Billed CPT Code Billed CPT Name Standard Fee Self Pay Rate
27447 REPAIR, REVISION AND/OR RECONSTRUCTION ON THE FEMUR AND KNEE JOINT $70,714.00 $9,899.96
30140 NASAL SURGERY/REMOVAL OF INFERIOR TURBINATE $21,401.00 $2,996.14
43239 UPPER GI DIAGNOSTIC WITH BIOPSY, SINGLE OR MULTIPLE $15,918.00 $2,228.52
43248 UPPER GI DIAGNOSTIC WITH INSERTION OF GUIDEWIRE AND DILATION OF ESOPHAGUS OVER GUIDEWIRE $15,918.00 $2,228.52
45380 COLONOSCOPY AND BIOPSY $11,693.00 $1,637.02
45385 COLONOSCOPY WITH LESION REMOVAL BY SNARE $11,693.00 $1,637.02
49650 REPAIR INGUINAL HERNIA-LAPARASCOPIC $37,253.00 $5,215.42
62323 LUMBAR EPIDURAL STEROID INJECTION $12,862.00 $1,800.68
64483 INJECTION EPIDURAL MIDDLE OR LOW SPINE $11,790.00 $1,650.60
64493 JOINT INJECTION MIDDLE OR LOW SPINE-1ST LEVEL $4,750.00 $665.00
64494 JOINT INJECTION MIDDLE OR LOW SPINE-2ND LEVEL $4,750.00 $665.00
66984 CATARACT SURGERY WITH LENS $17,608.00 $2,465.12
67036 VITREOUS PROCEDURE ON THE POSTERIOR SEGMENT OF THE EYE $36,458.00 $5,104.12
67042 VITREOUS PROCEDURE ON THE POSTERIOR SEGMENT OF THE EYE, PARS PLANA APPROACH $36,458.00 $5,104.12
91035 ESOPHAGUS REFLUX TEST WITH ELECTRODE PLACEMENT AND RECORDING $14,603.00 $2,044.42