|
43239
|
UPPER GI DIAGNOSTIC WITH BIOPSY, SINGLE OR MULTIPLE
|
$1,841.70
|
|
91035
|
ESOPHAGUS REFLUX TEST WITH ELECTRODE PLACEMENT AND RECORDING
|
$1,689.52
|
|
43248
|
UPPER GI DIAGNOSTIC WITH INSERTION OF GUIDEWIRE AND DILATION OF ESOPHAGUS OVER GUIDEWIRE
|
$1,841.70
|
|
45385
|
COLONOSCOPY WITH LESION REMOVAL BY SNARE
|
$1,352.96
|
|
45380
|
COLONOSCOPY AND BIOPSY
|
$1,352.96
|
|
49650
|
REPAIR INGUINAL HERNIA-LAPARASCOPIC
|
$4,310.18
|
|
67108
|
REPAIR DETACHED RETINA
|
$4,218.34
|
|
G0121
|
COLONOSCOPY - NOT HIGH RISK PERSON
|
$1,352.96
|
|
29823
|
SHOULDER ARTHROSCOPY/SURGERY, WITH REMOVAL OF DAMAGED TISSUE OR FOREIGN OBJECT, EXTENSIVE
|
$5,053.02
|
|
64483
|
INJECTION EPIDURAL MIDDLE OR LOW SPINE
|
$1,364.16
|
|
66984
|
CATARACT SURGERY WITH LENS
|
$2,037.28
|
|
64636
|
DESTROY MIDDLE/LOWER SPINE JOINT NERVES-ADDITIONAL JOINTS
|
$1,364.16
|
|
29881
|
TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER
|
$5,053.02
|
|
G0105
|
COLONOSCOPY FOR HIGH RISK PERSON
|
$1,352.96
|
|
30140
|
NASAL SURGERY/REMOVAL OF INFERIOR TURBINATE
|
$2,476.04
|