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Cost Estimator

Select a service.

You may need to get a specific service code from your provider.
 
Code
Description
15271
Split Grt Ea Add'T 100Cm
15275
Split Thick Grft Fce/Hnds
19120
REMOVAL OF BREAST LESION ED Charge
20552
Injection(s); single or multiple trigger point(s), 1 or 2 mu
20552
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) {SJH}
20553
Inj(s); Single or Mult Trigger Point(S), Three or More Muscle(s) Charge
20553
Injection(s); single or multiple trigger point(s), 3 or more
20553
Injection(s); single or multiple trigger point(s), 3 or more muscle(s)
20610
Arthrocentesis, aspiration and/or injection; major joint or
20610
Arthrocentesis, aspiration and/or injection; major joint or
20610
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg. shoulder, hip, knee joint, su
20610
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg. shoulder,hip,knee joint, suba
20611
Arthrocentesis, aspiration and or injection; major joint or bursa Technical Charge
25000
Incision, Extensor Tendon Sheath, Wrist (eg, Dequervains Dis
25000
Incision, Extensor Tendon Sheath, Wrist (eg, Dequervains Disease) Charge
27096
Injection of Sacroiliac Joint
27245
Opn Tx Fem Fx W/Intramedu
27266
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia
28675
Repair Of Toe Dislocation
29200
STRAPPING THORAX ED Charge
36556
Insertion of non-tunneled centrally inserted central venous
36556
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ED Charge
42830
Adenoidectomy Prim; Under Age
44388
COLONOSCOPY THRU STOMA SPX - Facility
45378
Colonoscopy Diagnostic
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