Procedures & surgery prices at Onecore Health

Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.

386 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $26,330.71
Amputation Finger/Thumb (26951) $8,594.95
Amputation of finger/thumb (26952) $8,594.95
Amputation Toe Metatarsophalangeal Joint (28820) $12,199.88
Ankle scope,part synovectomy (29895) $15,055.11
Anterior Tibial Tubercleplasty (27418) $32,873.82
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) $34,784.82
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,477.91
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,477.91
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,477.91
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) $71,540
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) $18,849.90
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Other… (26844) $15,464.75
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) $15,464.75
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) $83,295.73
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) $71,540
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) $49,448.49
Arthrodesis; subtalar (28725) $36,519.77
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $44,242.24
Arthroscopy ankle; ext debridem (29898) $15,055.11
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $15,055.11
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $15,055.11
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $15,055.11
Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) $15,055.11
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $15,055.11
Arthroscopy, knee, surgical; with lateral release (29873) $15,055.11
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $15,055.11
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $15,055.11
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $30,406.95
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $30,406.95
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $30,406.95
Arthroscopy, shoulder, surgical; debridement, limited (29822) $15,055.11
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $30,406.95
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $30,406.95
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $30,406.95
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $30,406.95
Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) $16,769.13
Arthrotomy, with synovectomy, ankle; (27625) $16,769.13
Arthrotomy, with synovectomy, knee; anterior or posterior (27334) $16,769.13
Arthrs hip debridement/shaving articular crtlg (29862) $41,868.96
Biopsy Bone Open Deep (20245) $12,765.13
Biopsy Breast Open Incisional (19101) $15,315.58
Biopsy muscle percutaneous needle (20206) $2,282.36
Biopsy Salivary Gland,Needle (42400) $6,593.86
Blood patch (62273) $4,702.60
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) $18,207.77
Bone marrow aspiration only (38220) $6,593.86
Chemodenerv 1 extremity 1-4 (64642) $4,096.19
Claviculectomy; partial (23120) $18,207.77
Closed treat wrist dislocation (25660) $1,496.18
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,662.50
Closed tx radial shaft fracture w/manipulation (25505) $4,990.86
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,662.50
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,206.31
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,496.18
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,990.86
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,662.50
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $11,621.26
Complex Drainage, Wound (10180) $9,899.96
Correction Claw Finger Other Methods (26499) $6,905.71
Create eardrum opening (69436) $8,864.52
Cult skin graft f/n/hf/g (15155) $4,068.05
Cystourethroscopy (52000) $3,841.04
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,981.21
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $5,783.82
Dcmprn fasct leg ant&/lat&pst cmprt (27602) $18,207.77
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $6,593.86
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,981.21
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,981.21
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $5,783.82
Decomp forearm,1 compart,w/o debride (25020) $18,207.77
Destroy cerv/thor facet jnt (64633) $10,286.22
Destroy lumb/sac facet jnt (64635) $10,286.22
Destruction neurolytic agt genicular nerve w/img (64624) $12,034.12
Drain Ext Ear Absc/Blood,Complic (69005) $9,899.96
Drainage Finger Abscess Complicated (26011) $6,059.34
Drainage of hematoma/fluid (10140) $6,059.34
Epidural lysis on single day (62264) $4,702.60
Exc arm/elbow les sc 3 cm/> (24071) $9,899.96
Exc forearm les sc 3 cm/> (25071) $12,765.13
Exc hand les sc < 1.5 cm (26115) $9,386.23
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $12,199.88
Exc neck tum deep < 5 cm (21556) $9,899.96
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $4,009.67
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $6,593.86
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $9,899.96
Exc thigh/knee tum dep 5cm/> (27339) $12,765.13
Exc tr-ext b9+marg 0.5 cm or less (11400) $2,648.87
Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) $9,386.23
Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) $9,386.23
Exc tumor soft tiss shoulder subfasc <5cm (23076) $9,386.23
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $9,899.96
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $9,386.23
Excis Tendon Sheath Lesion, Hand/Finger (26160) $8,594.95
Excise Neurofibroma Extensive (64792) $20,624.73
Excise pharynx lesion (42808) $11,318.30
Excise tendon forearm/wrist (25109) $10,186.82
Excise/repair mouth lesion (40812) $8,864.52
Excision Distal Ulna Partial/Complete (25240) $18,207.77
Excision external ear partial simple repair (69110) $9,386.23
Excision lesion mouth roof (42104) $8,864.52
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $11,621.26
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) $11,318.30
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $5,783.82
Excision of lesion other than skin tag </= 0.5 cm (11420) $5,783.82
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $12,199.88
Excision of mouth lesion (41116) $4,661.02
Excision of tongue lesion (41112) $8,864.52
Excision of tongue lesion (41114) $13,618.01
Excision of tonsil tags (42860) $27,691.86
Excision olecranon bursa (24105) $11,621.26
Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) $8,594.95
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $16,769.13
Excision Prepatellar Bursa (27340) $11,621.26
Excision tumor soft tis back/flank subq 3 cm/> (21931) $12,765.13
Excision, lesion of palate, uvula; with simple primary closure (42106) $8,864.52
Excision, lesion of tendon sheath, forearm and/or wrist (25110) $11,621.26
Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) $9,899.96
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $9,386.23
Excision/destruction intranasal lesion int appr (30117) $8,864.52
Explo/Drain Breast Abscess (19020) $9,899.96
Exploration of knee joint (27310) $16,769.13
Exploration of spinal fusion (22830) $18,678.13
Explore treat shoulder joint (23107) $16,769.13
Explore/treat hand joint (26070) $8,594.95
Explore/Treat Interphalangeal Jt,Ea (26080) $10,186.82
Fasciotomy Iliotibial Open (27305) $11,621.26
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $16,769.13
Finger tendon transfer (26497) $15,464.75
Fixation of knee joint (27570) $8,051.61
Fuse hand bones with graft (25825) $44,242.24
Fusion Finger Joint (26860) $15,464.75
Fusion of knuckle (26850) $15,464.75
Fusion of knuckle joint (26516) $15,464.75
Fusion of wrist joint (25800) $49,448.49
Fusion/graft of wrist joint (25805) $49,448.49
Glossectomy; less than one-half tongue (41120) $27,691.86
Hip arthro w/fb removal (29861) $30,406.95
I&d deep absc bursa/hematoma thigh/knee region (27301) $11,445.91
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $10,186.82
I&D Upper Arm/Elbow Bursa (23931) $6,059.34
Implant neuroelectrodes (63650) $37,020.06
Incise finger tendon sheath (26055) $8,594.95
Incise wrist/forearm tendon (25290) $18,207.77
Incision & removal foreign body subq tiss compl (10121) $9,386.23
Incision & removal foreign body subq tiss simple (10120) $1,981.21
Incision bone cortex foot (28005) $12,199.88
Incision extensor tendon sheath wrist (25000) $11,621.26
Incision for implantation of neurostimulator electrode array; sacral nerve (64581) $37,020.06
Incision of heel bone (28300) $34,784.82
INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) $11,621.26
Inj paravert f jnt c/t 1 lev (64490) $4,702.60
Inj,Anes Agent,Brachial Plexus,Single (64415) $2,608.34
Inj,Anes Agent,Femoral Nerve,Single (64447) $2,608.34
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $4,702.60
Inject Nerv Blck,Axillary Nerv (64417) $2,608.34
Inject Nerv Blck,Intercost,Multpl (64421) $4,096.19
Inject Nerv Blck,Intercostal,One (64420) $4,096.19
Inject Nerv Blck,Paravert Sympath (64520) $4,096.19
Inject Tendon Origin/Insert (20551) $1,477.91
Injection aa&/strd sciatic nerve w/img gdn (64445) $4,702.60
Injection aa&/strd suprascapular nerve (64418) $2,608.34
Injection anes other peripheral nerve/branch (64450) $2,608.34
Injection single/mlt trigger point 1/2 muscles (20552) $1,477.91
Injection single/mlt trigger point 3/> muscles (20553) $1,477.91
Insert Drug Implant Device (11981) $638.26
Insert picc cath (36569) $5,902.19
Insert Temp Bladder Cath (51702) $638.26
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) $119,695.45
Insrt/redo spine n generator (63685) $183,065.12
Intubation endotracheal emergency procedure (31500) $907.69
Knee arthroscopy/surgery (29876) $15,055.11
Knee arthroscopy/surgery (29851) $30,406.95
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) $119,695.45
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) $28,780.92
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) $28,780.92
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) $28,780.92
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $28,780.92
Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) $28,780.92
Laparoscopy biopsy (49321) $28,008.05
Laryngoscopy w/biopsy (31535) $13,943.44
Laryngoscopy w/bx op scope (31536) $13,943.44
Laryngoscopy,Direct,Diagnostic (31525) $8,813.42
Larynscop w/tumr exc + scope (31541) $13,943.44
Late closure of wound (13160) $9,848.09
Lengthening Hamstring Tendon Single (27393) $18,207.77
Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) $16,769.13
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $44,242.24
Muscle-skin graft arm (15736) $9,848.09
Myringoplasty (69620) $11,318.30
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $1,054.34
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) $21,486.92
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) $14,066.29
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) $21,486.92
Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) $14,066.29
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) $21,486.92
Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) $14,066.29
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) $9,410.45
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) $21,465.36
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) $21,486.92
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $8,813.42
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $7,262.50
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $15,055.11
Nerve repair w/allograft (64910) $20,624.73
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,702.60
Open rx distal radius fx, intra-articular, 2 frag (25608) $38,971.03
Open Treatment Bimalleolar Ankle Fracture (27814) $29,587.25
Open Treatment Medial Malleolus Fracture (27766) $29,587.25
Open treatment metatarsal fracture each (28485) $29,587.25
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) $29,587.25
Open treatment of acute shoulder dislocation (23660) $29,587.25
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $38,971.03
Open treatment of distal radioulnar dislocation, acute or chronic (25676) $34,784.82
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) $889.10
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) $29,587.25
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) $34,784.82
Open treatment of ulnar styloid fracture (25652) $29,587.25
Open Treatment Radial Shaft Fracture (25515) $34,784.82
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $14,292.95
Open tx carpal scaphoid navicular fracture (25628) $29,587.25
Open Tx Distal Phalangeal Fracture Each (26765) $14,292.95
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $38,971.03
Open tx fracture great toe/phalanx/phalanges (28505) $14,292.95
Open Tx Metacarpal Fracture Single Ea Bone (26615) $29,587.25
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $29,587.25
Open tx phalangeal shaft fracture prox/middle ea (26735) $14,292.95
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $38,971.03
Optx post ankle fx (27769) $29,587.25
Osteotomy Metacarpal Each (26565) $15,464.75
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $27,843.41
Partial Excision Distal Phalanx Finger (26236) $10,186.82
Percutaneous diskectomy (62287) $20,624.73
Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) $10,186.82
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $14,292.95
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $44,242.24
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $44,242.24
Pin finger fracture each (26756) $14,292.95
Pin hand dislocation (26676) $14,292.95
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $10,186.82
Rad resect tumor soft tissue hand/finger <3cm (26117) $9,386.23
Realignment extensor tendon hand each tendon (26437) $10,186.82
Reconstr disloc patella w mscl adv (27422) $26,330.71
Reconstruct Shoulder Joint (23470) $71,540
Reconstruct ulna/radioulnar (25337) $26,330.71
Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) $15,464.75
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) $13,644.40
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $26,330.71
Reinsertion Spinal Fixation Device (22849) $11,592.29
Release of lower leg tendons (27681) $16,769.13
Release wrist/forearm tendon (25295) $11,621.26
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $5,783.82
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $366.45
Removal Implant Deep (20680) $12,765.13
Removal of adenoids (42831) $13,618.01
Removal of adenoids (42830) $26,099.99
Removal of anterior instrumentation (eg, dwyer device) (22855) $5,570.67
Removal of arm foreign body (24200) $5,783.82
Removal of bone lesion (23140) $11,621.26
Removal of external bone stabilizing device under anesthesia (20694) $11,621.26
Removal of finger lesion (26210) $8,594.95
Removal of nail bed (11750) $1,597.89
Removal of nose polyp(s) (30115) $13,618.01
Removal of posterior instrumentation (eg, harrington rod) (22850) $5,570.67
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $9,684.71
Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) $22,927.10
Removal of tonsils (42825) $26,099.99
Removal of tonsils (42826) $13,618.01
Removal of wrist bone (25210) $18,207.77
Remove elbow lesion (24120) $11,621.26
Remove femur lesion (27355) $18,207.77
Remove femur lesion/bursa (27062) $11,621.26
Remove part of neck vertebra (22100) $28,780.92
Remove skin nerve lesion (64774) $9,747.92
Remove thyroid duct lesion (60280) $29,665.65
Remove wrist joint implant (25449) $23,540.93
Remove wrist tendon lesion (25111) $11,621.26
Remove/graft bone lesion (26205) $15,464.75
Remv Ext Canal F.B.,Gen Anesth (69205) $6,593.86
Repair achilles tendon (27650) $26,330.71
Repair arm tendon/muscle (24341) $26,330.71
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,538.88
Repair elbow deb/attch open (24359) $18,207.77
Repair elbow perc (24357) $10,186.82
Repair extensor tendon finger w/o graft each (26418) $8,594.95
Repair finger tendon (26432) $8,594.95
Repair finger tendon (26433) $8,594.95
Repair finger/hand tendon (26350) $15,464.75
Repair flex tendon,zone 2,secon,hand,ea (26357) $15,464.75
Repair forearm tendon/muscle (25270) $16,769.13
Repair hand tendon (26410) $8,594.95
Repair kneecap tendon (27380) $16,769.13
Repair medial collateral ligament, elbow w/local tissue (24345) $18,207.77
Repair nonunion hand (26546) $15,464.75
Repair of ankle ligament (27695) $18,207.77
Repair of biceps tendon (24340) $26,330.71
Repair Of Foot Tendon (28208) $16,769.13
Repair of leg tendon each (27658) $11,621.26
Repair of nail bed (11760) $1,538.88
Repair of nasal septum (30520) $13,618.01
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) $44,242.24
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) $26,330.71
Repair of shoulder (23420) $26,330.71
Repair of thigh musc (27385) $18,207.77
Repair of vagina (57260) $6,870.50
Repair rectum & vagina (57250) $27,843.41
Repair rotator cuff acute (23410) $26,330.71
Repair secondary achilles tendon w/wo graft (27654) $26,330.71
Repair shoulder capsule (23450) $44,242.24
Repair tympanic membrane (69610) $13,618.01
Repair wrist joints (25447) $23,540.93
Repair, dislocating peroneal tendons; without fibular osteotomy (27675) $16,769.13
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $16,769.13
Repair/graft hand tendon (26358) $15,464.75
Repair/graft wrist bone (25440) $26,330.71
Repair/revise wrist joint (25320) $26,330.71
Rerepair ing hernia reduce (49520) $18,720.66
Resect Inferior Turbinate (30140) $13,618.01
Revise arm/leg nerve (64708) $9,684.71
Revise finger joint (26535) $23,540.93
Revise knuckle with implant (26531) $34,784.82
Revise median n/carpal tunnel surg (64721) $9,684.71
Revise ulnar nerve at elbow (64718) $9,684.71
Revise ulnar nerve at wrist (64719) $9,684.71
Revise vag graft via vagina (57295) $12,918.29
Revise wrist joint (25332) $23,540.93
Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) $37,020.06
Revision of humerus (24400) $26,330.71
Revision of lower leg tendon (27685) $18,207.77
Revision of reconstructed breast (19380) $36,656.97
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $14,895.86
Revision spinal neurostim electrode perc array, incl fluoro (63663) $37,020.06
Revision/Rmvl Peripheral/Gastric Npgr (64595) $14,895.86
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $12,765.13
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $5,902.19
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $8,594.95
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $16,769.13
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $16,769.13
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $15,464.75
Shldr arthroscop,lyse adhesns (29825) $30,406.95
Shoulder arthroscopy (29805) $15,055.11
Sinus endo w/balloon dil (31296) $21,486.92
Skin sub graft face/nk/hf/g (15275) $9,848.09
Skin sub graft trnk/arm/leg (15271) $9,878.47
Skin tissue rearrangement (14040) $9,848.09
Suture 1 nerve hand/foot common sensory nerve (64834) $23,777.46
Tendon excision palm/finger (26145) $8,594.95
Tendon shortening (26477) $8,594.95
Tenodesis long tendon biceps (23430) $26,330.71
Tenodesis proximal interphalangeal joint each (26471) $8,594.95
Tenodesis Wrist Extensors Fingers (25301) $7,351.61
Tenodesis Wrist Flexors Fingers (25300) $18,207.77
Tenolysis ext tendon,hand/finger,ea (26445) $8,594.95
Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) $10,186.82
Tenolysis flexor tendon palm/finger each tendon (26440) $8,594.95
Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) $16,769.13
Tenotomy elbow lateral/medial debride open (24358) $18,207.77
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $10,186.82
Tibial arthroscopy/surgery (29855) $30,406.95
Tonsillectomy and adenoidectomy; age 12 or over (42821) $13,618.01
Transection or avulsion of other spinal nerve, extradural (64772) $9,684.71
Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) $28,780.92
Transplant forearm tendon (25312) $26,330.71
Transplant forearm tendon (25310) $18,207.77
Transplant hand tendon (26480) $15,464.75
Treat Finger Fracture Each (26727) $14,292.95
Treat fracture radius/ulna (25575) $49,448.49
Treat fx distal radial (25606) $14,292.95
Treat fx rad extra-articul (25607) $38,971.03
Treat hand dislocation (26686) $38,971.03
Treat Lower Leg Fracture (27827) $38,971.03
Treat radius fracture (24665) $34,784.82
Treat thumb fracture (26650) $14,292.95
Treat toe fracture (28525) $14,292.95
Treat ulnar fracture (24685) $29,587.25
Treat Wrist Bone Fracture (25630) $1,496.18
Treatment of ankle fracture (27822) $34,784.82
Treatment of ankle fracture (27792) $29,587.25
Treatment of foot infection (28003) $11,621.26
Trnsplj autologous hematopoietic cells per donor (38241) $19,912.83
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $38,971.03
Unlisted Procedure Dentoalveolar Structures (41899) $907.69
Uvulectomy excision uvula (42140) $8,864.52
Venipuncture (36415) $33.90
Wrist arthroscop,excis triang cart (29846) $15,055.11
Wrist arthroscop,part synovect (29844) $15,055.11
Xfer single deep low leg tendon (27691) $16,769.13