|
Repair of shoulder
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$6,661.18
|
|
Repair of thigh
|
$1,247.50 |
$1,247.50 |
$1,247.50 |
$4,456.40
|
|
Repair of thigh muscle
|
$658.50 |
$658.50 |
$658.50 |
$6,727.70
|
|
Repair of ureter
|
$879.50 |
$879.50 |
$879.50 |
$3,910.40
|
|
Repair palate
|
$7,475.50 |
$7,475.50 |
$7,475.50 |
$6,966.64
|
|
Repair paravag defect vag 57285
|
$727.00 |
$727.00 |
$727.00 |
$8,185.02
|
|
Repair pm/icd lead dual
|
$2,537.50 |
$2,537.50 |
$2,537.50 |
$4,343.82
|
|
Repair pm/icd lead sgl
|
$2,537.50 |
$2,537.50 |
$2,537.50 |
$4,339.00
|
|
Repair radius or ulna
|
$10,659.50 |
$10,659.50 |
$10,659.50 |
$8,412.89
|
|
Repair radius & ulna
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$8,453.60
|
|
Repair rectourethral fistula
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$1,822.36
|
|
Repair rectum & vagina
|
$5,608.50 |
$5,608.50 |
$5,608.50 |
$5,394.95
|
|
Repair/revise wrist joint
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$6,311.00
|
|
Repair rotator cuff acute
|
$901.50 |
$901.50 |
$901.50 |
$7,612.08
|
|
Repair rotator cuff chronic
|
$3,652.50 |
$3,652.50 |
$3,652.50 |
$6,311.00
|
|
Repair rpr lip full thickness vermilion only
|
$343.00 |
$343.00 |
$343.00 |
$1,224.63
|
|
Repair ruptd popliteal art
|
$1,504.50 |
$1,504.50 |
$1,504.50 |
$1,964.29
|
|
Repair shoulder capsule
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$7,842.71
|
|
Repair shoulder capsule
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$6,820.77
|
|
Repair shoulder capsule
|
$1,179.50 |
$1,179.50 |
$1,179.50 |
$5,855.00
|
|
Repair stomach-bowel fistula 43880
|
$1,735.50 |
$1,735.50 |
$1,735.50 |
$2,477.40
|
|
Repair stomach opening
|
$759.50 |
$759.50 |
$759.50 |
$4,402.32
|
|
Repair tendon extensor foot 1/2 each tendon
|
$347.50 |
$347.50 |
$347.50 |
$3,839.54
|
|
Repair tendon/muscle forearm/wrist prime sngl ea
|
$671.00 |
$671.00 |
$671.00 |
$4,350.00
|
|
Repair toe dislocation
|
$507.50 |
$507.50 |
$507.50 |
$3,591.33
|
|
Repair tongue lac <2.5cm past 1/3 tongue 41251
|
$199.50 |
$199.50 |
$199.50 |
$478.00
|
|
Repair umbilical lesion
|
$828.00 |
$828.00 |
$828.00 |
$4,176.15
|
|
Repair umbilical lesion
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$2,778.40
|
|
Repair umbilical lesion
|
$5,580.50 |
$5,580.50 |
$5,580.50 |
$6,916.28
|
|
Repair umbilical lesion
|
$782.00 |
$782.00 |
$782.00 |
$1,691.20
|
|
Repair umbilical lesion
|
$687.50 |
$687.50 |
$687.50 |
$1,489.60
|
|
Repair upper arm/elbow tendon/muscle ea
|
$7,702.00 |
$7,702.00 |
$7,702.00 |
$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
|
$408.50 |
$408.50 |
$408.50 |
$4,094.65
|
|
Repair vessel graft defect
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$3,031.20
|
|
Repair webbed toe(s)
|
$393.00 |
$393.00 |
$393.00 |
$1,893.86
|
|
Replace g/c tube perc
|
$71.50 |
$71.50 |
$71.50 |
$1,341.50
|
|
Replace tunneled cv cath
|
$218.00 |
$218.00 |
$218.00 |
$3,724.63
|
|
Reposition intraocular lens
|
$814.50 |
$814.50 |
$814.50 |
$3,057.60
|
|
Reposition pm/icd lead
|
$326.00 |
$326.00 |
$326.00 |
$3,790.00
|
|
Repos lv lead pm/icd
|
$517.00 |
$517.00 |
$517.00 |
$3,724.63
|
|
Repos sq defib eltrd
|
$2,537.50 |
$2,537.50 |
$2,537.50 |
$4,297.60
|
|
Repr elbow lat ligmnt w/tiss
|
$783.00 |
$783.00 |
$783.00 |
$3,839.54
|
|
Repr elbw med ligmnt w/tissu
|
$780.00 |
$780.00 |
$780.00 |
$4,919.44
|
|
Reremove wrist tendon lesion
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$1,904.00
|
|
Rerepair fem hernia blocked
|
$777.00 |
$777.00 |
$777.00 |
$4,176.15
|
|
Rerepair ing hernia blocked
|
$808.00 |
$808.00 |
$808.00 |
$5,110.00
|
|
Rerepair ing hernia reduce
|
$3,597.67 |
$3,597.67 |
$3,597.67 |
$4,881.00
|
|
Resect condyle distal phalanx ea toe 28153
|
$272.00 |
$272.00 |
$272.00 |
$3,296.80
|
|
Resect diaphragm complex
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$2,780.58
|
|
Resect diaphragm simple 39560
|
$856.00 |
$856.00 |
$856.00 |
$1,959.20
|
|
Resect face/scalp tum 2 cm/>
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$3,386.84
|
|
Resect mediastinal cyst 39200
|
$930.00 |
$930.00 |
$930.00 |
$2,124.80
|
|
Resect mediastinal tumor 39220
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$2,773.60
|
|
Resect part/compl phalangeal base ea 28126
|
$271.50 |
$271.50 |
$271.50 |
$3,821.05
|
|
Resuscitation cardiopulmonary
|
$290.00 |
$290.00 |
$290.00 |
$764.40
|
|
Resuscitation delivery/birthing room
|
$145.50 |
$145.50 |
$145.50 |
$780.42
|
|
Reticulocyte direct measurement automated
|
$14.50 |
$14.50 |
$14.50 |
$36.57
|
|
Revefenacin inh non-com 1mcg
|
$9.47 |
$9.47 |
$9.47 |
$15.56
|
|
Revise additional leg tendon
|
$108.50 |
$108.50 |
$108.50 |
$486.20
|
|
Revise arm/leg nerve
|
$550.50 |
$550.50 |
$550.50 |
$3,754.40
|
|
Revise eyelashes
|
$122.00 |
$122.00 |
$122.00 |
$659.20
|
|
Revise eyelid defect
|
$2,087.50 |
$2,087.50 |
$2,087.50 |
$2,760.73
|
|
Revise eyelid defect
|
$559.50 |
$559.50 |
$559.50 |
$2,784.00
|
|
Revise eyelid lining
|
$459.50 |
$459.50 |
$459.50 |
$2,698.92
|
|
Revise eyelid lining
|
$409.00 |
$409.00 |
$409.00 |
$3,482.06
|
|
Revise eyelid lining
|
$652.50 |
$652.50 |
$652.50 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$537.50 |
$537.50 |
$537.50 |
$3,269.14
|
|
Revise/graft eyelid lining
|
$642.50 |
$642.50 |
$642.50 |
$4,440.96
|
|
Revise/graft eyelid lining
|
$644.50 |
$644.50 |
$644.50 |
$4,462.45
|
|
Revise graft w/vein
|
$986.00 |
$986.00 |
$986.00 |
$5,419.00
|
|
Revise graft w/vein 35881
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$5,615.12
|
|
Revise hip joint replacement
|
$2,108.00 |
$2,108.00 |
$2,108.00 |
$6,930.55
|
|
Revise hip joint replacement
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$6,778.20
|
|
Revise hip joint replacement
|
$1,619.50 |
$1,619.50 |
$1,619.50 |
$6,492.20
|
|
Revise kneecap with implant
|
$7,423.50 |
$7,423.50 |
$7,423.50 |
$9,625.50
|
|
Revise lower leg tendon
|
$669.00 |
$669.00 |
$669.00 |
$3,986.00
|
|
Revise lower leg tendon
|
$812.00 |
$812.00 |
$812.00 |
$4,934.00
|
|
Revise reconst elbow joint
|
$1,951.00 |
$1,951.00 |
$1,951.00 |
$16,139.55
|
|
Revise/remove sling repair
|
$748.50 |
$748.50 |
$748.50 |
$3,720.50
|
|
Revise/replace knee joint
|
$1,549.00 |
$1,549.00 |
$1,549.00 |
$5,491.20
|
|
Revise/replace knee joint
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$7,048.60
|
|
Revise spermatic cord veins
|
$368.00 |
$368.00 |
$368.00 |
$4,345.52
|
|
Revise spine eltrd perq aray
|
$2,949.00 |
$2,949.00 |
$2,949.00 |
$7,496.58
|
|
Revise stomach bowel fusion 43860
|
$1,764.50 |
$1,764.50 |
$1,764.50 |
$3,110.40
|
|
Revise ulnar nerve at wrist
|
$445.00 |
$445.00 |
$445.00 |
$2,823.38
|
|
Revise vag graft via vagina
|
$551.50 |
$551.50 |
$551.50 |
$3,762.53
|
|
Revise windpipe scar
|
$377.00 |
$377.00 |
$377.00 |
$3,837.72
|
|
Revision of arm nerve(s)
|
$852.50 |
$852.50 |
$852.50 |
$3,833.60
|
|
Revision of big toe
|
$5,671.50 |
$5,671.50 |
$5,671.50 |
$5,855.00
|
|
Revision of bladder neck
|
$514.50 |
$514.50 |
$514.50 |
$4,526.00
|
|
Revision of bladder/urethra
|
$1,082.50 |
$1,082.50 |
$1,082.50 |
$1,348.58
|
|
Revision of calf tendon
|
$495.50 |
$495.50 |
$495.50 |
$3,839.54
|
|
Revision of cervix
|
$347.50 |
$347.50 |
$347.50 |
$3,721.00
|
|
Revision of circulation
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$2,547.00
|
|
Revision of circulation
|
$2,321.50 |
$2,321.50 |
$2,321.50 |
$2,435.00
|
|
Revision of circulation
|
$2,383.50 |
$2,383.50 |
$2,383.50 |
$5,409.60
|
|
Revision of circulation
|
$2,291.50 |
$2,291.50 |
$2,291.50 |
$5,200.00
|
|
Revision of collar bone
|
$869.50 |
$869.50 |
$869.50 |
$5,886.74
|
