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Pagosa Springs Medical Center

Colorado · 1,500 published self-pay prices, from $580 to $8,838.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
1.7 S PROFYLE HAND LOCK 3-D PLATE,2X2+2H$968Outpatient
1.7 S PROFYLE HAND LOCK 3-D PLATE,2X2H$746Outpatient
1.7 S PROFYLE HAND LOCK 3-D PLATE,3X2H$968Outpatient
1.7 S PROFYLE HAND LOCK 3-D PLATE,4X2H$1,165Outpatient
1.7 S PROFYLE HAND LOCK 3-D REPL PL,4X2H$1,165Outpatient
1.7 S PROFYLE HAND LOCK L-PLATE,LE,6H$582Outpatient
1.7 S PROFYLE HAND LOCK L-PLATE,RI,6H$582Outpatient
1.7 S PROFYLE HAND LOCK PLATE,STRAI,16H$845Outpatient
1.7 S PROFYLE HAND LOCK ROTATION PLATE,5H$1,165Outpatient
1.7 S PROFYLE HAND LOCK T-PLATE,NAR,10H$685Outpatient
1.7 S PROFYLE HAND LOCK T-PLATE,NAR,6H$644Outpatient
1.7 S PROFYLE HAND LOCK T-PLATE,REG,7H$644Outpatient
1.7 S PROFYLE HAND LOCK T-PLATE,WIDE,8H$708Outpatient
1.7 S PROFYLE HAND LOCK Z-PLATE,NAR,9H$740Outpatient
1/3 Tubular Plates 10 Holes 119mm$1,475Outpatient
1/3 Tubular Plates 12 Holes 143mm$1,475Outpatient
1/3 Tubular Plates 14 Holes 167mm$1,702Outpatient
1/3 Tubular Plates 16 Holes 191mm$1,702Outpatient
1/3 Tubular Plates 2 Holes 23mm$1,191Outpatient
1/3 Tubular Plates 3 Holes 35mm$1,191Outpatient
1/3 Tubular Plates 4 Holes 47mm$1,237Outpatient
1/3 Tubular Plates 5 Holes 59mm$1,191Outpatient
1/3 Tubular Plates 6 Holes 71mm$1,191Outpatient
1/3 Tubular Plates 7 Holes 83mm$1,191Outpatient
1/3 Tubular Plates 8 Holes 95mm$1,191Outpatient
1/3 Tubular Plates 9 Holes 107mm$1,475Outpatient
10005 Fine needle aspiration biopsy, ultrasound guidance fir$1,633Outpatient
10006 Fine needle aspiration biopsy, including ultrasound gu$817Outpatient
10007 Fine needle aspiration biopsy, including fluoroscopic$1,633Outpatient
10008 Fine needle aspiration biopsy, including fluoroscopic$817Outpatient
10009 Fine needle aspiration biopsy, including CT guidance;$1,633Outpatient
10010 Fine needle aspiration biopsy, including CT guidance;$817Outpatient
10011 Fine needle aspiration biopsy, including MR guidance;$1,633Outpatient
10012 Fine needle aspiration biopsy, including MR guidance;$1,633Outpatient
10021 Fine needle aspiration; without imaging$886Outpatient
10061 Incision And Drainage Of Abscess Complicated Or Multip$834Outpatient
10080 Incision And Drainage Of Pilonidal Cyst; Simple$1,796Outpatient
10120 Incision and removal of foreign body, subcutaneous tissue; simple$918Outpatient
10121 Incision And Removal Foreign Body, Subcut; Complicated$3,803Outpatient
10140 Incision And Drainage Of Hematoma, Seroma Or Fluid Col$3,919Outpatient
10160 Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cy$900Outpatient
11004 - DBRD SKIN, SUBQ EXTERNAL CHARGE$1,308Outpatient
11010 DEBRI OPEN FX/CLD SUBQ$653Outpatient
11011 DEBRIDE SKIN/MUS FX O/DIS$699Outpatient
11106 Incisional biopsy of skin; single lesion$1,469Outpatient
11760 Repair Nail Bed$1,420Outpatient
11765 Wedge Excision Of Skin Of Nail Fold$868Outpatient
11770 - Excision of pilonidal cyst or sinus, simple$6,738Outpatient
11976 Removal, Implantable Contraceptive Capsules$1,507Outpatient
11983 Removal with reinsertion of Nexplanon drug delivery im$784Outpatient
12020 Treatment Of Superficial Wound Dehiscence; Simple Clos$1,393Outpatient
12021 Treatment Of Superficial Wound Dehiscence; With Packin$970Outpatient
13100 Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm$1,816Outpatient
13101 Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm$1,089Outpatient
13120 CMPLX RPR S/A/L 1.1-2.5 CM$1,531Outpatient
13121 - REPR CPX ARMS/LEGS2.6-7.5 CHARGE$1,217Outpatient
13131 - REP CPX FOREHD/CHIN 1.1-2 CHARGE$1,097Outpatient
13132 - REP CPX FOREHD/CHIN 2.6-7 CHARGE$1,301Outpatient
13151 CMPLX RPR E/N/E/L 1.1-2.5 CM$1,198Outpatient
13152 CMPLX RPR E/N/E/L 2.6-7.5 CM$1,359Outpatient
15220 SKIN FULL GRAFT SCLP/ARM/LEG$1,460Outpatient
16030 DRSS/DBRID P-THICK BURN L$868Outpatient
19000 Puncture aspiration of cyst of breast$1,673Outpatient
19020 Mastotomy With Exploration Or Drainage Of Abscess, Dee$4,265Outpatient
19083 Biopsy breast w/placement of localization device, including ultrasound gui$2,158Outpatient
19083 US BREAST BX W/ CLIP PLACEMENT, Bil; FIRST LESION$2,158Outpatient
19083 US BREAST BX W/ CLIP PLACEMENT, LT; FIRST LESION$2,158Outpatient
19083 US BREAST BX W/ CLIP PLACEMENT, RT; FIRST LESION$2,158Outpatient
19084 Breast Biopsy w/placement of device and imaging of spe$1,117Outpatient
19120 Excision Of Cyst, Fibroadenoma, Or Other Benign Or Mal$1,191Outpatient
19285 US Breast needle Loc w/localization device placement;$1,705Outpatient
2.0mm INFERIOR TURBINATE BLADE$677Outpatient
2.3 M PROFYLE HAND LOCK 3-D PLATE,2X2+2H$968Outpatient
2.3 M PROFYLE HAND LOCK 3-D PLATE,2X2H$898Outpatient
2.3 M PROFYLE HAND LOCK 3-D PLATE,3X2H$968Outpatient
2.3 M PROFYLE HAND LOCK 3-D PLATE,4X2H$1,165Outpatient
2.3 M PROFYLE HAND LOCK 3-D REPL PL,4X2H$1,094Outpatient
2.3 M PROFYLE HAND LOCK L-PLATE,LE,6H$582Outpatient
2.3 M PROFYLE HAND LOCK L-PLATE,RI,6H$582Outpatient
2.3 M PROFYLE HAND LOCK LE MC V PLATE,5H$1,402Outpatient
2.3 M PROFYLE HAND LOCK PLATE,STRAI,16H$881Outpatient
2.3 M PROFYLE HAND LOCK RI MC V PLATE,5H$1,402Outpatient
2.3 M PROFYLE HAND LOCK ROTATION PLATE,5H$1,391Outpatient
2.3 M PROFYLE HAND LOCK T-PLATE,NAR,6H$605Outpatient
2.3 M PROFYLE HAND LOCK T-PLATE,REG,7H$666Outpatient
2.3 M PROFYLE HAND LOCK T-PLATE,WIDE,8H$708Outpatient
2.3 M PROFYLE HAND LOCK Y-PLATE,NAR,7H$766Outpatient
2.3 M PROFYLE HAND LOCK Z-PLATE,NAR,13H$740Outpatient
20220 - BONE BIOPSY TROCAR/NEEDLE CHARGE$4,562Outpatient
20520 - FOREIGN BODY REMOVAL MUSCLE/TENDON SHEATH CHARGE$3,996Outpatient
20526 - INJ OF CARPAL TUNNEL CHARGE$724Outpatient
20527 - INJ DUPUYTREN CORD W/ENZYME$677Outpatient
20606 - Arthrocent, asp/inj, intermediate joint w/US$1,662Outpatient
20611 Arthrocentesis, aspiration and/or injection, W/US$698Outpatient
20612 ASP/INJ GANGLION CYST$705Outpatient
20680 - EXTREMITY REMOVAL OF IMPLANT DEEP$1,394Outpatient
21011 Excision tumor soft tissue of face or scalp subcutaneous, less than 2 CM$872Outpatient
21012 Excision tumor soft tissue face or scalp 2cm or greater$817Outpatient
21480 Closed Treatment Of Temporomandibular Dislocation; Ini$592Outpatient
21555 Excision, Tumor, Soft Tissue Of Neck, Subcutaneous; Le$742Outpatient
21931 - EXC BACK LES SC 3 CM/> CHARGE$1,122Outpatient
23330 Removal Of Foreign Body, Shoulder; Subcutaneous$1,690Outpatient
23500 - CLOSED TREATMENT OF CLAVICULAR FRACTURE W/O MANIPULATION$581Outpatient
23505 Closed Treatment Of Clavicular Fracture; With Manipula$4,002Outpatient
23540 CLOSED TX OF ACROMIOCLAVICULAR DISLOCATION, W/O MANIPU$790Outpatient
23545 CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLCATION W/MAN$812Outpatient
23570 Closed Treatment Of Scapular Fracture; Without Manipul$616Outpatient
23575 Closed Treatment Of Scapular Fracture; With Manipulati$4,002Outpatient
23600 Closed Treatment Of Proximal Humeral Fracture; Without$943Outpatient
23605 Closed Treatment Of Proximal Humeral Fracture; With Ma$3,608Outpatient
23620 Closed Treatment Of Greater Humeral Tuberosity Fractur$658Outpatient
23625 Closed treatment of greater humeral tuberosity frac$1,260Outpatient
23650 Closed Treatment Of Shoulder Dislocation, With Manipul$752Outpatient
23655 Closed Treatment Of Shoulder Dislocation, With Manipul$1,004Outpatient
24071 Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Are$974Outpatient
24200 Removal Of Foreign Body, Upper Arm Or Elbow Area; Subc$3,595Outpatient
24500 Closed Treatment Of Humeral Shaft Fracture; Without Ma$844Outpatient
24505 Closed Treatment Of Humeral Shaft Fracture; With Manip$3,608Outpatient
24530 Closed Treatment Of Supracondylar Or Transcondylar Hum$891Outpatient
24535 Closed Treatment Of Supracondylar Or Transcondylar Hum$3,608Outpatient
24560 Closed Treatment Of Humeral Epicondylar Fracture, Medi$882Outpatient
24600 Treatment Of Closed Elbow Dislocation; Without Anesthe$850Outpatient
24605 Treatment Of Closed Elbow Dislocation; Requiring Anest$1,171Outpatient
24620 Closed Treatment Of Monteggia Type Of Fracture Disloca$3,608Outpatient
24640 Closed Treatment Of Radial Head Subluxation In Child,$663Outpatient
24650 CLOSED TREATMENT OF RADIAL NECK OR HEAD.$627Outpatient
24655 Closed Treatment Of Radial Head Or Neck Fracture; With$1,701Outpatient
24670 Closed Treatment Of Ulnar Fracture, Proximal End$1,636Outpatient
24675 Closed Treatment Of Ulnar Fracture, Proximal End$3,608Outpatient
25260 Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist$1,550Outpatient
25500 Closed Treatment Of Radial Shaft Fracture; Without Man$3,539Outpatient
25505 Closed Treatment Of Radial Shaft Fracture; With Manipu$1,333Outpatient
25520 Closed treatment of radial shaft fracture$1,771Outpatient
25530 Closed Treatment Of Ulnar Shaft Fracture; Without Mani$620Outpatient
25535 Closed Treatment Of Ulnar Shaft Fracture; With Manipul$1,131Outpatient
25560 - CLOSED TREATMENT OF RADIAL SHAFT FRACTURE W/O MANIPULATION$679Outpatient
25565 - CLOSED TREATMENT OF RADIAL SHAFT FRACTURE W MANIPULA$3,608Outpatient
25600 - CLOSED TX OF DISTAL RADIAL FX; W/O MANIPULATION CHAR$825Outpatient
25605 Closed Treatment Of Distal Radial Fracture w/ manipula$3,743Outpatient
25622 Closed Treatment Of Carpal Scaphoid w/o Manipulation$719Outpatient
25624 CLSD TX WRIST FX W/MANIP$3,608Outpatient
25630 CO TX CARPAL W/O MANIP$718Outpatient
25635 CLO TX CARPAL W/ MANIP$3,608Outpatient
25650 CD FX TX ULNAR STYLOID Charge$771Outpatient
25680 CLOTX WRISTFX DIS W/MAN$1,309Outpatient
25690 CLD TX W/ MANI LUNATE$3,608Outpatient
25705 EXC TUMOR SOFT TISSUE FOREARM /WRIST SUBQ 3CM$1,229Outpatient
26010 DRAINAGE FING ABSCESS SIM$832Outpatient
26011 DRNG FINGER ABSCESS, COMP$3,666Outpatient
26115 EXCISION TUMOR OR VASCULAR MALFORMATION.$1,295Outpatient
26410 - Repair, extensor tendon, hand, primary or secondary,$1,453Outpatient
26418 RPAIR XT TENDON, FINGER$7,228Outpatient
26600 CLOSED METACARPAL FX ONE BONE.$730Outpatient
26605 CLOSED TREATMENT OF METACARPAL FRACTURE.$774Outpatient
26641 - Closed Treatment of Carpometacarpal dislocation$956Outpatient
26675 Closed tx of carpometacarpal dislocation other than th$1,074Outpatient
26700 CLO TX KNUCKL SNGL W/MANI$785Outpatient
26705 TREAT KNUCKLE DISLOCATION$3,608Outpatient
26740 FX/Disloc Hand/Fingers$592Outpatient
26742 TREAT FINGER FRACTURE EAC$3,608Outpatient
26750 CLOSED TREATMENT OF DISTAL PHALAGEAL FRA.$581Outpatient
26755 CLOTX DIST PH FX FING MAN$691Outpatient
26770 CLSD REDUCTN DSLCTED FING$663Outpatient
26775 Closed Treatment Of Interphalangeal Joint Dislocation,$888Outpatient
26951 - AMPUTATION FINGER OR THUMB, PRIMARY OR SECONDARY; WI$7,645Outpatient
27238 CLOSED TRMT FEMORAL FX$3,608Outpatient
27250 - CLOSED TX OF HIP DISLOCATION;TRAUMATIC,W/O ANESTHESI$592Outpatient
27265 TREAT HIP DISLOC W/O ANES$1,026Outpatient
27266 Closed treatment of post hip arthroplasty dislocation;$3,652Outpatient
27301 - ID THIGH HEMATOMA CHARGE$2,183Outpatient
27340 - Excision, Prepatellar Bursa$922Outpatient
27372 - Removal of foreign body deep, thigh or knee$6,892Outpatient
27502 CLSD TX FX FEM W/MANIP$4,002Outpatient
27503- Closed treatment of supracondylar or transcondylar fe$3,999Outpatient
27508 Closed treatment of femoral fracture, distal end, medi$1,221Outpatient
27530 Closed Treatment Of Tibial Fracture, Proximal (Plateau$730Outpatient
27550 Closed Treatment Of Knee Dislocation; Without Anesthes$1,154Outpatient
27552 Closed Treatment Of Knee Dislocation; Requiring Anesth$1,543Outpatient
27560 Closed Treatment Of Patellar Dislocation; Without Anes$847Outpatient
27562 Closed Treatment Of Patellar Dislocation; Requiring An$1,206Outpatient
27618 EXC TUMOR LEG/ANKLE SUBCU$1,150Outpatient
27750 Fx Tibia Shaft W/O Manipulation$809Outpatient
27752 - Closed treatment of tibial shaft fracture (with or w$1,828Outpatient
27760 Closed Treatment of medial malleous fracture; without manipulation$1,068Outpatient
27762 - Closed Treatment Of Medial Malleolus Fracture; With$3,652Outpatient
27768 CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTUREL W/MA$2,667Outpatient
27780 Closed Tx Prox Fibula Clinic Charge$738Outpatient
27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACT.$734Outpatient
27788 CLO TX DIST FIBFX W MAN$952Outpatient
27808 Closed TX ankle FX w/o Man Clinic Charge$785Outpatient
27810 Fx Bimalleolar W/ Manip$3,539Outpatient
27816 TX OF ANKLE FX W/O MANIP$739Outpatient
27818 CLD TX TRIMAL W/MANI$3,608Outpatient
27824 CDTX DISTAL TIBIA FX$765Outpatient
27825 Closed tx of fx of weight bearing articular portion of$3,817Outpatient
27831 CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOC$7,228Outpatient
27840 - CL TX OF ANKLE DISLOCATION W/O ANESTHESIA$955Outpatient
28039 Exc Tumor, Soft Tissue Foot,Toe; 1.5Cm$6,759Outpatient
28190 REMOV FB FOOT SUBCUTAN$1,567Outpatient
28192 REMOV OF FOOT FOREIGN B-D$3,996Outpatient
28193 REMOV OF FOOT FOREIGN B-C$3,996Outpatient
28286 - Correction, cock-up fifth toe, with plastic skin clo$714Outpatient
28430 closed treatment of talus fx; without manipulation$637Outpatient
28450 - TX OF TARSAL BONE FRACTURE CHARGE$592Outpatient
28470 CLOSED TREATMENT OF METATARSAL FRACTURE.$581Outpatient
28490 CLTX FX GRT TOE PHLY PHLG W/O MNPJ.$581Outpatient
28495 FX BIG TOE W/MANIP$592Outpatient
28510 Closed treatment of FX phalanx or phalanges$581Outpatient
28515 Cl Tx Fx phalanx, phalanges w/ manip$667Outpatient
28630 CLO TX METATARS JT DISL$592Outpatient
28635 Closed treatment of metatarsophalangeal joint dislocat$3,539Outpatient
28660 CLD TX IP JT DIS W/O ANES$592Outpatient
29345 Application Of Long Leg Cast$679Outpatient
29355 Application of long leg cast (thigh to toes), walker$719Outpatient
29425 Application Of Short Leg Cast Walking$641Outpatient
29700 Removal Or Bivalving; Gauntlet, Boot Or Body Cast$704Outpatient
29740 Wedging Of Cast$654Outpatient
3-D PLATE LEFT$1,031Outpatient
3-D PLATE RIGHT$1,031Outpatient
3.5dia x 55mm self-tapping, Titanium$624Outpatient
31028435 Closed treatment of talus fracture; with manipulation$947Outpatient
31055100 Drainage of scrotal wall abscess$3,919Outpatient
31603 Tracheostomy Emergency; Transtracheal$3,487Outpatient
32400 - NEEDLE BIOPSY CHEST LININ CHARGE$4,561Outpatient
32408 - Core needle biopsy, lung or mediastinum, percutaneou$3,762Outpatient
32550 Insertion of indwelling tunneled pleural catheter w/cu$8,838Outpatient
32551 - INSERT CHEST TUBE CHARGE$588Outpatient
32554 Thoracentesis, needle or catheter, aspiration of the p$1,815Outpatient
32555 Thoracentesis, needle or catheter, aspiration of the p$1,944Outpatient
33016 - Pericardiocentesis, including imaging guidance$3,910Outpatient
36425 CUT DOWN$827Outpatient
36556 Insert non-tunnel CV catheter.$812Outpatient
36558 Insertion of tunneled centrally inserted central venous catheter age 5 or$601Outpatient
36561 Insert tunnel CV cath w or wo sq port>5.$768Outpatient
36573 Insertion of PICC, w/o subq port or pump, inc image gu$3,313Outpatient
36584 Replacement, Complete, Of A PICC, Without Subcutaneous$3,504Outpatient
36585 Replacement, Complete, Of A PICC, With Subcu$8,464Outpatient
36680 PLCNEEDLE BONE INFUSION$781Outpatient
38220 Marrow Aspiration Only$4,407Outpatient
38221 - BONE MARROW BIOPS NDL CHARGE$4,407Outpatient
3mm WEDGE ANCHOR, NO. 2 FORCE FIBER$818Outpatient
40650 Repair lip, full thickness; vermilion only$1,271Outpatient
40652 Repair lip, full thickness; up to half vertical height$1,271Outpatient
40654 Repair lip, full thickness; over one-half vertical height, or complex$3,921Outpatient
41008 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or$633Outpatient
41250 REPAIR TONGUE LACERATN$781Outpatient
43262 ENDO CHOLANGIOPANCREATOGR CHARGE$3,895Outpatient
43264 ENDO CHOLANGIOPANCREATOGR CHARGE$3,656Outpatient
43752 NASO GASTRIC TUBE PLACEMENT BY PHYSICIAN CHARGE$781Outpatient
43753 Gastric Intubation Aspi$689Outpatient
43762 Replacement of gastrostomy tube, percutan, includes re$761Outpatient
46040 - INCISION OF RECTAL ABSCES CHARGE$1,029Outpatient
46050 - Incision and drainage, perineal abscess,superficial$1,941Outpatient
46083 INCISION THROMB XT HEMORR$677Outpatient
46257 - HEMORRHOID NTRNL XTRNL 1 COLUMN W/FISSURECTO$1,004Outpatient
46614 Anoscopy; With Control Of Bleeding$2,830Outpatient
46922 - ANAL CANAL LESION RMVL CHARGE$750Outpatient
49082 - ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE$2,330Outpatient
49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE$2,330Outpatient
5.5MM Alphavent and 4.75 MM$689Outpatient
5.5MM Alphavent Tap$902Outpatient
50390 - Aspir and/njx renal cyst/pelvis needle prq$1,673Outpatient
51705 Change of Cystostomy tube; simple$687Outpatient
51720 BLADDER INSTILLATION ANTICARCINOGENIC AGENT$655Outpatient
54220 - Irrigation of corpora cavernosa for priapism$641Outpatient
54235 - Injection of corpora cavernosa with pharmacologic ag$588Outpatient
54450 Repositioning of foreskin including scar tissue remova$681Outpatient
54700 DRAINAGE OF SCROTUM$5,026Outpatient
56405 I D OF VULVA/PERINEUM.$817Outpatient
57460 LEEP$746Outpatient
57522 LEEP WITH LOOP ELECTRODE EXCISION$703Outpatient
59409 DELIVERY$6,182Outpatient
59414 DELIVERY OF PLACENTA$6,182Outpatient
62270 - SPINAL PUNCTURE LUMBAR DIAGNOSTIC$1,504Outpatient
62272 - SPINAL PUNCTURE THER DRAIN CEREBROSPINAL FLUID$2,032Outpatient
62273 - INJECTION EPIDURAL BLOOD/CLOT PATCH$1,549Outpatient
62284 - Injection Procedure For Myelography$1,144Outpatient
62304 - Myelography Lumbar Inj$1,850Outpatient
62328 -Spinal puncture, lumbar, diagnostic; with fluor or CT$1,697Outpatient
64400 ANESTH Injection, trigeminal nerve, any division or br$828Outpatient
64405 Injection; anesthetic agent; greater occipital nerve$785Outpatient
64421 - INJECTION, ANESTHETIC AGENT, INTERCOSTAL NERVES, MUL$1,916Outpatient
64450 Block Peripheral Nerve$1,704Outpatient
64454 NJX AA/STRD GNCLR NRV BRNCH$1,607Outpatient
64463 - PVB THORACIC CONT CATHETER INFUSION W/IMG GID$1,549Outpatient
64466 - Unilateral thoracic fascial plane block$708Outpatient
64489 TAP BLOCK BILATERAL; BY CONT INFUSION(S); INC IMG GUID$747Outpatient
64510 - Injection, Anesthetic Agent; Stellate Gang$2,127Outpatient
64642Chemodenervation One Extremity 1-4 Muscle$1,608Outpatient
64643 - Chemodenervation 1 Extremity Ea Addl 1-4 Muscle$804Outpatient
64644 -Chemodenervation 1 Extremity 5 Or More Muscles$1,608Outpatient
64645 - Chemodenervation 1 Extremity Ea Addl 5/> Muscles$804Outpatient
64646 - Chemodenervation Of Trunk Muscle 1-5 Muscles$1,608Outpatient
64788 - EXCISION OF NEUROFIBROMA CHARGE$985Outpatient
65210 REM FB CONJ EMBEDDED LT$781Outpatient
67700 - Drainage of Eyelid Abscess$712Outpatient
76098 MA Breast Tissue Specimen.$1,353Outpatient
85097 - Bone marrow, smear interpretation$1,986Outpatient
87506 - GI Panel by PCR, 6-11 Targets$631Outpatient
88309 level VI surg histo$616Outpatient

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