Van Diest Medical Center

All Services Surgery
CPT 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level See All Rates
CPT 41899 Oral Rehabilitation See All Rates
CPT 28308 Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each See All Rates
MSDRG 470 Major joint replacement or reattachment of lower extremity See All Rates
MSDRG 743 Uterine and adnexa procedures for non-malignancy See All Rates
CPT 66982 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation See All Rates
CPT 36415 Collection of venous blood by venipuncture $21.00 Standard Charge See All Rates
CPT 49596 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated See All Rates
CPT 66991 Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more See All Rates
CPT 62322 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $531.00 Standard Charge See All Rates
CPT 45380 Biopsy of large bowel using an endoscope See All Rates
CPT 27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or ct) including arthrography when performed $438.00 Standard Charge See All Rates
MSDRG 473 Cervical spinal fusion See All Rates
CPT 19120 Removal of breast lesion $1,624.00 Standard Charge See All Rates
CPT 64624 Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed See All Rates
CPT 66984 Removal of cataract with insertion of lens See All Rates
CPT 47562 Removal of gallbladder using an endoscope See All Rates
CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance $402.00 Standard Charge See All Rates
CPT 64635 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint See All Rates
CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) See All Rates
MSDRG 216 Cardiac Valve Replacement See All Rates

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All Services Surgery

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level

Oral Rehabilitation

Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each

Major joint replacement or reattachment of lower extremity

Uterine and adnexa procedures for non-malignancy

Collection of venous blood by venipuncture

Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated

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

Biopsy of large bowel using an endoscope

Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or ct) including arthrography when performed

Cervical spinal fusion

Removal of breast lesion

Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed

Removal of cataract with insertion of lens

Removal of gallbladder using an endoscope

Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance

Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint

Cardiac Valve Replacement