|
Repair blood ves direct neck 35201
|
$590.18 |
$590.18 |
$590.18 |
$5,783.00
|
|
Repair blood vess/direct/intra/abd 35221
|
$935.64 |
$935.64 |
$935.64 |
$1,647.50
|
|
Repair blood vessel direct hand finger
|
$9,209.97 |
$9,209.97 |
$9,209.97 |
$3,898.50
|
|
Repair blood vessel direct intrathoracic without bypass 35216
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$8,080.00
|
|
Repair blood vessel dir lower extr
|
$525.32 |
$525.32 |
$525.32 |
$1,731.55
|
|
Repair blood vessel dir upper extr
|
$507.84 |
$507.84 |
$507.84 |
$4,051.32
|
|
Repair blood vessel lesion
|
$498.87 |
$498.87 |
$498.87 |
$2,164.52
|
|
Repair blood vessel lesion
|
$612.49 |
$612.49 |
$612.49 |
$2,346.40
|
|
Repair blood vessel lesion
|
$836.97 |
$836.97 |
$836.97 |
$5,983.35
|
|
Repair blood vessel lesion
|
$623.30 |
$623.30 |
$623.30 |
$4,627.00
|
|
Repair blood vessel lesion
|
$549.70 |
$549.70 |
$549.70 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$885.50 |
$885.50 |
$885.50 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$991.99 |
$991.99 |
$991.99 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$646.76 |
$646.76 |
$646.76 |
$5,988.54
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$800.86 |
$800.86 |
$800.86 |
$4,341.66
|
|
Repair bowel-bladder fistula 44660
|
$862.96 |
$862.96 |
$862.96 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$993.60 |
$993.60 |
$993.60 |
$2,664.80
|
|
Repair bowel fistula 44650
|
$924.37 |
$924.37 |
$924.37 |
$1,558.00
|
|
Repair brain fluid leakage
|
$1,022.35 |
$1,022.35 |
$1,022.35 |
$2,223.26
|
|
Repair bronchus add-on
|
$154.10 |
$154.10 |
$154.10 |
$593.60
|
|
Repair brow defect
|
$320.62 |
$320.62 |
$320.62 |
$2,820.92
|
|
Repair by enlargement
|
$1,131.83 |
$1,131.83 |
$1,131.83 |
$2,539.74
|
|
Repair cardiac wound without bypass
|
$1,553.88 |
$1,553.88 |
$1,553.88 |
$7,369.60
|
|
Repair carpal bone shorten
|
$513.13 |
$513.13 |
$513.13 |
$3,856.00
|
|
Repair cleft hand
|
$992.68 |
$992.68 |
$992.68 |
$3,986.00
|
|
Repair cleft lip/nasal
|
$652.05 |
$652.05 |
$652.05 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$768.66 |
$768.66 |
$768.66 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$646.53 |
$646.53 |
$646.53 |
$6,547.81
|
|
Repair cleft lip/nasal
|
$663.32 |
$663.32 |
$663.32 |
$5,108.80
|
|
Repair cleft lip/nasal
|
$697.13 |
$697.13 |
$697.13 |
$6,553.49
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$2,239.16 |
$2,239.16 |
$2,239.16 |
$1,059.20
|
|
Repair corporeal tear
|
$439.99 |
$439.99 |
$439.99 |
$2,990.00
|
|
Repair defect arm art 35045
|
$613.87 |
$613.87 |
$613.87 |
$6,366.08
|
|
Repair defect of artery
|
$877.22 |
$877.22 |
$877.22 |
$2,168.66
|
|
Repair defect of artery
|
$632.96 |
$632.96 |
$632.96 |
$715.52
|
|
Repair defect of artery
|
$800.86 |
$800.86 |
$800.86 |
$1,335.50
|
|
Repair defect of artery
|
$1,127.23 |
$1,127.23 |
$1,127.23 |
$5,706.00
|
|
Repair defect of artery
|
$843.18 |
$843.18 |
$843.18 |
$1,471.00
|
|
Repair defect of artery 35011
|
$638.48 |
$638.48 |
$638.48 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,093.65 |
$1,093.65 |
$1,093.65 |
$3,497.40
|
|
Repair defect of artery 35102
|
$1,188.41 |
$1,188.41 |
$1,188.41 |
$3,922.38
|
|
Repair defect of artery 35121
|
$1,002.57 |
$1,002.57 |
$1,002.57 |
$1,751.50
|
|
Repair defect of artery aneurysm 35151
|
$783.38 |
$783.38 |
$783.38 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$702.42 |
$702.42 |
$702.42 |
$5,410.60
|
|
Repair deformity of toe
|
$237.59 |
$237.59 |
$237.59 |
$3,591.33
|
|
Repair degenerated kneecap
|
$532.45 |
$532.45 |
$532.45 |
$6,311.00
|
|
Repair detached retina
|
$709.32 |
$709.32 |
$709.32 |
$5,912.40
|
|
Repair detached retina
|
$751.18 |
$751.18 |
$751.18 |
$6,889.27
|
|
Repair detached retina
|
$512.44 |
$512.44 |
$512.44 |
$3,468.40
|
|
Repair detached retina crtx
|
$179.86 |
$179.86 |
$179.86 |
$3,905.20
|
|
Repair detached retina pc
|
$173.42 |
$173.42 |
$173.42 |
$1,513.20
|
|
Repair double ventricle
|
$1,238.55 |
$1,238.55 |
$1,238.55 |
$2,765.23
|
|
Repair double ventricle
|
$1,271.44 |
$1,271.44 |
$1,271.44 |
$2,839.06
|
|
Repair dura
|
$841.34 |
$841.34 |
$841.34 |
$1,854.09
|
|
Repair dura
|
$925.52 |
$925.52 |
$925.52 |
$2,422.30
|
|
Repair eardrum structures
|
$564.42 |
$564.42 |
$564.42 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$434.47 |
$434.47 |
$434.47 |
$3,839.54
|
|
Repair elbow perc
|
$270.94 |
$270.94 |
$270.94 |
$4,350.00
|
|
Repair elbow w/deb open
|
$348.68 |
$348.68 |
$348.68 |
$3,839.54
|
|
Repair esophagus and fistula
|
$708.17 |
$708.17 |
$708.17 |
$1,370.78
|
|
Repair esophagus and fistula
|
$1,010.85 |
$1,010.85 |
$1,010.85 |
$3,888.00
|
|
Repair esophagus opening
|
$658.03 |
$658.03 |
$658.03 |
$3,837.72
|
|
Repair esophagus opening
|
$922.53 |
$922.53 |
$922.53 |
$3,518.40
|
|
Repair esophagus wound 43410
|
$669.76 |
$669.76 |
$669.76 |
$2,546.40
|
|
Repair esophagus wound 43415
|
$1,642.66 |
$1,642.66 |
$1,642.66 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$2,353.50
|
|
Repair extra toe(s)
|
$182.39 |
$182.39 |
$182.39 |
$4,350.00
|
|
Repair eyelid defect
|
$372.83 |
$372.83 |
$372.83 |
$3,849.60
|
|
Repair eyelid defect
|
$459.08 |
$459.08 |
$459.08 |
$4,462.45
|
|
Repair eyelid defect
|
$304.52 |
$304.52 |
$304.52 |
$2,966.40
|
|
Repair eyelid defect
|
$376.97 |
$376.97 |
$376.97 |
$3,609.60
|
|
Repair eyelid defect
|
$319.93 |
$319.93 |
$319.93 |
$3,986.00
|
|
Repair eyelid defect
|
$273.24 |
$273.24 |
$273.24 |
$2,733.00
|
|
Repair eyelid defect
|
$208.61 |
$208.61 |
$208.61 |
$2,760.73
|
|
Repair eyelid defect
|
$125.58 |
$125.58 |
$125.58 |
$2,838.93
|
|
Repair eyelid defect
|
$273.01 |
$273.01 |
$273.01 |
$2,982.40
|
|
Repair eyelid defect
|
$289.34 |
$289.34 |
$289.34 |
$2,760.73
|
|
Repair eyelid defect
|
$198.03 |
$198.03 |
$198.03 |
$2,760.73
|
|
Repair eyelid defect
|
$126.73 |
$126.73 |
$126.73 |
$2,760.73
|
|
Repair eyelid defect
|
$273.01 |
$273.01 |
$273.01 |
$2,982.40
|
|
Repair eyelid defect
|
$289.57 |
$289.57 |
$289.57 |
$3,176.00
|
|
Repair eyelid wound
|
$149.73 |
$149.73 |
$149.73 |
$2,760.73
|
|
Repair eyelid wound
|
$278.07 |
$278.07 |
$278.07 |
$3,296.00
|
|
Repair facial nerve
|
$741.75 |
$741.75 |
$741.75 |
$6,759.31
|
|
Repair facial nerve
|
$789.59 |
$789.59 |
$789.59 |
$6,839.00
|
|
Repair fibula nonunion
|
$622.84 |
$622.84 |
$622.84 |
$7,807.24
|
|
Repair finger deformity
|
$921.38 |
$921.38 |
$921.38 |
$3,471.20
|
|
Repair finger/hand tendon
|
$475.87 |
$475.87 |
$475.87 |
$4,204.20
|
|
Repair finger/hand tendon
|
$519.11 |
$519.11 |
$519.11 |
$4,150.20
|
|
Repair finger/hand tendon
|
$580.29 |
$580.29 |
$580.29 |
$4,351.50
|
|
Repair finger/hand tendon
|
$500.71 |
$500.71 |
$500.71 |
$3,848.00
|
|
Repair finger/hand tendon
|
$561.66 |
$561.66 |
$561.66 |
$3,839.54
|
|
Repair finger/hand tendon
|
$331.43 |
$331.43 |
$331.43 |
$3,839.54
|
|
Repair finger tendon
|
$363.86 |
$363.86 |
$363.86 |
$3,752.25
|
|
Repair fistula w/colostomy
|
$946.91 |
$946.91 |
$946.91 |
$2,094.00
|
|
Repair fistula w/colostomy
|
$991.30 |
$991.30 |
$991.30 |
$3,759.20
|
|
Repair foot dislocation
|
$423.66 |
$423.66 |
$423.66 |
$5,810.00
|
|
Repair foot dislocation
|
$465.52 |
$465.52 |
$465.52 |
$6,307.00
|
|
Repair foot dislocation
|
$537.05 |
$537.05 |
$537.05 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$492.89 |
$492.89 |
$492.89 |
$4,379.20
|