|
Remove spine eltrd perq aray
|
$349.50 |
$349.50 |
$349.50 |
$3,325.40
|
|
Remove tonsils and adenoids
|
$304.50 |
$304.50 |
$304.50 |
$6,465.11
|
|
Remove tonsils and adenoids
|
$317.50 |
$317.50 |
$317.50 |
$3,786.00
|
|
Remove vaginal foreign body 57415
|
$3,205.00 |
$3,205.00 |
$3,205.00 |
$3,762.53
|
|
Remove wrist/forearm lesion
|
$801.00 |
$801.00 |
$801.00 |
$2,623.40
|
|
Remove wrist/forearm lesion
|
$638.50 |
$638.50 |
$638.50 |
$3,839.54
|
|
Remove wrist tendon lesion
|
$342.50 |
$342.50 |
$342.50 |
$3,229.32
|
|
Remvl peritoneal fb frm cavity
|
$921.50 |
$921.50 |
$921.50 |
$4,156.03
|
|
Renal function panel
|
$40.00 |
$40.00 |
$40.00 |
$113.52
|
|
Reopen fallopian tube
|
$96.00 |
$96.00 |
$96.00 |
$6,728.80
|
|
Reopening of recent laparotomy 49002
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$2,021.22
|
|
Reoperation carotid add-on 35390
|
$171.00 |
$171.00 |
$171.00 |
$346.80
|
|
Repair achilles tendon
|
$690.00 |
$690.00 |
$690.00 |
$7,494.45
|
|
Repair anal fistula
|
$585.50 |
$585.50 |
$585.50 |
$3,038.07
|
|
Repair artery rupture aorta
|
$2,781.50 |
$2,781.50 |
$2,781.50 |
$3,553.90
|
|
Repair artery rupture aorta
|
$2,333.50 |
$2,333.50 |
$2,333.50 |
$3,846.40
|
|
Repair artery rupture belly
|
$2,035.50 |
$2,035.50 |
$2,035.50 |
$9,204.80
|
|
Repair artery rupture neck
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$1,284.50
|
|
Repair artery rupture spleen
|
$1,759.00 |
$1,759.00 |
$1,759.00 |
$7,955.20
|
|
Repair artery rupture thigh 35142
|
$1,410.50 |
$1,410.50 |
$1,410.50 |
$6,489.60
|
|
Repair art rupture aorta 35082
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$4,366.80
|
|
Repair art rupture arm 35013
|
$1,274.50 |
$1,274.50 |
$1,274.50 |
$1,665.77
|
|
Repair art rupture chest 35022
|
$1,528.50 |
$1,528.50 |
$1,528.50 |
$2,799.00
|
|
Repair art rupture groin 35132
|
$1,759.00 |
$1,759.00 |
$1,759.00 |
$3,404.94
|
|
Repair av fistula ext 35190
|
$803.50 |
$803.50 |
$803.50 |
$6,366.08
|
|
Repair biceps tendon
|
$3,975.00 |
$3,975.00 |
$3,975.00 |
$6,839.00
|
|
Repair bladder defect
|
$779.50 |
$779.50 |
$779.50 |
$5,841.60
|
|
Repair blood ves direct neck 35201
|
$988.50 |
$988.50 |
$988.50 |
$5,907.78
|
|
Repair blood vess/direct/intra/abd 35221
|
$1,570.50 |
$1,570.50 |
$1,570.50 |
$1,904.24
|
|
Repair blood vessel direct hand finger
|
$795.00 |
$795.00 |
$795.00 |
$3,898.50
|
|
Repair blood vessel direct intrathoracic without bypass 35216
|
$2,213.50 |
$2,213.50 |
$2,213.50 |
$9,518.60
|
|
Repair blood vessel dir lower extr
|
$883.50 |
$883.50 |
$883.50 |
$1,705.04
|
|
Repair blood vessel dir upper extr
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$3,879.03
|
|
Repair blood vessel lesion
|
$1,037.50 |
$1,037.50 |
$1,037.50 |
$2,346.40
|
|
Repair blood vessel lesion
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$4,766.40
|
|
Repair blood vessel lesion
|
$923.00 |
$923.00 |
$923.00 |
$5,983.35
|
|
Repair blood vessel lesion 35211
|
$1,479.50 |
$1,479.50 |
$1,479.50 |
$2,285.40
|
|
Repair blood vessel w/graft intra-abd 35281
|
$1,658.50 |
$1,658.50 |
$1,658.50 |
$2,239.64
|
|
Repair blood vessel w/graft lower extremity 35286
|
$1,088.50 |
$1,088.50 |
$1,088.50 |
$5,983.35
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$4,341.66
|
|
Repair bowel-bladder fistula 44661
|
$1,645.50 |
$1,645.50 |
$1,645.50 |
$2,891.40
|
|
Repair bowel fistula 44650
|
$1,532.00 |
$1,532.00 |
$1,532.00 |
$1,558.00
|
|
Repair brow defect
|
$531.00 |
$531.00 |
$531.00 |
$2,760.73
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$740.00 |
$740.00 |
$740.00 |
$1,025.95
|
|
Repair defect arm art 35045
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$6,396.89
|
|
Repair defect of artery
|
$1,481.00 |
$1,481.00 |
$1,481.00 |
$2,168.66
|
|
Repair defect of artery
|
$1,335.50 |
$1,335.50 |
$1,335.50 |
$1,422.50
|
|
Repair defect of artery
|
$1,912.50 |
$1,912.50 |
$1,912.50 |
$3,131.20
|
|
Repair defect of artery
|
$1,430.50 |
$1,430.50 |
$1,430.50 |
$1,471.00
|
|
Repair defect of artery 35011
|
$1,075.50 |
$1,075.50 |
$1,075.50 |
$6,305.95
|
|
Repair defect of artery 35081
|
$1,850.50 |
$1,850.50 |
$1,850.50 |
$3,497.40
|
|
Repair defect of artery 35102
|
$2,012.50 |
$2,012.50 |
$2,012.50 |
$3,772.80
|
|
Repair defect of artery 35121
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$2,224.66
|
|
Repair defect of artery carotid subclav 35001
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$2,165.40
|
|
Repair deformity of toe
|
$380.00 |
$380.00 |
$380.00 |
$3,545.97
|
|
Repair degenerated kneecap
|
$862.00 |
$862.00 |
$862.00 |
$5,886.74
|
|
Repair dental ellis ii fx
|
$6,233.50 |
$6,233.50 |
$6,233.50 |
$442.48
|
|
Repair detached retina
|
$806.50 |
$806.50 |
$806.50 |
$3,468.40
|
|
Repair elbow deb/attch open
|
$702.00 |
$702.00 |
$702.00 |
$3,839.54
|
|
Repair elbow w/deb open
|
$2,411.50 |
$2,411.50 |
$2,411.50 |
$3,821.05
|
|
Repair extns tendon finger without grft ea
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$2,224.00
|
|
Repair eyelid defect
|
$724.00 |
$724.00 |
$724.00 |
$4,462.45
|
|
Repair eyelid defect
|
$624.00 |
$624.00 |
$624.00 |
$3,357.30
|
|
Repair eyelid defect
|
$450.00 |
$450.00 |
$450.00 |
$2,732.50
|
|
Repair eyelid defect
|
$328.00 |
$328.00 |
$328.00 |
$2,760.73
|
|
Repair eyelid defect
|
$2,351.50 |
$2,351.50 |
$2,351.50 |
$2,982.40
|
|
Repair eyelid defect
|
$477.00 |
$477.00 |
$477.00 |
$2,760.73
|
|
Repair eyelid defect
|
$457.00 |
$457.00 |
$457.00 |
$2,856.80
|
|
Repair fibula nonunion
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$6,879.60
|
|
Repair finger/hand tendon
|
$791.00 |
$791.00 |
$791.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$833.00 |
$833.00 |
$833.00 |
$4,150.20
|
|
Repair finger/hand tendon
|
$794.00 |
$794.00 |
$794.00 |
$3,848.00
|
|
Repair finger/hand tendon
|
$532.50 |
$532.50 |
$532.50 |
$3,839.54
|
|
Repair finger tendon
|
$574.00 |
$574.00 |
$574.00 |
$3,594.44
|
|
Repair foot dislocation
|
$747.50 |
$747.50 |
$747.50 |
$5,886.74
|
|
Repair foot dislocation
|
$861.00 |
$861.00 |
$861.00 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$593.50 |
$593.50 |
$593.50 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$671.50 |
$671.50 |
$671.50 |
$6,311.00
|
|
Repair/graft achilles tendon
|
$699.50 |
$699.50 |
$699.50 |
$8,429.28
|
|
Repair/graft femur head/neck
|
$1,240.50 |
$1,240.50 |
$1,240.50 |
$1,293.00
|
|
Repair/graft hand tendon
|
$722.50 |
$722.50 |
$722.50 |
$3,931.20
|
|
Repair/graft kneecap tendon
|
$20,010.00 |
$20,010.00 |
$20,010.00 |
$5,339.00
|
|
Repair/graft of foot tendon
|
$450.00 |
$450.00 |
$450.00 |
$5,886.74
|
|
Repair/graft of foot tendon
|
$438.50 |
$438.50 |
$438.50 |
$5,023.20
|
|
Repair/graft of thigh muscle
|
$898.00 |
$898.00 |
$898.00 |
$5,741.00
|
|
Repair/graft of tibia
|
$3,516.25 |
$3,516.25 |
$3,516.25 |
$5,020.60
|
|
Repair/graft radius or ulna
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$7,907.11
|
|
Repair humerus with graft
|
$22,910.00 |
$22,910.00 |
$22,910.00 |
$11,718.66
|
|
Repair ing hernia sliding
|
$619.00 |
$619.00 |
$619.00 |
$2,812.80
|
|
Repair iris & ciliary body
|
$594.50 |
$594.50 |
$594.50 |
$2,698.92
|
|
Repair iris & ciliary body
|
$660.50 |
$660.50 |
$660.50 |
$3,110.11
|
|
Repair lac palate<2 cm
|
$194.50 |
$194.50 |
$194.50 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$399.50 |
$399.50 |
$399.50 |
$1,308.00
|
|
Repair lumbar hernia
|
$726.00 |
$726.00 |
$726.00 |
$6,457.82
|
|
Repair nonunion hand
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$5,886.74
|
|
Repair of achilles tendon
|
$752.50 |
$752.50 |
$752.50 |
$5,326.50
|
|
Repair of aneurysm
|
$1,168.50 |
$1,168.50 |
$1,168.50 |
$4,013.30
|
|
Repair of ankle ligament
|
$509.50 |
$509.50 |
$509.50 |
$7,913.97
|
|
Repair of ankle ligament
|
$671.00 |
$671.00 |
$671.00 |
$5,741.00
|
|
Repair of ankle ligaments
|
$575.00 |
$575.00 |
$575.00 |
$5,741.00
|
