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All Services Surgery

MSDRG 470

Joint replacement (hip or knee)

CPT 29105

Application of full arm cast/splint

$809.00 Standard Charge

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CPT 25605

Treatment of forearm (radius or ulna) fracture

$3,669.00 Standard Charge

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CPT 69200

Removal of foreign body from ear canal

$818.00 Standard Charge

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CPT 45378

Colonoscopy, diagnostic

$5,516.00 Standard Charge

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CPT 29130

Application of finger splint

$916.00 Standard Charge

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CPT 55700

Biopsy of prostate gland

$4,739.00 Standard Charge

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CPT 45391

Ultrasound of lower large bowel using an endoscope

$5,020.00 Standard Charge

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CPT 36430

Transfusion of Blood or Blood Products

$2,506.00 Standard Charge

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CPT 12001

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities

$1,664.00 Standard Charge

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CPT 29125

Application of short arm cast/splint (below the elbow)

$1,057.00 Standard Charge

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MSDRG 460

Spinal fusion (non-cervical)

CPT 29505

Application of full leg cast/splint

$1,187.00 Standard Charge

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CPT 17250

Chemical destruction of pre- cancerous lesions of the skin

$1,253.00 Standard Charge

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CPT 45385

Colonoscopy, with tumor removal (SNARE)

$5,516.00 Standard Charge

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MSDRG 216

Cardiac valve procedure with cardiac catheterization (major complications)

MSDRG 473

Spinal fusion (cervical)

CPT 43239

EGD and biopsy

$5,808.00 Standard Charge

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MSDRG 743

Uterine and adnexa procedures, non-malignancy

CPT 29515

Application of short leg cast/splint (below the knee)

$1,125.00 Standard Charge

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CPT 20680

Removal of implant; deep

$7,966.00 Standard Charge

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CPT 59510

Routine obstetric care for cesarean delivery, including pre-and postdelivery care

$22,280.00 Standard Charge

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CPT 43762

Replacement of gastrostromy tube (G-tube)

$2,179.00 Standard Charge

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CPT 59000

Removal of amniotic fluid from the uterus for diagnostic purposes

$1,476.00 Standard Charge

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CPT 43235

Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope

$4,487.00 Standard Charge

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CPT 47000

Biopsy of liver via needle inserted into skin

$4,895.00 Standard Charge

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CPT 12002

Repair of Wound (2.6 to 7.5 centimeters)

$1,718.00 Standard Charge

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CPT 69210

Removal of ear wax, both ears

$1,091.00 Standard Charge

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CPT 59025

A common prenatal test used to check on a baby's health.

$1,360.00 Standard Charge

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CPT 11200

Removal of skin tags, multiple fibrocutaneous tags, any area

$457.00 Standard Charge

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CPT 36590

Ultrasound Veins of One Arm or Leg

$6,355.00 Standard Charge

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CPT 45380

Colonoscopy, with biopsy

$5,516.00 Standard Charge

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CPT 12011

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes

$1,658.00 Standard Charge

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CPT 36415

Venipuncture (blood collection)

$54.00 Standard Charge

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CPT 59400

Routine obstetric care

$4,672.00 Standard Charge

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CPT 51701

Insertion of temporary bladder catheter

$345.00 Standard Charge

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CPT 10060

Drainage of Abscess

$1,729.00 Standard Charge

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CPT 36592

Collection of blood specimen from central or peripheral venous catheter

$457.00 Standard Charge

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CPT 10080

Incision and drainage of pilonidal (near tailbone) cyst

$1,071.00 Standard Charge

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CPT 62322

Injection of substance into spinal canal of lower back or sacrum using imaging guidance

$2,940.00 Standard Charge

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CPT 10120

Incision and removal of foreign body, subcutaneous tissues; simple

$1,801.00 Standard Charge

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CPT 62323

Injection of substance into spinal canal of lower back or sacrum using imaging guidance

$3,689.00 Standard Charge

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CPT 64483

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance

$2,940.00 Standard Charge

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