|
Open aortic tube prosth repair 34830
|
$1,117.34 |
$1,117.34 |
$1,117.34 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$1,201.52 |
$1,201.52 |
$1,201.52 |
$3,820.80
|
|
Open aortoiliac prosth repr 34831
|
$1,224.98 |
$1,224.98 |
$1,224.98 |
$3,414.40
|
|
Open bx/exc inguinofem nodes
|
$290.26 |
$290.26 |
$290.26 |
$4,992.00
|
|
Open bx of lung pleura 32098
|
$483.69 |
$483.69 |
$483.69 |
$1,852.00
|
|
Open cor endarterect w cabg/ea ves 33572
|
$145.13 |
$145.13 |
$145.13 |
$1,154.40
|
|
Open nasoethmoid fx with fixj
|
$486.22 |
$486.22 |
$486.22 |
$6,547.81
|
|
Open nasoethmoid fx without fixj
|
$429.41 |
$429.41 |
$429.41 |
$6,759.31
|
|
Open periprosthetic breast capsule 19370
|
$435.62 |
$435.62 |
$435.62 |
$4,520.16
|
|
Open skull for drainage 61312
|
$1,348.03 |
$1,348.03 |
$1,348.03 |
$4,872.80
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$186.53 |
$186.53 |
$186.53 |
$2,180.80
|
|
Open thrombectomy of av fistula without revision 36831
|
$391.69 |
$391.69 |
$391.69 |
$6,366.08
|
|
Open tx compl front sinus fx
|
$896.77 |
$896.77 |
$896.77 |
$6,048.05
|
|
Open tx iliac spine uni/bil
|
$471.27 |
$471.27 |
$471.27 |
$7,413.38
|
|
Open tx nose fx w/skele fixj
|
$341.55 |
$341.55 |
$341.55 |
$5,977.18
|
|
Open tx nose & septal fx
|
$459.31 |
$459.31 |
$459.31 |
$3,837.72
|
|
Open tx post pelvic fxcture
|
$890.10 |
$890.10 |
$890.10 |
$4,499.12
|
|
Open tx rib 1-3 fx w/fix 21811
|
$380.88 |
$380.88 |
$380.88 |
$5,855.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$460.92 |
$460.92 |
$460.92 |
$5,112.80
|
|
Open tx rib 7+ fx w/fix 21813
|
$631.12 |
$631.12 |
$631.12 |
$3,986.00
|
|
Open tx/sternum fracture 21825
|
$358.34 |
$358.34 |
$358.34 |
$1,323.20
|
|
Open wedge/bx lung infiltr
|
$513.59 |
$513.59 |
$513.59 |
$3,432.80
|
|
Open wedge bx lung nodule 32097
|
$513.82 |
$513.82 |
$513.82 |
$1,955.20
|
|
Ophthalmic biometry
|
$19.09 |
$19.09 |
$19.09 |
$193.29
|
|
Ophthalmic endoscope add-on
|
$56.35 |
$56.35 |
$56.35 |
$750.40
|
|
Ophthalmodynamometry
|
$6.90 |
$6.90 |
$6.90 |
$52.00
|
|
Ophth Ultrasound b & quant a
|
$24.84 |
$24.84 |
$24.84 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$20.70 |
$20.70 |
$20.70 |
$209.50
|
|
Oph Ultrasound dx quan a-scan only
|
$22.54 |
$22.54 |
$22.54 |
$273.00
|
|
Opn abltj 1/> rnl mas crysrg
|
$782.92 |
$782.92 |
$782.92 |
$2,111.20
|
|
Opn ax/subcla art expos
|
$188.37 |
$188.37 |
$188.37 |
$1,269.60
|
|
Opn exc/dst ntra-abd
|
$1,505.81 |
$1,505.81 |
$1,505.81 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$1,293.98 |
$1,293.98 |
$1,293.98 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$1,857.25 |
$1,857.25 |
$1,857.25 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$1,083.07 |
$1,083.07 |
$1,083.07 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$847.09 |
$847.09 |
$847.09 |
$1,491.00
|
|
Opn fem art expos cndt crtj 34714
|
$170.43 |
$170.43 |
$170.43 |
$2,041.65
|
|
Opn ilac art expos cndt crtj
|
$248.63 |
$248.63 |
$248.63 |
$1,169.29
|
|
Opn impltj crnl nrv nea&pg
|
$391.92 |
$391.92 |
$391.92 |
$35,498.40
|
|
Opn impltj nea neuromuscular
|
$204.24 |
$204.24 |
$204.24 |
$23,049.60
|
|
Opn impltj nea perph nerve
|
$203.09 |
$203.09 |
$203.09 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$424.58 |
$424.58 |
$424.58 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$540.73 |
$540.73 |
$540.73 |
$36,076.18
|
|
Opn tx complx malar fx
|
$701.04 |
$701.04 |
$701.04 |
$6,605.19
|
|
Opn tx complx malar w/grft
|
$824.09 |
$824.09 |
$824.09 |
$6,547.81
|
|
Opn tx depress front sinus fx 21343
|
$698.28 |
$698.28 |
$698.28 |
$3,723.20
|
|
Opn tx dprsd zygomatic arch
|
$260.59 |
$260.59 |
$260.59 |
$5,110.00
|
|
Opn tx nasomax fx multple
|
$667.23 |
$667.23 |
$667.23 |
$6,547.81
|
|
Opn tx nasomax fx w/fixj
|
$643.54 |
$643.54 |
$643.54 |
$6,465.11
|
|
Opn tx nasomax fx w/graft
|
$706.10 |
$706.10 |
$706.10 |
$2,694.40
|
|
Opn tx orbit fx combined
|
$493.81 |
$493.81 |
$493.81 |
$6,493.99
|
|
Opn tx orbit fx periorbital
|
$448.73 |
$448.73 |
$448.73 |
$6,839.00
|
|
Opn tx orbit fx transantral
|
$472.65 |
$472.65 |
$472.65 |
$6,465.11
|
|
Opn tx orbit fx w/bone grft
|
$583.05 |
$583.05 |
$583.05 |
$6,547.81
|
|
Opn tx orbit fx w/implant
|
$419.29 |
$419.29 |
$419.29 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$378.35 |
$378.35 |
$378.35 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$514.51 |
$514.51 |
$514.51 |
$6,553.49
|
|
Opn tx orbit periorbt w/grft
|
$649.06 |
$649.06 |
$649.06 |
$6,547.81
|
|
Opscpy extnd on/mac draw
|
$9.20 |
$9.20 |
$9.20 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$14.49 |
$14.49 |
$14.49 |
$70.29
|
|
Optx acrclv dslc aq/chrn grf
|
$422.51 |
$422.51 |
$422.51 |
$7,913.97
|
|
Optx acromclv dislc aqt/chrn
|
$374.21 |
$374.21 |
$374.21 |
$6,653.00
|
|
Optx acute shoulder dislc
|
$383.41 |
$383.41 |
$383.41 |
$6,554.95
|
|
Optx carpl scphd fx int fixj
|
$471.27 |
$471.27 |
$471.27 |
$6,653.00
|
|
Optx clavicular fx w/int fix
|
$470.58 |
$470.58 |
$470.58 |
$8,453.60
|
|
Optx complicated mndblr fx
|
$752.33 |
$752.33 |
$752.33 |
$6,553.49
|
|
Optx cranfcl sep comp mlt
|
$1,118.26 |
$1,118.26 |
$1,118.26 |
$6,048.05
|
|
Optx cranfcl sep w/wiring
|
$459.77 |
$459.77 |
$459.77 |
$6,048.05
|
|
Optx crnfcl sep comp mlt int
|
$1,313.99 |
$1,313.99 |
$1,313.99 |
$6,048.05
|
|
Optx crnfc sep comp int&/xtr
|
$908.96 |
$908.96 |
$908.96 |
$6,048.05
|
|
Optx crpl fx oth/thn scph ea
|
$375.13 |
$375.13 |
$375.13 |
$4,499.12
|
|
Optx gr hmrl tbrs fx int fix
|
$510.37 |
$510.37 |
$510.37 |
$7,157.53
|
|
Optx lunate dislocation
|
$415.84 |
$415.84 |
$415.84 |
$8,128.38
|
|
Optx medial ankle fx
|
$395.60 |
$395.60 |
$395.60 |
$6,653.00
|
|
Optx mndblr cndylr fx
|
$523.71 |
$523.71 |
$523.71 |
$7,000.36
|
|
Optx mndblr fx wo ntrdntl
|
$659.64 |
$659.64 |
$659.64 |
$6,465.11
|
|
Optx mndblr fx xtrnl fixj
|
$321.31 |
$321.31 |
$321.31 |
$6,547.81
|
|
Optx mndblr/max alv ridge fx
|
$396.98 |
$396.98 |
$396.98 |
$7,000.36
|
|
Optx palatal/max fracture
|
$408.48 |
$408.48 |
$408.48 |
$5,855.00
|
|
Optx palatal/max fx comp
|
$512.90 |
$512.90 |
$512.90 |
$4,295.20
|
|
Optx partclr fx&/dslc elbw w
|
$706.79 |
$706.79 |
$706.79 |
$10,629.07
|
|
Optx post ankle fx
|
$473.57 |
$473.57 |
$473.57 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$575.69 |
$575.69 |
$575.69 |
$13,780.53
|
|
Optx prx hmrl fx fix rpr rpl
|
$800.40 |
$800.40 |
$800.40 |
$8,159.00
|
|
Optx radial shaft fracture
|
$439.53 |
$439.53 |
$439.53 |
$5,419.00
|
|
Optx rad/uln dislc aqt/chrnc
|
$413.31 |
$413.31 |
$413.31 |
$5,886.74
|
|
Optx rdcrpl/ntrcrpl dislc 1+
|
$397.44 |
$397.44 |
$397.44 |
$6,311.00
|
|
Optx rdl shft fx&cltx rad/ul
|
$517.04 |
$517.04 |
$517.04 |
$7,386.73
|
|
Optx rdl shft fx&dstl rad/ul
|
$623.76 |
$623.76 |
$623.76 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$590.64 |
$590.64 |
$590.64 |
$7,807.24
|
|
Optx rdl&uln shft fx rds/uln
|
$443.21 |
$443.21 |
$443.21 |
$6,665.84
|
|
Optx scapular fx w/int fixj
|
$634.34 |
$634.34 |
$634.34 |
$7,906.00
|
|
Optx sho dislc fx
|
$569.48 |
$569.48 |
$569.48 |
$5,110.00
|
|
Optx sho dislc neck fx fixj
|
$606.51 |
$606.51 |
$606.51 |
$6,411.60
|
|
Optx strclv dslc aq/chrn grf
|
$411.01 |
$411.01 |
$411.01 |
$7,807.24
|
|
Optx strnclav dislc aqt/chrn
|
$377.89 |
$377.89 |
$377.89 |
$7,807.24
|
|
Optx thigh fx
|
$804.08 |
$804.08 |
$804.08 |
$1,362.00
|
|
Optx tmprmand dislocation
|
$516.58 |
$516.58 |
$516.58 |
$4,179.20
|
|
Optx trns-scphprlnr fx dislc
|
$480.93 |
$480.93 |
$480.93 |
$5,741.00
|
|
Optx ulnar shft fx int fixj
|
$410.55 |
$410.55 |
$410.55 |
$8,453.60
|
