| 26951 |
Amputation of finger/thumb |
$6,703 |
Private Pay |
$7,429 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
BC PPO |
$3,358 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
BC HMO |
$2,947 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
BC FMOL |
$2,975 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE |
$2,449 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE – UNITED |
$2,449 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE – COVENTRY |
$2,449 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE – VANTAGE |
$2,449 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE -PEOPLES |
$2,449 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICARE- HUMANA |
$2,400 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
HUMANA |
$3,673 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
VANTAGE |
$4,163 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICAID |
$446 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICAID – AETNA BETTER HEALTH |
$446 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICAID – UNITED |
$446 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICAID – HEALTHY BLUE |
$446 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MEDICAID – AMERIHEALTH |
$446 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
UNITED |
$734 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
AETNA |
$1,019 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
CIGNA |
$1,102 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
LWCC |
$6,296 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
PPOPLUS |
$4,532 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
GILSBAR |
$3,643 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
LSU |
$4,022 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
VERITY |
$3,386 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
MULTIPLAN |
$3,386 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
LA WORK COMP |
$6,703 |
| 26951 |
Amputation of finger/thumb |
$6,703 |
|
$7,429 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
Private Pay |
$6,869 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
BC PPO |
$3,358 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
BC HMO |
$2,947 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
BC FMOL |
$2,975 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE |
$2,449 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE – UNITED |
$2,449 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE – COVENTRY |
$2,449 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE – VANTAGE |
$2,449 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE -PEOPLES |
$2,449 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICARE- HUMANA |
$2,400 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
HUMANA |
$3,673 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
VANTAGE |
$4,163 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICAID |
$659 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICAID – UNITED |
$659 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MEDICAID – AMERIHEALTH |
$659 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
UNITED |
$734 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
AETNA |
$1,494 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
CIGNA |
$634 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
LWCC |
$6,296 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
PPOPLUS |
$4,190 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
GILSBAR |
$3,369 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
LSU |
$4,022 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
VERITY |
$3,386 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
MULTIPLAN |
$3,386 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
LA WORK COMP |
$6,199 |
| 26952 |
Amputation of finger/thumb |
$6,296 |
|
|
| 28820 |
Amputation of toe |
$7,963 |
Private Pay |
$8,819 |
| 28820 |
Amputation of toe |
$7,963 |
BC PPO |
$1,714 |
| 28820 |
Amputation of toe |
$7,963 |
BC HMO |
$1,504 |
| 28820 |
Amputation of toe |
$7,963 |
BC FMOL |
$1,518 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE |
$2,449 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE – UNITED |
$2,449 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE – COVENTRY |
$2,449 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE – VANTAGE |
$2,449 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE -PEOPLES |
$2,449 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICARE- HUMANA |
$2,400 |
| 28820 |
Amputation of toe |
$7,963 |
HUMANA |
$3,673 |
| 28820 |
Amputation of toe |
$7,963 |
VANTAGE |
$4,163 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICAID |
$466 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICAID – UNITED |
$466 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28820 |
Amputation of toe |
$7,963 |
MEDICAID – AMERIHEALTH |
$466 |
| 28820 |
Amputation of toe |
$7,963 |
UNITED |
$2,188 |
| 28820 |
Amputation of toe |
$7,963 |
AETNA |
$1,029 |
| 28820 |
Amputation of toe |
$7,963 |
CIGNA |
$1,102 |
| 28820 |
Amputation of toe |
$7,963 |
LWCC |
$6,296 |
| 28820 |
Amputation of toe |
$7,963 |
PPOPLUS |
$5,380 |
| 28820 |
Amputation of toe |
$7,963 |
GILSBAR |
$4,326 |
| 28820 |
Amputation of toe |
$7,963 |
LSU |
$4,034 |
| 28820 |
Amputation of toe |
$7,963 |
VERITY |
$1,728 |
| 28820 |
Amputation of toe |
$7,963 |
MULTIPLAN |
$1,728 |
| 28820 |
Amputation of toe |
$7,963 |
LA WORK COMP |
$7,963 |
| 28820 |
Amputation of toe |
$7,963 |
|
|
| 28810 |
Amputation toe & metatarsal |
$10,788 |
Private Pay |
$11,986 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
BC PPO |
$2,913 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
BC HMO |
$2,556 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
BC FMOL |
$2,580 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE |
$2,449 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE – UNITED |
$2,449 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE – COVENTRY |
$2,449 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE – VANTAGE |
$2,449 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE -PEOPLES |
$2,449 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICARE- HUMANA |
$2,400 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
HUMANA |
$3,673 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
VANTAGE |
$4,163 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICAID |
$466 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICAID – UNITED |
$466 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MEDICAID – AMERIHEALTH |
$466 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
UNITED |
$2,188 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
AETNA |
$1,000 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
CIGNA |
$1,102 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
LWCC |
$6,296 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
PPOPLUS |
$7,312 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
GILSBAR |
$5,873 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
LSU |
$4,000 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
VERITY |
$3,386 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
MULTIPLAN |
$3,386 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
LA WORK COMP |
$10,788 |
| 28810 |
Amputation toe & metatarsal |
$10,788 |
|
|
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
Private Pay |
$24,015 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
BC PPO |
$2,296 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
BC HMO |
$2,015 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
BC FMOL |
$2,034 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE |
$2,449 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE – UNITED |
$2,449 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE – COVENTRY |
$2,449 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE – VANTAGE |
$2,449 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE -PEOPLES |
$2,449 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICARE- HUMANA |
$2,400 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
HUMANA |
$3,673 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
VANTAGE |
$4,163 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICAID |
$533 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICAID – UNITED |
$533 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MEDICAID – AMERIHEALTH |
$533 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
UNITED |
$4,460 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
AETNA |
$4,094 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
CIGNA |
$4,465 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
LWCC |
$6,296 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
PPOPLUS |
$14,649 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
GILSBAR |
$12,241 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
LSU |
$7,420 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
VERITY |
$3,386 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
MULTIPLAN |
$3,386 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
LA WORK COMP |
$24,244 |
| 29891 |
Ankle arthroscopy/surgery |
$24,244 |
|
|
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
Private Pay |
$13,625 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
BC PPO |
$2,296 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
BC HMO |
$2,015 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
BC FMOL |
$2,034 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE |
$2,449 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE – UNITED |
$2,449 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE – COVENTRY |
$2,449 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE – VANTAGE |
$2,449 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE -PEOPLES |
$2,449 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICARE- HUMANA |
$2,400 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
HUMANA |
$3,673 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
VANTAGE |
$4,163 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICAID |
$533 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICAID – UNITED |
$533 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MEDICAID – AMERIHEALTH |
$533 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
UNITED |
$2,923 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
AETNA |
$1,225 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
CIGNA |
$1,022 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
LWCC |
$6,296 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
PPOPLUS |
$8,311 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
GILSBAR |
$6,680 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
LSU |
$4,030 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
VERITY |
$3,386 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
MULTIPLAN |
$3,386 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
LA WORK COMP |
$12,286 |
| 29897 |
Ankle arthroscopy/surgery |
$12,286 |
|
|
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
Private Pay |
$13,207 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
BC PPO |
$2,296 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
BC HMO |
$2,015 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
BC FMOL |
$2,034 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE |
$2,449 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE – UNITED |
$2,449 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE – COVENTRY |
$2,449 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE – VANTAGE |
$2,449 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE -PEOPLES |
$2,449 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICARE- HUMANA |
$2,400 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
HUMANA |
$3,673 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
VANTAGE |
$4,163 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICAID |
$533 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICAID – UNITED |
$533 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MEDICAID – AMERIHEALTH |
$533 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
UNITED |
$2,923 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
AETNA |
$1,200 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
CIGNA |
$2,756 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
LWCC |
$6,296 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
PPOPLUS |
$8,056 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
GILSBAR |
$6,472 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
LSU |
$4,000 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
VERITY |
$3,386 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
MULTIPLAN |
$3,386 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
LA WORK COMP |
$11,025 |
| 29898 |
Ankle arthroscopy/surgery |
$11,886 |
|
|
| 24305 |
Arm tendon lengthening |
$11,025 |
Private Pay |
$9,264 |
| 24305 |
Arm tendon lengthening |
$11,025 |
BC PPO |
$2,296 |
| 24305 |
Arm tendon lengthening |
$11,025 |
BC HMO |
$2,015 |
| 24305 |
Arm tendon lengthening |
$11,025 |
BC FMOL |
$2,034 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE |
$2,449 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE – BLUE CROSS |
$2,449 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE – UNITED |
$2,449 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE – COVENTRY |
$2,449 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE – VANTAGE |
$2,449 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE -PEOPLES |
$2,449 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICARE- HUMANA |
$2,400 |
| 24305 |
Arm tendon lengthening |
$11,025 |
HUMANA |
$3,673 |
| 24305 |
Arm tendon lengthening |
$11,025 |
VANTAGE |
$4,163 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICAID |
$659 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICAID – UNITED |
$659 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICAID – HEALTHY BLUE |
$659 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MEDICAID – AMERIHEALTH |
$659 |
| 24305 |
Arm tendon lengthening |
$11,025 |
UNITED |
$2,923 |
| 24305 |
Arm tendon lengthening |
$11,025 |
AETNA |
$4,432 |
| 24305 |
Arm tendon lengthening |
$11,025 |
CIGNA |
$4,650 |
| 24305 |
Arm tendon lengthening |
$11,025 |
LWCC |
$6,296 |
| 24305 |
Arm tendon lengthening |
$11,025 |
PPOPLUS |
$5,651 |
| 24305 |
Arm tendon lengthening |
$11,025 |
GILSBAR |
$5,023 |
| 24305 |
Arm tendon lengthening |
$11,025 |
LSU |
$7,494 |
| 24305 |
Arm tendon lengthening |
$11,025 |
VERITY |
$3,386 |
| 24305 |
Arm tendon lengthening |
$11,025 |
MULTIPLAN |
$3,386 |
| 24305 |
Arm tendon lengthening |
$11,025 |
LA WORK COMP |
$11,025 |
| 24305 |
Arm tendon lengthening |
$11,025 |
|
|
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
Private Pay |
$18,756 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
BC PPO |
$5,520 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
BC HMO |
$4,843 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
BC FMOL |
$4,889 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE |
$5,351 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE – UNITED |
$5,351 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE – COVENTRY |
$5,351 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE – VANTAGE |
$5,351 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE -PEOPLES |
$5,351 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICARE- HUMANA |
$5,244 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
HUMANA |
$8,026 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
VANTAGE |
$9,097 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICAID |
$750 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICAID – UNITED |
$750 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICAID – HEALTHY BLUE |
$750 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MEDICAID – AMERIHEALTH |
$750 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
UNITED |
$4,460 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
AETNA |
$3,459 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
CIGNA |
$3,273 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
LWCC |
$13,758 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
PPOPLUS |
$11,441 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
GILSBAR |
$9,487 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
LSU |
$6,138 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
VERITY |
$7,176 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
MULTIPLAN |
$7,176 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
LA WORK COMP |
$18,525 |
| 29827 |
Arthroscop rotator cuff repr |
$18,525 |
|
|
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
Private Pay |
$16,719 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
BC PPO |
$4,866 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
BC HMO |
$4,270 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
BC FMOL |
$4,310 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE |
$5,351 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE – UNITED |
$5,351 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE – COVENTRY |
$5,351 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE – VANTAGE |
$5,351 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE -PEOPLES |
$5,351 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICARE- HUMANA |
$5,244 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
HUMANA |
$8,026 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
VANTAGE |
$9,097 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICAID |
$- |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICAID – UNITED |
$- |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICAID – HEALTHY BLUE |
$- |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MEDICAID – AMERIHEALTH |
$- |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
UNITED |
$4,460 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
AETNA |
$2,195 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
CIGNA |
$2,296 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
LWCC |
$13,758 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
PPOPLUS |
$10,199 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
GILSBAR |
$8,355 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
LSU |
$5,176 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
VERITY |
$7,176 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
MULTIPLAN |
$7,176 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
LA WORK COMP |
$15,952 |
| 29828 |
Arthroscopy biceps tenodesis |
$15,952 |
|
|
| 55700 |
Biopsy of prostate |
$5,734 |
Private Pay |
$6,371 |
| 55700 |
Biopsy of prostate |
$5,734 |
BC PPO |
$2,197 |
| 55700 |
Biopsy of prostate |
$5,734 |
BC HMO |
$1,927 |
| 55700 |
Biopsy of prostate |
$5,734 |
BC FMOL |
$1,946 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE |
$1,585 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE – BLUE CROSS |
$1,585 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE – UNITED |
$1,585 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE – COVENTRY |
$1,585 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE – VANTAGE |
$1,585 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE -PEOPLES |
$1,585 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICARE- HUMANA |
$1,553 |
| 55700 |
Biopsy of prostate |
$5,734 |
HUMANA |
$2,377 |
| 55700 |
Biopsy of prostate |
$5,734 |
VANTAGE |
$2,694 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICAID |
$466 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICAID – UNITED |
$466 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICAID – HEALTHY BLUE |
$466 |
| 55700 |
Biopsy of prostate |
$5,734 |
MEDICAID – AMERIHEALTH |
$466 |
| 55700 |
Biopsy of prostate |
$5,734 |
UNITED |
$734 |
| 55700 |
Biopsy of prostate |
$5,734 |
AETNA |
$1,000 |
| 55700 |
Biopsy of prostate |
$5,734 |
CIGNA |
$854 |
| 55700 |
Biopsy of prostate |
$5,734 |
LWCC |
$4,075 |
| 55700 |
Biopsy of prostate |
$5,734 |
PPOPLUS |
$3,887 |
| 55700 |
Biopsy of prostate |
$5,734 |
GILSBAR |
$3,122 |
| 55700 |
Biopsy of prostate |
$5,734 |
LSU |
$4,000 |
| 55700 |
Biopsy of prostate |
$5,734 |
VERITY |
$2,170 |
| 55700 |
Biopsy of prostate |
$5,734 |
MULTIPLAN |
$2,170 |
| 55700 |
Biopsy of prostate |
$5,734 |
LA WORK COMP |
$5,734 |
| 55700 |
Biopsy of prostate |
$5,734 |
|
|
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
Private Pay |
$8,771 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
BC PPO |
$3,322 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
BC HMO |
$2,915 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
BC FMOL |
$2,942 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE |
$2,710 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE – BLUE CROSS |
$2,710 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE – UNITED |
$2,710 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE – COVENTRY |
$2,710 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE – VANTAGE |
$2,710 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE -PEOPLES |
$2,710 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICARE- HUMANA |
$2,656 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
HUMANA |
$4,065 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
VANTAGE |
$4,607 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICAID |
$466 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICAID – UNITED |
$466 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICAID – HEALTHY BLUE |
$466 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MEDICAID – AMERIHEALTH |
$466 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
UNITED |
$2,188 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
AETNA |
$1,000 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
CIGNA |
$1,102 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
LWCC |
$6,968 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
PPOPLUS |
$5,350 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
GILSBAR |
$4,298 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
LSU |
$4,000 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
VERITY |
$3,491 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
MULTIPLAN |
$3,491 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
LA WORK COMP |
$7,894 |
| 38510 |
Biopsy/removal lymph nodes |
$7,894 |
|
|
| 64721 |
Carpal tunnel surgery |
$6,534 |
Private Pay |
$6,055 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
BC PPO |
$1,961 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
BC HMO |
$1,721 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
BC FMOL |
$1,737 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE |
$1,538 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE – BLUE CROSS |
$1,538 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE – UNITED |
$1,538 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE – COVENTRY |
$1,538 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE – VANTAGE |
$1,538 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE -PEOPLES |
$1,538 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICARE- HUMANA |
$1,507 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
HUMANA |
$2,307 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
VANTAGE |
$2,615 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICAID |
$466 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICAID – UNITED |
$466 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICAID – HEALTHY BLUE |
$466 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MEDICAID – AMERIHEALTH |
$466 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
UNITED |
$2,188 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
AETNA |
$3,144 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
CIGNA |
$3,427 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
LWCC |
$3,955 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
PPOPLUS |
$3,694 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
GILSBAR |
$3,318 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
LSU |
$6,534 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
VERITY |
$2,061 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
MULTIPLAN |
$2,061 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
LA WORK COMP |
$3,890 |
| 64721 |
Carpal tunnel surgery |
$6,534 |
|
|
| 22856 |
Cerv artific diskectomy |
$49,318 |
Private Pay |
$44,240 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
BC PPO |
$18,717 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
BC HMO |
$16,424 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
BC FMOL |
$16,580 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE |
$14,264 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE – BLUE CROSS |
$14,264 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE – UNITED |
$14,264 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE – COVENTRY |
$14,264 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE – VANTAGE |
$14,264 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE -PEOPLES |
$14,264 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICARE- HUMANA |
$13,979 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
HUMANA |
$21,396 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
VANTAGE |
$24,249 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICAID |
$- |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICAID – UNITED |
$- |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICAID – HEALTHY BLUE |
$- |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MEDICAID – AMERIHEALTH |
$- |
| 22856 |
Cerv artific diskectomy |
$49,318 |
UNITED |
$13,335 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
AETNA |
$11,253 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
CIGNA |
$13,866 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
LWCC |
$36,676 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
PPOPLUS |
$26,986 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
GILSBAR |
$23,388 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
LSU |
$16,353 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
VERITY |
$19,674 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
MULTIPLAN |
$19,674 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
LA WORK COMP |
$49,318 |
| 22856 |
Cerv artific diskectomy |
$49,318 |
|
|
| 54161 |
Circum 28 days or older |
$7,314 |
Private Pay |
$8,126 |
| 54161 |
Circum 28 days or older |
$7,314 |
BC PPO |
$2,065 |
| 54161 |
Circum 28 days or older |
$7,314 |
BC HMO |
$1,812 |
| 54161 |
Circum 28 days or older |
$7,314 |
BC FMOL |
$1,829 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE |
$1,585 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE – BLUE CROSS |
$1,585 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE – UNITED |
$1,585 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE – COVENTRY |
$1,585 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE – VANTAGE |
$1,585 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE -PEOPLES |
$1,585 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICARE- HUMANA |
$1,553 |
| 54161 |
Circum 28 days or older |
$7,314 |
HUMANA |
$2,377 |
| 54161 |
Circum 28 days or older |
$7,314 |
VANTAGE |
$2,694 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICAID |
$466 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICAID – UNITED |
$466 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICAID – HEALTHY BLUE |
$466 |
| 54161 |
Circum 28 days or older |
$7,314 |
MEDICAID – AMERIHEALTH |
$466 |
| 54161 |
Circum 28 days or older |
$7,314 |
UNITED |
$2,188 |
| 54161 |
Circum 28 days or older |
$7,314 |
AETNA |
$1,000 |
| 54161 |
Circum 28 days or older |
$7,314 |
CIGNA |
$992 |
| 54161 |
Circum 28 days or older |
$7,314 |
LWCC |
$4,075 |
| 54161 |
Circum 28 days or older |
$7,314 |
PPOPLUS |
$4,957 |
| 54161 |
Circum 28 days or older |
$7,314 |
GILSBAR |
$3,982 |
| 54161 |
Circum 28 days or older |
$7,314 |
LSU |
$4,000 |
| 54161 |
Circum 28 days or older |
$7,314 |
VERITY |
$2,170 |
| 54161 |
Circum 28 days or older |
$7,314 |
MULTIPLAN |
$2,170 |
| 54161 |
Circum 28 days or older |
$7,314 |
LA WORK COMP |
$7,314 |
| 54161 |
Circum 28 days or older |
$7,314 |
|
|
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
Private Pay |
$6,730 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
BC PPO |
$2,678 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
BC HMO |
$2,350 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
BC FMOL |
$2,372 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE |
$2,343 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE – BLUE CROSS |
$2,343 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE – UNITED |
$2,343 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE – COVENTRY |
$2,343 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE – VANTAGE |
$2,343 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE -PEOPLES |
$2,343 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICARE- HUMANA |
$2,296 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
HUMANA |
$3,515 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
VANTAGE |
$3,983 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICAID |
$466 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICAID – UNITED |
$466 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICAID – HEALTHY BLUE |
$466 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MEDICAID – AMERIHEALTH |
$466 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
UNITED |
$734 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
AETNA |
$1,150 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
CIGNA |
$854 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
LWCC |
$6,024 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
PPOPLUS |
$4,105 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
GILSBAR |
$3,322 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
LSU |
$4,177 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
VERITY |
$2,815 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
MULTIPLAN |
$2,815 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
LA WORK COMP |
$6,193 |
| 21320 |
Closed tx nose fx w/ stablj |
$6,193 |
|
|
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
Private Pay |
$25,376 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
BC PPO |
$5,457 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
BC HMO |
$4,788 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
BC FMOL |
$4,834 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE |
$5,997 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE – BLUE CROSS |
$5,997 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE – UNITED |
$5,997 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE – COVENTRY |
$5,997 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE – VANTAGE |
$5,997 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE -PEOPLES |
$5,997 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICARE- HUMANA |
$5,877 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
HUMANA |
$8,995 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
VANTAGE |
$10,194 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICAID |
$- |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICAID – UNITED |
$- |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICAID – HEALTHY BLUE |
$- |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MEDICAID – AMERIHEALTH |
$- |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
UNITED |
$3,860 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
AETNA |
$4,725 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
CIGNA |
$4,544 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
LWCC |
$15,418 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
PPOPLUS |
$15,480 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
GILSBAR |
$12,938 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
LSU |
$7,634 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
VERITY |
$8,047 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
MULTIPLAN |
$8,047 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
LA WORK COMP |
$25,634 |
| 57282 |
Colpopexy extraperitoneal |
$25,634 |
|
|
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
Private Pay |
$19,801 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
BC PPO |
$5,457 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
BC HMO |
$4,788 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
BC FMOL |
$4,834 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE |
$5,997 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE – BLUE CROSS |
$5,997 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE – UNITED |
$5,997 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE – COVENTRY |
$5,997 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE – VANTAGE |
$5,997 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE -PEOPLES |
$5,997 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICARE- HUMANA |
$5,877 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
HUMANA |
$8,995 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
VANTAGE |
$10,194 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICAID |
$- |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICAID – UNITED |
$- |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICAID – HEALTHY BLUE |
$- |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MEDICAID – AMERIHEALTH |
$- |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
UNITED |
$3,860 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
AETNA |
$3,070 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
CIGNA |
$3,358 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
LWCC |
$15,418 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
PPOPLUS |
$12,079 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
GILSBAR |
$10,074 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
LSU |
$6,683 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
VERITY |
$8,047 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
MULTIPLAN |
$8,047 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
LA WORK COMP |
$19,885 |
| 57283 |
Colpopexy intraperitoneal |
$19,885 |
|
|
| 10180 |
Complex drainage wound |
$6,843 |
Private Pay |
$7,603 |
| 10180 |
Complex drainage wound |
$6,843 |
BC PPO |
$2,831 |
| 10180 |
Complex drainage wound |
$6,843 |
BC HMO |
$2,484 |
| 10180 |
Complex drainage wound |
$6,843 |
BC FMOL |
$2,508 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE |
$2,074 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE – BLUE CROSS |
$2,074 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE – UNITED |
$2,074 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE – COVENTRY |
$2,074 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE – VANTAGE |
$2,074 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE -PEOPLES |
$2,074 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICARE- HUMANA |
$2,033 |
| 10180 |
Complex drainage wound |
$6,843 |
HUMANA |
$3,111 |
| 10180 |
Complex drainage wound |
$6,843 |
VANTAGE |
$3,526 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICAID |
$466 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICAID – UNITED |
$466 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICAID – HEALTHY BLUE |
$466 |
| 10180 |
Complex drainage wound |
$6,843 |
MEDICAID – AMERIHEALTH |
$466 |
| 10180 |
Complex drainage wound |
$6,843 |
UNITED |
$2,188 |
| 10180 |
Complex drainage wound |
$6,843 |
AETNA |
$1,000 |
| 10180 |
Complex drainage wound |
$6,843 |
CIGNA |
$2,756 |
| 10180 |
Complex drainage wound |
$6,843 |
LWCC |
$5,333 |
| 10180 |
Complex drainage wound |
$6,843 |
PPOPLUS |
$4,638 |
| 10180 |
Complex drainage wound |
$6,843 |
GILSBAR |
$3,725 |
| 10180 |
Complex drainage wound |
$6,843 |
LSU |
$4,000 |
| 10180 |
Complex drainage wound |
$6,843 |
VERITY |
$2,976 |
| 10180 |
Complex drainage wound |
$6,843 |
MULTIPLAN |
$2,976 |
| 10180 |
Complex drainage wound |
$6,843 |
LA WORK COMP |
$6,843 |
| 10180 |
Complex drainage wound |
$6,843 |
|
|
| 30903 |
Control of nosebleed |
$7,143 |
Private Pay |
$7,936 |
| 30903 |
Control of nosebleed |
$7,143 |
BC PPO |
$136 |
| 30903 |
Control of nosebleed |
$7,143 |
BC HMO |
$119 |
| 30903 |
Control of nosebleed |
$7,143 |
BC FMOL |
$121 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE |
$98 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE – BLUE CROSS |
$98 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE – UNITED |
$98 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE – COVENTRY |
$98 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE – VANTAGE |
$98 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE -PEOPLES |
$98 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICARE- HUMANA |
$96 |
| 30903 |
Control of nosebleed |
$7,143 |
HUMANA |
$146 |
| 30903 |
Control of nosebleed |
$7,143 |
VANTAGE |
$166 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICAID |
$348 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICAID – UNITED |
$348 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICAID – HEALTHY BLUE |
$348 |
| 30903 |
Control of nosebleed |
$7,143 |
MEDICAID – AMERIHEALTH |
$348 |
| 30903 |
Control of nosebleed |
$7,143 |
UNITED |
$392 |
| 30903 |
Control of nosebleed |
$7,143 |
AETNA |
$750 |
| 30903 |
Control of nosebleed |
$7,143 |
CIGNA |
$634 |
| 30903 |
Control of nosebleed |
$7,143 |
LWCC |
$251 |
| 30903 |
Control of nosebleed |
$7,143 |
PPOPLUS |
$4,841 |
| 30903 |
Control of nosebleed |
$7,143 |
GILSBAR |
$3,889 |
| 30903 |
Control of nosebleed |
$7,143 |
LSU |
$4,000 |
| 30903 |
Control of nosebleed |
$7,143 |
VERITY |
$134 |
| 30903 |
Control of nosebleed |
$7,143 |
MULTIPLAN |
$134 |
| 30903 |
Control of nosebleed |
$7,143 |
LA WORK COMP |
$7,143 |
| 30903 |
Control of nosebleed |
$7,143 |
|
|
| 42962 |
Control throat bleeding |
$7,114 |
Private Pay |
$7,904 |
| 42962 |
Control throat bleeding |
$7,114 |
BC PPO |
$2,678 |
| 42962 |
Control throat bleeding |
$7,114 |
BC HMO |
$2,350 |
| 42962 |
Control throat bleeding |
$7,114 |
BC FMOL |
$2,372 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE |
$2,343 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE – BLUE CROSS |
$2,343 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE – UNITED |
$2,343 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE – COVENTRY |
$2,343 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE – VANTAGE |
$2,343 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE -PEOPLES |
$2,343 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICARE- HUMANA |
$2,296 |
| 42962 |
Control throat bleeding |
$7,114 |
HUMANA |
$3,515 |
| 42962 |
Control throat bleeding |
$7,114 |
VANTAGE |
$3,983 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICAID |
$466 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICAID – UNITED |
$466 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICAID – HEALTHY BLUE |
$466 |
| 42962 |
Control throat bleeding |
$7,114 |
MEDICAID – AMERIHEALTH |
$466 |
| 42962 |
Control throat bleeding |
$7,114 |
UNITED |
$2,188 |
| 42962 |
Control throat bleeding |
$7,114 |
AETNA |
$1,000 |
| 42962 |
Control throat bleeding |
$7,114 |
CIGNA |
$992 |
| 42962 |
Control throat bleeding |
$7,114 |
LWCC |
$6,024 |
| 42962 |
Control throat bleeding |
$7,114 |
PPOPLUS |
$4,822 |
| 42962 |
Control throat bleeding |
$7,114 |
GILSBAR |
$3,873 |
| 42962 |
Control throat bleeding |
$7,114 |
LSU |
$4,000 |
| 42962 |
Control throat bleeding |
$7,114 |
VERITY |
$2,815 |
| 42962 |
Control throat bleeding |
$7,114 |
MULTIPLAN |
$2,815 |
| 42962 |
Control throat bleeding |
$7,114 |
LA WORK COMP |
$7,114 |
| 42962 |
Control throat bleeding |
$7,114 |
|
|
| 28292 |
Correction of bunion |
$15,854 |
Private Pay |
$17,114 |
| 28292 |
Correction of bunion |
$15,854 |
BC PPO |
$2,296 |
| 28292 |
Correction of bunion |
$15,854 |
BC HMO |
$2,015 |
| 28292 |
Correction of bunion |
$15,854 |
BC FMOL |
$2,034 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE |
$2,449 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE – UNITED |
$2,449 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE – COVENTRY |
$2,449 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE – VANTAGE |
$2,449 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE -PEOPLES |
$2,449 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICARE- HUMANA |
$2,400 |
| 28292 |
Correction of bunion |
$15,854 |
HUMANA |
$3,673 |
| 28292 |
Correction of bunion |
$15,854 |
VANTAGE |
$4,163 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICAID |
$466 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICAID – UNITED |
$466 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28292 |
Correction of bunion |
$15,854 |
MEDICAID – AMERIHEALTH |
$466 |
| 28292 |
Correction of bunion |
$15,854 |
UNITED |
$2,923 |
| 28292 |
Correction of bunion |
$15,854 |
AETNA |
$1,497 |
| 28292 |
Correction of bunion |
$15,854 |
CIGNA |
$854 |
| 28292 |
Correction of bunion |
$15,854 |
LWCC |
$6,296 |
| 28292 |
Correction of bunion |
$15,854 |
PPOPLUS |
$10,439 |
| 28292 |
Correction of bunion |
$15,854 |
GILSBAR |
$8,467 |
| 28292 |
Correction of bunion |
$15,854 |
LSU |
$4,587 |
| 28292 |
Correction of bunion |
$15,854 |
VERITY |
$3,386 |
| 28292 |
Correction of bunion |
$15,854 |
MULTIPLAN |
$3,386 |
| 28292 |
Correction of bunion |
$15,854 |
LA WORK COMP |
$15,854 |
| 28292 |
Correction of bunion |
$15,854 |
|
|
| 28296 |
Correction of bunion |
$16,435 |
Private Pay |
$16,984 |
| 28296 |
Correction of bunion |
$16,435 |
BC PPO |
$2,604 |
| 28296 |
Correction of bunion |
$16,435 |
BC HMO |
$2,285 |
| 28296 |
Correction of bunion |
$16,435 |
BC FMOL |
$2,307 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE |
$2,449 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE – UNITED |
$2,449 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE – COVENTRY |
$2,449 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE – VANTAGE |
$2,449 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE -PEOPLES |
$2,449 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICARE- HUMANA |
$2,400 |
| 28296 |
Correction of bunion |
$16,435 |
HUMANA |
$3,673 |
| 28296 |
Correction of bunion |
$16,435 |
VANTAGE |
$4,163 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICAID |
$533 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICAID – UNITED |
$533 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28296 |
Correction of bunion |
$16,435 |
MEDICAID – AMERIHEALTH |
$533 |
| 28296 |
Correction of bunion |
$16,435 |
UNITED |
$2,923 |
| 28296 |
Correction of bunion |
$16,435 |
AETNA |
$2,464 |
| 28296 |
Correction of bunion |
$16,435 |
CIGNA |
$2,619 |
| 28296 |
Correction of bunion |
$16,435 |
LWCC |
$6,296 |
| 28296 |
Correction of bunion |
$16,435 |
PPOPLUS |
$10,360 |
| 28296 |
Correction of bunion |
$16,435 |
GILSBAR |
$8,529 |
| 28296 |
Correction of bunion |
$16,435 |
LSU |
$5,494 |
| 28296 |
Correction of bunion |
$16,435 |
VERITY |
$3,386 |
| 28296 |
Correction of bunion |
$16,435 |
MULTIPLAN |
$3,386 |
| 28296 |
Correction of bunion |
$16,435 |
LA WORK COMP |
$16,435 |
| 28296 |
Correction of bunion |
$16,435 |
|
|
| 28299 |
Correction of bunion |
$23,074 |
Private Pay |
$23,241 |
| 28299 |
Correction of bunion |
$23,074 |
BC PPO |
$2,296 |
| 28299 |
Correction of bunion |
$23,074 |
BC HMO |
$2,015 |
| 28299 |
Correction of bunion |
$23,074 |
BC FMOL |
$2,034 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE |
$5,351 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE – UNITED |
$5,351 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE – COVENTRY |
$5,351 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE – VANTAGE |
$5,351 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE -PEOPLES |
$5,351 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICARE- HUMANA |
$5,244 |
| 28299 |
Correction of bunion |
$23,074 |
HUMANA |
$8,026 |
| 28299 |
Correction of bunion |
$23,074 |
VANTAGE |
$9,097 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICAID |
$750 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICAID – UNITED |
$750 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICAID – HEALTHY BLUE |
$750 |
| 28299 |
Correction of bunion |
$23,074 |
MEDICAID – AMERIHEALTH |
$750 |
| 28299 |
Correction of bunion |
$23,074 |
UNITED |
$2,923 |
| 28299 |
Correction of bunion |
$23,074 |
AETNA |
$4,023 |
| 28299 |
Correction of bunion |
$23,074 |
CIGNA |
$4,171 |
| 28299 |
Correction of bunion |
$23,074 |
LWCC |
$13,758 |
| 28299 |
Correction of bunion |
$23,074 |
PPOPLUS |
$14,177 |
| 28299 |
Correction of bunion |
$23,074 |
GILSBAR |
$11,776 |
| 28299 |
Correction of bunion |
$23,074 |
LSU |
$6,805 |
| 28299 |
Correction of bunion |
$23,074 |
VERITY |
$3,386 |
| 28299 |
Correction of bunion |
$23,074 |
MULTIPLAN |
$3,386 |
| 28299 |
Correction of bunion |
$23,074 |
LA WORK COMP |
$23,074 |
| 28299 |
Correction of bunion |
$23,074 |
|
|
| 69436 |
Create eardrum opening |
$4,477 |
Private Pay |
$4,912 |
| 69436 |
Create eardrum opening |
$4,477 |
BC PPO |
$1,474 |
| 69436 |
Create eardrum opening |
$4,477 |
BC HMO |
$1,294 |
| 69436 |
Create eardrum opening |
$4,477 |
BC FMOL |
$1,306 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE |
$1,207 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE – BLUE CROSS |
$1,207 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE – UNITED |
$1,207 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE – COVENTRY |
$1,207 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE – VANTAGE |
$1,207 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE -PEOPLES |
$1,207 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICARE- HUMANA |
$1,183 |
| 69436 |
Create eardrum opening |
$4,477 |
HUMANA |
$1,811 |
| 69436 |
Create eardrum opening |
$4,477 |
VANTAGE |
$2,052 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICAID |
$533 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICAID – UNITED |
$533 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICAID – HEALTHY BLUE |
$533 |
| 69436 |
Create eardrum opening |
$4,477 |
MEDICAID – AMERIHEALTH |
$533 |
| 69436 |
Create eardrum opening |
$4,477 |
UNITED |
$734 |
| 69436 |
Create eardrum opening |
$4,477 |
AETNA |
$1,262 |
| 69436 |
Create eardrum opening |
$4,477 |
CIGNA |
$1,066 |
| 69436 |
Create eardrum opening |
$4,477 |
LWCC |
$3,103 |
| 69436 |
Create eardrum opening |
$4,477 |
PPOPLUS |
$2,996 |
| 69436 |
Create eardrum opening |
$4,477 |
GILSBAR |
$2,417 |
| 69436 |
Create eardrum opening |
$4,477 |
LSU |
$4,073 |
| 69436 |
Create eardrum opening |
$4,477 |
VERITY |
$1,457 |
| 69436 |
Create eardrum opening |
$4,477 |
MULTIPLAN |
$1,457 |
| 69436 |
Create eardrum opening |
$4,477 |
LA WORK COMP |
$4,477 |
| 69436 |
Create eardrum opening |
$4,477 |
|
|
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
Private Pay |
$14,077 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
BC PPO |
$4,705 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
BC HMO |
$4,128 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
BC FMOL |
$4,168 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE |
$3,785 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE – BLUE CROSS |
$3,785 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE – UNITED |
$3,785 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE – COVENTRY |
$3,785 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE – VANTAGE |
$3,785 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE -PEOPLES |
$3,785 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICARE- HUMANA |
$3,710 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
HUMANA |
$5,678 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
VANTAGE |
$6,435 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICAID |
$659 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICAID – UNITED |
$659 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICAID – HEALTHY BLUE |
$659 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MEDICAID – AMERIHEALTH |
$659 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
UNITED |
$3,860 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
AETNA |
$1,848 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
CIGNA |
$1,439 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
LWCC |
$9,733 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
PPOPLUS |
$8,587 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
GILSBAR |
$6,959 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
LSU |
$4,441 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
VERITY |
$4,743 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
MULTIPLAN |
$4,743 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
LA WORK COMP |
$13,008 |
| 52356 |
Cysto/uretero w/lithotripsy |
$13,008 |
|
|
| 52000 |
Cystoscopy |
$7,126 |
Private Pay |
$7,917 |
| 52000 |
Cystoscopy |
$7,126 |
BC PPO |
$733 |
| 52000 |
Cystoscopy |
$7,126 |
BC HMO |
$643 |
| 52000 |
Cystoscopy |
$7,126 |
BC FMOL |
$649 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE |
$498 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE – BLUE CROSS |
$498 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE – UNITED |
$498 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE – COVENTRY |
$498 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE – VANTAGE |
$498 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE -PEOPLES |
$498 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICARE- HUMANA |
$488 |
| 52000 |
Cystoscopy |
$7,126 |
HUMANA |
$747 |
| 52000 |
Cystoscopy |
$7,126 |
VANTAGE |
$846 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICAID |
$348 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICAID – UNITED |
$348 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICAID – HEALTHY BLUE |
$348 |
| 52000 |
Cystoscopy |
$7,126 |
MEDICAID – AMERIHEALTH |
$348 |
| 52000 |
Cystoscopy |
$7,126 |
UNITED |
$610 |
| 52000 |
Cystoscopy |
$7,126 |
AETNA |
$750 |
| 52000 |
Cystoscopy |
$7,126 |
CIGNA |
$1,433 |
| 52000 |
Cystoscopy |
$7,126 |
LWCC |
$1,280 |
| 52000 |
Cystoscopy |
$7,126 |
PPOPLUS |
$4,830 |
| 52000 |
Cystoscopy |
$7,126 |
GILSBAR |
$3,879 |
| 52000 |
Cystoscopy |
$7,126 |
LSU |
$4,000 |
| 52000 |
Cystoscopy |
$7,126 |
VERITY |
$724 |
| 52000 |
Cystoscopy |
$7,126 |
MULTIPLAN |
$724 |
| 52000 |
Cystoscopy |
$7,126 |
LA WORK COMP |
$7,126 |
| 52000 |
Cystoscopy |
$7,126 |
|
|
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
Private Pay |
$8,633 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
BC PPO |
$1,867 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
BC HMO |
$1,638 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
BC FMOL |
$1,654 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE |
$1,585 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE – UNITED |
$1,585 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE – COVENTRY |
$1,585 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE – VANTAGE |
$1,585 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE -PEOPLES |
$1,585 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICARE- HUMANA |
$1,553 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
HUMANA |
$2,377 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
VANTAGE |
$2,694 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICAID |
$466 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICAID – UNITED |
$466 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MEDICAID – AMERIHEALTH |
$466 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
UNITED |
$2,188 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
AETNA |
$1,335 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
CIGNA |
$1,102 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
LWCC |
$4,075 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
PPOPLUS |
$5,266 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
GILSBAR |
$4,285 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
LSU |
$4,396 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
VERITY |
$2,170 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
MULTIPLAN |
$2,170 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
LA WORK COMP |
$8,075 |
| 52005 |
Cystoscopy & ureter catheter |
$8,075 |
|
|
| 52224 |
Cystoscopy and treatment |
$7,895 |
Private Pay |
$8,434 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
BC PPO |
$2,065 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
BC HMO |
$1,812 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
BC FMOL |
$1,829 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE |
$1,585 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE – UNITED |
$1,585 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE – COVENTRY |
$1,585 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE – VANTAGE |
$1,585 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE -PEOPLES |
$1,585 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICARE- HUMANA |
$1,553 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
HUMANA |
$2,377 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
VANTAGE |
$2,694 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICAID |
$466 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICAID – UNITED |
$466 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MEDICAID – AMERIHEALTH |
$466 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
UNITED |
$2,188 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
AETNA |
$1,335 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
CIGNA |
$1,394 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
LWCC |
$4,075 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
PPOPLUS |
$5,145 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
GILSBAR |
$4,188 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
LSU |
$4,396 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
VERITY |
$2,170 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
MULTIPLAN |
$2,170 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
LA WORK COMP |
$7,895 |
| 52224 |
Cystoscopy and treatment |
$7,895 |
|
|
| 52234 |
Cystoscopy and treatment |
$9,353 |
Private Pay |
$10,041 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
BC PPO |
$3,284 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
BC HMO |
$2,881 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
BC FMOL |
$2,909 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE |
$2,700 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE – UNITED |
$2,700 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE – COVENTRY |
$2,700 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE – VANTAGE |
$2,700 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE -PEOPLES |
$2,700 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICARE- HUMANA |
$2,646 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
HUMANA |
$4,050 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
VANTAGE |
$4,590 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICAID |
$466 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICAID – UNITED |
$466 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MEDICAID – AMERIHEALTH |
$466 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
UNITED |
$2,188 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
AETNA |
$1,348 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
CIGNA |
$1,102 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
LWCC |
$6,943 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
PPOPLUS |
$6,125 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
GILSBAR |
$4,977 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
LSU |
$4,411 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
VERITY |
$3,452 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
MULTIPLAN |
$3,452 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
LA WORK COMP |
$9,353 |
| 52234 |
Cystoscopy and treatment |
$9,353 |
|
|
| 52235 |
Cystoscopy and treatment |
$10,376 |
Private Pay |
$11,083 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
BC PPO |
$3,284 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
BC HMO |
$2,881 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
BC FMOL |
$2,909 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE |
$2,700 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE – UNITED |
$2,700 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE – COVENTRY |
$2,700 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE – VANTAGE |
$2,700 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE -PEOPLES |
$2,700 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICARE- HUMANA |
$2,646 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
HUMANA |
$4,050 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
VANTAGE |
$4,590 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICAID |
$533 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICAID – UNITED |
$533 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICAID – HEALTHY BLUE |
$533 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MEDICAID – AMERIHEALTH |
$533 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
UNITED |
$2,188 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
AETNA |
$1,641 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
CIGNA |
$854 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
LWCC |
$6,943 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
PPOPLUS |
$6,760 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
GILSBAR |
$5,503 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
LSU |
$4,522 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
VERITY |
$3,452 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
MULTIPLAN |
$3,452 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
LA WORK COMP |
$10,376 |
| 52235 |
Cystoscopy and treatment |
$10,376 |
|
|
| 52240 |
Cystoscopy and treatment |
$12,612 |
Private Pay |
$13,619 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
BC PPO |
$4,513 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
BC HMO |
$3,960 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
BC FMOL |
$3,998 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE |
$3,785 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE – BLUE CROSS |
$3,785 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE – UNITED |
$3,785 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE – COVENTRY |
$3,785 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE – VANTAGE |
$3,785 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE -PEOPLES |
$3,785 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICARE- HUMANA |
$3,710 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
HUMANA |
$5,678 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
VANTAGE |
$6,435 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICAID |
$533 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICAID – UNITED |
$533 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICAID – HEALTHY BLUE |
$533 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MEDICAID – AMERIHEALTH |
$533 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
UNITED |
$2,188 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
AETNA |
$1,591 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
CIGNA |
$1,102 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
LWCC |
$9,733 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
PPOPLUS |
$8,307 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
GILSBAR |
$6,737 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
LSU |
$4,462 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
VERITY |
$4,743 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
MULTIPLAN |
$4,743 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
LA WORK COMP |
$12,612 |
| 52240 |
Cystoscopy and treatment |
$12,612 |
|
|
| 52276 |
Cystoscopy and treatment |
$8,903 |
Private Pay |
$9,892 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
BC PPO |
$2,065 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
BC HMO |
$1,812 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
BC FMOL |
$1,829 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE |
$1,585 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE – UNITED |
$1,585 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE – COVENTRY |
$1,585 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE – VANTAGE |
$1,585 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE -PEOPLES |
$1,585 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICARE- HUMANA |
$1,553 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
HUMANA |
$2,377 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
VANTAGE |
$2,694 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICAID |
$533 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICAID – UNITED |
$533 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICAID – HEALTHY BLUE |
$533 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MEDICAID – AMERIHEALTH |
$533 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
UNITED |
$2,188 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
AETNA |
$1,200 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
CIGNA |
$992 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
LWCC |
$4,075 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
PPOPLUS |
$6,034 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
GILSBAR |
$4,847 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
LSU |
$4,000 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
VERITY |
$2,170 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
MULTIPLAN |
$2,170 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
LA WORK COMP |
$8,903 |
| 52276 |
Cystoscopy and treatment |
$8,903 |
|
|
| 52281 |
Cystoscopy and treatment |
$7,689 |
Private Pay |
$8,543 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
BC PPO |
$2,153 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
BC HMO |
$1,889 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
BC FMOL |
$1,907 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE |
$1,585 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE – UNITED |
$1,585 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE – COVENTRY |
$1,585 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE – VANTAGE |
$1,585 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE -PEOPLES |
$1,585 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICARE- HUMANA |
$1,553 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
HUMANA |
$2,377 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
VANTAGE |
$2,694 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICAID |
$466 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICAID – UNITED |
$466 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MEDICAID – AMERIHEALTH |
$466 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
UNITED |
$734 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
AETNA |
$1,000 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
CIGNA |
$1,323 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
LWCC |
$4,075 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
PPOPLUS |
$5,211 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
GILSBAR |
$4,186 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
LSU |
$4,000 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
VERITY |
$2,170 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
MULTIPLAN |
$2,170 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
LA WORK COMP |
$7,689 |
| 52281 |
Cystoscopy and treatment |
$7,689 |
|
|
| 52310 |
Cystoscopy and treatment |
$5,787 |
Private Pay |
$6,430 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
BC PPO |
$2,153 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
BC HMO |
$1,889 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
BC FMOL |
$1,907 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE |
$1,585 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE – UNITED |
$1,585 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE – COVENTRY |
$1,585 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE – VANTAGE |
$1,585 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE -PEOPLES |
$1,585 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICARE- HUMANA |
$1,553 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
HUMANA |
$2,377 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
VANTAGE |
$2,694 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICAID |
$466 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICAID – UNITED |
$466 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MEDICAID – AMERIHEALTH |
$466 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
UNITED |
$734 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
AETNA |
$1,000 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
CIGNA |
$1,323 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
LWCC |
$4,075 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
PPOPLUS |
$3,922 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
GILSBAR |
$3,151 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
LSU |
$4,000 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
VERITY |
$2,170 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
MULTIPLAN |
$2,170 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
LA WORK COMP |
$5,787 |
| 52310 |
Cystoscopy and treatment |
$5,787 |
|
|
| 52332 |
Cystoscopy and treatment |
$9,145 |
Private Pay |
$9,747 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
BC PPO |
$2,969 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
BC HMO |
$2,606 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
BC FMOL |
$2,630 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE |
$2,700 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE – UNITED |
$2,700 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE – COVENTRY |
$2,700 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE – VANTAGE |
$2,700 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE -PEOPLES |
$2,700 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICARE- HUMANA |
$2,646 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
HUMANA |
$4,050 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
VANTAGE |
$4,590 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICAID |
$466 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICAID – UNITED |
$466 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MEDICAID – AMERIHEALTH |
$466 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
UNITED |
$2,188 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
AETNA |
$1,410 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
CIGNA |
$634 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
LWCC |
$6,943 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
PPOPLUS |
$5,946 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
GILSBAR |
$4,843 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
LSU |
$4,485 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
VERITY |
$3,452 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
MULTIPLAN |
$3,452 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
LA WORK COMP |
$9,145 |
| 52332 |
Cystoscopy and treatment |
$9,145 |
|
|
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
Private Pay |
$8,741 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
BC PPO |
$2,153 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
BC HMO |
$1,889 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
BC FMOL |
$1,907 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE |
$1,585 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE – UNITED |
$1,585 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE – COVENTRY |
$1,585 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE – VANTAGE |
$1,585 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE -PEOPLES |
$1,585 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICARE- HUMANA |
$1,553 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
HUMANA |
$2,377 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
VANTAGE |
$2,694 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICAID |
$466 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICAID – UNITED |
$466 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MEDICAID – AMERIHEALTH |
$466 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
UNITED |
$734 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
AETNA |
$2,067 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
CIGNA |
$2,272 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
LWCC |
$4,075 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
PPOPLUS |
$5,332 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
GILSBAR |
$4,458 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
LSU |
$5,261 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
VERITY |
$2,170 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
MULTIPLAN |
$2,170 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
LA WORK COMP |
$8,837 |
| 52287 |
Cystoscopy chemodenervation |
$8,837 |
|
|
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
Private Pay |
$8,859 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
BC PPO |
$1,867 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
BC HMO |
$1,638 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
BC FMOL |
$1,654 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE |
$1,585 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE – BLUE CROSS |
$1,585 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE – UNITED |
$1,585 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE – COVENTRY |
$1,585 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE – VANTAGE |
$1,585 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE -PEOPLES |
$1,585 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICARE- HUMANA |
$1,553 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
HUMANA |
$2,377 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
VANTAGE |
$2,694 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICAID |
$466 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICAID – UNITED |
$466 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MEDICAID – AMERIHEALTH |
$466 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
UNITED |
$2,188 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
AETNA |
$1,335 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
CIGNA |
$1,394 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
LWCC |
$4,075 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
PPOPLUS |
$5,404 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
GILSBAR |
$4,396 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
LSU |
$4,396 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
VERITY |
$2,170 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
MULTIPLAN |
$2,170 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
LA WORK COMP |
$8,278 |
| 52204 |
Cystoscopy w/biopsy(s) |
$8,278 |
|
|
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
Private Pay |
$9,196 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
BC PPO |
$2,065 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
BC HMO |
$1,812 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
BC FMOL |
$1,829 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE |
$2,700 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE – UNITED |
$2,700 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE – COVENTRY |
$2,700 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE – VANTAGE |
$2,700 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE -PEOPLES |
$2,700 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICARE- HUMANA |
$2,646 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
HUMANA |
$4,050 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
VANTAGE |
$4,590 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICAID |
$533 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICAID – UNITED |
$533 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICAID – HEALTHY BLUE |
$533 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MEDICAID – AMERIHEALTH |
$533 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
UNITED |
$2,188 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
AETNA |
$1,200 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
CIGNA |
$1,102 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
LWCC |
$6,943 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
PPOPLUS |
$5,610 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
GILSBAR |
$4,506 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
LSU |
$4,000 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
VERITY |
$2,170 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
MULTIPLAN |
$2,170 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
LA WORK COMP |
$8,277 |
| 52351 |
Cystouretero & or pyeloscope |
$8,277 |
|
|
| 52354 |
Cystouretero w/biopsy |
$13,740 |
Private Pay |
$14,893 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
BC PPO |
$4,513 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
BC HMO |
$3,960 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
BC FMOL |
$3,998 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE |
$3,785 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE – BLUE CROSS |
$3,785 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE – UNITED |
$3,785 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE – COVENTRY |
$3,785 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE – VANTAGE |
$3,785 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE -PEOPLES |
$3,785 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICARE- HUMANA |
$3,710 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
HUMANA |
$5,678 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
VANTAGE |
$6,435 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICAID |
$659 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICAID – UNITED |
$659 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICAID – HEALTHY BLUE |
$659 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MEDICAID – AMERIHEALTH |
$659 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
UNITED |
$2,188 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
AETNA |
$1,845 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
CIGNA |
$854 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
LWCC |
$9,733 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
PPOPLUS |
$9,085 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
GILSBAR |
$7,358 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
LSU |
$4,437 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
VERITY |
$4,743 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
MULTIPLAN |
$4,743 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
LA WORK COMP |
$13,740 |
| 52354 |
Cystouretero w/biopsy |
$13,740 |
|
|
| 52352 |
Cystouretero w/stone remove |
$11,685 |
Private Pay |
$12,595 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
BC PPO |
$4,081 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
BC HMO |
$3,581 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
BC FMOL |
$3,615 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE |
$2,700 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE – UNITED |
$2,700 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE – COVENTRY |
$2,700 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE – VANTAGE |
$2,700 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE -PEOPLES |
$2,700 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICARE- HUMANA |
$2,646 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
HUMANA |
$4,050 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
VANTAGE |
$4,590 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICAID |
$659 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICAID – UNITED |
$659 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICAID – HEALTHY BLUE |
$659 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MEDICAID – AMERIHEALTH |
$659 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
UNITED |
$2,188 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
AETNA |
$1,860 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
CIGNA |
$634 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
LWCC |
$6,943 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
PPOPLUS |
$7,683 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
GILSBAR |
$6,234 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
LSU |
$4,455 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
VERITY |
$4,743 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
MULTIPLAN |
$4,743 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
LA WORK COMP |
$11,685 |
| 52352 |
Cystouretero w/stone remove |
$11,685 |
|
|
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
Private Pay |
$9,758 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
BC PPO |
$1,641 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
BC HMO |
$1,440 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
BC FMOL |
$1,454 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE |
$1,228 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE – BLUE CROSS |
$1,228 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE – UNITED |
$1,228 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE – COVENTRY |
$1,228 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE – VANTAGE |
$1,228 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE -PEOPLES |
$1,228 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICARE- HUMANA |
$1,203 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
HUMANA |
$1,842 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
VANTAGE |
$2,087 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICAID |
$466 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICAID – UNITED |
$466 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MEDICAID – AMERIHEALTH |
$466 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
UNITED |
$610 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
AETNA |
$1,449 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
CIGNA |
$1,323 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
LWCC |
$3,157 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
PPOPLUS |
$5,952 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
GILSBAR |
$4,855 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
LSU |
$4,530 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
VERITY |
$1,725 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
MULTIPLAN |
$1,725 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
LA WORK COMP |
$9,190 |
| 11044 |
Deb bone 20 sq cm/< |
$9,190 |
|
|
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
Private Pay |
$9,918 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
BC PPO |
$632 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
BC HMO |
$555 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
BC FMOL |
$560 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE |
$445 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE – BLUE CROSS |
$445 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE – UNITED |
$445 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE – COVENTRY |
$445 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE – VANTAGE |
$445 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE -PEOPLES |
$445 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICARE- HUMANA |
$436 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
HUMANA |
$667 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
VANTAGE |
$756 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICAID |
$466 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICAID – UNITED |
$466 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MEDICAID – AMERIHEALTH |
$466 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
UNITED |
$392 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
AETNA |
$1,000 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
CIGNA |
$1,323 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
LWCC |
$1,143 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
PPOPLUS |
$6,050 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
GILSBAR |
$4,860 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
LSU |
$4,000 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
VERITY |
$625 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
MULTIPLAN |
$625 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
LA WORK COMP |
$8,926 |
| 11043 |
Deb musc/fascia 20 sq cm/< |
$8,926 |
|
|
| 11012 |
Deb skin bone at fx site |
$6,502 |
Private Pay |
$7,208 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
BC PPO |
$2,560 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
BC HMO |
$2,246 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
BC FMOL |
$2,268 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE |
$2,074 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE – BLUE CROSS |
$2,074 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE – UNITED |
$2,074 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE – COVENTRY |
$2,074 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE – VANTAGE |
$2,074 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE -PEOPLES |
$2,074 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICARE- HUMANA |
$2,033 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
HUMANA |
$3,111 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
VANTAGE |
$466 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICAID |
$466 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICAID – UNITED |
$466 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MEDICAID – AMERIHEALTH |
$466 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
UNITED |
$610 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
AETNA |
$1,016 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
CIGNA |
$1,929 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
LWCC |
$5,333 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
PPOPLUS |
$4,397 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
GILSBAR |
$3,535 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
LSU |
$4,019 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
VERITY |
$2,976 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
MULTIPLAN |
$2,976 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
LA WORK COMP |
$6,502 |
| 11012 |
Deb skin bone at fx site |
$6,502 |
|
|
| 11010 |
Debride skin at fx site |
$7,299 |
Private Pay |
$8,110 |
| 11010 |
Debride skin at fx site |
$7,299 |
BC PPO |
$742 |
| 11010 |
Debride skin at fx site |
$7,299 |
BC HMO |
$651 |
| 11010 |
Debride skin at fx site |
$7,299 |
BC FMOL |
$657 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE |
$546 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE – BLUE CROSS |
$546 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE – UNITED |
$546 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE – COVENTRY |
$546 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE – VANTAGE |
$546 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE -PEOPLES |
$546 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICARE- HUMANA |
$535 |
| 11010 |
Debride skin at fx site |
$7,299 |
HUMANA |
$818 |
| 11010 |
Debride skin at fx site |
$7,299 |
VANTAGE |
$928 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICAID |
$466 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICAID – UNITED |
$466 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11010 |
Debride skin at fx site |
$7,299 |
MEDICAID – AMERIHEALTH |
$466 |
| 11010 |
Debride skin at fx site |
$7,299 |
UNITED |
$610 |
| 11010 |
Debride skin at fx site |
$7,299 |
AETNA |
$1,000 |
| 11010 |
Debride skin at fx site |
$7,299 |
CIGNA |
$1,102 |
| 11010 |
Debride skin at fx site |
$7,299 |
LWCC |
$1,403 |
| 11010 |
Debride skin at fx site |
$7,299 |
PPOPLUS |
$4,947 |
| 11010 |
Debride skin at fx site |
$7,299 |
GILSBAR |
$3,974 |
| 11010 |
Debride skin at fx site |
$7,299 |
LSU |
$4,000 |
| 11010 |
Debride skin at fx site |
$7,299 |
VERITY |
$733 |
| 11010 |
Debride skin at fx site |
$7,299 |
MULTIPLAN |
$733 |
| 11010 |
Debride skin at fx site |
$7,299 |
LA WORK COMP |
$7,299 |
| 11010 |
Debride skin at fx site |
$7,299 |
|
|
| 26020 |
Drain hand tendon sheath |
$9,194 |
Private Pay |
$10,216 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
BC PPO |
$3,358 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
BC HMO |
$2,947 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
BC FMOL |
$2,975 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE |
$2,449 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE – UNITED |
$2,449 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE – COVENTRY |
$2,449 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE – VANTAGE |
$2,449 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE -PEOPLES |
$2,449 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICARE- HUMANA |
$2,400 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
HUMANA |
$3,673 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
VANTAGE |
$4,163 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICAID |
$466 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICAID – UNITED |
$466 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MEDICAID – AMERIHEALTH |
$466 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
UNITED |
$734 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
AETNA |
$1,000 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
CIGNA |
$1,323 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
LWCC |
$6,296 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
PPOPLUS |
$6,232 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
GILSBAR |
$5,006 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
LSU |
$4,000 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
VERITY |
$3,386 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
MULTIPLAN |
$3,386 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
LA WORK COMP |
$9,194 |
| 26020 |
Drain hand tendon sheath |
$9,194 |
|
|
| 27603 |
Drain lower leg lesion |
$10,145 |
Private Pay |
$11,273 |
| 27603 |
Drain lower leg lesion |
$10,145 |
BC PPO |
$3,012 |
| 27603 |
Drain lower leg lesion |
$10,145 |
BC HMO |
$2,643 |
| 27603 |
Drain lower leg lesion |
$10,145 |
BC FMOL |
$2,668 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE |
$2,074 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE – BLUE CROSS |
$2,074 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE – UNITED |
$2,074 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE – COVENTRY |
$2,074 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE – VANTAGE |
$2,074 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE -PEOPLES |
$2,074 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICARE- HUMANA |
$2,033 |
| 27603 |
Drain lower leg lesion |
$10,145 |
HUMANA |
$3,111 |
| 27603 |
Drain lower leg lesion |
$10,145 |
VANTAGE |
$3,526 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICAID |
$466 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICAID – UNITED |
$466 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICAID – HEALTHY BLUE |
$466 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MEDICAID – AMERIHEALTH |
$466 |
| 27603 |
Drain lower leg lesion |
$10,145 |
UNITED |
$2,188 |
| 27603 |
Drain lower leg lesion |
$10,145 |
AETNA |
$1,000 |
| 27603 |
Drain lower leg lesion |
$10,145 |
CIGNA |
$854 |
| 27603 |
Drain lower leg lesion |
$10,145 |
LWCC |
$5,333 |
| 27603 |
Drain lower leg lesion |
$10,145 |
PPOPLUS |
$6,876 |
| 27603 |
Drain lower leg lesion |
$10,145 |
GILSBAR |
$5,524 |
| 27603 |
Drain lower leg lesion |
$10,145 |
LSU |
$4,000 |
| 27603 |
Drain lower leg lesion |
$10,145 |
VERITY |
$2,976 |
| 27603 |
Drain lower leg lesion |
$10,145 |
MULTIPLAN |
$2,976 |
| 27603 |
Drain lower leg lesion |
$10,145 |
LA WORK COMP |
$10,145 |
| 27603 |
Drain lower leg lesion |
$10,145 |
|
|
| 27301 |
Drain thigh/knee lesion |
$11,492 |
Private Pay |
$10,515 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
BC PPO |
$2,951 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
BC HMO |
$2,590 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
BC FMOL |
$2,614 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE |
$2,074 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE – BLUE CROSS |
$2,074 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE – UNITED |
$2,074 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE – COVENTRY |
$2,074 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE – VANTAGE |
$2,074 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE -PEOPLES |
$2,074 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICARE- HUMANA |
$2,033 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
HUMANA |
$3,111 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
VANTAGE |
$3,526 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICAID |
$533 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICAID – UNITED |
$533 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MEDICAID – AMERIHEALTH |
$533 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
UNITED |
$2,188 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
AETNA |
$3,431 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
CIGNA |
$3,780 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
LWCC |
$5,333 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
PPOPLUS |
$6,414 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
GILSBAR |
$5,518 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
LSU |
$6,637 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
VERITY |
$2,976 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
MULTIPLAN |
$2,976 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
LA WORK COMP |
$11,492 |
| 27301 |
Drain thigh/knee lesion |
$11,492 |
|
|
| 26011 |
Drainage of finger abscess |
$6,162 |
Private Pay |
$6,847 |
| 26011 |
Drainage of finger abscess |
$6,162 |
BC PPO |
$1,711 |
| 26011 |
Drainage of finger abscess |
$6,162 |
BC HMO |
$1,502 |
| 26011 |
Drainage of finger abscess |
$6,162 |
BC FMOL |
$1,516 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE |
$1,228 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE – BLUE CROSS |
$1,228 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE – UNITED |
$1,228 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE – COVENTRY |
$1,228 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE – VANTAGE |
$1,228 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE -PEOPLES |
$1,228 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICARE- HUMANA |
$1,203 |
| 26011 |
Drainage of finger abscess |
$6,162 |
HUMANA |
$1,842 |
| 26011 |
Drainage of finger abscess |
$6,162 |
VANTAGE |
$2,087 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICAID |
$348 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICAID – UNITED |
$348 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICAID – HEALTHY BLUE |
$348 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MEDICAID – AMERIHEALTH |
$348 |
| 26011 |
Drainage of finger abscess |
$6,162 |
UNITED |
$734 |
| 26011 |
Drainage of finger abscess |
$6,162 |
AETNA |
$750 |
| 26011 |
Drainage of finger abscess |
$6,162 |
CIGNA |
$1,102 |
| 26011 |
Drainage of finger abscess |
$6,162 |
LWCC |
$3,157 |
| 26011 |
Drainage of finger abscess |
$6,162 |
PPOPLUS |
$4,176 |
| 26011 |
Drainage of finger abscess |
$6,162 |
GILSBAR |
$3,355 |
| 26011 |
Drainage of finger abscess |
$6,162 |
LSU |
$4,000 |
| 26011 |
Drainage of finger abscess |
$6,162 |
VERITY |
$1,725 |
| 26011 |
Drainage of finger abscess |
$6,162 |
MULTIPLAN |
$1,725 |
| 26011 |
Drainage of finger abscess |
$6,162 |
LA WORK COMP |
$6,162 |
| 26011 |
Drainage of finger abscess |
$6,162 |
|
|
| 54700 |
Drainage of scrotum |
$8,814 |
Private Pay |
$9,793 |
| 54700 |
Drainage of scrotum |
$8,814 |
BC PPO |
$2,197 |
| 54700 |
Drainage of scrotum |
$8,814 |
BC HMO |
$1,927 |
| 54700 |
Drainage of scrotum |
$8,814 |
BC FMOL |
$1,946 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE |
$1,585 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE – BLUE CROSS |
$1,585 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE – UNITED |
$1,585 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE – COVENTRY |
$1,585 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE – VANTAGE |
$1,585 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE -PEOPLES |
$1,585 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICARE- HUMANA |
$1,553 |
| 54700 |
Drainage of scrotum |
$8,814 |
HUMANA |
$2,377 |
| 54700 |
Drainage of scrotum |
$8,814 |
VANTAGE |
$2,694 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICAID |
$466 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICAID – UNITED |
$466 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICAID – HEALTHY BLUE |
$466 |
| 54700 |
Drainage of scrotum |
$8,814 |
MEDICAID – AMERIHEALTH |
$466 |
| 54700 |
Drainage of scrotum |
$8,814 |
UNITED |
$2,188 |
| 54700 |
Drainage of scrotum |
$8,814 |
AETNA |
$1,000 |
| 54700 |
Drainage of scrotum |
$8,814 |
CIGNA |
$2,756 |
| 54700 |
Drainage of scrotum |
$8,814 |
LWCC |
$4,075 |
| 54700 |
Drainage of scrotum |
$8,814 |
PPOPLUS |
$5,974 |
| 54700 |
Drainage of scrotum |
$8,814 |
GILSBAR |
$4,799 |
| 54700 |
Drainage of scrotum |
$8,814 |
LSU |
$4,000 |
| 54700 |
Drainage of scrotum |
$8,814 |
VERITY |
$2,170 |
| 54700 |
Drainage of scrotum |
$8,814 |
MULTIPLAN |
$2,170 |
| 54700 |
Drainage of scrotum |
$8,814 |
LA WORK COMP |
$8,814 |
| 54700 |
Drainage of scrotum |
$8,814 |
|
|
| 10061 |
Drainage of skin abscess |
$6,826 |
Private Pay |
$7,584 |
| 10061 |
Drainage of skin abscess |
$6,826 |
BC PPO |
$403 |
| 10061 |
Drainage of skin abscess |
$6,826 |
BC HMO |
$353 |
| 10061 |
Drainage of skin abscess |
$6,826 |
BC FMOL |
$357 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE |
$286 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE – BLUE CROSS |
$286 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE – UNITED |
$286 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE – COVENTRY |
$286 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE – VANTAGE |
$286 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE -PEOPLES |
$286 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICARE- HUMANA |
$280 |
| 10061 |
Drainage of skin abscess |
$6,826 |
HUMANA |
$429 |
| 10061 |
Drainage of skin abscess |
$6,826 |
VANTAGE |
$486 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICAID |
$348 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICAID – UNITED |
$348 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICAID – HEALTHY BLUE |
$348 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MEDICAID – AMERIHEALTH |
$348 |
| 10061 |
Drainage of skin abscess |
$6,826 |
UNITED |
$392 |
| 10061 |
Drainage of skin abscess |
$6,826 |
AETNA |
$750 |
| 10061 |
Drainage of skin abscess |
$6,826 |
CIGNA |
$1,323 |
| 10061 |
Drainage of skin abscess |
$6,826 |
LWCC |
$735 |
| 10061 |
Drainage of skin abscess |
$6,826 |
PPOPLUS |
$4,626 |
| 10061 |
Drainage of skin abscess |
$6,826 |
GILSBAR |
$3,716 |
| 10061 |
Drainage of skin abscess |
$6,826 |
LSU |
$4,000 |
| 10061 |
Drainage of skin abscess |
$6,826 |
VERITY |
$502 |
| 10061 |
Drainage of skin abscess |
$6,826 |
MULTIPLAN |
$502 |
| 10061 |
Drainage of skin abscess |
$6,826 |
LA WORK COMP |
$6,826 |
| 10061 |
Drainage of skin abscess |
$6,826 |
|
|
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
Private Pay |
$12,569 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
BC PPO |
$2,604 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
BC HMO |
$2,285 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
BC FMOL |
$2,307 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE |
$2,449 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE – UNITED |
$2,449 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE – COVENTRY |
$2,449 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE – VANTAGE |
$2,449 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE -PEOPLES |
$2,449 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICARE- HUMANA |
$2,400 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
HUMANA |
$3,673 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
VANTAGE |
$4,163 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICAID |
$533 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICAID – UNITED |
$533 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MEDICAID – AMERIHEALTH |
$533 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
UNITED |
$2,923 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
AETNA |
$1,209 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
CIGNA |
$854 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
LWCC |
$6,296 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
PPOPLUS |
$7,667 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
GILSBAR |
$6,160 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
LSU |
$4,011 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
VERITY |
$3,386 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
MULTIPLAN |
$3,386 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
LA WORK COMP |
$11,320 |
| 29838 |
Elbow arthroscopy/surgery |
$11,320 |
|
|
| 51715 |
Endoscopic injection/implant |
$10,365 |
Private Pay |
$10,273 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
BC PPO |
$3,424 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
BC HMO |
$3,004 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
BC FMOL |
$3,033 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE |
$2,700 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE – BLUE CROSS |
$2,700 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE – UNITED |
$2,700 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE – COVENTRY |
$2,700 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE – VANTAGE |
$2,700 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE -PEOPLES |
$2,700 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICARE- HUMANA |
$2,646 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
HUMANA |
$4,050 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
VANTAGE |
$4,590 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICAID |
$533 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICAID – UNITED |
$533 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICAID – HEALTHY BLUE |
$533 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MEDICAID – AMERIHEALTH |
$533 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
UNITED |
$2,923 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
AETNA |
$2,432 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
CIGNA |
$2,801 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
LWCC |
$6,943 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
PPOPLUS |
$6,266 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
GILSBAR |
$5,235 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
LSU |
$5,456 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
VERITY |
$3,452 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
MULTIPLAN |
$3,452 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
LA WORK COMP |
$10,365 |
| 51715 |
Endoscopic injection/implant |
$10,365 |
|
|
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
Private Pay |
$11,573 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
BC PPO |
$2,835 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
BC HMO |
$2,488 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
BC FMOL |
$2,512 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE |
$4,867 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE – BLUE CROSS |
$4,867 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE – UNITED |
$4,867 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE – COVENTRY |
$4,867 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE – VANTAGE |
$4,867 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE -PEOPLES |
$4,867 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICARE- HUMANA |
$4,769 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
HUMANA |
$7,300 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
VANTAGE |
$8,273 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICAID |
$533 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICAID – UNITED |
$533 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICAID – HEALTHY BLUE |
$533 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MEDICAID – AMERIHEALTH |
$533 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
UNITED |
$2,188 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
AETNA |
$1,200 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
CIGNA |
$854 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
LWCC |
$12,513 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
PPOPLUS |
$7,060 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
GILSBAR |
$5,671 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
LSU |
$4,000 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
VERITY |
$6,226 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
MULTIPLAN |
$6,226 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
LA WORK COMP |
$10,416 |
| 31267 |
Endoscopy maxillary sinus |
$12,513 |
|
|
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
Private Pay |
$12,540 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
BC PPO |
$2,289 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
BC HMO |
$2,008 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
BC FMOL |
$2,028 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE |
$2,074 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE – BLUE CROSS |
$2,074 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE – UNITED |
$2,074 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE – COVENTRY |
$2,074 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE – VANTAGE |
$2,074 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE -PEOPLES |
$2,074 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICARE- HUMANA |
$2,033 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
HUMANA |
$3,111 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
VANTAGE |
$3,526 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICAID |
$466 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICAID – UNITED |
$466 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MEDICAID – AMERIHEALTH |
$466 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
UNITED |
$2,188 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
AETNA |
$800 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
CIGNA |
$854 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
LWCC |
$5,333 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
PPOPLUS |
$7,649 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
GILSBAR |
$6,144 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
LSU |
$4,000 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
VERITY |
$2,976 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
MULTIPLAN |
$2,976 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
LA WORK COMP |
$11,286 |
| 28041 |
Exc foot/toe tum dep 1.5cm/> |
$11,286 |
|
|
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
Private Pay |
$7,505 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
BC PPO |
$2,560 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
BC HMO |
$2,246 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
BC FMOL |
$2,268 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE |
$2,074 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE – BLUE CROSS |
$2,074 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE – UNITED |
$2,074 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE – COVENTRY |
$2,074 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE – VANTAGE |
$2,074 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE -PEOPLES |
$2,074 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICARE- HUMANA |
$2,033 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
HUMANA |
$3,111 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
VANTAGE |
$3,526 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICAID |
$348 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICAID – UNITED |
$348 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICAID – HEALTHY BLUE |
$348 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MEDICAID – AMERIHEALTH |
$348 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
UNITED |
$2,188 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
AETNA |
$750 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
CIGNA |
$992 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
LWCC |
$5,333 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
PPOPLUS |
$4,578 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
GILSBAR |
$3,678 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
LSU |
$4,000 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
VERITY |
$2,976 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
MULTIPLAN |
$2,976 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
LA WORK COMP |
$6,755 |
| 28039 |
Exc foot/toe tum sc 1.5 cm/> |
$6,755 |
|
|
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
Private Pay |
$6,615 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
BC PPO |
$1,746 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
BC HMO |
$1,532 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
BC FMOL |
$1,547 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE |
$1,228 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE – BLUE CROSS |
$1,228 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE – UNITED |
$1,228 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE – COVENTRY |
$1,228 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE – VANTAGE |
$1,228 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE -PEOPLES |
$1,228 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICARE- HUMANA |
$1,203 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
HUMANA |
$1,842 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
VANTAGE |
$2,087 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICAID |
$466 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICAID – UNITED |
$466 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICAID – HEALTHY BLUE |
$466 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MEDICAID – AMERIHEALTH |
$466 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
UNITED |
$734 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
AETNA |
$1,000 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
CIGNA |
$1,929 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
LWCC |
$3,157 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
PPOPLUS |
$4,035 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
GILSBAR |
$3,241 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
LSU |
$4,000 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
VERITY |
$1,725 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
MULTIPLAN |
$1,725 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
LA WORK COMP |
$5,953 |
| 25075 |
Exc forearm les sc < 3 cm |
$5,953 |
|
|
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
Private Pay |
$8,341 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
BC PPO |
$2,560 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
BC HMO |
$2,246 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
BC FMOL |
$2,268 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE |
$2,074 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE – BLUE CROSS |
$2,074 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE – UNITED |
$2,074 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE – COVENTRY |
$2,074 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE – VANTAGE |
$2,074 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE -PEOPLES |
$2,074 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICARE- HUMANA |
$2,033 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
HUMANA |
$3,111 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
VANTAGE |
$3,526 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICAID |
$466 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICAID – UNITED |
$466 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICAID – HEALTHY BLUE |
$466 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MEDICAID – AMERIHEALTH |
$466 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
UNITED |
$2,188 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
AETNA |
$800 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
CIGNA |
$1,323 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
LWCC |
$5,333 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
PPOPLUS |
$5,088 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
GILSBAR |
$4,087 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
LSU |
$4,000 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
VERITY |
$2,976 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
MULTIPLAN |
$2,976 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
LA WORK COMP |
$7,507 |
| 25073 |
Exc forearm tum deep 3 cm/> |
$7,507 |
|
|
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
Private Pay |
$6,108 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
BC PPO |
$1,641 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
BC HMO |
$1,440 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
BC FMOL |
$1,454 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE |
$1,228 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE – BLUE CROSS |
$1,228 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE – UNITED |
$1,228 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE – COVENTRY |
$1,228 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE – VANTAGE |
$1,228 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE -PEOPLES |
$1,228 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICARE- HUMANA |
$1,203 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
HUMANA |
$1,842 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
VANTAGE |
$2,087 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICAID |
$466 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICAID – UNITED |
$466 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MEDICAID – AMERIHEALTH |
$466 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
UNITED |
$734 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
AETNA |
$1,000 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
CIGNA |
$1,323 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
LWCC |
$3,157 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
PPOPLUS |
$3,726 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
GILSBAR |
$2,993 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
LSU |
$4,000 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
VERITY |
$1,725 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
MULTIPLAN |
$1,725 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
LA WORK COMP |
$5,498 |
| 26115 |
Exc hand les sc < 1.5 cm |
$5,498 |
|
|
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
Private Pay |
$5,995 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
BC PPO |
$1,484 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
BC HMO |
$1,302 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
BC FMOL |
$1,315 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE |
$1,228 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE – BLUE CROSS |
$1,228 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE – UNITED |
$1,228 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE – COVENTRY |
$1,228 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE – VANTAGE |
$1,228 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE -PEOPLES |
$1,228 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICARE- HUMANA |
$1,203 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
HUMANA |
$1,842 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
VANTAGE |
$2,087 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICAID |
$466 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICAID – UNITED |
$466 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MEDICAID – AMERIHEALTH |
$466 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
UNITED |
$2,188 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
AETNA |
$800 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
CIGNA |
$1,323 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
LWCC |
$3,157 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
PPOPLUS |
$3,657 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
GILSBAR |
$2,938 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
LSU |
$4,000 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
VERITY |
$1,725 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
MULTIPLAN |
$1,725 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
LA WORK COMP |
$5,396 |
| 26111 |
Exc hand les sc 1.5 cm/> |
$5,396 |
|
|
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
Private Pay |
$6,387 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
BC PPO |
$1,484 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
BC HMO |
$1,302 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
BC FMOL |
$1,315 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE |
$1,228 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE – BLUE CROSS |
$1,228 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE – UNITED |
$1,228 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE – COVENTRY |
$1,228 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE – VANTAGE |
$1,228 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE -PEOPLES |
$1,228 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICARE- HUMANA |
$1,203 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
HUMANA |
$1,842 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
VANTAGE |
$2,087 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICAID |
$466 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICAID – UNITED |
$466 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MEDICAID – AMERIHEALTH |
$466 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
UNITED |
$734 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
AETNA |
$1,000 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
CIGNA |
$1,102 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
LWCC |
$3,157 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
PPOPLUS |
$3,896 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
GILSBAR |
$3,130 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
LSU |
$4,000 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
VERITY |
$1,725 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
MULTIPLAN |
$1,725 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
LA WORK COMP |
$5,748 |
| 26116 |
Exc hand tum deep < 1.5 cm |
$5,748 |
|
|
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
Private Pay |
$8,203 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
BC PPO |
$1,327 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
BC HMO |
$1,165 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
BC FMOL |
$1,176 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE |
$1,228 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE – BLUE CROSS |
$1,228 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE – UNITED |
$1,228 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE – COVENTRY |
$1,228 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE – VANTAGE |
$1,228 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE -PEOPLES |
$1,228 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICARE- HUMANA |
$1,203 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
HUMANA |
$1,842 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
VANTAGE |
$2,087 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICAID |
$466 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICAID – UNITED |
$466 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MEDICAID – AMERIHEALTH |
$466 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
UNITED |
$2,188 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
AETNA |
$800 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
CIGNA |
$854 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
LWCC |
$3,157 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
PPOPLUS |
$5,004 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
GILSBAR |
$4,019 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
LSU |
$4,000 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
VERITY |
$1,725 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
MULTIPLAN |
$1,725 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
LA WORK COMP |
$7,382 |
| 26113 |
Exc hand tum deep 1.5 cm/> |
$7,382 |
|
|
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
Private Pay |
$5,768 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
BC PPO |
$1,327 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
BC HMO |
$1,165 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
BC FMOL |
$1,176 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE |
$1,228 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE – BLUE CROSS |
$1,228 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE – UNITED |
$1,228 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE – COVENTRY |
$1,228 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE – VANTAGE |
$1,228 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE -PEOPLES |
$1,228 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICARE- HUMANA |
$1,203 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
HUMANA |
$1,842 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
VANTAGE |
$2,087 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICAID |
$466 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICAID – UNITED |
$466 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MEDICAID – AMERIHEALTH |
$466 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
UNITED |
$610 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
AETNA |
$1,000 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
CIGNA |
$1,323 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
LWCC |
$3,157 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
PPOPLUS |
$3,518 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
GILSBAR |
$2,826 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
LSU |
$4,000 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
VERITY |
$1,725 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
MULTIPLAN |
$1,725 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
LA WORK COMP |
$5,191 |
| 11420 |
Exc h-f-nk-sp b9+marg 0.5/< |
$5,191 |
|
|
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
Private Pay |
$6,241 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
BC PPO |
$742 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
BC HMO |
$651 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
BC FMOL |
$657 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE |
$546 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE – BLUE CROSS |
$546 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE – UNITED |
$546 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE – COVENTRY |
$546 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE – VANTAGE |
$546 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE -PEOPLES |
$546 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICARE- HUMANA |
$535 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
HUMANA |
$818 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
VANTAGE |
$928 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICAID |
$466 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICAID – UNITED |
$466 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MEDICAID – AMERIHEALTH |
$466 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
UNITED |
$610 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
AETNA |
$1,000 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
CIGNA |
$1,102 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
LWCC |
$1,403 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
PPOPLUS |
$3,807 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
GILSBAR |
$3,058 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
LSU |
$4,000 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
VERITY |
$733 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
MULTIPLAN |
$733 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
LA WORK COMP |
$5,617 |
| 11421 |
Exc h-f-nk-sp b9+marg 0.6-1 |
$5,617 |
|
|
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
Private Pay |
$7,126 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
BC PPO |
$1,484 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
BC HMO |
$1,302 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
BC FMOL |
$1,315 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE |
$1,228 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE – BLUE CROSS |
$1,228 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE – UNITED |
$1,228 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE – COVENTRY |
$1,228 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE – VANTAGE |
$1,228 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE -PEOPLES |
$1,228 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICARE- HUMANA |
$1,203 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
HUMANA |
$1,842 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
VANTAGE |
$2,087 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICAID |
$466 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICAID – UNITED |
$466 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICAID – HEALTHY BLUE |
$466 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MEDICAID – AMERIHEALTH |
$466 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
UNITED |
$610 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
AETNA |
$750 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
CIGNA |
$854 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
LWCC |
$3,157 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
PPOPLUS |
$4,347 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
GILSBAR |
$3,492 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
LSU |
$4,000 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
VERITY |
$1,725 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
MULTIPLAN |
$1,725 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
LA WORK COMP |
$6,413 |
| 11422 |
Exc h-f-nk-sp b9+marg 1.1-2 |
$6,413 |
|
|
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
Private Pay |
$9,133 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
BC PPO |
$2,951 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
BC HMO |
$2,590 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
BC FMOL |
$2,614 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE |
$2,074 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE – BLUE CROSS |
$2,074 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE – UNITED |
$2,074 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE – COVENTRY |
$2,074 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE – VANTAGE |
$2,074 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE -PEOPLES |
$2,074 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICARE- HUMANA |
$2,033 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
HUMANA |
$3,111 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
VANTAGE |
$3,526 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICAID |
$466 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICAID – UNITED |
$466 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICAID – HEALTHY BLUE |
$466 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MEDICAID – AMERIHEALTH |
$466 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
UNITED |
$2,188 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
AETNA |
$1,000 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
CIGNA |
$854 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
LWCC |
$5,333 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
PPOPLUS |
$5,571 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
GILSBAR |
$4,475 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
LSU |
$4,000 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
VERITY |
$2,976 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
MULTIPLAN |
$2,976 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
LA WORK COMP |
$8,220 |
| 21556 |
Exc neck tum deep < 5 cm |
$8,220 |
|
|
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
Private Pay |
$7,505 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
BC PPO |
$1,484 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
BC HMO |
$1,302 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
BC FMOL |
$1,315 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE |
$1,228 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE – BLUE CROSS |
$1,228 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE – UNITED |
$1,228 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE – COVENTRY |
$1,228 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE – VANTAGE |
$1,228 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE -PEOPLES |
$1,228 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICARE- HUMANA |
$1,203 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
HUMANA |
$1,842 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
VANTAGE |
$2,087 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICAID |
$466 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICAID – UNITED |
$466 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICAID – HEALTHY BLUE |
$466 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MEDICAID – AMERIHEALTH |
$466 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
UNITED |
$2,188 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
AETNA |
$800 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
CIGNA |
$1,323 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
LWCC |
$3,157 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
PPOPLUS |
$4,578 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
GILSBAR |
$3,678 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
LSU |
$4,000 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
VERITY |
$1,725 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
MULTIPLAN |
$1,725 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
LA WORK COMP |
$6,755 |
| 23071 |
Exc shoulder les sc 3 cm/> |
$6,755 |
|
|
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
Private Pay |
$8,203 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
BC PPO |
$742 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
BC HMO |
$651 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
BC FMOL |
$657 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE |
$546 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE – BLUE CROSS |
$546 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE – UNITED |
$546 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE – COVENTRY |
$546 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE – VANTAGE |
$546 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE -PEOPLES |
$546 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICARE- HUMANA |
$535 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
HUMANA |
$818 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
VANTAGE |
$928 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICAID |
$348 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICAID – UNITED |
$348 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICAID – HEALTHY BLUE |
$348 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MEDICAID – AMERIHEALTH |
$348 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
UNITED |
$610 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
AETNA |
$750 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
CIGNA |
$634 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
LWCC |
$1,403 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
PPOPLUS |
$5,004 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
GILSBAR |
$4,019 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
LSU |
$4,000 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
VERITY |
$733 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
MULTIPLAN |
$733 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
LA WORK COMP |
$7,383 |
| 11403 |
Exc tr-ext b9+marg 2.1-3cm/< |
$7,383 |
|
|
| 25118 |
Excise wrist tendon sheath |
$7,063 |
Private Pay |
$7,848 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
BC PPO |
$1,644 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
BC HMO |
$1,442 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
BC FMOL |
$1,456 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE |
$1,212 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE – BLUE CROSS |
$1,212 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE – UNITED |
$1,212 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE – COVENTRY |
$1,212 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE – VANTAGE |
$1,212 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE -PEOPLES |
$1,212 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICARE- HUMANA |
$1,188 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
HUMANA |
$1,819 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
VANTAGE |
$2,061 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICAID |
$466 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICAID – UNITED |
$466 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICAID – HEALTHY BLUE |
$466 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MEDICAID – AMERIHEALTH |
$466 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
UNITED |
$2,188 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
AETNA |
$1,000 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
CIGNA |
$1,323 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
LWCC |
$3,117 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
PPOPLUS |
$4,787 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
GILSBAR |
$3,845 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
LSU |
$4,000 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
VERITY |
$1,728 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
MULTIPLAN |
$1,728 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
LA WORK COMP |
$7,063 |
| 25118 |
Excise wrist tendon sheath |
$7,063 |
|
|
| 20103 |
Explore wound extremity |
$7,020 |
Private Pay |
$7,801 |
| 20103 |
Explore wound extremity |
$7,020 |
BC PPO |
$742 |
| 20103 |
Explore wound extremity |
$7,020 |
BC HMO |
$651 |
| 20103 |
Explore wound extremity |
$7,020 |
BC FMOL |
$657 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE |
$546 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE – BLUE CROSS |
$546 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE – UNITED |
$546 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE – COVENTRY |
$546 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE – VANTAGE |
$546 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE -PEOPLES |
$546 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICARE- HUMANA |
$535 |
| 20103 |
Explore wound extremity |
$7,020 |
HUMANA |
$818 |
| 20103 |
Explore wound extremity |
$7,020 |
VANTAGE |
$928 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICAID |
$533 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICAID – UNITED |
$533 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICAID – HEALTHY BLUE |
$533 |
| 20103 |
Explore wound extremity |
$7,020 |
MEDICAID – AMERIHEALTH |
$533 |
| 20103 |
Explore wound extremity |
$7,020 |
UNITED |
$610 |
| 20103 |
Explore wound extremity |
$7,020 |
AETNA |
$750 |
| 20103 |
Explore wound extremity |
$7,020 |
CIGNA |
$1,102 |
| 20103 |
Explore wound extremity |
$7,020 |
LWCC |
$1,403 |
| 20103 |
Explore wound extremity |
$7,020 |
PPOPLUS |
$4,758 |
| 20103 |
Explore wound extremity |
$7,020 |
GILSBAR |
$3,822 |
| 20103 |
Explore wound extremity |
$7,020 |
LSU |
$4,000 |
| 20103 |
Explore wound extremity |
$7,020 |
VERITY |
$733 |
| 20103 |
Explore wound extremity |
$7,020 |
MULTIPLAN |
$733 |
| 20103 |
Explore wound extremity |
$7,020 |
LA WORK COMP |
$7,020 |
| 20103 |
Explore wound extremity |
$7,020 |
|
|
| 26075 |
Explore/treat finger joint |
$7,116 |
Private Pay |
$7,907 |
| 26075 |
Explore/treat finger joint |
$7,116 |
BC PPO |
$2,913 |
| 26075 |
Explore/treat finger joint |
$7,116 |
BC HMO |
$2,556 |
| 26075 |
Explore/treat finger joint |
$7,116 |
BC FMOL |
$2,580 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE |
$2,449 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE – UNITED |
$2,449 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE – COVENTRY |
$2,449 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE – VANTAGE |
$2,449 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE -PEOPLES |
$2,449 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICARE- HUMANA |
$2,400 |
| 26075 |
Explore/treat finger joint |
$7,116 |
HUMANA |
$3,673 |
| 26075 |
Explore/treat finger joint |
$7,116 |
VANTAGE |
$4,163 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICAID |
$659 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICAID – UNITED |
$659 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MEDICAID – AMERIHEALTH |
$659 |
| 26075 |
Explore/treat finger joint |
$7,116 |
UNITED |
$734 |
| 26075 |
Explore/treat finger joint |
$7,116 |
AETNA |
$1,475 |
| 26075 |
Explore/treat finger joint |
$7,116 |
CIGNA |
$992 |
| 26075 |
Explore/treat finger joint |
$7,116 |
LWCC |
$6,296 |
| 26075 |
Explore/treat finger joint |
$7,116 |
PPOPLUS |
$4,823 |
| 26075 |
Explore/treat finger joint |
$7,116 |
GILSBAR |
$3,874 |
| 26075 |
Explore/treat finger joint |
$7,116 |
LSU |
$4,000 |
| 26075 |
Explore/treat finger joint |
$7,116 |
VERITY |
$3,386 |
| 26075 |
Explore/treat finger joint |
$7,116 |
MULTIPLAN |
$3,386 |
| 26075 |
Explore/treat finger joint |
$7,116 |
LA WORK COMP |
$7,116 |
| 26075 |
Explore/treat finger joint |
$7,116 |
|
|
| 26080 |
Explore/treat finger joint |
$6,013 |
Private Pay |
$6,681 |
| 26080 |
Explore/treat finger joint |
$6,013 |
BC PPO |
$1,486 |
| 26080 |
Explore/treat finger joint |
$6,013 |
BC HMO |
$1,304 |
| 26080 |
Explore/treat finger joint |
$6,013 |
BC FMOL |
$1,317 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE |
$1,212 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE – UNITED |
$1,212 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE – COVENTRY |
$1,212 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE – VANTAGE |
$1,212 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE -PEOPLES |
$1,212 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICARE- HUMANA |
$1,188 |
| 26080 |
Explore/treat finger joint |
$6,013 |
HUMANA |
$1,819 |
| 26080 |
Explore/treat finger joint |
$6,013 |
VANTAGE |
$2,061 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICAID |
$659 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICAID – UNITED |
$659 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MEDICAID – AMERIHEALTH |
$659 |
| 26080 |
Explore/treat finger joint |
$6,013 |
UNITED |
$734 |
| 26080 |
Explore/treat finger joint |
$6,013 |
AETNA |
$1,475 |
| 26080 |
Explore/treat finger joint |
$6,013 |
CIGNA |
$1,102 |
| 26080 |
Explore/treat finger joint |
$6,013 |
LWCC |
$3,117 |
| 26080 |
Explore/treat finger joint |
$6,013 |
PPOPLUS |
$4,076 |
| 26080 |
Explore/treat finger joint |
$6,013 |
GILSBAR |
$3,274 |
| 26080 |
Explore/treat finger joint |
$6,013 |
LSU |
$4,000 |
| 26080 |
Explore/treat finger joint |
$6,013 |
VERITY |
$1,728 |
| 26080 |
Explore/treat finger joint |
$6,013 |
MULTIPLAN |
$1,728 |
| 26080 |
Explore/treat finger joint |
$6,013 |
LA WORK COMP |
$6,013 |
| 26080 |
Explore/treat finger joint |
$6,013 |
|
|
| 27570 |
Fixation of knee joint |
$7,432 |
Private Pay |
$8,257 |
| 27570 |
Fixation of knee joint |
$7,432 |
BC PPO |
$1,644 |
| 27570 |
Fixation of knee joint |
$7,432 |
BC HMO |
$1,442 |
| 27570 |
Fixation of knee joint |
$7,432 |
BC FMOL |
$1,456 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE |
$1,212 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE – BLUE CROSS |
$1,212 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE – UNITED |
$1,212 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE – COVENTRY |
$1,212 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE – VANTAGE |
$1,212 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE -PEOPLES |
$1,212 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICARE- HUMANA |
$1,188 |
| 27570 |
Fixation of knee joint |
$7,432 |
HUMANA |
$1,819 |
| 27570 |
Fixation of knee joint |
$7,432 |
VANTAGE |
$2,061 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICAID |
$348 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICAID – UNITED |
$348 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICAID – HEALTHY BLUE |
$348 |
| 27570 |
Fixation of knee joint |
$7,432 |
MEDICAID – AMERIHEALTH |
$348 |
| 27570 |
Fixation of knee joint |
$7,432 |
UNITED |
$734 |
| 27570 |
Fixation of knee joint |
$7,432 |
AETNA |
$750 |
| 27570 |
Fixation of knee joint |
$7,432 |
CIGNA |
$854 |
| 27570 |
Fixation of knee joint |
$7,432 |
LWCC |
$3,117 |
| 27570 |
Fixation of knee joint |
$7,432 |
PPOPLUS |
$5,037 |
| 27570 |
Fixation of knee joint |
$7,432 |
GILSBAR |
$4,046 |
| 27570 |
Fixation of knee joint |
$7,432 |
LSU |
$4,000 |
| 27570 |
Fixation of knee joint |
$7,432 |
VERITY |
$1,728 |
| 27570 |
Fixation of knee joint |
$7,432 |
MULTIPLAN |
$1,728 |
| 27570 |
Fixation of knee joint |
$7,432 |
LA WORK COMP |
$7,432 |
| 27570 |
Fixation of knee joint |
$7,432 |
|
|
| 23700 |
Fixation of shoulder |
$8,014 |
Private Pay |
$8,904 |
| 23700 |
Fixation of shoulder |
$8,014 |
BC PPO |
$1,644 |
| 23700 |
Fixation of shoulder |
$8,014 |
BC HMO |
$1,442 |
| 23700 |
Fixation of shoulder |
$8,014 |
BC FMOL |
$1,456 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE |
$1,212 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE – BLUE CROSS |
$1,212 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE – UNITED |
$1,212 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE – COVENTRY |
$1,212 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE – VANTAGE |
$1,212 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE -PEOPLES |
$1,212 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICARE- HUMANA |
$1,188 |
| 23700 |
Fixation of shoulder |
$8,014 |
HUMANA |
$1,819 |
| 23700 |
Fixation of shoulder |
$8,014 |
VANTAGE |
$2,061 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICAID |
$348 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICAID – UNITED |
$348 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICAID – HEALTHY BLUE |
$348 |
| 23700 |
Fixation of shoulder |
$8,014 |
MEDICAID – AMERIHEALTH |
$348 |
| 23700 |
Fixation of shoulder |
$8,014 |
UNITED |
$734 |
| 23700 |
Fixation of shoulder |
$8,014 |
AETNA |
$750 |
| 23700 |
Fixation of shoulder |
$8,014 |
CIGNA |
$854 |
| 23700 |
Fixation of shoulder |
$8,014 |
LWCC |
$3,117 |
| 23700 |
Fixation of shoulder |
$8,014 |
PPOPLUS |
$5,432 |
| 23700 |
Fixation of shoulder |
$8,014 |
GILSBAR |
$4,363 |
| 23700 |
Fixation of shoulder |
$8,014 |
LSU |
$4,000 |
| 23700 |
Fixation of shoulder |
$8,014 |
VERITY |
$1,728 |
| 23700 |
Fixation of shoulder |
$8,014 |
MULTIPLAN |
$1,728 |
| 23700 |
Fixation of shoulder |
$8,014 |
LA WORK COMP |
$8,014 |
| 23700 |
Fixation of shoulder |
$8,014 |
|
|
| 25825 |
Fuse hand bones with graft |
$18,720 |
Private Pay |
$17,831 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
BC PPO |
$7,263 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
BC HMO |
$6,373 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
BC FMOL |
$6,433 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE |
$5,351 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE – UNITED |
$5,351 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE – COVENTRY |
$5,351 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE – VANTAGE |
$5,351 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE -PEOPLES |
$5,351 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICARE- HUMANA |
$5,244 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
HUMANA |
$8,026 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
VANTAGE |
$9,097 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICAID |
$750 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICAID – UNITED |
$750 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICAID – HEALTHY BLUE |
$750 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MEDICAID – AMERIHEALTH |
$750 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
UNITED |
$4,460 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
AETNA |
$4,590 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
CIGNA |
$4,630 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
LWCC |
$13,758 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
PPOPLUS |
$10,877 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
GILSBAR |
$9,218 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
LSU |
$7,474 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
VERITY |
$7,176 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
MULTIPLAN |
$7,176 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
LA WORK COMP |
$18,720 |
| 25825 |
Fuse hand bones with graft |
$18,720 |
|
|
| 27870 |
Fusion of ankle joint open |
$52,101 |
Private Pay |
$48,912 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
BC PPO |
$11,146 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
BC HMO |
$9,781 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
BC FMOL |
$9,874 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE |
$10,645 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE – BLUE CROSS |
$10,645 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE – UNITED |
$10,645 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE – COVENTRY |
$10,645 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE – VANTAGE |
$10,645 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE -PEOPLES |
$10,645 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICARE- HUMANA |
$10,433 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
HUMANA |
$15,968 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
VANTAGE |
$18,097 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICAID |
$659 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICAID – UNITED |
$659 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICAID – HEALTHY BLUE |
$659 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MEDICAID – AMERIHEALTH |
$659 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
UNITED |
$12,007 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
AETNA |
$10,363 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
CIGNA |
$13,422 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
LWCC |
$27,372 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
PPOPLUS |
$29,836 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
GILSBAR |
$25,421 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
LSU |
$14,504 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
VERITY |
$12,956 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
MULTIPLAN |
$12,956 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
LA WORK COMP |
$52,101 |
| 27870 |
Fusion of ankle joint open |
$52,101 |
|
|
| 28750 |
Fusion of big toe joint |
$25,334 |
Private Pay |
$24,498 |
| 28750 |
Fusion of big toe joint |
$25,334 |
BC PPO |
$5,520 |
| 28750 |
Fusion of big toe joint |
$25,334 |
BC HMO |
$4,843 |
| 28750 |
Fusion of big toe joint |
$25,334 |
BC FMOL |
$4,889 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE |
$5,351 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE – UNITED |
$5,351 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE – COVENTRY |
$5,351 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE – VANTAGE |
$5,351 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE -PEOPLES |
$5,351 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICARE- HUMANA |
$5,244 |
| 28750 |
Fusion of big toe joint |
$25,334 |
HUMANA |
$8,026 |
| 28750 |
Fusion of big toe joint |
$25,334 |
VANTAGE |
$9,097 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICAID |
$659 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICAID – UNITED |
$659 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MEDICAID – AMERIHEALTH |
$659 |
| 28750 |
Fusion of big toe joint |
$25,334 |
UNITED |
$4,460 |
| 28750 |
Fusion of big toe joint |
$25,334 |
AETNA |
$5,090 |
| 28750 |
Fusion of big toe joint |
$25,334 |
CIGNA |
$5,440 |
| 28750 |
Fusion of big toe joint |
$25,334 |
LWCC |
$13,758 |
| 28750 |
Fusion of big toe joint |
$25,334 |
PPOPLUS |
$14,944 |
| 28750 |
Fusion of big toe joint |
$25,334 |
GILSBAR |
$12,595 |
| 28750 |
Fusion of big toe joint |
$25,334 |
LSU |
$8,272 |
| 28750 |
Fusion of big toe joint |
$25,334 |
VERITY |
$7,176 |
| 28750 |
Fusion of big toe joint |
$25,334 |
MULTIPLAN |
$7,176 |
| 28750 |
Fusion of big toe joint |
$25,334 |
LA WORK COMP |
$25,334 |
| 28750 |
Fusion of big toe joint |
$25,334 |
|
|
| 28755 |
Fusion of big toe joint |
$17,134 |
Private Pay |
$17,890 |
| 28755 |
Fusion of big toe joint |
$17,134 |
BC PPO |
$6,827 |
| 28755 |
Fusion of big toe joint |
$17,134 |
BC HMO |
$5,990 |
| 28755 |
Fusion of big toe joint |
$17,134 |
BC FMOL |
$6,047 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE |
$5,351 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE – UNITED |
$5,351 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE – COVENTRY |
$5,351 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE – VANTAGE |
$5,351 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE -PEOPLES |
$5,351 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICARE- HUMANA |
$5,244 |
| 28755 |
Fusion of big toe joint |
$17,134 |
HUMANA |
$8,026 |
| 28755 |
Fusion of big toe joint |
$17,134 |
VANTAGE |
$9,097 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICAID |
$659 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICAID – UNITED |
$659 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MEDICAID – AMERIHEALTH |
$659 |
| 28755 |
Fusion of big toe joint |
$17,134 |
UNITED |
$2,188 |
| 28755 |
Fusion of big toe joint |
$17,134 |
AETNA |
$2,612 |
| 28755 |
Fusion of big toe joint |
$17,134 |
CIGNA |
$2,466 |
| 28755 |
Fusion of big toe joint |
$17,134 |
LWCC |
$13,758 |
| 28755 |
Fusion of big toe joint |
$17,134 |
PPOPLUS |
$10,913 |
| 28755 |
Fusion of big toe joint |
$17,134 |
GILSBAR |
$8,952 |
| 28755 |
Fusion of big toe joint |
$17,134 |
LSU |
$5,343 |
| 28755 |
Fusion of big toe joint |
$17,134 |
VERITY |
$7,176 |
| 28755 |
Fusion of big toe joint |
$17,134 |
MULTIPLAN |
$7,176 |
| 28755 |
Fusion of big toe joint |
$17,134 |
LA WORK COMP |
$17,134 |
| 28755 |
Fusion of big toe joint |
$17,134 |
|
|
| 26860 |
Fusion of finger joint |
$9,570 |
Private Pay |
$9,829 |
| 26860 |
Fusion of finger joint |
$9,570 |
BC PPO |
$2,913 |
| 26860 |
Fusion of finger joint |
$9,570 |
BC HMO |
$2,556 |
| 26860 |
Fusion of finger joint |
$9,570 |
BC FMOL |
$2,580 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE |
$2,449 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE – UNITED |
$2,449 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE – COVENTRY |
$2,449 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE – VANTAGE |
$2,449 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE -PEOPLES |
$2,449 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICARE- HUMANA |
$2,400 |
| 26860 |
Fusion of finger joint |
$9,570 |
HUMANA |
$3,673 |
| 26860 |
Fusion of finger joint |
$9,570 |
VANTAGE |
$4,163 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICAID |
$533 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICAID – UNITED |
$533 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26860 |
Fusion of finger joint |
$9,570 |
MEDICAID – AMERIHEALTH |
$533 |
| 26860 |
Fusion of finger joint |
$9,570 |
UNITED |
$2,923 |
| 26860 |
Fusion of finger joint |
$9,570 |
AETNA |
$1,996 |
| 26860 |
Fusion of finger joint |
$9,570 |
CIGNA |
$1,102 |
| 26860 |
Fusion of finger joint |
$9,570 |
LWCC |
$6,296 |
| 26860 |
Fusion of finger joint |
$9,570 |
PPOPLUS |
$5,995 |
| 26860 |
Fusion of finger joint |
$9,570 |
GILSBAR |
$4,946 |
| 26860 |
Fusion of finger joint |
$9,570 |
LSU |
$4,941 |
| 26860 |
Fusion of finger joint |
$9,570 |
VERITY |
$3,386 |
| 26860 |
Fusion of finger joint |
$9,570 |
MULTIPLAN |
$3,386 |
| 26860 |
Fusion of finger joint |
$9,570 |
LA WORK COMP |
$9,570 |
| 26860 |
Fusion of finger joint |
$9,570 |
|
|
| 28715 |
Fusion of foot bones |
$41,636 |
Private Pay |
$38,452 |
| 28715 |
Fusion of foot bones |
$41,636 |
BC PPO |
$11,146 |
| 28715 |
Fusion of foot bones |
$41,636 |
BC HMO |
$9,781 |
| 28715 |
Fusion of foot bones |
$41,636 |
BC FMOL |
$9,874 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE |
$10,645 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE – BLUE CROSS |
$10,645 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE – UNITED |
$10,645 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE – COVENTRY |
$10,645 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE – VANTAGE |
$10,645 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE -PEOPLES |
$10,645 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICARE- HUMANA |
$10,433 |
| 28715 |
Fusion of foot bones |
$41,636 |
HUMANA |
$15,968 |
| 28715 |
Fusion of foot bones |
$41,636 |
VANTAGE |
$18,097 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICAID |
$659 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICAID – UNITED |
$659 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28715 |
Fusion of foot bones |
$41,636 |
MEDICAID – AMERIHEALTH |
$659 |
| 28715 |
Fusion of foot bones |
$41,636 |
UNITED |
$11,025 |
| 28715 |
Fusion of foot bones |
$41,636 |
AETNA |
$9,207 |
| 28715 |
Fusion of foot bones |
$41,636 |
CIGNA |
$10,271 |
| 28715 |
Fusion of foot bones |
$41,636 |
LWCC |
$27,372 |
| 28715 |
Fusion of foot bones |
$41,636 |
PPOPLUS |
$23,455 |
| 28715 |
Fusion of foot bones |
$41,636 |
GILSBAR |
$20,107 |
| 28715 |
Fusion of foot bones |
$41,636 |
LSU |
$13,138 |
| 28715 |
Fusion of foot bones |
$41,636 |
VERITY |
$12,956 |
| 28715 |
Fusion of foot bones |
$41,636 |
MULTIPLAN |
$12,956 |
| 28715 |
Fusion of foot bones |
$41,636 |
LA WORK COMP |
$41,636 |
| 28715 |
Fusion of foot bones |
$41,636 |
|
|
| 28725 |
Fusion of foot bones |
$32,642 |
Private Pay |
$32,194 |
| 28725 |
Fusion of foot bones |
$32,642 |
BC PPO |
$9,966 |
| 28725 |
Fusion of foot bones |
$32,642 |
BC HMO |
$8,745 |
| 28725 |
Fusion of foot bones |
$32,642 |
BC FMOL |
$8,828 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE |
$10,645 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE – BLUE CROSS |
$10,645 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE – UNITED |
$10,645 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE – COVENTRY |
$10,645 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE – VANTAGE |
$10,645 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE -PEOPLES |
$10,645 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICARE- HUMANA |
$10,433 |
| 28725 |
Fusion of foot bones |
$32,642 |
HUMANA |
$15,968 |
| 28725 |
Fusion of foot bones |
$32,642 |
VANTAGE |
$18,097 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICAID |
$659 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICAID – UNITED |
$659 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28725 |
Fusion of foot bones |
$32,642 |
MEDICAID – AMERIHEALTH |
$659 |
| 28725 |
Fusion of foot bones |
$32,642 |
UNITED |
$4,460 |
| 28725 |
Fusion of foot bones |
$32,642 |
AETNA |
$5,509 |
| 28725 |
Fusion of foot bones |
$32,642 |
CIGNA |
$7,597 |
| 28725 |
Fusion of foot bones |
$32,642 |
LWCC |
$27,372 |
| 28725 |
Fusion of foot bones |
$32,642 |
PPOPLUS |
$19,638 |
| 28725 |
Fusion of foot bones |
$32,642 |
GILSBAR |
$16,435 |
| 28725 |
Fusion of foot bones |
$32,642 |
LSU |
$8,768 |
| 28725 |
Fusion of foot bones |
$32,642 |
VERITY |
$12,956 |
| 28725 |
Fusion of foot bones |
$32,642 |
MULTIPLAN |
$12,956 |
| 28725 |
Fusion of foot bones |
$32,642 |
LA WORK COMP |
$32,642 |
| 28725 |
Fusion of foot bones |
$32,642 |
|
|
| 28730 |
Fusion of foot bones |
$30,062 |
Private Pay |
$27,681 |
| 28730 |
Fusion of foot bones |
$30,062 |
BC PPO |
$9,966 |
| 28730 |
Fusion of foot bones |
$30,062 |
BC HMO |
$8,745 |
| 28730 |
Fusion of foot bones |
$30,062 |
BC FMOL |
$8,828 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE |
$10,645 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE – BLUE CROSS |
$10,645 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE – UNITED |
$10,645 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE – COVENTRY |
$10,645 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE – VANTAGE |
$10,645 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE -PEOPLES |
$10,645 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICARE- HUMANA |
$10,433 |
| 28730 |
Fusion of foot bones |
$30,062 |
HUMANA |
$15,968 |
| 28730 |
Fusion of foot bones |
$30,062 |
VANTAGE |
$18,097 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICAID |
$659 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICAID – UNITED |
$659 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28730 |
Fusion of foot bones |
$30,062 |
MEDICAID – AMERIHEALTH |
$659 |
| 28730 |
Fusion of foot bones |
$30,062 |
UNITED |
$9,269 |
| 28730 |
Fusion of foot bones |
$30,062 |
AETNA |
$7,139 |
| 28730 |
Fusion of foot bones |
$30,062 |
CIGNA |
$8,120 |
| 28730 |
Fusion of foot bones |
$30,062 |
LWCC |
$27,372 |
| 28730 |
Fusion of foot bones |
$30,062 |
PPOPLUS |
$16,885 |
| 28730 |
Fusion of foot bones |
$30,062 |
GILSBAR |
$14,490 |
| 28730 |
Fusion of foot bones |
$30,062 |
LSU |
$10,694 |
| 28730 |
Fusion of foot bones |
$30,062 |
VERITY |
$12,956 |
| 28730 |
Fusion of foot bones |
$30,062 |
MULTIPLAN |
$12,956 |
| 28730 |
Fusion of foot bones |
$30,062 |
LA WORK COMP |
$30,062 |
| 28730 |
Fusion of foot bones |
$30,062 |
|
|
| 28740 |
Fusion of foot bones |
$19,554 |
Private Pay |
$19,689 |
| 28740 |
Fusion of foot bones |
$19,554 |
BC PPO |
$4,866 |
| 28740 |
Fusion of foot bones |
$19,554 |
BC HMO |
$4,270 |
| 28740 |
Fusion of foot bones |
$19,554 |
BC FMOL |
$4,310 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE |
$5,351 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE – UNITED |
$5,351 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE – COVENTRY |
$5,351 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE – VANTAGE |
$5,351 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE -PEOPLES |
$5,351 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICARE- HUMANA |
$5,244 |
| 28740 |
Fusion of foot bones |
$19,554 |
HUMANA |
$8,026 |
| 28740 |
Fusion of foot bones |
$19,554 |
VANTAGE |
$9,097 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICAID |
$659 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICAID – UNITED |
$659 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28740 |
Fusion of foot bones |
$19,554 |
MEDICAID – AMERIHEALTH |
$659 |
| 28740 |
Fusion of foot bones |
$19,554 |
UNITED |
$4,460 |
| 28740 |
Fusion of foot bones |
$19,554 |
AETNA |
$3,492 |
| 28740 |
Fusion of foot bones |
$19,554 |
CIGNA |
$3,275 |
| 28740 |
Fusion of foot bones |
$19,554 |
LWCC |
$13,758 |
| 28740 |
Fusion of foot bones |
$19,554 |
PPOPLUS |
$12,010 |
| 28740 |
Fusion of foot bones |
$19,554 |
GILSBAR |
$9,978 |
| 28740 |
Fusion of foot bones |
$19,554 |
LSU |
$6,384 |
| 28740 |
Fusion of foot bones |
$19,554 |
VERITY |
$7,176 |
| 28740 |
Fusion of foot bones |
$19,554 |
MULTIPLAN |
$7,176 |
| 28740 |
Fusion of foot bones |
$19,554 |
LA WORK COMP |
$19,554 |
| 28740 |
Fusion of foot bones |
$19,554 |
|
|
| 26850 |
Fusion of knuckle |
$13,854 |
Private Pay |
$13,888 |
| 26850 |
Fusion of knuckle |
$13,854 |
BC PPO |
$6,827 |
| 26850 |
Fusion of knuckle |
$13,854 |
BC HMO |
$5,990 |
| 26850 |
Fusion of knuckle |
$13,854 |
BC FMOL |
$6,047 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE |
$5,351 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE – BLUE CROSS |
$5,351 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE – UNITED |
$5,351 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE – COVENTRY |
$5,351 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE – VANTAGE |
$5,351 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE -PEOPLES |
$5,351 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICARE- HUMANA |
$5,244 |
| 26850 |
Fusion of knuckle |
$13,854 |
HUMANA |
$8,026 |
| 26850 |
Fusion of knuckle |
$13,854 |
VANTAGE |
$9,097 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICAID |
$659 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICAID – UNITED |
$659 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26850 |
Fusion of knuckle |
$13,854 |
MEDICAID – AMERIHEALTH |
$659 |
| 26850 |
Fusion of knuckle |
$13,854 |
UNITED |
$2,923 |
| 26850 |
Fusion of knuckle |
$13,854 |
AETNA |
$2,965 |
| 26850 |
Fusion of knuckle |
$13,854 |
CIGNA |
$3,112 |
| 26850 |
Fusion of knuckle |
$13,854 |
LWCC |
$13,758 |
| 26850 |
Fusion of knuckle |
$13,854 |
PPOPLUS |
$8,472 |
| 26850 |
Fusion of knuckle |
$13,854 |
GILSBAR |
$7,049 |
| 26850 |
Fusion of knuckle |
$13,854 |
LSU |
$5,761 |
| 26850 |
Fusion of knuckle |
$13,854 |
VERITY |
$7,176 |
| 26850 |
Fusion of knuckle |
$13,854 |
MULTIPLAN |
$7,176 |
| 26850 |
Fusion of knuckle |
$13,854 |
LA WORK COMP |
$13,854 |
| 26850 |
Fusion of knuckle |
$13,854 |
|
|
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
Private Pay |
$29,754 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
BC PPO |
$12,326 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
BC HMO |
$10,816 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
BC FMOL |
$10,919 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE |
$10,645 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE – BLUE CROSS |
$10,645 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE – UNITED |
$10,645 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE – COVENTRY |
$10,645 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE – VANTAGE |
$10,645 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE -PEOPLES |
$10,645 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICARE- HUMANA |
$10,433 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
HUMANA |
$15,968 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
VANTAGE |
$18,097 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICAID |
$750 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICAID – UNITED |
$750 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICAID – HEALTHY BLUE |
$750 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MEDICAID – AMERIHEALTH |
$750 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
UNITED |
$10,294 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
AETNA |
$8,521 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
CIGNA |
$9,347 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
LWCC |
$27,372 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
PPOPLUS |
$18,150 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
GILSBAR |
$15,704 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
LSU |
$12,120 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
VERITY |
$12,956 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
MULTIPLAN |
$12,956 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
LA WORK COMP |
$33,025 |
| 25810 |
Fusion/graft of wrist joint |
$33,025 |
|
|
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
Private Pay |
$21,797 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
BC PPO |
$6,827 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
BC HMO |
$5,990 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
BC FMOL |
$6,047 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE |
$5,351 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE – UNITED |
$5,351 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE – COVENTRY |
$5,351 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE – VANTAGE |
$5,351 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE -PEOPLES |
$5,351 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICARE- HUMANA |
$5,244 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
HUMANA |
$8,026 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
VANTAGE |
$9,097 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICAID |
$1,400 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICAID – UNITED |
$1,400 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
UNITED |
$4,460 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
AETNA |
$3,029 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
CIGNA |
$3,794 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
LWCC |
$13,758 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
PPOPLUS |
$13,296 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
GILSBAR |
$10,935 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
LSU |
$5,837 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
VERITY |
$7,176 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
MULTIPLAN |
$7,176 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
LA WORK COMP |
$21,031 |
| 29862 |
Hip arthr0 w/debridement |
$21,031 |
|
|
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
Private Pay |
$28,934 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
BC PPO |
$5,520 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
BC HMO |
$4,843 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
BC FMOL |
$4,889 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE |
$5,351 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE – UNITED |
$5,351 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE – COVENTRY |
$5,351 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE – VANTAGE |
$5,351 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE -PEOPLES |
$5,351 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICARE- HUMANA |
$5,244 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
HUMANA |
$8,026 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
VANTAGE |
$9,097 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICAID |
$659 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICAID – UNITED |
$659 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MEDICAID – AMERIHEALTH |
$659 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
UNITED |
$4,460 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
AETNA |
$2,362 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
CIGNA |
$1,918 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
LWCC |
$13,758 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
PPOPLUS |
$17,650 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
GILSBAR |
$14,323 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
LSU |
$5,048 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
VERITY |
$7,176 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
MULTIPLAN |
$7,176 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
LA WORK COMP |
$26,846 |
| 29915 |
Hip arthro acetabuloplasty |
$26,846 |
|
|
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
Private Pay |
$24,363 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
BC PPO |
$4,866 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
BC HMO |
$4,270 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
BC FMOL |
$4,310 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE |
$5,351 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE – UNITED |
$5,351 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE – COVENTRY |
$5,351 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE – VANTAGE |
$5,351 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE -PEOPLES |
$5,351 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICARE- HUMANA |
$5,244 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
HUMANA |
$8,026 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
VANTAGE |
$9,097 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICAID |
$659 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICAID – UNITED |
$659 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MEDICAID – AMERIHEALTH |
$659 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
UNITED |
$4,460 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
AETNA |
$2,208 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
CIGNA |
$1,102 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
LWCC |
$13,758 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
PPOPLUS |
$14,861 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
GILSBAR |
$12,058 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
LSU |
$4,866 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
VERITY |
$7,176 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
MULTIPLAN |
$7,176 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
LA WORK COMP |
$22,592 |
| 29914 |
Hip arthro w/femoroplasty |
$22,592 |
|
|
| 29916 |
Hip arthro w/labral repair |
$25,435 |
Private Pay |
$27,302 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
BC PPO |
$6,173 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
BC HMO |
$5,417 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
BC FMOL |
$5,468 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE |
$5,351 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE – UNITED |
$5,351 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE – COVENTRY |
$5,351 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE – VANTAGE |
$5,351 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE -PEOPLES |
$5,351 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICARE- HUMANA |
$5,244 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
HUMANA |
$8,026 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
VANTAGE |
$9,097 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICAID |
$659 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICAID – UNITED |
$659 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MEDICAID – AMERIHEALTH |
$659 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
UNITED |
$4,460 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
AETNA |
$2,424 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
CIGNA |
$2,241 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
LWCC |
$13,758 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
PPOPLUS |
$16,654 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
GILSBAR |
$13,533 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
LSU |
$5,122 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
VERITY |
$7,176 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
MULTIPLAN |
$7,176 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
LA WORK COMP |
$25,435 |
| 29916 |
Hip arthro w/labral repair |
$25,435 |
|
|
| 26055 |
Incise finger tendon sheath |
$5,023 |
Private Pay |
$5,581 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
BC PPO |
$1,486 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
BC HMO |
$1,304 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
BC FMOL |
$1,317 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE |
$1,212 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE – UNITED |
$1,212 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE – COVENTRY |
$1,212 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE – VANTAGE |
$1,212 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE -PEOPLES |
$1,212 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICARE- HUMANA |
$1,188 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
HUMANA |
$1,819 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
VANTAGE |
$2,061 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICAID |
$466 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICAID – UNITED |
$466 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MEDICAID – AMERIHEALTH |
$466 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
UNITED |
$734 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
AETNA |
$1,000 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
CIGNA |
$1,102 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
LWCC |
$3,117 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
PPOPLUS |
$3,405 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
GILSBAR |
$2,735 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
LSU |
$4,000 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
VERITY |
$1,728 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
MULTIPLAN |
$1,728 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
LA WORK COMP |
$5,023 |
| 26055 |
Incise finger tendon sheath |
$5,023 |
|
|
| 28300 |
Incision of heel bone |
$31,417 |
Private Pay |
$30,972 |
| 28300 |
Incision of heel bone |
$31,417 |
BC PPO |
$3,268 |
| 28300 |
Incision of heel bone |
$31,417 |
BC HMO |
$2,868 |
| 28300 |
Incision of heel bone |
$31,417 |
BC FMOL |
$2,895 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE |
$5,351 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE – UNITED |
$5,351 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE – COVENTRY |
$5,351 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE – VANTAGE |
$5,351 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE -PEOPLES |
$5,351 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICARE- HUMANA |
$5,244 |
| 28300 |
Incision of heel bone |
$31,417 |
HUMANA |
$8,026 |
| 28300 |
Incision of heel bone |
$31,417 |
VANTAGE |
$9,097 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICAID |
$466 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICAID – UNITED |
$466 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28300 |
Incision of heel bone |
$31,417 |
MEDICAID – AMERIHEALTH |
$466 |
| 28300 |
Incision of heel bone |
$31,417 |
UNITED |
$4,460 |
| 28300 |
Incision of heel bone |
$31,417 |
AETNA |
$4,896 |
| 28300 |
Incision of heel bone |
$31,417 |
CIGNA |
$5,999 |
| 28300 |
Incision of heel bone |
$31,417 |
LWCC |
$13,758 |
| 28300 |
Incision of heel bone |
$31,417 |
PPOPLUS |
$18,893 |
| 28300 |
Incision of heel bone |
$31,417 |
GILSBAR |
$15,814 |
| 28300 |
Incision of heel bone |
$31,417 |
LSU |
$8,605 |
| 28300 |
Incision of heel bone |
$31,417 |
VERITY |
$7,176 |
| 28300 |
Incision of heel bone |
$31,417 |
MULTIPLAN |
$7,176 |
| 28300 |
Incision of heel bone |
$31,417 |
LA WORK COMP |
$31,417 |
| 28300 |
Incision of heel bone |
$31,417 |
|
|
| 28308 |
Incision of metatarsal |
$18,268 |
Private Pay |
$17,918 |
| 28308 |
Incision of metatarsal |
$18,268 |
BC PPO |
$2,296 |
| 28308 |
Incision of metatarsal |
$18,268 |
BC HMO |
$2,015 |
| 28308 |
Incision of metatarsal |
$18,268 |
BC FMOL |
$2,034 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE |
$2,449 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE – UNITED |
$2,449 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE – COVENTRY |
$2,449 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE – VANTAGE |
$2,449 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE -PEOPLES |
$2,449 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICARE- HUMANA |
$2,400 |
| 28308 |
Incision of metatarsal |
$18,268 |
HUMANA |
$3,673 |
| 28308 |
Incision of metatarsal |
$18,268 |
VANTAGE |
$4,163 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICAID |
$466 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICAID – UNITED |
$466 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28308 |
Incision of metatarsal |
$18,268 |
MEDICAID – AMERIHEALTH |
$466 |
| 28308 |
Incision of metatarsal |
$18,268 |
UNITED |
$2,188 |
| 28308 |
Incision of metatarsal |
$18,268 |
AETNA |
$3,355 |
| 28308 |
Incision of metatarsal |
$18,268 |
CIGNA |
$3,928 |
| 28308 |
Incision of metatarsal |
$18,268 |
LWCC |
$6,296 |
| 28308 |
Incision of metatarsal |
$18,268 |
PPOPLUS |
$10,930 |
| 28308 |
Incision of metatarsal |
$18,268 |
GILSBAR |
$9,165 |
| 28308 |
Incision of metatarsal |
$18,268 |
LSU |
$6,783 |
| 28308 |
Incision of metatarsal |
$18,268 |
VERITY |
$3,386 |
| 28308 |
Incision of metatarsal |
$18,268 |
MULTIPLAN |
$3,386 |
| 28308 |
Incision of metatarsal |
$18,268 |
LA WORK COMP |
$18,268 |
| 28308 |
Incision of metatarsal |
$18,268 |
|
|
| 25000 |
Incision of tendon sheath |
$5,804 |
Private Pay |
$6,449 |
| 25000 |
Incision of tendon sheath |
$5,804 |
BC PPO |
$1,486 |
| 25000 |
Incision of tendon sheath |
$5,804 |
BC HMO |
$1,304 |
| 25000 |
Incision of tendon sheath |
$5,804 |
BC FMOL |
$1,317 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE |
$1,212 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE – BLUE CROSS |
$1,212 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE – UNITED |
$1,212 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE – COVENTRY |
$1,212 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE – VANTAGE |
$1,212 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE -PEOPLES |
$1,212 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICARE- HUMANA |
$1,188 |
| 25000 |
Incision of tendon sheath |
$5,804 |
HUMANA |
$1,819 |
| 25000 |
Incision of tendon sheath |
$5,804 |
VANTAGE |
$2,061 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICAID |
$533 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICAID – UNITED |
$533 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MEDICAID – AMERIHEALTH |
$533 |
| 25000 |
Incision of tendon sheath |
$5,804 |
UNITED |
$2,188 |
| 25000 |
Incision of tendon sheath |
$5,804 |
AETNA |
$1,200 |
| 25000 |
Incision of tendon sheath |
$5,804 |
CIGNA |
$1,433 |
| 25000 |
Incision of tendon sheath |
$5,804 |
LWCC |
$3,117 |
| 25000 |
Incision of tendon sheath |
$5,804 |
PPOPLUS |
$3,934 |
| 25000 |
Incision of tendon sheath |
$5,804 |
GILSBAR |
$3,160 |
| 25000 |
Incision of tendon sheath |
$5,804 |
LSU |
$4,000 |
| 25000 |
Incision of tendon sheath |
$5,804 |
VERITY |
$1,728 |
| 25000 |
Incision of tendon sheath |
$5,804 |
MULTIPLAN |
$1,728 |
| 25000 |
Incision of tendon sheath |
$5,804 |
LA WORK COMP |
$5,804 |
| 25000 |
Incision of tendon sheath |
$5,804 |
|
|
| 41010 |
Incision of tongue fold |
$4,378 |
Private Pay |
$4,811 |
| 41010 |
Incision of tongue fold |
$4,378 |
BC PPO |
$1,474 |
| 41010 |
Incision of tongue fold |
$4,378 |
BC HMO |
$1,294 |
| 41010 |
Incision of tongue fold |
$4,378 |
BC FMOL |
$1,306 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE |
$1,207 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE – BLUE CROSS |
$1,207 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE – UNITED |
$1,207 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE – COVENTRY |
$1,207 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE – VANTAGE |
$1,207 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE -PEOPLES |
$1,207 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICARE- HUMANA |
$1,183 |
| 41010 |
Incision of tongue fold |
$4,378 |
HUMANA |
$1,811 |
| 41010 |
Incision of tongue fold |
$4,378 |
VANTAGE |
$2,052 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICAID |
$348 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICAID – UNITED |
$348 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICAID – HEALTHY BLUE |
$348 |
| 41010 |
Incision of tongue fold |
$4,378 |
MEDICAID – AMERIHEALTH |
$348 |
| 41010 |
Incision of tongue fold |
$4,378 |
UNITED |
$734 |
| 41010 |
Incision of tongue fold |
$4,378 |
AETNA |
$803 |
| 41010 |
Incision of tongue fold |
$4,378 |
CIGNA |
$1,102 |
| 41010 |
Incision of tongue fold |
$4,378 |
LWCC |
$3,103 |
| 41010 |
Incision of tongue fold |
$4,378 |
PPOPLUS |
$2,935 |
| 41010 |
Incision of tongue fold |
$4,378 |
GILSBAR |
$2,366 |
| 41010 |
Incision of tongue fold |
$4,378 |
LSU |
$4,062 |
| 41010 |
Incision of tongue fold |
$4,378 |
VERITY |
$1,457 |
| 41010 |
Incision of tongue fold |
$4,378 |
MULTIPLAN |
$1,457 |
| 41010 |
Incision of tongue fold |
$4,378 |
LA WORK COMP |
$4,378 |
| 41010 |
Incision of tongue fold |
$4,378 |
|
|
| 53020 |
Incision of urethra |
$5,606 |
Private Pay |
$6,229 |
| 53020 |
Incision of urethra |
$5,606 |
BC PPO |
$2,065 |
| 53020 |
Incision of urethra |
$5,606 |
BC HMO |
$1,812 |
| 53020 |
Incision of urethra |
$5,606 |
BC FMOL |
$1,829 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE |
$1,585 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE – BLUE CROSS |
$1,585 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE – UNITED |
$1,585 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE – COVENTRY |
$1,585 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE – VANTAGE |
$1,585 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE -PEOPLES |
$1,585 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICARE- HUMANA |
$1,553 |
| 53020 |
Incision of urethra |
$5,606 |
HUMANA |
$2,377 |
| 53020 |
Incision of urethra |
$5,606 |
VANTAGE |
$2,694 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICAID |
$348 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICAID – UNITED |
$348 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICAID – HEALTHY BLUE |
$348 |
| 53020 |
Incision of urethra |
$5,606 |
MEDICAID – AMERIHEALTH |
$348 |
| 53020 |
Incision of urethra |
$5,606 |
UNITED |
$2,188 |
| 53020 |
Incision of urethra |
$5,606 |
AETNA |
$750 |
| 53020 |
Incision of urethra |
$5,606 |
CIGNA |
$992 |
| 53020 |
Incision of urethra |
$5,606 |
LWCC |
$4,075 |
| 53020 |
Incision of urethra |
$5,606 |
PPOPLUS |
$3,800 |
| 53020 |
Incision of urethra |
$5,606 |
GILSBAR |
$3,052 |
| 53020 |
Incision of urethra |
$5,606 |
LSU |
$4,000 |
| 53020 |
Incision of urethra |
$5,606 |
VERITY |
$2,170 |
| 53020 |
Incision of urethra |
$5,606 |
MULTIPLAN |
$2,170 |
| 53020 |
Incision of urethra |
$5,606 |
LA WORK COMP |
$5,606 |
| 53020 |
Incision of urethra |
$5,606 |
|
|
| 64483 |
Inj foramen epidural l/s |
$3,568 |
Private Pay |
$3,964 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
BC PPO |
$871 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
BC HMO |
$764 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
BC FMOL |
$771 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE |
$726 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE – BLUE CROSS |
$726 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE – UNITED |
$726 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE – COVENTRY |
$726 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE – VANTAGE |
$726 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE -PEOPLES |
$726 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICARE- HUMANA |
$712 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
HUMANA |
$1,090 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
VANTAGE |
$1,235 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICAID |
$- |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICAID – UNITED |
$- |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICAID – HEALTHY BLUE |
$- |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MEDICAID – AMERIHEALTH |
$- |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
UNITED |
$610 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
AETNA |
$750 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
CIGNA |
$634 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
LWCC |
$1,868 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
PPOPLUS |
$2,418 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
GILSBAR |
$1,943 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
LSU |
$2,313 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
VERITY |
$860 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
MULTIPLAN |
$860 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
LA WORK COMP |
$3,568 |
| 64483 |
Inj foramen epidural l/s |
$3,568 |
|
|
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
Private Pay |
$5,910 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
BC PPO |
$871 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
BC HMO |
$764 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
BC FMOL |
$771 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE |
$726 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE – BLUE CROSS |
$726 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE – UNITED |
$726 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE – COVENTRY |
$726 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE – VANTAGE |
$726 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE -PEOPLES |
$726 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICARE- HUMANA |
$712 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
HUMANA |
$1,090 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
VANTAGE |
$1,235 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICAID |
$- |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICAID – UNITED |
$- |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICAID – HEALTHY BLUE |
$- |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MEDICAID – AMERIHEALTH |
$- |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
UNITED |
$610 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
AETNA |
$750 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
CIGNA |
$1,102 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
LWCC |
$1,868 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
PPOPLUS |
$3,605 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
GILSBAR |
$2,896 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
LSU |
$3,448 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
VERITY |
$860 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
MULTIPLAN |
$860 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
LA WORK COMP |
$5,319 |
| 64490 |
Inj paravert f jnt c/t 1 lev |
$5,319 |
|
|
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
Private Pay |
$7,412 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
BC PPO |
$871 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
BC HMO |
$764 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
BC FMOL |
$771 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE |
$726 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE – BLUE CROSS |
$726 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE – UNITED |
$726 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE – COVENTRY |
$726 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE – VANTAGE |
$726 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE -PEOPLES |
$726 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICARE- HUMANA |
$712 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
HUMANA |
$1,090 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
VANTAGE |
$1,235 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICAID |
$- |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICAID – UNITED |
$- |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICAID – HEALTHY BLUE |
$- |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MEDICAID – AMERIHEALTH |
$- |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
UNITED |
$610 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
AETNA |
$750 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
CIGNA |
$1,433 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
LWCC |
$1,868 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
PPOPLUS |
$4,521 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
GILSBAR |
$3,632 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
LSU |
$4,323 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
VERITY |
$860 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
MULTIPLAN |
$860 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
LA WORK COMP |
$6,670 |
| 64493 |
Inj paravert f jnt l/s 1 lev |
$6,670 |
|
|
| 64640 |
Injection treatment of nerve |
$4,241 |
Private Pay |
$4,712 |
| 64640 |
Injection treatment of nerve |
$4,241 |
BC PPO |
$871 |
| 64640 |
Injection treatment of nerve |
$4,241 |
BC HMO |
$764 |
| 64640 |
Injection treatment of nerve |
$4,241 |
BC FMOL |
$771 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE |
$726 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE – BLUE CROSS |
$726 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE – UNITED |
$726 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE – COVENTRY |
$726 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE – VANTAGE |
$726 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE -PEOPLES |
$726 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICARE- HUMANA |
$712 |
| 64640 |
Injection treatment of nerve |
$4,241 |
HUMANA |
$1,090 |
| 64640 |
Injection treatment of nerve |
$4,241 |
VANTAGE |
$1,235 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICAID |
$348 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICAID – UNITED |
$348 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICAID – HEALTHY BLUE |
$348 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MEDICAID – AMERIHEALTH |
$348 |
| 64640 |
Injection treatment of nerve |
$4,241 |
UNITED |
$610 |
| 64640 |
Injection treatment of nerve |
$4,241 |
AETNA |
$750 |
| 64640 |
Injection treatment of nerve |
$4,241 |
CIGNA |
$1,323 |
| 64640 |
Injection treatment of nerve |
$4,241 |
LWCC |
$1,868 |
| 64640 |
Injection treatment of nerve |
$4,241 |
PPOPLUS |
$2,874 |
| 64640 |
Injection treatment of nerve |
$4,241 |
GILSBAR |
$2,309 |
| 64640 |
Injection treatment of nerve |
$4,241 |
LSU |
$2,748 |
| 64640 |
Injection treatment of nerve |
$4,241 |
VERITY |
$860 |
| 64640 |
Injection treatment of nerve |
$4,241 |
MULTIPLAN |
$860 |
| 64640 |
Injection treatment of nerve |
$4,241 |
LA WORK COMP |
$4,241 |
| 64640 |
Injection treatment of nerve |
$4,241 |
|
|
| 36561 |
Insert tunneled cv cath |
$10,334 |
Private Pay |
$10,313 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
BC PPO |
$3,229 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
BC HMO |
$2,833 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
BC FMOL |
$2,860 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE |
$2,479 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE – BLUE CROSS |
$2,479 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE – UNITED |
$2,479 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE – COVENTRY |
$2,479 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE – VANTAGE |
$2,479 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE -PEOPLES |
$2,479 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICARE- HUMANA |
$2,429 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
HUMANA |
$3,718 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
VANTAGE |
$4,214 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICAID |
$533 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICAID – UNITED |
$533 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICAID – HEALTHY BLUE |
$533 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MEDICAID – AMERIHEALTH |
$533 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
UNITED |
$2,923 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
AETNA |
$2,357 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
CIGNA |
$2,490 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
LWCC |
$6,374 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
PPOPLUS |
$6,291 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
GILSBAR |
$5,243 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
LSU |
$5,367 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
VERITY |
$3,190 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
MULTIPLAN |
$3,190 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
LA WORK COMP |
$10,334 |
| 36561 |
Insert tunneled cv cath |
$10,334 |
|
|
| 29870 |
Knee arthroscopy dx |
$8,878 |
Private Pay |
$9,865 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
BC PPO |
$2,913 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
BC HMO |
$2,556 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
BC FMOL |
$2,580 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE |
$2,449 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE – UNITED |
$2,449 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE – COVENTRY |
$2,449 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE – VANTAGE |
$2,449 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE -PEOPLES |
$2,449 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICARE- HUMANA |
$2,400 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
HUMANA |
$3,673 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
VANTAGE |
$4,163 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICAID |
$533 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICAID – UNITED |
$533 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MEDICAID – AMERIHEALTH |
$533 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
UNITED |
$2,923 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
AETNA |
$1,200 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
CIGNA |
$1,102 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
LWCC |
$6,296 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
PPOPLUS |
$6,017 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
GILSBAR |
$4,834 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
LSU |
$4,000 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
VERITY |
$3,386 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
MULTIPLAN |
$3,386 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
LA WORK COMP |
$8,878 |
| 29870 |
Knee arthroscopy dx |
$8,878 |
|
|
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
Private Pay |
$10,141 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
BC PPO |
$2,296 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
BC HMO |
$2,015 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
BC FMOL |
$2,034 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE |
$2,449 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE – UNITED |
$2,449 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE – COVENTRY |
$2,449 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE – VANTAGE |
$2,449 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE -PEOPLES |
$2,449 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICARE- HUMANA |
$2,400 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
HUMANA |
$3,673 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
VANTAGE |
$4,163 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICAID |
$533 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICAID – UNITED |
$533 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MEDICAID – AMERIHEALTH |
$533 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
UNITED |
$2,923 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
AETNA |
$1,200 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
CIGNA |
$634 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
LWCC |
$6,296 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
PPOPLUS |
$6,186 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
GILSBAR |
$4,969 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
LSU |
$4,000 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
VERITY |
$3,386 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
MULTIPLAN |
$3,386 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
LA WORK COMP |
$9,127 |
| 29873 |
Knee arthroscopy/surgery |
$9,127 |
|
|
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
Private Pay |
$9,709 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
BC PPO |
$3,221 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
BC HMO |
$2,826 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
BC FMOL |
$2,853 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE |
$2,449 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE – UNITED |
$2,449 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE – COVENTRY |
$2,449 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE – VANTAGE |
$2,449 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE -PEOPLES |
$2,449 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICARE- HUMANA |
$2,400 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
HUMANA |
$3,673 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
VANTAGE |
$4,163 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICAID |
$659 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICAID – UNITED |
$659 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MEDICAID – AMERIHEALTH |
$659 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
UNITED |
$2,923 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
AETNA |
$3,502 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
CIGNA |
$3,756 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
LWCC |
$6,296 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
PPOPLUS |
$5,923 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
GILSBAR |
$5,089 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
LSU |
$6,396 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
VERITY |
$3,386 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
MULTIPLAN |
$3,386 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
LA WORK COMP |
$10,581 |
| 29875 |
Knee arthroscopy/surgery |
$10,581 |
|
|
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
Private Pay |
$11,815 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
BC PPO |
$2,604 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
BC HMO |
$2,285 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
BC FMOL |
$2,307 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE |
$2,449 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE – UNITED |
$2,449 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE – COVENTRY |
$2,449 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE – VANTAGE |
$2,449 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE -PEOPLES |
$2,449 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICARE- HUMANA |
$2,400 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
HUMANA |
$3,673 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
VANTAGE |
$4,163 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICAID |
$659 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICAID – UNITED |
$659 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MEDICAID – AMERIHEALTH |
$659 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
UNITED |
$2,923 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
AETNA |
$1,475 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
CIGNA |
$992 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
LWCC |
$6,296 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
PPOPLUS |
$7,207 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
GILSBAR |
$5,790 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
LSU |
$4,000 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
VERITY |
$3,386 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
MULTIPLAN |
$3,386 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
LA WORK COMP |
$10,634 |
| 29876 |
Knee arthroscopy/surgery |
$10,634 |
|
|
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
Private Pay |
$10,593 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
BC PPO |
$3,221 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
BC HMO |
$2,826 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
BC FMOL |
$2,853 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE |
$2,449 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE – UNITED |
$2,449 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE – COVENTRY |
$2,449 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE – VANTAGE |
$2,449 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE -PEOPLES |
$2,449 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICARE- HUMANA |
$2,400 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
HUMANA |
$3,673 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
VANTAGE |
$4,163 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICAID |
$659 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICAID – UNITED |
$659 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MEDICAID – AMERIHEALTH |
$659 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
UNITED |
$2,923 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
AETNA |
$3,272 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
CIGNA |
$4,912 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
LWCC |
$6,296 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
PPOPLUS |
$6,462 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
GILSBAR |
$5,485 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
LSU |
$6,123 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
VERITY |
$3,386 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
MULTIPLAN |
$3,386 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
LA WORK COMP |
$11,167 |
| 29877 |
Knee arthroscopy/surgery |
$11,167 |
|
|
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
Private Pay |
$10,729 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
BC PPO |
$2,604 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
BC HMO |
$2,285 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
BC FMOL |
$2,307 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE |
$2,449 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE – UNITED |
$2,449 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE – COVENTRY |
$2,449 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE – VANTAGE |
$2,449 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE -PEOPLES |
$2,449 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICARE- HUMANA |
$2,400 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
HUMANA |
$3,673 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
VANTAGE |
$4,163 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICAID |
$533 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICAID – UNITED |
$533 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MEDICAID – AMERIHEALTH |
$533 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
UNITED |
$2,923 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
AETNA |
$1,644 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
CIGNA |
$1,102 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
LWCC |
$6,296 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
PPOPLUS |
$6,545 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
GILSBAR |
$5,330 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
LSU |
$4,525 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
VERITY |
$3,386 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
MULTIPLAN |
$3,386 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
LA WORK COMP |
$10,060 |
| 29879 |
Knee arthroscopy/surgery |
$10,060 |
|
|
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
Private Pay |
$9,239 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
BC PPO |
$3,221 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
BC HMO |
$2,826 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
BC FMOL |
$2,853 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE |
$2,449 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE – UNITED |
$2,449 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE – COVENTRY |
$2,449 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE – VANTAGE |
$2,449 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE -PEOPLES |
$2,449 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICARE- HUMANA |
$2,400 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
HUMANA |
$3,673 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
VANTAGE |
$4,163 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICAID |
$659 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICAID – UNITED |
$659 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MEDICAID – AMERIHEALTH |
$659 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
UNITED |
$2,923 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
AETNA |
$2,231 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
CIGNA |
$1,899 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
LWCC |
$6,296 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
PPOPLUS |
PPOPLUS |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
GILSBAR |
$4,651 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
LSU |
$4,893 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
VERITY |
$3,386 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
MULTIPLAN |
$3,386 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
LA WORK COMP |
$9,002 |
| 29880 |
Knee arthroscopy/surgery |
$9,002 |
|
|
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
Private Pay |
$9,323 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
BC PPO |
$3,221 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
BC HMO |
$2,826 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
BC FMOL |
$2,853 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE |
$2,449 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE – UNITED |
$2,449 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE – COVENTRY |
$2,449 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE – VANTAGE |
$2,449 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE -PEOPLES |
$2,449 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICARE- HUMANA |
$2,400 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
HUMANA |
$3,673 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
VANTAGE |
$4,163 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICAID |
$659 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICAID – UNITED |
$659 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICAID – HEALTHY BLUE |
$659 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MEDICAID – AMERIHEALTH |
$659 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
UNITED |
$2,923 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
AETNA |
$3,479 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
CIGNA |
$3,728 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
LWCC |
$6,296 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
PPOPLUS |
$5,687 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
GILSBAR |
$4,896 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
LSU |
$6,368 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
VERITY |
$3,386 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
MULTIPLAN |
$3,386 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
LA WORK COMP |
$10,213 |
| 29881 |
Knee arthroscopy/surgery |
$10,213 |
|
|
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
Private Pay |
$18,858 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
BC PPO |
$2,913 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
BC HMO |
$2,556 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
BC FMOL |
$2,580 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE |
$2,449 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE – UNITED |
$2,449 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE – COVENTRY |
$2,449 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE – VANTAGE |
$2,449 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE -PEOPLES |
$2,449 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICARE- HUMANA |
$2,400 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
HUMANA |
$3,673 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
VANTAGE |
$4,163 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICAID |
$533 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICAID – UNITED |
$533 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MEDICAID – AMERIHEALTH |
$533 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
UNITED |
$2,923 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
AETNA |
$2,669 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
CIGNA |
$2,865 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
LWCC |
$6,296 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
PPOPLUS |
$11,504 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
GILSBAR |
$9,481 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
LSU |
$5,736 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
VERITY |
$3,386 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
MULTIPLAN |
$3,386 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
LA WORK COMP |
$18,308 |
| 29882 |
Knee arthroscopy/surgery |
$18,308 |
|
|
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
Private Pay |
$10,254 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
BC PPO |
$3,221 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
BC HMO |
$2,826 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
BC FMOL |
$2,853 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE |
$2,449 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE – UNITED |
$2,449 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE – COVENTRY |
$2,449 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE – VANTAGE |
$2,449 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE -PEOPLES |
$2,449 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICARE- HUMANA |
$2,400 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
HUMANA |
$3,673 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
VANTAGE |
$4,163 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICAID |
$533 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICAID – UNITED |
$533 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MEDICAID – AMERIHEALTH |
$533 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
UNITED |
$2,923 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
AETNA |
$1,682 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
CIGNA |
$1,102 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
LWCC |
$6,296 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
PPOPLUS |
$6,255 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
GILSBAR |
$5,104 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
LSU |
$4,570 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
VERITY |
$3,386 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
MULTIPLAN |
$3,386 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
LA WORK COMP |
$9,667 |
| 29884 |
Knee arthroscopy/surgery |
$9,667 |
|
|
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
Private Pay |
$22,958 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
BC PPO |
$6,173 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
BC HMO |
$5,417 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
BC FMOL |
$5,468 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE |
$5,351 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE – UNITED |
$5,351 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE – COVENTRY |
$5,351 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE – VANTAGE |
$5,351 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE -PEOPLES |
$5,351 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICARE- HUMANA |
$5,244 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
HUMANA |
$8,026 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
VANTAGE |
$9,097 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICAID |
$533 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICAID – UNITED |
$533 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MEDICAID – AMERIHEALTH |
$533 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
UNITED |
$4,460 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
AETNA |
$3,503 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
CIGNA |
$3,756 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
LWCC |
$13,758 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
PPOPLUS |
$14,004 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
GILSBAR |
$11,626 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
LSU |
$6,722 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
VERITY |
$7,176 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
MULTIPLAN |
$7,176 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
LA WORK COMP |
$22,756 |
| 29888 |
Knee arthroscopy/surgery |
$22,756 |
|
|
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
Private Pay |
$61,628 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
BC PPO |
$12,851 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
BC HMO |
$11,277 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
BC FMOL |
$11,384 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE |
$10,645 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE – BLUE CROSS |
$10,645 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE – UNITED |
$10,645 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE – COVENTRY |
$10,645 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE – VANTAGE |
$10,645 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE -PEOPLES |
$10,645 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICARE- HUMANA |
$10,433 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
HUMANA |
$15,968 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
VANTAGE |
$18,097 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICAID |
$533 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICAID – UNITED |
$533 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MEDICAID – AMERIHEALTH |
$533 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
UNITED |
$14,002 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
AETNA |
$12,438 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
CIGNA |
$14,809 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
LWCC |
$27,372 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
PPOPLUS |
$37,593 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
GILSBAR |
$32,037 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
LSU |
$17,281 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
VERITY |
$12,956 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
MULTIPLAN |
$12,956 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
LA WORK COMP |
$65,682 |
| 29889 |
Knee arthroscopy/surgery |
$65,682 |
|
|
| 63042 |
Laminotomy single lumbar |
$16,710 |
Private Pay |
$17,607 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
BC PPO |
$7,117 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
BC HMO |
$6,245 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
BC FMOL |
$6,305 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE |
$5,351 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE – BLUE CROSS |
$5,351 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE – UNITED |
$5,351 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE – COVENTRY |
$5,351 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE – VANTAGE |
$5,351 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE -PEOPLES |
$5,351 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICARE- HUMANA |
$5,244 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
HUMANA |
$8,026 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
VANTAGE |
$9,097 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICAID |
$- |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICAID – UNITED |
$- |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICAID – HEALTHY BLUE |
$- |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MEDICAID – AMERIHEALTH |
$- |
| 63042 |
Laminotomy single lumbar |
$16,710 |
UNITED |
$4,460 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
AETNA |
$2,600 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
CIGNA |
$1,774 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
LWCC |
$13,758 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
PPOPLUS |
$10,741 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
GILSBAR |
$8,783 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
LSU |
$5,123 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
VERITY |
$7,176 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
MULTIPLAN |
$7,176 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
LA WORK COMP |
$16,710 |
| 63042 |
Laminotomy single lumbar |
$16,710 |
|
|
| 49650 |
Lap ing hernia repair init |
$24,169 |
Private Pay |
$26,317 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
BC PPO |
$5,466 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
BC HMO |
$4,796 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
BC FMOL |
$4,842 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE |
$4,324 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE – BLUE CROSS |
$4,324 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE – UNITED |
$4,324 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE – COVENTRY |
$4,324 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE – VANTAGE |
$4,324 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE -PEOPLES |
$4,324 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICARE- HUMANA |
$4,237 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
HUMANA |
$6,486 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
VANTAGE |
$7,351 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICAID |
$659 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICAID – UNITED |
$659 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICAID – HEALTHY BLUE |
$659 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MEDICAID – AMERIHEALTH |
$659 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
UNITED |
$4,460 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
AETNA |
$2,007 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
CIGNA |
$2,756 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
LWCC |
$11,118 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
PPOPLUS |
$16,053 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
GILSBAR |
$12,982 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
LSU |
$4,629 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
VERITY |
$5,745 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
MULTIPLAN |
$5,745 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
LA WORK COMP |
$24,169 |
| 49650 |
Lap ing hernia repair init |
$24,169 |
|
|
| 49651 |
Lap ing hernia repair recur |
$22,927 |
Private Pay |
$25,032 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
BC PPO |
$5,466 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
BC HMO |
$4,796 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
BC FMOL |
$4,842 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE |
$4,324 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE – BLUE CROSS |
$4,324 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE – UNITED |
$4,324 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE – COVENTRY |
$4,324 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE – VANTAGE |
$4,324 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE -PEOPLES |
$4,324 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICARE- HUMANA |
$4,237 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
HUMANA |
$6,486 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
VANTAGE |
$7,351 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICAID |
$1,040 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICAID – UNITED |
$1,040 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
UNITED |
$4,460 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
AETNA |
$2,539 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
CIGNA |
$1,323 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
LWCC |
$11,118 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
PPOPLUS |
$15,270 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
GILSBAR |
$12,337 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
LSU |
$4,518 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
VERITY |
$5,745 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
MULTIPLAN |
$5,745 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
LA WORK COMP |
$22,927 |
| 49651 |
Lap ing hernia repair recur |
$22,927 |
|
|
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
Private Pay |
$29,736 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
BC PPO |
$5,698 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
BC HMO |
$5,000 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
BC FMOL |
$5,048 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE |
$4,324 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE – BLUE CROSS |
$4,324 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE – UNITED |
$4,324 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE – COVENTRY |
$4,324 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE – VANTAGE |
$4,324 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE -PEOPLES |
$4,324 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICARE- HUMANA |
$4,237 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
HUMANA |
$6,486 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
VANTAGE |
$7,351 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICAID |
$1,040 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICAID – UNITED |
$1,040 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
UNITED |
$4,460 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
AETNA |
$2,556 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
CIGNA |
$2,399 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
LWCC |
$11,118 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
PPOPLUS |
$18,139 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
GILSBAR |
$14,748 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
LSU |
$5,278 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
VERITY |
$5,745 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
MULTIPLAN |
$5,745 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
LA WORK COMP |
$27,745 |
| 49653 |
Lap vent/abd hern proc comp |
$27,745 |
|
|
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
Private Pay |
$28,590 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
BC PPO |
$5,466 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
BC HMO |
$4,796 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
BC FMOL |
$4,842 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE |
$4,324 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE – BLUE CROSS |
$4,324 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE – UNITED |
$4,324 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE – COVENTRY |
$4,324 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE – VANTAGE |
$4,324 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE -PEOPLES |
$4,324 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICARE- HUMANA |
$4,237 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
HUMANA |
$6,486 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
VANTAGE |
$7,351 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICAID |
$1,040 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICAID – UNITED |
$1,040 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
UNITED |
$4,460 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
AETNA |
$2,456 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
CIGNA |
$2,031 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
LWCC |
$11,118 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
PPOPLUS |
$17,440 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
GILSBAR |
$14,170 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
LSU |
$5,160 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
VERITY |
$5,745 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
MULTIPLAN |
$5,745 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
LA WORK COMP |
$26,623 |
| 49652 |
Lap vent/abd hernia repair |
$26,623 |
|
|
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
Private Pay |
$10,270 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
BC PPO |
$5,466 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
BC HMO |
$4,796 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
BC FMOL |
$4,842 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE |
$4,324 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE – BLUE CROSS |
$4,324 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE – UNITED |
$4,324 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE – COVENTRY |
$4,324 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE – VANTAGE |
$4,324 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE -PEOPLES |
$4,324 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICARE- HUMANA |
$4,237 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
HUMANA |
$6,486 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
VANTAGE |
$7,351 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICAID |
$1,400 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICAID – UNITED |
$1,400 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
UNITED |
$4,460 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
AETNA |
$1,875 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
CIGNA |
$854 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
LWCC |
$11,118 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
PPOPLUS |
$6,265 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
GILSBAR |
$5,032 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
LSU |
$4,000 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
VERITY |
$5,745 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
MULTIPLAN |
$5,745 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
LA WORK COMP |
$9,243 |
| 55550 |
Laparo ligate spermatic vein |
$11,118 |
|
|
| 50543 |
Laparo partial nephrectomy |
$32,114 |
Private Pay |
$35,027 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
BC PPO |
$9,839 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
BC HMO |
$8,634 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
BC FMOL |
$8,716 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE |
$7,526 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE – BLUE CROSS |
$7,526 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE – UNITED |
$7,526 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE – COVENTRY |
$7,526 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE – VANTAGE |
$7,526 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE -PEOPLES |
$7,526 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICARE- HUMANA |
$7,375 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
HUMANA |
$11,289 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
VANTAGE |
$12,794 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICAID |
$- |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICAID – UNITED |
$- |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICAID – HEALTHY BLUE |
$- |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MEDICAID – AMERIHEALTH |
$- |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
UNITED |
$4,460 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
AETNA |
$2,748 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
CIGNA |
$1,323 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
LWCC |
$19,350 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
PPOPLUS |
$21,367 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
GILSBAR |
$17,270 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
LSU |
$4,766 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
VERITY |
$9,721 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
MULTIPLAN |
$9,721 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
LA WORK COMP |
$32,114 |
| 50543 |
Laparo partial nephrectomy |
$32,114 |
|
|
| 55866 |
Laparo radical prostatectomy |
$38,778 |
Private Pay |
$41,393 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
BC PPO |
$9,839 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
BC HMO |
$8,634 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
BC FMOL |
$8,716 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE |
$7,526 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE – BLUE CROSS |
$7,526 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE – UNITED |
$7,526 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE – COVENTRY |
$7,526 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE – VANTAGE |
$7,526 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE -PEOPLES |
$7,526 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICARE- HUMANA |
$7,375 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
HUMANA |
$11,289 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
VANTAGE |
$12,794 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICAID |
$- |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICAID – UNITED |
$- |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICAID – HEALTHY BLUE |
$- |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MEDICAID – AMERIHEALTH |
$- |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
UNITED |
$6,420 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
AETNA |
$2,477 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
CIGNA |
$3,335 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
LWCC |
$19,350 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
PPOPLUS |
$25,250 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
GILSBAR |
$20,557 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
LSU |
$5,982 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
VERITY |
$9,721 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
MULTIPLAN |
$9,721 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
LA WORK COMP |
$38,778 |
| 55866 |
Laparo radical prostatectomy |
$38,778 |
|
|
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
Private Pay |
$12,522 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
BC PPO |
$5,698 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
BC HMO |
$5,000 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
BC FMOL |
$5,048 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE |
$4,324 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE – BLUE CROSS |
$4,324 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE – UNITED |
$4,324 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE – COVENTRY |
$4,324 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE – VANTAGE |
$4,324 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE -PEOPLES |
$4,324 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICARE- HUMANA |
$4,237 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
HUMANA |
$6,486 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
VANTAGE |
$7,351 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICAID |
$533 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICAID – UNITED |
$533 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICAID – HEALTHY BLUE |
$533 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MEDICAID – AMERIHEALTH |
$533 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
UNITED |
$4,460 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
AETNA |
$2,734 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
CIGNA |
$2,293 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
LWCC |
$11,118 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
PPOPLUS |
$7,639 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
GILSBAR |
$6,313 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
LSU |
$5,281 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
VERITY |
$5,745 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
MULTIPLAN |
$5,745 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
LA WORK COMP |
$12,256 |
| 47562 |
Laparoscopic cholecystectomy |
$12,256 |
|
|
| 52648 |
Laser surgery of prostate |
$16,427 |
Private Pay |
$17,665 |
| 52648 |
Laser surgery of prostate |
$16,427 |
BC PPO |
$4,705 |
| 52648 |
Laser surgery of prostate |
$16,427 |
BC HMO |
$4,128 |
| 52648 |
Laser surgery of prostate |
$16,427 |
BC FMOL |
$4,168 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE |
$3,785 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE – BLUE CROSS |
$3,785 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE – UNITED |
$3,785 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE – COVENTRY |
$3,785 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE – VANTAGE |
$3,785 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE -PEOPLES |
$3,785 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICARE- HUMANA |
$3,710 |
| 52648 |
Laser surgery of prostate |
$16,427 |
HUMANA |
$5,678 |
| 52648 |
Laser surgery of prostate |
$16,427 |
VANTAGE |
$6,435 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICAID |
$1,400 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICAID – UNITED |
$1,400 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 52648 |
Laser surgery of prostate |
$16,427 |
UNITED |
$3,860 |
| 52648 |
Laser surgery of prostate |
$16,427 |
AETNA |
$2,231 |
| 52648 |
Laser surgery of prostate |
$16,427 |
CIGNA |
$1,689 |
| 52648 |
Laser surgery of prostate |
$16,427 |
LWCC |
$9,733 |
| 52648 |
Laser surgery of prostate |
$16,427 |
PPOPLUS |
$10,776 |
| 52648 |
Laser surgery of prostate |
$16,427 |
GILSBAR |
$8,751 |
| 52648 |
Laser surgery of prostate |
$16,427 |
LSU |
$4,686 |
| 52648 |
Laser surgery of prostate |
$16,427 |
VERITY |
$4,743 |
| 52648 |
Laser surgery of prostate |
$16,427 |
MULTIPLAN |
$4,743 |
| 52648 |
Laser surgery of prostate |
$16,427 |
LA WORK COMP |
$16,427 |
| 52648 |
Laser surgery of prostate |
$16,427 |
|
|
| 13160 |
Late closure of wound |
$7,548 |
Private Pay |
$8,387 |
| 13160 |
Late closure of wound |
$7,548 |
BC PPO |
$2,032 |
| 13160 |
Late closure of wound |
$7,548 |
BC HMO |
$1,783 |
| 13160 |
Late closure of wound |
$7,548 |
BC FMOL |
$1,800 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE |
$1,452 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE – BLUE CROSS |
$1,452 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE – UNITED |
$1,452 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE – COVENTRY |
$1,452 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE – VANTAGE |
$1,452 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE -PEOPLES |
$1,452 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICARE- HUMANA |
$1,423 |
| 13160 |
Late closure of wound |
$7,548 |
HUMANA |
$2,177 |
| 13160 |
Late closure of wound |
$7,548 |
VANTAGE |
$2,468 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICAID |
$466 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICAID – UNITED |
$466 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICAID – HEALTHY BLUE |
$466 |
| 13160 |
Late closure of wound |
$7,548 |
MEDICAID – AMERIHEALTH |
$466 |
| 13160 |
Late closure of wound |
$7,548 |
UNITED |
$734 |
| 13160 |
Late closure of wound |
$7,548 |
AETNA |
$1,000 |
| 13160 |
Late closure of wound |
$7,548 |
CIGNA |
$1,323 |
| 13160 |
Late closure of wound |
$7,548 |
LWCC |
$3,732 |
| 13160 |
Late closure of wound |
$7,548 |
PPOPLUS |
$5,116 |
| 13160 |
Late closure of wound |
$7,548 |
GILSBAR |
$4,110 |
| 13160 |
Late closure of wound |
$7,548 |
LSU |
$4,000 |
| 13160 |
Late closure of wound |
$7,548 |
VERITY |
$2,007 |
| 13160 |
Late closure of wound |
$7,548 |
MULTIPLAN |
$2,007 |
| 13160 |
Late closure of wound |
$7,548 |
LA WORK COMP |
$7,548 |
| 13160 |
Late closure of wound |
$7,548 |
|
|
| 63030 |
Low back disk surgery |
$15,436 |
Private Pay |
$15,210 |
| 63030 |
Low back disk surgery |
$15,436 |
BC PPO |
$7,117 |
| 63030 |
Low back disk surgery |
$15,436 |
BC HMO |
$6,245 |
| 63030 |
Low back disk surgery |
$15,436 |
BC FMOL |
$6,305 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE |
$5,351 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE – BLUE CROSS |
$5,351 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE – UNITED |
$5,351 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE – COVENTRY |
$5,351 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE – VANTAGE |
$5,351 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE -PEOPLES |
$5,351 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICARE- HUMANA |
$5,244 |
| 63030 |
Low back disk surgery |
$15,436 |
HUMANA |
$8,026 |
| 63030 |
Low back disk surgery |
$15,436 |
VANTAGE |
$9,097 |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICAID |
$- |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICAID – UNITED |
$- |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICAID – HEALTHY BLUE |
$- |
| 63030 |
Low back disk surgery |
$15,436 |
MEDICAID – AMERIHEALTH |
$- |
| 63030 |
Low back disk surgery |
$15,436 |
UNITED |
$4,460 |
| 63030 |
Low back disk surgery |
$15,436 |
AETNA |
$3,572 |
| 63030 |
Low back disk surgery |
$15,436 |
CIGNA |
$3,298 |
| 63030 |
Low back disk surgery |
$15,436 |
LWCC |
$13,758 |
| 63030 |
Low back disk surgery |
$15,436 |
PPOPLUS |
$9,278 |
| 63030 |
Low back disk surgery |
$15,436 |
GILSBAR |
$7,767 |
| 63030 |
Low back disk surgery |
$15,436 |
LSU |
$6,271 |
| 63030 |
Low back disk surgery |
$15,436 |
VERITY |
$7,176 |
| 63030 |
Low back disk surgery |
$15,436 |
MULTIPLAN |
$7,176 |
| 63030 |
Low back disk surgery |
$15,436 |
LA WORK COMP |
$15,436 |
| 63030 |
Low back disk surgery |
$15,436 |
|
|
| 64415 |
N block inj brachial plexus |
$7,981 |
Private Pay |
$1,123 |
| 64415 |
N block inj brachial plexus |
$7,981 |
BC PPO |
$871 |
| 64415 |
N block inj brachial plexus |
$7,981 |
BC HMO |
$764 |
| 64415 |
N block inj brachial plexus |
$7,981 |
BC FMOL |
$771 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE |
$726 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE – BLUE CROSS |
$726 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE – UNITED |
$726 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE – COVENTRY |
$726 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE – VANTAGE |
$726 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE -PEOPLES |
$726 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICARE- HUMANA |
$712 |
| 64415 |
N block inj brachial plexus |
$7,981 |
HUMANA |
$1,090 |
| 64415 |
N block inj brachial plexus |
$7,981 |
VANTAGE |
$1,235 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICAID |
$348 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICAID – UNITED |
$348 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICAID – HEALTHY BLUE |
$348 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MEDICAID – AMERIHEALTH |
$348 |
| 64415 |
N block inj brachial plexus |
$7,981 |
UNITED |
$610 |
| 64415 |
N block inj brachial plexus |
$7,981 |
AETNA |
$4,118 |
| 64415 |
N block inj brachial plexus |
$7,981 |
CIGNA |
$5,365 |
| 64415 |
N block inj brachial plexus |
$7,981 |
LWCC |
$1,868 |
| 64415 |
N block inj brachial plexus |
$7,981 |
PPOPLUS |
$685 |
| 64415 |
N block inj brachial plexus |
$7,981 |
GILSBAR |
$1,101 |
| 64415 |
N block inj brachial plexus |
$7,981 |
LSU |
$7,981 |
| 64415 |
N block inj brachial plexus |
$7,981 |
VERITY |
$860 |
| 64415 |
N block inj brachial plexus |
$7,981 |
MULTIPLAN |
$860 |
| 64415 |
N block inj brachial plexus |
$7,981 |
LA WORK COMP |
$4,073 |
| 64415 |
N block inj brachial plexus |
$7,981 |
|
|
| 64510 |
N block stellate ganglion |
$4,000 |
Private Pay |
$4,423 |
| 64510 |
N block stellate ganglion |
$4,000 |
BC PPO |
$871 |
| 64510 |
N block stellate ganglion |
$4,000 |
BC HMO |
$764 |
| 64510 |
N block stellate ganglion |
$4,000 |
BC FMOL |
$771 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE |
$726 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE – BLUE CROSS |
$726 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE – UNITED |
$726 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE – COVENTRY |
$726 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE – VANTAGE |
$726 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE -PEOPLES |
$726 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICARE- HUMANA |
$712 |
| 64510 |
N block stellate ganglion |
$4,000 |
HUMANA |
$1,090 |
| 64510 |
N block stellate ganglion |
$4,000 |
VANTAGE |
$1,235 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICAID |
$348 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICAID – UNITED |
$348 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICAID – HEALTHY BLUE |
$348 |
| 64510 |
N block stellate ganglion |
$4,000 |
MEDICAID – AMERIHEALTH |
$348 |
| 64510 |
N block stellate ganglion |
$4,000 |
UNITED |
$610 |
| 64510 |
N block stellate ganglion |
$4,000 |
AETNA |
$750 |
| 64510 |
N block stellate ganglion |
$4,000 |
CIGNA |
$1,433 |
| 64510 |
N block stellate ganglion |
$4,000 |
LWCC |
$1,868 |
| 64510 |
N block stellate ganglion |
$4,000 |
PPOPLUS |
$2,698 |
| 64510 |
N block stellate ganglion |
$4,000 |
GILSBAR |
$2,167 |
| 64510 |
N block stellate ganglion |
$4,000 |
LSU |
$4,000 |
| 64510 |
N block stellate ganglion |
$4,000 |
VERITY |
$860 |
| 64510 |
N block stellate ganglion |
$4,000 |
MULTIPLAN |
$860 |
| 64510 |
N block stellate ganglion |
$4,000 |
LA WORK COMP |
$3,981 |
| 64510 |
N block stellate ganglion |
$4,000 |
|
|
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
Private Pay |
$34,046 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
BC PPO |
$12,851 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
BC HMO |
$11,277 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
BC FMOL |
$11,384 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE |
$10,645 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE – BLUE CROSS |
$10,645 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE – UNITED |
$10,645 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE – COVENTRY |
$10,645 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE – VANTAGE |
$10,645 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE -PEOPLES |
$10,645 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICARE- HUMANA |
$10,433 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
HUMANA |
$15,968 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
VANTAGE |
$18,097 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICAID |
$1,400 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICAID – UNITED |
$1,400 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
UNITED |
$9,558 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
AETNA |
$6,804 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
CIGNA |
$8,638 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
LWCC |
$27,372 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
PPOPLUS |
$20,768 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
GILSBAR |
$17,665 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
LSU |
$11,096 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
VERITY |
$12,956 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
MULTIPLAN |
$12,956 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
LA WORK COMP |
$36,100 |
| 22551 |
Neck spine fuse&remov bel c2 |
$36,100 |
|
|
| 64905 |
Nerve pedicle transfer |
$15,958 |
Private Pay |
$17,731 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
BC PPO |
$5,995 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
BC HMO |
$5,260 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
BC FMOL |
$5,310 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE |
$4,928 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE – BLUE CROSS |
$4,928 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE – UNITED |
$4,928 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE – COVENTRY |
$4,928 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE – VANTAGE |
$4,928 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE -PEOPLES |
$4,928 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICARE- HUMANA |
$4,829 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
HUMANA |
$7,392 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
VANTAGE |
$8,377 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICAID |
$466 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICAID – UNITED |
$466 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICAID – HEALTHY BLUE |
$466 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MEDICAID – AMERIHEALTH |
$466 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
UNITED |
$3,860 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
AETNA |
$1,000 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
CIGNA |
$854 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
LWCC |
$12,671 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
PPOPLUS |
$10,816 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
GILSBAR |
$8,688 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
LSU |
$4,000 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
VERITY |
$5,923 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
MULTIPLAN |
$5,923 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
LA WORK COMP |
$15,958 |
| 64905 |
Nerve pedicle transfer |
$15,958 |
|
|
| 64910 |
Nerve repair w/allograft |
$20,320 |
Private Pay |
$18,676 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
BC PPO |
$5,995 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
BC HMO |
$5,260 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
BC FMOL |
$5,310 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE |
$4,928 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE – BLUE CROSS |
$4,928 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE – UNITED |
$4,928 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE – COVENTRY |
$4,928 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE – VANTAGE |
$4,928 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE -PEOPLES |
$4,928 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICARE- HUMANA |
$4,829 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
HUMANA |
$7,392 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
VANTAGE |
$8,377 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICAID |
$- |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICAID – UNITED |
$- |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICAID – HEALTHY BLUE |
$- |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MEDICAID – AMERIHEALTH |
$- |
| 64910 |
Nerve repair w/allograft |
$20,320 |
UNITED |
$3,860 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
AETNA |
$4,862 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
CIGNA |
$5,736 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
LWCC |
$12,671 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
PPOPLUS |
$11,393 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
GILSBAR |
$9,783 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
LSU |
$8,564 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
VERITY |
$5,923 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
MULTIPLAN |
$5,923 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
LA WORK COMP |
$20,320 |
| 64910 |
Nerve repair w/allograft |
$20,320 |
|
|
| 27766 |
Optx medial ankle fx |
$16,440 |
Private Pay |
$17,043 |
| 27766 |
Optx medial ankle fx |
$16,440 |
BC PPO |
$6,827 |
| 27766 |
Optx medial ankle fx |
$16,440 |
BC HMO |
$5,990 |
| 27766 |
Optx medial ankle fx |
$16,440 |
BC FMOL |
$6,047 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE |
$5,351 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE – UNITED |
$5,351 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE – COVENTRY |
$5,351 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE – VANTAGE |
$5,351 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE -PEOPLES |
$5,351 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICARE- HUMANA |
$5,244 |
| 27766 |
Optx medial ankle fx |
$16,440 |
HUMANA |
$8,026 |
| 27766 |
Optx medial ankle fx |
$16,440 |
VANTAGE |
$9,097 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICAID |
$533 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICAID – UNITED |
$533 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MEDICAID – AMERIHEALTH |
$533 |
| 27766 |
Optx medial ankle fx |
$16,440 |
UNITED |
$4,460 |
| 27766 |
Optx medial ankle fx |
$16,440 |
AETNA |
$2,411 |
| 27766 |
Optx medial ankle fx |
$16,440 |
CIGNA |
$2,776 |
| 27766 |
Optx medial ankle fx |
$16,440 |
LWCC |
$13,758 |
| 27766 |
Optx medial ankle fx |
$16,440 |
PPOPLUS |
$10,396 |
| 27766 |
Optx medial ankle fx |
$16,440 |
GILSBAR |
$8,549 |
| 27766 |
Optx medial ankle fx |
$16,440 |
LSU |
$5,431 |
| 27766 |
Optx medial ankle fx |
$16,440 |
VERITY |
$7,176 |
| 27766 |
Optx medial ankle fx |
$16,440 |
MULTIPLAN |
$7,176 |
| 27766 |
Optx medial ankle fx |
$16,440 |
LA WORK COMP |
$16,440 |
| 27766 |
Optx medial ankle fx |
$16,440 |
|
|
| 28825 |
Partial amputation of toe |
$8,180 |
Private Pay |
$9,089 |
| 28825 |
Partial amputation of toe |
$8,180 |
BC PPO |
$1,486 |
| 28825 |
Partial amputation of toe |
$8,180 |
BC HMO |
$1,304 |
| 28825 |
Partial amputation of toe |
$8,180 |
BC FMOL |
$1,317 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE |
$2,449 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE – UNITED |
$2,449 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE – COVENTRY |
$2,449 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE – VANTAGE |
$2,449 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE -PEOPLES |
$2,449 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICARE- HUMANA |
$2,400 |
| 28825 |
Partial amputation of toe |
$8,180 |
HUMANA |
$3,673 |
| 28825 |
Partial amputation of toe |
$8,180 |
VANTAGE |
$4,163 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICAID |
$466 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICAID – UNITED |
$466 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28825 |
Partial amputation of toe |
$8,180 |
MEDICAID – AMERIHEALTH |
$466 |
| 28825 |
Partial amputation of toe |
$8,180 |
UNITED |
$2,188 |
| 28825 |
Partial amputation of toe |
$8,180 |
AETNA |
$1,000 |
| 28825 |
Partial amputation of toe |
$8,180 |
CIGNA |
$1,102 |
| 28825 |
Partial amputation of toe |
$8,180 |
LWCC |
$6,296 |
| 28825 |
Partial amputation of toe |
$8,180 |
PPOPLUS |
$5,544 |
| 28825 |
Partial amputation of toe |
$8,180 |
GILSBAR |
$4,454 |
| 28825 |
Partial amputation of toe |
$8,180 |
LSU |
$4,000 |
| 28825 |
Partial amputation of toe |
$8,180 |
VERITY |
$1,728 |
| 28825 |
Partial amputation of toe |
$8,180 |
MULTIPLAN |
$1,728 |
| 28825 |
Partial amputation of toe |
$8,180 |
LA WORK COMP |
$8,180 |
| 28825 |
Partial amputation of toe |
$8,180 |
|
|
| 60220 |
Partial removal of thyroid |
$17,087 |
Private Pay |
$18,759 |
| 60220 |
Partial removal of thyroid |
$17,087 |
BC PPO |
$5,698 |
| 60220 |
Partial removal of thyroid |
$17,087 |
BC HMO |
$5,000 |
| 60220 |
Partial removal of thyroid |
$17,087 |
BC FMOL |
$5,048 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE |
$4,324 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE – BLUE CROSS |
$4,324 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE – UNITED |
$4,324 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE – COVENTRY |
$4,324 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE – VANTAGE |
$4,324 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE -PEOPLES |
$4,324 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICARE- HUMANA |
$4,237 |
| 60220 |
Partial removal of thyroid |
$17,087 |
HUMANA |
$6,486 |
| 60220 |
Partial removal of thyroid |
$17,087 |
VANTAGE |
$7,351 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICAID |
$659 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICAID – UNITED |
$659 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICAID – HEALTHY BLUE |
$659 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MEDICAID – AMERIHEALTH |
$659 |
| 60220 |
Partial removal of thyroid |
$17,087 |
UNITED |
$4,460 |
| 60220 |
Partial removal of thyroid |
$17,087 |
AETNA |
$1,225 |
| 60220 |
Partial removal of thyroid |
$17,087 |
CIGNA |
$634 |
| 60220 |
Partial removal of thyroid |
$17,087 |
LWCC |
$11,118 |
| 60220 |
Partial removal of thyroid |
$17,087 |
PPOPLUS |
$11,443 |
| 60220 |
Partial removal of thyroid |
$17,087 |
GILSBAR |
$9,229 |
| 60220 |
Partial removal of thyroid |
$17,087 |
LSU |
$4,266 |
| 60220 |
Partial removal of thyroid |
$17,087 |
VERITY |
$5,745 |
| 60220 |
Partial removal of thyroid |
$17,087 |
MULTIPLAN |
$5,745 |
| 60220 |
Partial removal of thyroid |
$17,087 |
LA WORK COMP |
$17,087 |
| 60220 |
Partial removal of thyroid |
$17,087 |
|
|
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
Private Pay |
$21,676 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
BC PPO |
$278 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
BC HMO |
$244 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
BC FMOL |
$247 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE |
$193 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE – BLUE CROSS |
$193 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE – UNITED |
$193 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE – COVENTRY |
$193 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE – VANTAGE |
$193 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE -PEOPLES |
$193 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICARE- HUMANA |
$189 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
HUMANA |
$289 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
VANTAGE |
$328 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICAID |
$- |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICAID – UNITED |
$- |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICAID – HEALTHY BLUE |
$- |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MEDICAID – AMERIHEALTH |
$- |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
UNITED |
$392 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
AETNA |
$3,523 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
CIGNA |
$6,023 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
LWCC |
$496 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
PPOPLUS |
$13,222 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
GILSBAR |
$11,067 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
LSU |
$7,218 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
VERITY |
$275 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
MULTIPLAN |
$275 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
LA WORK COMP |
$21,984 |
| 27299 |
Pelvis/hip joint surgery |
$21,984 |
|
|
| 26756 |
Pin finger fracture each |
$6,296 |
Private Pay |
$6,625 |
| 26756 |
Pin finger fracture each |
$6,296 |
BC PPO |
$2,913 |
| 26756 |
Pin finger fracture each |
$6,296 |
BC HMO |
$2,556 |
| 26756 |
Pin finger fracture each |
$6,296 |
BC FMOL |
$2,580 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE |
$2,449 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE – UNITED |
$2,449 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE – COVENTRY |
$2,449 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE – VANTAGE |
$2,449 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE -PEOPLES |
$2,449 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICARE- HUMANA |
$2,400 |
| 26756 |
Pin finger fracture each |
$6,296 |
HUMANA |
$3,673 |
| 26756 |
Pin finger fracture each |
$6,296 |
VANTAGE |
$4,163 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICAID |
$466 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICAID – UNITED |
$466 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26756 |
Pin finger fracture each |
$6,296 |
MEDICAID – AMERIHEALTH |
$466 |
| 26756 |
Pin finger fracture each |
$6,296 |
UNITED |
$2,188 |
| 26756 |
Pin finger fracture each |
$6,296 |
AETNA |
$1,027 |
| 26756 |
Pin finger fracture each |
$6,296 |
CIGNA |
$1,323 |
| 26756 |
Pin finger fracture each |
$6,296 |
LWCC |
$6,296 |
| 26756 |
Pin finger fracture each |
$6,296 |
PPOPLUS |
$4,041 |
| 26756 |
Pin finger fracture each |
$6,296 |
GILSBAR |
$3,250 |
| 26756 |
Pin finger fracture each |
$6,296 |
LSU |
$4,032 |
| 26756 |
Pin finger fracture each |
$6,296 |
VERITY |
$3,386 |
| 26756 |
Pin finger fracture each |
$6,296 |
MULTIPLAN |
$3,386 |
| 26756 |
Pin finger fracture each |
$6,296 |
LA WORK COMP |
$5,987 |
| 26756 |
Pin finger fracture each |
$6,296 |
|
|
| 52601 |
Prostatectomy (turp) |
$11,961 |
Private Pay |
$13,290 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
BC PPO |
$4,705 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
BC HMO |
$4,128 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
BC FMOL |
$4,168 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE |
$3,785 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE – BLUE CROSS |
$3,785 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE – UNITED |
$3,785 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE – COVENTRY |
$3,785 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE – VANTAGE |
$3,785 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE -PEOPLES |
$3,785 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICARE- HUMANA |
$3,710 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
HUMANA |
$5,678 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
VANTAGE |
$6,435 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICAID |
$659 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICAID – UNITED |
$659 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICAID – HEALTHY BLUE |
$659 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MEDICAID – AMERIHEALTH |
$659 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
UNITED |
$3,860 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
AETNA |
$1,475 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
CIGNA |
$1,323 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
LWCC |
$9,733 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
PPOPLUS |
$8,107 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
GILSBAR |
$6,512 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
LSU |
$4,000 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
VERITY |
$4,743 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
MULTIPLAN |
$4,743 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
LA WORK COMP |
$11,961 |
| 52601 |
Prostatectomy (turp) |
$11,961 |
|
|
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
Private Pay |
$11,980 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
BC PPO |
$3,545 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
BC HMO |
$3,111 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
BC FMOL |
$3,140 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE |
$2,781 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE – BLUE CROSS |
$2,781 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE – UNITED |
$2,781 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE – COVENTRY |
$2,781 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE – VANTAGE |
$2,781 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE -PEOPLES |
$2,781 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICARE- HUMANA |
$2,726 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
HUMANA |
$4,172 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
VANTAGE |
$4,728 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICAID |
$659 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICAID – UNITED |
$659 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICAID – HEALTHY BLUE |
$659 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MEDICAID – AMERIHEALTH |
$659 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
UNITED |
$2,923 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
AETNA |
$2,134 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
CIGNA |
$1,783 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
LWCC |
$7,151 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
PPOPLUS |
$7,308 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
GILSBAR |
$5,978 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
LSU |
$4,779 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
VERITY |
$3,726 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
MULTIPLAN |
$3,726 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
LA WORK COMP |
$11,381 |
| 49505 |
Prp i/hern init reduc >5 yr |
$11,381 |
|
|
| 26437 |
Realignment of tendons |
$6,435 |
Private Pay |
$7,150 |
| 26437 |
Realignment of tendons |
$6,435 |
BC PPO |
$1,644 |
| 26437 |
Realignment of tendons |
$6,435 |
BC HMO |
$1,442 |
| 26437 |
Realignment of tendons |
$6,435 |
BC FMOL |
$1,456 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE |
$2,449 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE – UNITED |
$2,449 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE – COVENTRY |
$2,449 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE – VANTAGE |
$2,449 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE -PEOPLES |
$2,449 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICARE- HUMANA |
$2,400 |
| 26437 |
Realignment of tendons |
$6,435 |
HUMANA |
$3,673 |
| 26437 |
Realignment of tendons |
$6,435 |
VANTAGE |
$4,163 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICAID |
$533 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICAID – UNITED |
$533 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26437 |
Realignment of tendons |
$6,435 |
MEDICAID – AMERIHEALTH |
$533 |
| 26437 |
Realignment of tendons |
$6,435 |
UNITED |
$734 |
| 26437 |
Realignment of tendons |
$6,435 |
AETNA |
$1,200 |
| 26437 |
Realignment of tendons |
$6,435 |
CIGNA |
$1,323 |
| 26437 |
Realignment of tendons |
$6,435 |
LWCC |
$6,296 |
| 26437 |
Realignment of tendons |
$6,435 |
PPOPLUS |
$4,361 |
| 26437 |
Realignment of tendons |
$6,435 |
GILSBAR |
$3,503 |
| 26437 |
Realignment of tendons |
$6,435 |
LSU |
$4,000 |
| 26437 |
Realignment of tendons |
$6,435 |
VERITY |
$1,728 |
| 26437 |
Realignment of tendons |
$6,435 |
MULTIPLAN |
$1,728 |
| 26437 |
Realignment of tendons |
$6,435 |
LA WORK COMP |
$6,435 |
| 26437 |
Realignment of tendons |
$6,435 |
|
|
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
Private Pay |
$16,207 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
BC PPO |
$12,326 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
BC HMO |
$10,816 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
BC FMOL |
$10,919 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE |
$10,645 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE – BLUE CROSS |
$10,645 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE – UNITED |
$10,645 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE – COVENTRY |
$10,645 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE – VANTAGE |
$10,645 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE -PEOPLES |
$10,645 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICARE- HUMANA |
$10,433 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
HUMANA |
$15,968 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
VANTAGE |
$18,097 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICAID |
$- |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICAID – UNITED |
$- |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICAID – HEALTHY BLUE |
$- |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MEDICAID – AMERIHEALTH |
$- |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
UNITED |
$3,860 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
AETNA |
$2,375 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
CIGNA |
$2,072 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
LWCC |
$27,372 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
PPOPLUS |
$9,886 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
GILSBAR |
$8,089 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
LSU |
$5,064 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
VERITY |
$12,956 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
MULTIPLAN |
$12,956 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
LA WORK COMP |
$15,405 |
| 24346 |
Reconstruct elbow med ligmnt |
$27,372 |
|
|
| 23472 |
Reconstruct shoulder joint |
$59,792 |
Private Pay |
$52,416 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
BC PPO |
$13,113 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
BC HMO |
$11,507 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
BC FMOL |
$11,616 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE – BLUE CROSS |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE – UNITED |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE – COVENTRY |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE – VANTAGE |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE -PEOPLES |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICARE- HUMANA |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
HUMANA |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
VANTAGE |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICAID |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICAID – UNITED |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICAID – HEALTHY BLUE |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MEDICAID – AMERIHEALTH |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
UNITED |
$18,205 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
AETNA |
$14,679 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
CIGNA |
$17,647 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
LWCC |
$- |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
PPOPLUS |
$31,974 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
GILSBAR |
$27,955 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
LSU |
$20,403 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
VERITY |
$7,809 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
MULTIPLAN |
$7,809 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
LA WORK COMP |
$59,792 |
| 23472 |
Reconstruct shoulder joint |
$59,792 |
|
|
| 27427 |
Reconstruction knee |
$26,611 |
Private Pay |
$25,711 |
| 27427 |
Reconstruction knee |
$26,611 |
BC PPO |
$4,866 |
| 27427 |
Reconstruction knee |
$26,611 |
BC HMO |
$4,270 |
| 27427 |
Reconstruction knee |
$26,611 |
BC FMOL |
$4,310 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE |
$5,351 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE – UNITED |
$5,351 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE – COVENTRY |
$5,351 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE – VANTAGE |
$5,351 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE -PEOPLES |
$5,351 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICARE- HUMANA |
$5,244 |
| 27427 |
Reconstruction knee |
$26,611 |
HUMANA |
$8,026 |
| 27427 |
Reconstruction knee |
$26,611 |
VANTAGE |
$9,097 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICAID |
$533 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICAID – UNITED |
$533 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27427 |
Reconstruction knee |
$26,611 |
MEDICAID – AMERIHEALTH |
$533 |
| 27427 |
Reconstruction knee |
$26,611 |
UNITED |
$4,460 |
| 27427 |
Reconstruction knee |
$26,611 |
AETNA |
$5,019 |
| 27427 |
Reconstruction knee |
$26,611 |
CIGNA |
$6,016 |
| 27427 |
Reconstruction knee |
$26,611 |
LWCC |
$13,758 |
| 27427 |
Reconstruction knee |
$26,611 |
PPOPLUS |
$15,684 |
| 27427 |
Reconstruction knee |
$26,611 |
GILSBAR |
$13,223 |
| 27427 |
Reconstruction knee |
$26,611 |
LSU |
$8,513 |
| 27427 |
Reconstruction knee |
$26,611 |
VERITY |
$7,176 |
| 27427 |
Reconstruction knee |
$26,611 |
MULTIPLAN |
$7,176 |
| 27427 |
Reconstruction knee |
$26,611 |
LA WORK COMP |
$26,611 |
| 27427 |
Reconstruction knee |
$26,611 |
|
|
| 26445 |
Release hand/finger tendon |
$9,367 |
Private Pay |
$9,439 |
| 26445 |
Release hand/finger tendon |
$9,367 |
BC PPO |
$1,542 |
| 26445 |
Release hand/finger tendon |
$9,367 |
BC HMO |
$1,353 |
| 26445 |
Release hand/finger tendon |
$9,367 |
BC FMOL |
$1,366 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE |
$2,449 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE – UNITED |
$2,449 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE – COVENTRY |
$2,449 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE – VANTAGE |
$2,449 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE -PEOPLES |
$2,449 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICARE- HUMANA |
$2,400 |
| 26445 |
Release hand/finger tendon |
$9,367 |
HUMANA |
$3,673 |
| 26445 |
Release hand/finger tendon |
$9,367 |
VANTAGE |
$4,163 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICAID |
$533 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICAID – UNITED |
$533 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MEDICAID – AMERIHEALTH |
$533 |
| 26445 |
Release hand/finger tendon |
$9,367 |
UNITED |
$734 |
| 26445 |
Release hand/finger tendon |
$9,367 |
AETNA |
$2,158 |
| 26445 |
Release hand/finger tendon |
$9,367 |
CIGNA |
$2,473 |
| 26445 |
Release hand/finger tendon |
$9,367 |
LWCC |
$6,296 |
| 26445 |
Release hand/finger tendon |
$9,367 |
PPOPLUS |
$5,758 |
| 26445 |
Release hand/finger tendon |
$9,367 |
GILSBAR |
$4,782 |
| 26445 |
Release hand/finger tendon |
$9,367 |
LSU |
$5,132 |
| 26445 |
Release hand/finger tendon |
$9,367 |
VERITY |
$3,386 |
| 26445 |
Release hand/finger tendon |
$9,367 |
MULTIPLAN |
$3,386 |
| 26445 |
Release hand/finger tendon |
$9,367 |
LA WORK COMP |
$9,367 |
| 26445 |
Release hand/finger tendon |
$9,367 |
|
|
| 27680 |
Release of lower leg tendon |
$11,202 |
Private Pay |
$12,447 |
| 27680 |
Release of lower leg tendon |
$11,202 |
BC PPO |
$2,296 |
| 27680 |
Release of lower leg tendon |
$11,202 |
BC HMO |
$2,015 |
| 27680 |
Release of lower leg tendon |
$11,202 |
BC FMOL |
$2,034 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE |
$2,449 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE – BLUE CROSS |
$2,449 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE – UNITED |
$2,449 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE – COVENTRY |
$2,449 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE – VANTAGE |
$2,449 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE -PEOPLES |
$2,449 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICARE- HUMANA |
$2,400 |
| 27680 |
Release of lower leg tendon |
$11,202 |
HUMANA |
$3,673 |
| 27680 |
Release of lower leg tendon |
$11,202 |
VANTAGE |
$4,163 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICAID |
$533 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICAID – UNITED |
$533 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MEDICAID – AMERIHEALTH |
$533 |
| 27680 |
Release of lower leg tendon |
$11,202 |
UNITED |
$2,923 |
| 27680 |
Release of lower leg tendon |
$11,202 |
AETNA |
$1,200 |
| 27680 |
Release of lower leg tendon |
$11,202 |
CIGNA |
$1,102 |
| 27680 |
Release of lower leg tendon |
$11,202 |
LWCC |
$6,296 |
| 27680 |
Release of lower leg tendon |
$11,202 |
PPOPLUS |
$7,593 |
| 27680 |
Release of lower leg tendon |
$11,202 |
GILSBAR |
$6,099 |
| 27680 |
Release of lower leg tendon |
$11,202 |
LSU |
$4,000 |
| 27680 |
Release of lower leg tendon |
$11,202 |
VERITY |
$3,386 |
| 27680 |
Release of lower leg tendon |
$11,202 |
MULTIPLAN |
$3,386 |
| 27680 |
Release of lower leg tendon |
$11,202 |
LA WORK COMP |
$11,202 |
| 27680 |
Release of lower leg tendon |
$11,202 |
|
|
| 26121 |
Release palm contracture |
$6,748 |
Private Pay |
$7,497 |
| 26121 |
Release palm contracture |
$6,748 |
BC PPO |
$3,221 |
| 26121 |
Release palm contracture |
$6,748 |
BC HMO |
$2,826 |
| 26121 |
Release palm contracture |
$6,748 |
BC FMOL |
$2,853 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE |
$2,449 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE – UNITED |
$2,449 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE – COVENTRY |
$2,449 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE – VANTAGE |
$2,449 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE -PEOPLES |
$2,449 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICARE- HUMANA |
$2,400 |
| 26121 |
Release palm contracture |
$6,748 |
HUMANA |
$3,673 |
| 26121 |
Release palm contracture |
$6,748 |
VANTAGE |
$4,163 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICAID |
$659 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICAID – UNITED |
$659 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26121 |
Release palm contracture |
$6,748 |
MEDICAID – AMERIHEALTH |
$659 |
| 26121 |
Release palm contracture |
$6,748 |
UNITED |
$2,923 |
| 26121 |
Release palm contracture |
$6,748 |
AETNA |
$1,475 |
| 26121 |
Release palm contracture |
$6,748 |
CIGNA |
$1,102 |
| 26121 |
Release palm contracture |
$6,748 |
LWCC |
$6,296 |
| 26121 |
Release palm contracture |
$6,748 |
PPOPLUS |
$4,573 |
| 26121 |
Release palm contracture |
$6,748 |
GILSBAR |
$3,674 |
| 26121 |
Release palm contracture |
$6,748 |
LSU |
$4,000 |
| 26121 |
Release palm contracture |
$6,748 |
VERITY |
$3,386 |
| 26121 |
Release palm contracture |
$6,748 |
MULTIPLAN |
$3,386 |
| 26121 |
Release palm contracture |
$6,748 |
LA WORK COMP |
$6,748 |
| 26121 |
Release palm contracture |
$6,748 |
|
|
| 26123 |
Release palm contracture |
$9,107 |
Private Pay |
$10,099 |
| 26123 |
Release palm contracture |
$9,107 |
BC PPO |
$2,913 |
| 26123 |
Release palm contracture |
$9,107 |
BC HMO |
$2,556 |
| 26123 |
Release palm contracture |
$9,107 |
BC FMOL |
$2,580 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE |
$2,449 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE – UNITED |
$2,449 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE – COVENTRY |
$2,449 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE – VANTAGE |
$2,449 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE -PEOPLES |
$2,449 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICARE- HUMANA |
$2,400 |
| 26123 |
Release palm contracture |
$9,107 |
HUMANA |
$3,673 |
| 26123 |
Release palm contracture |
$9,107 |
VANTAGE |
$4,163 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICAID |
$659 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICAID – UNITED |
$659 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26123 |
Release palm contracture |
$9,107 |
MEDICAID – AMERIHEALTH |
$659 |
| 26123 |
Release palm contracture |
$9,107 |
UNITED |
$2,923 |
| 26123 |
Release palm contracture |
$9,107 |
AETNA |
$1,494 |
| 26123 |
Release palm contracture |
$9,107 |
CIGNA |
$1,323 |
| 26123 |
Release palm contracture |
$9,107 |
LWCC |
$6,296 |
| 26123 |
Release palm contracture |
$9,107 |
PPOPLUS |
$6,161 |
| 26123 |
Release palm contracture |
$9,107 |
GILSBAR |
$4,952 |
| 26123 |
Release palm contracture |
$9,107 |
LSU |
$4,022 |
| 26123 |
Release palm contracture |
$9,107 |
VERITY |
$3,386 |
| 26123 |
Release palm contracture |
$9,107 |
MULTIPLAN |
$3,386 |
| 26123 |
Release palm contracture |
$9,107 |
LA WORK COMP |
$9,107 |
| 26123 |
Release palm contracture |
$9,107 |
|
|
| 25295 |
Release wrist/forearm tendon |
$8,839 |
Private Pay |
$9,822 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
BC PPO |
$1,542 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
BC HMO |
$1,353 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
BC FMOL |
$1,366 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE |
$2,449 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE – UNITED |
$2,449 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE – COVENTRY |
$2,449 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE – VANTAGE |
$2,449 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE -PEOPLES |
$2,449 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICARE- HUMANA |
$2,400 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
HUMANA |
$3,673 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
VANTAGE |
$4,163 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICAID |
$533 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICAID – UNITED |
$533 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MEDICAID – AMERIHEALTH |
$533 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
UNITED |
$2,188 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
AETNA |
$1,200 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
CIGNA |
$854 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
LWCC |
$6,296 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
PPOPLUS |
$5,991 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
GILSBAR |
$4,813 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
LSU |
$4,000 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
VERITY |
$3,386 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
MULTIPLAN |
$3,386 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
LA WORK COMP |
$8,839 |
| 25295 |
Release wrist/forearm tendon |
$8,839 |
|
|
| 42830 |
Removal of adenoids |
$6,024 |
Private Pay |
$6,100 |
| 42830 |
Removal of adenoids |
$6,024 |
BC PPO |
$2,165 |
| 42830 |
Removal of adenoids |
$6,024 |
BC HMO |
$1,900 |
| 42830 |
Removal of adenoids |
$6,024 |
BC FMOL |
$1,918 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE |
$2,343 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE – BLUE CROSS |
$2,343 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE – UNITED |
$2,343 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE – COVENTRY |
$2,343 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE – VANTAGE |
$2,343 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE -PEOPLES |
$2,343 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICARE- HUMANA |
$2,296 |
| 42830 |
Removal of adenoids |
$6,024 |
HUMANA |
$3,515 |
| 42830 |
Removal of adenoids |
$6,024 |
VANTAGE |
$3,983 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICAID |
$659 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICAID – UNITED |
$659 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICAID – HEALTHY BLUE |
$659 |
| 42830 |
Removal of adenoids |
$6,024 |
MEDICAID – AMERIHEALTH |
$659 |
| 42830 |
Removal of adenoids |
$6,024 |
UNITED |
$2,188 |
| 42830 |
Removal of adenoids |
$6,024 |
AETNA |
$1,530 |
| 42830 |
Removal of adenoids |
$6,024 |
CIGNA |
$634 |
| 42830 |
Removal of adenoids |
$6,024 |
LWCC |
$6,024 |
| 42830 |
Removal of adenoids |
$6,024 |
PPOPLUS |
$3,721 |
| 42830 |
Removal of adenoids |
$6,024 |
GILSBAR |
$2,998 |
| 42830 |
Removal of adenoids |
$6,024 |
LSU |
$4,065 |
| 42830 |
Removal of adenoids |
$6,024 |
VERITY |
$2,815 |
| 42830 |
Removal of adenoids |
$6,024 |
MULTIPLAN |
$2,815 |
| 42830 |
Removal of adenoids |
$6,024 |
LA WORK COMP |
$5,540 |
| 42830 |
Removal of adenoids |
$6,024 |
|
|
| 42831 |
Removal of adenoids |
$6,299 |
Private Pay |
$6,959 |
| 42831 |
Removal of adenoids |
$6,299 |
BC PPO |
$2,165 |
| 42831 |
Removal of adenoids |
$6,299 |
BC HMO |
$1,900 |
| 42831 |
Removal of adenoids |
$6,299 |
BC FMOL |
$1,918 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE |
$2,343 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE – BLUE CROSS |
$2,343 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE – UNITED |
$2,343 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE – COVENTRY |
$2,343 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE – VANTAGE |
$2,343 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE -PEOPLES |
$2,343 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICARE- HUMANA |
$2,296 |
| 42831 |
Removal of adenoids |
$6,299 |
HUMANA |
$3,515 |
| 42831 |
Removal of adenoids |
$6,299 |
VANTAGE |
$3,983 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICAID |
$659 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICAID – UNITED |
$659 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICAID – HEALTHY BLUE |
$659 |
| 42831 |
Removal of adenoids |
$6,299 |
MEDICAID – AMERIHEALTH |
$659 |
| 42831 |
Removal of adenoids |
$6,299 |
UNITED |
$2,188 |
| 42831 |
Removal of adenoids |
$6,299 |
AETNA |
$1,515 |
| 42831 |
Removal of adenoids |
$6,299 |
CIGNA |
$1,102 |
| 42831 |
Removal of adenoids |
$6,299 |
LWCC |
$6,024 |
| 42831 |
Removal of adenoids |
$6,299 |
PPOPLUS |
$4,245 |
| 42831 |
Removal of adenoids |
$6,299 |
GILSBAR |
$3,417 |
| 42831 |
Removal of adenoids |
$6,299 |
LSU |
$4,047 |
| 42831 |
Removal of adenoids |
$6,299 |
VERITY |
$2,815 |
| 42831 |
Removal of adenoids |
$6,299 |
MULTIPLAN |
$2,815 |
| 42831 |
Removal of adenoids |
$6,299 |
LA WORK COMP |
$6,299 |
| 42831 |
Removal of adenoids |
$6,299 |
|
|
| 19120 |
Removal of breast lesion |
$6,968 |
Private Pay |
$7,305 |
| 19120 |
Removal of breast lesion |
$6,968 |
BC PPO |
$3,463 |
| 19120 |
Removal of breast lesion |
$6,968 |
BC HMO |
$3,039 |
| 19120 |
Removal of breast lesion |
$6,968 |
BC FMOL |
$3,068 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE |
$2,710 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE – BLUE CROSS |
$2,710 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE – UNITED |
$2,710 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE – COVENTRY |
$2,710 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE – VANTAGE |
$2,710 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE -PEOPLES |
$2,710 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICARE- HUMANA |
$2,656 |
| 19120 |
Removal of breast lesion |
$6,968 |
HUMANA |
$4,065 |
| 19120 |
Removal of breast lesion |
$6,968 |
VANTAGE |
$4,607 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICAID |
$533 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICAID – UNITED |
$533 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICAID – HEALTHY BLUE |
$533 |
| 19120 |
Removal of breast lesion |
$6,968 |
MEDICAID – AMERIHEALTH |
$533 |
| 19120 |
Removal of breast lesion |
$6,968 |
UNITED |
$2,188 |
| 19120 |
Removal of breast lesion |
$6,968 |
AETNA |
$1,200 |
| 19120 |
Removal of breast lesion |
$6,968 |
CIGNA |
$992 |
| 19120 |
Removal of breast lesion |
$6,968 |
LWCC |
$6,968 |
| 19120 |
Removal of breast lesion |
$6,968 |
PPOPLUS |
$4,456 |
| 19120 |
Removal of breast lesion |
$6,968 |
GILSBAR |
$3,579 |
| 19120 |
Removal of breast lesion |
$6,968 |
LSU |
$4,000 |
| 19120 |
Removal of breast lesion |
$6,968 |
VERITY |
$3,491 |
| 19120 |
Removal of breast lesion |
$6,968 |
MULTIPLAN |
$3,491 |
| 19120 |
Removal of breast lesion |
$6,968 |
LA WORK COMP |
$6,575 |
| 19120 |
Removal of breast lesion |
$6,968 |
|
|
| 24105 |
Removal of elbow bursa |
$8,461 |
Private Pay |
$9,402 |
| 24105 |
Removal of elbow bursa |
$8,461 |
BC PPO |
$3,221 |
| 24105 |
Removal of elbow bursa |
$8,461 |
BC HMO |
$2,826 |
| 24105 |
Removal of elbow bursa |
$8,461 |
BC FMOL |
$2,853 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE |
$2,449 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE – BLUE CROSS |
$2,449 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE – UNITED |
$2,449 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE – COVENTRY |
$2,449 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE – VANTAGE |
$2,449 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE -PEOPLES |
$2,449 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICARE- HUMANA |
$2,400 |
| 24105 |
Removal of elbow bursa |
$8,461 |
HUMANA |
$3,673 |
| 24105 |
Removal of elbow bursa |
$8,461 |
VANTAGE |
$4,163 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICAID |
$533 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICAID – UNITED |
$533 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MEDICAID – AMERIHEALTH |
$533 |
| 24105 |
Removal of elbow bursa |
$8,461 |
UNITED |
$2,188 |
| 24105 |
Removal of elbow bursa |
$8,461 |
AETNA |
$1,200 |
| 24105 |
Removal of elbow bursa |
$8,461 |
CIGNA |
$992 |
| 24105 |
Removal of elbow bursa |
$8,461 |
LWCC |
$6,296 |
| 24105 |
Removal of elbow bursa |
$8,461 |
PPOPLUS |
$5,735 |
| 24105 |
Removal of elbow bursa |
$8,461 |
GILSBAR |
$4,607 |
| 24105 |
Removal of elbow bursa |
$8,461 |
LSU |
$4,000 |
| 24105 |
Removal of elbow bursa |
$8,461 |
VERITY |
$3,386 |
| 24105 |
Removal of elbow bursa |
$8,461 |
MULTIPLAN |
$3,386 |
| 24105 |
Removal of elbow bursa |
$8,461 |
LA WORK COMP |
$8,461 |
| 24105 |
Removal of elbow bursa |
$8,461 |
|
|
| 31255 |
Removal of ethmoid sinus |
$12,513 |
Private Pay |
$13,619 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
BC PPO |
$2,835 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
BC HMO |
$2,488 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
BC FMOL |
$2,512 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE |
$4,867 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE – BLUE CROSS |
$4,867 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE – UNITED |
$4,867 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE – COVENTRY |
$4,867 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE – VANTAGE |
$4,867 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE -PEOPLES |
$4,867 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICARE- HUMANA |
$4,769 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
HUMANA |
$7,300 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
VANTAGE |
$8,273 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICAID |
$750 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICAID – UNITED |
$750 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICAID – HEALTHY BLUE |
$750 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MEDICAID – AMERIHEALTH |
$750 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
UNITED |
$2,923 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
AETNA |
$1,650 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
CIGNA |
$1,102 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
LWCC |
$12,513 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
PPOPLUS |
$8,308 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
GILSBAR |
$6,674 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
LSU |
$4,000 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
VERITY |
$6,226 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
MULTIPLAN |
$6,226 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
LA WORK COMP |
$12,257 |
| 31255 |
Removal of ethmoid sinus |
$12,513 |
|
|
| 26210 |
Removal of finger lesion |
$5,949 |
Private Pay |
$6,225 |
| 26210 |
Removal of finger lesion |
$5,949 |
BC PPO |
$1,486 |
| 26210 |
Removal of finger lesion |
$5,949 |
BC HMO |
$1,304 |
| 26210 |
Removal of finger lesion |
$5,949 |
BC FMOL |
$1,317 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE |
$1,212 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE – UNITED |
$1,212 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE – COVENTRY |
$1,212 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE – VANTAGE |
$1,212 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE -PEOPLES |
$1,212 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICARE- HUMANA |
$1,188 |
| 26210 |
Removal of finger lesion |
$5,949 |
HUMANA |
$1,819 |
| 26210 |
Removal of finger lesion |
$5,949 |
VANTAGE |
$2,061 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICAID |
$466 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICAID – UNITED |
$466 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26210 |
Removal of finger lesion |
$5,949 |
MEDICAID – AMERIHEALTH |
$466 |
| 26210 |
Removal of finger lesion |
$5,949 |
UNITED |
$734 |
| 26210 |
Removal of finger lesion |
$5,949 |
AETNA |
$1,381 |
| 26210 |
Removal of finger lesion |
$5,949 |
CIGNA |
$1,449 |
| 26210 |
Removal of finger lesion |
$5,949 |
LWCC |
$3,117 |
| 26210 |
Removal of finger lesion |
$5,949 |
PPOPLUS |
$3,797 |
| 26210 |
Removal of finger lesion |
$5,949 |
GILSBAR |
$3,112 |
| 26210 |
Removal of finger lesion |
$5,949 |
LSU |
$4,450 |
| 26210 |
Removal of finger lesion |
$5,949 |
VERITY |
$1,728 |
| 26210 |
Removal of finger lesion |
$5,949 |
MULTIPLAN |
$1,728 |
| 26210 |
Removal of finger lesion |
$5,949 |
LA WORK COMP |
$5,949 |
| 26210 |
Removal of finger lesion |
$5,949 |
|
|
| 28190 |
Removal of foot foreign body |
$7,392 |
Private Pay |
$8,214 |
| 28190 |
Removal of foot foreign body |
$7,392 |
BC PPO |
$742 |
| 28190 |
Removal of foot foreign body |
$7,392 |
BC HMO |
$651 |
| 28190 |
Removal of foot foreign body |
$7,392 |
BC FMOL |
$657 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE |
$546 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE – BLUE CROSS |
$546 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE – UNITED |
$546 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE – COVENTRY |
$546 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE – VANTAGE |
$546 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE -PEOPLES |
$546 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICARE- HUMANA |
$535 |
| 28190 |
Removal of foot foreign body |
$7,392 |
HUMANA |
$818 |
| 28190 |
Removal of foot foreign body |
$7,392 |
VANTAGE |
$928 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICAID |
$348 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICAID – UNITED |
$348 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICAID – HEALTHY BLUE |
$348 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MEDICAID – AMERIHEALTH |
$348 |
| 28190 |
Removal of foot foreign body |
$7,392 |
UNITED |
$610 |
| 28190 |
Removal of foot foreign body |
$7,392 |
AETNA |
$1,000 |
| 28190 |
Removal of foot foreign body |
$7,392 |
CIGNA |
$1,323 |
| 28190 |
Removal of foot foreign body |
$7,392 |
LWCC |
$1,403 |
| 28190 |
Removal of foot foreign body |
$7,392 |
PPOPLUS |
$5,010 |
| 28190 |
Removal of foot foreign body |
$7,392 |
GILSBAR |
$4,025 |
| 28190 |
Removal of foot foreign body |
$7,392 |
LSU |
$4,000 |
| 28190 |
Removal of foot foreign body |
$7,392 |
VERITY |
$733 |
| 28190 |
Removal of foot foreign body |
$7,392 |
MULTIPLAN |
$733 |
| 28190 |
Removal of foot foreign body |
$7,392 |
LA WORK COMP |
$7,392 |
| 28190 |
Removal of foot foreign body |
$7,392 |
|
|
| 28192 |
Removal of foot foreign body |
$6,563 |
Private Pay |
$7,293 |
| 28192 |
Removal of foot foreign body |
$6,563 |
BC PPO |
$1,711 |
| 28192 |
Removal of foot foreign body |
$6,563 |
BC HMO |
$1,502 |
| 28192 |
Removal of foot foreign body |
$6,563 |
BC FMOL |
$1,516 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE |
$1,228 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE – BLUE CROSS |
$1,228 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE – UNITED |
$1,228 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE – COVENTRY |
$1,228 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE – VANTAGE |
$1,228 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE -PEOPLES |
$1,228 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICARE- HUMANA |
$1,203 |
| 28192 |
Removal of foot foreign body |
$6,563 |
HUMANA |
$1,842 |
| 28192 |
Removal of foot foreign body |
$6,563 |
VANTAGE |
$2,087 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICAID |
$466 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICAID – UNITED |
$466 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MEDICAID – AMERIHEALTH |
$466 |
| 28192 |
Removal of foot foreign body |
$6,563 |
UNITED |
$734 |
| 28192 |
Removal of foot foreign body |
$6,563 |
AETNA |
$1,000 |
| 28192 |
Removal of foot foreign body |
$6,563 |
CIGNA |
$1,433 |
| 28192 |
Removal of foot foreign body |
$6,563 |
LWCC |
$3,157 |
| 28192 |
Removal of foot foreign body |
$6,563 |
PPOPLUS |
$4,448 |
| 28192 |
Removal of foot foreign body |
$6,563 |
GILSBAR |
$3,573 |
| 28192 |
Removal of foot foreign body |
$6,563 |
LSU |
$4,000 |
| 28192 |
Removal of foot foreign body |
$6,563 |
VERITY |
$1,725 |
| 28192 |
Removal of foot foreign body |
$6,563 |
MULTIPLAN |
$1,725 |
| 28192 |
Removal of foot foreign body |
$6,563 |
LA WORK COMP |
$6,563 |
| 28192 |
Removal of foot foreign body |
$6,563 |
|
|
| 28080 |
Removal of foot lesion |
$9,393 |
Private Pay |
$10,436 |
| 28080 |
Removal of foot lesion |
$9,393 |
BC PPO |
$1,329 |
| 28080 |
Removal of foot lesion |
$9,393 |
BC HMO |
$1,166 |
| 28080 |
Removal of foot lesion |
$9,393 |
BC FMOL |
$1,177 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE |
$1,212 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE – BLUE CROSS |
$1,212 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE – UNITED |
$1,212 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE – COVENTRY |
$1,212 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE – VANTAGE |
$1,212 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE -PEOPLES |
$1,212 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICARE- HUMANA |
$1,188 |
| 28080 |
Removal of foot lesion |
$9,393 |
HUMANA |
$1,819 |
| 28080 |
Removal of foot lesion |
$9,393 |
VANTAGE |
$2,061 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICAID |
$533 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICAID – UNITED |
$533 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28080 |
Removal of foot lesion |
$9,393 |
MEDICAID – AMERIHEALTH |
$533 |
| 28080 |
Removal of foot lesion |
$9,393 |
UNITED |
$2,188 |
| 28080 |
Removal of foot lesion |
$9,393 |
AETNA |
$1,200 |
| 28080 |
Removal of foot lesion |
$9,393 |
CIGNA |
$1,323 |
| 28080 |
Removal of foot lesion |
$9,393 |
LWCC |
$3,117 |
| 28080 |
Removal of foot lesion |
$9,393 |
PPOPLUS |
$6,366 |
| 28080 |
Removal of foot lesion |
$9,393 |
GILSBAR |
$5,114 |
| 28080 |
Removal of foot lesion |
$9,393 |
LSU |
$4,000 |
| 28080 |
Removal of foot lesion |
$9,393 |
VERITY |
$1,728 |
| 28080 |
Removal of foot lesion |
$9,393 |
MULTIPLAN |
$1,728 |
| 28080 |
Removal of foot lesion |
$9,393 |
LA WORK COMP |
$9,393 |
| 28080 |
Removal of foot lesion |
$9,393 |
|
|
| 28090 |
Removal of foot lesion |
$8,868 |
Private Pay |
$9,853 |
| 28090 |
Removal of foot lesion |
$8,868 |
BC PPO |
$1,172 |
| 28090 |
Removal of foot lesion |
$8,868 |
BC HMO |
$1,028 |
| 28090 |
Removal of foot lesion |
$8,868 |
BC FMOL |
$1,038 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE |
$1,212 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE – BLUE CROSS |
$1,212 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE – UNITED |
$1,212 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE – COVENTRY |
$1,212 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE – VANTAGE |
$1,212 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE -PEOPLES |
$1,212 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICARE- HUMANA |
$1,188 |
| 28090 |
Removal of foot lesion |
$8,868 |
HUMANA |
$1,819 |
| 28090 |
Removal of foot lesion |
$8,868 |
VANTAGE |
$2,061 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICAID |
$533 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICAID – UNITED |
$533 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28090 |
Removal of foot lesion |
$8,868 |
MEDICAID – AMERIHEALTH |
$533 |
| 28090 |
Removal of foot lesion |
$8,868 |
UNITED |
$2,188 |
| 28090 |
Removal of foot lesion |
$8,868 |
AETNA |
$1,200 |
| 28090 |
Removal of foot lesion |
$8,868 |
CIGNA |
$1,323 |
| 28090 |
Removal of foot lesion |
$8,868 |
LWCC |
$3,117 |
| 28090 |
Removal of foot lesion |
$8,868 |
PPOPLUS |
$6,010 |
| 28090 |
Removal of foot lesion |
$8,868 |
GILSBAR |
$4,828 |
| 28090 |
Removal of foot lesion |
$8,868 |
LSU |
$4,000 |
| 28090 |
Removal of foot lesion |
$8,868 |
VERITY |
$1,728 |
| 28090 |
Removal of foot lesion |
$8,868 |
MULTIPLAN |
$1,728 |
| 28090 |
Removal of foot lesion |
$8,868 |
LA WORK COMP |
$8,868 |
| 28090 |
Removal of foot lesion |
$8,868 |
|
|
| 28104 |
Removal of foot lesion |
$8,245 |
Private Pay |
$9,161 |
| 28104 |
Removal of foot lesion |
$8,245 |
BC PPO |
$3,221 |
| 28104 |
Removal of foot lesion |
$8,245 |
BC HMO |
$2,826 |
| 28104 |
Removal of foot lesion |
$8,245 |
BC FMOL |
$2,853 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE |
$2,449 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE – UNITED |
$2,449 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE – COVENTRY |
$2,449 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE – VANTAGE |
$2,449 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE -PEOPLES |
$2,449 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICARE- HUMANA |
$2,400 |
| 28104 |
Removal of foot lesion |
$8,245 |
HUMANA |
$3,673 |
| 28104 |
Removal of foot lesion |
$8,245 |
VANTAGE |
$4,163 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICAID |
$466 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICAID – UNITED |
$466 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28104 |
Removal of foot lesion |
$8,245 |
MEDICAID – AMERIHEALTH |
$466 |
| 28104 |
Removal of foot lesion |
$8,245 |
UNITED |
$2,188 |
| 28104 |
Removal of foot lesion |
$8,245 |
AETNA |
$1,000 |
| 28104 |
Removal of foot lesion |
$8,245 |
CIGNA |
$1,102 |
| 28104 |
Removal of foot lesion |
$8,245 |
LWCC |
$6,296 |
| 28104 |
Removal of foot lesion |
$8,245 |
PPOPLUS |
$5,588 |
| 28104 |
Removal of foot lesion |
$8,245 |
GILSBAR |
$4,489 |
| 28104 |
Removal of foot lesion |
$8,245 |
LSU |
$4,000 |
| 28104 |
Removal of foot lesion |
$8,245 |
VERITY |
$3,386 |
| 28104 |
Removal of foot lesion |
$8,245 |
MULTIPLAN |
$3,386 |
| 28104 |
Removal of foot lesion |
$8,245 |
LA WORK COMP |
$8,245 |
| 28104 |
Removal of foot lesion |
$8,245 |
|
|
| 20525 |
Removal of foreign body |
$5,975 |
Private Pay |
$6,639 |
| 20525 |
Removal of foreign body |
$5,975 |
BC PPO |
$2,831 |
| 20525 |
Removal of foreign body |
$5,975 |
BC HMO |
$2,484 |
| 20525 |
Removal of foreign body |
$5,975 |
BC FMOL |
$2,508 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE |
$2,074 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE – BLUE CROSS |
$2,074 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE – UNITED |
$2,074 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE – COVENTRY |
$2,074 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE – VANTAGE |
$2,074 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE -PEOPLES |
$2,074 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICARE- HUMANA |
$2,033 |
| 20525 |
Removal of foreign body |
$5,975 |
HUMANA |
$3,111 |
| 20525 |
Removal of foreign body |
$5,975 |
VANTAGE |
$3,526 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICAID |
$533 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICAID – UNITED |
$533 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICAID – HEALTHY BLUE |
$533 |
| 20525 |
Removal of foreign body |
$5,975 |
MEDICAID – AMERIHEALTH |
$533 |
| 20525 |
Removal of foreign body |
$5,975 |
UNITED |
$2,188 |
| 20525 |
Removal of foreign body |
$5,975 |
AETNA |
$1,200 |
| 20525 |
Removal of foreign body |
$5,975 |
CIGNA |
$1,102 |
| 20525 |
Removal of foreign body |
$5,975 |
LWCC |
$5,333 |
| 20525 |
Removal of foreign body |
$5,975 |
PPOPLUS |
$4,050 |
| 20525 |
Removal of foreign body |
$5,975 |
GILSBAR |
$3,253 |
| 20525 |
Removal of foreign body |
$5,975 |
LSU |
$4,000 |
| 20525 |
Removal of foreign body |
$5,975 |
VERITY |
$2,976 |
| 20525 |
Removal of foreign body |
$5,975 |
MULTIPLAN |
$2,976 |
| 20525 |
Removal of foreign body |
$5,975 |
LA WORK COMP |
$5,975 |
| 20525 |
Removal of foreign body |
$5,975 |
|
|
| 55040 |
Removal of hydrocele |
$8,579 |
Private Pay |
$9,194 |
| 55040 |
Removal of hydrocele |
$8,579 |
BC PPO |
$3,545 |
| 55040 |
Removal of hydrocele |
$8,579 |
BC HMO |
$3,111 |
| 55040 |
Removal of hydrocele |
$8,579 |
BC FMOL |
$3,140 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE |
$2,781 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE – BLUE CROSS |
$2,781 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE – UNITED |
$2,781 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE – COVENTRY |
$2,781 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE – VANTAGE |
$2,781 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE -PEOPLES |
$2,781 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICARE- HUMANA |
$2,726 |
| 55040 |
Removal of hydrocele |
$8,579 |
HUMANA |
$4,172 |
| 55040 |
Removal of hydrocele |
$8,579 |
VANTAGE |
$4,728 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICAID |
$533 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICAID – UNITED |
$533 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICAID – HEALTHY BLUE |
$533 |
| 55040 |
Removal of hydrocele |
$8,579 |
MEDICAID – AMERIHEALTH |
$533 |
| 55040 |
Removal of hydrocele |
$8,579 |
UNITED |
$2,923 |
| 55040 |
Removal of hydrocele |
$8,579 |
AETNA |
$1,535 |
| 55040 |
Removal of hydrocele |
$8,579 |
CIGNA |
$1,323 |
| 55040 |
Removal of hydrocele |
$8,579 |
LWCC |
$7,151 |
| 55040 |
Removal of hydrocele |
$8,579 |
PPOPLUS |
$5,608 |
| 55040 |
Removal of hydrocele |
$8,579 |
GILSBAR |
$4,560 |
| 55040 |
Removal of hydrocele |
$8,579 |
LSU |
$4,396 |
| 55040 |
Removal of hydrocele |
$8,579 |
VERITY |
$3,726 |
| 55040 |
Removal of hydrocele |
$8,579 |
MULTIPLAN |
$3,726 |
| 55040 |
Removal of hydrocele |
$8,579 |
LA WORK COMP |
$8,579 |
| 55040 |
Removal of hydrocele |
$8,579 |
|
|
| 55041 |
Removal of hydroceles |
$8,194 |
Private Pay |
$9,104 |
| 55041 |
Removal of hydroceles |
$8,194 |
BC PPO |
$3,696 |
| 55041 |
Removal of hydroceles |
$8,194 |
BC HMO |
$3,243 |
| 55041 |
Removal of hydroceles |
$8,194 |
BC FMOL |
$3,274 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE |
$2,781 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE – BLUE CROSS |
$2,781 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE – UNITED |
$2,781 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE – COVENTRY |
$2,781 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE – VANTAGE |
$2,781 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE -PEOPLES |
$2,781 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICARE- HUMANA |
$2,726 |
| 55041 |
Removal of hydroceles |
$8,194 |
HUMANA |
$4,172 |
| 55041 |
Removal of hydroceles |
$8,194 |
VANTAGE |
$4,728 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICAID |
$750 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICAID – UNITED |
$750 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICAID – HEALTHY BLUE |
$750 |
| 55041 |
Removal of hydroceles |
$8,194 |
MEDICAID – AMERIHEALTH |
$750 |
| 55041 |
Removal of hydroceles |
$8,194 |
UNITED |
$2,923 |
| 55041 |
Removal of hydroceles |
$8,194 |
AETNA |
$1,650 |
| 55041 |
Removal of hydroceles |
$8,194 |
CIGNA |
$634 |
| 55041 |
Removal of hydroceles |
$8,194 |
LWCC |
$7,151 |
| 55041 |
Removal of hydroceles |
$8,194 |
PPOPLUS |
$5,554 |
| 55041 |
Removal of hydroceles |
$8,194 |
GILSBAR |
$4,461 |
| 55041 |
Removal of hydroceles |
$8,194 |
LSU |
$4,000 |
| 55041 |
Removal of hydroceles |
$8,194 |
VERITY |
$3,726 |
| 55041 |
Removal of hydroceles |
$8,194 |
MULTIPLAN |
$3,726 |
| 55041 |
Removal of hydroceles |
$8,194 |
LA WORK COMP |
$8,194 |
| 55041 |
Removal of hydroceles |
$8,194 |
|
|
| 27340 |
Removal of kneecap bursa |
$8,859 |
Private Pay |
$9,843 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
BC PPO |
$3,221 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
BC HMO |
$2,826 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
BC FMOL |
$2,853 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE |
$2,449 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE – BLUE CROSS |
$2,449 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE – UNITED |
$2,449 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE – COVENTRY |
$2,449 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE – VANTAGE |
$2,449 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE -PEOPLES |
$2,449 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICARE- HUMANA |
$2,400 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
HUMANA |
$3,673 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
VANTAGE |
$4,163 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICAID |
$533 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICAID – UNITED |
$533 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MEDICAID – AMERIHEALTH |
$533 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
UNITED |
$2,188 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
AETNA |
$1,200 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
CIGNA |
$1,102 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
LWCC |
$6,296 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
PPOPLUS |
$6,004 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
GILSBAR |
$4,823 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
LSU |
$4,000 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
VERITY |
$3,386 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
MULTIPLAN |
$3,386 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
LA WORK COMP |
$8,859 |
| 27340 |
Removal of kneecap bursa |
$8,859 |
|
|
| 11750 |
Removal of nail bed |
$7,107 |
Private Pay |
$7,897 |
| 11750 |
Removal of nail bed |
$7,107 |
BC PPO |
$403 |
| 11750 |
Removal of nail bed |
$7,107 |
BC HMO |
$353 |
| 11750 |
Removal of nail bed |
$7,107 |
BC FMOL |
$357 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE |
$286 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE – BLUE CROSS |
$286 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE – UNITED |
$286 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE – COVENTRY |
$286 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE – VANTAGE |
$286 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE -PEOPLES |
$286 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICARE- HUMANA |
$280 |
| 11750 |
Removal of nail bed |
$7,107 |
HUMANA |
$429 |
| 11750 |
Removal of nail bed |
$7,107 |
VANTAGE |
$486 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICAID |
$348 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICAID – UNITED |
$348 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICAID – HEALTHY BLUE |
$348 |
| 11750 |
Removal of nail bed |
$7,107 |
MEDICAID – AMERIHEALTH |
$348 |
| 11750 |
Removal of nail bed |
$7,107 |
UNITED |
$392 |
| 11750 |
Removal of nail bed |
$7,107 |
AETNA |
$750 |
| 11750 |
Removal of nail bed |
$7,107 |
CIGNA |
$854 |
| 11750 |
Removal of nail bed |
$7,107 |
LWCC |
$735 |
| 11750 |
Removal of nail bed |
$7,107 |
PPOPLUS |
$4,817 |
| 11750 |
Removal of nail bed |
$7,107 |
GILSBAR |
$3,869 |
| 11750 |
Removal of nail bed |
$7,107 |
LSU |
$4,000 |
| 11750 |
Removal of nail bed |
$7,107 |
VERITY |
$398 |
| 11750 |
Removal of nail bed |
$7,107 |
MULTIPLAN |
$398 |
| 11750 |
Removal of nail bed |
$7,107 |
LA WORK COMP |
$7,107 |
| 11750 |
Removal of nail bed |
$7,107 |
|
|
| 26170 |
Removal of palm tendon each |
$6,076 |
Private Pay |
$6,751 |
| 26170 |
Removal of palm tendon each |
$6,076 |
BC PPO |
$1,329 |
| 26170 |
Removal of palm tendon each |
$6,076 |
BC HMO |
$1,166 |
| 26170 |
Removal of palm tendon each |
$6,076 |
BC FMOL |
$1,177 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE |
$1,212 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE – UNITED |
$1,212 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE – COVENTRY |
$1,212 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE – VANTAGE |
$1,212 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE -PEOPLES |
$1,212 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICARE- HUMANA |
$1,188 |
| 26170 |
Removal of palm tendon each |
$6,076 |
HUMANA |
$1,819 |
| 26170 |
Removal of palm tendon each |
$6,076 |
VANTAGE |
$2,061 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICAID |
$533 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICAID – UNITED |
$533 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MEDICAID – AMERIHEALTH |
$533 |
| 26170 |
Removal of palm tendon each |
$6,076 |
UNITED |
$734 |
| 26170 |
Removal of palm tendon each |
$6,076 |
AETNA |
$1,200 |
| 26170 |
Removal of palm tendon each |
$6,076 |
CIGNA |
$1,102 |
| 26170 |
Removal of palm tendon each |
$6,076 |
LWCC |
$3,117 |
| 26170 |
Removal of palm tendon each |
$6,076 |
PPOPLUS |
$4,118 |
| 26170 |
Removal of palm tendon each |
$6,076 |
GILSBAR |
$3,308 |
| 26170 |
Removal of palm tendon each |
$6,076 |
LSU |
$4,000 |
| 26170 |
Removal of palm tendon each |
$6,076 |
VERITY |
$1,728 |
| 26170 |
Removal of palm tendon each |
$6,076 |
MULTIPLAN |
$1,728 |
| 26170 |
Removal of palm tendon each |
$6,076 |
LA WORK COMP |
$6,076 |
| 26170 |
Removal of palm tendon each |
$6,076 |
|
|
| 28315 |
Removal of sesamoid bone |
$11,788 |
Private Pay |
$12,711 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
BC PPO |
$3,221 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
BC HMO |
$2,826 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
BC FMOL |
$2,853 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE |
$2,449 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE – UNITED |
$2,449 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE – COVENTRY |
$2,449 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE – VANTAGE |
$2,449 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE -PEOPLES |
$2,449 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICARE- HUMANA |
$2,400 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
HUMANA |
$3,673 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
VANTAGE |
$4,163 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICAID |
$659 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICAID – UNITED |
$659 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MEDICAID – AMERIHEALTH |
$659 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
UNITED |
$2,188 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
AETNA |
$1,857 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
CIGNA |
$854 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
LWCC |
$6,296 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
PPOPLUS |
$7,754 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
GILSBAR |
$6,291 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
LSU |
$4,452 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
VERITY |
$3,386 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
MULTIPLAN |
$3,386 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
LA WORK COMP |
$11,788 |
| 28315 |
Removal of sesamoid bone |
$11,788 |
|
|
| 20680 |
Removal of support implant |
$8,488 |
Private Pay |
$9,122 |
| 20680 |
Removal of support implant |
$8,488 |
BC PPO |
$3,012 |
| 20680 |
Removal of support implant |
$8,488 |
BC HMO |
$2,643 |
| 20680 |
Removal of support implant |
$8,488 |
BC FMOL |
$2,668 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE |
$2,074 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE – BLUE CROSS |
$2,074 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE – UNITED |
$2,074 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE – COVENTRY |
$2,074 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE – VANTAGE |
$2,074 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE -PEOPLES |
$2,074 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICARE- HUMANA |
$2,033 |
| 20680 |
Removal of support implant |
$8,488 |
HUMANA |
$3,111 |
| 20680 |
Removal of support implant |
$8,488 |
VANTAGE |
$3,526 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICAID |
$533 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICAID – UNITED |
$533 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICAID – HEALTHY BLUE |
$533 |
| 20680 |
Removal of support implant |
$8,488 |
MEDICAID – AMERIHEALTH |
$533 |
| 20680 |
Removal of support implant |
$8,488 |
UNITED |
$2,188 |
| 20680 |
Removal of support implant |
$8,488 |
AETNA |
$1,506 |
| 20680 |
Removal of support implant |
$8,488 |
CIGNA |
$1,359 |
| 20680 |
Removal of support implant |
$8,488 |
LWCC |
$5,333 |
| 20680 |
Removal of support implant |
$8,488 |
PPOPLUS |
$5,564 |
| 20680 |
Removal of support implant |
$8,488 |
GILSBAR |
$4,520 |
| 20680 |
Removal of support implant |
$8,488 |
LSU |
$4,362 |
| 20680 |
Removal of support implant |
$8,488 |
VERITY |
$2,570 |
| 20680 |
Removal of support implant |
$8,488 |
MULTIPLAN |
$2,570 |
| 20680 |
Removal of support implant |
$8,488 |
LA WORK COMP |
$8,488 |
| 20680 |
Removal of support implant |
$8,488 |
|
|
| 27630 |
Removal of tendon lesion |
$9,117 |
Private Pay |
$10,130 |
| 27630 |
Removal of tendon lesion |
$9,117 |
BC PPO |
$3,358 |
| 27630 |
Removal of tendon lesion |
$9,117 |
BC HMO |
$2,947 |
| 27630 |
Removal of tendon lesion |
$9,117 |
BC FMOL |
$2,975 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE |
$2,449 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE – BLUE CROSS |
$2,449 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE – UNITED |
$2,449 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE – COVENTRY |
$2,449 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE – VANTAGE |
$2,449 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE -PEOPLES |
$2,449 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICARE- HUMANA |
$2,400 |
| 27630 |
Removal of tendon lesion |
$9,117 |
HUMANA |
$3,673 |
| 27630 |
Removal of tendon lesion |
$9,117 |
VANTAGE |
$4,163 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICAID |
$533 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICAID – UNITED |
$533 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MEDICAID – AMERIHEALTH |
$533 |
| 27630 |
Removal of tendon lesion |
$9,117 |
UNITED |
$2,188 |
| 27630 |
Removal of tendon lesion |
$9,117 |
AETNA |
$1,200 |
| 27630 |
Removal of tendon lesion |
$9,117 |
CIGNA |
$634 |
| 27630 |
Removal of tendon lesion |
$9,117 |
LWCC |
$6,296 |
| 27630 |
Removal of tendon lesion |
$9,117 |
PPOPLUS |
$6,180 |
| 27630 |
Removal of tendon lesion |
$9,117 |
GILSBAR |
$4,964 |
| 27630 |
Removal of tendon lesion |
$9,117 |
LSU |
$4,000 |
| 27630 |
Removal of tendon lesion |
$9,117 |
VERITY |
$3,386 |
| 27630 |
Removal of tendon lesion |
$9,117 |
MULTIPLAN |
$3,386 |
| 27630 |
Removal of tendon lesion |
$9,117 |
LA WORK COMP |
$9,117 |
| 27630 |
Removal of tendon lesion |
$9,117 |
|
|
| 60240 |
Removal of thyroid |
$20,842 |
Private Pay |
$22,930 |
| 60240 |
Removal of thyroid |
$20,842 |
BC PPO |
$5,698 |
| 60240 |
Removal of thyroid |
$20,842 |
BC HMO |
$5,000 |
| 60240 |
Removal of thyroid |
$20,842 |
BC FMOL |
$5,048 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE |
$4,324 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE – BLUE CROSS |
$4,324 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE – UNITED |
$4,324 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE – COVENTRY |
$4,324 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE – VANTAGE |
$4,324 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE -PEOPLES |
$4,324 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICARE- HUMANA |
$4,237 |
| 60240 |
Removal of thyroid |
$20,842 |
HUMANA |
$6,486 |
| 60240 |
Removal of thyroid |
$20,842 |
VANTAGE |
$7,351 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICAID |
$1,400 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICAID – UNITED |
$1,400 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 60240 |
Removal of thyroid |
$20,842 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 60240 |
Removal of thyroid |
$20,842 |
UNITED |
$4,460 |
| 60240 |
Removal of thyroid |
$20,842 |
AETNA |
$2,325 |
| 60240 |
Removal of thyroid |
$20,842 |
CIGNA |
$634 |
| 60240 |
Removal of thyroid |
$20,842 |
LWCC |
$11,118 |
| 60240 |
Removal of thyroid |
$20,842 |
PPOPLUS |
$13,987 |
| 60240 |
Removal of thyroid |
$20,842 |
GILSBAR |
$11,273 |
| 60240 |
Removal of thyroid |
$20,842 |
LSU |
$4,266 |
| 60240 |
Removal of thyroid |
$20,842 |
VERITY |
$5,745 |
| 60240 |
Removal of thyroid |
$20,842 |
MULTIPLAN |
$5,745 |
| 60240 |
Removal of thyroid |
$20,842 |
LA WORK COMP |
$20,842 |
| 60240 |
Removal of thyroid |
$20,842 |
|
|
| 28092 |
Removal of toe lesions |
$6,371 |
Private Pay |
$7,079 |
| 28092 |
Removal of toe lesions |
$6,371 |
BC PPO |
$1,329 |
| 28092 |
Removal of toe lesions |
$6,371 |
BC HMO |
$1,166 |
| 28092 |
Removal of toe lesions |
$6,371 |
BC FMOL |
$1,177 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE |
$1,212 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE – BLUE CROSS |
$1,212 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE – UNITED |
$1,212 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE – COVENTRY |
$1,212 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE – VANTAGE |
$1,212 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE -PEOPLES |
$1,212 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICARE- HUMANA |
$1,188 |
| 28092 |
Removal of toe lesions |
$6,371 |
HUMANA |
$1,819 |
| 28092 |
Removal of toe lesions |
$6,371 |
VANTAGE |
$2,061 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICAID |
$533 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICAID – UNITED |
$533 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28092 |
Removal of toe lesions |
$6,371 |
MEDICAID – AMERIHEALTH |
$533 |
| 28092 |
Removal of toe lesions |
$6,371 |
UNITED |
$2,188 |
| 28092 |
Removal of toe lesions |
$6,371 |
AETNA |
$1,200 |
| 28092 |
Removal of toe lesions |
$6,371 |
CIGNA |
$1,102 |
| 28092 |
Removal of toe lesions |
$6,371 |
LWCC |
$3,117 |
| 28092 |
Removal of toe lesions |
$6,371 |
PPOPLUS |
$4,318 |
| 28092 |
Removal of toe lesions |
$6,371 |
GILSBAR |
$3,469 |
| 28092 |
Removal of toe lesions |
$6,371 |
LSU |
$4,000 |
| 28092 |
Removal of toe lesions |
$6,371 |
VERITY |
$1,728 |
| 28092 |
Removal of toe lesions |
$6,371 |
MULTIPLAN |
$1,728 |
| 28092 |
Removal of toe lesions |
$6,371 |
LA WORK COMP |
$6,371 |
| 28092 |
Removal of toe lesions |
$6,371 |
|
|
| 42825 |
Removal of tonsils |
$11,156 |
Private Pay |
$7,203 |
| 42825 |
Removal of tonsils |
$11,156 |
BC PPO |
$5,283 |
| 42825 |
Removal of tonsils |
$11,156 |
BC HMO |
$4,636 |
| 42825 |
Removal of tonsils |
$11,156 |
BC FMOL |
$4,680 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE |
$4,339 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE – BLUE CROSS |
$4,339 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE – UNITED |
$4,339 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE – COVENTRY |
$4,339 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE – VANTAGE |
$4,339 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE -PEOPLES |
$4,339 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICARE- HUMANA |
$4,252 |
| 42825 |
Removal of tonsils |
$11,156 |
HUMANA |
$6,508 |
| 42825 |
Removal of tonsils |
$11,156 |
VANTAGE |
$7,376 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICAID |
$659 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICAID – UNITED |
$659 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICAID – HEALTHY BLUE |
$659 |
| 42825 |
Removal of tonsils |
$11,156 |
MEDICAID – AMERIHEALTH |
$659 |
| 42825 |
Removal of tonsils |
$11,156 |
UNITED |
$2,188 |
| 42825 |
Removal of tonsils |
$11,156 |
AETNA |
$1,527 |
| 42825 |
Removal of tonsils |
$11,156 |
CIGNA |
$634 |
| 42825 |
Removal of tonsils |
$11,156 |
LWCC |
$11,156 |
| 42825 |
Removal of tonsils |
$11,156 |
PPOPLUS |
$4,394 |
| 42825 |
Removal of tonsils |
$11,156 |
GILSBAR |
$3,538 |
| 42825 |
Removal of tonsils |
$11,156 |
LSU |
$4,061 |
| 42825 |
Removal of tonsils |
$11,156 |
VERITY |
$5,553 |
| 42825 |
Removal of tonsils |
$11,156 |
MULTIPLAN |
$5,553 |
| 42825 |
Removal of tonsils |
$11,156 |
LA WORK COMP |
$6,530 |
| 42825 |
Removal of tonsils |
$11,156 |
|
|
| 42826 |
Removal of tonsils |
$7,259 |
Private Pay |
$7,914 |
| 42826 |
Removal of tonsils |
$7,259 |
BC PPO |
$2,792 |
| 42826 |
Removal of tonsils |
$7,259 |
BC HMO |
$2,450 |
| 42826 |
Removal of tonsils |
$7,259 |
BC FMOL |
$2,473 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE |
$2,343 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE – BLUE CROSS |
$2,343 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE – UNITED |
$2,343 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE – COVENTRY |
$2,343 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE – VANTAGE |
$2,343 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE -PEOPLES |
$2,343 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICARE- HUMANA |
$2,296 |
| 42826 |
Removal of tonsils |
$7,259 |
HUMANA |
$3,515 |
| 42826 |
Removal of tonsils |
$7,259 |
VANTAGE |
$3,983 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICAID |
$659 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICAID – UNITED |
$659 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICAID – HEALTHY BLUE |
$659 |
| 42826 |
Removal of tonsils |
$7,259 |
MEDICAID – AMERIHEALTH |
$659 |
| 42826 |
Removal of tonsils |
$7,259 |
UNITED |
$2,188 |
| 42826 |
Removal of tonsils |
$7,259 |
AETNA |
$1,625 |
| 42826 |
Removal of tonsils |
$7,259 |
CIGNA |
$1,102 |
| 42826 |
Removal of tonsils |
$7,259 |
LWCC |
$6,024 |
| 42826 |
Removal of tonsils |
$7,259 |
PPOPLUS |
$4,828 |
| 42826 |
Removal of tonsils |
$7,259 |
GILSBAR |
$3,903 |
| 42826 |
Removal of tonsils |
$7,259 |
LSU |
$4,177 |
| 42826 |
Removal of tonsils |
$7,259 |
VERITY |
$2,815 |
| 42826 |
Removal of tonsils |
$7,259 |
MULTIPLAN |
$2,815 |
| 42826 |
Removal of tonsils |
$7,259 |
LA WORK COMP |
$7,259 |
| 42826 |
Removal of tonsils |
$7,259 |
|
|
| 25210 |
Removal of wrist bone |
$8,075 |
Private Pay |
$8,583 |
| 25210 |
Removal of wrist bone |
$8,075 |
BC PPO |
$2,913 |
| 25210 |
Removal of wrist bone |
$8,075 |
BC HMO |
$2,556 |
| 25210 |
Removal of wrist bone |
$8,075 |
BC FMOL |
$2,580 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE |
$2,449 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE – UNITED |
$2,449 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE – COVENTRY |
$2,449 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE – VANTAGE |
$2,449 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE -PEOPLES |
$2,449 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICARE- HUMANA |
$2,400 |
| 25210 |
Removal of wrist bone |
$8,075 |
HUMANA |
$3,673 |
| 25210 |
Removal of wrist bone |
$8,075 |
VANTAGE |
$4,163 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICAID |
$533 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICAID – UNITED |
$533 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25210 |
Removal of wrist bone |
$8,075 |
MEDICAID – AMERIHEALTH |
$533 |
| 25210 |
Removal of wrist bone |
$8,075 |
UNITED |
$2,923 |
| 25210 |
Removal of wrist bone |
$8,075 |
AETNA |
$1,586 |
| 25210 |
Removal of wrist bone |
$8,075 |
CIGNA |
$1,102 |
| 25210 |
Removal of wrist bone |
$8,075 |
LWCC |
$6,296 |
| 25210 |
Removal of wrist bone |
$8,075 |
PPOPLUS |
$5,235 |
| 25210 |
Removal of wrist bone |
$8,075 |
GILSBAR |
$4,269 |
| 25210 |
Removal of wrist bone |
$8,075 |
LSU |
$4,456 |
| 25210 |
Removal of wrist bone |
$8,075 |
VERITY |
$3,386 |
| 25210 |
Removal of wrist bone |
$8,075 |
MULTIPLAN |
$3,386 |
| 25210 |
Removal of wrist bone |
$8,075 |
LA WORK COMP |
$8,075 |
| 25210 |
Removal of wrist bone |
$8,075 |
|
|
| 25215 |
Removal of wrist bones |
$8,456 |
Private Pay |
$9,005 |
| 25215 |
Removal of wrist bones |
$8,456 |
BC PPO |
$2,913 |
| 25215 |
Removal of wrist bones |
$8,456 |
BC HMO |
$2,556 |
| 25215 |
Removal of wrist bones |
$8,456 |
BC FMOL |
$2,580 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE |
$2,449 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE – UNITED |
$2,449 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE – COVENTRY |
$2,449 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE – VANTAGE |
$2,449 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE -PEOPLES |
$2,449 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICARE- HUMANA |
$2,400 |
| 25215 |
Removal of wrist bones |
$8,456 |
HUMANA |
$3,673 |
| 25215 |
Removal of wrist bones |
$8,456 |
VANTAGE |
$4,163 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICAID |
$659 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICAID – UNITED |
$659 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICAID – HEALTHY BLUE |
$659 |
| 25215 |
Removal of wrist bones |
$8,456 |
MEDICAID – AMERIHEALTH |
$659 |
| 25215 |
Removal of wrist bones |
$8,456 |
UNITED |
$2,923 |
| 25215 |
Removal of wrist bones |
$8,456 |
AETNA |
$1,861 |
| 25215 |
Removal of wrist bones |
$8,456 |
CIGNA |
$1,323 |
| 25215 |
Removal of wrist bones |
$8,456 |
LWCC |
$6,296 |
| 25215 |
Removal of wrist bones |
$8,456 |
PPOPLUS |
$5,493 |
| 25215 |
Removal of wrist bones |
$8,456 |
GILSBAR |
$4,476 |
| 25215 |
Removal of wrist bones |
$8,456 |
LSU |
$4,456 |
| 25215 |
Removal of wrist bones |
$8,456 |
VERITY |
$3,386 |
| 25215 |
Removal of wrist bones |
$8,456 |
MULTIPLAN |
$3,386 |
| 25215 |
Removal of wrist bones |
$8,456 |
LA WORK COMP |
$8,456 |
| 25215 |
Removal of wrist bones |
$8,456 |
|
|
| 52317 |
Remove bladder stone |
$10,680 |
Private Pay |
$11,251 |
| 52317 |
Remove bladder stone |
$10,680 |
BC PPO |
$2,969 |
| 52317 |
Remove bladder stone |
$10,680 |
BC HMO |
$2,606 |
| 52317 |
Remove bladder stone |
$10,680 |
BC FMOL |
$2,630 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE |
$2,700 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE – UNITED |
$2,700 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE – COVENTRY |
$2,700 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE – VANTAGE |
$2,700 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE -PEOPLES |
$2,700 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICARE- HUMANA |
$2,646 |
| 52317 |
Remove bladder stone |
$10,680 |
HUMANA |
$4,050 |
| 52317 |
Remove bladder stone |
$10,680 |
VANTAGE |
$4,590 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICAID |
$348 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICAID – UNITED |
$348 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICAID – HEALTHY BLUE |
$348 |
| 52317 |
Remove bladder stone |
$10,680 |
MEDICAID – AMERIHEALTH |
$348 |
| 52317 |
Remove bladder stone |
$10,680 |
UNITED |
$2,188 |
| 52317 |
Remove bladder stone |
$10,680 |
AETNA |
$1,360 |
| 52317 |
Remove bladder stone |
$10,680 |
CIGNA |
$1,323 |
| 52317 |
Remove bladder stone |
$10,680 |
LWCC |
$6,943 |
| 52317 |
Remove bladder stone |
$10,680 |
PPOPLUS |
$6,863 |
| 52317 |
Remove bladder stone |
$10,680 |
GILSBAR |
$5,613 |
| 52317 |
Remove bladder stone |
$10,680 |
LSU |
$4,721 |
| 52317 |
Remove bladder stone |
$10,680 |
VERITY |
$3,452 |
| 52317 |
Remove bladder stone |
$10,680 |
MULTIPLAN |
$3,452 |
| 52317 |
Remove bladder stone |
$10,680 |
LA WORK COMP |
$10,680 |
| 52317 |
Remove bladder stone |
$10,680 |
|
|
| 52318 |
Remove bladder stone |
$12,015 |
Private Pay |
$13,011 |
| 52318 |
Remove bladder stone |
$12,015 |
BC PPO |
$4,081 |
| 52318 |
Remove bladder stone |
$12,015 |
BC HMO |
$3,581 |
| 52318 |
Remove bladder stone |
$12,015 |
BC FMOL |
$3,615 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE |
$2,700 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE – UNITED |
$2,700 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE – COVENTRY |
$2,700 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE – VANTAGE |
$2,700 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE -PEOPLES |
$2,700 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICARE- HUMANA |
$2,646 |
| 52318 |
Remove bladder stone |
$12,015 |
HUMANA |
$4,050 |
| 52318 |
Remove bladder stone |
$12,015 |
VANTAGE |
$4,590 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICAID |
$466 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICAID – UNITED |
$466 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICAID – HEALTHY BLUE |
$466 |
| 52318 |
Remove bladder stone |
$12,015 |
MEDICAID – AMERIHEALTH |
$466 |
| 52318 |
Remove bladder stone |
$12,015 |
UNITED |
$2,188 |
| 52318 |
Remove bladder stone |
$12,015 |
AETNA |
$1,335 |
| 52318 |
Remove bladder stone |
$12,015 |
CIGNA |
$854 |
| 52318 |
Remove bladder stone |
$12,015 |
LWCC |
$6,943 |
| 52318 |
Remove bladder stone |
$12,015 |
PPOPLUS |
$7,937 |
| 52318 |
Remove bladder stone |
$12,015 |
GILSBAR |
$6,430 |
| 52318 |
Remove bladder stone |
$12,015 |
LSU |
$4,396 |
| 52318 |
Remove bladder stone |
$12,015 |
VERITY |
$4,743 |
| 52318 |
Remove bladder stone |
$12,015 |
MULTIPLAN |
$4,743 |
| 52318 |
Remove bladder stone |
$12,015 |
LA WORK COMP |
$12,015 |
| 52318 |
Remove bladder stone |
$12,015 |
|
|
| 20694 |
Remove bone fixation device |
$8,322 |
Private Pay |
$9,247 |
| 20694 |
Remove bone fixation device |
$8,322 |
BC PPO |
$1,749 |
| 20694 |
Remove bone fixation device |
$8,322 |
BC HMO |
$1,534 |
| 20694 |
Remove bone fixation device |
$8,322 |
BC FMOL |
$1,549 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE |
$1,212 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE – BLUE CROSS |
$1,212 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE – UNITED |
$1,212 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE – COVENTRY |
$1,212 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE – VANTAGE |
$1,212 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE -PEOPLES |
$1,212 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICARE- HUMANA |
$1,188 |
| 20694 |
Remove bone fixation device |
$8,322 |
HUMANA |
$1,819 |
| 20694 |
Remove bone fixation device |
$8,322 |
VANTAGE |
$2,061 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICAID |
$348 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICAID – UNITED |
$348 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICAID – HEALTHY BLUE |
$348 |
| 20694 |
Remove bone fixation device |
$8,322 |
MEDICAID – AMERIHEALTH |
$348 |
| 20694 |
Remove bone fixation device |
$8,322 |
UNITED |
$734 |
| 20694 |
Remove bone fixation device |
$8,322 |
AETNA |
$750 |
| 20694 |
Remove bone fixation device |
$8,322 |
CIGNA |
$1,433 |
| 20694 |
Remove bone fixation device |
$8,322 |
LWCC |
$3,117 |
| 20694 |
Remove bone fixation device |
$8,322 |
PPOPLUS |
$5,640 |
| 20694 |
Remove bone fixation device |
$8,322 |
GILSBAR |
$4,531 |
| 20694 |
Remove bone fixation device |
$8,322 |
LSU |
$4,000 |
| 20694 |
Remove bone fixation device |
$8,322 |
VERITY |
$2,677 |
| 20694 |
Remove bone fixation device |
$8,322 |
MULTIPLAN |
$2,677 |
| 20694 |
Remove bone fixation device |
$8,322 |
LA WORK COMP |
$8,322 |
| 20694 |
Remove bone fixation device |
$8,322 |
|
|
| 24120 |
Remove elbow lesion |
$8,270 |
Private Pay |
$9,189 |
| 24120 |
Remove elbow lesion |
$8,270 |
BC PPO |
$3,358 |
| 24120 |
Remove elbow lesion |
$8,270 |
BC HMO |
$2,947 |
| 24120 |
Remove elbow lesion |
$8,270 |
BC FMOL |
$2,975 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE |
$2,449 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE – BLUE CROSS |
$2,449 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE – UNITED |
$2,449 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE – COVENTRY |
$2,449 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE – VANTAGE |
$2,449 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE -PEOPLES |
$2,449 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICARE- HUMANA |
$2,400 |
| 24120 |
Remove elbow lesion |
$8,270 |
HUMANA |
$3,673 |
| 24120 |
Remove elbow lesion |
$8,270 |
VANTAGE |
$4,163 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICAID |
$533 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICAID – UNITED |
$533 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24120 |
Remove elbow lesion |
$8,270 |
MEDICAID – AMERIHEALTH |
$533 |
| 24120 |
Remove elbow lesion |
$8,270 |
UNITED |
$2,188 |
| 24120 |
Remove elbow lesion |
$8,270 |
AETNA |
$1,200 |
| 24120 |
Remove elbow lesion |
$8,270 |
CIGNA |
$1,102 |
| 24120 |
Remove elbow lesion |
$8,270 |
LWCC |
$6,296 |
| 24120 |
Remove elbow lesion |
$8,270 |
PPOPLUS |
$5,605 |
| 24120 |
Remove elbow lesion |
$8,270 |
GILSBAR |
$4,503 |
| 24120 |
Remove elbow lesion |
$8,270 |
LSU |
$4,000 |
| 24120 |
Remove elbow lesion |
$8,270 |
VERITY |
$3,386 |
| 24120 |
Remove elbow lesion |
$8,270 |
MULTIPLAN |
$3,386 |
| 24120 |
Remove elbow lesion |
$8,270 |
LA WORK COMP |
$8,270 |
| 24120 |
Remove elbow lesion |
$8,270 |
|
|
| 54840 |
Remove epididymis lesion |
$8,064 |
Private Pay |
$8,960 |
| 54840 |
Remove epididymis lesion |
$8,064 |
BC PPO |
$1,867 |
| 54840 |
Remove epididymis lesion |
$8,064 |
BC HMO |
$1,638 |
| 54840 |
Remove epididymis lesion |
$8,064 |
BC FMOL |
$1,654 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE |
$1,585 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE – BLUE CROSS |
$1,585 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE – UNITED |
$1,585 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE – COVENTRY |
$1,585 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE – VANTAGE |
$1,585 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE -PEOPLES |
$1,585 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICARE- HUMANA |
$1,553 |
| 54840 |
Remove epididymis lesion |
$8,064 |
HUMANA |
$2,377 |
| 54840 |
Remove epididymis lesion |
$8,064 |
VANTAGE |
$2,694 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICAID |
$659 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICAID – UNITED |
$659 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICAID – HEALTHY BLUE |
$659 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MEDICAID – AMERIHEALTH |
$659 |
| 54840 |
Remove epididymis lesion |
$8,064 |
UNITED |
$2,188 |
| 54840 |
Remove epididymis lesion |
$8,064 |
AETNA |
$1,475 |
| 54840 |
Remove epididymis lesion |
$8,064 |
CIGNA |
$1,433 |
| 54840 |
Remove epididymis lesion |
$8,064 |
LWCC |
$4,075 |
| 54840 |
Remove epididymis lesion |
$8,064 |
PPOPLUS |
$5,466 |
| 54840 |
Remove epididymis lesion |
$8,064 |
GILSBAR |
$4,390 |
| 54840 |
Remove epididymis lesion |
$8,064 |
LSU |
$4,000 |
| 54840 |
Remove epididymis lesion |
$8,064 |
VERITY |
$2,170 |
| 54840 |
Remove epididymis lesion |
$8,064 |
MULTIPLAN |
$2,170 |
| 54840 |
Remove epididymis lesion |
$8,064 |
LA WORK COMP |
$8,064 |
| 54840 |
Remove epididymis lesion |
$8,064 |
|
|
| 10120 |
Remove foreign body |
$5,505 |
Private Pay |
$6,117 |
| 10120 |
Remove foreign body |
$5,505 |
BC PPO |
$403 |
| 10120 |
Remove foreign body |
$5,505 |
BC HMO |
$353 |
| 10120 |
Remove foreign body |
$5,505 |
BC FMOL |
$357 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE |
$286 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE – BLUE CROSS |
$286 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE – UNITED |
$286 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE – COVENTRY |
$286 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE – VANTAGE |
$286 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE -PEOPLES |
$286 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICARE- HUMANA |
$280 |
| 10120 |
Remove foreign body |
$5,505 |
HUMANA |
$429 |
| 10120 |
Remove foreign body |
$5,505 |
VANTAGE |
$486 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICAID |
$348 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICAID – UNITED |
$348 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICAID – HEALTHY BLUE |
$348 |
| 10120 |
Remove foreign body |
$5,505 |
MEDICAID – AMERIHEALTH |
$348 |
| 10120 |
Remove foreign body |
$5,505 |
UNITED |
$392 |
| 10120 |
Remove foreign body |
$5,505 |
AETNA |
$750 |
| 10120 |
Remove foreign body |
$5,505 |
CIGNA |
$854 |
| 10120 |
Remove foreign body |
$5,505 |
LWCC |
$735 |
| 10120 |
Remove foreign body |
$5,505 |
PPOPLUS |
$3,731 |
| 10120 |
Remove foreign body |
$5,505 |
GILSBAR |
$2,997 |
| 10120 |
Remove foreign body |
$5,505 |
LSU |
$4,000 |
| 10120 |
Remove foreign body |
$5,505 |
VERITY |
$496 |
| 10120 |
Remove foreign body |
$5,505 |
MULTIPLAN |
$496 |
| 10120 |
Remove foreign body |
$5,505 |
LA WORK COMP |
$5,505 |
| 10120 |
Remove foreign body |
$5,505 |
|
|
| 10121 |
Remove foreign body |
$5,386 |
Private Pay |
$5,984 |
| 10121 |
Remove foreign body |
$5,386 |
BC PPO |
$1,484 |
| 10121 |
Remove foreign body |
$5,386 |
BC HMO |
$1,302 |
| 10121 |
Remove foreign body |
$5,386 |
BC FMOL |
$1,315 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE |
$1,228 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE – BLUE CROSS |
$1,228 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE – UNITED |
$1,228 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE – COVENTRY |
$1,228 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE – VANTAGE |
$1,228 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE -PEOPLES |
$1,228 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICARE- HUMANA |
$1,203 |
| 10121 |
Remove foreign body |
$5,386 |
HUMANA |
$1,842 |
| 10121 |
Remove foreign body |
$5,386 |
VANTAGE |
$2,087 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICAID |
$466 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICAID – UNITED |
$466 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICAID – HEALTHY BLUE |
$466 |
| 10121 |
Remove foreign body |
$5,386 |
MEDICAID – AMERIHEALTH |
$466 |
| 10121 |
Remove foreign body |
$5,386 |
UNITED |
$734 |
| 10121 |
Remove foreign body |
$5,386 |
AETNA |
$1,000 |
| 10121 |
Remove foreign body |
$5,386 |
CIGNA |
$1,102 |
| 10121 |
Remove foreign body |
$5,386 |
LWCC |
$3,157 |
| 10121 |
Remove foreign body |
$5,386 |
PPOPLUS |
$3,650 |
| 10121 |
Remove foreign body |
$5,386 |
GILSBAR |
$2,932 |
| 10121 |
Remove foreign body |
$5,386 |
LSU |
$4,000 |
| 10121 |
Remove foreign body |
$5,386 |
VERITY |
$106 |
| 10121 |
Remove foreign body |
$5,386 |
MULTIPLAN |
$106 |
| 10121 |
Remove foreign body |
$5,386 |
LA WORK COMP |
$5,386 |
| 10121 |
Remove foreign body |
$5,386 |
|
|
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
Private Pay |
$19,783 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
BC PPO |
$7,117 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
BC HMO |
$6,245 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
BC FMOL |
$6,305 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE |
$5,351 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE – BLUE CROSS |
$5,351 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE – UNITED |
$5,351 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE – COVENTRY |
$5,351 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE – VANTAGE |
$5,351 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE -PEOPLES |
$5,351 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICARE- HUMANA |
$5,244 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
HUMANA |
$8,026 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
VANTAGE |
$9,097 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICAID |
$- |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICAID – UNITED |
$- |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICAID – HEALTHY BLUE |
$- |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MEDICAID – AMERIHEALTH |
$- |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
UNITED |
$4,460 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
AETNA |
$2,843 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
CIGNA |
$4,187 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
LWCC |
$13,758 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
PPOPLUS |
$12,068 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
GILSBAR |
$9,889 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
LSU |
$5,410 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
VERITY |
$7,176 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
MULTIPLAN |
$7,176 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
LA WORK COMP |
$18,889 |
| 63047 |
Remove spine lamina 1 lmbr |
$18,889 |
|
|
| 26160 |
Remove tendon sheath lesion |
$5,382 |
Private Pay |
$5,980 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
BC PPO |
$1,644 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
BC HMO |
$1,442 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
BC FMOL |
$1,456 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE |
$1,212 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE – UNITED |
$1,212 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE – COVENTRY |
$1,212 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE – VANTAGE |
$1,212 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE -PEOPLES |
$1,212 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICARE- HUMANA |
$1,188 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
HUMANA |
$1,819 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
VANTAGE |
$2,061 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICAID |
$533 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICAID – UNITED |
$533 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MEDICAID – AMERIHEALTH |
$533 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
UNITED |
$734 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
AETNA |
$1,200 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
CIGNA |
$992 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
LWCC |
$3,117 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
PPOPLUS |
$3,648 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
GILSBAR |
$2,930 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
LSU |
$4,000 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
VERITY |
$1,728 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
MULTIPLAN |
$1,728 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
LA WORK COMP |
$5,382 |
| 26160 |
Remove tendon sheath lesion |
$5,382 |
|
|
| 42820 |
Remove tonsils and adenoids |
$11,156 |
Private Pay |
$7,417 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
BC PPO |
$5,508 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
BC HMO |
$4,833 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
BC FMOL |
$4,879 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE |
$4,339 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE – BLUE CROSS |
$4,339 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE – UNITED |
$4,339 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE – COVENTRY |
$4,339 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE – VANTAGE |
$4,339 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE -PEOPLES |
$4,339 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICARE- HUMANA |
$4,252 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
HUMANA |
$6,508 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
VANTAGE |
$7,376 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICAID |
$533 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICAID – UNITED |
$533 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICAID – HEALTHY BLUE |
$533 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MEDICAID – AMERIHEALTH |
$533 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
UNITED |
$2,188 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
AETNA |
$1,270 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
CIGNA |
$1,076 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
LWCC |
$11,156 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
PPOPLUS |
$4,525 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
GILSBAR |
$3,646 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
LSU |
$4,083 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
VERITY |
$5,553 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
MULTIPLAN |
$5,553 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
LA WORK COMP |
$6,739 |
| 42820 |
Remove tonsils and adenoids |
$11,156 |
|
|
| 42821 |
Remove tonsils and adenoids |
$7,062 |
Private Pay |
$7,793 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
BC PPO |
$2,792 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
BC HMO |
$2,450 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
BC FMOL |
$2,473 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE |
$2,343 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE – BLUE CROSS |
$2,343 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE – UNITED |
$2,343 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE – COVENTRY |
$2,343 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE – VANTAGE |
$2,343 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE -PEOPLES |
$2,343 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICARE- HUMANA |
$2,296 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
HUMANA |
$3,515 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
VANTAGE |
$3,983 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICAID |
$750 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICAID – UNITED |
$750 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICAID – HEALTHY BLUE |
$750 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MEDICAID – AMERIHEALTH |
$750 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
UNITED |
$2,188 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
AETNA |
$1,703 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
CIGNA |
$1,102 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
LWCC |
$6,024 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
PPOPLUS |
$4,754 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
GILSBAR |
$3,827 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
LSU |
$4,062 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
VERITY |
$2,815 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
MULTIPLAN |
$2,815 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
LA WORK COMP |
$7,062 |
| 42821 |
Remove tonsils and adenoids |
$7,062 |
|
|
| 69424 |
Remove ventilating tube |
$6,024 |
Private Pay |
$5,325 |
| 69424 |
Remove ventilating tube |
$6,024 |
BC PPO |
$2,849 |
| 69424 |
Remove ventilating tube |
$6,024 |
BC HMO |
$2,500 |
| 69424 |
Remove ventilating tube |
$6,024 |
BC FMOL |
$2,523 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE |
$2,343 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE – BLUE CROSS |
$2,343 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE – UNITED |
$2,343 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE – COVENTRY |
$2,343 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE – VANTAGE |
$2,343 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE -PEOPLES |
$2,343 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICARE- HUMANA |
$2,296 |
| 69424 |
Remove ventilating tube |
$6,024 |
HUMANA |
$3,515 |
| 69424 |
Remove ventilating tube |
$6,024 |
VANTAGE |
$3,983 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICAID |
$348 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICAID – UNITED |
$348 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICAID – HEALTHY BLUE |
$348 |
| 69424 |
Remove ventilating tube |
$6,024 |
MEDICAID – AMERIHEALTH |
$348 |
| 69424 |
Remove ventilating tube |
$6,024 |
UNITED |
$2,188 |
| 69424 |
Remove ventilating tube |
$6,024 |
AETNA |
$750 |
| 69424 |
Remove ventilating tube |
$6,024 |
CIGNA |
$1,433 |
| 69424 |
Remove ventilating tube |
$6,024 |
LWCC |
$6,024 |
| 69424 |
Remove ventilating tube |
$6,024 |
PPOPLUS |
$3,248 |
| 69424 |
Remove ventilating tube |
$6,024 |
GILSBAR |
$2,609 |
| 69424 |
Remove ventilating tube |
$6,024 |
LSU |
$4,000 |
| 69424 |
Remove ventilating tube |
$6,024 |
VERITY |
$1,064 |
| 69424 |
Remove ventilating tube |
$6,024 |
MULTIPLAN |
$1,064 |
| 69424 |
Remove ventilating tube |
$6,024 |
LA WORK COMP |
$4,792 |
| 69424 |
Remove ventilating tube |
$6,024 |
|
|
| 25107 |
Remove wrist joint cartilage |
$11,561 |
Private Pay |
$12,632 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
BC PPO |
$3,221 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
BC HMO |
$2,826 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
BC FMOL |
$2,853 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE |
$2,449 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE – UNITED |
$2,449 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE – COVENTRY |
$2,449 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE – VANTAGE |
$2,449 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE -PEOPLES |
$2,449 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICARE- HUMANA |
$2,400 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
HUMANA |
$3,673 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
VANTAGE |
$4,163 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICAID |
$533 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICAID – UNITED |
$533 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MEDICAID – AMERIHEALTH |
$533 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
UNITED |
$2,923 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
AETNA |
$1,411 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
CIGNA |
$1,433 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
LWCC |
$6,296 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
PPOPLUS |
$7,706 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
GILSBAR |
$6,224 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
LSU |
$4,250 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
VERITY |
$3,386 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
MULTIPLAN |
$3,386 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
LA WORK COMP |
$11,561 |
| 25107 |
Remove wrist joint cartilage |
$11,561 |
|
|
| 25111 |
Remove wrist tendon lesion |
$6,507 |
Private Pay |
$7,230 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
BC PPO |
$1,644 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
BC HMO |
$1,442 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
BC FMOL |
$1,456 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE |
$1,212 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE – BLUE CROSS |
$1,212 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE – UNITED |
$1,212 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE – COVENTRY |
$1,212 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE – VANTAGE |
$1,212 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE -PEOPLES |
$1,212 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICARE- HUMANA |
$1,188 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
HUMANA |
$1,819 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
VANTAGE |
$2,061 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICAID |
$533 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICAID – UNITED |
$533 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MEDICAID – AMERIHEALTH |
$533 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
UNITED |
$2,188 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
AETNA |
$1,200 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
CIGNA |
$634 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
LWCC |
$3,117 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
PPOPLUS |
$4,410 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
GILSBAR |
$3,543 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
LSU |
$4,000 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
VERITY |
$1,728 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
MULTIPLAN |
$1,728 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
LA WORK COMP |
$6,507 |
| 25111 |
Remove wrist tendon lesion |
$6,507 |
|
|
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
Private Pay |
$8,193 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
BC PPO |
$1,329 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
BC HMO |
$1,166 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
BC FMOL |
$1,177 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE |
$1,212 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE – BLUE CROSS |
$1,212 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE – UNITED |
$1,212 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE – COVENTRY |
$1,212 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE – VANTAGE |
$1,212 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE -PEOPLES |
$1,212 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICARE- HUMANA |
$1,188 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
HUMANA |
$1,819 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
VANTAGE |
$2,061 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICAID |
$659 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICAID – UNITED |
$659 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICAID – HEALTHY BLUE |
$659 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MEDICAID – AMERIHEALTH |
$659 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
UNITED |
$2,188 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
AETNA |
$1,475 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
CIGNA |
$1,102 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
LWCC |
$3,117 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
PPOPLUS |
$4,998 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
GILSBAR |
$4,014 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
LSU |
$4,000 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
VERITY |
$1,728 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
MULTIPLAN |
$1,728 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
LA WORK COMP |
$7,374 |
| 25115 |
Remove wrist/forearm lesion |
$7,374 |
|
|
| 27650 |
Repair achilles tendon |
$13,758 |
Private Pay |
$13,819 |
| 27650 |
Repair achilles tendon |
$13,758 |
BC PPO |
$2,913 |
| 27650 |
Repair achilles tendon |
$13,758 |
BC HMO |
$2,556 |
| 27650 |
Repair achilles tendon |
$13,758 |
BC FMOL |
$2,580 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE |
$5,351 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE – UNITED |
$5,351 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE – COVENTRY |
$5,351 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE – VANTAGE |
$5,351 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE -PEOPLES |
$5,351 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICARE- HUMANA |
$5,244 |
| 27650 |
Repair achilles tendon |
$13,758 |
HUMANA |
$8,026 |
| 27650 |
Repair achilles tendon |
$13,758 |
VANTAGE |
$9,097 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICAID |
$533 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICAID – UNITED |
$533 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27650 |
Repair achilles tendon |
$13,758 |
MEDICAID – AMERIHEALTH |
$533 |
| 27650 |
Repair achilles tendon |
$13,758 |
UNITED |
$3,860 |
| 27650 |
Repair achilles tendon |
$13,758 |
AETNA |
$1,200 |
| 27650 |
Repair achilles tendon |
$13,758 |
CIGNA |
$1,323 |
| 27650 |
Repair achilles tendon |
$13,758 |
LWCC |
$13,758 |
| 27650 |
Repair achilles tendon |
$13,758 |
PPOPLUS |
$8,430 |
| 27650 |
Repair achilles tendon |
$13,758 |
GILSBAR |
$6,772 |
| 27650 |
Repair achilles tendon |
$13,758 |
LSU |
$4,000 |
| 27650 |
Repair achilles tendon |
$13,758 |
VERITY |
$3,386 |
| 27650 |
Repair achilles tendon |
$13,758 |
MULTIPLAN |
$3,386 |
| 27650 |
Repair achilles tendon |
$13,758 |
LA WORK COMP |
$12,438 |
| 27650 |
Repair achilles tendon |
$13,758 |
|
|
| 24341 |
Repair arm tendon/muscle |
$16,409 |
Private Pay |
$16,349 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
BC PPO |
$6,827 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
BC HMO |
$5,990 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
BC FMOL |
$6,047 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE |
$5,351 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE – BLUE CROSS |
$5,351 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE – UNITED |
$5,351 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE – COVENTRY |
$5,351 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE – VANTAGE |
$5,351 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE -PEOPLES |
$5,351 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICARE- HUMANA |
$5,244 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
HUMANA |
$8,026 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
VANTAGE |
$9,097 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICAID |
$533 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICAID – UNITED |
$533 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MEDICAID – AMERIHEALTH |
$533 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
UNITED |
$3,860 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
AETNA |
$3,064 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
CIGNA |
$3,560 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
LWCC |
$13,758 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
PPOPLUS |
$9,973 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
GILSBAR |
$8,316 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
LSU |
$6,203 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
VERITY |
$7,176 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
MULTIPLAN |
$7,176 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
LA WORK COMP |
$16,409 |
| 24341 |
Repair arm tendon/muscle |
$16,409 |
|
|
| 64857 |
Repair arm/leg nerve |
$16,090 |
Private Pay |
$15,656 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
BC PPO |
$4,556 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
BC HMO |
$3,998 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
BC FMOL |
$4,036 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE |
$4,928 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE – BLUE CROSS |
$4,928 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE – UNITED |
$4,928 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE – COVENTRY |
$4,928 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE – VANTAGE |
$4,928 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE -PEOPLES |
$4,928 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICARE- HUMANA |
$4,829 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
HUMANA |
$7,392 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
VANTAGE |
$8,377 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICAID |
$466 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICAID – UNITED |
$466 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICAID – HEALTHY BLUE |
$466 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MEDICAID – AMERIHEALTH |
$466 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
UNITED |
$3,860 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
AETNA |
$3,199 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
CIGNA |
$3,962 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
LWCC |
$12,671 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
PPOPLUS |
$9,550 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
GILSBAR |
$8,032 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
LSU |
$6,599 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
VERITY |
$5,923 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
MULTIPLAN |
$5,923 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
LA WORK COMP |
$16,090 |
| 64857 |
Repair arm/leg nerve |
$16,090 |
|
|
| 23430 |
Repair biceps tendon |
$20,437 |
Private Pay |
$20,536 |
| 23430 |
Repair biceps tendon |
$20,437 |
BC PPO |
$5,520 |
| 23430 |
Repair biceps tendon |
$20,437 |
BC HMO |
$4,843 |
| 23430 |
Repair biceps tendon |
$20,437 |
BC FMOL |
$4,889 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE |
$5,351 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE – BLUE CROSS |
$5,351 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE – UNITED |
$5,351 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE – COVENTRY |
$5,351 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE – VANTAGE |
$5,351 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE -PEOPLES |
$5,351 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICARE- HUMANA |
$5,244 |
| 23430 |
Repair biceps tendon |
$20,437 |
HUMANA |
$8,026 |
| 23430 |
Repair biceps tendon |
$20,437 |
VANTAGE |
$9,097 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICAID |
$659 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICAID – UNITED |
$659 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICAID – HEALTHY BLUE |
$659 |
| 23430 |
Repair biceps tendon |
$20,437 |
MEDICAID – AMERIHEALTH |
$659 |
| 23430 |
Repair biceps tendon |
$20,437 |
UNITED |
$3,860 |
| 23430 |
Repair biceps tendon |
$20,437 |
AETNA |
$3,625 |
| 23430 |
Repair biceps tendon |
$20,437 |
CIGNA |
$3,682 |
| 23430 |
Repair biceps tendon |
$20,437 |
LWCC |
$13,758 |
| 23430 |
Repair biceps tendon |
$20,437 |
PPOPLUS |
$12,527 |
| 23430 |
Repair biceps tendon |
$20,437 |
GILSBAR |
$10,414 |
| 23430 |
Repair biceps tendon |
$20,437 |
LSU |
$6,541 |
| 23430 |
Repair biceps tendon |
$20,437 |
VERITY |
$7,176 |
| 23430 |
Repair biceps tendon |
$20,437 |
MULTIPLAN |
$7,176 |
| 23430 |
Repair biceps tendon |
$20,437 |
LA WORK COMP |
$20,437 |
| 23430 |
Repair biceps tendon |
$20,437 |
|
|
| 57288 |
Repair bladder defect |
$18,873 |
Private Pay |
$18,584 |
| 57288 |
Repair bladder defect |
$18,873 |
BC PPO |
$4,048 |
| 57288 |
Repair bladder defect |
$18,873 |
BC HMO |
$3,552 |
| 57288 |
Repair bladder defect |
$18,873 |
BC FMOL |
$3,586 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE |
$3,821 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE – BLUE CROSS |
$3,821 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE – UNITED |
$3,821 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE – COVENTRY |
$3,821 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE – VANTAGE |
$3,821 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE -PEOPLES |
$3,821 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICARE- HUMANA |
$3,745 |
| 57288 |
Repair bladder defect |
$18,873 |
HUMANA |
$5,731 |
| 57288 |
Repair bladder defect |
$18,873 |
VANTAGE |
$6,496 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICAID |
$750 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICAID – UNITED |
$750 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICAID – HEALTHY BLUE |
$750 |
| 57288 |
Repair bladder defect |
$18,873 |
MEDICAID – AMERIHEALTH |
$750 |
| 57288 |
Repair bladder defect |
$18,873 |
UNITED |
$3,860 |
| 57288 |
Repair bladder defect |
$18,873 |
AETNA |
$4,012 |
| 57288 |
Repair bladder defect |
$18,873 |
CIGNA |
$4,267 |
| 57288 |
Repair bladder defect |
$18,873 |
LWCC |
$9,825 |
| 57288 |
Repair bladder defect |
$18,873 |
PPOPLUS |
$11,336 |
| 57288 |
Repair bladder defect |
$18,873 |
GILSBAR |
$9,493 |
| 57288 |
Repair bladder defect |
$18,873 |
LSU |
$6,791 |
| 57288 |
Repair bladder defect |
$18,873 |
VERITY |
$5,263 |
| 57288 |
Repair bladder defect |
$18,873 |
MULTIPLAN |
$5,263 |
| 57288 |
Repair bladder defect |
$18,873 |
LA WORK COMP |
$18,873 |
| 57288 |
Repair bladder defect |
$18,873 |
|
|
| 24359 |
Repair elbow deb/attch open |
$7,986 |
Private Pay |
$8,744 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
BC PPO |
$3,221 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
BC HMO |
$2,826 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
BC FMOL |
$2,853 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE |
$2,449 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE – BLUE CROSS |
$2,449 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE – UNITED |
$2,449 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE – COVENTRY |
$2,449 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE – VANTAGE |
$2,449 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE -PEOPLES |
$2,449 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICARE- HUMANA |
$2,400 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
HUMANA |
$3,673 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
VANTAGE |
$4,163 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICAID |
$- |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICAID – UNITED |
$- |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICAID – HEALTHY BLUE |
$- |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MEDICAID – AMERIHEALTH |
$- |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
UNITED |
$2,923 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
AETNA |
$1,328 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
CIGNA |
$1,146 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
LWCC |
$6,296 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
PPOPLUS |
$5,334 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
GILSBAR |
$4,306 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
LSU |
$4,151 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
VERITY |
$3,386 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
MULTIPLAN |
$3,386 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
LA WORK COMP |
$7,986 |
| 24359 |
Repair elbow deb/attch open |
$7,986 |
|
|
| 26418 |
Repair finger tendon |
$7,352 |
Private Pay |
$7,857 |
| 26418 |
Repair finger tendon |
$7,352 |
BC PPO |
$1,329 |
| 26418 |
Repair finger tendon |
$7,352 |
BC HMO |
$1,166 |
| 26418 |
Repair finger tendon |
$7,352 |
BC FMOL |
$1,177 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE |
$1,212 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE – UNITED |
$1,212 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE – COVENTRY |
$1,212 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE – VANTAGE |
$1,212 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE -PEOPLES |
$1,212 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICARE- HUMANA |
$1,188 |
| 26418 |
Repair finger tendon |
$7,352 |
HUMANA |
$1,819 |
| 26418 |
Repair finger tendon |
$7,352 |
VANTAGE |
$2,061 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICAID |
$659 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICAID – UNITED |
$659 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26418 |
Repair finger tendon |
$7,352 |
MEDICAID – AMERIHEALTH |
$659 |
| 26418 |
Repair finger tendon |
$7,352 |
UNITED |
$734 |
| 26418 |
Repair finger tendon |
$7,352 |
AETNA |
$1,784 |
| 26418 |
Repair finger tendon |
$7,352 |
CIGNA |
$1,102 |
| 26418 |
Repair finger tendon |
$7,352 |
LWCC |
$3,117 |
| 26418 |
Repair finger tendon |
$7,352 |
PPOPLUS |
$4,793 |
| 26418 |
Repair finger tendon |
$7,352 |
GILSBAR |
$3,900 |
| 26418 |
Repair finger tendon |
$7,352 |
LSU |
$4,365 |
| 26418 |
Repair finger tendon |
$7,352 |
VERITY |
$1,728 |
| 26418 |
Repair finger tendon |
$7,352 |
MULTIPLAN |
$1,728 |
| 26418 |
Repair finger tendon |
$7,352 |
LA WORK COMP |
$7,352 |
| 26418 |
Repair finger tendon |
$7,352 |
|
|
| 26350 |
Repair finger/hand tendon |
$13,208 |
Private Pay |
$12,595 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
BC PPO |
$2,296 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
BC HMO |
$2,015 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
BC FMOL |
$2,034 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE |
$2,449 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE – UNITED |
$2,449 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE – COVENTRY |
$2,449 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE – VANTAGE |
$2,449 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE -PEOPLES |
$2,449 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICARE- HUMANA |
$2,400 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
HUMANA |
$3,673 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
VANTAGE |
$4,163 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICAID |
$348 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICAID – UNITED |
$348 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICAID – HEALTHY BLUE |
$348 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MEDICAID – AMERIHEALTH |
$348 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
UNITED |
$2,923 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
AETNA |
$2,810 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
CIGNA |
$3,574 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
LWCC |
$6,296 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
PPOPLUS |
$7,683 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
GILSBAR |
$6,509 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
LSU |
$6,434 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
VERITY |
$3,386 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
MULTIPLAN |
$3,386 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
LA WORK COMP |
$13,208 |
| 26350 |
Repair finger/hand tendon |
$13,208 |
|
|
| 26356 |
Repair finger/hand tendon |
$12,091 |
Private Pay |
$10,439 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
BC PPO |
$2,604 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
BC HMO |
$2,285 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
BC FMOL |
$2,307 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE |
$2,449 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE – UNITED |
$2,449 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE – COVENTRY |
$2,449 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE – VANTAGE |
$2,449 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE -PEOPLES |
$2,449 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICARE- HUMANA |
$2,400 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
HUMANA |
$3,673 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
VANTAGE |
$4,163 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICAID |
$659 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICAID – UNITED |
$659 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MEDICAID – AMERIHEALTH |
$659 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
UNITED |
$2,923 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
AETNA |
$4,440 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
CIGNA |
$4,660 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
LWCC |
$6,296 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
PPOPLUS |
$6,368 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
GILSBAR |
$5,600 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
LSU |
$7,504 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
VERITY |
$3,386 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
MULTIPLAN |
$3,386 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
LA WORK COMP |
$12,091 |
| 26356 |
Repair finger/hand tendon |
$12,091 |
|
|
| 26370 |
Repair finger/hand tendon |
$12,623 |
Private Pay |
$12,822 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
BC PPO |
$2,913 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
BC HMO |
$2,556 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
BC FMOL |
$2,580 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE |
$2,449 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE – UNITED |
$2,449 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE – COVENTRY |
$2,449 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE – VANTAGE |
$2,449 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE -PEOPLES |
$2,449 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICARE- HUMANA |
$2,400 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
HUMANA |
$3,673 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
VANTAGE |
$4,163 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICAID |
$659 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICAID – UNITED |
$659 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MEDICAID – AMERIHEALTH |
$659 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
UNITED |
$2,923 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
AETNA |
$2,666 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
CIGNA |
$2,284 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
LWCC |
$6,296 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
PPOPLUS |
$7,822 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
GILSBAR |
$6,478 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
LSU |
$5,408 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
VERITY |
$3,386 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
MULTIPLAN |
$3,386 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
LA WORK COMP |
$12,623 |
| 26370 |
Repair finger/hand tendon |
$12,623 |
|
|
| 28289 |
Repair hallux rigidus |
$12,225 |
Private Pay |
$13,101 |
| 28289 |
Repair hallux rigidus |
$12,225 |
BC PPO |
$3,221 |
| 28289 |
Repair hallux rigidus |
$12,225 |
BC HMO |
$2,826 |
| 28289 |
Repair hallux rigidus |
$12,225 |
BC FMOL |
$2,853 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE |
$2,449 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE – UNITED |
$2,449 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE – COVENTRY |
$2,449 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE – VANTAGE |
$2,449 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE -PEOPLES |
$2,449 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICARE- HUMANA |
$2,400 |
| 28289 |
Repair hallux rigidus |
$12,225 |
HUMANA |
$3,673 |
| 28289 |
Repair hallux rigidus |
$12,225 |
VANTAGE |
$4,163 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICAID |
$533 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICAID – UNITED |
$533 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MEDICAID – AMERIHEALTH |
$533 |
| 28289 |
Repair hallux rigidus |
$12,225 |
UNITED |
$2,188 |
| 28289 |
Repair hallux rigidus |
$12,225 |
AETNA |
$1,677 |
| 28289 |
Repair hallux rigidus |
$12,225 |
CIGNA |
$1,433 |
| 28289 |
Repair hallux rigidus |
$12,225 |
LWCC |
$6,296 |
| 28289 |
Repair hallux rigidus |
$12,225 |
PPOPLUS |
$7,992 |
| 28289 |
Repair hallux rigidus |
$12,225 |
GILSBAR |
$6,498 |
| 28289 |
Repair hallux rigidus |
$12,225 |
LSU |
$4,564 |
| 28289 |
Repair hallux rigidus |
$12,225 |
VERITY |
$3,386 |
| 28289 |
Repair hallux rigidus |
$12,225 |
MULTIPLAN |
$3,386 |
| 28289 |
Repair hallux rigidus |
$12,225 |
LA WORK COMP |
$12,225 |
| 28289 |
Repair hallux rigidus |
$12,225 |
|
|
| 26540 |
Repair hand joint |
$11,465 |
Private Pay |
$11,371 |
| 26540 |
Repair hand joint |
$11,465 |
BC PPO |
$2,913 |
| 26540 |
Repair hand joint |
$11,465 |
BC HMO |
$2,556 |
| 26540 |
Repair hand joint |
$11,465 |
BC FMOL |
$2,580 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE |
$2,449 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE – UNITED |
$2,449 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE – COVENTRY |
$2,449 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE – VANTAGE |
$2,449 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE -PEOPLES |
$2,449 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICARE- HUMANA |
$2,400 |
| 26540 |
Repair hand joint |
$11,465 |
HUMANA |
$3,673 |
| 26540 |
Repair hand joint |
$11,465 |
VANTAGE |
$4,163 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICAID |
$659 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICAID – UNITED |
$659 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26540 |
Repair hand joint |
$11,465 |
MEDICAID – AMERIHEALTH |
$659 |
| 26540 |
Repair hand joint |
$11,465 |
UNITED |
$734 |
| 26540 |
Repair hand joint |
$11,465 |
AETNA |
$2,830 |
| 26540 |
Repair hand joint |
$11,465 |
CIGNA |
$2,618 |
| 26540 |
Repair hand joint |
$11,465 |
LWCC |
$6,296 |
| 26540 |
Repair hand joint |
$11,465 |
PPOPLUS |
$6,936 |
| 26540 |
Repair hand joint |
$11,465 |
GILSBAR |
$5,793 |
| 26540 |
Repair hand joint |
$11,465 |
LSU |
$5,601 |
| 26540 |
Repair hand joint |
$11,465 |
VERITY |
$3,386 |
| 26540 |
Repair hand joint |
$11,465 |
MULTIPLAN |
$3,386 |
| 26540 |
Repair hand joint |
$11,465 |
LA WORK COMP |
$11,465 |
| 26540 |
Repair hand joint |
$11,465 |
|
|
| 26410 |
Repair hand tendon |
$7,864 |
Private Pay |
$8,718 |
| 26410 |
Repair hand tendon |
$7,864 |
BC PPO |
$1,329 |
| 26410 |
Repair hand tendon |
$7,864 |
BC HMO |
$1,166 |
| 26410 |
Repair hand tendon |
$7,864 |
BC FMOL |
$1,177 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE |
$1,212 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE – UNITED |
$1,212 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE – COVENTRY |
$1,212 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE – VANTAGE |
$1,212 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE -PEOPLES |
$1,212 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICARE- HUMANA |
$1,188 |
| 26410 |
Repair hand tendon |
$7,864 |
HUMANA |
$1,819 |
| 26410 |
Repair hand tendon |
$7,864 |
VANTAGE |
$2,061 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICAID |
$533 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICAID – UNITED |
$533 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26410 |
Repair hand tendon |
$7,864 |
MEDICAID – AMERIHEALTH |
$533 |
| 26410 |
Repair hand tendon |
$7,864 |
UNITED |
$734 |
| 26410 |
Repair hand tendon |
$7,864 |
AETNA |
$1,220 |
| 26410 |
Repair hand tendon |
$7,864 |
CIGNA |
$1,929 |
| 26410 |
Repair hand tendon |
$7,864 |
LWCC |
$3,117 |
| 26410 |
Repair hand tendon |
$7,864 |
PPOPLUS |
$5,318 |
| 26410 |
Repair hand tendon |
$7,864 |
GILSBAR |
$4,275 |
| 26410 |
Repair hand tendon |
$7,864 |
LSU |
$4,024 |
| 26410 |
Repair hand tendon |
$7,864 |
VERITY |
$1,728 |
| 26410 |
Repair hand tendon |
$7,864 |
MULTIPLAN |
$1,728 |
| 26410 |
Repair hand tendon |
$7,864 |
LA WORK COMP |
$7,864 |
| 26410 |
Repair hand tendon |
$7,864 |
|
|
| 27675 |
Repair lower leg tendons |
$17,309 |
Private Pay |
$18,129 |
| 27675 |
Repair lower leg tendons |
$17,309 |
BC PPO |
$2,604 |
| 27675 |
Repair lower leg tendons |
$17,309 |
BC HMO |
$2,285 |
| 27675 |
Repair lower leg tendons |
$17,309 |
BC FMOL |
$2,307 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE |
$2,449 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE – BLUE CROSS |
$2,449 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE – UNITED |
$2,449 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE – COVENTRY |
$2,449 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE – VANTAGE |
$2,449 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE -PEOPLES |
$2,449 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICARE- HUMANA |
$2,400 |
| 27675 |
Repair lower leg tendons |
$17,309 |
HUMANA |
$3,673 |
| 27675 |
Repair lower leg tendons |
$17,309 |
VANTAGE |
$4,163 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICAID |
$466 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICAID – UNITED |
$466 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICAID – HEALTHY BLUE |
$466 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MEDICAID – AMERIHEALTH |
$466 |
| 27675 |
Repair lower leg tendons |
$17,309 |
UNITED |
$2,188 |
| 27675 |
Repair lower leg tendons |
$17,309 |
AETNA |
$2,092 |
| 27675 |
Repair lower leg tendons |
$17,309 |
CIGNA |
$2,413 |
| 27675 |
Repair lower leg tendons |
$17,309 |
LWCC |
$6,296 |
| 27675 |
Repair lower leg tendons |
$17,309 |
PPOPLUS |
$11,059 |
| 27675 |
Repair lower leg tendons |
$17,309 |
GILSBAR |
$9,062 |
| 27675 |
Repair lower leg tendons |
$17,309 |
LSU |
$5,291 |
| 27675 |
Repair lower leg tendons |
$17,309 |
VERITY |
$3,386 |
| 27675 |
Repair lower leg tendons |
$17,309 |
MULTIPLAN |
$3,386 |
| 27675 |
Repair lower leg tendons |
$17,309 |
LA WORK COMP |
$17,309 |
| 27675 |
Repair lower leg tendons |
$17,309 |
|
|
| 30465 |
Repair nasal stenosis |
$11,650 |
Private Pay |
$12,944 |
| 30465 |
Repair nasal stenosis |
$11,650 |
BC PPO |
$2,529 |
| 30465 |
Repair nasal stenosis |
$11,650 |
BC HMO |
$2,219 |
| 30465 |
Repair nasal stenosis |
$11,650 |
BC FMOL |
$2,240 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE |
$4,339 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE – BLUE CROSS |
$4,339 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE – UNITED |
$4,339 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE – COVENTRY |
$4,339 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE – VANTAGE |
$4,339 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE -PEOPLES |
$4,339 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICARE- HUMANA |
$4,252 |
| 30465 |
Repair nasal stenosis |
$11,650 |
HUMANA |
$6,508 |
| 30465 |
Repair nasal stenosis |
$11,650 |
VANTAGE |
$7,376 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICAID |
$1,400 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICAID – UNITED |
$1,400 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 30465 |
Repair nasal stenosis |
$11,650 |
UNITED |
$3,860 |
| 30465 |
Repair nasal stenosis |
$11,650 |
AETNA |
$2,100 |
| 30465 |
Repair nasal stenosis |
$11,650 |
CIGNA |
$1,433 |
| 30465 |
Repair nasal stenosis |
$11,650 |
LWCC |
$11,156 |
| 30465 |
Repair nasal stenosis |
$11,650 |
PPOPLUS |
$7,896 |
| 30465 |
Repair nasal stenosis |
$11,650 |
GILSBAR |
$6,343 |
| 30465 |
Repair nasal stenosis |
$11,650 |
LSU |
$4,000 |
| 30465 |
Repair nasal stenosis |
$11,650 |
VERITY |
$5,553 |
| 30465 |
Repair nasal stenosis |
$11,650 |
MULTIPLAN |
$5,553 |
| 30465 |
Repair nasal stenosis |
$11,650 |
LA WORK COMP |
$11,650 |
| 30465 |
Repair nasal stenosis |
$11,650 |
|
|
| 26546 |
Repair nonunion hand |
$13,758 |
Private Pay |
$13,241 |
| 26546 |
Repair nonunion hand |
$13,758 |
BC PPO |
$6,827 |
| 26546 |
Repair nonunion hand |
$13,758 |
BC HMO |
$5,990 |
| 26546 |
Repair nonunion hand |
$13,758 |
BC FMOL |
$6,047 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE |
$5,351 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE – BLUE CROSS |
$5,351 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE – UNITED |
$5,351 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE – COVENTRY |
$5,351 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE – VANTAGE |
$5,351 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE -PEOPLES |
$5,351 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICARE- HUMANA |
$5,244 |
| 26546 |
Repair nonunion hand |
$13,758 |
HUMANA |
$8,026 |
| 26546 |
Repair nonunion hand |
$13,758 |
VANTAGE |
$9,097 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICAID |
$659 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICAID – UNITED |
$659 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26546 |
Repair nonunion hand |
$13,758 |
MEDICAID – AMERIHEALTH |
$659 |
| 26546 |
Repair nonunion hand |
$13,758 |
UNITED |
$2,923 |
| 26546 |
Repair nonunion hand |
$13,758 |
AETNA |
$3,480 |
| 26546 |
Repair nonunion hand |
$13,758 |
CIGNA |
$3,729 |
| 26546 |
Repair nonunion hand |
$13,758 |
LWCC |
$13,758 |
| 26546 |
Repair nonunion hand |
$13,758 |
PPOPLUS |
$8,077 |
| 26546 |
Repair nonunion hand |
$13,758 |
GILSBAR |
$6,816 |
| 26546 |
Repair nonunion hand |
$13,758 |
LSU |
$6,370 |
| 26546 |
Repair nonunion hand |
$13,758 |
VERITY |
$7,176 |
| 26546 |
Repair nonunion hand |
$13,758 |
MULTIPLAN |
$7,176 |
| 26546 |
Repair nonunion hand |
$13,758 |
LA WORK COMP |
$13,740 |
| 26546 |
Repair nonunion hand |
$13,758 |
|
|
| 27654 |
Repair of achilles tendon |
$22,555 |
Private Pay |
$22,052 |
| 27654 |
Repair of achilles tendon |
$22,555 |
BC PPO |
$6,173 |
| 27654 |
Repair of achilles tendon |
$22,555 |
BC HMO |
$5,417 |
| 27654 |
Repair of achilles tendon |
$22,555 |
BC FMOL |
$5,468 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE |
$5,351 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE – UNITED |
$5,351 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE – COVENTRY |
$5,351 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE – VANTAGE |
$5,351 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE -PEOPLES |
$5,351 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICARE- HUMANA |
$5,244 |
| 27654 |
Repair of achilles tendon |
$22,555 |
HUMANA |
$8,026 |
| 27654 |
Repair of achilles tendon |
$22,555 |
VANTAGE |
$9,097 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICAID |
$533 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICAID – UNITED |
$533 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MEDICAID – AMERIHEALTH |
$533 |
| 27654 |
Repair of achilles tendon |
$22,555 |
UNITED |
$3,860 |
| 27654 |
Repair of achilles tendon |
$22,555 |
AETNA |
$4,179 |
| 27654 |
Repair of achilles tendon |
$22,555 |
CIGNA |
$4,567 |
| 27654 |
Repair of achilles tendon |
$22,555 |
LWCC |
$13,758 |
| 27654 |
Repair of achilles tendon |
$22,555 |
PPOPLUS |
$13,452 |
| 27654 |
Repair of achilles tendon |
$22,555 |
GILSBAR |
$11,293 |
| 27654 |
Repair of achilles tendon |
$22,555 |
LSU |
$7,520 |
| 27654 |
Repair of achilles tendon |
$22,555 |
VERITY |
$7,176 |
| 27654 |
Repair of achilles tendon |
$22,555 |
MULTIPLAN |
$7,176 |
| 27654 |
Repair of achilles tendon |
$22,555 |
LA WORK COMP |
$22,555 |
| 27654 |
Repair of achilles tendon |
$22,555 |
|
|
| 27698 |
Repair of ankle ligament |
$25,596 |
Private Pay |
$24,868 |
| 27698 |
Repair of ankle ligament |
$25,596 |
BC PPO |
$5,520 |
| 27698 |
Repair of ankle ligament |
$25,596 |
BC HMO |
$4,843 |
| 27698 |
Repair of ankle ligament |
$25,596 |
BC FMOL |
$4,889 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE |
$5,351 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE – UNITED |
$5,351 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE – COVENTRY |
$5,351 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE – VANTAGE |
$5,351 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE -PEOPLES |
$5,351 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICARE- HUMANA |
$5,244 |
| 27698 |
Repair of ankle ligament |
$25,596 |
HUMANA |
$8,026 |
| 27698 |
Repair of ankle ligament |
$25,596 |
VANTAGE |
$9,097 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICAID |
$466 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICAID – UNITED |
$466 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICAID – HEALTHY BLUE |
$466 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MEDICAID – AMERIHEALTH |
$466 |
| 27698 |
Repair of ankle ligament |
$25,596 |
UNITED |
$2,923 |
| 27698 |
Repair of ankle ligament |
$25,596 |
AETNA |
$4,536 |
| 27698 |
Repair of ankle ligament |
$25,596 |
CIGNA |
$4,877 |
| 27698 |
Repair of ankle ligament |
$25,596 |
LWCC |
$13,758 |
| 27698 |
Repair of ankle ligament |
$25,596 |
PPOPLUS |
$15,170 |
| 27698 |
Repair of ankle ligament |
$25,596 |
GILSBAR |
$12,764 |
| 27698 |
Repair of ankle ligament |
$25,596 |
LSU |
$8,179 |
| 27698 |
Repair of ankle ligament |
$25,596 |
VERITY |
$7,176 |
| 27698 |
Repair of ankle ligament |
$25,596 |
MULTIPLAN |
$7,176 |
| 27698 |
Repair of ankle ligament |
$25,596 |
LA WORK COMP |
$25,596 |
| 27698 |
Repair of ankle ligament |
$25,596 |
|
|
| 27696 |
Repair of ankle ligaments |
$18,010 |
Private Pay |
$17,957 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
BC PPO |
$6,173 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
BC HMO |
$5,417 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
BC FMOL |
$5,468 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE |
$5,351 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE – UNITED |
$5,351 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE – COVENTRY |
$5,351 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE – VANTAGE |
$5,351 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE -PEOPLES |
$5,351 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICARE- HUMANA |
$5,244 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
HUMANA |
$8,026 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
VANTAGE |
$9,097 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICAID |
$466 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICAID – UNITED |
$466 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICAID – HEALTHY BLUE |
$466 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MEDICAID – AMERIHEALTH |
$466 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
UNITED |
$2,923 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
AETNA |
$3,034 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
CIGNA |
$3,764 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
LWCC |
$13,758 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
PPOPLUS |
$10,954 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
GILSBAR |
$9,132 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
LSU |
$6,404 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
VERITY |
$7,176 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
MULTIPLAN |
$7,176 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
LA WORK COMP |
$18,010 |
| 27696 |
Repair of ankle ligaments |
$18,010 |
|
|
| 54163 |
Repair of circumcision |
$6,952 |
Private Pay |
$7,725 |
| 54163 |
Repair of circumcision |
$6,952 |
BC PPO |
$1,867 |
| 54163 |
Repair of circumcision |
$6,952 |
BC HMO |
$1,638 |
| 54163 |
Repair of circumcision |
$6,952 |
BC FMOL |
$1,654 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE |
$1,585 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE – BLUE CROSS |
$1,585 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE – UNITED |
$1,585 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE – COVENTRY |
$1,585 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE – VANTAGE |
$1,585 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE -PEOPLES |
$1,585 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICARE- HUMANA |
$1,553 |
| 54163 |
Repair of circumcision |
$6,952 |
HUMANA |
$2,377 |
| 54163 |
Repair of circumcision |
$6,952 |
VANTAGE |
$2,694 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICAID |
$466 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICAID – UNITED |
$466 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICAID – HEALTHY BLUE |
$466 |
| 54163 |
Repair of circumcision |
$6,952 |
MEDICAID – AMERIHEALTH |
$466 |
| 54163 |
Repair of circumcision |
$6,952 |
UNITED |
$2,188 |
| 54163 |
Repair of circumcision |
$6,952 |
AETNA |
$1,000 |
| 54163 |
Repair of circumcision |
$6,952 |
CIGNA |
$854 |
| 54163 |
Repair of circumcision |
$6,952 |
LWCC |
$4,075 |
| 54163 |
Repair of circumcision |
$6,952 |
PPOPLUS |
$4,712 |
| 54163 |
Repair of circumcision |
$6,952 |
GILSBAR |
$3,785 |
| 54163 |
Repair of circumcision |
$6,952 |
LSU |
$4,000 |
| 54163 |
Repair of circumcision |
$6,952 |
VERITY |
$2,170 |
| 54163 |
Repair of circumcision |
$6,952 |
MULTIPLAN |
$2,170 |
| 54163 |
Repair of circumcision |
$6,952 |
LA WORK COMP |
$6,952 |
| 54163 |
Repair of circumcision |
$6,952 |
|
|
| 64831 |
Repair of digit nerve |
$9,424 |
Private Pay |
$7,723 |
| 64831 |
Repair of digit nerve |
$9,424 |
BC PPO |
$5,095 |
| 64831 |
Repair of digit nerve |
$9,424 |
BC HMO |
$4,471 |
| 64831 |
Repair of digit nerve |
$9,424 |
BC FMOL |
$4,514 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE |
$1,538 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE – BLUE CROSS |
$1,538 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE – UNITED |
$1,538 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE – COVENTRY |
$1,538 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE – VANTAGE |
$1,538 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE -PEOPLES |
$1,538 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICARE- HUMANA |
$1,507 |
| 64831 |
Repair of digit nerve |
$9,424 |
HUMANA |
$2,307 |
| 64831 |
Repair of digit nerve |
$9,424 |
VANTAGE |
$2,615 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICAID |
$659 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICAID – UNITED |
$659 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICAID – HEALTHY BLUE |
$659 |
| 64831 |
Repair of digit nerve |
$9,424 |
MEDICAID – AMERIHEALTH |
$659 |
| 64831 |
Repair of digit nerve |
$9,424 |
UNITED |
$3,860 |
| 64831 |
Repair of digit nerve |
$9,424 |
AETNA |
$4,196 |
| 64831 |
Repair of digit nerve |
$9,424 |
CIGNA |
$4,367 |
| 64831 |
Repair of digit nerve |
$9,424 |
LWCC |
$3,955 |
| 64831 |
Repair of digit nerve |
$9,424 |
PPOPLUS |
$4,711 |
| 64831 |
Repair of digit nerve |
$9,424 |
GILSBAR |
$4,230 |
| 64831 |
Repair of digit nerve |
$9,424 |
LSU |
$7,215 |
| 64831 |
Repair of digit nerve |
$9,424 |
VERITY |
$5,923 |
| 64831 |
Repair of digit nerve |
$9,424 |
MULTIPLAN |
$5,923 |
| 64831 |
Repair of digit nerve |
$9,424 |
LA WORK COMP |
$9,424 |
| 64831 |
Repair of digit nerve |
$9,424 |
|
|
| 69610 |
Repair of eardrum |
$4,572 |
Private Pay |
$4,824 |
| 69610 |
Repair of eardrum |
$4,572 |
BC PPO |
$2,421 |
| 69610 |
Repair of eardrum |
$4,572 |
BC HMO |
$2,125 |
| 69610 |
Repair of eardrum |
$4,572 |
BC FMOL |
$2,145 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE |
$1,207 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE – BLUE CROSS |
$1,207 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE – UNITED |
$1,207 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE – COVENTRY |
$1,207 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE – VANTAGE |
$1,207 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE -PEOPLES |
$1,207 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICARE- HUMANA |
$1,183 |
| 69610 |
Repair of eardrum |
$4,572 |
HUMANA |
$1,811 |
| 69610 |
Repair of eardrum |
$4,572 |
VANTAGE |
$2,052 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICAID |
$466 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICAID – UNITED |
$466 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICAID – HEALTHY BLUE |
$466 |
| 69610 |
Repair of eardrum |
$4,572 |
MEDICAID – AMERIHEALTH |
$466 |
| 69610 |
Repair of eardrum |
$4,572 |
UNITED |
$2,188 |
| 69610 |
Repair of eardrum |
$4,572 |
AETNA |
$1,453 |
| 69610 |
Repair of eardrum |
$4,572 |
CIGNA |
$1,296 |
| 69610 |
Repair of eardrum |
$4,572 |
LWCC |
$3,103 |
| 69610 |
Repair of eardrum |
$4,572 |
PPOPLUS |
$2,943 |
| 69610 |
Repair of eardrum |
$4,572 |
GILSBAR |
$2,405 |
| 69610 |
Repair of eardrum |
$4,572 |
LSU |
$4,299 |
| 69610 |
Repair of eardrum |
$4,572 |
VERITY |
$2,815 |
| 69610 |
Repair of eardrum |
$4,572 |
MULTIPLAN |
$2,815 |
| 69610 |
Repair of eardrum |
$4,572 |
LA WORK COMP |
$4,572 |
| 69610 |
Repair of eardrum |
$4,572 |
|
|
| 28200 |
Repair of foot tendon |
$14,631 |
Private Pay |
$15,435 |
| 28200 |
Repair of foot tendon |
$14,631 |
BC PPO |
$2,913 |
| 28200 |
Repair of foot tendon |
$14,631 |
BC HMO |
$2,556 |
| 28200 |
Repair of foot tendon |
$14,631 |
BC FMOL |
$2,580 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE |
$2,449 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE – UNITED |
$2,449 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE – COVENTRY |
$2,449 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE – VANTAGE |
$2,449 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE -PEOPLES |
$2,449 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICARE- HUMANA |
$2,400 |
| 28200 |
Repair of foot tendon |
$14,631 |
HUMANA |
$3,673 |
| 28200 |
Repair of foot tendon |
$14,631 |
VANTAGE |
$4,163 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICAID |
$533 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICAID – UNITED |
$533 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28200 |
Repair of foot tendon |
$14,631 |
MEDICAID – AMERIHEALTH |
$533 |
| 28200 |
Repair of foot tendon |
$14,631 |
UNITED |
$2,188 |
| 28200 |
Repair of foot tendon |
$14,631 |
AETNA |
$2,014 |
| 28200 |
Repair of foot tendon |
$14,631 |
CIGNA |
$854 |
| 28200 |
Repair of foot tendon |
$14,631 |
LWCC |
$6,296 |
| 28200 |
Repair of foot tendon |
$14,631 |
PPOPLUS |
$9,415 |
| 28200 |
Repair of foot tendon |
$14,631 |
GILSBAR |
$7,696 |
| 28200 |
Repair of foot tendon |
$14,631 |
LSU |
$4,962 |
| 28200 |
Repair of foot tendon |
$14,631 |
VERITY |
$3,386 |
| 28200 |
Repair of foot tendon |
$14,631 |
MULTIPLAN |
$3,386 |
| 28200 |
Repair of foot tendon |
$14,631 |
LA WORK COMP |
$14,631 |
| 28200 |
Repair of foot tendon |
$14,631 |
|
|
| 28208 |
Repair of foot tendon |
$19,893 |
Private Pay |
$21,407 |
| 28208 |
Repair of foot tendon |
$19,893 |
BC PPO |
$2,913 |
| 28208 |
Repair of foot tendon |
$19,893 |
BC HMO |
$2,556 |
| 28208 |
Repair of foot tendon |
$19,893 |
BC FMOL |
$2,580 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE |
$2,449 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE – UNITED |
$2,449 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE – COVENTRY |
$2,449 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE – VANTAGE |
$2,449 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE -PEOPLES |
$2,449 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICARE- HUMANA |
$2,400 |
| 28208 |
Repair of foot tendon |
$19,893 |
HUMANA |
$3,673 |
| 28208 |
Repair of foot tendon |
$19,893 |
VANTAGE |
$4,163 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICAID |
$533 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICAID – UNITED |
$533 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28208 |
Repair of foot tendon |
$19,893 |
MEDICAID – AMERIHEALTH |
$533 |
| 28208 |
Repair of foot tendon |
$19,893 |
UNITED |
$2,188 |
| 28208 |
Repair of foot tendon |
$19,893 |
AETNA |
$1,890 |
| 28208 |
Repair of foot tendon |
$19,893 |
CIGNA |
$1,323 |
| 28208 |
Repair of foot tendon |
$19,893 |
LWCC |
$6,296 |
| 28208 |
Repair of foot tendon |
$19,893 |
PPOPLUS |
$13,058 |
| 28208 |
Repair of foot tendon |
$19,893 |
GILSBAR |
$10,602 |
| 28208 |
Repair of foot tendon |
$19,893 |
LSU |
$4,815 |
| 28208 |
Repair of foot tendon |
$19,893 |
VERITY |
$3,386 |
| 28208 |
Repair of foot tendon |
$19,893 |
MULTIPLAN |
$3,386 |
| 28208 |
Repair of foot tendon |
$19,893 |
LA WORK COMP |
$19,893 |
| 28208 |
Repair of foot tendon |
$19,893 |
|
|
| 28285 |
Repair of hammertoe |
$12,271 |
Private Pay |
$13,319 |
| 28285 |
Repair of hammertoe |
$12,271 |
BC PPO |
$1,542 |
| 28285 |
Repair of hammertoe |
$12,271 |
BC HMO |
$1,353 |
| 28285 |
Repair of hammertoe |
$12,271 |
BC FMOL |
$1,366 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE |
$2,449 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE – UNITED |
$2,449 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE – COVENTRY |
$2,449 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE – VANTAGE |
$2,449 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE -PEOPLES |
$2,449 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICARE- HUMANA |
$2,400 |
| 28285 |
Repair of hammertoe |
$12,271 |
HUMANA |
$3,673 |
| 28285 |
Repair of hammertoe |
$12,271 |
VANTAGE |
$4,163 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICAID |
$533 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICAID – UNITED |
$533 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28285 |
Repair of hammertoe |
$12,271 |
MEDICAID – AMERIHEALTH |
$533 |
| 28285 |
Repair of hammertoe |
$12,271 |
UNITED |
$2,188 |
| 28285 |
Repair of hammertoe |
$12,271 |
AETNA |
$1,512 |
| 28285 |
Repair of hammertoe |
$12,271 |
CIGNA |
$854 |
| 28285 |
Repair of hammertoe |
$12,271 |
LWCC |
$6,296 |
| 28285 |
Repair of hammertoe |
$12,271 |
PPOPLUS |
$8,125 |
| 28285 |
Repair of hammertoe |
$12,271 |
GILSBAR |
$6,577 |
| 28285 |
Repair of hammertoe |
$12,271 |
LSU |
$4,369 |
| 28285 |
Repair of hammertoe |
$12,271 |
VERITY |
$3,386 |
| 28285 |
Repair of hammertoe |
$12,271 |
MULTIPLAN |
$3,386 |
| 28285 |
Repair of hammertoe |
$12,271 |
LA WORK COMP |
$12,271 |
| 28285 |
Repair of hammertoe |
$12,271 |
|
|
| 27380 |
Repair of kneecap tendon |
$18,040 |
Private Pay |
$15,338 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
BC PPO |
$6,827 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
BC HMO |
$5,990 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
BC FMOL |
$6,047 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE |
$5,351 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE – UNITED |
$5,351 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE – COVENTRY |
$5,351 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE – VANTAGE |
$5,351 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE -PEOPLES |
$5,351 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICARE- HUMANA |
$5,244 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
HUMANA |
$8,026 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
VANTAGE |
$9,097 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICAID |
$348 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICAID – UNITED |
$348 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICAID – HEALTHY BLUE |
$348 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MEDICAID – AMERIHEALTH |
$348 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
UNITED |
$6,879 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
AETNA |
$5,410 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
CIGNA |
$6,694 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
LWCC |
$13,758 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
PPOPLUS |
$9,356 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
GILSBAR |
$8,278 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
LSU |
$9,507 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
VERITY |
$7,176 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
MULTIPLAN |
$7,176 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
LA WORK COMP |
$18,040 |
| 27380 |
Repair of kneecap tendon |
$18,040 |
|
|
| 28322 |
Repair of metatarsals |
$21,093 |
Private Pay |
$20,849 |
| 28322 |
Repair of metatarsals |
$21,093 |
BC PPO |
$6,173 |
| 28322 |
Repair of metatarsals |
$21,093 |
BC HMO |
$5,417 |
| 28322 |
Repair of metatarsals |
$21,093 |
BC FMOL |
$5,468 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE |
$5,351 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE – UNITED |
$5,351 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE – COVENTRY |
$5,351 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE – VANTAGE |
$5,351 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE -PEOPLES |
$5,351 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICARE- HUMANA |
$5,244 |
| 28322 |
Repair of metatarsals |
$21,093 |
HUMANA |
$8,026 |
| 28322 |
Repair of metatarsals |
$21,093 |
VANTAGE |
$9,097 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICAID |
$659 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICAID – UNITED |
$659 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28322 |
Repair of metatarsals |
$21,093 |
MEDICAID – AMERIHEALTH |
$659 |
| 28322 |
Repair of metatarsals |
$21,093 |
UNITED |
$2,188 |
| 28322 |
Repair of metatarsals |
$21,093 |
AETNA |
$4,037 |
| 28322 |
Repair of metatarsals |
$21,093 |
CIGNA |
$4,397 |
| 28322 |
Repair of metatarsals |
$21,093 |
LWCC |
$13,758 |
| 28322 |
Repair of metatarsals |
$21,093 |
PPOPLUS |
$12,718 |
| 28322 |
Repair of metatarsals |
$21,093 |
GILSBAR |
$10,635 |
| 28322 |
Repair of metatarsals |
$21,093 |
LSU |
$7,028 |
| 28322 |
Repair of metatarsals |
$21,093 |
VERITY |
$7,176 |
| 28322 |
Repair of metatarsals |
$21,093 |
MULTIPLAN |
$7,176 |
| 28322 |
Repair of metatarsals |
$21,093 |
LA WORK COMP |
$21,093 |
| 28322 |
Repair of metatarsals |
$21,093 |
|
|
| 11760 |
Repair of nail bed |
$5,927 |
Private Pay |
$6,585 |
| 11760 |
Repair of nail bed |
$5,927 |
BC PPO |
$632 |
| 11760 |
Repair of nail bed |
$5,927 |
BC HMO |
$555 |
| 11760 |
Repair of nail bed |
$5,927 |
BC FMOL |
$560 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE |
$445 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE – BLUE CROSS |
$445 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE – UNITED |
$445 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE – COVENTRY |
$445 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE – VANTAGE |
$445 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE -PEOPLES |
$445 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICARE- HUMANA |
$436 |
| 11760 |
Repair of nail bed |
$5,927 |
HUMANA |
$667 |
| 11760 |
Repair of nail bed |
$5,927 |
VANTAGE |
$756 |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICAID |
$- |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICAID – UNITED |
$- |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICAID – HEALTHY BLUE |
$- |
| 11760 |
Repair of nail bed |
$5,927 |
MEDICAID – AMERIHEALTH |
$- |
| 11760 |
Repair of nail bed |
$5,927 |
UNITED |
$392 |
| 11760 |
Repair of nail bed |
$5,927 |
AETNA |
$750 |
| 11760 |
Repair of nail bed |
$5,927 |
CIGNA |
$854 |
| 11760 |
Repair of nail bed |
$5,927 |
LWCC |
$1,143 |
| 11760 |
Repair of nail bed |
$5,927 |
PPOPLUS |
$4,017 |
| 11760 |
Repair of nail bed |
$5,927 |
GILSBAR |
$3,227 |
| 11760 |
Repair of nail bed |
$5,927 |
LSU |
$4,000 |
| 11760 |
Repair of nail bed |
$5,927 |
VERITY |
$625 |
| 11760 |
Repair of nail bed |
$5,927 |
MULTIPLAN |
$625 |
| 11760 |
Repair of nail bed |
$5,927 |
LA WORK COMP |
$5,927 |
| 11760 |
Repair of nail bed |
$5,927 |
|
|
| 30520 |
Repair of nasal septum |
$9,763 |
Private Pay |
$10,848 |
| 30520 |
Repair of nasal septum |
$9,763 |
BC PPO |
$1,282 |
| 30520 |
Repair of nasal septum |
$9,763 |
BC HMO |
$1,125 |
| 30520 |
Repair of nasal septum |
$9,763 |
BC FMOL |
$1,136 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE |
$2,343 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE – BLUE CROSS |
$2,343 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE – UNITED |
$2,343 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE – COVENTRY |
$2,343 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE – VANTAGE |
$2,343 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE -PEOPLES |
$2,343 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICARE- HUMANA |
$2,296 |
| 30520 |
Repair of nasal septum |
$9,763 |
HUMANA |
$3,515 |
| 30520 |
Repair of nasal septum |
$9,763 |
VANTAGE |
$3,983 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICAID |
$659 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICAID – UNITED |
$659 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICAID – HEALTHY BLUE |
$659 |
| 30520 |
Repair of nasal septum |
$9,763 |
MEDICAID – AMERIHEALTH |
$659 |
| 30520 |
Repair of nasal septum |
$9,763 |
UNITED |
$2,188 |
| 30520 |
Repair of nasal septum |
$9,763 |
AETNA |
$1,475 |
| 30520 |
Repair of nasal septum |
$9,763 |
CIGNA |
$1,102 |
| 30520 |
Repair of nasal septum |
$9,763 |
LWCC |
$6,024 |
| 30520 |
Repair of nasal septum |
$9,763 |
PPOPLUS |
$6,617 |
| 30520 |
Repair of nasal septum |
$9,763 |
GILSBAR |
$5,315 |
| 30520 |
Repair of nasal septum |
$9,763 |
LSU |
$4,000 |
| 30520 |
Repair of nasal septum |
$9,763 |
VERITY |
$2,815 |
| 30520 |
Repair of nasal septum |
$9,763 |
MULTIPLAN |
$2,815 |
| 30520 |
Repair of nasal septum |
$9,763 |
LA WORK COMP |
$9,763 |
| 30520 |
Repair of nasal septum |
$9,763 |
|
|
| 24342 |
Repair of ruptured tendon |
$13,758 |
Private Pay |
$12,672 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
BC PPO |
$7,117 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
BC HMO |
$6,245 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
BC FMOL |
$6,305 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE |
$5,351 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE – BLUE CROSS |
$5,351 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE – UNITED |
$5,351 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE – COVENTRY |
$5,351 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE – VANTAGE |
$5,351 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE -PEOPLES |
$5,351 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICARE- HUMANA |
$5,244 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
HUMANA |
$8,026 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
VANTAGE |
$9,097 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICAID |
$533 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICAID – UNITED |
$533 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MEDICAID – AMERIHEALTH |
$533 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
UNITED |
$3,860 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
AETNA |
$2,598 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
CIGNA |
$2,670 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
LWCC |
$13,758 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
PPOPLUS |
$7,730 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
GILSBAR |
$6,438 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
LSU |
$5,653 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
VERITY |
$7,176 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
MULTIPLAN |
$7,176 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
LA WORK COMP |
$12,676 |
| 24342 |
Repair of ruptured tendon |
$13,758 |
|
|
| 27385 |
Repair of thigh muscle |
$21,378 |
Private Pay |
$19,427 |
| 27385 |
Repair of thigh muscle |
$21,378 |
BC PPO |
$6,827 |
| 27385 |
Repair of thigh muscle |
$21,378 |
BC HMO |
$5,990 |
| 27385 |
Repair of thigh muscle |
$21,378 |
BC FMOL |
$6,047 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE |
$5,351 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE – UNITED |
$5,351 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE – COVENTRY |
$5,351 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE – VANTAGE |
$5,351 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE -PEOPLES |
$5,351 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICARE- HUMANA |
$5,244 |
| 27385 |
Repair of thigh muscle |
$21,378 |
HUMANA |
$8,026 |
| 27385 |
Repair of thigh muscle |
$21,378 |
VANTAGE |
$9,097 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICAID |
$533 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICAID – UNITED |
$533 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MEDICAID – AMERIHEALTH |
$533 |
| 27385 |
Repair of thigh muscle |
$21,378 |
UNITED |
$2,923 |
| 27385 |
Repair of thigh muscle |
$21,378 |
AETNA |
$5,484 |
| 27385 |
Repair of thigh muscle |
$21,378 |
CIGNA |
$5,994 |
| 27385 |
Repair of thigh muscle |
$21,378 |
LWCC |
$13,758 |
| 27385 |
Repair of thigh muscle |
$21,378 |
PPOPLUS |
$11,850 |
| 27385 |
Repair of thigh muscle |
$21,378 |
GILSBAR |
$10,220 |
| 27385 |
Repair of thigh muscle |
$21,378 |
LSU |
$9,063 |
| 27385 |
Repair of thigh muscle |
$21,378 |
VERITY |
$7,176 |
| 27385 |
Repair of thigh muscle |
$21,378 |
MULTIPLAN |
$7,176 |
| 27385 |
Repair of thigh muscle |
$21,378 |
LA WORK COMP |
$21,378 |
| 27385 |
Repair of thigh muscle |
$21,378 |
|
|
| 25400 |
Repair radius or ulna |
$16,918 |
Private Pay |
$15,170 |
| 25400 |
Repair radius or ulna |
$16,918 |
BC PPO |
$6,827 |
| 25400 |
Repair radius or ulna |
$16,918 |
BC HMO |
$5,990 |
| 25400 |
Repair radius or ulna |
$16,918 |
BC FMOL |
$6,047 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE |
$5,351 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE – UNITED |
$5,351 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE – COVENTRY |
$5,351 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE – VANTAGE |
$5,351 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE -PEOPLES |
$5,351 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICARE- HUMANA |
$5,244 |
| 25400 |
Repair radius or ulna |
$16,918 |
HUMANA |
$8,026 |
| 25400 |
Repair radius or ulna |
$16,918 |
VANTAGE |
$9,097 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICAID |
$533 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICAID – UNITED |
$533 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25400 |
Repair radius or ulna |
$16,918 |
MEDICAID – AMERIHEALTH |
$533 |
| 25400 |
Repair radius or ulna |
$16,918 |
UNITED |
$3,860 |
| 25400 |
Repair radius or ulna |
$16,918 |
AETNA |
$4,791 |
| 25400 |
Repair radius or ulna |
$16,918 |
CIGNA |
$5,301 |
| 25400 |
Repair radius or ulna |
$16,918 |
LWCC |
$13,758 |
| 25400 |
Repair radius or ulna |
$16,918 |
PPOPLUS |
$9,254 |
| 25400 |
Repair radius or ulna |
$16,918 |
GILSBAR |
$8,021 |
| 25400 |
Repair radius or ulna |
$16,918 |
LSU |
$8,244 |
| 25400 |
Repair radius or ulna |
$16,918 |
VERITY |
$7,176 |
| 25400 |
Repair radius or ulna |
$16,918 |
MULTIPLAN |
$7,176 |
| 25400 |
Repair radius or ulna |
$16,918 |
LA WORK COMP |
$16,918 |
| 25400 |
Repair radius or ulna |
$16,918 |
|
|
| 57250 |
Repair rectum & vagina |
$13,851 |
Private Pay |
$13,097 |
| 57250 |
Repair rectum & vagina |
$13,851 |
BC PPO |
$4,048 |
| 57250 |
Repair rectum & vagina |
$13,851 |
BC HMO |
$3,552 |
| 57250 |
Repair rectum & vagina |
$13,851 |
BC FMOL |
$3,586 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE |
$3,821 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE – BLUE CROSS |
$3,821 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE – UNITED |
$3,821 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE – COVENTRY |
$3,821 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE – VANTAGE |
$3,821 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE -PEOPLES |
$3,821 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICARE- HUMANA |
$3,745 |
| 57250 |
Repair rectum & vagina |
$13,851 |
HUMANA |
$5,731 |
| 57250 |
Repair rectum & vagina |
$13,851 |
VANTAGE |
$6,496 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICAID |
$750 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICAID – UNITED |
$750 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICAID – HEALTHY BLUE |
$750 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MEDICAID – AMERIHEALTH |
$750 |
| 57250 |
Repair rectum & vagina |
$13,851 |
UNITED |
$2,923 |
| 57250 |
Repair rectum & vagina |
$13,851 |
AETNA |
$3,920 |
| 57250 |
Repair rectum & vagina |
$13,851 |
CIGNA |
$3,826 |
| 57250 |
Repair rectum & vagina |
$13,851 |
LWCC |
$9,825 |
| 57250 |
Repair rectum & vagina |
$13,851 |
PPOPLUS |
$7,989 |
| 57250 |
Repair rectum & vagina |
$13,851 |
GILSBAR |
$6,789 |
| 57250 |
Repair rectum & vagina |
$13,851 |
LSU |
$6,683 |
| 57250 |
Repair rectum & vagina |
$13,851 |
VERITY |
$5,263 |
| 57250 |
Repair rectum & vagina |
$13,851 |
MULTIPLAN |
$5,263 |
| 57250 |
Repair rectum & vagina |
$13,851 |
LA WORK COMP |
$13,851 |
| 57250 |
Repair rectum & vagina |
$13,851 |
|
|
| 23466 |
Repair shoulder capsule |
$17,438 |
Private Pay |
$19,376 |
| 23466 |
Repair shoulder capsule |
$17,438 |
BC PPO |
$7,263 |
| 23466 |
Repair shoulder capsule |
$17,438 |
BC HMO |
$6,373 |
| 23466 |
Repair shoulder capsule |
$17,438 |
BC FMOL |
$6,433 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE |
$5,351 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE – BLUE CROSS |
$5,351 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE – UNITED |
$5,351 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE – COVENTRY |
$5,351 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE – VANTAGE |
$5,351 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE -PEOPLES |
$5,351 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICARE- HUMANA |
$5,244 |
| 23466 |
Repair shoulder capsule |
$17,438 |
HUMANA |
$8,026 |
| 23466 |
Repair shoulder capsule |
$17,438 |
VANTAGE |
$9,097 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICAID |
$1,040 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICAID – UNITED |
$1,040 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 23466 |
Repair shoulder capsule |
$17,438 |
UNITED |
$3,860 |
| 23466 |
Repair shoulder capsule |
$17,438 |
AETNA |
$2,100 |
| 23466 |
Repair shoulder capsule |
$17,438 |
CIGNA |
$854 |
| 23466 |
Repair shoulder capsule |
$17,438 |
LWCC |
$13,758 |
| 23466 |
Repair shoulder capsule |
$17,438 |
PPOPLUS |
$11,819 |
| 23466 |
Repair shoulder capsule |
$17,438 |
GILSBAR |
$9,494 |
| 23466 |
Repair shoulder capsule |
$17,438 |
LSU |
$4,000 |
| 23466 |
Repair shoulder capsule |
$17,438 |
VERITY |
$7,176 |
| 23466 |
Repair shoulder capsule |
$17,438 |
MULTIPLAN |
$7,176 |
| 23466 |
Repair shoulder capsule |
$17,438 |
LA WORK COMP |
$17,438 |
| 23466 |
Repair shoulder capsule |
$17,438 |
|
|
| 25447 |
Repair wrist joints |
$9,182 |
Private Pay |
$9,269 |
| 25447 |
Repair wrist joints |
$9,182 |
BC PPO |
$2,913 |
| 25447 |
Repair wrist joints |
$9,182 |
BC HMO |
$2,556 |
| 25447 |
Repair wrist joints |
$9,182 |
BC FMOL |
$2,580 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE |
$2,449 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE – UNITED |
$2,449 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE – COVENTRY |
$2,449 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE – VANTAGE |
$2,449 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE -PEOPLES |
$2,449 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICARE- HUMANA |
$2,400 |
| 25447 |
Repair wrist joints |
$9,182 |
HUMANA |
$3,673 |
| 25447 |
Repair wrist joints |
$9,182 |
VANTAGE |
$4,163 |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICAID |
$- |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICAID – UNITED |
$- |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICAID – HEALTHY BLUE |
$- |
| 25447 |
Repair wrist joints |
$9,182 |
MEDICAID – AMERIHEALTH |
$- |
| 25447 |
Repair wrist joints |
$9,182 |
UNITED |
$3,860 |
| 25447 |
Repair wrist joints |
$9,182 |
AETNA |
$2,574 |
| 25447 |
Repair wrist joints |
$9,182 |
CIGNA |
$2,100 |
| 25447 |
Repair wrist joints |
$9,182 |
LWCC |
$6,296 |
| 25447 |
Repair wrist joints |
$9,182 |
PPOPLUS |
$5,654 |
| 25447 |
Repair wrist joints |
$9,182 |
GILSBAR |
$4,693 |
| 25447 |
Repair wrist joints |
$9,182 |
LSU |
$5,092 |
| 25447 |
Repair wrist joints |
$9,182 |
VERITY |
$3,386 |
| 25447 |
Repair wrist joints |
$9,182 |
MULTIPLAN |
$3,386 |
| 25447 |
Repair wrist joints |
$9,182 |
LA WORK COMP |
$9,182 |
| 25447 |
Repair wrist joints |
$9,182 |
|
|
| 25405 |
Repair/graft radius or ulna |
$22,742 |
Private Pay |
$22,132 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
BC PPO |
$7,117 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
BC HMO |
$6,245 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
BC FMOL |
$6,305 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE |
$5,351 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE – UNITED |
$5,351 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE – COVENTRY |
$5,351 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE – VANTAGE |
$5,351 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE -PEOPLES |
$5,351 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICARE- HUMANA |
$5,244 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
HUMANA |
$8,026 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
VANTAGE |
$9,097 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICAID |
$659 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICAID – UNITED |
$659 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICAID – HEALTHY BLUE |
$659 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MEDICAID – AMERIHEALTH |
$659 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
UNITED |
$4,460 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
AETNA |
$4,581 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
CIGNA |
$4,830 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
LWCC |
$13,758 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
PPOPLUS |
$13,500 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
GILSBAR |
$11,353 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
LSU |
$7,671 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
VERITY |
$7,176 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
MULTIPLAN |
$7,176 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
LA WORK COMP |
$22,742 |
| 25405 |
Repair/graft radius or ulna |
$22,742 |
|
|
| 25440 |
Repair/graft wrist bone |
$13,758 |
Private Pay |
$12,449 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
BC PPO |
$7,117 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
BC HMO |
$6,245 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
BC FMOL |
$6,305 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE |
$5,351 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE – UNITED |
$5,351 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE – COVENTRY |
$5,351 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE – VANTAGE |
$5,351 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE -PEOPLES |
$5,351 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICARE- HUMANA |
$5,244 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
HUMANA |
$8,026 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
VANTAGE |
$9,097 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICAID |
$659 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICAID – UNITED |
$659 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICAID – HEALTHY BLUE |
$659 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MEDICAID – AMERIHEALTH |
$659 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
UNITED |
$3,860 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
AETNA |
$2,471 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
CIGNA |
$2,050 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
LWCC |
$13,758 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
PPOPLUS |
$7,594 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
GILSBAR |
$6,263 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
LSU |
$5,178 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
VERITY |
$7,176 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
MULTIPLAN |
$7,176 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
LA WORK COMP |
$12,110 |
| 25440 |
Repair/graft wrist bone |
$13,758 |
|
|
| 25320 |
Repair/revise wrist joint |
$15,443 |
Private Pay |
$15,307 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
BC PPO |
$6,173 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
BC HMO |
$5,417 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
BC FMOL |
$5,468 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE |
$5,351 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE – UNITED |
$5,351 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE – COVENTRY |
$5,351 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE – VANTAGE |
$5,351 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE -PEOPLES |
$5,351 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICARE- HUMANA |
$5,244 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
HUMANA |
$8,026 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
VANTAGE |
$9,097 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICAID |
$533 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICAID – UNITED |
$533 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MEDICAID – AMERIHEALTH |
$533 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
UNITED |
$3,860 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
AETNA |
$3,033 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
CIGNA |
$3,302 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
LWCC |
$13,758 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
PPOPLUS |
$9,337 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
GILSBAR |
$7,800 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
LSU |
$6,167 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
VERITY |
$7,176 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
MULTIPLAN |
$7,176 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
LA WORK COMP |
$15,443 |
| 25320 |
Repair/revise wrist joint |
$15,443 |
|
|
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
Private Pay |
$14,922 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
BC PPO |
$2,296 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
BC HMO |
$2,015 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
BC FMOL |
$2,034 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE |
$2,449 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE – BLUE CROSS |
$2,449 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE – UNITED |
$2,449 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE – COVENTRY |
$2,449 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE – VANTAGE |
$2,449 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE -PEOPLES |
$2,449 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICARE- HUMANA |
$2,400 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
HUMANA |
$3,673 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
VANTAGE |
$4,163 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICAID |
$- |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICAID – UNITED |
$- |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICAID – HEALTHY BLUE |
$- |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MEDICAID – AMERIHEALTH |
$- |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
UNITED |
$2,923 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
AETNA |
$1,938 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
CIGNA |
$634 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
LWCC |
$6,296 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
PPOPLUS |
$9,102 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
GILSBAR |
$7,388 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
LSU |
$4,547 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
VERITY |
$3,386 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
MULTIPLAN |
$3,386 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
LA WORK COMP |
$13,850 |
| 24343 |
Repr elbow lat ligmnt w/tiss |
$13,850 |
|
|
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
Private Pay |
$11,175 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
BC PPO |
$3,696 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
BC HMO |
$3,243 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
BC FMOL |
$3,274 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE |
$2,781 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE – BLUE CROSS |
$2,781 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE – UNITED |
$2,781 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE – COVENTRY |
$2,781 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE – VANTAGE |
$2,781 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE -PEOPLES |
$2,781 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICARE- HUMANA |
$2,726 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
HUMANA |
$4,172 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
VANTAGE |
$4,728 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICAID |
$1,040 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICAID – UNITED |
$1,040 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
UNITED |
$2,923 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
AETNA |
$2,971 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
CIGNA |
$1,900 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
LWCC |
$7,151 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
PPOPLUS |
$6,817 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
GILSBAR |
$5,720 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
LSU |
$5,769 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
VERITY |
$3,726 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
MULTIPLAN |
$3,726 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
LA WORK COMP |
$11,418 |
| 49520 |
Rerepair ing hernia reduce |
$11,418 |
|
|
| 64708 |
Revise arm/leg nerve |
$14,267 |
Private Pay |
$12,191 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
BC PPO |
$1,773 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
BC HMO |
$1,556 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
BC FMOL |
$1,571 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE |
$1,538 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE – BLUE CROSS |
$1,538 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE – UNITED |
$1,538 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE – COVENTRY |
$1,538 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE – VANTAGE |
$1,538 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE -PEOPLES |
$1,538 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICARE- HUMANA |
$1,507 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
HUMANA |
$2,307 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
VANTAGE |
$2,615 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICAID |
$466 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICAID – UNITED |
$466 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICAID – HEALTHY BLUE |
$466 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MEDICAID – AMERIHEALTH |
$466 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
UNITED |
$2,188 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
AETNA |
$4,624 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
CIGNA |
$5,451 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
LWCC |
$3,955 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
PPOPLUS |
$7,437 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
GILSBAR |
$6,567 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
LSU |
$8,283 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
VERITY |
$2,061 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
MULTIPLAN |
$2,061 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
LA WORK COMP |
$14,267 |
| 64708 |
Revise arm/leg nerve |
$14,267 |
|
|
| 26140 |
Revise finger joint each |
$6,712 |
Private Pay |
$7,106 |
| 26140 |
Revise finger joint each |
$6,712 |
BC PPO |
$1,749 |
| 26140 |
Revise finger joint each |
$6,712 |
BC HMO |
$1,534 |
| 26140 |
Revise finger joint each |
$6,712 |
BC FMOL |
$1,549 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE |
$1,212 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE – UNITED |
$1,212 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE – COVENTRY |
$1,212 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE – VANTAGE |
$1,212 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE -PEOPLES |
$1,212 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICARE- HUMANA |
$1,188 |
| 26140 |
Revise finger joint each |
$6,712 |
HUMANA |
$1,819 |
| 26140 |
Revise finger joint each |
$6,712 |
VANTAGE |
$2,061 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICAID |
$466 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICAID – UNITED |
$466 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICAID – HEALTHY BLUE |
$466 |
| 26140 |
Revise finger joint each |
$6,712 |
MEDICAID – AMERIHEALTH |
$466 |
| 26140 |
Revise finger joint each |
$6,712 |
UNITED |
$734 |
| 26140 |
Revise finger joint each |
$6,712 |
AETNA |
$1,348 |
| 26140 |
Revise finger joint each |
$6,712 |
CIGNA |
$2,756 |
| 26140 |
Revise finger joint each |
$6,712 |
LWCC |
$3,117 |
| 26140 |
Revise finger joint each |
$6,712 |
PPOPLUS |
$4,335 |
| 26140 |
Revise finger joint each |
$6,712 |
GILSBAR |
$3,539 |
| 26140 |
Revise finger joint each |
$6,712 |
LSU |
$4,412 |
| 26140 |
Revise finger joint each |
$6,712 |
VERITY |
$1,728 |
| 26140 |
Revise finger joint each |
$6,712 |
MULTIPLAN |
$1,728 |
| 26140 |
Revise finger joint each |
$6,712 |
LA WORK COMP |
$6,712 |
| 26140 |
Revise finger joint each |
$6,712 |
|
|
| 26531 |
Revise knuckle with implant |
$21,340 |
Private Pay |
$18,492 |
| 26531 |
Revise knuckle with implant |
$21,340 |
BC PPO |
$4,866 |
| 26531 |
Revise knuckle with implant |
$21,340 |
BC HMO |
$4,270 |
| 26531 |
Revise knuckle with implant |
$21,340 |
BC FMOL |
$4,310 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE |
$5,351 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE – BLUE CROSS |
$5,351 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE – UNITED |
$5,351 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE – COVENTRY |
$5,351 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE – VANTAGE |
$5,351 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE -PEOPLES |
$5,351 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICARE- HUMANA |
$5,244 |
| 26531 |
Revise knuckle with implant |
$21,340 |
HUMANA |
$8,026 |
| 26531 |
Revise knuckle with implant |
$21,340 |
VANTAGE |
$9,097 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICAID |
$1,040 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICAID – UNITED |
$1,040 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 26531 |
Revise knuckle with implant |
$21,340 |
UNITED |
$8,247 |
| 26531 |
Revise knuckle with implant |
$21,340 |
AETNA |
$7,266 |
| 26531 |
Revise knuckle with implant |
$21,340 |
CIGNA |
$7,302 |
| 26531 |
Revise knuckle with implant |
$21,340 |
LWCC |
$13,758 |
| 26531 |
Revise knuckle with implant |
$21,340 |
PPOPLUS |
$11,280 |
| 26531 |
Revise knuckle with implant |
$21,340 |
GILSBAR |
$9,907 |
| 26531 |
Revise knuckle with implant |
$21,340 |
LSU |
$10,106 |
| 26531 |
Revise knuckle with implant |
$21,340 |
VERITY |
$7,176 |
| 26531 |
Revise knuckle with implant |
$21,340 |
MULTIPLAN |
$7,176 |
| 26531 |
Revise knuckle with implant |
$21,340 |
LA WORK COMP |
$21,340 |
| 26531 |
Revise knuckle with implant |
$21,340 |
|
|
| 27691 |
Revise lower leg tendon |
$20,877 |
Private Pay |
$20,177 |
| 27691 |
Revise lower leg tendon |
$20,877 |
BC PPO |
$4,866 |
| 27691 |
Revise lower leg tendon |
$20,877 |
BC HMO |
$4,270 |
| 27691 |
Revise lower leg tendon |
$20,877 |
BC FMOL |
$4,310 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE |
$5,351 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE – UNITED |
$5,351 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE – COVENTRY |
$5,351 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE – VANTAGE |
$5,351 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE -PEOPLES |
$5,351 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICARE- HUMANA |
$5,244 |
| 27691 |
Revise lower leg tendon |
$20,877 |
HUMANA |
$8,026 |
| 27691 |
Revise lower leg tendon |
$20,877 |
VANTAGE |
$9,097 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICAID |
$659 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICAID – UNITED |
$659 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICAID – HEALTHY BLUE |
$659 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MEDICAID – AMERIHEALTH |
$659 |
| 27691 |
Revise lower leg tendon |
$20,877 |
UNITED |
$3,860 |
| 27691 |
Revise lower leg tendon |
$20,877 |
AETNA |
$4,465 |
| 27691 |
Revise lower leg tendon |
$20,877 |
CIGNA |
$4,690 |
| 27691 |
Revise lower leg tendon |
$20,877 |
LWCC |
$13,758 |
| 27691 |
Revise lower leg tendon |
$20,877 |
PPOPLUS |
$12,308 |
| 27691 |
Revise lower leg tendon |
$20,877 |
GILSBAR |
$10,376 |
| 27691 |
Revise lower leg tendon |
$20,877 |
LSU |
$7,534 |
| 27691 |
Revise lower leg tendon |
$20,877 |
VERITY |
$7,176 |
| 27691 |
Revise lower leg tendon |
$20,877 |
MULTIPLAN |
$7,176 |
| 27691 |
Revise lower leg tendon |
$20,877 |
LA WORK COMP |
$20,877 |
| 27691 |
Revise lower leg tendon |
$20,877 |
|
|
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
Private Pay |
$9,074 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
BC PPO |
$1,586 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
BC HMO |
$1,391 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
BC FMOL |
$1,405 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE |
$1,538 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE – BLUE CROSS |
$1,538 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE – UNITED |
$1,538 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE – COVENTRY |
$1,538 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE – VANTAGE |
$1,538 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE -PEOPLES |
$1,538 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICARE- HUMANA |
$1,507 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
HUMANA |
$2,307 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
VANTAGE |
$2,615 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICAID |
$466 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICAID – UNITED |
$466 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICAID – HEALTHY BLUE |
$466 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MEDICAID – AMERIHEALTH |
$466 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
UNITED |
$6,359 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
AETNA |
$5,912 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
CIGNA |
$6,886 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
LWCC |
$3,955 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
PPOPLUS |
$5,535 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
GILSBAR |
$5,250 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
LSU |
$9,805 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
VERITY |
$2,061 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
MULTIPLAN |
$2,061 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
LA WORK COMP |
$12,632 |
| 64718 |
Revise ulnar nerve at elbow |
$12,632 |
|
|
| 52500 |
Revision of bladder neck |
$11,488 |
Private Pay |
$12,764 |
| 52500 |
Revision of bladder neck |
$11,488 |
BC PPO |
$3,493 |
| 52500 |
Revision of bladder neck |
$11,488 |
BC HMO |
$3,065 |
| 52500 |
Revision of bladder neck |
$11,488 |
BC FMOL |
$3,095 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE |
$2,700 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE – BLUE CROSS |
$2,700 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE – UNITED |
$2,700 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE – COVENTRY |
$2,700 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE – VANTAGE |
$2,700 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE -PEOPLES |
$2,700 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICARE- HUMANA |
$2,646 |
| 52500 |
Revision of bladder neck |
$11,488 |
HUMANA |
$4,050 |
| 52500 |
Revision of bladder neck |
$11,488 |
VANTAGE |
$4,590 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICAID |
$533 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICAID – UNITED |
$533 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICAID – HEALTHY BLUE |
$533 |
| 52500 |
Revision of bladder neck |
$11,488 |
MEDICAID – AMERIHEALTH |
$533 |
| 52500 |
Revision of bladder neck |
$11,488 |
UNITED |
$2,188 |
| 52500 |
Revision of bladder neck |
$11,488 |
AETNA |
$1,200 |
| 52500 |
Revision of bladder neck |
$11,488 |
CIGNA |
$634 |
| 52500 |
Revision of bladder neck |
$11,488 |
LWCC |
$6,943 |
| 52500 |
Revision of bladder neck |
$11,488 |
PPOPLUS |
$7,786 |
| 52500 |
Revision of bladder neck |
$11,488 |
GILSBAR |
$6,255 |
| 52500 |
Revision of bladder neck |
$11,488 |
LSU |
$4,000 |
| 52500 |
Revision of bladder neck |
$11,488 |
VERITY |
$3,452 |
| 52500 |
Revision of bladder neck |
$11,488 |
MULTIPLAN |
$3,452 |
| 52500 |
Revision of bladder neck |
$11,488 |
LA WORK COMP |
$11,488 |
| 52500 |
Revision of bladder neck |
$11,488 |
|
|
| 31254 |
Revision of ethmoid sinus |
$12,513 |
Private Pay |
$10,528 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
BC PPO |
$2,835 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
BC HMO |
$2,488 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
BC FMOL |
$2,512 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE |
$4,867 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE – BLUE CROSS |
$4,867 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE – UNITED |
$4,867 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE – COVENTRY |
$4,867 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE – VANTAGE |
$4,867 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE -PEOPLES |
$4,867 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICARE- HUMANA |
$4,769 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
HUMANA |
$7,300 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
VANTAGE |
$8,273 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICAID |
$533 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICAID – UNITED |
$533 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICAID – HEALTHY BLUE |
$533 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MEDICAID – AMERIHEALTH |
$533 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
UNITED |
$2,188 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
AETNA |
$1,475 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
CIGNA |
$854 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
LWCC |
$12,513 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
PPOPLUS |
$6,422 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
GILSBAR |
$5,159 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
LSU |
$4,000 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
VERITY |
$6,226 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
MULTIPLAN |
$6,226 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
LA WORK COMP |
$9,476 |
| 31254 |
Revision of ethmoid sinus |
$12,513 |
|
|
| 28116 |
Revision of foot |
$15,625 |
Private Pay |
$17,215 |
| 28116 |
Revision of foot |
$15,625 |
BC PPO |
$2,913 |
| 28116 |
Revision of foot |
$15,625 |
BC HMO |
$2,556 |
| 28116 |
Revision of foot |
$15,625 |
BC FMOL |
$2,580 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE |
$2,449 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE – UNITED |
$2,449 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE – COVENTRY |
$2,449 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE – VANTAGE |
$2,449 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE -PEOPLES |
$2,449 |
| 28116 |
Revision of foot |
$15,625 |
MEDICARE- HUMANA |
$2,400 |
| 28116 |
Revision of foot |
$15,625 |
HUMANA |
$3,673 |
| 28116 |
Revision of foot |
$15,625 |
VANTAGE |
$4,163 |
| 28116 |
Revision of foot |
$15,625 |
MEDICAID |
$533 |
| 28116 |
Revision of foot |
$15,625 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28116 |
Revision of foot |
$15,625 |
MEDICAID – UNITED |
$533 |
| 28116 |
Revision of foot |
$15,625 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28116 |
Revision of foot |
$15,625 |
MEDICAID – AMERIHEALTH |
$533 |
| 28116 |
Revision of foot |
$15,625 |
UNITED |
$2,188 |
| 28116 |
Revision of foot |
$15,625 |
AETNA |
$1,345 |
| 28116 |
Revision of foot |
$15,625 |
CIGNA |
$1,166 |
| 28116 |
Revision of foot |
$15,625 |
LWCC |
$6,296 |
| 28116 |
Revision of foot |
$15,625 |
PPOPLUS |
$10,501 |
| 28116 |
Revision of foot |
$15,625 |
GILSBAR |
$8,459 |
| 28116 |
Revision of foot |
$15,625 |
LSU |
$4,171 |
| 28116 |
Revision of foot |
$15,625 |
VERITY |
$3,386 |
| 28116 |
Revision of foot |
$15,625 |
MULTIPLAN |
$3,386 |
| 28116 |
Revision of foot |
$15,625 |
LA WORK COMP |
$15,625 |
| 28116 |
Revision of foot |
$15,625 |
|
|
| 27446 |
Revision of knee joint |
$40,349 |
Private Pay |
$36,766 |
| 27446 |
Revision of knee joint |
$40,349 |
BC PPO |
$13,113 |
| 27446 |
Revision of knee joint |
$40,349 |
BC HMO |
$11,507 |
| 27446 |
Revision of knee joint |
$40,349 |
BC FMOL |
$11,616 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE |
$10,645 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE – BLUE CROSS |
$10,645 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE – UNITED |
$10,645 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE – COVENTRY |
$10,645 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE – VANTAGE |
$10,645 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE -PEOPLES |
$10,645 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICARE- HUMANA |
$10,433 |
| 27446 |
Revision of knee joint |
$40,349 |
HUMANA |
$15,968 |
| 27446 |
Revision of knee joint |
$40,349 |
VANTAGE |
$18,097 |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICAID |
$- |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICAID – UNITED |
$- |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICAID – HEALTHY BLUE |
$- |
| 27446 |
Revision of knee joint |
$40,349 |
MEDICAID – AMERIHEALTH |
$- |
| 27446 |
Revision of knee joint |
$40,349 |
UNITED |
$13,201 |
| 27446 |
Revision of knee joint |
$40,349 |
AETNA |
$8,786 |
| 27446 |
Revision of knee joint |
$40,349 |
CIGNA |
$10,685 |
| 27446 |
Revision of knee joint |
$40,349 |
LWCC |
$27,372 |
| 27446 |
Revision of knee joint |
$40,349 |
PPOPLUS |
$22,427 |
| 27446 |
Revision of knee joint |
$40,349 |
GILSBAR |
$19,322 |
| 27446 |
Revision of knee joint |
$40,349 |
LSU |
$13,438 |
| 27446 |
Revision of knee joint |
$40,349 |
VERITY |
$12,956 |
| 27446 |
Revision of knee joint |
$40,349 |
MULTIPLAN |
$12,956 |
| 27446 |
Revision of knee joint |
$40,349 |
LA WORK COMP |
$40,349 |
| 27446 |
Revision of knee joint |
$40,349 |
|
|
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
Private Pay |
$9,284 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
BC PPO |
$3,545 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
BC HMO |
$3,111 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
BC FMOL |
$3,140 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE |
$2,781 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE – BLUE CROSS |
$2,781 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE – UNITED |
$2,781 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE – COVENTRY |
$2,781 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE – VANTAGE |
$2,781 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE -PEOPLES |
$2,781 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICARE- HUMANA |
$2,726 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
HUMANA |
$4,172 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
VANTAGE |
$4,728 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICAID |
$659 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICAID – UNITED |
$659 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICAID – HEALTHY BLUE |
$659 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MEDICAID – AMERIHEALTH |
$659 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
UNITED |
$2,923 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
AETNA |
$1,475 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
CIGNA |
$854 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
LWCC |
$7,151 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
PPOPLUS |
$5,663 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
GILSBAR |
$4,549 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
LSU |
$4,000 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
VERITY |
$3,726 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
MULTIPLAN |
$3,726 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
LA WORK COMP |
$8,355 |
| 49500 |
Rpr ing hernia init reduce |
$8,355 |
|
|
| 49561 |
Rpr ventral hern init block |
$11,547 |
Private Pay |
$11,755 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
BC PPO |
$3,696 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
BC HMO |
$3,243 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
BC FMOL |
$3,274 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE |
$2,781 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE – BLUE CROSS |
$2,781 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE – UNITED |
$2,781 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE – COVENTRY |
$2,781 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE – VANTAGE |
$2,781 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE -PEOPLES |
$2,781 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICARE- HUMANA |
$2,726 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
HUMANA |
$4,172 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
VANTAGE |
$4,728 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICAID |
$1,400 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICAID – AETNA BETTER HEALTH |
$1,400 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICAID – UNITED |
$1,400 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICAID – HEALTHY BLUE |
$1,400 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MEDICAID – AMERIHEALTH |
$1,400 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
UNITED |
$2,923 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
AETNA |
$2,540 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
CIGNA |
$2,132 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
LWCC |
$7,151 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
PPOPLUS |
$7,170 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
GILSBAR |
$5,934 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
LSU |
$5,259 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
VERITY |
$3,726 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
MULTIPLAN |
$3,726 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
LA WORK COMP |
$11,547 |
| 49561 |
Rpr ventral hern init block |
$11,547 |
|
|
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
Private Pay |
$8,836 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
BC PPO |
$3,545 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
BC HMO |
$3,111 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
BC FMOL |
$3,140 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE |
$2,781 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE – BLUE CROSS |
$2,781 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE – UNITED |
$2,781 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE – COVENTRY |
$2,781 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE – VANTAGE |
$2,781 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE -PEOPLES |
$2,781 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICARE- HUMANA |
$2,726 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
HUMANA |
$4,172 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
VANTAGE |
$4,728 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICAID |
$659 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICAID – UNITED |
$659 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICAID – HEALTHY BLUE |
$659 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MEDICAID – AMERIHEALTH |
$659 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
UNITED |
$2,923 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
AETNA |
$2,382 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
CIGNA |
$1,943 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
LWCC |
$7,151 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
PPOPLUS |
$5,390 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
GILSBAR |
$4,478 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
LSU |
$5,072 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
VERITY |
$3,726 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
MULTIPLAN |
$3,726 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
LA WORK COMP |
$8,777 |
| 49560 |
Rpr ventral hern init reduc |
$8,777 |
|
|
| 25390 |
Shorten radius or ulna |
$22,906 |
Private Pay |
$21,447 |
| 25390 |
Shorten radius or ulna |
$22,906 |
BC PPO |
$6,827 |
| 25390 |
Shorten radius or ulna |
$22,906 |
BC HMO |
$5,990 |
| 25390 |
Shorten radius or ulna |
$22,906 |
BC FMOL |
$6,047 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE |
$5,351 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE – UNITED |
$5,351 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE – COVENTRY |
$5,351 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE – VANTAGE |
$5,351 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE -PEOPLES |
$5,351 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICARE- HUMANA |
$5,244 |
| 25390 |
Shorten radius or ulna |
$22,906 |
HUMANA |
$8,026 |
| 25390 |
Shorten radius or ulna |
$22,906 |
VANTAGE |
$9,097 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICAID |
$533 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICAID – UNITED |
$533 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MEDICAID – AMERIHEALTH |
$533 |
| 25390 |
Shorten radius or ulna |
$22,906 |
UNITED |
$3,860 |
| 25390 |
Shorten radius or ulna |
$22,906 |
AETNA |
$5,165 |
| 25390 |
Shorten radius or ulna |
$22,906 |
CIGNA |
$5,860 |
| 25390 |
Shorten radius or ulna |
$22,906 |
LWCC |
$13,758 |
| 25390 |
Shorten radius or ulna |
$22,906 |
PPOPLUS |
$13,082 |
| 25390 |
Shorten radius or ulna |
$22,906 |
GILSBAR |
$11,158 |
| 25390 |
Shorten radius or ulna |
$22,906 |
LSU |
$8,686 |
| 25390 |
Shorten radius or ulna |
$22,906 |
VERITY |
$7,176 |
| 25390 |
Shorten radius or ulna |
$22,906 |
MULTIPLAN |
$7,176 |
| 25390 |
Shorten radius or ulna |
$22,906 |
LA WORK COMP |
$22,906 |
| 25390 |
Shorten radius or ulna |
$22,906 |
|
|
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
Private Pay |
$23,205 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
BC PPO |
$6,827 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
BC HMO |
$5,990 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
BC FMOL |
$6,047 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE |
$5,351 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE – UNITED |
$5,351 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE – COVENTRY |
$5,351 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE – VANTAGE |
$5,351 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE -PEOPLES |
$5,351 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICARE- HUMANA |
$5,244 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
HUMANA |
$8,026 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
VANTAGE |
$9,097 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICAID |
$533 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICAID – UNITED |
$533 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MEDICAID – AMERIHEALTH |
$533 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
UNITED |
$4,460 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
AETNA |
$3,993 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
CIGNA |
$4,344 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
LWCC |
$13,758 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
PPOPLUS |
$14,155 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
GILSBAR |
$11,827 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
LSU |
$7,301 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
VERITY |
$7,176 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
MULTIPLAN |
$7,176 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
LA WORK COMP |
$23,423 |
| 29806 |
Shoulder arthroscopy/surgery |
$23,423 |
|
|
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
Private Pay |
$20,301 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
BC PPO |
$5,520 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
BC HMO |
$4,843 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
BC FMOL |
$4,889 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE |
$5,351 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE – BLUE CROSS |
$5,351 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE – UNITED |
$5,351 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE – COVENTRY |
$5,351 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE – VANTAGE |
$5,351 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE -PEOPLES |
$5,351 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICARE- HUMANA |
$5,244 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
HUMANA |
$8,026 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
VANTAGE |
$9,097 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICAID |
$533 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICAID – UNITED |
$533 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MEDICAID – AMERIHEALTH |
$533 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
UNITED |
$4,460 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
AETNA |
$2,676 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
CIGNA |
$2,406 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
LWCC |
$13,758 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
PPOPLUS |
$12,383 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
GILSBAR |
$10,189 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
LSU |
$5,745 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
VERITY |
$7,176 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
MULTIPLAN |
$7,176 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
LA WORK COMP |
$19,613 |
| 29807 |
Shoulder arthroscopy/surgery |
$19,613 |
|
|
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
Private Pay |
$11,442 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
BC PPO |
$2,913 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
BC HMO |
$2,556 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
BC FMOL |
$2,580 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE |
$2,449 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE – UNITED |
$2,449 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE – COVENTRY |
$2,449 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE – VANTAGE |
$2,449 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE -PEOPLES |
$2,449 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICARE- HUMANA |
$2,400 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
HUMANA |
$3,673 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
VANTAGE |
$4,163 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICAID |
$533 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICAID – UNITED |
$533 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MEDICAID – AMERIHEALTH |
$533 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
UNITED |
$2,923 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
AETNA |
$1,884 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
CIGNA |
$104 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
LWCC |
$6,296 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
PPOPLUS |
$6,980 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
GILSBAR |
$5,719 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
LSU |
$4,808 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
VERITY |
$3,386 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
MULTIPLAN |
$3,386 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
LA WORK COMP |
$10,920 |
| 29822 |
Shoulder arthroscopy/surgery |
$10,920 |
|
|
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
Private Pay |
$11,307 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
BC PPO |
$2,296 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
BC HMO |
$2,015 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
BC FMOL |
$2,034 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE |
$2,449 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE – UNITED |
$2,449 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE – COVENTRY |
$2,449 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE – VANTAGE |
$2,449 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE -PEOPLES |
$2,449 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICARE- HUMANA |
$2,400 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
HUMANA |
$3,673 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
VANTAGE |
$4,163 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICAID |
$533 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICAID – UNITED |
$533 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MEDICAID – AMERIHEALTH |
$533 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
UNITED |
$4,460 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
AETNA |
$2,014 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
CIGNA |
$854 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
LWCC |
$6,296 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
PPOPLUS |
$6,897 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
GILSBAR |
$5,673 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
LSU |
$4,961 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
VERITY |
$3,386 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
MULTIPLAN |
$3,386 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
LA WORK COMP |
$10,916 |
| 29823 |
Shoulder arthroscopy/surgery |
$10,916 |
|
|
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
Private Pay |
$12,303 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
BC PPO |
$2,296 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
BC HMO |
$2,015 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
BC FMOL |
$2,034 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE |
$2,449 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE – UNITED |
$2,449 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE – COVENTRY |
$2,449 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE – VANTAGE |
$2,449 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE -PEOPLES |
$2,449 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICARE- HUMANA |
$2,400 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
HUMANA |
$3,673 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
VANTAGE |
$4,163 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICAID |
$750 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICAID – UNITED |
$750 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICAID – HEALTHY BLUE |
$750 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MEDICAID – AMERIHEALTH |
$750 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
UNITED |
$4,460 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
AETNA |
$2,592 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
CIGNA |
$2,123 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
LWCC |
$6,296 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
PPOPLUS |
$7,505 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
GILSBAR |
$6,183 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
LSU |
$5,113 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
VERITY |
$3,386 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
MULTIPLAN |
$3,386 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
LA WORK COMP |
$11,929 |
| 29824 |
Shoulder arthroscopy/surgery |
$11,929 |
|
|
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
Private Pay |
$12,516 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
BC PPO |
$2,913 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
BC HMO |
$2,556 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
BC FMOL |
$2,580 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE |
$2,449 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE – UNITED |
$2,449 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE – COVENTRY |
$2,449 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE – VANTAGE |
$2,449 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE -PEOPLES |
$2,449 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICARE- HUMANA |
$2,400 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
HUMANA |
$3,673 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
VANTAGE |
$4,163 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICAID |
$533 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICAID – UNITED |
$533 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MEDICAID – AMERIHEALTH |
$533 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
UNITED |
$4,460 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
AETNA |
$1,200 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
CIGNA |
$992 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
LWCC |
$6,296 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
PPOPLUS |
$7,635 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
GILSBAR |
$6,133 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
LSU |
$4,000 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
VERITY |
$3,386 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
MULTIPLAN |
$3,386 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
LA WORK COMP |
$11,265 |
| 29825 |
Shoulder arthroscopy/surgery |
$11,265 |
|
|
| 31276 |
Sinus endoscopy surgical |
$17,584 |
Private Pay |
$18,055 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
BC PPO |
$2,835 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
BC HMO |
$2,488 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
BC FMOL |
$2,512 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE |
$4,867 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE – BLUE CROSS |
$4,867 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE – UNITED |
$4,867 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE – COVENTRY |
$4,867 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE – VANTAGE |
$4,867 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE -PEOPLES |
$4,867 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICARE- HUMANA |
$4,769 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
HUMANA |
$7,300 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
VANTAGE |
$8,273 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICAID |
$533 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICAID – UNITED |
$533 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICAID – HEALTHY BLUE |
$533 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MEDICAID – AMERIHEALTH |
$533 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
UNITED |
$2,923 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
AETNA |
$2,669 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
CIGNA |
$2,396 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
LWCC |
$12,513 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
PPOPLUS |
$11,013 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
GILSBAR |
$9,087 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
LSU |
$5,736 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
VERITY |
$6,226 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
MULTIPLAN |
$6,226 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
LA WORK COMP |
$17,584 |
| 31276 |
Sinus endoscopy surgical |
$17,584 |
|
|
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
Private Pay |
$9,784 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
BC PPO |
$2,032 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
BC HMO |
$1,783 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
BC FMOL |
$1,800 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE |
$1,452 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE – BLUE CROSS |
$1,452 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE – UNITED |
$1,452 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE – COVENTRY |
$1,452 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE – VANTAGE |
$1,452 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE -PEOPLES |
$1,452 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICARE- HUMANA |
$1,423 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
HUMANA |
$2,177 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
VANTAGE |
$2,468 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICAID |
$533 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICAID – UNITED |
$533 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICAID – HEALTHY BLUE |
$533 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MEDICAID – AMERIHEALTH |
$533 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
UNITED |
$734 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
AETNA |
$1,200 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
CIGNA |
$854 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
LWCC |
$3,732 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
PPOPLUS |
$5,968 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
GILSBAR |
$4,794 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
LSU |
$4,000 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
VERITY |
$2,007 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
MULTIPLAN |
$2,007 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
LA WORK COMP |
$8,806 |
| 15240 |
Skin full grft face/genit/hf |
$8,806 |
|
|
| 27485 |
Surgery to stop leg growth |
$18,355 |
Private Pay |
$18,184 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
BC PPO |
$3,221 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
BC HMO |
$2,826 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
BC FMOL |
$2,853 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE |
$5,351 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE – UNITED |
$5,351 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE – COVENTRY |
$5,351 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE – VANTAGE |
$5,351 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE -PEOPLES |
$5,351 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICARE- HUMANA |
$5,244 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
HUMANA |
$8,026 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
VANTAGE |
$9,097 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICAID |
$- |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICAID – UNITED |
$- |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICAID – HEALTHY BLUE |
$- |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MEDICAID – AMERIHEALTH |
$- |
| 27485 |
Surgery to stop leg growth |
$18,355 |
UNITED |
$2,923 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
AETNA |
$2,989 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
CIGNA |
$5,382 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
LWCC |
$13,758 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
PPOPLUS |
$11,092 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
GILSBAR |
$9,268 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
LSU |
$6,586 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
VERITY |
$3,386 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
MULTIPLAN |
$3,386 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
LA WORK COMP |
$18,355 |
| 27485 |
Surgery to stop leg growth |
$18,355 |
|
|
| 26145 |
Tendon excision palm/finger |
$7,708 |
Private Pay |
$8,564 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
BC PPO |
$1,329 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
BC HMO |
$1,166 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
BC FMOL |
$1,177 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE |
$1,212 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE – BLUE CROSS |
$1,212 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE – UNITED |
$1,212 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE – COVENTRY |
$1,212 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE – VANTAGE |
$1,212 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE -PEOPLES |
$1,212 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICARE- HUMANA |
$1,188 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
HUMANA |
$1,819 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
VANTAGE |
$2,061 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICAID |
$533 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICAID – UNITED |
$533 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MEDICAID – AMERIHEALTH |
$533 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
UNITED |
$734 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
AETNA |
$1,200 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
CIGNA |
$1,323 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
LWCC |
$3,117 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
PPOPLUS |
$5,224 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
GILSBAR |
$4,196 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
LSU |
$4,000 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
VERITY |
$1,728 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
MULTIPLAN |
$1,728 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
LA WORK COMP |
$7,708 |
| 26145 |
Tendon excision palm/finger |
$7,708 |
|
|
| 27130 |
Total hip arthroplasty |
$38,551 |
Private Pay |
$35,125 |
| 27130 |
Total hip arthroplasty |
$38,551 |
BC PPO |
$13,113 |
| 27130 |
Total hip arthroplasty |
$38,551 |
BC HMO |
$11,507 |
| 27130 |
Total hip arthroplasty |
$38,551 |
BC FMOL |
$11,616 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE |
$10,645 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE – BLUE CROSS |
$10,645 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE – UNITED |
$10,645 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE – COVENTRY |
$10,645 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE – VANTAGE |
$10,645 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE -PEOPLES |
$10,645 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICARE- HUMANA |
$10,433 |
| 27130 |
Total hip arthroplasty |
$38,551 |
HUMANA |
$15,968 |
| 27130 |
Total hip arthroplasty |
$38,551 |
VANTAGE |
$18,097 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICAID |
$- |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICAID – UNITED |
$- |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICAID – HEALTHY BLUE |
$- |
| 27130 |
Total hip arthroplasty |
$38,551 |
MEDICAID – AMERIHEALTH |
$- |
| 27130 |
Total hip arthroplasty |
$38,551 |
UNITED |
$12,900 |
| 27130 |
Total hip arthroplasty |
$38,551 |
AETNA |
$8,432 |
| 27130 |
Total hip arthroplasty |
$38,551 |
CIGNA |
$10,150 |
| 27130 |
Total hip arthroplasty |
$38,551 |
LWCC |
$27,372 |
| 27130 |
Total hip arthroplasty |
$38,551 |
PPOPLUS |
$21,426 |
| 27130 |
Total hip arthroplasty |
$38,551 |
GILSBAR |
$18,460 |
| 27130 |
Total hip arthroplasty |
$38,551 |
LSU |
$13,020 |
| 27130 |
Total hip arthroplasty |
$38,551 |
VERITY |
$791 |
| 27130 |
Total hip arthroplasty |
$38,551 |
MULTIPLAN |
$791 |
| 27130 |
Total hip arthroplasty |
$38,551 |
LA WORK COMP |
$38,551 |
| 27130 |
Total hip arthroplasty |
$38,551 |
|
|
| 27447 |
Total knee arthroplasty |
$39,309 |
Private Pay |
$35,951 |
| 27447 |
Total knee arthroplasty |
$39,309 |
BC PPO |
$13,113 |
| 27447 |
Total knee arthroplasty |
$39,309 |
BC HMO |
$11,507 |
| 27447 |
Total knee arthroplasty |
$39,309 |
BC FMOL |
$11,616 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE |
$10,645 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE – BLUE CROSS |
$10,645 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE – UNITED |
$10,645 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE – COVENTRY |
$10,645 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE – VANTAGE |
$10,645 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE -PEOPLES |
$10,645 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICARE- HUMANA |
$10,433 |
| 27447 |
Total knee arthroplasty |
$39,309 |
HUMANA |
$15,968 |
| 27447 |
Total knee arthroplasty |
$39,309 |
VANTAGE |
$18,097 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICAID |
$- |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICAID – UNITED |
$- |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICAID – HEALTHY BLUE |
$- |
| 27447 |
Total knee arthroplasty |
$39,309 |
MEDICAID – AMERIHEALTH |
$- |
| 27447 |
Total knee arthroplasty |
$39,309 |
UNITED |
$12,914 |
| 27447 |
Total knee arthroplasty |
$39,309 |
AETNA |
$8,449 |
| 27447 |
Total knee arthroplasty |
$39,309 |
CIGNA |
$10,170 |
| 27447 |
Total knee arthroplasty |
$39,309 |
LWCC |
$27,372 |
| 27447 |
Total knee arthroplasty |
$39,309 |
PPOPLUS |
$21,930 |
| 27447 |
Total knee arthroplasty |
$39,309 |
GILSBAR |
$18,868 |
| 27447 |
Total knee arthroplasty |
$39,309 |
LSU |
$13,039 |
| 27447 |
Total knee arthroplasty |
$39,309 |
VERITY |
$12,956 |
| 27447 |
Total knee arthroplasty |
$39,309 |
MULTIPLAN |
$12,956 |
| 27447 |
Total knee arthroplasty |
$39,309 |
LA WORK COMP |
$39,309 |
| 27447 |
Total knee arthroplasty |
$39,309 |
|
|
| 25310 |
Transplant forearm tendon |
$9,269 |
Private Pay |
$10,299 |
| 25310 |
Transplant forearm tendon |
$9,269 |
BC PPO |
$2,296 |
| 25310 |
Transplant forearm tendon |
$9,269 |
BC HMO |
$2,015 |
| 25310 |
Transplant forearm tendon |
$9,269 |
BC FMOL |
$2,034 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE |
$2,449 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE – UNITED |
$2,449 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE – COVENTRY |
$2,449 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE – VANTAGE |
$2,449 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE -PEOPLES |
$2,449 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICARE- HUMANA |
$2,400 |
| 25310 |
Transplant forearm tendon |
$9,269 |
HUMANA |
$3,673 |
| 25310 |
Transplant forearm tendon |
$9,269 |
VANTAGE |
$4,163 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICAID |
$533 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICAID – UNITED |
$533 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MEDICAID – AMERIHEALTH |
$533 |
| 25310 |
Transplant forearm tendon |
$9,269 |
UNITED |
$2,923 |
| 25310 |
Transplant forearm tendon |
$9,269 |
AETNA |
$1,200 |
| 25310 |
Transplant forearm tendon |
$9,269 |
CIGNA |
$854 |
| 25310 |
Transplant forearm tendon |
$9,269 |
LWCC |
$6,296 |
| 25310 |
Transplant forearm tendon |
$9,269 |
PPOPLUS |
$6,282 |
| 25310 |
Transplant forearm tendon |
$9,269 |
GILSBAR |
$5,046 |
| 25310 |
Transplant forearm tendon |
$9,269 |
LSU |
$4,000 |
| 25310 |
Transplant forearm tendon |
$9,269 |
VERITY |
$3,386 |
| 25310 |
Transplant forearm tendon |
$9,269 |
MULTIPLAN |
$3,386 |
| 25310 |
Transplant forearm tendon |
$9,269 |
LA WORK COMP |
$9,269 |
| 25310 |
Transplant forearm tendon |
$9,269 |
|
|
| 26480 |
Transplant hand tendon |
$7,052 |
Private Pay |
$7,835 |
| 26480 |
Transplant hand tendon |
$7,052 |
BC PPO |
$2,296 |
| 26480 |
Transplant hand tendon |
$7,052 |
BC HMO |
$2,015 |
| 26480 |
Transplant hand tendon |
$7,052 |
BC FMOL |
$2,034 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE |
$2,449 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE – UNITED |
$2,449 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE – COVENTRY |
$2,449 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE – VANTAGE |
$2,449 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE -PEOPLES |
$2,449 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICARE- HUMANA |
$2,400 |
| 26480 |
Transplant hand tendon |
$7,052 |
HUMANA |
$3,673 |
| 26480 |
Transplant hand tendon |
$7,052 |
VANTAGE |
$4,163 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICAID |
$533 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICAID – UNITED |
$533 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICAID – HEALTHY BLUE |
$533 |
| 26480 |
Transplant hand tendon |
$7,052 |
MEDICAID – AMERIHEALTH |
$533 |
| 26480 |
Transplant hand tendon |
$7,052 |
UNITED |
$2,923 |
| 26480 |
Transplant hand tendon |
$7,052 |
AETNA |
$1,200 |
| 26480 |
Transplant hand tendon |
$7,052 |
CIGNA |
$1,102 |
| 26480 |
Transplant hand tendon |
$7,052 |
LWCC |
$6,296 |
| 26480 |
Transplant hand tendon |
$7,052 |
PPOPLUS |
$4,780 |
| 26480 |
Transplant hand tendon |
$7,052 |
GILSBAR |
$3,839 |
| 26480 |
Transplant hand tendon |
$7,052 |
LSU |
$4,000 |
| 26480 |
Transplant hand tendon |
$7,052 |
VERITY |
$3,386 |
| 26480 |
Transplant hand tendon |
$7,052 |
MULTIPLAN |
$3,386 |
| 26480 |
Transplant hand tendon |
$7,052 |
LA WORK COMP |
$7,052 |
| 26480 |
Transplant hand tendon |
$7,052 |
|
|
| 23550 |
Treat clavicle dislocation |
$20,819 |
Private Pay |
$19,539 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
BC PPO |
$6,827 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
BC HMO |
$5,990 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
BC FMOL |
$6,047 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE |
$5,351 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE – BLUE CROSS |
$5,351 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE – UNITED |
$5,351 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE – COVENTRY |
$5,351 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE – VANTAGE |
$5,351 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE -PEOPLES |
$5,351 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICARE- HUMANA |
$5,244 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
HUMANA |
$8,026 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
VANTAGE |
$9,097 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICAID |
$533 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICAID – UNITED |
$533 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICAID – HEALTHY BLUE |
$533 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MEDICAID – AMERIHEALTH |
$533 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
UNITED |
$4,460 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
AETNA |
$4,758 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
CIGNA |
$7,025 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
LWCC |
$13,758 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
PPOPLUS |
$11,919 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
GILSBAR |
$10,156 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
LSU |
$8,205 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
VERITY |
$7,176 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
MULTIPLAN |
$7,176 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
LA WORK COMP |
$20,819 |
| 23550 |
Treat clavicle dislocation |
$20,819 |
|
|
| 23552 |
Treat clavicle dislocation |
$30,454 |
Private Pay |
$28,261 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
BC PPO |
$7,117 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
BC HMO |
$6,245 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
BC FMOL |
$6,305 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE |
$5,351 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE – BLUE CROSS |
$5,351 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE – UNITED |
$5,351 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE – COVENTRY |
$5,351 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE – VANTAGE |
$5,351 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE -PEOPLES |
$5,351 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICARE- HUMANA |
$5,244 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
HUMANA |
$8,026 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
VANTAGE |
$9,097 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICAID |
$659 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICAID – UNITED |
$659 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICAID – HEALTHY BLUE |
$659 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MEDICAID – AMERIHEALTH |
$659 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
UNITED |
$9,148 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
AETNA |
$6,996 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
CIGNA |
$7,479 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
LWCC |
$13,758 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
PPOPLUS |
$17,239 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
GILSBAR |
$14,751 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
LSU |
$10,525 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
VERITY |
$7,176 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
MULTIPLAN |
$7,176 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
LA WORK COMP |
$30,454 |
| 23552 |
Treat clavicle dislocation |
$30,454 |
|
|
| 23515 |
Treat clavicle fracture |
$24,430 |
Private Pay |
$22,675 |
| 23515 |
Treat clavicle fracture |
$24,430 |
BC PPO |
$7,117 |
| 23515 |
Treat clavicle fracture |
$24,430 |
BC HMO |
$6,245 |
| 23515 |
Treat clavicle fracture |
$24,430 |
BC FMOL |
$6,305 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE |
$5,351 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE – BLUE CROSS |
$5,351 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE – UNITED |
$5,351 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE – COVENTRY |
$5,351 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE – VANTAGE |
$5,351 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE -PEOPLES |
$5,351 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICARE- HUMANA |
$5,244 |
| 23515 |
Treat clavicle fracture |
$24,430 |
HUMANA |
$8,026 |
| 23515 |
Treat clavicle fracture |
$24,430 |
VANTAGE |
$9,097 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICAID |
$533 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICAID – UNITED |
$533 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICAID – HEALTHY BLUE |
$533 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MEDICAID – AMERIHEALTH |
$533 |
| 23515 |
Treat clavicle fracture |
$24,430 |
UNITED |
$8,217 |
| 23515 |
Treat clavicle fracture |
$24,430 |
AETNA |
$5,625 |
| 23515 |
Treat clavicle fracture |
$24,430 |
CIGNA |
$5,944 |
| 23515 |
Treat clavicle fracture |
$24,430 |
LWCC |
$13,758 |
| 23515 |
Treat clavicle fracture |
$24,430 |
PPOPLUS |
$13,832 |
| 23515 |
Treat clavicle fracture |
$24,430 |
GILSBAR |
$11,835 |
| 23515 |
Treat clavicle fracture |
$24,430 |
LSU |
$9,229 |
| 23515 |
Treat clavicle fracture |
$24,430 |
VERITY |
$7,176 |
| 23515 |
Treat clavicle fracture |
$24,430 |
MULTIPLAN |
$7,176 |
| 23515 |
Treat clavicle fracture |
$24,430 |
LA WORK COMP |
$24,430 |
| 23515 |
Treat clavicle fracture |
$24,430 |
|
|
| 26727 |
Treat finger fracture each |
$6,510 |
Private Pay |
$7,204 |
| 26727 |
Treat finger fracture each |
$6,510 |
BC PPO |
$3,221 |
| 26727 |
Treat finger fracture each |
$6,510 |
BC HMO |
$2,826 |
| 26727 |
Treat finger fracture each |
$6,510 |
BC FMOL |
$2,853 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE |
$2,449 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE – UNITED |
$2,449 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE – COVENTRY |
$2,449 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE – VANTAGE |
$2,449 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE -PEOPLES |
$2,449 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICARE- HUMANA |
$2,400 |
| 26727 |
Treat finger fracture each |
$6,510 |
HUMANA |
$3,673 |
| 26727 |
Treat finger fracture each |
$6,510 |
VANTAGE |
$4,163 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICAID |
$1,040 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICAID – AETNA BETTER HEALTH |
$1,040 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICAID – UNITED |
$1,040 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICAID – HEALTHY BLUE |
$1,040 |
| 26727 |
Treat finger fracture each |
$6,510 |
MEDICAID – AMERIHEALTH |
$1,040 |
| 26727 |
Treat finger fracture each |
$6,510 |
UNITED |
$2,188 |
| 26727 |
Treat finger fracture each |
$6,510 |
AETNA |
$2,129 |
| 26727 |
Treat finger fracture each |
$6,510 |
CIGNA |
$1,102 |
| 26727 |
Treat finger fracture each |
$6,510 |
LWCC |
$6,296 |
| 26727 |
Treat finger fracture each |
$6,510 |
PPOPLUS |
$4,395 |
| 26727 |
Treat finger fracture each |
$6,510 |
GILSBAR |
$3,535 |
| 26727 |
Treat finger fracture each |
$6,510 |
LSU |
$4,034 |
| 26727 |
Treat finger fracture each |
$6,510 |
VERITY |
$3,386 |
| 26727 |
Treat finger fracture each |
$6,510 |
MULTIPLAN |
$3,386 |
| 26727 |
Treat finger fracture each |
$6,510 |
LA WORK COMP |
$6,510 |
| 26727 |
Treat finger fracture each |
$6,510 |
|
|
| 26735 |
Treat finger fracture each |
$11,279 |
Private Pay |
$11,471 |
| 26735 |
Treat finger fracture each |
$11,279 |
BC PPO |
$3,221 |
| 26735 |
Treat finger fracture each |
$11,279 |
BC HMO |
$2,826 |
| 26735 |
Treat finger fracture each |
$11,279 |
BC FMOL |
$2,853 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE |
$2,449 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE – UNITED |
$2,449 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE – COVENTRY |
$2,449 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE – VANTAGE |
$2,449 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE -PEOPLES |
$2,449 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICARE- HUMANA |
$2,400 |
| 26735 |
Treat finger fracture each |
$11,279 |
HUMANA |
$3,673 |
| 26735 |
Treat finger fracture each |
$11,279 |
VANTAGE |
$4,163 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICAID |
$659 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICAID – UNITED |
$659 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26735 |
Treat finger fracture each |
$11,279 |
MEDICAID – AMERIHEALTH |
$659 |
| 26735 |
Treat finger fracture each |
$11,279 |
UNITED |
$2,188 |
| 26735 |
Treat finger fracture each |
$11,279 |
AETNA |
$2,526 |
| 26735 |
Treat finger fracture each |
$11,279 |
CIGNA |
$2,694 |
| 26735 |
Treat finger fracture each |
$11,279 |
LWCC |
$6,296 |
| 26735 |
Treat finger fracture each |
$11,279 |
PPOPLUS |
$6,997 |
| 26735 |
Treat finger fracture each |
$11,279 |
GILSBAR |
$5,793 |
| 26735 |
Treat finger fracture each |
$11,279 |
LSU |
$5,242 |
| 26735 |
Treat finger fracture each |
$11,279 |
VERITY |
$3,386 |
| 26735 |
Treat finger fracture each |
$11,279 |
MULTIPLAN |
$3,386 |
| 26735 |
Treat finger fracture each |
$11,279 |
LA WORK COMP |
$11,279 |
| 26735 |
Treat finger fracture each |
$11,279 |
|
|
| 26746 |
Treat finger fracture each |
$9,485 |
Private Pay |
$9,919 |
| 26746 |
Treat finger fracture each |
$9,485 |
BC PPO |
$2,604 |
| 26746 |
Treat finger fracture each |
$9,485 |
BC HMO |
$2,285 |
| 26746 |
Treat finger fracture each |
$9,485 |
BC FMOL |
$2,307 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE |
$2,449 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE – UNITED |
$2,449 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE – COVENTRY |
$2,449 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE – VANTAGE |
$2,449 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE -PEOPLES |
$2,449 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICARE- HUMANA |
$2,400 |
| 26746 |
Treat finger fracture each |
$9,485 |
HUMANA |
$3,673 |
| 26746 |
Treat finger fracture each |
$9,485 |
VANTAGE |
$4,163 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICAID |
$750 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICAID – UNITED |
$750 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICAID – HEALTHY BLUE |
$750 |
| 26746 |
Treat finger fracture each |
$9,485 |
MEDICAID – AMERIHEALTH |
$750 |
| 26746 |
Treat finger fracture each |
$9,485 |
UNITED |
$2,188 |
| 26746 |
Treat finger fracture each |
$9,485 |
AETNA |
$2,263 |
| 26746 |
Treat finger fracture each |
$9,485 |
CIGNA |
$854 |
| 26746 |
Treat finger fracture each |
$9,485 |
LWCC |
$6,296 |
| 26746 |
Treat finger fracture each |
$9,485 |
PPOPLUS |
$6,050 |
| 26746 |
Treat finger fracture each |
$9,485 |
GILSBAR |
$4,961 |
| 26746 |
Treat finger fracture each |
$9,485 |
LSU |
$4,725 |
| 26746 |
Treat finger fracture each |
$9,485 |
VERITY |
$3,386 |
| 26746 |
Treat finger fracture each |
$9,485 |
MULTIPLAN |
$3,386 |
| 26746 |
Treat finger fracture each |
$9,485 |
LA WORK COMP |
$9,485 |
| 26746 |
Treat finger fracture each |
$9,485 |
|
|
| 26765 |
Treat finger fracture each |
$6,536 |
Private Pay |
$7,223 |
| 26765 |
Treat finger fracture each |
$6,536 |
BC PPO |
$2,604 |
| 26765 |
Treat finger fracture each |
$6,536 |
BC HMO |
$2,285 |
| 26765 |
Treat finger fracture each |
$6,536 |
BC FMOL |
$2,307 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE |
$2,449 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE – UNITED |
$2,449 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE – COVENTRY |
$2,449 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE – VANTAGE |
$2,449 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE -PEOPLES |
$2,449 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICARE- HUMANA |
$2,400 |
| 26765 |
Treat finger fracture each |
$6,536 |
HUMANA |
$3,673 |
| 26765 |
Treat finger fracture each |
$6,536 |
VANTAGE |
$4,163 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICAID |
$659 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICAID – UNITED |
$659 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26765 |
Treat finger fracture each |
$6,536 |
MEDICAID – AMERIHEALTH |
$659 |
| 26765 |
Treat finger fracture each |
$6,536 |
UNITED |
$2,188 |
| 26765 |
Treat finger fracture each |
$6,536 |
AETNA |
$1,514 |
| 26765 |
Treat finger fracture each |
$6,536 |
CIGNA |
$1,102 |
| 26765 |
Treat finger fracture each |
$6,536 |
LWCC |
$6,296 |
| 26765 |
Treat finger fracture each |
$6,536 |
PPOPLUS |
$4,406 |
| 26765 |
Treat finger fracture each |
$6,536 |
GILSBAR |
$3,545 |
| 26765 |
Treat finger fracture each |
$6,536 |
LSU |
$4,046 |
| 26765 |
Treat finger fracture each |
$6,536 |
VERITY |
$3,386 |
| 26765 |
Treat finger fracture each |
$6,536 |
MULTIPLAN |
$3,386 |
| 26765 |
Treat finger fracture each |
$6,536 |
LA WORK COMP |
$6,536 |
| 26765 |
Treat finger fracture each |
$6,536 |
|
|
| 25515 |
Treat fracture of radius |
$16,760 |
Private Pay |
$16,462 |
| 25515 |
Treat fracture of radius |
$16,760 |
BC PPO |
$7,117 |
| 25515 |
Treat fracture of radius |
$16,760 |
BC HMO |
$6,245 |
| 25515 |
Treat fracture of radius |
$16,760 |
BC FMOL |
$6,305 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE |
$5,351 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE – UNITED |
$5,351 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE – COVENTRY |
$5,351 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE – VANTAGE |
$5,351 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE -PEOPLES |
$5,351 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICARE- HUMANA |
$5,244 |
| 25515 |
Treat fracture of radius |
$16,760 |
HUMANA |
$8,026 |
| 25515 |
Treat fracture of radius |
$16,760 |
VANTAGE |
$9,097 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICAID |
$533 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICAID – UNITED |
$533 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25515 |
Treat fracture of radius |
$16,760 |
MEDICAID – AMERIHEALTH |
$533 |
| 25515 |
Treat fracture of radius |
$16,760 |
UNITED |
$4,460 |
| 25515 |
Treat fracture of radius |
$16,760 |
AETNA |
$3,339 |
| 25515 |
Treat fracture of radius |
$16,760 |
CIGNA |
$3,558 |
| 25515 |
Treat fracture of radius |
$16,760 |
LWCC |
$13,758 |
| 25515 |
Treat fracture of radius |
$16,760 |
PPOPLUS |
$10,042 |
| 25515 |
Treat fracture of radius |
$16,760 |
GILSBAR |
$8,416 |
| 25515 |
Treat fracture of radius |
$16,760 |
LSU |
$6,527 |
| 25515 |
Treat fracture of radius |
$16,760 |
VERITY |
$7,176 |
| 25515 |
Treat fracture of radius |
$16,760 |
MULTIPLAN |
$7,176 |
| 25515 |
Treat fracture of radius |
$16,760 |
LA WORK COMP |
$16,760 |
| 25515 |
Treat fracture of radius |
$16,760 |
|
|
| 25545 |
Treat fracture of ulna |
$17,368 |
Private Pay |
$16,497 |
| 25545 |
Treat fracture of ulna |
$17,368 |
BC PPO |
$7,117 |
| 25545 |
Treat fracture of ulna |
$17,368 |
BC HMO |
$6,245 |
| 25545 |
Treat fracture of ulna |
$17,368 |
BC FMOL |
$6,305 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE |
$5,351 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE – UNITED |
$5,351 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE – COVENTRY |
$5,351 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE – VANTAGE |
$5,351 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE -PEOPLES |
$5,351 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICARE- HUMANA |
$5,244 |
| 25545 |
Treat fracture of ulna |
$17,368 |
HUMANA |
$8,026 |
| 25545 |
Treat fracture of ulna |
$17,368 |
VANTAGE |
$9,097 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICAID |
$533 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICAID – UNITED |
$533 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MEDICAID – AMERIHEALTH |
$533 |
| 25545 |
Treat fracture of ulna |
$17,368 |
UNITED |
$4,460 |
| 25545 |
Treat fracture of ulna |
$17,368 |
AETNA |
$3,973 |
| 25545 |
Treat fracture of ulna |
$17,368 |
CIGNA |
$4,430 |
| 25545 |
Treat fracture of ulna |
$17,368 |
LWCC |
$13,758 |
| 25545 |
Treat fracture of ulna |
$17,368 |
PPOPLUS |
$10,063 |
| 25545 |
Treat fracture of ulna |
$17,368 |
GILSBAR |
$8,537 |
| 25545 |
Treat fracture of ulna |
$17,368 |
LSU |
$7,278 |
| 25545 |
Treat fracture of ulna |
$17,368 |
VERITY |
$7,176 |
| 25545 |
Treat fracture of ulna |
$17,368 |
MULTIPLAN |
$7,176 |
| 25545 |
Treat fracture of ulna |
$17,368 |
LA WORK COMP |
$17,368 |
| 25545 |
Treat fracture of ulna |
$17,368 |
|
|
| 25575 |
Treat fracture radius/ulna |
$24,718 |
Private Pay |
$23,497 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
BC PPO |
$7,117 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
BC HMO |
$6,245 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
BC FMOL |
$6,305 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE |
$5,351 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE – UNITED |
$5,351 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE – COVENTRY |
$5,351 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE – VANTAGE |
$5,351 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE -PEOPLES |
$5,351 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICARE- HUMANA |
$5,244 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
HUMANA |
$8,026 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
VANTAGE |
$9,097 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICAID |
$533 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICAID – UNITED |
$533 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MEDICAID – AMERIHEALTH |
$533 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
UNITED |
$4,460 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
AETNA |
$5,128 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
CIGNA |
$5,815 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
LWCC |
$13,758 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
PPOPLUS |
$14,333 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
GILSBAR |
$12,156 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
LSU |
$8,642 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
VERITY |
$7,176 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
MULTIPLAN |
$7,176 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
LA WORK COMP |
$24,718 |
| 25575 |
Treat fracture radius/ulna |
$24,718 |
|
|
| 25605 |
Treat fracture radius/ulna |
$6,709 |
Private Pay |
$7,404 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
BC PPO |
$1,714 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
BC HMO |
$1,504 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
BC FMOL |
$1,518 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE |
$1,212 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE – BLUE CROSS |
$1,212 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE – UNITED |
$1,212 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE – COVENTRY |
$1,212 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE – VANTAGE |
$1,212 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE -PEOPLES |
$1,212 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICARE- HUMANA |
$1,188 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
HUMANA |
$1,819 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
VANTAGE |
$2,061 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICAID |
$533 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICAID – UNITED |
$533 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MEDICAID – AMERIHEALTH |
$533 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
UNITED |
$610 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
AETNA |
$1,251 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
CIGNA |
$1,102 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
LWCC |
$3,117 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
PPOPLUS |
$4,516 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
GILSBAR |
$3,636 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
LSU |
$4,060 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
VERITY |
$1,728 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
MULTIPLAN |
$1,728 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
LA WORK COMP |
$6,709 |
| 25605 |
Treat fracture radius/ulna |
$6,709 |
|
|
| 25606 |
Treat fx distal radial |
$7,765 |
Private Pay |
$8,417 |
| 25606 |
Treat fx distal radial |
$7,765 |
BC PPO |
$3,221 |
| 25606 |
Treat fx distal radial |
$7,765 |
BC HMO |
$2,826 |
| 25606 |
Treat fx distal radial |
$7,765 |
BC FMOL |
$2,853 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE |
$2,449 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE – BLUE CROSS |
$2,449 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE – UNITED |
$2,449 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE – COVENTRY |
$2,449 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE – VANTAGE |
$2,449 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE -PEOPLES |
$2,449 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICARE- HUMANA |
$2,400 |
| 25606 |
Treat fx distal radial |
$7,765 |
HUMANA |
$3,673 |
| 25606 |
Treat fx distal radial |
$7,765 |
VANTAGE |
$4,163 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICAID |
$533 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICAID – UNITED |
$533 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25606 |
Treat fx distal radial |
$7,765 |
MEDICAID – AMERIHEALTH |
$533 |
| 25606 |
Treat fx distal radial |
$7,765 |
UNITED |
$2,188 |
| 25606 |
Treat fx distal radial |
$7,765 |
AETNA |
$1,409 |
| 25606 |
Treat fx distal radial |
$7,765 |
CIGNA |
$1,102 |
| 25606 |
Treat fx distal radial |
$7,765 |
LWCC |
$6,296 |
| 25606 |
Treat fx distal radial |
$7,765 |
PPOPLUS |
$5,134 |
| 25606 |
Treat fx distal radial |
$7,765 |
GILSBAR |
$4,158 |
| 25606 |
Treat fx distal radial |
$7,765 |
LSU |
$4,247 |
| 25606 |
Treat fx distal radial |
$7,765 |
VERITY |
$3,386 |
| 25606 |
Treat fx distal radial |
$7,765 |
MULTIPLAN |
$3,386 |
| 25606 |
Treat fx distal radial |
$7,765 |
LA WORK COMP |
$7,765 |
| 25606 |
Treat fx distal radial |
$7,765 |
|
|
| 25607 |
Treat fx rad extra-articul |
$18,481 |
Private Pay |
$16,562 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
BC PPO |
$7,117 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
BC HMO |
$6,245 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
BC FMOL |
$6,305 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE |
$5,351 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE – UNITED |
$5,351 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE – COVENTRY |
$5,351 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE – VANTAGE |
$5,351 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE -PEOPLES |
$5,351 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICARE- HUMANA |
$5,244 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
HUMANA |
$8,026 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
VANTAGE |
$9,097 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICAID |
$750 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICAID – UNITED |
$750 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICAID – HEALTHY BLUE |
$750 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MEDICAID – AMERIHEALTH |
$750 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
UNITED |
$4,460 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
AETNA |
$5,583 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
CIGNA |
$6,043 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
LWCC |
$13,758 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
PPOPLUS |
$10,103 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
GILSBAR |
$8,759 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
LSU |
$8,649 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
VERITY |
$7,176 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
MULTIPLAN |
$7,176 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
LA WORK COMP |
$18,481 |
| 25607 |
Treat fx rad extra-articul |
$18,481 |
|
|
| 25608 |
Treat fx rad intra-articul |
$20,687 |
Private Pay |
$18,639 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
BC PPO |
$6,827 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
BC HMO |
$5,990 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
BC FMOL |
$6,047 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE |
$5,351 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE – UNITED |
$5,351 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE – COVENTRY |
$5,351 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE – VANTAGE |
$5,351 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE -PEOPLES |
$5,351 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICARE- HUMANA |
$5,244 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
HUMANA |
$8,026 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
VANTAGE |
$9,097 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICAID |
$750 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICAID – UNITED |
$750 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICAID – HEALTHY BLUE |
$750 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MEDICAID – AMERIHEALTH |
$750 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
UNITED |
$4,460 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
AETNA |
$5,953 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
CIGNA |
$6,597 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
LWCC |
$13,758 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
PPOPLUS |
$11,370 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
GILSBAR |
$9,837 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
LSU |
$9,086 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
VERITY |
$7,176 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
MULTIPLAN |
$7,176 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
LA WORK COMP |
$20,687 |
| 25608 |
Treat fx rad intra-articul |
$20,687 |
|
|
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
Private Pay |
$19,278 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
BC PPO |
$6,173 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
BC HMO |
$5,417 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
BC FMOL |
$5,468 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE |
$5,351 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE – UNITED |
$5,351 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE – COVENTRY |
$5,351 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE – VANTAGE |
$5,351 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE -PEOPLES |
$5,351 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICARE- HUMANA |
$5,244 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
HUMANA |
$8,026 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
VANTAGE |
$9,097 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICAID |
$750 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICAID – AETNA BETTER HEALTH |
$750 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICAID – UNITED |
$750 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICAID – HEALTHY BLUE |
$750 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MEDICAID – AMERIHEALTH |
$750 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
UNITED |
$8,583 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
AETNA |
$6,505 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
CIGNA |
$6,818 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
LWCC |
$13,758 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
PPOPLUS |
$11,760 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
GILSBAR |
$10,241 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
LSU |
$9,738 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
VERITY |
$7,176 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
MULTIPLAN |
$7,176 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
LA WORK COMP |
$21,764 |
| 25609 |
Treat fx radial 3+ frag |
$21,764 |
|
|
| 28415 |
Treat heel fracture |
$33,194 |
Private Pay |
$30,351 |
| 28415 |
Treat heel fracture |
$33,194 |
BC PPO |
$6,827 |
| 28415 |
Treat heel fracture |
$33,194 |
BC HMO |
$5,990 |
| 28415 |
Treat heel fracture |
$33,194 |
BC FMOL |
$6,047 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE |
$5,351 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE – UNITED |
$5,351 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE – COVENTRY |
$5,351 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE – VANTAGE |
$5,351 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE -PEOPLES |
$5,351 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICARE- HUMANA |
$5,244 |
| 28415 |
Treat heel fracture |
$33,194 |
HUMANA |
$8,026 |
| 28415 |
Treat heel fracture |
$33,194 |
VANTAGE |
$9,097 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICAID |
$533 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICAID – UNITED |
$533 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28415 |
Treat heel fracture |
$33,194 |
MEDICAID – AMERIHEALTH |
$533 |
| 28415 |
Treat heel fracture |
$33,194 |
UNITED |
$9,951 |
| 28415 |
Treat heel fracture |
$33,194 |
AETNA |
$7,666 |
| 28415 |
Treat heel fracture |
$33,194 |
CIGNA |
$9,083 |
| 28415 |
Treat heel fracture |
$33,194 |
LWCC |
$13,758 |
| 28415 |
Treat heel fracture |
$33,194 |
PPOPLUS |
$18,514 |
| 28415 |
Treat heel fracture |
$33,194 |
GILSBAR |
$15,930 |
| 28415 |
Treat heel fracture |
$33,194 |
LSU |
$11,642 |
| 28415 |
Treat heel fracture |
$33,194 |
VERITY |
$7,176 |
| 28415 |
Treat heel fracture |
$33,194 |
MULTIPLAN |
$7,176 |
| 28415 |
Treat heel fracture |
$33,194 |
LA WORK COMP |
$33,194 |
| 28415 |
Treat heel fracture |
$33,194 |
|
|
| 23615 |
Treat humerus fracture |
$34,359 |
Private Pay |
$31,336 |
| 23615 |
Treat humerus fracture |
$34,359 |
BC PPO |
$12,851 |
| 23615 |
Treat humerus fracture |
$34,359 |
BC HMO |
$11,277 |
| 23615 |
Treat humerus fracture |
$34,359 |
BC FMOL |
$11,384 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE |
$10,645 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE – BLUE CROSS |
$10,645 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE – UNITED |
$10,645 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE – COVENTRY |
$10,645 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE – VANTAGE |
$10,645 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE -PEOPLES |
$10,645 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICARE- HUMANA |
$10,433 |
| 23615 |
Treat humerus fracture |
$34,359 |
HUMANA |
$15,968 |
| 23615 |
Treat humerus fracture |
$34,359 |
VANTAGE |
$18,097 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICAID |
$659 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICAID – UNITED |
$659 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICAID – HEALTHY BLUE |
$659 |
| 23615 |
Treat humerus fracture |
$34,359 |
MEDICAID – AMERIHEALTH |
$659 |
| 23615 |
Treat humerus fracture |
$34,359 |
UNITED |
$10,210 |
| 23615 |
Treat humerus fracture |
$34,359 |
AETNA |
$8,247 |
| 23615 |
Treat humerus fracture |
$34,359 |
CIGNA |
$9,229 |
| 23615 |
Treat humerus fracture |
$34,359 |
LWCC |
$27,372 |
| 23615 |
Treat humerus fracture |
$34,359 |
PPOPLUS |
$19,115 |
| 23615 |
Treat humerus fracture |
$34,359 |
GILSBAR |
$16,463 |
| 23615 |
Treat humerus fracture |
$34,359 |
LSU |
$12,004 |
| 23615 |
Treat humerus fracture |
$34,359 |
VERITY |
$12,956 |
| 23615 |
Treat humerus fracture |
$34,359 |
MULTIPLAN |
$12,956 |
| 23615 |
Treat humerus fracture |
$34,359 |
LA WORK COMP |
$34,359 |
| 23615 |
Treat humerus fracture |
$34,359 |
|
|
| 24515 |
Treat humerus fracture |
$29,245 |
Private Pay |
$27,710 |
| 24515 |
Treat humerus fracture |
$29,245 |
BC PPO |
$13,113 |
| 24515 |
Treat humerus fracture |
$29,245 |
BC HMO |
$11,507 |
| 24515 |
Treat humerus fracture |
$29,245 |
BC FMOL |
$11,616 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE |
$10,645 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE – BLUE CROSS |
$10,645 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE – UNITED |
$10,645 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE – COVENTRY |
$10,645 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE – VANTAGE |
$10,645 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE -PEOPLES |
$10,645 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICARE- HUMANA |
$10,433 |
| 24515 |
Treat humerus fracture |
$29,245 |
HUMANA |
$15,968 |
| 24515 |
Treat humerus fracture |
$29,245 |
VANTAGE |
$18,097 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICAID |
$659 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICAID – UNITED |
$659 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICAID – HEALTHY BLUE |
$659 |
| 24515 |
Treat humerus fracture |
$29,245 |
MEDICAID – AMERIHEALTH |
$659 |
| 24515 |
Treat humerus fracture |
$29,245 |
UNITED |
$8,482 |
| 24515 |
Treat humerus fracture |
$29,245 |
AETNA |
$6,211 |
| 24515 |
Treat humerus fracture |
$29,245 |
CIGNA |
$6,786 |
| 24515 |
Treat humerus fracture |
$29,245 |
LWCC |
$27,372 |
| 24515 |
Treat humerus fracture |
$29,245 |
PPOPLUS |
$16,903 |
| 24515 |
Treat humerus fracture |
$29,245 |
GILSBAR |
$14,353 |
| 24515 |
Treat humerus fracture |
$29,245 |
LSU |
$9,597 |
| 24515 |
Treat humerus fracture |
$29,245 |
VERITY |
$12,956 |
| 24515 |
Treat humerus fracture |
$29,245 |
MULTIPLAN |
$12,956 |
| 24515 |
Treat humerus fracture |
$29,245 |
LA WORK COMP |
$29,245 |
| 24515 |
Treat humerus fracture |
$29,245 |
|
|
| 24538 |
Treat humerus fracture |
$13,758 |
Private Pay |
$8,589 |
| 24538 |
Treat humerus fracture |
$13,758 |
BC PPO |
$7,117 |
| 24538 |
Treat humerus fracture |
$13,758 |
BC HMO |
$6,245 |
| 24538 |
Treat humerus fracture |
$13,758 |
BC FMOL |
$6,305 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE |
$5,351 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE – BLUE CROSS |
$5,351 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE – UNITED |
$5,351 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE – COVENTRY |
$5,351 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE – VANTAGE |
$5,351 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE -PEOPLES |
$5,351 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICARE- HUMANA |
$5,244 |
| 24538 |
Treat humerus fracture |
$13,758 |
HUMANA |
$8,026 |
| 24538 |
Treat humerus fracture |
$13,758 |
VANTAGE |
$9,097 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICAID |
$466 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICAID – UNITED |
$466 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICAID – HEALTHY BLUE |
$466 |
| 24538 |
Treat humerus fracture |
$13,758 |
MEDICAID – AMERIHEALTH |
$466 |
| 24538 |
Treat humerus fracture |
$13,758 |
UNITED |
$2,188 |
| 24538 |
Treat humerus fracture |
$13,758 |
AETNA |
$1,276 |
| 24538 |
Treat humerus fracture |
$13,758 |
CIGNA |
$634 |
| 24538 |
Treat humerus fracture |
$13,758 |
LWCC |
$13,758 |
| 24538 |
Treat humerus fracture |
$13,758 |
PPOPLUS |
$5,240 |
| 24538 |
Treat humerus fracture |
$13,758 |
GILSBAR |
$4,254 |
| 24538 |
Treat humerus fracture |
$13,758 |
LSU |
$4,327 |
| 24538 |
Treat humerus fracture |
$13,758 |
VERITY |
$7,176 |
| 24538 |
Treat humerus fracture |
$13,758 |
MULTIPLAN |
$7,176 |
| 24538 |
Treat humerus fracture |
$13,758 |
LA WORK COMP |
$7,982 |
| 24538 |
Treat humerus fracture |
$13,758 |
|
|
| 24545 |
Treat humerus fracture |
$31,654 |
Private Pay |
$28,864 |
| 24545 |
Treat humerus fracture |
$31,654 |
BC PPO |
$13,113 |
| 24545 |
Treat humerus fracture |
$31,654 |
BC HMO |
$11,507 |
| 24545 |
Treat humerus fracture |
$31,654 |
BC FMOL |
$11,616 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE |
$10,645 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE – BLUE CROSS |
$10,645 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE – UNITED |
$10,645 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE – COVENTRY |
$10,645 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE – VANTAGE |
$10,645 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE -PEOPLES |
$10,645 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICARE- HUMANA |
$10,433 |
| 24545 |
Treat humerus fracture |
$31,654 |
HUMANA |
$15,968 |
| 24545 |
Treat humerus fracture |
$31,654 |
VANTAGE |
$18,097 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICAID |
$659 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICAID – UNITED |
$659 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICAID – HEALTHY BLUE |
$659 |
| 24545 |
Treat humerus fracture |
$31,654 |
MEDICAID – AMERIHEALTH |
$659 |
| 24545 |
Treat humerus fracture |
$31,654 |
UNITED |
$9,761 |
| 24545 |
Treat humerus fracture |
$31,654 |
AETNA |
$7,719 |
| 24545 |
Treat humerus fracture |
$31,654 |
CIGNA |
$8,594 |
| 24545 |
Treat humerus fracture |
$31,654 |
LWCC |
$27,372 |
| 24545 |
Treat humerus fracture |
$31,654 |
PPOPLUS |
$17,607 |
| 24545 |
Treat humerus fracture |
$31,654 |
GILSBAR |
$15,165 |
| 24545 |
Treat humerus fracture |
$31,654 |
LSU |
$11,379 |
| 24545 |
Treat humerus fracture |
$31,654 |
VERITY |
$12,956 |
| 24545 |
Treat humerus fracture |
$31,654 |
MULTIPLAN |
$12,956 |
| 24545 |
Treat humerus fracture |
$31,654 |
LA WORK COMP |
$31,654 |
| 24545 |
Treat humerus fracture |
$31,654 |
|
|
| 24575 |
Treat humerus fracture |
$27,372 |
Private Pay |
$14,909 |
| 24575 |
Treat humerus fracture |
$27,372 |
BC PPO |
$12,851 |
| 24575 |
Treat humerus fracture |
$27,372 |
BC HMO |
$11,277 |
| 24575 |
Treat humerus fracture |
$27,372 |
BC FMOL |
$11,384 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE |
$10,645 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE – BLUE CROSS |
$10,645 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE – UNITED |
$10,645 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE – COVENTRY |
$10,645 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE – VANTAGE |
$10,645 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE -PEOPLES |
$10,645 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICARE- HUMANA |
$10,433 |
| 24575 |
Treat humerus fracture |
$27,372 |
HUMANA |
$15,968 |
| 24575 |
Treat humerus fracture |
$27,372 |
VANTAGE |
$18,097 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICAID |
$533 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICAID – UNITED |
$533 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24575 |
Treat humerus fracture |
$27,372 |
MEDICAID – AMERIHEALTH |
$533 |
| 24575 |
Treat humerus fracture |
$27,372 |
UNITED |
$4,460 |
| 24575 |
Treat humerus fracture |
$27,372 |
AETNA |
$2,224 |
| 24575 |
Treat humerus fracture |
$27,372 |
CIGNA |
$1,863 |
| 24575 |
Treat humerus fracture |
$27,372 |
LWCC |
$27,372 |
| 24575 |
Treat humerus fracture |
$27,372 |
PPOPLUS |
$9,094 |
| 24575 |
Treat humerus fracture |
$27,372 |
GILSBAR |
$7,473 |
| 24575 |
Treat humerus fracture |
$27,372 |
LSU |
$5,210 |
| 24575 |
Treat humerus fracture |
$27,372 |
VERITY |
$12,956 |
| 24575 |
Treat humerus fracture |
$27,372 |
MULTIPLAN |
$12,956 |
| 24575 |
Treat humerus fracture |
$27,372 |
LA WORK COMP |
$14,349 |
| 24575 |
Treat humerus fracture |
$27,372 |
|
|
| 24579 |
Treat humerus fracture |
$27,372 |
Private Pay |
$13,635 |
| 24579 |
Treat humerus fracture |
$27,372 |
BC PPO |
$12,851 |
| 24579 |
Treat humerus fracture |
$27,372 |
BC HMO |
$11,277 |
| 24579 |
Treat humerus fracture |
$27,372 |
BC FMOL |
$11,384 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE |
$10,645 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE – BLUE CROSS |
$10,645 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE – UNITED |
$10,645 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE – COVENTRY |
$10,645 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE – VANTAGE |
$10,645 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE -PEOPLES |
$10,645 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICARE- HUMANA |
$10,433 |
| 24579 |
Treat humerus fracture |
$27,372 |
HUMANA |
$15,968 |
| 24579 |
Treat humerus fracture |
$27,372 |
VANTAGE |
$18,097 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICAID |
$533 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICAID – UNITED |
$533 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24579 |
Treat humerus fracture |
$27,372 |
MEDICAID – AMERIHEALTH |
$533 |
| 24579 |
Treat humerus fracture |
$27,372 |
UNITED |
$4,460 |
| 24579 |
Treat humerus fracture |
$27,372 |
AETNA |
$3,785 |
| 24579 |
Treat humerus fracture |
$27,372 |
CIGNA |
$4,204 |
| 24579 |
Treat humerus fracture |
$27,372 |
LWCC |
$27,372 |
| 24579 |
Treat humerus fracture |
$27,372 |
PPOPLUS |
$8,317 |
| 24579 |
Treat humerus fracture |
$27,372 |
GILSBAR |
$7,104 |
| 24579 |
Treat humerus fracture |
$27,372 |
LSU |
$7,055 |
| 24579 |
Treat humerus fracture |
$27,372 |
VERITY |
$12,956 |
| 24579 |
Treat humerus fracture |
$27,372 |
MULTIPLAN |
$12,956 |
| 24579 |
Treat humerus fracture |
$27,372 |
LA WORK COMP |
$14,621 |
| 24579 |
Treat humerus fracture |
$27,372 |
|
|
| 27535 |
Treat knee fracture |
$35,585 |
Private Pay |
$32,105 |
| 27535 |
Treat knee fracture |
$35,585 |
BC PPO |
$2,296 |
| 27535 |
Treat knee fracture |
$35,585 |
BC HMO |
$2,015 |
| 27535 |
Treat knee fracture |
$35,585 |
BC FMOL |
$2,034 |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE – BLUE CROSS |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE – UNITED |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE – COVENTRY |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE – VANTAGE |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE -PEOPLES |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICARE- HUMANA |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
HUMANA |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
VANTAGE |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICAID |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICAID – UNITED |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICAID – HEALTHY BLUE |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
MEDICAID – AMERIHEALTH |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
UNITED |
$8,437 |
| 27535 |
Treat knee fracture |
$35,585 |
AETNA |
$8,560 |
| 27535 |
Treat knee fracture |
$35,585 |
CIGNA |
$9,934 |
| 27535 |
Treat knee fracture |
$35,585 |
LWCC |
$- |
| 27535 |
Treat knee fracture |
$35,585 |
PPOPLUS |
$19,584 |
| 27535 |
Treat knee fracture |
$35,585 |
GILSBAR |
$16,936 |
| 27535 |
Treat knee fracture |
$35,585 |
LSU |
$12,698 |
| 27535 |
Treat knee fracture |
$35,585 |
VERITY |
$4,253 |
| 27535 |
Treat knee fracture |
$35,585 |
MULTIPLAN |
$4,253 |
| 27535 |
Treat knee fracture |
$35,585 |
LA WORK COMP |
$35,585 |
| 27535 |
Treat knee fracture |
$35,585 |
|
|
| 27524 |
Treat kneecap fracture |
$21,136 |
Private Pay |
$21,347 |
| 27524 |
Treat kneecap fracture |
$21,136 |
BC PPO |
$6,173 |
| 27524 |
Treat kneecap fracture |
$21,136 |
BC HMO |
$5,417 |
| 27524 |
Treat kneecap fracture |
$21,136 |
BC FMOL |
$5,468 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE |
$5,351 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE – UNITED |
$5,351 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE – COVENTRY |
$5,351 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE – VANTAGE |
$5,351 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE -PEOPLES |
$5,351 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICARE- HUMANA |
$5,244 |
| 27524 |
Treat kneecap fracture |
$21,136 |
HUMANA |
$8,026 |
| 27524 |
Treat kneecap fracture |
$21,136 |
VANTAGE |
$9,097 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICAID |
$- |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICAID – UNITED |
$- |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICAID – HEALTHY BLUE |
$- |
| 27524 |
Treat kneecap fracture |
$21,136 |
MEDICAID – AMERIHEALTH |
$- |
| 27524 |
Treat kneecap fracture |
$21,136 |
UNITED |
$4,460 |
| 27524 |
Treat kneecap fracture |
$21,136 |
AETNA |
$3,316 |
| 27524 |
Treat kneecap fracture |
$21,136 |
CIGNA |
$3,393 |
| 27524 |
Treat kneecap fracture |
$21,136 |
LWCC |
$13,758 |
| 27524 |
Treat kneecap fracture |
$21,136 |
PPOPLUS |
$13,022 |
| 27524 |
Treat kneecap fracture |
$21,136 |
GILSBAR |
$10,806 |
| 27524 |
Treat kneecap fracture |
$21,136 |
LSU |
$6,500 |
| 27524 |
Treat kneecap fracture |
$21,136 |
VERITY |
$7,176 |
| 27524 |
Treat kneecap fracture |
$21,136 |
MULTIPLAN |
$7,176 |
| 27524 |
Treat kneecap fracture |
$21,136 |
LA WORK COMP |
$21,136 |
| 27524 |
Treat kneecap fracture |
$21,136 |
|
|
| 27828 |
Treat lower leg fracture |
$39,925 |
Private Pay |
$37,960 |
| 27828 |
Treat lower leg fracture |
$39,925 |
BC PPO |
$12,326 |
| 27828 |
Treat lower leg fracture |
$39,925 |
BC HMO |
$10,816 |
| 27828 |
Treat lower leg fracture |
$39,925 |
BC FMOL |
$10,919 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE |
$10,645 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE – BLUE CROSS |
$10,645 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE – UNITED |
$10,645 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE – COVENTRY |
$10,645 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE – VANTAGE |
$10,645 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE -PEOPLES |
$10,645 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICARE- HUMANA |
$10,433 |
| 27828 |
Treat lower leg fracture |
$39,925 |
HUMANA |
$15,968 |
| 27828 |
Treat lower leg fracture |
$39,925 |
VANTAGE |
$18,097 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICAID |
$659 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICAID – UNITED |
$659 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICAID – HEALTHY BLUE |
$659 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MEDICAID – AMERIHEALTH |
$659 |
| 27828 |
Treat lower leg fracture |
$39,925 |
UNITED |
$9,841 |
| 27828 |
Treat lower leg fracture |
$39,925 |
AETNA |
$7,812 |
| 27828 |
Treat lower leg fracture |
$39,925 |
CIGNA |
$8,928 |
| 27828 |
Treat lower leg fracture |
$39,925 |
LWCC |
$27,372 |
| 27828 |
Treat lower leg fracture |
$39,925 |
PPOPLUS |
$23,156 |
| 27828 |
Treat lower leg fracture |
$39,925 |
GILSBAR |
$19,637 |
| 27828 |
Treat lower leg fracture |
$39,925 |
LSU |
$11,489 |
| 27828 |
Treat lower leg fracture |
$39,925 |
VERITY |
$12,956 |
| 27828 |
Treat lower leg fracture |
$39,925 |
MULTIPLAN |
$12,956 |
| 27828 |
Treat lower leg fracture |
$39,925 |
LA WORK COMP |
$39,925 |
| 27828 |
Treat lower leg fracture |
$39,925 |
|
|
| 27829 |
Treat lower leg joint |
$29,535 |
Private Pay |
$27,521 |
| 27829 |
Treat lower leg joint |
$29,535 |
BC PPO |
$6,173 |
| 27829 |
Treat lower leg joint |
$29,535 |
BC HMO |
$5,417 |
| 27829 |
Treat lower leg joint |
$29,535 |
BC FMOL |
$5,468 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE |
$5,351 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE – UNITED |
$5,351 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE – COVENTRY |
$5,351 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE – VANTAGE |
$5,351 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE -PEOPLES |
$5,351 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICARE- HUMANA |
$5,244 |
| 27829 |
Treat lower leg joint |
$29,535 |
HUMANA |
$8,026 |
| 27829 |
Treat lower leg joint |
$29,535 |
VANTAGE |
$9,097 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICAID |
$466 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICAID – UNITED |
$466 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICAID – HEALTHY BLUE |
$466 |
| 27829 |
Treat lower leg joint |
$29,535 |
MEDICAID – AMERIHEALTH |
$466 |
| 27829 |
Treat lower leg joint |
$29,535 |
UNITED |
$8,912 |
| 27829 |
Treat lower leg joint |
$29,535 |
AETNA |
$6,243 |
| 27829 |
Treat lower leg joint |
$29,535 |
CIGNA |
$7,725 |
| 27829 |
Treat lower leg joint |
$29,535 |
LWCC |
$13,758 |
| 27829 |
Treat lower leg joint |
$29,535 |
PPOPLUS |
$16,788 |
| 27829 |
Treat lower leg joint |
$29,535 |
GILSBAR |
$14,343 |
| 27829 |
Treat lower leg joint |
$29,535 |
LSU |
$10,196 |
| 27829 |
Treat lower leg joint |
$29,535 |
VERITY |
$7,176 |
| 27829 |
Treat lower leg joint |
$29,535 |
MULTIPLAN |
$7,176 |
| 27829 |
Treat lower leg joint |
$29,535 |
LA WORK COMP |
$29,535 |
| 27829 |
Treat lower leg joint |
$29,535 |
|
|
| 26608 |
Treat metacarpal fracture |
$6,836 |
Private Pay |
$7,560 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
BC PPO |
$3,221 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
BC HMO |
$2,826 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
BC FMOL |
$2,853 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE |
$2,449 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE – UNITED |
$2,449 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE – COVENTRY |
$2,449 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE – VANTAGE |
$2,449 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE -PEOPLES |
$2,449 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICARE- HUMANA |
$2,400 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
HUMANA |
$3,673 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
VANTAGE |
$4,163 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICAID |
$659 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICAID – UNITED |
$659 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MEDICAID – AMERIHEALTH |
$659 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
UNITED |
$2,188 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
AETNA |
$1,510 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
CIGNA |
$1,102 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
LWCC |
$6,296 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
PPOPLUS |
$4,612 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
GILSBAR |
$3,710 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
LSU |
$4,041 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
VERITY |
$3,386 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
MULTIPLAN |
$3,386 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
LA WORK COMP |
$6,836 |
| 26608 |
Treat metacarpal fracture |
$6,836 |
|
|
| 26615 |
Treat metacarpal fracture |
$12,746 |
Private Pay |
$12,320 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
BC PPO |
$2,913 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
BC HMO |
$2,556 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
BC FMOL |
$2,580 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE |
$2,449 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE – BLUE CROSS |
$2,449 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE – UNITED |
$2,449 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE – COVENTRY |
$2,449 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE – VANTAGE |
$2,449 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE -PEOPLES |
$2,449 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICARE- HUMANA |
$2,400 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
HUMANA |
$3,673 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
VANTAGE |
$4,163 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICAID |
$659 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICAID – UNITED |
$659 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICAID – HEALTHY BLUE |
$659 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MEDICAID – AMERIHEALTH |
$659 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
UNITED |
$4,460 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
AETNA |
$3,298 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
CIGNA |
$3,180 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
LWCC |
$6,296 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
PPOPLUS |
$7,515 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
GILSBAR |
$6,335 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
LSU |
$6,155 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
VERITY |
$3,386 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
MULTIPLAN |
$3,386 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
LA WORK COMP |
$12,746 |
| 26615 |
Treat metacarpal fracture |
$12,746 |
|
|
| 28485 |
Treat metatarsal fracture |
$20,254 |
Private Pay |
$20,084 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
BC PPO |
$6,173 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
BC HMO |
$5,417 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
BC FMOL |
$5,468 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE |
$5,351 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE – UNITED |
$5,351 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE – COVENTRY |
$5,351 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE – VANTAGE |
$5,351 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE -PEOPLES |
$5,351 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICARE- HUMANA |
$5,244 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
HUMANA |
$8,026 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
VANTAGE |
$9,097 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICAID |
$659 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICAID – UNITED |
$659 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MEDICAID – AMERIHEALTH |
$659 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
UNITED |
$4,460 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
AETNA |
$3,871 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
CIGNA |
$3,978 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
LWCC |
$13,758 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
PPOPLUS |
$12,251 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
GILSBAR |
$10,233 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
LSU |
$6,832 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
VERITY |
$7,176 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
MULTIPLAN |
$7,176 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
LA WORK COMP |
$20,254 |
| 28485 |
Treat metatarsal fracture |
$20,254 |
|
|
| 24665 |
Treat radius fracture |
$17,431 |
Private Pay |
$16,779 |
| 24665 |
Treat radius fracture |
$17,431 |
BC PPO |
$6,827 |
| 24665 |
Treat radius fracture |
$17,431 |
BC HMO |
$5,990 |
| 24665 |
Treat radius fracture |
$17,431 |
BC FMOL |
$6,047 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE |
$5,351 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE – BLUE CROSS |
$5,351 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE – UNITED |
$5,351 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE – COVENTRY |
$5,351 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE – VANTAGE |
$5,351 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE -PEOPLES |
$5,351 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICARE- HUMANA |
$5,244 |
| 24665 |
Treat radius fracture |
$17,431 |
HUMANA |
$8,026 |
| 24665 |
Treat radius fracture |
$17,431 |
VANTAGE |
$9,097 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICAID |
$659 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICAID – UNITED |
$659 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICAID – HEALTHY BLUE |
$659 |
| 24665 |
Treat radius fracture |
$17,431 |
MEDICAID – AMERIHEALTH |
$659 |
| 24665 |
Treat radius fracture |
$17,431 |
UNITED |
$4,460 |
| 24665 |
Treat radius fracture |
$17,431 |
AETNA |
$4,038 |
| 24665 |
Treat radius fracture |
$17,431 |
CIGNA |
$3,710 |
| 24665 |
Treat radius fracture |
$17,431 |
LWCC |
$13,758 |
| 24665 |
Treat radius fracture |
$17,431 |
PPOPLUS |
$10,235 |
| 24665 |
Treat radius fracture |
$17,431 |
GILSBAR |
$8,641 |
| 24665 |
Treat radius fracture |
$17,431 |
LSU |
$7,029 |
| 24665 |
Treat radius fracture |
$17,431 |
VERITY |
$7,176 |
| 24665 |
Treat radius fracture |
$17,431 |
MULTIPLAN |
$7,176 |
| 24665 |
Treat radius fracture |
$17,431 |
LA WORK COMP |
$17,431 |
| 24665 |
Treat radius fracture |
$17,431 |
|
|
| 23655 |
Treat shoulder dislocation |
$6,056 |
Private Pay |
$6,729 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
BC PPO |
$1,714 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
BC HMO |
$1,504 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
BC FMOL |
$1,518 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE |
$1,212 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE – BLUE CROSS |
$1,212 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE – UNITED |
$1,212 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE – COVENTRY |
$1,212 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE – VANTAGE |
$1,212 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE -PEOPLES |
$1,212 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICARE- HUMANA |
$1,188 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
HUMANA |
$1,819 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
VANTAGE |
$2,061 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICAID |
$348 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICAID – UNITED |
$348 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICAID – HEALTHY BLUE |
$348 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MEDICAID – AMERIHEALTH |
$348 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
UNITED |
$734 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
AETNA |
$750 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
CIGNA |
$1,323 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
LWCC |
$3,117 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
PPOPLUS |
$4,105 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
GILSBAR |
$3,297 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
LSU |
$4,000 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
VERITY |
$1,728 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
MULTIPLAN |
$1,728 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
LA WORK COMP |
$6,056 |
| 23655 |
Treat shoulder dislocation |
$6,056 |
|
|
| 28525 |
Treat toe fracture |
$8,755 |
Private Pay |
$9,624 |
| 28525 |
Treat toe fracture |
$8,755 |
BC PPO |
$2,604 |
| 28525 |
Treat toe fracture |
$8,755 |
BC HMO |
$2,285 |
| 28525 |
Treat toe fracture |
$8,755 |
BC FMOL |
$2,307 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE |
$2,449 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE – BLUE CROSS |
$2,449 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE – UNITED |
$2,449 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE – COVENTRY |
$2,449 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE – VANTAGE |
$2,449 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE -PEOPLES |
$2,449 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICARE- HUMANA |
$2,400 |
| 28525 |
Treat toe fracture |
$8,755 |
HUMANA |
$3,673 |
| 28525 |
Treat toe fracture |
$8,755 |
VANTAGE |
$4,163 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICAID |
$533 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICAID – UNITED |
$533 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28525 |
Treat toe fracture |
$8,755 |
MEDICAID – AMERIHEALTH |
$533 |
| 28525 |
Treat toe fracture |
$8,755 |
UNITED |
$2,188 |
| 28525 |
Treat toe fracture |
$8,755 |
AETNA |
$1,303 |
| 28525 |
Treat toe fracture |
$8,755 |
CIGNA |
$1,102 |
| 28525 |
Treat toe fracture |
$8,755 |
LWCC |
$6,296 |
| 28525 |
Treat toe fracture |
$8,755 |
PPOPLUS |
$5,870 |
| 28525 |
Treat toe fracture |
$8,755 |
GILSBAR |
$4,732 |
| 28525 |
Treat toe fracture |
$8,755 |
LSU |
$4,121 |
| 28525 |
Treat toe fracture |
$8,755 |
VERITY |
$3,386 |
| 28525 |
Treat toe fracture |
$8,755 |
MULTIPLAN |
$3,386 |
| 28525 |
Treat toe fracture |
$8,755 |
LA WORK COMP |
$8,755 |
| 28525 |
Treat toe fracture |
$8,755 |
|
|
| 24685 |
Treat ulnar fracture |
$23,089 |
Private Pay |
$21,418 |
| 24685 |
Treat ulnar fracture |
$23,089 |
BC PPO |
$6,827 |
| 24685 |
Treat ulnar fracture |
$23,089 |
BC HMO |
$5,990 |
| 24685 |
Treat ulnar fracture |
$23,089 |
BC FMOL |
$6,047 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE |
$5,351 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE – BLUE CROSS |
$5,351 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE – UNITED |
$5,351 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE – COVENTRY |
$5,351 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE – VANTAGE |
$5,351 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE -PEOPLES |
$5,351 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICARE- HUMANA |
$5,244 |
| 24685 |
Treat ulnar fracture |
$23,089 |
HUMANA |
$8,026 |
| 24685 |
Treat ulnar fracture |
$23,089 |
VANTAGE |
$9,097 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICAID |
$533 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICAID – UNITED |
$533 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICAID – HEALTHY BLUE |
$533 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MEDICAID – AMERIHEALTH |
$533 |
| 24685 |
Treat ulnar fracture |
$23,089 |
UNITED |
$4,460 |
| 24685 |
Treat ulnar fracture |
$23,089 |
AETNA |
$5,394 |
| 24685 |
Treat ulnar fracture |
$23,089 |
CIGNA |
$5,667 |
| 24685 |
Treat ulnar fracture |
$23,089 |
LWCC |
$13,758 |
| 24685 |
Treat ulnar fracture |
$23,089 |
PPOPLUS |
$13,065 |
| 24685 |
Treat ulnar fracture |
$23,089 |
GILSBAR |
$11,181 |
| 24685 |
Treat ulnar fracture |
$23,089 |
LSU |
$8,957 |
| 24685 |
Treat ulnar fracture |
$23,089 |
VERITY |
$7,176 |
| 24685 |
Treat ulnar fracture |
$23,089 |
MULTIPLAN |
$7,176 |
| 24685 |
Treat ulnar fracture |
$23,089 |
LA WORK COMP |
$23,089 |
| 24685 |
Treat ulnar fracture |
$23,089 |
|
|
| 25628 |
Treat wrist bone fracture |
$13,758 |
Private Pay |
$9,893 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
BC PPO |
$6,827 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
BC HMO |
$5,990 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
BC FMOL |
$6,047 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE |
$5,351 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE – BLUE CROSS |
$5,351 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE – UNITED |
$5,351 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE – COVENTRY |
$5,351 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE – VANTAGE |
$5,351 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE -PEOPLES |
$5,351 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICARE- HUMANA |
$5,244 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
HUMANA |
$8,026 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
VANTAGE |
$9,097 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICAID |
$533 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICAID – UNITED |
$533 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICAID – HEALTHY BLUE |
$533 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MEDICAID – AMERIHEALTH |
$533 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
UNITED |
$4,460 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
AETNA |
$2,038 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
CIGNA |
$2,107 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
LWCC |
$13,758 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
PPOPLUS |
$6,035 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
GILSBAR |
$4,985 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
LSU |
$4,990 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
VERITY |
$7,176 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
MULTIPLAN |
$7,176 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
LA WORK COMP |
$9,665 |
| 25628 |
Treat wrist bone fracture |
$13,758 |
|
|
| 28420 |
Treat/graft heel fracture |
$52,171 |
Private Pay |
$48,288 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
BC PPO |
$13,113 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
BC HMO |
$11,507 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
BC FMOL |
$11,616 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE |
$10,645 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE – BLUE CROSS |
$10,645 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE – UNITED |
$10,645 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE – COVENTRY |
$10,645 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE – VANTAGE |
$10,645 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE -PEOPLES |
$10,645 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICARE- HUMANA |
$10,433 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
HUMANA |
$15,968 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
VANTAGE |
$18,097 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICAID |
$659 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICAID – UNITED |
$659 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICAID – HEALTHY BLUE |
$659 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MEDICAID – AMERIHEALTH |
$659 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
UNITED |
$12,597 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
AETNA |
$11,058 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
CIGNA |
$12,602 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
LWCC |
$27,372 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
PPOPLUS |
$29,455 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
GILSBAR |
$25,229 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
LSU |
$15,325 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
VERITY |
$12,956 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
MULTIPLAN |
$12,956 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
LA WORK COMP |
$52,171 |
| 28420 |
Treat/graft heel fracture |
$52,171 |
|
|
| 27792 |
Treatment of ankle fracture |
$23,815 |
Private Pay |
$22,698 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
BC PPO |
$6,173 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
BC HMO |
$5,417 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
BC FMOL |
$5,468 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE |
$5,351 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE – UNITED |
$5,351 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE – COVENTRY |
$5,351 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE – VANTAGE |
$5,351 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE -PEOPLES |
$5,351 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICARE- HUMANA |
$5,244 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
HUMANA |
$8,026 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
VANTAGE |
$9,097 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICAID |
$533 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICAID – UNITED |
$533 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MEDICAID – AMERIHEALTH |
$533 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
UNITED |
$4,460 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
AETNA |
$4,925 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
CIGNA |
$5,324 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
LWCC |
$13,758 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
PPOPLUS |
$13,846 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
GILSBAR |
$11,732 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
LSU |
$8,402 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
VERITY |
$7,176 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
MULTIPLAN |
$7,176 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
LA WORK COMP |
$23,815 |
| 27792 |
Treatment of ankle fracture |
$23,815 |
|
|
| 27814 |
Treatment of ankle fracture |
$27,946 |
Private Pay |
$27,010 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
BC PPO |
$6,173 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
BC HMO |
$5,417 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
BC FMOL |
$5,468 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE |
$5,351 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE – UNITED |
$5,351 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE – COVENTRY |
$5,351 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE – VANTAGE |
$5,351 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE -PEOPLES |
$5,351 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICARE- HUMANA |
$5,244 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
HUMANA |
$8,026 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
VANTAGE |
$9,097 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICAID |
$533 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICAID – UNITED |
$533 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MEDICAID – AMERIHEALTH |
$533 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
UNITED |
$4,460 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
AETNA |
$5,201 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
CIGNA |
$5,655 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
LWCC |
$13,758 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
PPOPLUS |
$16,476 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
GILSBAR |
$13,889 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
LSU |
$8,728 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
VERITY |
$7,176 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
MULTIPLAN |
$7,176 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
LA WORK COMP |
$27,946 |
| 27814 |
Treatment of ankle fracture |
$27,946 |
|
|
| 27822 |
Treatment of ankle fracture |
$28,749 |
Private Pay |
$27,363 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
BC PPO |
$6,173 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
BC HMO |
$5,417 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
BC FMOL |
$5,468 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE |
$5,351 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE – BLUE CROSS |
$5,351 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE – UNITED |
$5,351 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE – COVENTRY |
$5,351 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE – VANTAGE |
$5,351 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE -PEOPLES |
$5,351 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICARE- HUMANA |
$5,244 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
HUMANA |
$8,026 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
VANTAGE |
$9,097 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICAID |
$533 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICAID – UNITED |
$533 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICAID – HEALTHY BLUE |
$533 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MEDICAID – AMERIHEALTH |
$533 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
UNITED |
$8,310 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
AETNA |
$5,734 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
CIGNA |
$6,543 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
LWCC |
$13,758 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
PPOPLUS |
$16,692 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
GILSBAR |
$14,150 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
LSU |
$9,358 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
VERITY |
$7,176 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
MULTIPLAN |
$7,176 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
LA WORK COMP |
$28,749 |
| 27822 |
Treatment of ankle fracture |
$28,749 |
|
|
| 28002 |
Treatment of foot infection |
$7,772 |
Private Pay |
$8,635 |
| 28002 |
Treatment of foot infection |
$7,772 |
BC PPO |
$1,329 |
| 28002 |
Treatment of foot infection |
$7,772 |
BC HMO |
$1,166 |
| 28002 |
Treatment of foot infection |
$7,772 |
BC FMOL |
$1,177 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE |
$1,212 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE – BLUE CROSS |
$1,212 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE – UNITED |
$1,212 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE – COVENTRY |
$1,212 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE – VANTAGE |
$1,212 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE -PEOPLES |
$1,212 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICARE- HUMANA |
$1,188 |
| 28002 |
Treatment of foot infection |
$7,772 |
HUMANA |
$1,819 |
| 28002 |
Treatment of foot infection |
$7,772 |
VANTAGE |
$2,061 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICAID |
$533 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICAID – UNITED |
$533 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICAID – HEALTHY BLUE |
$533 |
| 28002 |
Treatment of foot infection |
$7,772 |
MEDICAID – AMERIHEALTH |
$533 |
| 28002 |
Treatment of foot infection |
$7,772 |
UNITED |
$2,188 |
| 28002 |
Treatment of foot infection |
$7,772 |
AETNA |
$1,200 |
| 28002 |
Treatment of foot infection |
$7,772 |
CIGNA |
$854 |
| 28002 |
Treatment of foot infection |
$7,772 |
LWCC |
$3,117 |
| 28002 |
Treatment of foot infection |
$7,772 |
PPOPLUS |
$5,267 |
| 28002 |
Treatment of foot infection |
$7,772 |
GILSBAR |
$4,231 |
| 28002 |
Treatment of foot infection |
$7,772 |
LSU |
$4,000 |
| 28002 |
Treatment of foot infection |
$7,772 |
VERITY |
$1,728 |
| 28002 |
Treatment of foot infection |
$7,772 |
MULTIPLAN |
$1,728 |
| 28002 |
Treatment of foot infection |
$7,772 |
LA WORK COMP |
$7,772 |
| 28002 |
Treatment of foot infection |
$7,772 |
|
|
| 27759 |
Treatment of tibia fracture |
$30,325 |
Private Pay |
$29,316 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
BC PPO |
$12,851 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
BC HMO |
$11,277 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
BC FMOL |
$11,384 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE |
$10,645 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE – BLUE CROSS |
$10,645 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE – UNITED |
$10,645 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE – COVENTRY |
$10,645 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE – VANTAGE |
$10,645 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE -PEOPLES |
$10,645 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICARE- HUMANA |
$10,433 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
HUMANA |
$15,968 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
VANTAGE |
$18,097 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICAID |
$659 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICAID – AETNA BETTER HEALTH |
$659 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICAID – UNITED |
$659 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICAID – HEALTHY BLUE |
$659 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MEDICAID – AMERIHEALTH |
$659 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
UNITED |
$4,460 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
AETNA |
$5,809 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
CIGNA |
$6,524 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
LWCC |
$27,372 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
PPOPLUS |
$17,883 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
GILSBAR |
$15,074 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
LSU |
$9,123 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
VERITY |
$12,956 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
MULTIPLAN |
$12,956 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
LA WORK COMP |
$30,325 |
| 27759 |
Treatment of tibia fracture |
$30,325 |
|
|
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
Private Pay |
$11,657 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
BC PPO |
$2,913 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
BC HMO |
$2,556 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
BC FMOL |
$2,580 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE |
$2,449 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE – BLUE CROSS |
$2,449 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE – UNITED |
$2,449 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE – COVENTRY |
$2,449 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE – VANTAGE |
$2,449 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE -PEOPLES |
$2,449 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICARE- HUMANA |
$2,400 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
HUMANA |
$3,673 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
VANTAGE |
$4,163 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICAID |
$533 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICAID – UNITED |
$533 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICAID – HEALTHY BLUE |
$533 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MEDICAID – AMERIHEALTH |
$533 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
UNITED |
$2,923 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
AETNA |
$2,114 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
CIGNA |
$2,420 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
LWCC |
$6,296 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
PPOPLUS |
$7,111 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
GILSBAR |
$5,861 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
LSU |
$5,081 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
VERITY |
$3,386 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
MULTIPLAN |
$3,386 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
LA WORK COMP |
$11,322 |
| 29846 |
Wrist arthroscopy/surgery |
$11,322 |
|
|
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
Private Pay |
$123 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
BC PPO |
$14 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
BC HMO |
$12 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
BC FMOL |
$12 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE – UNITED |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE – COVENTRY |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE – VANTAGE |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE -PEOPLES |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICARE- HUMANA |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
HUMANA |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
VANTAGE |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICAID |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICAID – UNITED |
#N/A |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
UNITED |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
AETNA |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
CIGNA |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
LWCC |
$17 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
PPOPLUS |
$62 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
GILSBAR |
$50 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
LSU |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
VERITY |
$10 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
MULTIPLAN |
$10 |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
LA WORK COMP |
$- |
| 80048 |
BASIC METABOLIC PANEL (BMP) |
#N/A |
|
|
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
Private Pay |
$63,014 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
BC PPO |
$25,159 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
BC HMO |
$22,558 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
BC FMOL |
$22,345 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE |
$17,115 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE – BLUE CROSS |
$17,115 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE – UNITED |
$17,115 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE – COVENTRY |
$17,115 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE – VANTAGE |
$17,115 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE -PEOPLES |
$17,115 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICARE- HUMANA |
$16,773 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
HUMANA |
$21,548 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
VANTAGE |
$29,096 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICAID |
$3,412 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICAID – AETNA BETTER HEALTH |
$3,412 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICAID – UNITED |
$3,412 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICAID – HEALTHY BLUE |
$3,412 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MEDICAID – AMERIHEALTH |
$3,412 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
UNITED |
$20,200 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
AETNA |
$17,701 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
CIGNA |
$21,319 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
LWCC |
$20,820 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
PPOPLUS |
$32,032 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
GILSBAR |
$28,267 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
LSU |
$22,920 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
VERITY |
$20,563 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
MULTIPLAN |
$20,563 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
LA WORK COMP |
$16,107 |
| 462 |
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC |
$32,032 |
|
|
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
Private Pay |
$108 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
BC PPO |
$12 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
BC HMO |
$11 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
BC FMOL |
$11 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE – UNITED |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE – COVENTRY |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE – VANTAGE |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE -PEOPLES |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICARE- HUMANA |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
HUMANA |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
VANTAGE |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICAID |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICAID – UNITED |
#N/A |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
UNITED |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
AETNA |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
CIGNA |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
LWCC |
$16 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
PPOPLUS |
$55 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
GILSBAR |
$44 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
LSU |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
VERITY |
$9 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
MULTIPLAN |
$9 |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
LA WORK COMP |
$- |
| 85025 |
CBC W AUTOMATED DIFF |
#N/A |
|
|
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
Private Pay |
$47,387 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
BC PPO |
$22,084 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
BC HMO |
$19,801 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
BC FMOL |
$19,614 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE |
$16,597 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE – BLUE CROSS |
$16,597 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE – UNITED |
$16,597 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE – COVENTRY |
$16,597 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE – VANTAGE |
$16,597 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE -PEOPLES |
$16,597 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICARE- HUMANA |
$16,265 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
HUMANA |
$18,914 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
VANTAGE |
$28,215 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICAID |
$1,137 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICAID – AETNA BETTER HEALTH |
$1,137 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICAID – UNITED |
$1,137 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICAID – HEALTHY BLUE |
$1,137 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MEDICAID – AMERIHEALTH |
$1,137 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
UNITED |
$17,731 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
AETNA |
$7,888 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
CIGNA |
$12,814 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
LWCC |
$14,639 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
PPOPLUS |
$24,088 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
GILSBAR |
$21,030 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
LSU |
$16,739 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
VERITY |
$17,976 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
MULTIPLAN |
$17,976 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
LA WORK COMP |
$11,353 |
| 472 |
CERVICAL SPINAL FUSION W CC |
$28,215 |
|
|
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
Private Pay |
$41,405 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
BC PPO |
$17,637 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
BC HMO |
$15,814 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
BC FMOL |
$14,664 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE |
$13,710 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE – BLUE CROSS |
$13,710 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE – UNITED |
$13,710 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE – COVENTRY |
$13,710 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE – VANTAGE |
$13,710 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE -PEOPLES |
$13,710 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICARE- HUMANA |
$13,436 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
HUMANA |
$15,106 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
VANTAGE |
$23,307 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICAID |
$1,137 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICAID – AETNA BETTER HEALTH |
$1,137 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICAID – UNITED |
$1,137 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICAID – HEALTHY BLUE |
$1,137 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MEDICAID – AMERIHEALTH |
$1,137 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
UNITED |
$14,161 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
AETNA |
$7,888 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
CIGNA |
$9,600 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
LWCC |
$13,054 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
PPOPLUS |
$21,047 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
GILSBAR |
$18,368 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
LSU |
$15,154 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
VERITY |
$14,437 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
MULTIPLAN |
$14,437 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
LA WORK COMP |
$10,134 |
| 473 |
CERVICAL SPINAL FUSION W/O CC/MCC |
$23,307 |
|
|
| 454 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
Private Pay |
$86,507 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
BC PPO |
$62,296 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
BC HMO |
$55,856 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
BC FMOL |
$55,328 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE |
$33,423 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE – BLUE CROSS |
$33,423 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE – UNITED |
$33,423 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE – COVENTRY |
$33,423 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE – VANTAGE |
$33,423 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE -PEOPLES |
$33,423 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICARE- HUMANA |
$32,755 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
HUMANA |
$53,355 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
VANTAGE |
$56,819 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICAID |
$3,412 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICAID – AETNA BETTER HEALTH |
$3,412 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICAID – UNITED |
$3,412 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICAID – HEALTHY BLUE |
$3,412 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MEDICAID – AMERIHEALTH |
$3,412 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
UNITED |
$50,017 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
AETNA |
$25,984 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
CIGNA |
$30,499 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
LWCC |
$30,609 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
PPOPLUS |
$43,974 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
GILSBAR |
$39,216 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
LSU |
$32,709 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
VERITY |
$40,930 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
MULTIPLAN |
$40,930 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
LA WORK COMP |
$23,637 |
|
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC |
$62,296 |
|
|
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
Private Pay |
$81,182 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
BC PPO |
$48,686 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
BC HMO |
$43,653 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
BC FMOL |
$43,240 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE |
$26,266 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE – BLUE CROSS |
$26,266 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE – UNITED |
$26,266 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE – COVENTRY |
$26,266 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE – VANTAGE |
$26,266 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE -PEOPLES |
$26,266 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICARE- HUMANA |
$25,741 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
HUMANA |
$41,698 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
VANTAGE |
$44,652 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICAID |
$2,275 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICAID – AETNA BETTER HEALTH |
$2,275 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICAID – UNITED |
$2,275 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICAID – HEALTHY BLUE |
$2,275 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MEDICAID – AMERIHEALTH |
$2,275 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
UNITED |
$39,089 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
AETNA |
$24,442 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
CIGNA |
$28,652 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
LWCC |
$28,787 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
PPOPLUS |
$41,268 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
GILSBAR |
$36,789 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
LSU |
$30,886 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
VERITY |
$31,993 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
MULTIPLAN |
$31,993 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
LA WORK COMP |
$22,235 |
| 455 |
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC |
$48,686 |
|
|
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
Private Pay |
$128 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
BC PPO |
$17 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
BC HMO |
$15 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
BC FMOL |
$15 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE – UNITED |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE – COVENTRY |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE – VANTAGE |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE -PEOPLES |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICARE- HUMANA |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
HUMANA |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
VANTAGE |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICAID |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICAID – UNITED |
#N/A |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
UNITED |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
AETNA |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
CIGNA |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
LWCC |
$21 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
PPOPLUS |
$65 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
GILSBAR |
$52 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
LSU |
|
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
VERITY |
$12 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
MULTIPLAN |
$12 |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
LA WORK COMP |
$- |
| 80053 |
COMPREHENSIVE METABOLIC PANEL |
#N/A |
|
|
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
Private Pay |
$2,750 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
BC PPO |
$327 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
BC HMO |
$287 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
BC FMOL |
$290 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE |
$382 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE – BLUE CROSS |
$382 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE – UNITED |
$382 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE – COVENTRY |
$382 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE – VANTAGE |
$382 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE -PEOPLES |
$382 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICARE- HUMANA |
$374 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
HUMANA |
$577 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
VANTAGE |
$649 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICAID |
$174 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICAID – UNITED |
#N/A |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
UNITED |
$550 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
AETNA |
$400 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
CIGNA |
$510 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
LWCC |
$878 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
PPOPLUS |
$1,398 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
GILSBAR |
$1,123 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
LSU |
$400 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
VERITY |
$303 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
MULTIPLAN |
$303 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
LA WORK COMP |
$897 |
| 74177 |
CT ABDOMEN & PELVIS W/ |
#N/A |
|
|
| 70450 |
CT HEAD W/O |
#N/A |
Private Pay |
$1,385 |
| 70450 |
CT HEAD W/O |
#N/A |
BC PPO |
$148 |
| 70450 |
CT HEAD W/O |
#N/A |
BC HMO |
$130 |
| 70450 |
CT HEAD W/O |
#N/A |
BC FMOL |
$131 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE |
$112 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE – BLUE CROSS |
$112 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE – UNITED |
$112 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE – COVENTRY |
$112 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE – VANTAGE |
$112 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE -PEOPLES |
$112 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICARE- HUMANA |
$110 |
| 70450 |
CT HEAD W/O |
#N/A |
HUMANA |
$169 |
| 70450 |
CT HEAD W/O |
#N/A |
VANTAGE |
$190 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICAID |
$144 |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICAID – UNITED |
#N/A |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 70450 |
CT HEAD W/O |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 70450 |
CT HEAD W/O |
#N/A |
UNITED |
$550 |
| 70450 |
CT HEAD W/O |
#N/A |
AETNA |
$400 |
| 70450 |
CT HEAD W/O |
#N/A |
CIGNA |
$510 |
| 70450 |
CT HEAD W/O |
#N/A |
LWCC |
$258 |
| 70450 |
CT HEAD W/O |
#N/A |
PPOPLUS |
$704 |
| 70450 |
CT HEAD W/O |
#N/A |
GILSBAR |
$565 |
| 70450 |
CT HEAD W/O |
#N/A |
LSU |
$400 |
| 70450 |
CT HEAD W/O |
#N/A |
VERITY |
$114 |
| 70450 |
CT HEAD W/O |
#N/A |
MULTIPLAN |
$114 |
| 70450 |
CT HEAD W/O |
#N/A |
LA WORK COMP |
$291 |
| 70450 |
CT HEAD W/O |
#N/A |
|
|
| 73700 |
CT LOW EXT RT W/O |
#N/A |
Private Pay |
$1,184 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
BC PPO |
$148 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
BC HMO |
$130 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
BC FMOL |
$131 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE |
$100 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE – BLUE CROSS |
$100 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE – UNITED |
$100 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE – COVENTRY |
$100 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE – VANTAGE |
$100 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE -PEOPLES |
$100 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICARE- HUMANA |
$98 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
HUMANA |
$151 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
VANTAGE |
$170 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICAID |
$155 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICAID – UNITED |
#N/A |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
UNITED |
$550 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
AETNA |
$400 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
CIGNA |
$510 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
LWCC |
$258 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
PPOPLUS |
$602 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
GILSBAR |
$483 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
LSU |
$400 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
VERITY |
$158 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
MULTIPLAN |
$158 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
LA WORK COMP |
$291 |
| 73700 |
CT LOW EXT RT W/O |
#N/A |
|
|
| 72193 |
CT PELVIS W/ |
#N/A |
Private Pay |
$1,963 |
| 72193 |
CT PELVIS W/ |
#N/A |
BC PPO |
$327 |
| 72193 |
CT PELVIS W/ |
#N/A |
BC HMO |
$287 |
| 72193 |
CT PELVIS W/ |
#N/A |
BC FMOL |
$290 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE |
$182 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE – BLUE CROSS |
$182 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE – UNITED |
$182 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE – COVENTRY |
$182 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE – VANTAGE |
$182 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE -PEOPLES |
$182 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICARE- HUMANA |
$179 |
| 72193 |
CT PELVIS W/ |
#N/A |
HUMANA |
$275 |
| 72193 |
CT PELVIS W/ |
#N/A |
VANTAGE |
$310 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICAID |
$210 |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICAID – UNITED |
#N/A |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 72193 |
CT PELVIS W/ |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 72193 |
CT PELVIS W/ |
#N/A |
UNITED |
$550 |
| 72193 |
CT PELVIS W/ |
#N/A |
AETNA |
$400 |
| 72193 |
CT PELVIS W/ |
#N/A |
CIGNA |
$510 |
| 72193 |
CT PELVIS W/ |
#N/A |
LWCC |
$419 |
| 72193 |
CT PELVIS W/ |
#N/A |
PPOPLUS |
$998 |
| 72193 |
CT PELVIS W/ |
#N/A |
GILSBAR |
$802 |
| 72193 |
CT PELVIS W/ |
#N/A |
LSU |
$400 |
| 72193 |
CT PELVIS W/ |
#N/A |
VERITY |
$219 |
| 72193 |
CT PELVIS W/ |
#N/A |
MULTIPLAN |
$219 |
| 72193 |
CT PELVIS W/ |
#N/A |
LA WORK COMP |
$573 |
| 72193 |
CT PELVIS W/ |
#N/A |
|
|
| 73200 |
CT UP EXT LT W/O |
#N/A |
Private Pay |
$1,195 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
BC PPO |
$148 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
BC HMO |
$130 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
BC FMOL |
$131 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE |
$100 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE – BLUE CROSS |
$100 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE – UNITED |
$100 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE – COVENTRY |
$100 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE – VANTAGE |
$100 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE -PEOPLES |
$100 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICARE- HUMANA |
$98 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
HUMANA |
$151 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
VANTAGE |
$170 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICAID |
$155 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICAID – UNITED |
#N/A |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 73200 |
CT UP EXT LT W/O |
#N/A |
UNITED |
$550 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
AETNA |
$400 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
CIGNA |
$510 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
LWCC |
$258 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
PPOPLUS |
$608 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
GILSBAR |
$488 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
LSU |
$400 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
VERITY |
$158 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
MULTIPLAN |
$158 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
LA WORK COMP |
$291 |
| 73200 |
CT UP EXT LT W/O |
#N/A |
|
|
| 73200 |
CT UP EXT RT W/O |
#N/A |
Private Pay |
$1,170 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
BC PPO |
$148 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
BC HMO |
$130 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
BC FMOL |
$131 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE |
$100 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE – BLUE CROSS |
$100 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE – UNITED |
$100 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE – COVENTRY |
$100 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE – VANTAGE |
$100 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE -PEOPLES |
$100 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICARE- HUMANA |
$98 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
HUMANA |
$151 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
VANTAGE |
$170 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICAID |
$155 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICAID – UNITED |
#N/A |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 73200 |
CT UP EXT RT W/O |
#N/A |
UNITED |
$550 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
AETNA |
$400 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
CIGNA |
$510 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
LWCC |
$258 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
PPOPLUS |
$595 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
GILSBAR |
$478 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
LSU |
$400 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
VERITY |
$158 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
MULTIPLAN |
$158 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
LA WORK COMP |
$291 |
| 73200 |
CT UP EXT RT W/O |
#N/A |
|
|
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
Private Pay |
$94 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
BC PPO |
$10 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
BC HMO |
$9 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
BC FMOL |
$9 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE – UNITED |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE – COVENTRY |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE – VANTAGE |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE -PEOPLES |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICARE- HUMANA |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
HUMANA |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
VANTAGE |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICAID |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICAID – UNITED |
#N/A |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
UNITED |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
AETNA |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
CIGNA |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
LWCC |
$13 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
PPOPLUS |
$48 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
GILSBAR |
$38 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
LSU |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
VERITY |
$8 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
MULTIPLAN |
$8 |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
LA WORK COMP |
$- |
| 85027 |
HEMOGRAM CBC NO DIFF |
#N/A |
|
|
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
Private Pay |
$1,694 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
BC PPO |
$317 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
BC HMO |
$278 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
BC FMOL |
$281 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE |
$234 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE – BLUE CROSS |
$234 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE – UNITED |
$234 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE – COVENTRY |
$234 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE – VANTAGE |
$234 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE -PEOPLES |
$234 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICARE- HUMANA |
$229 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
HUMANA |
$354 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
VANTAGE |
$398 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICAID |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICAID – AETNA BETTER HEALTH |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICAID – UNITED |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICAID – HEALTHY BLUE |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MEDICAID – AMERIHEALTH |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
UNITED |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
AETNA |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
CIGNA |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
LWCC |
$602 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
PPOPLUS |
$861 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
GILSBAR |
$692 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
LSU |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
VERITY |
$313 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
MULTIPLAN |
$313 |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
LA WORK COMP |
$- |
| 20610 |
INJ/ASP L HIP/SHD/KNEE |
$861 |
|
|
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
Private Pay |
$31,645 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
BC PPO |
$11,763 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
BC HMO |
$10,547 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
BC FMOL |
$10,447 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE |
$8,567 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE – BLUE CROSS |
$8,567 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE – UNITED |
$8,567 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE – COVENTRY |
$8,567 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE – VANTAGE |
$8,567 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE -PEOPLES |
$8,567 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICARE- HUMANA |
$8,396 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
HUMANA |
$10,074 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
VANTAGE |
$14,564 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICAID |
$2,275 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICAID – AETNA BETTER HEALTH |
$2,275 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICAID – UNITED |
$2,275 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICAID – HEALTHY BLUE |
$2,275 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MEDICAID – AMERIHEALTH |
$2,275 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
UNITED |
$9,444 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
AETNA |
$10,450 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
CIGNA |
$12,435 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
LWCC |
$2,780 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
PPOPLUS |
$16,086 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
GILSBAR |
$12,960 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
LSU |
$4,879 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
VERITY |
$9,847 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
MULTIPLAN |
$9,847 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
LA WORK COMP |
$2,230 |
| 658 |
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC |
$16,086 |
|
|
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
Private Pay |
$136 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
BC PPO |
$72 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
BC HMO |
$64 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
BC FMOL |
$64 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE |
$49 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE – BLUE CROSS |
$49 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE – UNITED |
$49 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE – COVENTRY |
$49 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE – VANTAGE |
$49 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE -PEOPLES |
$49 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICARE- HUMANA |
$48 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
HUMANA |
$74 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
VANTAGE |
$84 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICAID |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICAID – UNITED |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
UNITED |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
AETNA |
#N/A |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
CIGNA |
$- |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
LWCC |
$127 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
PPOPLUS |
$69 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
GILSBAR |
$56 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
LSU |
$- |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
VERITY |
$8 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
MULTIPLAN |
$8 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
LA WORK COMP |
$62 |
| 93005 |
LEAD 12 EKG TRACING ON |
#N/A |
|
|
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
Private Pay |
$37,739 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
BC PPO |
$15,857 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
BC HMO |
$14,218 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
BC FMOL |
$14,083 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE |
$10,741 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE – BLUE CROSS |
$10,741 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE – UNITED |
$10,741 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE – COVENTRY |
$10,741 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE – VANTAGE |
$10,741 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE -PEOPLES |
$10,741 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICARE- HUMANA |
$10,526 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
HUMANA |
$13,581 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
VANTAGE |
$18,260 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICAID |
$1,137 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICAID – AETNA BETTER HEALTH |
$1,137 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICAID – UNITED |
$1,137 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICAID – HEALTHY BLUE |
$1,137 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MEDICAID – AMERIHEALTH |
$1,137 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
UNITED |
$12,731 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
AETNA |
$9,867 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
CIGNA |
$13,436 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
LWCC |
$11,561 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
PPOPLUS |
$19,184 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
GILSBAR |
$16,665 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
LSU |
$13,661 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
VERITY |
$12,942 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
MULTIPLAN |
$12,942 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
LA WORK COMP |
$8,985 |
| 470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC |
$19,184 |
|
|
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
Private Pay |
$56,574 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
BC PPO |
$18,485 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
BC HMO |
$16,574 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
BC FMOL |
$16,417 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE |
$13,053 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE – BLUE CROSS |
$13,053 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE – UNITED |
$13,053 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE – COVENTRY |
$13,053 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE – VANTAGE |
$13,053 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE -PEOPLES |
$13,053 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICARE- HUMANA |
$12,792 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
HUMANA |
$15,832 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
VANTAGE |
$22,190 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICAID |
$1,137 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICAID – AETNA BETTER HEALTH |
$1,137 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICAID – UNITED |
$1,137 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICAID – HEALTHY BLUE |
$1,137 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MEDICAID – AMERIHEALTH |
$1,137 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
UNITED |
$14,841 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
AETNA |
$18,891 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
CIGNA |
$21,993 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
LWCC |
$22,226 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
PPOPLUS |
$28,758 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
GILSBAR |
$25,832 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
LSU |
$24,326 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
VERITY |
$15,288 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
MULTIPLAN |
$15,288 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
LA WORK COMP |
$17,189 |
| 483 |
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES |
$28,758 |
|
|
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
Private Pay |
$35,826 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
BC PPO |
$10,337 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
BC HMO |
$9,269 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
BC FMOL |
$9,181 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE |
$7,923 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE – BLUE CROSS |
$7,923 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE – UNITED |
$7,923 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE – COVENTRY |
$7,923 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE – VANTAGE |
$7,923 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE -PEOPLES |
$7,923 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICARE- HUMANA |
$7,765 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
HUMANA |
$8,854 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
VANTAGE |
$13,469 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICAID |
$1,137 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICAID – AETNA BETTER HEALTH |
$1,137 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICAID – UNITED |
$1,137 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICAID – HEALTHY BLUE |
$1,137 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MEDICAID – AMERIHEALTH |
$1,137 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
UNITED |
$8,300 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
AETNA |
$3,216 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
CIGNA |
$6,641 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
LWCC |
$3,403 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
PPOPLUS |
$18,212 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
GILSBAR |
$14,754 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
LSU |
$5,503 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
VERITY |
$8,723 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
MULTIPLAN |
$8,723 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
LA WORK COMP |
$2,709 |
| 708 |
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC |
$18,212 |
|
|
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
Private Pay |
$76 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
BC PPO |
$18 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
BC HMO |
$16 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
BC FMOL |
$16 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE – UNITED |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE – COVENTRY |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE – VANTAGE |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE -PEOPLES |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICARE- HUMANA |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
HUMANA |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
VANTAGE |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICAID |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICAID – UNITED |
#N/A |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
UNITED |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
AETNA |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
CIGNA |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
LWCC |
$27 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
PPOPLUS |
$38 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
GILSBAR |
$31 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
LSU |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
VERITY |
$10 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
MULTIPLAN |
$10 |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
LA WORK COMP |
$- |
| 80047 |
METABOLIC PANEL IONIZED CA (I-STAT) |
#N/A |
|
|
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
Private Pay |
$90 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
BC PPO |
$10 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
BC HMO |
$8 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
BC FMOL |
$9 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE – UNITED |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE – COVENTRY |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE – VANTAGE |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE -PEOPLES |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICARE- HUMANA |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
HUMANA |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
VANTAGE |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICAID |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICAID – UNITED |
#N/A |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
UNITED |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
AETNA |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
CIGNA |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
LWCC |
$12 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
PPOPLUS |
$46 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
GILSBAR |
$37 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
LSU |
|
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
VERITY |
$7 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
MULTIPLAN |
$7 |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
LA WORK COMP |
$- |
| 85730 |
PARTIAL THROMBOPLASTIN TIME (PT) |
#N/A |
|
|
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
Private Pay |
$56 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
BC PPO |
$6 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
BC HMO |
$6 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
BC FMOL |
$6 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE – UNITED |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE – COVENTRY |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE – VANTAGE |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE -PEOPLES |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICARE- HUMANA |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
HUMANA |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
VANTAGE |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICAID |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICAID – UNITED |
#N/A |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
UNITED |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
AETNA |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
CIGNA |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
LWCC |
$9 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
PPOPLUS |
$29 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
GILSBAR |
$23 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
LSU |
|
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
VERITY |
$5 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
MULTIPLAN |
$5 |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
LA WORK COMP |
$- |
| 85610 |
PROTHROMBIN TIME (PT) |
#N/A |
|
|
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
Private Pay |
$78,652 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
BC PPO |
$30,603 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
BC HMO |
$27,439 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
BC FMOL |
$27,180 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE |
$21,611 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE – BLUE CROSS |
$21,611 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE – UNITED |
$21,611 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE – COVENTRY |
$21,611 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE – VANTAGE |
$21,611 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE -PEOPLES |
$21,611 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICARE- HUMANA |
$21,179 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
HUMANA |
$26,210 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
VANTAGE |
$36,739 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICAID |
$2,275 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICAID – AETNA BETTER HEALTH |
$2,275 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICAID – UNITED |
$2,275 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICAID – HEALTHY BLUE |
$2,275 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MEDICAID – AMERIHEALTH |
$2,275 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
UNITED |
$24,571 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
AETNA |
$22,445 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
CIGNA |
$26,249 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
LWCC |
$26,427 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
PPOPLUS |
$39,981 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
GILSBAR |
$35,429 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
LSU |
$28,526 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
VERITY |
$25,294 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
MULTIPLAN |
$25,294 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
LA WORK COMP |
$20,420 |
| 460 |
SPINAL FUSION EXCEPT CERVICAL W/O MCC |
$39,981 |
|
|
| 88304 |
SURG PATH, LEVEL III |
#N/A |
Private Pay |
$177 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
BC PPO |
$58 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
BC HMO |
$51 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
BC FMOL |
$51 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE |
$44 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE – BLUE CROSS |
$44 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE – UNITED |
$44 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE – COVENTRY |
$44 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE – VANTAGE |
$44 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE -PEOPLES |
$44 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICARE- HUMANA |
$43 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
HUMANA |
$67 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
VANTAGE |
$75 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICAID |
$38 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICAID – UNITED |
#N/A |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
UNITED |
$- |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
AETNA |
$- |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
CIGNA |
$- |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
LWCC |
$- |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
PPOPLUS |
$90 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
GILSBAR |
$72 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
LSU |
$- |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
VERITY |
$32 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
MULTIPLAN |
$32 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
LA WORK COMP |
$84 |
| 88304 |
SURG PATH, LEVEL III |
#N/A |
|
|
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
Private Pay |
$301 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
BC PPO |
$58 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
BC HMO |
$51 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
BC FMOL |
$51 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE |
$44 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE – BLUE CROSS |
$44 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE – UNITED |
$44 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE – COVENTRY |
$44 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE – VANTAGE |
$44 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE -PEOPLES |
$44 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICARE- HUMANA |
$43 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
HUMANA |
$67 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
VANTAGE |
$75 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICAID |
$65 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICAID – UNITED |
#N/A |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
UNITED |
$- |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
AETNA |
$- |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
CIGNA |
$- |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
LWCC |
$- |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
PPOPLUS |
$153 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
GILSBAR |
$123 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
LSU |
$- |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
VERITY |
$55 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
MULTIPLAN |
$55 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
LA WORK COMP |
$84 |
| 88305 |
SURG PATH, LEVEL IV |
#N/A |
|
|
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
Private Pay |
$35 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
BC PPO |
$4 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
BC HMO |
$3 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
BC FMOL |
$3 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE – UNITED |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE – COVENTRY |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE – VANTAGE |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE -PEOPLES |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICARE- HUMANA |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
HUMANA |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
VANTAGE |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICAID |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICAID – UNITED |
#N/A |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
UNITED |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
AETNA |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
CIGNA |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
LWCC |
$5 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
PPOPLUS |
$18 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
GILSBAR |
$14 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
LSU |
|
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
VERITY |
$3 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
MULTIPLAN |
$3 |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
LA WORK COMP |
$- |
| 81003 |
URINALYSIS AUTO W/O MICRO |
#N/A |
|
|
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
Private Pay |
$50 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
BC PPO |
$5 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
BC HMO |
$4 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
BC FMOL |
$4 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE – UNITED |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE – COVENTRY |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE – VANTAGE |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE -PEOPLES |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICARE- HUMANA |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
HUMANA |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
VANTAGE |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICAID |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICAID – UNITED |
#N/A |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
UNITED |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
AETNA |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
CIGNA |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
LWCC |
$6 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
PPOPLUS |
$26 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
GILSBAR |
$21 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
LSU |
|
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
VERITY |
$4 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
MULTIPLAN |
$4 |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
LA WORK COMP |
$- |
| 81001 |
URINALYSIS W MICRO AUTO |
#N/A |
|
|
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
Private Pay |
$526 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
BC PPO |
$148 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
BC HMO |
$130 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
BC FMOL |
$131 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE |
$112 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE – BLUE CROSS |
$112 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE – UNITED |
$112 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE – COVENTRY |
$112 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE – VANTAGE |
$112 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE -PEOPLES |
$112 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICARE- HUMANA |
$110 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
HUMANA |
$169 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
VANTAGE |
$191 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICAID |
$34 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICAID – UNITED |
#N/A |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
UNITED |
$550 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
AETNA |
$400 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
CIGNA |
$510 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
LWCC |
$258 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
PPOPLUS |
$267 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
GILSBAR |
$215 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
LSU |
$400 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
VERITY |
$48 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
MULTIPLAN |
$48 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
LA WORK COMP |
$209 |
| 72110 |
X-ray exam l-2 spine 4/>vws |
#N/A |
|
|
| 22513 |
#N/A |
$26,478 |
Private Pay |
$27,286 |
| 22513 |
#N/A |
$26,478 |
BC PPO |
$7,117 |
| 22513 |
#N/A |
$26,478 |
BC HMO |
$6,245 |
| 22513 |
#N/A |
$26,478 |
BC FMOL |
$6,305 |
| 22513 |
#N/A |
$26,478 |
MEDICARE |
$5,351 |
| 22513 |
#N/A |
$26,478 |
MEDICARE – BLUE CROSS |
$5,351 |
| 22513 |
#N/A |
$26,478 |
MEDICARE – UNITED |
$5,351 |
| 22513 |
#N/A |
$26,478 |
MEDICARE – COVENTRY |
$5,351 |
| 22513 |
#N/A |
$26,478 |
MEDICARE – VANTAGE |
$5,351 |
| 22513 |
#N/A |
$26,478 |
MEDICARE -PEOPLES |
$5,351 |
| 22513 |
#N/A |
$26,478 |
MEDICARE- HUMANA |
$5,244 |
| 22513 |
#N/A |
$26,478 |
HUMANA |
$8,026 |
| 22513 |
#N/A |
$26,478 |
VANTAGE |
$9,097 |
| 22513 |
#N/A |
$26,478 |
MEDICAID |
$466 |
| 22513 |
#N/A |
$26,478 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 22513 |
#N/A |
$26,478 |
MEDICAID – UNITED |
$466 |
| 22513 |
#N/A |
$26,478 |
MEDICAID – HEALTHY BLUE |
$466 |
| 22513 |
#N/A |
$26,478 |
MEDICAID – AMERIHEALTH |
$466 |
| 22513 |
#N/A |
$26,478 |
UNITED |
$4,460 |
| 22513 |
#N/A |
$26,478 |
AETNA |
$3,313 |
| 22513 |
#N/A |
$26,478 |
CIGNA |
$3,858 |
| 22513 |
#N/A |
$26,478 |
LWCC |
$13,758 |
| 22513 |
#N/A |
$26,478 |
PPOPLUS |
$16,645 |
| 22513 |
#N/A |
$26,478 |
GILSBAR |
$13,716 |
| 22513 |
#N/A |
$26,478 |
LSU |
$6,497 |
| 22513 |
#N/A |
$26,478 |
VERITY |
$7,176 |
| 22513 |
#N/A |
$26,478 |
MULTIPLAN |
$7,176 |
| 22513 |
#N/A |
$26,478 |
LA WORK COMP |
$26,478 |
| 22513 |
#N/A |
$26,478 |
|
|
| 22514 |
#N/A |
$21,317 |
Private Pay |
$21,888 |
| 22514 |
#N/A |
$21,317 |
BC PPO |
$7,117 |
| 22514 |
#N/A |
$21,317 |
BC HMO |
$6,245 |
| 22514 |
#N/A |
$21,317 |
BC FMOL |
$6,305 |
| 22514 |
#N/A |
$21,317 |
MEDICARE |
$5,351 |
| 22514 |
#N/A |
$21,317 |
MEDICARE – BLUE CROSS |
$5,351 |
| 22514 |
#N/A |
$21,317 |
MEDICARE – UNITED |
$5,351 |
| 22514 |
#N/A |
$21,317 |
MEDICARE – COVENTRY |
$5,351 |
| 22514 |
#N/A |
$21,317 |
MEDICARE – VANTAGE |
$5,351 |
| 22514 |
#N/A |
$21,317 |
MEDICARE -PEOPLES |
$5,351 |
| 22514 |
#N/A |
$21,317 |
MEDICARE- HUMANA |
$5,244 |
| 22514 |
#N/A |
$21,317 |
HUMANA |
$8,026 |
| 22514 |
#N/A |
$21,317 |
VANTAGE |
$9,097 |
| 22514 |
#N/A |
$21,317 |
MEDICAID |
$466 |
| 22514 |
#N/A |
$21,317 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 22514 |
#N/A |
$21,317 |
MEDICAID – UNITED |
$466 |
| 22514 |
#N/A |
$21,317 |
MEDICAID – HEALTHY BLUE |
$466 |
| 22514 |
#N/A |
$21,317 |
MEDICAID – AMERIHEALTH |
$466 |
| 22514 |
#N/A |
$21,317 |
UNITED |
$4,460 |
| 22514 |
#N/A |
$21,317 |
AETNA |
$2,979 |
| 22514 |
#N/A |
$21,317 |
CIGNA |
$3,237 |
| 22514 |
#N/A |
$21,317 |
LWCC |
$13,758 |
| 22514 |
#N/A |
$21,317 |
PPOPLUS |
$13,352 |
| 22514 |
#N/A |
$21,317 |
GILSBAR |
$11,016 |
| 22514 |
#N/A |
$21,317 |
LSU |
$6,103 |
| 22514 |
#N/A |
$21,317 |
VERITY |
$7,176 |
| 22514 |
#N/A |
$21,317 |
MULTIPLAN |
$7,176 |
| 22514 |
#N/A |
$21,317 |
LA WORK COMP |
$21,317 |
| 22514 |
#N/A |
$21,317 |
|
|
| 28291 |
#N/A |
$27,385 |
Private Pay |
$25,414 |
| 28291 |
#N/A |
$27,385 |
BC PPO |
$6,827 |
| 28291 |
#N/A |
$27,385 |
BC HMO |
$5,990 |
| 28291 |
#N/A |
$27,385 |
BC FMOL |
$6,047 |
| 28291 |
#N/A |
$27,385 |
MEDICARE |
$5,351 |
| 28291 |
#N/A |
$27,385 |
MEDICARE – BLUE CROSS |
$5,351 |
| 28291 |
#N/A |
$27,385 |
MEDICARE – UNITED |
$5,351 |
| 28291 |
#N/A |
$27,385 |
MEDICARE – COVENTRY |
$5,351 |
| 28291 |
#N/A |
$27,385 |
MEDICARE – VANTAGE |
$5,351 |
| 28291 |
#N/A |
$27,385 |
MEDICARE -PEOPLES |
$5,351 |
| 28291 |
#N/A |
$27,385 |
MEDICARE- HUMANA |
$5,244 |
| 28291 |
#N/A |
$27,385 |
HUMANA |
$8,026 |
| 28291 |
#N/A |
$27,385 |
VANTAGE |
$9,097 |
| 28291 |
#N/A |
$27,385 |
MEDICAID |
$466 |
| 28291 |
#N/A |
$27,385 |
MEDICAID – AETNA BETTER HEALTH |
$466 |
| 28291 |
#N/A |
$27,385 |
MEDICAID – UNITED |
$466 |
| 28291 |
#N/A |
$27,385 |
MEDICAID – HEALTHY BLUE |
$466 |
| 28291 |
#N/A |
$27,385 |
MEDICAID – AMERIHEALTH |
$466 |
| 28291 |
#N/A |
$27,385 |
UNITED |
$8,675 |
| 28291 |
#N/A |
$27,385 |
AETNA |
$6,164 |
| 28291 |
#N/A |
$27,385 |
CIGNA |
$6,949 |
| 28291 |
#N/A |
$27,385 |
LWCC |
$13,758 |
| 28291 |
#N/A |
$27,385 |
PPOPLUS |
$15,502 |
| 28291 |
#N/A |
$27,385 |
GILSBAR |
$13,265 |
| 28291 |
#N/A |
$27,385 |
LSU |
$9,866 |
| 28291 |
#N/A |
$27,385 |
VERITY |
$7,176 |
| 28291 |
#N/A |
$27,385 |
MULTIPLAN |
$7,176 |
| 28291 |
#N/A |
$27,385 |
LA WORK COMP |
$27,385 |
| 28291 |
#N/A |
$27,385 |
|
|
| 62321 |
#N/A |
$4,000 |
Private Pay |
$3,445 |
| 62321 |
#N/A |
$4,000 |
BC PPO |
$704 |
| 62321 |
#N/A |
$4,000 |
BC HMO |
$618 |
| 62321 |
#N/A |
$4,000 |
BC FMOL |
$624 |
| 62321 |
#N/A |
$4,000 |
MEDICARE |
$559 |
| 62321 |
#N/A |
$4,000 |
MEDICARE – BLUE CROSS |
$559 |
| 62321 |
#N/A |
$4,000 |
MEDICARE – UNITED |
$559 |
| 62321 |
#N/A |
$4,000 |
MEDICARE – COVENTRY |
$559 |
| 62321 |
#N/A |
$4,000 |
MEDICARE – VANTAGE |
$559 |
| 62321 |
#N/A |
$4,000 |
MEDICARE -PEOPLES |
$559 |
| 62321 |
#N/A |
$4,000 |
MEDICARE- HUMANA |
$548 |
| 62321 |
#N/A |
$4,000 |
HUMANA |
$839 |
| 62321 |
#N/A |
$4,000 |
VANTAGE |
$951 |
| 62321 |
#N/A |
$4,000 |
MEDICAID |
$348 |
| 62321 |
#N/A |
$4,000 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 62321 |
#N/A |
$4,000 |
MEDICAID – UNITED |
$348 |
| 62321 |
#N/A |
$4,000 |
MEDICAID – HEALTHY BLUE |
$348 |
| 62321 |
#N/A |
$4,000 |
MEDICAID – AMERIHEALTH |
$348 |
| 62321 |
#N/A |
$4,000 |
UNITED |
$610 |
| 62321 |
#N/A |
$4,000 |
AETNA |
$750 |
| 62321 |
#N/A |
$4,000 |
CIGNA |
$992 |
| 62321 |
#N/A |
$4,000 |
LWCC |
$1,438 |
| 62321 |
#N/A |
$4,000 |
PPOPLUS |
$2,102 |
| 62321 |
#N/A |
$4,000 |
GILSBAR |
$1,688 |
| 62321 |
#N/A |
$4,000 |
LSU |
$4,000 |
| 62321 |
#N/A |
$4,000 |
VERITY |
$695 |
| 62321 |
#N/A |
$4,000 |
MULTIPLAN |
$695 |
| 62321 |
#N/A |
$4,000 |
LA WORK COMP |
$3,101 |
| 62321 |
#N/A |
$4,000 |
|
|
| 62323 |
#N/A |
$4,000 |
Private Pay |
$3,684 |
| 62323 |
#N/A |
$4,000 |
BC PPO |
$704 |
| 62323 |
#N/A |
$4,000 |
BC HMO |
$618 |
| 62323 |
#N/A |
$4,000 |
BC FMOL |
$624 |
| 62323 |
#N/A |
$4,000 |
MEDICARE |
$559 |
| 62323 |
#N/A |
$4,000 |
MEDICARE – BLUE CROSS |
$559 |
| 62323 |
#N/A |
$4,000 |
MEDICARE – UNITED |
$559 |
| 62323 |
#N/A |
$4,000 |
MEDICARE – COVENTRY |
$559 |
| 62323 |
#N/A |
$4,000 |
MEDICARE – VANTAGE |
$559 |
| 62323 |
#N/A |
$4,000 |
MEDICARE -PEOPLES |
$559 |
| 62323 |
#N/A |
$4,000 |
MEDICARE- HUMANA |
$548 |
| 62323 |
#N/A |
$4,000 |
HUMANA |
$839 |
| 62323 |
#N/A |
$4,000 |
VANTAGE |
$951 |
| 62323 |
#N/A |
$4,000 |
MEDICAID |
$348 |
| 62323 |
#N/A |
$4,000 |
MEDICAID – AETNA BETTER HEALTH |
$348 |
| 62323 |
#N/A |
$4,000 |
MEDICAID – UNITED |
$348 |
| 62323 |
#N/A |
$4,000 |
MEDICAID – HEALTHY BLUE |
$348 |
| 62323 |
#N/A |
$4,000 |
MEDICAID – AMERIHEALTH |
$348 |
| 62323 |
#N/A |
$4,000 |
UNITED |
$610 |
| 62323 |
#N/A |
$4,000 |
AETNA |
$750 |
| 62323 |
#N/A |
$4,000 |
CIGNA |
$1,323 |
| 62323 |
#N/A |
$4,000 |
LWCC |
$1,438 |
| 62323 |
#N/A |
$4,000 |
PPOPLUS |
$2,247 |
| 62323 |
#N/A |
$4,000 |
GILSBAR |
$1,805 |
| 62323 |
#N/A |
$4,000 |
LSU |
$4,000 |
| 62323 |
#N/A |
$4,000 |
VERITY |
$695 |
| 62323 |
#N/A |
$4,000 |
MULTIPLAN |
$695 |
| 62323 |
#N/A |
$4,000 |
LA WORK COMP |
$3,316 |
| 62323 |
#N/A |
$4,000 |
|
|
| 64912 |
#N/A |
$28,259 |
Private Pay |
$24,592 |
| 64912 |
#N/A |
$28,259 |
BC PPO |
$5,995 |
| 64912 |
#N/A |
$28,259 |
BC HMO |
$5,260 |
| 64912 |
#N/A |
$28,259 |
BC FMOL |
$5,310 |
| 64912 |
#N/A |
$28,259 |
MEDICARE |
$4,928 |
| 64912 |
#N/A |
$28,259 |
MEDICARE – BLUE CROSS |
$4,928 |
| 64912 |
#N/A |
$28,259 |
MEDICARE – UNITED |
$4,928 |
| 64912 |
#N/A |
$28,259 |
MEDICARE – COVENTRY |
$4,928 |
| 64912 |
#N/A |
$28,259 |
MEDICARE – VANTAGE |
$4,928 |
| 64912 |
#N/A |
$28,259 |
MEDICARE -PEOPLES |
$4,928 |
| 64912 |
#N/A |
$28,259 |
MEDICARE- HUMANA |
$4,829 |
| 64912 |
#N/A |
$28,259 |
HUMANA |
$7,392 |
| 64912 |
#N/A |
$28,259 |
VANTAGE |
$8,377 |
| 64912 |
#N/A |
$28,259 |
MEDICAID |
$533 |
| 64912 |
#N/A |
$28,259 |
MEDICAID – AETNA BETTER HEALTH |
$533 |
| 64912 |
#N/A |
$28,259 |
MEDICAID – UNITED |
$533 |
| 64912 |
#N/A |
$28,259 |
MEDICAID – HEALTHY BLUE |
$533 |
| 64912 |
#N/A |
$28,259 |
MEDICAID – AMERIHEALTH |
$533 |
| 64912 |
#N/A |
$28,259 |
UNITED |
$9,582 |
| 64912 |
#N/A |
$28,259 |
AETNA |
$7,539 |
| 64912 |
#N/A |
$28,259 |
CIGNA |
$8,941 |
| 64912 |
#N/A |
$28,259 |
LWCC |
$12,671 |
| 64912 |
#N/A |
$28,259 |
PPOPLUS |
$15,001 |
| 64912 |
#N/A |
$28,259 |
GILSBAR |
$13,153 |
| 64912 |
#N/A |
$28,259 |
LSU |
$11,965 |
| 64912 |
#N/A |
$28,259 |
VERITY |
$5,923 |
| 64912 |
#N/A |
$28,259 |
MULTIPLAN |
$5,923 |
| 64912 |
#N/A |
$28,259 |
LA WORK COMP |
$28,259 |
| 64912 |
#N/A |
$28,259 |
|
|
| 81002 |
#N/A |
#N/A |
Private Pay |
$37 |
| 81002 |
#N/A |
#N/A |
BC PPO |
$5 |
| 81002 |
#N/A |
#N/A |
BC HMO |
$4 |
| 81002 |
#N/A |
#N/A |
BC FMOL |
$4 |
| 81002 |
#N/A |
#N/A |
MEDICARE |
$- |
| 81002 |
#N/A |
#N/A |
MEDICARE – BLUE CROSS |
$- |
| 81002 |
#N/A |
#N/A |
MEDICARE – UNITED |
$- |
| 81002 |
#N/A |
#N/A |
MEDICARE – COVENTRY |
$- |
| 81002 |
#N/A |
#N/A |
MEDICARE – VANTAGE |
$- |
| 81002 |
#N/A |
#N/A |
MEDICARE -PEOPLES |
$- |
| 81002 |
#N/A |
#N/A |
MEDICARE- HUMANA |
$- |
| 81002 |
#N/A |
#N/A |
HUMANA |
$- |
| 81002 |
#N/A |
#N/A |
VANTAGE |
$- |
| 81002 |
#N/A |
#N/A |
MEDICAID |
$- |
| 81002 |
#N/A |
#N/A |
MEDICAID – AETNA BETTER HEALTH |
#N/A |
| 81002 |
#N/A |
#N/A |
MEDICAID – UNITED |
#N/A |
| 81002 |
#N/A |
#N/A |
MEDICAID – HEALTHY BLUE |
#N/A |
| 81002 |
#N/A |
#N/A |
MEDICAID – AMERIHEALTH |
#N/A |
| 81002 |
#N/A |
#N/A |
UNITED |
$- |
| 81002 |
#N/A |
#N/A |
AETNA |
$- |
| 81002 |
#N/A |
#N/A |
CIGNA |
$- |
| 81002 |
#N/A |
#N/A |
LWCC |
$7 |
| 81002 |
#N/A |
#N/A |
PPOPLUS |
$19 |
| 81002 |
#N/A |
#N/A |
GILSBAR |
$15 |
| 81002 |
#N/A |
#N/A |
LSU |
|
| 81002 |
#N/A |
#N/A |
VERITY |
$3 |
| 81002 |
#N/A |
#N/A |
MULTIPLAN |
$3 |
| 81002 |
#N/A |
#N/A |
LA WORK COMP |
$- |
| 81002 |
#N/A |
#N/A |
|
|