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Cost Estimator

Select a service.

You may need to get a specific service code from your provider.
 
Code
Description
G0104 SIGMOIDOSCOPY FLEX SCREEN ProFee
G0108 DM OP SMT INDIV PER 30 MIN ProFee
G0121 SCRN COLONOSCOPY ProFee
G0271 GROUP MNT 2 OR MORE 30 MINS ProFee
G0390 Trauma Response Team Activation
G0405 NEW MEDICARE EKG PRO FEE
0131C
0131C- Sexual Assault Examination Level 1, 4 to 45 minutes.
0132C
0132C- Sexual Assault Examination Level 2, 46 to 119 minutes.
0133C
0133C- Sexual Assault Examination Level 3, 120 or more minutes.
10021
FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE ProFee
10060
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS O ProFee
10061
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS O ProFee
10080
INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE ProFee
10081
INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED ProFee
10120
INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE ProFee
10121
INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED ProFee
10140
INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION ProFee
10160
PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST ProFee
10180
INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION ProFee
1040M
1040M Charge Name Report Of Accident (ROA)
1073M
1073M Charge Name Activity Prescription Form (APF)
11000
DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE ProFee
11005
DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSU ProFee
11008
REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CHRONIC ProFee
11012
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/ ProFee
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