|
Revise eye muscle(s) add-on
|
$2,199.19 |
$2,199.19 |
$2,199.19 |
$2,199.19
|
|
Revise eye muscle w/suture
|
$2,012.77 |
$2,012.77 |
$2,012.77 |
$1,507.20
|
|
Revise eye socket implant
|
$5,008.35 |
$5,008.35 |
$5,008.35 |
$5,008.35
|
|
Revise eye sockets
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$7,000.36
|
|
Revise eye with implant
|
$5,290.14 |
$5,290.14 |
$5,290.14 |
$4,173.97
|
|
Revise finger joint each
|
$2,885.17 |
$2,885.17 |
$2,885.17 |
$3,839.54
|
|
Revise finger joint each
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$2,211.05
|
|
Revise gastric port open 43886
|
$3,094.13 |
$3,094.13 |
$3,094.13 |
$4,055.70
|
|
Revise/graft eyelid lining
|
$2,534.59 |
$2,534.59 |
$2,534.59 |
$3,628.80
|
|
Revise/graft eyelid lining
|
$4,974.14 |
$4,974.14 |
$4,974.14 |
$4,627.00
|
|
Revise/graft eyelid lining
|
$3,073.32 |
$3,073.32 |
$3,073.32 |
$4,462.45
|
|
Revise/graft eyelid lining
|
$2,774.04 |
$2,774.04 |
$2,774.04 |
$3,510.40
|
|
Revise/graft eyelid lining
|
$4,455.36 |
$4,455.36 |
$4,455.36 |
$4,462.45
|
|
Revise graft w/vein
|
$4,973.33 |
$4,973.33 |
$4,973.33 |
$5,110.00
|
|
Revise hand/finger tendon
|
$5,641.61 |
$5,641.61 |
$5,641.61 |
$7,807.24
|
|
Revise head/neck of femur
|
$9,458.14 |
$9,458.14 |
$9,458.14 |
$8,453.60
|
|
Revise hernia & sperm veins
|
$7,323.83 |
$7,323.83 |
$7,323.83 |
$4,176.15
|
|
Revise/implant finger joint
|
$5,504.59 |
$5,504.59 |
$5,504.59 |
$5,376.00
|
|
Revise kneecap
|
$7,700.67 |
$7,700.67 |
$7,700.67 |
$7,700.67
|
|
Revise kneecap with implant
|
$9,625.50 |
$9,625.50 |
$9,625.50 |
$10,629.07
|
|
Revise knuckle joint
|
$4,642.16 |
$4,642.16 |
$4,642.16 |
$5,023.20
|
|
Revise knuckle with implant
|
$6,511.82 |
$6,511.82 |
$6,511.82 |
$6,511.82
|
|
Revise low back nerve(s)
|
$4,613.80 |
$4,613.80 |
$4,613.80 |
$3,603.20
|
|
Revise lower leg tendon
|
$3,850.39 |
$3,850.39 |
$3,850.39 |
$4,627.00
|
|
Revise lower leg tendon
|
$4,265.32 |
$4,265.32 |
$4,265.32 |
$5,339.00
|
|
Revise lower leg tendons
|
$3,350.85 |
$3,350.85 |
$3,350.85 |
$3,839.54
|
|
Revise middle ear bone
|
$5,322.00 |
$5,322.00 |
$5,322.00 |
$6,680.76
|
|
Revise middle ear bone
|
$7,274.03 |
$7,274.03 |
$7,274.03 |
$6,465.11
|
|
Revise middle ear bone
|
$6,373.79 |
$6,373.79 |
$6,373.79 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$10,640.30 |
$10,640.30 |
$10,640.30 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$10,275.40 |
$10,275.40 |
$10,275.40 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$9,928.33 |
$9,928.33 |
$9,928.33 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$10,349.88 |
$10,349.88 |
$10,349.88 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$11,248.86 |
$11,248.86 |
$11,248.86 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$9,779.49 |
$9,779.49 |
$9,779.49 |
$7,000.36
|
|
Revise ocular implant
|
$5,681.30 |
$5,681.30 |
$5,681.30 |
$4,462.45
|
|
Revise palsy hand tendon(s)
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Revise palsy hand tendon(s)
|
$8,715.43 |
$8,715.43 |
$8,715.43 |
$8,453.60
|
|
Revise penis/urethra
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,478.01
|
|
Revise penis/urethra
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,478.01
|
|
Revise penis/urethra
|
$4,478.01 |
$4,478.01 |
$4,478.01 |
$4,478.01
|
|
Revise prosth vag graft lap
|
$4,506.38 |
$4,506.38 |
$4,506.38 |
$8,185.02
|
|
Revise radius & ulna
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$10,629.07
|
|
Revise radius & ulna
|
$5,989.61 |
$5,989.61 |
$5,989.61 |
$4,692.80
|
|
Revise reconst elbow joint
|
$11,142.98 |
$11,142.98 |
$11,142.98 |
$14,061.89
|
|
Revise reconst elbow joint
|
$14,873.09 |
$14,873.09 |
$14,873.09 |
$14,873.09
|
|
Revise/remove neuroelectrode
|
$3,023.35 |
$3,023.35 |
$3,023.35 |
$4,069.59
|
|
Revise/remove neuroreceiver
|
$6,381.71 |
$6,381.71 |
$6,381.71 |
$9,079.85
|
|
Revise/remove sling repair
|
$5,040.36 |
$5,040.36 |
$5,040.36 |
$3,744.41
|
|
Revise/repl vagus n eltrd
|
$6,358.39 |
$6,358.39 |
$6,358.39 |
$13,628.55
|
|
Revise spermatic cord veins
|
$4,345.52 |
$4,345.52 |
$4,345.52 |
$4,345.52
|
|
Revise spermatic cord veins
|
$7,149.07 |
$7,149.07 |
$7,149.07 |
$7,149.07
|
|
Revise spine eltrd perq aray
|
$6,358.39 |
$6,358.39 |
$6,358.39 |
$7,728.86
|
|
Revise spine eltrd plate
|
$10,115.75 |
$10,115.75 |
$10,115.75 |
$14,756.87
|
|
Revise temple bone implant
|
$15,490.93 |
$15,490.93 |
$15,490.93 |
$15,490.93
|
|
Revise thigh muscles/tendons
|
$7,086.47 |
$7,086.47 |
$7,086.47 |
$7,907.11
|
|
Revise thumb tendon
|
$4,415.18 |
$4,415.18 |
$4,415.18 |
$3,594.44
|
|
Revise thumb tendon
|
$4,116.39 |
$4,116.39 |
$4,116.39 |
$3,591.33
|
|
Revise two eye muscles
|
$5,234.99 |
$5,234.99 |
$5,234.99 |
$4,462.45
|
|
Revise two eye muscles
|
$3,642.91 |
$3,642.91 |
$3,642.91 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$2,823.38 |
$2,823.38 |
$2,823.38 |
$3,151.20
|
|
Revise ureter
|
$3,785.21 |
$3,785.21 |
$3,785.21 |
$4,081.37
|
|
Revise urethra stage 1
|
$7,438.23 |
$7,438.23 |
$7,438.23 |
$5,882.50
|
|
Revise urethra stage 2
|
$5,645.75 |
$5,645.75 |
$5,645.75 |
$5,645.75
|
|
Revise vag graft via vagina
|
$4,463.46 |
$4,463.46 |
$4,463.46 |
$3,762.53
|
|
Revise windpipe scar
|
$4,175.53 |
$4,175.53 |
$4,175.53 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$3,017.99 |
$3,017.99 |
$3,017.99 |
$3,017.99
|
|
Revise wrist joint
|
$4,964.24 |
$4,964.24 |
$4,964.24 |
$4,155.20
|
|
Revision of aqueous shunt
|
$2,315.72 |
$2,315.72 |
$2,315.72 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$4,613.80 |
$4,613.80 |
$4,613.80 |
$3,833.60
|
|
Revision of big toe
|
$2,664.42 |
$2,664.42 |
$2,664.42 |
$6,307.00
|
|
Revision of bladder neck
|
$5,116.39 |
$5,116.39 |
$5,116.39 |
$4,350.00
|
|
Revision of calf tendon
|
$4,046.01 |
$4,046.01 |
$4,046.01 |
$3,839.54
|
|
Revision of cervix
|
$2,647.01 |
$2,647.01 |
$2,647.01 |
$3,721.00
|
|
Revision of cervix
|
$4,442.15 |
$4,442.15 |
$4,442.15 |
$3,891.90
|
|
Revision of collar bone
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Revision of collar bone
|
$12,147.50 |
$12,147.50 |
$12,147.50 |
$12,147.50
|
|
Revision of colostomy
|
$3,953.62 |
$3,953.62 |
$3,953.62 |
$4,311.38
|
|
Revision of cornea
|
$1,909.91 |
$1,909.91 |
$1,909.91 |
$2,760.73
|
|
Revision of cranial nerve
|
$3,222.99 |
$3,222.99 |
$3,222.99 |
$2,310.83
|
|
Revision of eyelid
|
$4,263.74 |
$4,263.74 |
$4,263.74 |
$2,760.73
|
|
Revision of eyelid
|
$2,668.03 |
$2,668.03 |
$2,668.03 |
$2,654.40
|
|
Revision of eyelid
|
$1,919.08 |
$1,919.08 |
$1,919.08 |
$2,860.80
|
|
Revision of eyelid
|
$4,438.86 |
$4,438.86 |
$4,438.86 |
$2,760.73
|
|
Revision of eyelid
|
$4,669.67 |
$4,669.67 |
$4,669.67 |
$3,417.95
|
|
Revision of foot
|
$4,253.25 |
$4,253.25 |
$4,253.25 |
$3,839.54
|
|
Revision of foot and ankle
|
$4,907.60 |
$4,907.60 |
$4,907.60 |
$7,907.11
|
|
Revision of foot bones
|
$6,324.90 |
$6,324.90 |
$6,324.90 |
$10,629.07
|
|
Revision of foot fascia 28250
|
$2,833.02 |
$2,833.02 |
$2,833.02 |
$3,839.54
|
|
Revision of foot tendon
|
$6,727.70 |
$6,727.70 |
$6,727.70 |
$5,886.74
|
|
Revision of foot tendon
|
$3,135.41 |
$3,135.41 |
$3,135.41 |
$3,388.00
|
|
Revision of heart chamber
|
$7,684.33 |
$7,684.33 |
$7,684.33 |
$7,684.33
|
|
Revision of hip tendon
|
$3,333.37 |
$3,333.37 |
$3,333.37 |
$3,839.54
|
|
Revision of ileostomy; simple 44312
|
$3,094.13 |
$3,094.13 |
$3,094.13 |
$4,332.25
|
|
Revision of iris
|
$1,826.29 |
$1,826.29 |
$1,826.29 |
$1,480.00
|
|
Revision of iris
|
$1,384.97 |
$1,384.97 |
$1,384.97 |
$1,271.00
|
|
Revision of knee joint
|
$8,885.39 |
$8,885.39 |
$8,885.39 |
$8,885.39
|
|
Revision of knee joint
|
$12,927.60 |
$12,927.60 |
$12,927.60 |
$14,254.12
|
|
Revision of larynx
|
$7,548.55 |
$7,548.55 |
$7,548.55 |
$7,000.36
|
|
Revision of leg vein 37780
|
$4,885.17 |
$4,885.17 |
$4,885.17 |
$3,724.63
|
