Medical Procedure Costs

23020

Capsular contracture release

Surgery - Musculoskeletal

$651

—

23030

I&d shoulder deep absc/hmtma

Surgery - Musculoskeletal

$244

—

23031

I&d shoulder infected bursa

Surgery - Musculoskeletal

$216

—

23035

Incision bone cortex sho

Surgery - Musculoskeletal

$635

—

23040

Arthrt gh jt expl/drg/rmv fb

Surgery - Musculoskeletal

$673

—

23044

Arthrt ac sc jt exp/rmvl fb

Surgery - Musculoskeletal

$543

—

23065

Biopsy shoulder tissues

Surgery - Musculoskeletal

$147

—

23066

Biopsy shoulder tissues

Surgery - Musculoskeletal

$366

—

23071

Exc shoulder les sc 3 cm/>

Surgery - Musculoskeletal

$407

—

23073

Exc shoulder tum deep 5 cm/>

Surgery - Musculoskeletal

$659

—

23075

Exc shoulder les sc < 3 cm

Surgery - Musculoskeletal

$321

—

23076

Exc shoulder tum deep < 5 cm

Surgery - Musculoskeletal

$523

—

23077

Rad rescj tum shoulder<5 cm

Surgery - Musculoskeletal

$1,051

—

23078

Rad rescj tum shoulder 5cm/>

Surgery - Musculoskeletal

$1,326

—

23100

Arthrotomy glenhumrl jt w/bx

Surgery - Musculoskeletal

$491

—

23101

Arthrt acrmclv/strnclav jt

Surgery - Musculoskeletal

$444

—

23105

Arthrotomy glenohumeral jt

Surgery - Musculoskeletal

$605

—

23106

Arthrotomy strnclav joint

Surgery - Musculoskeletal

$488

—

23107

Arthrt glenhumrl jt w/expl

Surgery - Musculoskeletal

$626

—

23120

Claviculectomy partial

Surgery - Musculoskeletal

$565

—

23125

Claviculectomy total

Surgery - Musculoskeletal

$669

—

23130

Acromp/acromionectomy prtl

Surgery - Musculoskeletal

$591

—

23140

Removal of bone lesion

Surgery - Musculoskeletal

$531

—

23145

Removal of bone lesion

Surgery - Musculoskeletal

$657

—

23146

Removal of bone lesion

Surgery - Musculoskeletal

$596

—

23150

Removal of humerus lesion

Surgery - Musculoskeletal

$633

—

23155

Removal of humerus lesion

Surgery - Musculoskeletal

$749

—

23155005419

NARATRIPTAN HCL 1 MG TABLET

Prescription Drug - Generic

$2

—

23155017403

BENZPHETAMINE HCL 50 MG TABLET

Prescription Drug - Generic

$1

—

23155023305

GLYBURIDE-METFORMIN 1.25 MG-250 MG TABLET

Prescription Drug - Generic

$0

—

23156

Removal of humerus lesion

Surgery - Musculoskeletal

$643

—

23170

Sequestrectomy clavicle

Surgery - Musculoskeletal

$541

—

23172

Sequestrectomy scapula

Surgery - Musculoskeletal

$546

—

23174

Sqstrctmy humrl head srg nck

Surgery - Musculoskeletal

$725

—

23180

Prtl excision bone clavicle

Surgery - Musculoskeletal

$655

—

23182

Prtl excision bone scapula

Surgery - Musculoskeletal

$641

—

23184

Prtl excision bone prox hum

Surgery - Musculoskeletal

$696

—

23190

Ostectomy scapula partial

Surgery - Musculoskeletal

$548

—

23195

Resection humeral head

Surgery - Musculoskeletal

$710

—

23200

Radical rescj tumor clavicle

Surgery - Musculoskeletal

$1,365

—

23210

Radical rescj tumor scapula

Surgery - Musculoskeletal

$1,589

—

23220

Radical rescj tumor prox hum

Surgery - Musculoskeletal

$1,738

—

23330

Remove shoulder foreign body

Surgery - Musculoskeletal

$166

—

23333

Remove shoulder fb deep

Surgery - Musculoskeletal

$460

—

23334

Shoulder prosthesis removal

Surgery - Musculoskeletal

$976

—

23335

Shoulder prosthesis removal

Surgery - Musculoskeletal

$1,148

—

23350

Injection for shoulder x-ray

Surgery - Musculoskeletal

$42

—

23359003216

NINJACOF LIQUID

Prescription Drug - Brand

$0

—

23359003416

NINJACOF-D LIQUID

Prescription Drug - Brand

$0

—

23359010030

CENTRATEX CAPSULE

Prescription Drug - Generic

$1

—

My Cost List