| Procedure | Notes | Price |
|---|---|---|
| Ankle - Achilles Repair | Full Price. | $5730.00 |
| Ankle - Arthroscopy | Full Price. | $3740.00 |
| Bilateral Knee Arthroscopy | Full Price. | $5200.00 |
| Distal Clavicle Excision | Full Price. | $6160.00 |
| Elbow - Arthroscopy | Full Price. | $3740.00 |
| Extensive Debridement, Shoulder - Arthroscopy | Full Price. | $6160.00 |
| Knee - Arthroscopy | Full Price. | $3740.00 |
| Knee with Lateral Release or Microfracture - Arthr | Full Price. | $4510.00 |
| Shoulder - Arthroscopy | Full Price. | $5720.00 |
| Subacromial Decompression - Arthroscopy | Full Price. | $6160.00 |
| Wrist - Arthroscopy | Full Price. | $4300.00 |
| 1st Stage Breast Reconstruction With Expanders, Bilateral | Full Price. | $7480.00 |
| 1st Stage Breast Reconstruction With Expanders, Single | Full Price. | $5280.00 |
| 2nd Stage Breast Reconstruction with Implant Placement, Bilateral | Full Price. | $5555.00 |
| 2nd Stage Breast Reconstruction with Implant Placement, Single | Full Price. | $4235.00 |
| Bilateral Breast Reduction | Full Price. | $9500.00 |
| Bilateral Nipple Reconstruction | Full Price. | $3800.00 |
| Breast Lymph Node Imaging | Full Price. | $815.00 |
| Excision Benign Lesion | Full Price. | $1900.00 |
| Breast Mass – Excision / Biopsy | Full Price. | $2365.00 |
| Mastectomy with or without Node Dissection | Full Price. | $5005.00 |
| Sentinal Node Injection | Full Price. | $325.00 |
| Ear- Bilateral Myringotomy with Tubes | Full Price. | $1700.00 |
| Ear - Foreign Body Removal | Full Price. | $1500.00 |
| Inner Ear – Stapedectomy | Full Price. | $5390.00 |
| Mastoidectomy | Full Price. | $6640.00 |
| Myringoplasty | Full Price. | $2400.00 |
| Ossiculoplasty | Full Price. | $5060.00 |
| Tymp-Mastoid | Full Price. | $7050.00 |
| Tympanoplasty | Full Price. | $5060.00 |
| Ulnar Nerve Trasposition / Epicondylectomy | Full Price. | $4510.00 |
| Chalazion | Full Price. | $1870.00 |
| Eye Muscle Surgery, 1 Muscle | Full Price. | $3300.00 |
| Eye Muscle Surgery, 2 Muscles | Full Price. | $4000.00 |
| Eye Muscle Surgery, More than 2 Muscles | Full Price. | $4840.00 |
| Nasolacrimal Duct Probe – Right and Left | Full Price. | $2420.00 |
| Nasolacrimal Duct Probe – Single | Full Price. | $1870.00 |
| Fraction - Closed Reduction and Casting | Full Price. | $1925.00 |
| Percutaneous Pinning – Finger 1-2 Pins | Full Price. | $2805.00 |
| Axillary Node Dissection | Full Price. | $4300.00 |
| Biopsy or Excision Open Deep Axillary Nodes | Full Price. | $4300.00 |
| Central IV Acess Port | Full Price. | $3190.00 |
| Hemorrhoidectomy | Full Price. | $3300.00 |
| Laparoscopic Cholecystectomy | Full Price. | $5865.00 |
| Pilonidal Cyst | Full Price. | $3400.00 |
| Vein Stripping – Right and Left | Full Price. | $4995.00 |
| Vein Stripping – Single | Full Price. | $3520.00 |
| Dilation and Curretage | Full Price. | $1600.00 |
| Hysterectomy (Includes Overnight Stay) | Full Price. | $8000.00 |
| Hysteroscopy | Full Price. | $1800.00 |
| Hysteroscopy / Ablation | Full Price. | $3800.00 |
| Laparoscopy, Abdomen, Peritoneum, and Omentum, Diagnostic, with or without Collection of Specimen(s) by Brushing or Washing (Sep | Full Price. | $4300.00 |
| Laparoscopy, Surgical, with Vaginal Hysterectomy for Uterus 250 g or Less | Full Price. | $8000.00 |
| Removal of Adhesions, Lesion, Cysts on Ovary(s) | Full Price. | $5865.00 |
| Removal of Ovary(s) | Full Price. | $5865.00 |
| Tubal Reversal | Full Price. | $9900.00 |
| Complex Hardware Removal | Full Price. | $4510.00 |
| Simple Hardware Removal | Full Price. | $2530.00 |
| Hernia bilateral | Full Price. | $4325.00 |
| Hernia - Epigastric | Full Price. | $0.00 |
| Hernia - Incisional | Full Price. | $4500.00 |
| Hernia - Inguinal | Full Price. | $3060.00 |
| Laparoscopic Incisional Hernia | Full Price. | $0.00 |
| Hernia - Ventral | Full Price. | $3200.00 |
| Anterior Cruciate Ligament Repair | Full Price. | $6990.00 |
| Anterior Cruciate Ligament Repair with Allograft | Full Price. | $9990.00 |
| Chondroplasty | Full Price. | $3740.00 |
| Complete Synovectomy | Full Price. | $3740.00 |
| Med & Lateral Meniscectomy | Full Price. | $3740.00 |
| Medial Collateral Ligament | Full Price. | $6160.00 |
| Posterior Cruciate Ligament Repair | Full Price. | $6990.00 |
| Tibial Tubercle Osteotomy | Full Price. | $6270.00 |
| Bunion Repair, Bunionectomy | $4125.00 |
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