|
Repair of leg epiphyses
|
$2,763.80 |
$2,763.80 |
$2,763.80 |
$3,839.54
|
|
Repair of leg nerve
|
$3,645.20 |
$3,645.20 |
$3,645.20 |
$6,998.88
|
|
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 low back nerves
|
$5,483.40 |
$5,483.40 |
$5,483.40 |
$7,088.41
|
|
Repair of lower leg
|
$4,526.60 |
$4,526.60 |
$4,526.60 |
$5,979.20
|
|
Repair of lower leg
|
$3,858.40 |
$3,858.40 |
$3,858.40 |
$3,342.87
|
|
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
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$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
|
$2,009.80 |
$2,009.80 |
$2,009.80 |
$3,245.23
|
|
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 ruptured uterus
|
$3,504.80 |
$3,504.80 |
$3,504.80 |
$1,723.20
|
|
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 spinal herniation
|
$5,046.60 |
$5,046.60 |
$5,046.60 |
$2,206.58
|
|
Repair of spinal herniation
|
$5,831.80 |
$5,831.80 |
$5,831.80 |
$2,566.47
|
|
Repair of spinal herniation
|
$6,591.00 |
$6,591.00 |
$6,591.00 |
$2,836.34
|
|
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 tibia epiphysis
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$3,839.54
|
|
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 defect
|
$2,464.80 |
$2,464.80 |
$2,464.80 |
$6,015.75
|
|
Repair of urethra injury
|
$2,147.60 |
$2,147.60 |
$2,147.60 |
$5,631.74
|
|
Repair of urethra injury
|
$2,849.60 |
$2,849.60 |
$2,849.60 |
$5,986.78
|
|
Repair of urethra injury
|
$3,697.20 |
$3,697.20 |
$3,697.20 |
$6,015.75
|
|
Repair of urethra injury 53502
|
$2,147.60 |
$10,312.25 |
$10,312.25 |
$4,272.89
|
|
Repair of urethral lesion
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$3,852.58
|
|
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
|
$4,401.80 |
$4,401.80 |
$4,401.80 |
$6,523.41
|
|
Repair of windpipe defect
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,592.74
|
|
Repair of windpipe injury
|
$2,126.80 |
$2,126.80 |
$2,126.80 |
$1,756.80
|
|
Repair of windpipe injury
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
$1,986.40
|
|
Repair oronasal fistula 30600
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$6,705.77
|
|
Repair palate
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$7,000.36
|
|
Repair palate
|
$2,082.60 |
$2,082.60 |
$2,082.60 |
$6,547.81
|
|
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 pda by ligation
|
$4,339.40 |
$4,339.40 |
$4,339.40 |
$2,360.00
|
|
Repair pda div<18 years
|
$4,604.60 |
$4,604.60 |
$4,604.60 |
$2,488.00
|
|
Repair penis
|
$3,686.80 |
$3,686.80 |
$3,686.80 |
$2,874.36
|
|
Repair penis and bladder
|
$5,920.20 |
$5,920.20 |
$5,920.20 |
$1,609.37
|
|
Repair pm/icd lead dual
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,495.26
|
|
Repair pm/icd lead sgl
|
$13,601.90 |
$13,601.90 |
$13,601.90 |
$4,343.82
|
|
Repair prosthesis per 15 min
|
$17.88 |
$17.88 |
$17.88 |
$16.50
|
|
Repair prosth valve clot 33496
|
$7,758.40 |
$7,758.40 |
$7,758.40 |
$2,524.29
|
|
Repair pulm artery stenosis w/patch/graft 33917
|
$6,578.00 |
$6,578.00 |
$6,578.00 |
$3,551.20
|
|
Repair pulmonary atresia
|
$8,512.40 |
$8,512.40 |
$8,512.40 |
$2,569.71
|
|
Repair pul venous stenosis
|
$9,651.20 |
$9,651.20 |
$9,651.20 |
$2,879.70
|
|
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 rectourethral fistula
|
$5,296.20 |
$5,296.20 |
$5,296.20 |
$1,419.00
|
|
Repair rectum; remove sigmoid 45550
|
$6,448.00 |
$6,448.00 |
$6,448.00 |
$2,293.20
|
|
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 retinal detach cplx
|
$5,434.00 |
$5,434.00 |
$5,434.00 |
$6,657.60
|
|
Repair & revise nerve add-on
|
$774.80 |
$774.80 |
$774.80 |
$4,448.60
|
|
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
|
$694.20 |
$694.20 |
$785.20 |
$951.00
|
|
Repair rpr lip full thickness vermilion only
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,244.09
|
|
Repair ruptd popliteal art
|
$7,191.60 |
$7,191.60 |
$7,191.60 |
$1,547.50
|
|
Repair salivary duct
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$6,447.37
|
|
Repair salivary duct
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$6,465.11
|
|
Repair sciatic nerve
|
$4,633.20 |
$4,633.20 |
$4,633.20 |
$4,858.97
|
|
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 single ventricle
|
$11,180.00 |
$11,180.00 |
$11,180.00 |
$3,076.23
|
|
Repair single ventricle
|
$12,677.60 |
$12,677.60 |
$12,677.60 |
$3,906.68
|
|
Repair skull cavity lesion
|
$6,393.40 |
$6,393.40 |
$6,393.40 |
$3,231.39
|
|
Repair spinal fluid leakage 63707
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$1,708.80
|
|
Repair stern/nuss without scope
|
$6,285.50 |
$6,285.50 |
$6,285.50 |
$4,499.12
|
|
Repair sternum/nuss w/scope
|
$7,001.80 |
$7,001.80 |
$7,001.80 |
$4,499.12
|
|
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 tear ducts
|
$2,250.95 |
$2,250.95 |
$2,250.95 |
$3,115.73
|
|
Repair tendon extensor foot 1/2 each tendon
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$3,839.54
|
