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All Services Surgery

CPT 59414

Vaginal delivery of placenta

$2,500.00 Standard Charge

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CPT 23650

Treatment of shoulder dislocation without anesthesia

$425.50 Standard Charge

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CPT 12005

Repair of Wound (7.6 to 12.5 cm)

$275.00 Standard Charge

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CPT 10060

Drainage of Abscess

$93.00 Standard Charge

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CPT 49082

Paracentesis (removal of fluid from peritoneal cavity) without guidance

$153.00 Standard Charge

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CPT 69209

Removal of ear wax, 1 ear

$135.00 Standard Charge

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CPT 46255

Removal of internal and external hemorrhoids

$6,027.00 Standard Charge

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CPT 62321

Injection of substance into spinal canal of upper or middle back using imaging guidance

$110.22 Standard Charge

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CPT 55040

Excision of hydrocele

$7,875.00 Standard Charge

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CPT 29505

Application of full leg cast/splint

$145.50 Standard Charge

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CPT 27380

Suture of infrapatellar tendon; primary

$14,608.42 Standard Charge

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CPT 27570

Manipulation of knee joint under general anesthesia

$5,268.90 Standard Charge

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CPT 45379

Removal of foreign bodies in large bowel using an endoscope

$2,418.15 Standard Charge

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CPT 29130

Application of finger splint

$67.50 Standard Charge

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CPT 36592

Collection of blood specimen from central or peripheral venous catheter

$178.50 Standard Charge

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CPT 11750

Excision of nail and nail matrix

$130.77 Standard Charge

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CPT 25605

Treatment of forearm (radius or ulna) fracture

$708.00 Standard Charge

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CPT 45378

Colonoscopy, diagnostic

$2,887.50 Standard Charge

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CPT 69436

Create eardrum opening

$158.86 Standard Charge

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CPT 62323

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

$102.01 Standard Charge

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CPT 19101

Biopsy of breast

$7,665.00 Standard Charge

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CPT 28292

Correction, hallux valgus

$700.00 Standard Charge

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CPT 17000

Destruction of pre-cancerous lesio

$49.79 Standard Charge

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CPT 12002

Repair of Wound (2.6 to 7.5 centimeters)

$159.00 Standard Charge

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CPT 69210

Removal of ear wax, both ears

$135.00 Standard Charge

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CPT 29105

Application of full arm cast/splint

$87.00 Standard Charge

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CPT 20605

Arthrocentesis (drainage) of joint

$87.00 Standard Charge

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CPT 26160

Hand/finger lesion excision

$320.00 Standard Charge

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CPT 28289

Hallux rigidus correction with cheilectomy

$6,604.50 Standard Charge

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CPT 59426

Pre-delivery care 7 or more visits

$1,292.55 Standard Charge

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CPT 45381

Injections of large bowel using an endoscope

$2,418.50 Standard Charge

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CPT 17110

Destruction of 1-14 common or plantar warts

$64.55 Standard Charge

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CPT 20525

Removal of foreign body in muscle or tendon sheath

$209.00 Standard Charge

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CPT 27340

Excision, prepatellar bursa

$6,615.00 Standard Charge

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CPT 28315

Sesamoidectomy, first toe

$757.00 Standard Charge

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CPT 11900

Injections to remove up to 7 lesion on the skin

$400.00 Standard Charge

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CPT 45385

Colonoscopy, with tumor removal (SNARE)

$3,150.00 Standard Charge

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CPT 58662

Destruction or removal of ovary or pelvic growths using an endoscope

$2,010.00 Standard Charge

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CPT 54161

Circumcision, adult

$4,175.94 Standard Charge

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CPT 29881

Knee arthroscopic cartilage removal

$1,530.00 Standard Charge

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CPT 28080

Excision, interdigital neuroma

$278.72 Standard Charge

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CPT 29515

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

$95.00 Standard Charge

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CPT 58661

Removal of ovaries and/or tubes using an endoscope

$1,840.00 Standard Charge

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CPT 44970

Removal of appendix using an endoscope (Outpatient)

$12,484.50 Standard Charge

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CPT 28285

Correction, hammertoe

$388.50 Standard Charge

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CPT 29824

Shoulder arthroscopy

$639.50 Standard Charge

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CPT 63685

Neurostimulator pulse generator

$343.41 Standard Charge

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CPT 17111

Destruction of >15 common or plantar warts

$268.80 Standard Charge

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MSDRG 473

Cervical spinal fusion

CPT 29888

ACL repair/augmentation/reconstruction

$14,608.65 Standard Charge

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CPT 20612

Removal of fluid or injection of medication into a ganglion cyst

$130.00 Standard Charge

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CPT 42820

Tonsil removal (patient under 12)

$293.50 Standard Charge

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CPT 27096

Sacroiliac joint injection

$190.00 Standard Charge

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CPT 20551

Injection of medication into the tendon/ligament origin

$198.00 Standard Charge

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MSDRG 743

Uterine and adnexa procedures, non-malignancy

CPT 10160

Image-guided puncture and drainage (aspiration) of cyst or abscess

$59.00 Standard Charge

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CPT 59025

Fetal non-stress test

$120.75 Standard Charge

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CPT 19120

Excision of cyst of breast

$7,364.67 Standard Charge

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CPT 11721

Removal of 6 or more nails

$40.00 Standard Charge

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CPT 64718

Neuroplasty and/or transposition; ulnar nerve

$4,095.23 Standard Charge

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CPT 69200

Removal of foreign body from ear canal

$87.00 Standard Charge

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CPT 36430

Transfusion of Blood or Blood Products

$1,205.40 Standard Charge

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CPT 49083

Paracentesis (removal of fluid from peritoneal cavity) with guidance

$98.80 Standard Charge

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CPT 19301

Partial removal of breast

$7,364.67 Standard Charge

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CPT 49505

Inguinal hernia repair (age over 5)

$8,190.00 Standard Charge

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CPT 45384

Removal of polyps or growths in large bowel using an endoscope

$2,418.50 Standard Charge

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CPT 46260

Removal of multiple internal and external hemorrhoid groups

$6,037.50 Standard Charge

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CPT 46050

Incision and drainage, perianal abscess, superficial

$93.03 Standard Charge

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CPT 64721

Release of the transverse carpal ligament

$407.05 Standard Charge

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CPT 43239

EGD and biopsy

$337.00 Standard Charge

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CPT 43762

Replacement of gastrostromy tube (G-tube)

$36.72 Standard Charge

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CPT 11200

Removal of skin tags, multiple fibrocutaneous tags, any area

$128.50 Standard Charge

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CPT 20550

Injection of medication into a tendon or ligament

$67.50 Standard Charge

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CPT 29580

Strapping, Unna boot

$34.46 Standard Charge

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CPT 24105

Excision, olecranon bursa

$6,604.87 Standard Charge

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CPT 19303

Total removal of breast

$12,907.24 Standard Charge

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CPT 29805

Arthroscopy, shoulder, diagnostic

$6,610.95 Standard Charge

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CPT 51702

Insertion of Indwelling Bladder Catheter

$48.00 Standard Charge

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CPT 42830

Adenoidectomy

$210.96 Standard Charge

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CPT 19307

Removal of breast and underarm lymph nodes

$12,907.24 Standard Charge

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CPT 26770

Closed treatment of dislocated finger joint with manipulation

$237.00 Standard Charge

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CPT 10120

Incision and removal of foreign body, subcutaneous tissues; simple

$89.50 Standard Charge

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CPT 29806

Arthroscopy, shoulder, surgical

$13,913.00 Standard Charge

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CPT 59425

Pre-delivery care 4-6 visits

$1,231.00 Standard Charge

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CPT 27043

Excision, tumor, soft tissue of pelvis and hip area

$5,529.91 Standard Charge

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CPT 19083

Ultrasound-guided breast biopsy

$98.80 Standard Charge

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CPT 26756

Finger/thumb distal phalangeal fixation (pinning)

$472.00 Standard Charge

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CPT 23515

Treatment of clavicular fracture

$14,608.65 Standard Charge

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CPT 42821

Tonsillectomy and adenoidectomy; age 12 or over

$292.53 Standard Charge

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CPT 62322

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

$1,522.50 Standard Charge

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CPT 49560

Repair initial incisional or ventral hernia; reducible

$7,420.28 Standard Charge

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CPT 47563

Cholecystectomy with cholangiography

$11,801.04 Standard Charge

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CPT 58100

Biopsy of the lining of the uterus

$400.00 Standard Charge

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CPT 19125

Excision of breast lesion

$7,364.67 Standard Charge

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CPT 36590

Ultrasound Veins of One Arm or Leg

$3,279.64 Standard Charge

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CPT 55250

Removal of sperm duct(s)

$644.00 Standard Charge

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CPT 45380

Biopsy of large bowel using an endoscope

$3,150.00 Standard Charge

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CPT 28119

Ostectomy, calcaneus

$6,604.87 Standard Charge

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CPT 20670

Removal of implant; superficial

$3,281.54 Standard Charge

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CPT 29873

Arthroscopy, knee, surgical; with lateral release

$6,835.50 Standard Charge

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CPT 49507

Trapped inguinal hernia repair (age over 5)

$8,080.80 Standard Charge

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CPT 11730

Separation and removal of the entire nail plate or a portion of nail plate

$100.50 Standard Charge

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CPT 27650

Repair, primary, ruptured Achilles tendon;

$14,608.65 Standard Charge

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CPT 20680

Removal of implant; deep

$411.69 Standard Charge

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CPT 29826

Shoulder arthroscopy with bone shaving

$496.00 Standard Charge

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CPT 49653

Repair of trapped hernia using an endoscope

$16,278.15 Standard Charge

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CPT 31276

Nasal/sinus endoscopy, surgical, with frontal sinus exploration

$494.45 Standard Charge

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CPT 26055

Tendon sheath incision

$644.00 Standard Charge

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CPT 19000

Image-guided puncture and drainage (aspiration) of cyst or abscess in the breast

$98.80 Standard Charge

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CPT 28110

Ostectomy, partial excision

$272.94 Standard Charge

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CPT 12001

Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less

$110.00 Standard Charge

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CPT 11770

Excision of pilonidal cyst or sinus; simple

$5,848.50 Standard Charge

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CPT 10080

Incision and drainage of pilonidal (near tailbone) cyst

$243.00 Standard Charge

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CPT 58558

Biopsy and/or removal of polyp of the uterus using an endoscope

$700.00 Standard Charge

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CPT 28060

Fasciectomy, plantar fascia

$6,604.50 Standard Charge

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CPT 47562

Cholecystectomy

$12,722.85 Standard Charge

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CPT 10140

Incision and drainage of hematoma, seroma or fluid collection

$113.00 Standard Charge

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CPT 28296

Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes

$504.94 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

$114.35 Standard Charge

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CPT 36415

Venipuncture (blood collection)

$26.25 Standard Charge

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CPT 28043

Excision, tumor, soft tissue of foot or toe; subcutaneous

$3,281.54 Standard Charge

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CPT 11102

Tangential biopsy of skin (for example, shave, scoop, saucerize, curette); single lesion

$442.91 Standard Charge

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CPT 29877

Knee arthroscopic chrondoplasty

$6,835.50 Standard Charge

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CPT 17250

Chemical destruction of pre- cancerous lesions of the skin

$107.50 Standard Charge

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CPT 52000

Procedure on the bladder

$670.00 Standard Charge

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CPT 17003

Destruction of 2-14 pre-cancerous lesions

$2.38 Standard Charge

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MSDRG 216

Cardiac valve procedure with cardiac catheterization (major complications)

CPT 10061

Drainage of skin abscess

$148.50 Standard Charge

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CPT 11000

Removal of infected skin

$67.50 Standard Charge

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CPT 11772

Excision of pilonidal cyst or sinus; complicated

$5,530.35 Standard Charge

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CPT 20600

Arthrocentesis (drainage) of small joint

$101.00 Standard Charge

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CPT 27327

Excision, tumor, soft tissue of thigh or knee area

$3,885.00 Standard Charge

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CPT 29880

Surgery to remove of all or part of a torn meniscus in both medial and lateral compartments

$1,590.00 Standard Charge

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CPT 11056

Paring or cutting of benign hyperkeratotic lesion

$15.92 Standard Charge

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CPT 36416

Collection of capillary blood specimen

$26.25 Standard Charge

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CPT 47000

Biopsy of liver via needle inserted into skin

$197.60 Standard Charge

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CPT 20610

Joint arthrocentesis

$28.60 Standard Charge

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CPT 58301

Removal of intrauterine device (IUD)

$46.84 Standard Charge

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CPT 12011

Simple wound repair of face, including ears; 2.5 cm or less

$152.00 Standard Charge

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CPT 51798

Ultrasound of bladder to measure urine capacity

$290.00 Standard Charge

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CPT 58300

Insertion of intrauterine device (IUD)

$180.00 Standard Charge

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CPT 51701

Insertion of temporary bladder catheter

$25.56 Standard Charge

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CPT 58571

Laparoscopic hysterectomy

$711.00 Standard Charge

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CPT 42826

Tonsil removal (patient 12 and over)

$725.00 Standard Charge

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CPT 29125

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

$95.00 Standard Charge

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MSDRG 470

Joint replacement (hip or knee)

CPT 20553

Injection of medication into an are that triggers pain

$59.20 Standard Charge

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CPT 30520

Repair of nasal septum (septoplasty)

$870.60 Standard Charge

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CPT 36556

Insert non-tunneled catheter (age over 5)

$540.00 Standard Charge

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CPT 25000

Incision, extensor tendon sheath, wrist

$964.00 Standard Charge

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CPT 31231

Nasal endoscopy, diagnostic, unilateral or bilateral

$135.00 Standard Charge

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CPT 23550

Treatment of acromioclavicular dislocation

$14,608.65 Standard Charge

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CPT 43235

EGD

$337.00 Standard Charge

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