| CPT |
CPT Code Description |
Billed Charge $ |
| 99204 |
NEW OFFICE PATIENT- LEVEL 4 |
$754.88 |
| 99233 |
FOLLOW UP HOSPITAL VISIT- LEVEL 3 |
$479.88 |
| 99214 |
ESTABLISHED PATIENT VISIT- LEVEL 4 |
$493.88 |
| 99213 |
ESTABLISHED PATIENT VISIT- LEVEL 3 |
$335.93 |
| 22853 |
PLACEMENT OF CAGE OR SPACER INTO INTERVERTEBRAL DISC SPACE TO FACILITATE
FUSION IN NECK OR BACK |
$1,190.00 |
| 99205 |
NEW OFFICE PATIENT- LEVEL 5 |
$950.36 |
| 99215 |
ESTABLISHED PATIENT VISIT- LEVEL 5 |
$664.92 |
| 22614 |
FUSION OF SPINE USING BONE GRAFT |
$1,880.51 |
| 99222 |
NEW OR ESTABLISHED INPATIENT - LEVEL 2 |
$629.78 |
| 63048 |
REMOVAL POSTERIOR BONE OF SPINE TO DECOMPRESS NERVES EACH ADDITIONAL LEVEL
AFTER THE FIRST CODED SEPARATELY |
$1,014.93 |
| 99212 |
ESTABLISHED OFFICE VISIT- LEVEL 2 |
$200.79 |
| 63047 |
REMOVAL POSTERIOR BONE OF SPINE TO DECOMPRESS NERVES, INCLUDING FIRST LEVEL ONLY |
$5,256.81 |
| 99223 |
NEW OR ESTABLISHED INPATIENT - LEVEL 3 |
$932.31 |
| 22845 |
USE OF HARDWARE TO FIXATE AND IMMOBILIZE SPINE FROM AN ANTERIOR OR LATERAL APPROACH |
$3,513.24 |
| 22585 |
FUSION OF VERTEBRAE ACROSS A DISC SPACE FROM ANTERIOR OR LATERAL APPROACH
USING BONE GRAFT INCLUDING EACH ADDITIONAL LEVEL AFTER THE FIRST CODED
SEPARATELY |
$1,547.51 |
