40 |
$4,456.40 |
$4,456.40 |
$4,456.40
|
|
Repair of thigh muscle
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$6,727.70
|
|
Repair of tibia
|
$3,213.60 |
$3,213.60 |
$3,213.60 |
$7,604.02
|
|
Repair of toe dislocation
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$3,958.50
|
|
Repair of ulnar motor nerve 64836
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$4,858.97
|
|
Repair of ureter
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$3,910.40
|
|
Repair of urethra defect
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$4,081.37
|
|
Repair of urethra injury
|
$2,147.60 |
$2,147.60 |
$2,147.60 |
$5,631.74
|
|
Repair of urethra injury 53502
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$4,272.89
|
|
Repair of web finger
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,211.05
|
|
Repair of web finger
|
$2,886.00 |
$2,886.00 |
$2,886.00 |
$3,839.54
|
|
Repair of web finger
|
$4,336.80 |
$4,336.80 |
$4,336.80 |
$3,839.54
|
|
Repair of windpipe defect
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$3,592.74
|
|
Repair of windpipe injury
|
$2,126.80 |
$2,126.80 |
$2,126.80 |
$1,756.80
|
|
Repair palate pharynx/uvula
|
$2,542.80 |
$2,542.80 |
$2,542.80 |
$5,544.00
|
|
Repair paravag defect lap
|
$4,180.80 |
$4,180.80 |
$4,180.80 |
$11,378.21
|
|
Repair paravag defect vag 57285
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$8,081.64
|
|
Repair pm/icd lead dual
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$4,495.26
|
|
Repair pm/icd lead sgl
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,343.82
|
|
Repair radius or ulna
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$7,913.97
|
|
Repair radius & ulna
|
$3,588.00 |
$3,588.00 |
$3,588.00 |
$7,913.97
|
|
Repair rect/bladder fistula
|
$5,280.60 |
$5,280.60 |
$5,280.60 |
$3,104.00
|
|
Repair rectum & vagina
|
$2,882.75 |
$2,882.75 |
$2,882.75 |
$5,463.96
|
|
Repair rectum-vagina fistula
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$4,035.20
|
|
Repair rectum-vagina fistula abd appr 57305
|
$3,991.00 |
$3,991.00 |
$3,991.00 |
$1,768.80
|
|
Repair recur fem hernia reduce 49555
|
$2,441.40 |
$2,441.40 |
$2,441.40 |
$4,176.15
|
|
Repair/revise wrist joint
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$6,653.00
|
|
Repair rotator cuff acute
|
$2,961.40 |
$2,961.40 |
$2,961.40 |
$7,807.24
|
|
Repair rotator cuff chronic
|
$3,101.80 |
$3,101.80 |
$3,101.80 |
$6,848.75
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$785.20 |
$785.20 |
$785.20 |
$951.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,244.09
|
|
Repair salivary duct
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$6,447.37
|
|
Repair shoulder capsule
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$8,070.30
|
|
Repair shoulder capsule
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$7,842.71
|
|
Repair shoulder capsule
|
$4,524.65 |
$4,524.65 |
$4,524.65 |
$6,820.77
|
|
Repair shoulder capsule
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
$7,807.24
|
|
Repair shoulder capsule
|
$4,238.00 |
$4,238.00 |
$4,238.00 |
$7,807.24
|
|
Repair shoulder capsule
|
$4,518.80 |
$4,518.80 |
$4,518.80 |
$7,807.24
|
|
Repair spinal fluid leakage 63707
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$1,708.80
|
|
Repair stomach-bowel fistula 43880
|
$7,066.80 |
$7,066.80 |
$7,066.80 |
$2,359.20
|
|
Repair stomach opening
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$4,499.12
|
|
Repair testis injury
|
$1,729.00 |
$1,729.00 |
$1,729.00 |
$3,863.60
|
|
Repair throat wound
|
$1,375.40 |
$1,375.40 |
$1,375.40 |
$1,856.91
|
|
Repair toe dislocation
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$3,594.44
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$694.20 |
$694.20 |
$694.20 |
$478.00
|
|
Repair/transpose mp nerve 64856
|
$3,918.20 |
$3,918.20 |
$3,918.20 |
$6,311.00
|
|
Repair upper arm/elbow tendon/muscle ea
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
$8,412.89
|
|
Repair upper jaw fistula
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$6,547.81
|
|
Repair urethrovaginal lesion 57310
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$7,093.16
|
|
Repair vagina/perineum
|
$1,484.60 |
$1,484.60 |
$1,484.60 |
$4,096.68
|
|
Repeat thyroid surgery
|
$4,747.60 |
$4,747.60 |
$4,747.60 |
$6,547.81
|
|
Replac av w/bypas/other pros valve 33405
|
$11,817.65 |
$11,817.65 |
$11,817.65 |
$7,683.90
|
|
Replace aortic valve annulus enlgment 33411
|
$16,138.20 |
$16,138.20 |
$16,138.20 |
$8,201.60
|
|
Replace aortic valve open axillry 33363
|
$6,622.20 |
$6,622.20 |
$6,622.20 |
$19,502.91
|
|
Replace aortic valve open femoral 33362
|
$18,484.05 |
$18,484.05 |
$18,484.05 |
$17,768.00
|
|
Replace aortic valve open iliac 33364
|
$6,752.20 |
$6,752.20 |
$6,752.20 |
$13,308.36
|
|
Replace aortic valve open transaortic 33365
|
$26,534.30 |
$26,534.30 |
$26,534.30 |
$14,593.50
|
|
Replace aortic valve w/byp cntrl aprch 33369
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$2,399.20
|
|
Replace aortic valve w/byp open aprch 33368
|
$3,741.40 |
$3,741.40 |
$3,741.40 |
$3,741.40
|
|
Replace aortic valve w/byp prq aprch 33367
|
$3,088.80 |
$3,088.80 |
$3,088.80 |
$3,088.80
|
|
Replace brain cavity shunt
|
$4,066.40 |
$4,066.40 |
$4,066.40 |
$2,624.00
|
|
Replace duod/jej tube perc
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,364.88
|
|
Replace elbow joint
|
$5,720.00 |
$5,720.00 |
$5,720.00 |
$15,440.00
|
|
Replace g/c tube perc
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,382.70
|
|
Replace g-j tube perc
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,583.28
|
|
Replace/irrigate catheter
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$6,998.88
|
|
Replacement tricuspid valve 33465
|
$13,187.20 |
$13,187.20 |
$13,187.20 |
$6,737.60
|
|
Replace picvad cath
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$3,724.63
|
|
Replace/revise brain shunt
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$7,592.10
|
|
Replace skull plate/flap
|
$3,679.00 |
$3,679.00 |
$3,679.00 |
$2,454.40
|
|
Replace tissue expander w/perm prost 11970
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$8,453.60
|
|
Replace tunneled cv cath
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,735.00
|
|
Replantation digit complete
|
$7,624.50 |
$7,624.50 |
$7,624.50 |
$3,045.29
|
|
Replantation thumb complete
|
$7,144.80 |
$7,144.80 |
$7,144.80 |
$1,642.82
|
|
Reposition pm/icd lead
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,802.24
|
|
Reposition vad w/image rt/lt sep session
|
$1,877.20 |
$1,877.20 |
$1,877.20 |
$1,877.20
|
|
Repos lv lead pm/icd
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$3,802.20
|
|
Repos sq defib eltrd
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$4,306.60
|
