Procedures & surgery prices at The Spine Hospital of Louisiana

Baton Rouge, LA · every code in this section with a posted price and a Medicare benchmark.

294 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) $28,500 $38,000 1.8×
Analyze infusn pump+reprogram (62368) $1,200 $1,600 4.3×
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $4,125 $5,500 2.8×
Arterial puncture (36600) $324.80 $433.08 2.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,125 $1,500 4.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,125 $1,500 4.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,125 $1,500 4.0×
Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) $15,000 $20,000 0.9×
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) $21,450 $28,600 1.8×
Arthrodesis posterior craniocervical (22590) $15,000 $20,000 1.3×
Arthrodesis sacroiliac joint percutaneous (27279) $15,000 $20,000 0.9×
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) $15,000 $20,000 1.3×
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) $15,000 $20,000 0.6×
Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for… (22556) $15,000 $20,000 0.9×
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments (22808) $15,000 $20,000 0.9×
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments (22810) $15,000 $20,000 0.9×
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) $15,000 $20,000 0.6×
Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22533) $15,000 $20,000 0.9×
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) $26,745 $35,660 1.7×
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) $15,000 $20,000 0.6×
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) $15,000 $20,000 0.9×
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) $15,000 $20,000 0.9×
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) $15,000 $20,000 0.9×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595) $15,000 $20,000 1.3×
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion… (22804) $15,000 $20,000 0.9×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) $15,000 $20,000 0.9×
Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior… (22586) $15,000 $20,000 0.9×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $15,000 $20,000 0.9×
Biopsy bone open superficial (20240) $7,125 $9,500 2.7×
Biopsy bone trocar/needle deep (20225) $4,125 $5,500 2.8×
Biopsy muscle deep (20205) $7,125 $9,500 2.7×
Biopsy Nerve (64795) $6,075 $8,100 3.4×
Biopsy or excision of lymph node(s); open, superficial (38500) $8,137.50 $10,850 2.3×
Biopsy Soft Tissue Back/Flank Deep (21925) $4,125 $5,500 2.8×
Biopsy soft tissue neck/thorax (21550) $4,125 $5,500 2.8×
Biopsy soft tissue thigh/knee area superficial (27323) $4,242.75 $5,657 2.8×
Biopsy/removal lymph nodes (38510) $8,137.50 $10,850 2.3×
Bladder Scan (51798) $225 $300 4.2×
Blood patch (62273) $2,062.50 $2,750 3.2×
Blood transfusion service (36430) $487.50 $650 1.2×
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) $11,250 $15,000 1.7×
Bone marrow aspiration only (38220) $4,125 $5,500 2.8×
Bone Marrow Biopsy (38221) $4,125 $5,500 2.8×
Brain Shunt Tube/Reserv Injectn (61070) $2,062.50 $2,750 3.2×
Cerv artific diskectomy (22856) $15,000 $20,000 0.9×
Chemodenerv 1 extremity 1-4 (64642) $2,062.50 $2,750 3.2×
Chemodenerv trunk musc 1-5 (64646) $2,062.50 $2,750 3.2×
Chest tube placement (32551) $3,000 $4,000 2.1×
Coccygectomy Primary (27080) $7,935 $10,580 2.7×
Complex Drainage, Wound (10180) $4,875 $6,500 1.9×
Cystoscopy,Dil Urethral Stricture (52281) $4,687.50 $6,250 2.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,062.50 $2,750 5.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $2,062.50 $2,750 3.1×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $4,125 $5,500 2.8×
Decomp forearm,1 compart,w/o debride (25020) $3,225 $4,300 2.2×
Decompress spinal cord thrc (63064) $10,125 $13,500 1.5×
Decompression of tibia nerve (28035) $6,375 $8,500 3.6×
Decompression; unspecified nerve(s) (specify) (64722) $6,075 $8,100 3.4×
Destroy cerv/thor facet jnt (64633) $3,112.50 $4,150 1.8×
Destroy lumb/sac facet jnt (64635) $3,112.50 $4,150 1.8×
Destruction by neurolytic agent, intercostal nerve (64620) $2,062.50 $2,750 2.6×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $3,112.50 $4,150 3.9×
Destruction neurolytic agt genicular nerve w/img (64624) $3,112.50 $4,150 1.8×
Destruction of face nerve branch under X-ray monitoring (64610) $4,912.50 $6,550 2.8×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $2,062.50 $2,750 3.2×
Dilate urethra stricture (53620) $2,062.50 $2,750 3.3×
Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) $10,125 $13,500 1.5×
Drainage Finger Abscess Simple (26010) $825 $1,100 4.5×
Drainage of hematoma/fluid (10140) $4,125 $5,500 2.8×
Dstrj neurolytic agent pudendal nerve (64630) $2,062.50 $2,750 2.6×
Egd place gastrostomy tube (43246) $4,500 $6,000 2.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,387.50 $1,850 5.0×
Enterorrhaphy single perforation (44602) $2,887.50 $3,850 0.8×
Esophagus Surg Procedure Unlisted (43499) $2,962.50 $3,950 3.6×
Exc abd les sc 3 cm/> (22903) $7,125 $9,500 2.7×
Exc arm/elbow les sc < 3 cm (24075) $3,375 $4,500 2.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,125 $5,500 2.8×
Exc back les sc < 3 cm (21930) $4,125 $5,500 2.8×
Exc back tum deep < 5 cm (21932) $7,125 $9,500 2.7×
Exc coccygeal pressure ulcer (15920) $7,125 $9,500 2.7×
Exc face les sbq 2 cm/> (21012) $4,125 $5,500 2.8×
Exc neck tum deep < 5 cm (21556) $7,125 $9,500 2.7×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $6,075 $8,100 3.4×
Exc neuroma major peripheral nrv xcp sciatic (64784) $6,075 $8,100 3.4×
Exc shoulder les sc 3 cm/> (23071) $3,375 $4,500 2.3×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $2,137.50 $2,850 3.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,137.50 $2,850 3.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $4,125 $5,500 2.8×
Exc Skin Benig >4 Cm Face,Facial (11446) $7,125 $9,500 2.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $7,125 $9,500 2.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,125 $5,500 2.8×
Exc tr-ext b9+marg 0.5 cm or less (11400) $2,137.50 $2,850 3.3×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $7,125 $9,500 2.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $4,125 $5,500 2.8×
Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) $3,375 $4,500 2.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $7,125 $9,500 2.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $7,125 $9,500 2.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,125 $5,500 2.8×
Excise cutaneous neurofibroma (64788) $6,075 $8,100 3.4×
Excise excess skin & tissue (15839) $7,125 $9,500 2.7×
Excise Neurofibroma Extensive (64792) $11,250 $15,000 3.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,062.50 $2,750 3.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $4,125 $5,500 2.8×
Excision of lesion other than skin tag </= 0.5 cm (11420) $4,125 $5,500 2.8×
Excision soft tissue lesion, external auditory canal (69145) $7,125 $9,500 2.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,125 $5,500 2.8×
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) $7,125 $9,500 2.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $4,125 $5,500 2.8×
Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) $6,450 $8,600 2.5×
Exploration of spinal fusion (22830)
unusually low: confirm this is the full procedure
$2,062.50 $2,750 0.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,800 $2,400 2.8×
Fine needle aspiration without imaging guidance (10021) $900 $1,200 2.4×
Guide Cathet Fluid Drainage (10030) $1,800 $2,400 2.8×
I&D Absc Rtrphrngl/Parapharyngeal Xtrnl Appr (42725) $11,250 $15,000 2.1×
I&d abscess simple (10060) $900 $1,200 5.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $7,125 $9,500 2.7×
Implant neuroelectrodes (63650) $10,125 $13,500 1.8×
Implant neurostim arrays (61886) $26,250 $35,000 0.9×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $6,375 $8,500 0.8×
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) $18,750 $25,000 1.1×
Incis 1 vertebral seg lumbar (22214)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Incise finger tendon sheath (26055) $3,750 $5,000 2.6×
Incision & removal foreign body subq tiss compl (10121) $4,125 $5,500 2.8×
Incision & removal foreign body subq tiss simple (10120) $900 $1,200 2.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
likely a partial charge, not the full procedure
$1,162.50 $1,550 0.2×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge, not the full procedure
$1,162.50 $1,550 0.2×
Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (thoracic spine) to correct… (22212)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Inj paravert f jnt c/t 1 lev (64490) $2,062.50 $2,750 2.6×
Inj tendon sheath/ligament (20550) $1,125 $1,500 4.0×
Inj,Anes Agent,Brachial Plexus,Single (64415) $2,062.50 $2,750 2.6×
Inj,Anes Agent,Femoral Nerve,Single (64447) $2,062.50 $2,750 3.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,062.50 $2,750 2.6×
Inject Nerv Blck,Axillary Nerv (64417) $2,062.50 $2,750 2.6×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $2,062.50 $2,750 3.2×
Inject Nerv Blck,Intercost,Multpl (64421) $2,062.50 $2,750 2.6×
Inject Nerv Blck,Intercostal,One (64420) $2,062.50 $2,750 3.2×
Inject Nerv Blck,Paravert Sympath (64520) $2,062.50 $2,750 2.6×
Inject Nerv Blck,Pudendal (64430) $2,062.50 $2,750 2.6×
Injection aa&/strd genicular nrv branches w/img (64454) $2,062.50 $2,750 3.2×
Injection aa&/strd lumbar plexus cont nfs cath (64449) $2,062.50 $2,750 2.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,062.50 $2,750 3.2×
Injection aa&/strd sciatic nerve w/img gdn (64445) $2,062.50 $2,750 3.2×
Injection aa&/strd suprascapular nerve (64418) $2,062.50 $2,750 3.2×
Injection aa&/strd trigeminal nerve each branch (64400) $2,062.50 $2,750 7.4×
Injection anes other peripheral nerve/branch (64450) $2,062.50 $2,750 3.2×
Injection Anes Superior Hypogastric Plexus (64517) $2,062.50 $2,750 2.6×
Injection single/mlt trigger point 1/2 muscles (20552) $1,125 $1,500 4.0×
Injection single/mlt trigger point 3/> muscles (20553) $1,125 $1,500 4.0×
Injection therapeutic carpal tunnel (20526) $1,125 $1,500 4.0×
Injection treatment of nerve (64600) $2,062.50 $2,750 2.6×
Injection, anesthetic agent; greater occipital nerve (64405) $2,062.50 $2,750 7.4×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $2,250 $3,000 2.8×
Ins endovas vena cava filtr (37191) $6,375 $8,500 1.3×
Insert non-tunnel cv cath (36556) $2,565 $3,420 0.9×
Insert picc cath (36569) $3,375 $4,500 2.4×
Insert Temp Bladder Cath (51702) $1,125 $1,500 9.3×
Insertion of brain neurostimulator pulse with connection to single (61885) $18,750 $25,000 0.7×
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) $15,000 $20,000 0.9×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) $18,750 $25,000 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $877.50 $1,170 0.6×
Insj stablj dev w/o dcmprn lumbar single level (22869) $15,000 $20,000 1.3×
Insj tunneled ctr vad w/subq port under 5 yr (36560) $2,565 $3,420 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $7,087.50 $9,450 2.5×
Insrt/redo spine n generator (63685) $27,000 $36,000 1.0×
Install spinal shunt (63741) $11,250 $15,000 1.4×
Intubation endotracheal emergency procedure (31500) $750 $1,000 3.5×
La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) $10,125 $13,500 1.5×
Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) $10,125 $13,500 1.5×
Lam W/O Ffd > 2 Vrt Seg Thrc (63016) $10,125 $13,500 1.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265) $10,125 $13,500 1.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) $10,125 $13,500 1.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268) $10,125 $13,500 1.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) $10,125 $13,500 1.5×
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) $18,750 $25,000 1.1×
Laminectomy w/o ffd 1/2 vert seg thoracic (63003) $10,125 $13,500 1.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) $10,125 $13,500 1.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $10,125 $13,500 1.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) $10,125 $13,500 1.5×
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) $10,125 $13,500 1.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) $10,125 $13,500 1.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $10,125 $13,500 1.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $10,125 $13,500 1.5×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) $10,125 $13,500 1.5×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $10,125 $13,500 1.5×
Laminotomy single cervical (63040) $10,125 $13,500 1.5×
Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) $10,125 $13,500 1.5×
Late closure of wound (13160) $4,875 $6,500 1.5×
Ligation Of Neck Artery (37615) $3,675 $4,900 1.3×
Musc myoq/fscq flp h&n pedcl (15733) $2,887.50 $3,850 0.9×
Muscle-skin graft trunk (15734) $8,137.50 $10,850 2.5×
Musculoskeletal surgery (20999) $3,375 $4,500 15.1×
Myelography Lumbar Injection (62305) $921.12 $1,228.16 1.3×
Myelography Lumbar Injection (62304) $3,591 $4,788 5.1×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $7,236.75 $9,649 10.2×
Myelography via lumbar injection rs&i thoracic (62303) $2,550 $3,400 3.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,125 $1,500 2.8×
Neurectomy hamstring muscle (27325) $4,687.50 $6,250 2.7×
Neuroplasty Brachial Plexus,Open (64713) $6,075 $8,100 3.4×
Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) $6,075 $8,100 3.4×
Neuroplasty; nerve of hand or foot (64704) $6,075 $8,100 3.4×
Njx anes stellate ganglion crv sympathetic (64510) $2,062.50 $2,750 2.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,062.50 $2,750 2.6×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,062.50 $2,750 3.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $2,062.50 $2,750 3.2×
Open bone biopsy (20251) $11,250 $15,000 1.7×
Open bone biopsy (20250) $7,350 $9,800 2.5×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
likely a partial charge, not the full procedure
$2,887.50 $3,850 0.2×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
likely a partial charge, not the full procedure
$2,887.50 $3,850 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $10,125 $13,500 1.5×
Open Treatment Medial Malleolus Fracture (27766) $10,125 $13,500 1.5×
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) $10,125 $13,500 1.5×
Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; lumbar (22224)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Osteotomy spine posterior 3 column lumbar (22207)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Partial excision of vertebral body for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $9,000 $12,000 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,000 $12,000 1.4×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $7,125 $9,500 2.4×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $7,125 $9,500 2.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,875 $2,500 2.9×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) $11,250 $15,000 1.9×
Puncture Aspiration (10160) $900 $1,200 2.4×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $7,125 $9,500 2.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,112.50 $4,150 1.8×
Reinsertion Spinal Fixation Device (22849) $11,250 $15,000 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,125 $5,500 2.8×
Removal Implant Deep (20680) $7,125 $9,500 2.7×
Removal Implant Superficial Separate Procedure (20670) $4,125 $5,500 2.8×
Removal of anterior instrumentation (eg, dwyer device) (22855) $11,250 $15,000 1.7×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64570) $15,000 $20,000 4.8×
Removal of lower spinal canal shunt (63746) $11,250 $15,000 6.4×
Removal of posterior instrumentation (eg, harrington rod) (22850)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Removal of posterior segmental instrumentation (22852)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $6,375 $8,500 3.6×
Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) $6,375 $8,500 2.0×
Remove cerv artif disc (22864)
unusually low: confirm this is the full procedure
$2,887.50 $3,850 0.4×
Remove part lumbar vertebra (22102) $11,250 $15,000 1.7×
Remove part of neck vertebra (22100) $11,250 $15,000 1.7×
Remove part thorax vertebra (22101) $7,125 $9,500 1.1×
Remove skin nerve lesion (64774) $6,075 $8,100 3.4×
Remove spinal canal catheter (62355) $3,000 $4,000 1.7×
Remove spine infusion device (62365) $6,375 $8,500 2.1×
Repair blood vessel direct neck (35201) $4,500 $6,000 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $1,500 $2,000 2.2×
Repair elbow deb/attch open (24359) $7,935 $10,580 2.7×
Repair forearm tendon/muscle (25260) $7,935 $10,580 2.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,125 $1,500 3.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,125 $1,500 3.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,125 $1,500 3.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,125 $1,500 3.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,125 $1,500 3.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,125 $1,500 3.1×
Replace/revise brain shunt (62230) $11,250 $15,000 1.4×
Resect arm/elbow tum < 5 cm (24077) $6,450 $8,600 2.5×
Revise arm/leg nerve (64708) $6,075 $8,100 3.4×
Revise low back nerve(s) (64714) $6,075 $8,100 3.4×
Revise median n/carpal tunnel surg (64721) $6,075 $8,100 3.4×
Revise ulnar nerve at elbow (64718) $6,075 $8,100 3.4×
Revise ulnar nerve at wrist (64719) $6,075 $8,100 3.4×
Revise/remove neuroelectrode (61880) $11,250 $15,000 3.6×
Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) $20,250 $27,000 2.0×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $15,000 $20,000 0.9×
Revision or removal of cranial neurostimulator pulse generator or receiver (61888) $10,125 $13,500 1.0×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $6,375 $8,500 2.0×
Revision spinal neurostim electrode perc array, incl fluoro (63663) $11,250 $15,000 1.9×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $6,375 $8,500 2.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $6,375 $8,500 2.0×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $7,125 $9,500 2.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,725 $2,300 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $750 $1,000 4.1×
Spinal puncture lumbar diagnostic (62270) $2,062.50 $2,750 3.2×
Spinal Puncture Therapeutic (62272) $2,062.50 $2,750 3.2×
Suture Digital Nerve Hand/Foot 1 Nerve (64831) $11,250 $15,000 6.4×
Suture of; lumbar plexus (64862) $11,250 $15,000 3.6×
Suture pharynx for wound or injury (42900) $3,750 $5,000 2.7×
Tenotomy elbow lateral/medial debride open (24358) $7,935 $10,580 2.7×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $2,062.50 $2,750 3.2×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $15,000 $20,000 1.3×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $15,000 $20,000 0.9×
Tracheostomy emergency cricothyroid membrane (31605) $750 $1,000 3.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,375 $4,500 2.4×
Transection or avulsion of other spinal nerve, extradural (64772) $6,075 $8,100 3.4×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $10,125 $13,500 1.5×
Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) $10,125 $13,500 1.5×
Treat fx rad extra-articul (25607) $10,125 $13,500 1.5×
Treat spine fracture (22325)
likely a partial charge, not the full procedure
$2,887.50 $3,850 0.2×
Treat thorax spine fracture (22327)
likely a partial charge, not the full procedure
$2,887.50 $3,850 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,500 $2,000 2.2×
Unlisted Procedure Nervous System (64999) $2,100 $2,800 7.6×
Unlisted procedure pelvis/hip joint (27299) $2,100 $2,800 9.4×
Unlisted procedure spine (22899) $4,687.50 $6,250 21.0×
Unlisted Procedure Vascular Surgery (37799) $4,500 $6,000 7.9×
Venipuncture (36415) $20.45 $27.27 2.2×