|
Repair dura
|
$1,046.24 |
$1,046.24 |
$1,046.24 |
$2,422.30
|
|
Repair eardrum structures
|
$638.04 |
$638.04 |
$638.04 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$491.14 |
$491.14 |
$491.14 |
$3,839.54
|
|
Repair elbow perc
|
$306.28 |
$306.28 |
$306.28 |
$4,350.00
|
|
Repair elbow w/deb open
|
$394.16 |
$394.16 |
$394.16 |
$3,839.54
|
|
Repair esophagus and fistula
|
$800.54 |
$800.54 |
$800.54 |
$1,370.78
|
|
Repair esophagus and fistula
|
$1,142.70 |
$1,142.70 |
$1,142.70 |
$3,888.00
|
|
Repair esophagus opening
|
$743.86 |
$743.86 |
$743.86 |
$3,837.72
|
|
Repair esophagus opening
|
$1,042.86 |
$1,042.86 |
$1,042.86 |
$3,518.40
|
|
Repair esophagus wound 43410
|
$757.12 |
$757.12 |
$757.12 |
$2,546.40
|
|
Repair esophagus wound 43415
|
$1,856.92 |
$1,856.92 |
$1,856.92 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$448.76 |
$448.76 |
$448.76 |
$2,353.50
|
|
Repair extra toe(s)
|
$206.18 |
$206.18 |
$206.18 |
$4,350.00
|
|
Repair eyelid defect
|
$421.46 |
$421.46 |
$421.46 |
$3,849.60
|
|
Repair eyelid defect
|
$518.96 |
$518.96 |
$518.96 |
$4,462.45
|
|
Repair eyelid defect
|
$344.24 |
$344.24 |
$344.24 |
$2,966.40
|
|
Repair eyelid defect
|
$426.14 |
$426.14 |
$426.14 |
$3,609.60
|
|
Repair eyelid defect
|
$361.66 |
$361.66 |
$361.66 |
$3,986.00
|
|
Repair eyelid defect
|
$308.88 |
$308.88 |
$308.88 |
$2,733.00
|
|
Repair eyelid defect
|
$235.82 |
$235.82 |
$235.82 |
$2,760.73
|
|
Repair eyelid defect
|
$141.96 |
$141.96 |
$141.96 |
$2,838.93
|
|
Repair eyelid defect
|
$308.62 |
$308.62 |
$308.62 |
$2,982.40
|
|
Repair eyelid defect
|
$327.08 |
$327.08 |
$327.08 |
$2,760.73
|
|
Repair eyelid defect
|
$223.86 |
$223.86 |
$223.86 |
$2,760.73
|
|
Repair eyelid defect
|
$143.26 |
$143.26 |
$143.26 |
$2,760.73
|
|
Repair eyelid defect
|
$308.62 |
$308.62 |
$308.62 |
$2,982.40
|
|
Repair eyelid defect
|
$327.34 |
$327.34 |
$327.34 |
$3,176.00
|
|
Repair eyelid wound
|
$6,560.10 |
$6,560.10 |
$6,560.10 |
$2,760.73
|
|
Repair eyelid wound
|
$6,560.10 |
$6,560.10 |
$6,560.10 |
$3,296.00
|
|
Repair facial nerve
|
$838.50 |
$838.50 |
$838.50 |
$6,759.31
|
|
Repair facial nerve
|
$892.58 |
$892.58 |
$892.58 |
$6,839.00
|
|
Repair fibula nonunion
|
$704.08 |
$704.08 |
$704.08 |
$7,807.24
|
|
Repair finger deformity
|
$1,041.56 |
$1,041.56 |
$1,041.56 |
$3,471.20
|
|
Repair finger/hand tendon
|
$537.94 |
$537.94 |
$537.94 |
$4,204.20
|
|
Repair finger/hand tendon
|
$586.82 |
$586.82 |
$586.82 |
$4,150.20
|
|
Repair finger/hand tendon
|
$655.98 |
$655.98 |
$655.98 |
$4,351.50
|
|
Repair finger/hand tendon
|
$566.02 |
$566.02 |
$566.02 |
$3,848.00
|
|
Repair finger/hand tendon
|
$634.92 |
$634.92 |
$634.92 |
$3,839.54
|
|
Repair finger/hand tendon
|
$374.66 |
$374.66 |
$374.66 |
$3,839.54
|
|
Repair finger tendon
|
$411.32 |
$411.32 |
$411.32 |
$3,752.25
|
|
Repair fistula w/colostomy
|
$1,070.42 |
$1,070.42 |
$1,070.42 |
$2,094.00
|
|
Repair fistula w/colostomy
|
$1,120.60 |
$1,120.60 |
$1,120.60 |
$3,759.20
|
|
Repair foot dislocation
|
$478.92 |
$478.92 |
$478.92 |
$5,810.00
|
|
Repair foot dislocation
|
$526.24 |
$526.24 |
$526.24 |
$6,307.00
|
|
Repair foot dislocation
|
$607.10 |
$607.10 |
$607.10 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$557.18 |
$557.18 |
$557.18 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$415.48 |
$415.48 |
$415.48 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$493.48 |
$493.48 |
$493.48 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$470.34 |
$470.34 |
$470.34 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$498.42 |
$498.42 |
$498.42 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$491.66 |
$491.66 |
$491.66 |
$7,907.11
|
|
Repair/graft eye lesion
|
$667.68 |
$667.68 |
$667.68 |
$6,076.38
|
|
Repair/graft femur head/neck
|
$858.26 |
$858.26 |
$858.26 |
$1,292.50
|
|
Repair/graft finger tendon
|
$534.30 |
$534.30 |
$534.30 |
$3,839.54
|
|
Repair/graft finger tendon
|
$575.12 |
$575.12 |
$575.12 |
$3,786.00
|
|
Repair/graft finger tendon
|
$502.32 |
$502.32 |
$502.32 |
$4,259.84
|
|
Repair/graft hand tendon
|
$600.34 |
$600.34 |
$600.34 |
$5,741.00
|
|
Repair/graft hand tendon
|
$723.58 |
$723.58 |
$723.58 |
$7,807.24
|
|
Repair/graft hand tendon
|
$660.14 |
$660.14 |
$660.14 |
$7,807.24
|
|
Repair/graft hand tendon
|
$722.80 |
$722.80 |
$722.80 |
$6,307.00
|
|
Repair/graft hand tendon
|
$515.32 |
$515.32 |
$515.32 |
$3,977.49
|
|
Repair/graft kneecap tendon
|
$602.68 |
$602.68 |
$602.68 |
$5,855.00
|
|
Repair/graft of bronchus
|
$956.80 |
$956.80 |
$956.80 |
$1,897.67
|
|
Repair/graft of foot tendon
|
$318.50 |
$318.50 |
$318.50 |
$6,653.00
|
|
Repair/graft of foot tendon
|
$309.92 |
$309.92 |
$309.92 |
$5,023.20
|
|
Repair/graft of thigh
|
$927.16 |
$927.16 |
$927.16 |
$2,875.62
|
|
Repair/graft of thigh muscle
|
$628.68 |
$628.68 |
$628.68 |
$5,943.97
|
|
Repair/graft of tibia
|
$659.10 |
$659.10 |
$659.10 |
$7,464.80
|
|
Repair/graft of tibia
|
$918.32 |
$918.32 |
$918.32 |
$6,208.00
|
|
Repair/graft radius or ulna
|
$763.62 |
$763.62 |
$763.62 |
$7,913.97
|
|
Repair/graft radius or ulna
|
$708.76 |
$708.76 |
$708.76 |
$7,807.24
|
|
Repair/graft radius & ulna
|
$856.18 |
$856.18 |
$856.18 |
$8,159.00
|
|
Repair/graft radius & ulna
|
$824.20 |
$824.20 |
$824.20 |
$5,528.00
|
|
Repair/graft wrist bone
|
$568.36 |
$568.36 |
$568.36 |
$5,376.00
|
|
Repair hand joint
|
$506.74 |
$506.74 |
$506.74 |
$3,839.54
|
|
Repair hand joint with graft
|
$607.36 |
$607.36 |
$607.36 |
$3,839.54
|
|
Repair hand joint with graft
|
$523.38 |
$523.38 |
$523.38 |
$3,336.65
|
|
Repair heart septum defect 33681
|
$1,328.60 |
$1,328.60 |
$1,328.60 |
$4,489.60
|
|
Repair heart septum defects dir/patch 33647
|
$1,304.68 |
$1,304.68 |
$1,304.68 |
$2,805.51
|
|
Repair heart-vein defect 33732
|
$1,187.94 |
$1,187.94 |
$1,187.94 |
$2,362.17
|
|
Repair heart-vein defect(s)
|
$1,442.48 |
$1,442.48 |
$1,442.48 |
$2,854.30
|
|
Repair heart vessel fistula
|
$1,120.08 |
$1,120.08 |
$1,120.08 |
$2,242.54
|
|
Repair heart vessel fistula
|
$802.62 |
$802.62 |
$802.62 |
$5,987.80
|
|
Repair heart wound w/bypass 33305
|
$2,929.42 |
$2,929.42 |
$2,929.42 |
$17,708.60
|
|
Repair humerus with graft
|
$794.56 |
$794.56 |
$794.56 |
$9,791.00
|
|
Repair ing hernia sliding
|
$422.76 |
$422.76 |
$422.76 |
$3,856.84
|
|
Repair iris & ciliary body
|
$426.14 |
$426.14 |
$426.14 |
$2,698.92
|
|
Repair iris & ciliary body
|
$473.98 |
$473.98 |
$473.98 |
$3,173.34
|
|
Repair lac palate<2 cm
|
$1,431.90 |
$1,431.90 |
$1,431.90 |
$780.65
|
|
Repair laminectomy defect
|
$241.28 |
$241.28 |
$241.28 |
$482.70
|
|
Repair leg fascia defect
|
$249.86 |
$249.86 |
$249.86 |
$3,839.54
|
|
Repair lip full thkns =<one-half vert height
|
$1,431.90 |
$1,431.90 |
$1,431.90 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$4,165.46 |
$4,165.46 |
$4,165.46 |
$1,928.07
|
|
Repair liver wound 47350
|
$993.46 |
$993.46 |
$993.46 |
$2,581.80
|
|
Repair liver wound 47360
|
$1,365.78 |
$1,365.78 |
$1,365.78 |
$2,909.40
|
|
Repair lower leg epiphyses
|
$486.98 |
$486.98 |
$486.98 |
$3,839.54
|
|
Repair lower leg tendons
|
$366.86 |
$366.86 |
$366.86 |
$3,839.54
|
|
Repair lower leg tendons
|
$450.06 |
$450.06 |
$450.06 |
$7,906.00
|
|
Repair lumbar hernia
|
$495.04 |
$495.04 |
$495.04 |
$6,457.82
|
|
Repair lung hernia 32800
|
$686.40 |
$686.40 |
$686.40 |
$2,303.20
|