| Billed CPT Code | Billed CPT Name | Self Pay Rate |
|---|---|---|
|
43239 |
UPPER GI DIAGNOSTIC WITH BIOPSY, SINGLE OR MULTIPLE |
$1,581.44 |
|
91035 |
ESOPHAGUS REFLUX TEST WITH ELECTRODE PLACEMENT AND RECORDING |
$1,450.72 |
|
45385 |
COLONOSCOPY WITH LESION REMOVAL BY SNARE |
$1,161.60 |
|
64483 |
INJECTION EPIDURAL MIDDLE OR LOW SPINE |
$1,171.36 |
|
64636 |
DESTROY MIDDLE/LOWER SPINE JOINT NERVES-ADDITIONAL JOINTS |
$1,171.36 |
|
64493 |
JOINT INJECTION MIDDLE OR LOW SPINE-SINGLE LEVEL |
$1,171.36 |
|
64494 |
JOINT INJECTION MIDDLE OR LOW SPINE-2ND LEVEL |
$1,171.36 |
|
G0121 |
COLONOSCOPY - NOT HIGH RISK PERSON |
$1,161.60 |
|
29823 |
SHOULDER ARTHROSCOPY/SURGERY, WITH REMOVAL OF DAMAGED TISSUE OR FOREIGN OBJECT, EXTENSIVE |
$4,338.72 |
|
45380 |
COLONOSCOPY AND BIOPSY |
$1,161.60 |
|
64484 |
SPINAL INJECTION EPIDURAL ADDITIONAL LEVELS |
$1,171.36 |
|
43248 |
UPPER GI DIAGNOSTIC WITH INSERTION OF GUIDEWIRE AND DILATION OF ESOPHAGUS OVER GUIDEWIRE |
$1,581.44 |
|
64635 |
DESTROY MIDDLE/LOWER SPINE JOINT NERVES-SINGLE JOINT |
$1,171.36 |
|
29881 |
TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER |
$4,338.72 |
|
43249 |
UPPER GI DIAGNOSTIC WITH BALLOON DILATION OF ESOPHAGUS |
$1,581.44 |