|
Repair blood vessel dir upper extr
|
$10,180.24 |
$10,180.24 |
$10,180.24 |
$4,051.32
|
|
Repair blood vessel w/graft lower extremity 35286
|
$12,537.60 |
$12,537.60 |
$12,537.60 |
$5,988.54
|
|
Repair blood vessel w/vein graft lower extremity 35256
|
$5,605.60 |
$5,605.60 |
$5,605.60 |
$4,341.66
|
|
Repair bowel-bladder fistula 44660
|
$5,334.40 |
$5,334.40 |
$5,334.40 |
$2,041.80
|
|
Repair bowel-bladder fistula 44661
|
$4,646.40 |
$4,646.40 |
$4,646.40 |
$2,664.80
|
|
Repair bronchus add-on
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$593.60
|
|
Repair brow defect
|
$8,020.00 |
$8,020.00 |
$8,020.00 |
$2,820.92
|
|
Repair cardiac wound without bypass
|
$9,396.80 |
$9,396.80 |
$9,396.80 |
$7,369.60
|
|
Repair carpal bone shorten
|
$5,702.40 |
$5,702.40 |
$5,702.40 |
$3,856.00
|
|
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm
|
$1,065.35 |
$1,065.35 |
$2,236.92 |
$1,059.20
|
|
Repair defect arm art 35045
|
$7,991.20 |
$7,991.20 |
$7,991.20 |
$6,366.08
|
|
Repair defect of artery 35011
|
$7,171.20 |
$7,171.20 |
$7,171.20 |
$6,305.95
|
|
Repair defect of artery 35081
|
$6,273.60 |
$6,273.60 |
$6,273.60 |
$3,497.40
|
|
Repair defect of artery aneurysm 35151
|
$5,776.00 |
$5,776.00 |
$5,776.00 |
$4,292.40
|
|
Repair defect of artery carotid subclav 35001
|
$7,884.00 |
$7,884.00 |
$7,884.00 |
$5,410.60
|
|
Repair dental ellis ii fx
|
$667.93 |
$667.93 |
$6,116.00 |
$442.48
|
|
Repair eardrum structures
|
$7,563.20 |
$7,563.20 |
$7,563.20 |
$6,804.50
|
|
Repair elbow deb/attch open
|
$7,269.60 |
$7,269.60 |
$7,269.60 |
$3,839.54
|
|
Repair elbow perc
|
$7,269.60 |
$7,269.60 |
$7,269.60 |
$4,350.00
|
|
Repair elbow w/deb open
|
$7,269.60 |
$7,269.60 |
$7,269.60 |
$3,839.54
|
|
Repair esophagus wound 43415
|
$6,836.00 |
$6,836.00 |
$6,836.00 |
$6,279.20
|
|
Repair extns tendon finger without grft ea
|
$4,177.25 |
$4,177.25 |
$4,999.32 |
$2,353.50
|
|
Repair eyelid defect
|
$3,609.60 |
$3,609.60 |
$3,609.60 |
$3,609.60
|
|
Repair eyelid defect
|
$3,452.80 |
$3,452.80 |
$3,452.80 |
$2,760.73
|
|
Repair eyelid defect
|
$3,296.00 |
$3,296.00 |
$3,296.00 |
$3,176.00
|
|
Repair eyelid wound
|
$3,296.00 |
$3,296.00 |
$14,468.30 |
$3,296.00
|
|
Repair finger/hand tendon
|
$4,664.00 |
$4,664.00 |
$4,664.00 |
$4,204.20
|
|
Repair finger/hand tendon
|
$5,392.80 |
$5,392.80 |
$5,392.80 |
$4,150.20
|
|
Repair finger/hand tendon
|
$4,968.80 |
$4,968.80 |
$4,968.80 |
$4,351.50
|
|
Repair finger/hand tendon
|
$4,177.25 |
$4,177.25 |
$4,754.40 |
$3,848.00
|
|
Repair finger/hand tendon
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$3,839.54
|
|
Repair foot dislocation
|
$4,191.20 |
$4,191.20 |
$4,191.20 |
$5,810.00
|
|
Repair foot dislocation
|
$4,894.40 |
$4,894.40 |
$4,894.40 |
$6,307.00
|
|
Repair foot dislocation
|
$2,902.40 |
$2,902.40 |
$2,902.40 |
$5,886.74
|
|
Repair forearm tendon/muscle
|
$4,183.20 |
$4,183.20 |
$4,183.20 |
$4,379.20
|
|
Repair forearm tendon/muscle
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$3,839.54
|
|
Repair forearm tendon/muscle
|
$3,801.60 |
$3,801.60 |
$3,801.60 |
$3,839.54
|
|
Repair forearm tendon/muscle sec 25263
|
$3,801.60 |
$3,801.60 |
$3,801.60 |
$5,507.00
|
|
Repair forearm tendon sheath
|
$5,702.40 |
$5,702.40 |
$5,702.40 |
$3,839.54
|
|
Repair/graft achilles tendon
|
$3,636.80 |
$3,636.80 |
$3,636.80 |
$7,907.11
|
|
Repair/graft femur head/neck
|
$8,656.00 |
$8,656.00 |
$8,656.00 |
$1,292.50
|
|
Repair/graft finger tendon
|
$4,663.20 |
$4,663.20 |
$4,663.20 |
$3,839.54
|
|
Repair/graft hand tendon
|
$4,866.40 |
$4,866.40 |
$4,866.40 |
$5,741.00
|
|
Repair/graft hand tendon
|
$5,058.40 |
$5,058.40 |
$5,058.40 |
$7,807.24
|
|
Repair/graft hand tendon
|
$4,996.00 |
$4,996.00 |
$4,996.00 |
$7,807.24
|
|
Repair/graft hand tendon
|
$5,163.20 |
$5,163.20 |
$5,163.20 |
$6,307.00
|
|
Repair/graft hand tendon
|
$4,608.80 |
$4,608.80 |
$4,608.80 |
$3,977.49
|
|
Repair/graft of thigh
|
$9,316.00 |
$9,316.00 |
$9,316.00 |
$2,875.62
|
|
Repair/graft of thigh muscle
|
$6,090.40 |
$6,090.40 |
$6,090.40 |
$5,943.97
|
|
Repair/graft radius or ulna
|
$9,121.60 |
$9,121.60 |
$9,121.60 |
$7,913.97
|
|
Repair/graft radius or ulna
|
$8,553.60 |
$8,553.60 |
$8,553.60 |
$7,807.24
|
|
Repair/graft radius & ulna
|
$10,835.20 |
$10,835.20 |
$10,835.20 |
$8,159.00
|
|
Repair/graft radius & ulna
|
$9,688.80 |
$9,688.80 |
$9,688.80 |
$5,528.00
|
|
Repair/graft wrist bone
|
$8,553.60 |
$8,553.60 |
$8,553.60 |
$5,376.00
|
|
Repair hand joint
|
$4,022.40 |
$4,022.40 |
$4,022.40 |
$3,839.54
|
|
Repair hand joint with graft
|
$4,795.20 |
$4,795.20 |
$4,795.20 |
$3,839.54
|
|
Repair hand joint with graft
|
$4,129.60 |
$4,129.60 |
$4,129.60 |
$3,336.65
|
|
Repair heart septum defect 33681
|
$12,876.00 |
$12,876.00 |
$12,876.00 |
$4,489.60
|
|
Repair humerus with graft
|
$11,540.00 |
$11,540.00 |
$11,540.00 |
$9,791.00
|
|
Repair ing hernia sliding
|
$3,572.80 |
$3,572.80 |
$3,572.80 |
$3,856.84
|
|
Repair lac palate<2 cm
|
$788.80 |
$788.80 |
$788.80 |
$780.65
|
|
Repair lip full thkns =<one-half vert height
|
$1,281.50 |
$1,281.50 |
$3,531.23 |
$1,326.51
|
|
Repair lip full thkns >one-half vert height/cmplx
|
$3,531.23 |
$3,531.23 |
$3,531.23 |
$1,928.07
|
|
Repair lower leg tendons
|
$6,885.60 |
$6,885.60 |
$6,885.60 |
$7,906.00
|
|
Repair lumbar hernia
|
$6,944.80 |
$6,944.80 |
$6,944.80 |
$6,457.82
|
|
Repair lung hernia 32800
|
$6,783.20 |
$6,783.20 |
$6,783.20 |
$2,303.20
|
|
Repair major blood vessel(s) w/bypass 33322
|
$6,973.60 |
$6,973.60 |
$6,973.60 |
$3,392.00
|
|
Repair nasal septum defect
|
$3,031.20 |
$3,031.20 |
$3,031.20 |
$3,837.72
|
|
Repair nasal stenosis
|
$4,077.60 |
$4,077.60 |
$4,077.60 |
$6,547.81
|
|
Repair nonunion carpal bone
|
$8,553.60 |
$8,553.60 |
$8,553.60 |
$7,907.11
|
|
Repair nonunion hand
|
$6,952.00 |
$6,952.00 |
$6,952.00 |
$5,886.74
|
|
Repair nose to lip fistula
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$6,547.81
|
|
Repair of achilles tendon
|
$3,771.20 |
$3,771.20 |
$3,771.20 |
$5,594.25
|
|
Repair of anal stricture
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$3,038.07
|
|
Repair of aneurysm
|
$5,953.60 |
$5,953.60 |
$5,953.60 |
$4,560.00
|
|
Repair of ankle ligament
|
$5,193.60 |
$5,193.60 |
$5,193.60 |
$6,311.00
|
|
Repair of ankle ligaments
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$5,339.00
|
|
Repair of aortic valve
|
$19,880.80 |
$19,880.80 |
$19,880.80 |
$5,242.40
|
|
Repair of body cast
|
$284.00 |
$284.00 |
$284.00 |
$223.45
|
|
Repair of circumcision
|
$483.20 |
$483.20 |
$483.20 |
$3,316.80
|
|
Repair of digit nerve hand/foot 1 nerve
|
$4,568.00 |
$4,568.00 |
$4,568.00 |
$3,619.45
|
|
Repair of facial nerve
|
$2,833.60 |
$2,833.60 |
$2,833.60 |
$6,588.00
|
|
Repair of foot tendon
|
$2,679.20 |
$2,679.20 |
$2,679.20 |
$3,977.49
|
|
Repair of humerus
|
$9,002.40 |
$9,002.40 |
$9,002.40 |
$6,588.00
|
|
Repair of hydrocele 55060
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$3,786.00
|
|
Repair of kneecap tendon
|
$3,165.60 |
$3,165.60 |
$3,165.60 |
$6,311.00
|
|
Repair of knee cartilage
|
$8,214.40 |
$8,214.40 |
$8,214.40 |
$5,855.00
|
|
Repair of knee ligament
|
$7,008.80 |
$7,008.80 |
$7,008.80 |
$5,886.13
|
|
Repair of knee ligament
|
$17,452.00 |
$17,452.00 |
$17,452.00 |
$6,311.00
|
|
Repair of leg tendon each
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$3,680.78
|
|
Repair of metatarsals
|
$3,781.60 |
$3,781.60 |
$3,781.60 |
$6,512.80
|
|
Repair of mitral valve w/bypass 33425
|
$16,882.40 |
$16,882.40 |
$16,882.40 |
$6,668.80
|
|
Repair of nasal septum
|
$3,452.00 |
$3,452.00 |
$3,452.00 |
$4,924.40
|
|
Repair of ruptured tendon
|
$8,193.60 |
$8,193.60 |
$8,193.60 |
$6,484.80
|
|
Repair of shoulder
|
$22,040.80 |
$22,040.80 |
$22,040.80 |
$7,250.26
|
|
Repair of sperm duct
|
$3,865.60 |
$3,865.60 |
$3,865.60 |
$4,525.95
|
|
Repair of thigh
|
$8,683.20 |
$8,683.20 |
$8,683.20 |
$4,456.40
|
|
Repair of thigh muscle
|
$7,725.60 |
$7,725.60 |
$7,725.60 |
$6,727.70
|
|
Repair of toe dislocation
|
$1,380.80 |
$1,380.80 |
$1,380.80 |
$3,958.50
|
|
Repair of urethra defect
|
$1,704.80 |
$1,704.80 |
$1,704.80 |
$6,015.75
|
