|
Repair/graft finger tendon
|
$4,395.00 |
$4,395.00 |
$4,395.00 |
$3,839.54
|
|
Repair/graft hand tendon
|
$18,407.00 |
$18,407.00 |
$18,407.00 |
$5,560.25
|
|
Repair/graft hand tendon
|
$26,866.50 |
$26,866.50 |
$26,866.50 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$2,949.95 |
$2,949.95 |
$2,949.95 |
$5,886.74
|
|
Repair/graft of thigh
|
$9,349.34 |
$9,349.34 |
$9,349.34 |
$5,354.05
|
|
Repair/graft of thigh muscle
|
$24,347.00 |
$24,347.00 |
$24,347.00 |
$5,741.00
|
|
Repair/graft of tibia
|
$11,413.34 |
$11,413.34 |
$11,413.34 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$10,073.00 |
$10,073.00 |
$10,073.00 |
$7,907.11
|
|
Repair/graft radius & ulna
|
$3,038.25 |
$3,038.25 |
$3,038.25 |
$7,913.97
|
|
Repair/graft wrist bone
|
$22,553.00 |
$22,553.00 |
$22,553.00 |
$5,376.00
|
|
Repair hand joint
|
$8,594.00 |
$8,594.00 |
$8,594.00 |
$3,839.54
|
|
Repair hand joint with graft
|
$6,782.00 |
$6,782.00 |
$6,782.00 |
$3,839.54
|
|
Repair humerus with graft
|
$14,657.50 |
$14,657.50 |
$14,657.50 |
$11,718.66
|
|
Repair ing hernia sliding
|
$12,004.50 |
$12,004.50 |
$12,004.50 |
$2,812.80
|
|
Repair iris & ciliary body
|
$9,103.34 |
$9,103.34 |
$9,103.34 |
$2,698.92
|
|
Repair iris & ciliary body
|
$5,306.50 |
$5,306.50 |
$5,306.50 |
$3,110.11
|
|
Repair lip full thkns =<one-half vert height
|
$747.50 |
$747.50 |
$747.50 |
$1,308.00
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$1,981.50 |
$1,981.50 |
$1,981.50 |
$1,928.07
|
|
Repair lower leg tendons
|
$2,755.30 |
$2,755.30 |
$2,755.30 |
$3,821.05
|
|
Repair lower leg tendons
|
$6,695.25 |
$6,695.25 |
$6,695.25 |
$7,807.24
|
|
Repair middle ear structures
|
$4,626.50 |
$4,626.50 |
$4,626.50 |
$4,558.89
|
|
Repair muscles of hand
|
$14,651.67 |
$14,651.67 |
$14,651.67 |
$3,591.33
|
|
Repair nasal septum defect
|
$8,351.26 |
$8,351.26 |
$8,351.26 |
$3,819.23
|
|
Repair nasal stenosis
|
$15,239.00 |
$15,239.00 |
$15,239.00 |
$6,547.81
|
|
Repair nerve add-on 64832
|
$3,466.25 |
$3,466.25 |
$3,466.25 |
$2,199.60
|
|
Repair nonunion hand
|
$29,464.00 |
$29,464.00 |
$29,464.00 |
$5,886.74
|
|
Repair of achilles tendon
|
$11,312.50 |
$11,312.50 |
$11,312.50 |
$5,326.50
|
|
Repair of ankle ligament
|
$12,313.00 |
$12,313.00 |
$12,313.00 |
$7,913.97
|
|
Repair of ankle ligament
|
$11,062.50 |
$11,062.50 |
$11,062.50 |
$5,741.00
|
|
Repair of ankle ligaments
|
$3,391.00 |
$3,391.00 |
$3,391.00 |
$5,741.00
|
|
Repair of circumcision
|
$5,999.50 |
$5,999.50 |
$5,999.50 |
$2,874.36
|
|
Repair of digit nerve hand/foot 1 nerve
|
$20,502.50 |
$20,502.50 |
$20,502.50 |
$3,505.32
|
|
Repair of enterocele vaginal approach 57268
|
$6,275.50 |
$6,275.50 |
$6,275.50 |
$4,900.30
|
|
Repair of eye wound
|
$4,854.50 |
$4,854.50 |
$4,854.50 |
$2,760.73
|
|
Repair of eye wound
|
$2,683.00 |
$2,683.00 |
$2,683.00 |
$3,655.60
|
|
Repair of eye wound
|
$24,953.00 |
$24,953.00 |
$24,953.00 |
$4,625.45
|
|
Repair of eye wound
|
$21,977.50 |
$21,977.50 |
$21,977.50 |
$5,741.00
|
|
Repair of eye wound
|
$3,771.00 |
$3,771.00 |
$3,771.00 |
$2,698.92
|
|
Repair of foot tendon
|
$6,342.50 |
$6,342.50 |
$6,342.50 |
$3,842.58
|
|
Repair of hand or foot nerve
|
$7,571.67 |
$7,571.67 |
$7,571.67 |
$4,858.97
|
|
Repair of humerus
|
$16,377.00 |
$16,377.00 |
$16,377.00 |
$12,591.64
|
|
Repair of hydrocele 55060
|
$1,871.50 |
$1,871.50 |
$1,871.50 |
$3,817.53
|
|
Repair of kneecap tendon
|
$12,576.00 |
$12,576.00 |
$12,576.00 |
$7,907.11
|
|
Repair of knee cartilage
|
$8,882.25 |
$8,882.25 |
$8,882.25 |
$5,613.67
|
|
Repair of knee ligament
|
$7,685.50 |
$7,685.50 |
$7,685.50 |
$5,886.13
|
|
Repair of leg tendon each
|
$7,145.50 |
$7,145.50 |
$7,145.50 |
$3,680.78
|
|
Repair of leg tendon each
|
$8,241.50 |
$8,241.50 |
$8,241.50 |
$6,311.00
|
|
Repair of metatarsals
|
$15,201.67 |
$15,201.67 |
$15,201.67 |
$6,512.80
|
|
Repair of nasal septum
|
$5,957.67 |
$5,957.67 |
$5,957.67 |
$4,803.84
|
|
Repair of rectocele 45560
|
$32,403.50 |
$32,403.50 |
$32,403.50 |
$3,038.07
|
|
Repair of ruptured tendon
|
$19,166.50 |
$19,166.50 |
$19,166.50 |
$6,484.80
|
|
Repair of skull defect 62140
|
$11,308.34 |
$11,308.34 |
$11,308.34 |
$2,439.20
|
|
Repair of sperm duct
|
$14,854.50 |
$14,854.50 |
$14,854.50 |
$4,525.95
|
|
Repair of thigh muscle
|
$11,490.00 |
$11,490.00 |
$11,490.00 |
$6,727.70
|
|
Repair of tibia
|
$24,884.00 |
$24,884.00 |
$24,884.00 |
$7,349.27
|
|
Repair of tibia epiphysis
|
$3,438.50 |
$3,438.50 |
$3,438.50 |
$3,839.54
|
|
Repair of ulnar motor nerve 64836
|
$6,760.67 |
$6,760.67 |
$6,760.67 |
$4,881.00
|
|
Repair of urethra defect
|
$7,077.50 |
$7,077.50 |
$7,077.50 |
$6,015.75
|
|
Repair of urethra injury 53502
|
$4,690.50 |
$4,690.50 |
$4,690.50 |
$4,272.89
|
|
Repair of web finger
|
$22,802.50 |
$22,802.50 |
$22,802.50 |
$3,839.54
|
|
Repair oronasal fistula 30600
|
$4,769.67 |
$4,769.67 |
$4,769.67 |
$6,705.77
|
|
Repair palate
|
$8,180.50 |
$8,180.50 |
$8,180.50 |
$6,966.64
|
|
Repair palate
|
$11,882.25 |
$11,882.25 |
$11,882.25 |
$6,547.81
|
|
Repair palate pharynx/uvula
|
$11,041.67 |
$11,041.67 |
$11,041.67 |
$5,544.00
|
|
Repair pm/icd lead dual
|
$4,295.00 |
$4,295.00 |
$4,295.00 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$4,353.50 |
$4,353.50 |
$4,353.50 |
$4,339.00
|
|
Repair radius or ulna
|
$12,666.50 |
$12,666.50 |
$12,666.50 |
$8,412.89
|
|
Repair radius & ulna
|
$14,024.00 |
$14,024.00 |
$14,024.00 |
$8,453.60
|
|
Repair rectum & vagina
|
$5,531.00 |
$5,531.00 |
$5,531.00 |
$5,394.95
|
|
Repair recur fem hernia reduce 49555
|
$6,990.75 |
$6,990.75 |
$6,990.75 |
$4,176.15
|
|
Repair retinal detach cplx
|
$12,170.00 |
$12,170.00 |
$12,170.00 |
$6,657.60
|
|
Repair/revise wrist joint
|
$15,487.50 |
$15,487.50 |
$15,487.50 |
$6,311.00
|
|
Repair rotator cuff acute
|
$10,413.00 |
$10,413.00 |
$10,413.00 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$5,383.75 |
$5,383.75 |
$5,383.75 |
$6,311.00
|
|
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx
|
$4,228.50 |
$4,228.50 |
$4,228.50 |
$1,006.50
|
|
Repair rpr lip full thickness vermilion only
|
$817.50 |
$817.50 |
$817.50 |
$1,224.63
|
|
Repair salivary duct
|
$7,465.75 |
$7,465.75 |
$7,465.75 |
$6,447.37
|
|
Repair shoulder capsule
|
$27,448.00 |
$27,448.00 |
$27,448.00 |
$7,842.71
|
|
Repair spinal fluid leakage 63707
|
$4,287.67 |
$4,287.67 |
$4,287.67 |
$1,708.80
|
|
Repair stomach opening
|
$7,847.50 |
$7,847.50 |
$7,847.50 |
$4,402.32
|
|
Repair tear ducts
|
$4,854.50 |
$4,854.50 |
$4,854.50 |
$2,993.60
|
|
Repair tendon extensor foot 1/2 each tendon
|
$7,028.34 |
$7,028.34 |
$7,028.34 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$10,546.25 |
$10,546.25 |
$10,546.25 |
$4,350.00
|
|
Repair toe dislocation
|
$5,066.25 |
$5,066.25 |
$5,066.25 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$363.50 |
$363.50 |
$363.50 |
$478.00
|
|
Repair upper arm/elbow tendon/muscle ea
|
$18,368.00 |
$18,368.00 |
$18,368.00 |
$8,453.60
|
|
Repair upper jaw fistula
|
$4,564.34 |
$4,564.34 |
$4,564.34 |
$6,523.41
|
|
Repair vagina
|
$3,302.75 |
$3,302.75 |
$3,302.75 |
$5,841.60
|
|
Repair vagina/perineum
|
$6,250.50 |
$6,250.50 |
$6,250.50 |
$4,094.65
|
|
Repair webbed toe(s)
|
$7,163.00 |
$7,163.00 |
$7,163.00 |
$1,893.86
|
|
Repair windpipe opening
|
$8,396.25 |
$8,396.25 |
$8,396.25 |
$6,547.81
|
|
Repeat thyroid surgery
|
$17,395.50 |
$17,395.50 |
$17,395.50 |
$6,553.49
|
|
Replace duod/jej tube perc
|
$1,796.50 |
$1,796.50 |
$1,796.50 |
$1,354.54
|
|
Replace elbow joint
|
$12,414.50 |
$12,414.50 |
$12,414.50 |
$16,139.55
|
|
Replace eye fluid
|
$3,150.50 |
$3,150.50 |
$3,150.50 |
$3,905.20
|
|
Replace g/c tube perc
|
$5,969.50 |
$5,969.50 |
$5,969.50 |
$1,341.50
|
|
Replace g-j tube perc
|
$2,441.00 |
$2,441.00 |
$2,441.00 |
$1,498.53
|
|
Replace/revise brain shunt
|
$24,075.00 |
$24,075.00 |
$24,075.00 |
$8,043.00
|
|
Replace skull plate/flap
|
$26,550.00 |
$26,550.00 |
$26,550.00 |
$2,454.40
|
|
Replace tissue expander w/perm prost 11970
|
$15,703.67 |
$15,703.67 |
$15,703.67 |
$8,453.60
|
