Medical Procedure Costs

19371

Peri-implt capslc brst compl

Surgery - Integumentary

$649

—

19380

Revj reconstructed breast

Surgery - Integumentary

$736

—

19396

Design custom breast implant

Surgery - Integumentary

$126

—

20100

Expl pentrg wound neck

Surgery - Musculoskeletal

$546

—

20101

Expl pentrg wound chest

Surgery - Musculoskeletal

$202

—

20102

Expl pentrg wnd abd/flnk/bk

Surgery - Musculoskeletal

$245

—

20103

Expl pentrg wound extremity

Surgery - Musculoskeletal

$317

—

20150

Excision epiphyseal bar

Surgery - Musculoskeletal

$921

—

20200

Muscle biopsy superficial

Surgery - Musculoskeletal

$90

—

20205

Deep muscle biopsy

Surgery - Musculoskeletal

$147

—

20206

Biopsy muscle perq needle

Surgery - Musculoskeletal

$51

—

20220

Bone biopsy trocar/ndl supfc

Surgery - Musculoskeletal

$76

—

20225

Bone biopsy trocar/ndl deep

Surgery - Musculoskeletal

$113

—

20240

Bone biopsy open superficial

Surgery - Musculoskeletal

$127

—

20245

Bone biopsy open deep

Surgery - Musculoskeletal

$303

—

20250

Biopsy vrt bdy open thoracic

Surgery - Musculoskeletal

$387

—

20251

Biopsy vrt bdy open lmbr/crv

Surgery - Musculoskeletal

$421

—

20482000230

SUBSYS 200 MCG SPRAY

Prescription Drug - Brand

$82

—

20500

Njx sinus tract therapeutic

Surgery - Musculoskeletal

$84

—

20501

Njx sinus tract diagnostic

Surgery - Musculoskeletal

$31

—

20520

Rmvl fb musc/tdn simple

Surgery - Musculoskeletal

$142

—

20525

Rmvl fb musc/tdn deep/comp

Surgery - Musculoskeletal

$233

—

20526

Ther injection carp tunnel

Surgery - Musculoskeletal

$49

—

20527

Njx nzm palmar fascial cord

Surgery - Musculoskeletal

$58

—

20550

Njx 1 tendon sheath/ligament

Surgery - Musculoskeletal

$33

—

20551

Njx 1 tendon origin/insj

Surgery - Musculoskeletal

$33

—

20552

Njx 1/mlt trigger point 1/2

Surgery - Musculoskeletal

$36

—

20553

Njx 1/mlt trigger points 3/>

Surgery - Musculoskeletal

$41

—

20555

Place ndl musc/tis for rt

Surgery - Musculoskeletal

$280

—

20560

Ndl insj w/o njx 1 or 2 musc

Surgery - Musculoskeletal

$12

—

20561

Ndl insj w/o njx 3+ musc

Surgery - Musculoskeletal

$20

—

20600

Drain/inj joint/bursa w/o us

Surgery - Musculoskeletal

$31

—

20604

Drain/inj joint/bursa w/us

Surgery - Musculoskeletal

$40

—

20605

Drain/inj joint/bursa w/o us

Surgery - Musculoskeletal

$32

—

20606

Drain/inj joint/bursa w/us

Surgery - Musculoskeletal

$45

—

20610

Drain/inj joint/bursa w/o us

Surgery - Musculoskeletal

$40

—

20611

Drain/inj joint/bursa w/us

Surgery - Musculoskeletal

$50

—

20612

Aspirate/inj ganglion cyst

Surgery - Musculoskeletal

$37

—

20615

Treatment of bone cyst

Surgery - Musculoskeletal

$144

—

20650

Insert and remove bone pin

Surgery - Musculoskeletal

$160

—

20660

Apply rem fixation device

Surgery - Musculoskeletal

$215

—

20661

Application halo cranial

Surgery - Musculoskeletal

$553

—

20662

Application halo pelvic

Surgery - Musculoskeletal

$501

—

20663

Application halo femoral

Surgery - Musculoskeletal

$465

—

20664

Appl halo cranial 6+pins

Surgery - Musculoskeletal

$942

—

20665

Rmvl tongs/halo anthr indiv

Surgery - Musculoskeletal

$86

—

20670

Removal implant superficial

Surgery - Musculoskeletal

$140

—

20680

Removal of implant deep

Surgery - Musculoskeletal

$394

—

20690

Appl unipln uni ext fixj sys

Surgery - Musculoskeletal

$546

—

20692

Appl mltpln uni ext fixj sys

Surgery - Musculoskeletal

$1,047

—

My Cost List