|
Repair elbow deb/attch open
|
$695.00 |
$695.00 |
$695.00 |
$3,839.54
|
|
Repair elbow w/deb open
|
$557.50 |
$557.50 |
$557.50 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$664.50 |
$664.50 |
$664.50 |
$2,224.00
|
|
Repair eyelid defect
|
$677.00 |
$677.00 |
$677.00 |
$4,462.45
|
|
Repair eyelid defect
|
$4,374.00 |
$4,374.00 |
$4,374.00 |
$3,357.30
|
|
Repair eyelid defect
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$2,732.50
|
|
Repair eyelid defect
|
$2,296.50 |
$2,296.50 |
$2,296.50 |
$2,760.73
|
|
Repair eyelid defect
|
$2,296.50 |
$2,296.50 |
$2,296.50 |
$2,982.40
|
|
Repair eyelid defect
|
$5,129.00 |
$5,129.00 |
$5,129.00 |
$2,760.73
|
|
Repair eyelid defect
|
$5,307.00 |
$5,307.00 |
$5,307.00 |
$2,856.80
|
|
Repair fibula nonunion
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$6,879.60
|
|
Repair finger/hand tendon
|
$791.00 |
$791.00 |
$791.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$835.50 |
$835.50 |
$835.50 |
$4,150.20
|
|
Repair finger/hand tendon
|
$821.00 |
$821.00 |
$821.00 |
$3,848.00
|
|
Repair finger/hand tendon
|
$529.50 |
$529.50 |
$529.50 |
$3,839.54
|
|
Repair finger tendon
|
$607.50 |
$607.50 |
$607.50 |
$3,594.44
|
|
Repair foot dislocation
|
$759.00 |
$759.00 |
$759.00 |
$5,886.74
|
|
Repair foot dislocation
|
$881.50 |
$881.50 |
$881.50 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$600.00 |
$600.00 |
$600.00 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$680.50 |
$680.50 |
$680.50 |
$6,311.00
|
|
Repair/graft achilles tendon
|
$696.50 |
$696.50 |
$696.50 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$1,224.50 |
$1,224.50 |
$1,224.50 |
$1,293.00
|
|
Repair/graft hand tendon
|
$749.50 |
$749.50 |
$749.50 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$870.50 |
$870.50 |
$870.50 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$455.50 |
$455.50 |
$455.50 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$444.00 |
$444.00 |
$444.00 |
$5,023.20
|
|
Repair/graft of thigh muscle
|
$905.50 |
$905.50 |
$905.50 |
$5,741.00
|
|
Repair/graft of tibia
|
$1,308.50 |
$1,308.50 |
$1,308.50 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$7,907.11
|
|
Repair humerus with graft
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$11,718.66
|
|
Repair ing hernia sliding
|
$644.50 |
$644.50 |
$644.50 |
$2,812.80
|
|
Repair iris & ciliary body
|
$557.00 |
$557.00 |
$557.00 |
$2,698.92
|
|
Repair iris & ciliary body
|
$620.50 |
$620.50 |
$620.50 |
$3,110.11
|
|
Repair lac palate<2 cm
|
$188.00 |
$188.00 |
$188.00 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$399.50 |
$399.50 |
$399.50 |
$1,308.00
|
|
Repair lumbar hernia
|
$751.00 |
$751.00 |
$751.00 |
$6,457.82
|
|
Repair nonunion hand
|
$1,084.50 |
$1,084.50 |
$1,084.50 |
$5,886.74
|
|
Repair of achilles tendon
|
$759.50 |
$759.50 |
$759.50 |
$5,326.50
|
|
Repair of aneurysm
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$4,013.30
|
|
Repair of ankle ligament
|
$6,952.00 |
$6,952.00 |
$6,952.00 |
$7,913.97
|
|
Repair of ankle ligament
|
$5,896.00 |
$5,896.00 |
$5,896.00 |
$5,741.00
|
|
Repair of ankle ligaments
|
$574.00 |
$574.00 |
$574.00 |
$5,741.00
|
|
Repair of bladder opening
|
$489.50 |
$489.50 |
$489.50 |
$4,081.37
|
|
Repair of circumcision
|
$231.50 |
$231.50 |
$231.50 |
$2,874.36
|
|
Repair of diaphragm hernia
|
$6,432.50 |
$6,432.50 |
$6,432.50 |
$14,392.80
|
|
Repair of diaphragm hernia
|
$963.00 |
$963.00 |
$963.00 |
$1,246.56
|
|
Repair of enterocele vaginal approach 57268
|
$518.50 |
$518.50 |
$518.50 |
$4,900.30
|
|
Repair of eye wound
|
$2,277.50 |
$2,277.50 |
$2,277.50 |
$2,760.73
|
|
Repair of eye wound
|
$622.50 |
$622.50 |
$622.50 |
$5,638.94
|
|
Repair of eye wound
|
$1,025.50 |
$1,025.50 |
$1,025.50 |
$5,741.00
|
|
Repair of foot tendon
|
$354.00 |
$354.00 |
$354.00 |
$3,842.58
|
|
Repair of humerus
|
$1,105.50 |
$1,105.50 |
$1,105.50 |
$12,591.64
|
|
Repair of hydrocele 55060
|
$399.50 |
$399.50 |
$399.50 |
$3,817.53
|
|
Repair of kneecap tendon
|
$663.50 |
$663.50 |
$663.50 |
$7,907.11
|
|
Repair of knee ligament
|
$717.00 |
$717.00 |
$717.00 |
$5,886.13
|
|
Repair of leg tendon each
|
$396.50 |
$396.50 |
$396.50 |
$3,680.78
|
|
Repair of leg tendon each
|
$500.50 |
$500.50 |
$500.50 |
$6,311.00
|
|
Repair of leg tendon each
|
$443.50 |
$443.50 |
$443.50 |
$7,177.39
|
|
Repair of metatarsals
|
$608.50 |
$608.50 |
$608.50 |
$6,512.80
|
|
Repair of ruptured tendon
|
$811.00 |
$811.00 |
$811.00 |
$6,484.80
|
|
Repair of ruptured uterus
|
$817.50 |
$817.50 |
$817.50 |
$1,989.60
|
|
Repair of shoulder
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$6,661.18
|
|
Repair of thigh
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$4,456.40
|
|
Repair of thigh muscle
|
$649.00 |
$649.00 |
$649.00 |
$6,727.70
|
|
Repair of ureter
|
$871.50 |
$871.50 |
$871.50 |
$3,910.40
|
|
Repair palate
|
$7,175.50 |
$7,175.50 |
$7,175.50 |
$6,966.64
|
|
Repair paravag defect vag 57285
|
$709.50 |
$709.50 |
$709.50 |
$8,185.02
|
|
Repair pm/icd lead dual
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$4,339.00
|
|
Repair radius or ulna
|
$835.00 |
$835.00 |
$835.00 |
$8,412.89
|
|
Repair radius & ulna
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$8,453.60
|
|
Repair rectourethral fistula
|
$1,419.00 |
$1,419.00 |
$1,419.00 |
$1,822.36
|
|
Repair rectum & vagina
|
$5,632.00 |
$5,632.00 |
$5,632.00 |
$5,394.95
|
|
Repair/revise wrist joint
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$6,311.00
|
|
Repair rotator cuff acute
|
$866.00 |
$866.00 |
$866.00 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$898.00 |
$898.00 |
$898.00 |
$6,311.00
|
|
Repair rpr lip full thickness vermilion only
|
$384.00 |
$384.00 |
$384.00 |
$1,224.63
|
|
Repair ruptd popliteal art
|
$1,547.50 |
$1,547.50 |
$1,547.50 |
$1,964.29
|
|
Repair shoulder capsule
|
$1,006.50 |
$1,006.50 |
$1,006.50 |
$7,842.71
|
|
Repair shoulder capsule
|
$1,143.50 |
$1,143.50 |
$1,143.50 |
$6,820.77
|
|
Repair shoulder capsule
|
$1,119.50 |
$1,119.50 |
$1,119.50 |
$5,855.00
|
|
Repair stomach-bowel fistula 43880
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$2,477.40
|
|
Repair stomach opening
|
$784.50 |
$784.50 |
$784.50 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$4,000.50 |
$4,000.50 |
$4,000.50 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$668.00 |
$668.00 |
$668.00 |
$4,350.00
|
|
Repair toe dislocation
|
$515.00 |
$515.00 |
$515.00 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$249.00 |
$249.00 |
$249.00 |
$478.00
|
|
Repair umbilical lesion
|
$821.50 |
$821.50 |
$821.50 |
$4,176.15
|
|
Repair umbilical lesion
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,778.40
|
|
Repair umbilical lesion
|
$5,382.00 |
$5,382.00 |
$5,382.00 |
$6,916.28
|
|
Repair umbilical lesion
|
$773.00 |
$773.00 |
$773.00 |
$1,691.20
|
|
Repair umbilical lesion
|
$685.00 |
$685.00 |
$685.00 |
$1,489.60
|
|
Repair upper arm/elbow tendon/muscle ea
|
$7,199.50 |
$7,199.50 |
$7,199.50 |
$8,453.60
|
|
Repair urethrovaginal lesion
|
$569.00 |
$569.00 |
$569.00 |
$622.50
|
|
Repair urethrovaginal lesion 57310
|
$504.50 |
$504.50 |
$504.50 |
$7,093.16
|
|
Repair vagina/perineum
|
$403.00 |
$403.00 |
$403.00 |
$4,094.65
|
|
Repair vessel graft defect
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$3,031.20
|
|
Repair webbed toe(s)
|
$377.50 |
$377.50 |
$377.50 |
$1,893.86
|
|
Replace g/c tube perc
|
$66.00 |
$66.00 |
$66.00 |
$1,341.50
|
|
Replace tunneled cv cath
|
$218.00 |
$218.00 |
$218.00 |
$3,724.63
|
