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  • HCPCS 29888

    ACL repair/augmentation/reconstruction

    $12,059.00
    Cash Price
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  • HCPCS 29130

    Application of finger splint

    $231.00
    Cash Price
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  • HCPCS 29105

    Application of full arm cast/splint

    $254.00
    Cash Price
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  • HCPCS 29505

    Application of full leg cast/splint

    $254.00
    Cash Price
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  • HCPCS 29125

    Application of short arm cast/splint (below the elbow)

    $318.00
    Cash Price
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  • HCPCS 29515

    Application of short leg cast/splint (below the knee)

    $254.00
    Cash Price
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  • HCPCS 20600

    Arthrocentesis (drainage) of small joint

    $362.00
    Cash Price
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  • HCPCS 29897

    Arthroscopy, ankle, surgical; debridement

    $4,719.00
    Cash Price
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  • HCPCS 29891

    Arthroscopy, ankle, surgical, excision of osteochondral defect

    $7,150.00
    Cash Price
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  • HCPCS 29873

    Arthroscopy, knee, surgical; with lateral release

    $5,834.00
    Cash Price
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  • HCPCS 29806

    Arthroscopy, shoulder, surgical

    $8,874.00
    Cash Price
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  • HCPCS 64721

    Carpal Tunnel Release

    $5,235.00
    Cash Price
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  • HCPCS 25215

    Carpectomy

    $5,204.00
    Cash Price
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  • HCPCS 26770

    Closed treatment of dislocated finger joint with manipulation

    $323.00
    Cash Price
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  • HCPCS 28292

    Correction, hallux valgus

    $5,316.00
    Cash Price
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  • HCPCS 28285

    Correction, hammertoe

    $4,710.00
    Cash Price
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  • HCPCS 25607

    Distal radius ORIF

    $11,468.00
    Cash Price
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  • HCPCS 25609

    Distal radius ORIF; complex

    $12,075.00
    Cash Price
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  • HCPCS 20605

    Draining or injecting medication into a large joint/bursa without ultrasound

    $2,084.00
    Cash Price
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  • HCPCS 20610

    Draining or injecting medication into a major joint/bursa without ultrasound

    $499.00
    Cash Price
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  • HCPCS 28080

    Excision, interdigital neuroma

    $3,686.00
    Cash Price
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  • HCPCS 11750

    Excision of nail and nail matrix

    $1,134.00
    Cash Price
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  • HCPCS 27345

    Excision of synovial cyst of popliteal space

    $4,904.00
    Cash Price
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  • HCPCS 24105

    Excision, olecranon bursa

    $3,590.00
    Cash Price
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  • HCPCS 27355

    Excision or curettage of bone cyst or benign tumor of femur

    $5,137.00
    Cash Price
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  • HCPCS 27340

    Excision, prepatellar bursa

    $3,592.00
    Cash Price
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  • HCPCS 28043

    Excision, tumor, soft tissue of foot or toe; subcutaneous

    $3,893.00
    Cash Price
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  • HCPCS 28045

    Excision, tumor, soft tissue of foot or toe; subfascial

    $3,893.00
    Cash Price
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  • HCPCS 28060

    Fasciectomy, plantar fascia

    $3,678.00
    Cash Price
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  • HCPCS 26756

    Finger/thumb distal phalangeal fixation (pinning)

    $3,934.00
    Cash Price
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  • HCPCS 27687

    Gastrocnemius recession

    $3,911.00
    Cash Price
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  • HCPCS 28289

    Hallux rigidus correction with cheilectomy

    $3,554.00
    Cash Price
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  • HCPCS 26160

    Hand/finger lesion excision

    $4,628.00
    Cash Price
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  • HCPCS 25000

    Incision, extensor tendon sheath, wrist

    $4,495.00
    Cash Price
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  • HCPCS 20553

    Injection of medication into an are that triggers pain

    $526.00
    Cash Price
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  • HCPCS 20550

    Injection of medication into a tendon or ligament

    $354.00
    Cash Price
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  • HCPCS 20551

    Injection of medication into the tendon/ligament origin

    $2,014.00
    Cash Price
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  • HCPCS 62323

    Injection of substance into spinal canal of lower back or sacrum using imaging guidance

    $3,656.00
    Cash Price
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  • HCPCS 62323

    Injection of substance into spinal canal of lower back or sacrum using imaging guidance

    $2,032.00
    Cash Price
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  • HCPCS 62321

    Injection of substance into spinal canal of upper or middle back using imaging guidance

    $1,624.00
    Cash Price
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  • HCPCS 29881

    Knee arthroscopic cartilage removal

    $7,989.00
    Cash Price
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  • HCPCS 29877

    Knee arthroscopic chrondoplasty

    $7,581.00
    Cash Price
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  • HCPCS 27570

    Manipulation of knee joint under general anesthesia

    $5,293.00
    Cash Price
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  • HCPCS 64718

    Neuroplasty and/or transposition; ulnar nerve

    $6,507.00
    Cash Price
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  • HCPCS 28119

    Ostectomy, calcaneus

    $3,928.00
    Cash Price
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  • HCPCS 28110

    Ostectomy, partial excision

    $3,686.00
    Cash Price
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  • HCPCS 24346

    Reconstruction medial collateral ligament

    $15,860.00
    Cash Price
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  • HCPCS 24342

    Reinsertion of ruptured biceps or triceps tendon

    $9,267.00
    Cash Price
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  • HCPCS 28035

    Release, tarsal tunnel

    $3,761.00
    Cash Price
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  • HCPCS 20612

    Removal of fluid or injection of medication into a ganglion cyst

    $483.00
    Cash Price
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  • HCPCS 20525

    Removal of foreign body in muscle or tendon sheath

    $3,893.00
    Cash Price
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  • HCPCS 20680

    Removal of implant; deep

    $4,512.00
    Cash Price
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  • HCPCS 20670

    Removal of implant; superficial

    $3,114.00
    Cash Price
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  • HCPCS 27650

    Repair, primary, ruptured Achilles tendon;

    $8,197.00
    Cash Price
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  • HCPCS 24341

    Repair, tendon or muscle, upper arm or elbow

    $7,880.00
    Cash Price
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  • HCPCS 28315

    Sesamoidectomy, first toe

    $3,934.00
    Cash Price
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  • HCPCS 29824

    Shoulder arthroscopy

    $8,405.00
    Cash Price
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  • HCPCS 29826

    Shoulder arthroscopy with bone shaving

    $5,915.00
    Cash Price
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  • HCPCS 29580

    Strapping, Unna boot

    $403.00
    Cash Price
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  • HCPCS 29880

    Surgery to remove of all or part of a torn meniscus in both medial and lateral compartments

    $8,146.00
    Cash Price
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  • HCPCS 27380

    Suture of infrapatellar tendon; primary

    $7,920.00
    Cash Price
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  • HCPCS 27385

    Suture of quadriceps or hamstring muscle rupture; primary

    $8,752.00
    Cash Price
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  • HCPCS 26055

    Tendon sheath incision

    $5,122.00
    Cash Price
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  • HCPCS 23550

    Treatment of acromioclavicular dislocation

    $8,752.00
    Cash Price
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  • HCPCS 27814

    Treatment of bimalleolar ankle fracture

    $10,197.00
    Cash Price
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  • HCPCS 23515

    Treatment of clavicular fracture

    $11,521.00
    Cash Price
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  • HCPCS 25605

    Treatment of forearm (radius or ulna) fracture

    $3,338.00
    Cash Price
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  • HCPCS 28485

    Treatment of metatarsal fracture

    $11,285.00
    Cash Price
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  • HCPCS 23650

    Treatment of shoulder dislocation without anesthesia

    $355.00
    Cash Price
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