Surgical Bundles Include: the Surgeon fee, the Ambulatory Surgery Center facility fee including implants used and the surgerical assist fee, the Anesthesiologist fee, and Post-operative care for 90 days (1-3 office visits).

 

Upper Extremity

23472 Total Shoulder Arthroplasty/Replacement (TSA/TSR) $24,500

24341 or 24342 Distal Biceps or Triceps Tendon Repair $8000

24358 or 24359 Medial or Lateral Epicondylitis (Golfer or Tennis Elbow) Debridement/Repair $3800

25000 DeQuervains Release $3000 Local only

25111 Ganglion Cyst Excision Wrist $4500

25215 Proximal Row Carpectomy $6500

25607 or 25609 Distal Radius (Wrist) fracture Fixation $8000 or $9500

25447 Basal Joint Arthroplasty $6500

26045 Palmar Release (Dupuytren’s Contracture) $3700

26055 Trigger Finger Release $3000 Local only

26160 Hand/Finger Excision of Cyst $3700

26418 Extensor Tendon Repair $5000

26437 Saggital Band Repair $5400

26756 Broken Finger Pinning/Fixation $3500

26860 Finger Joint Fusion (IP Fusion) $4200

29806 Shoulder Arthroscopic Capsulorrhaphy ie Bankart Repair $10000

29807 Shoulder Arthroscopic Superior Labral Tear Repair (SLAP) $10000

29827 Shoulder Arthroscopic Rotator Cuff Repair $11000

64718 Cubital Tunnel Release/Ulnar Nerve Transposition $4800

64721 Carpal Tunnel Release (CTR) $3300

 

Lower Extremity
27130 Total Hip Arthroplasty/ Replacement (THA/THR)  $23,000

27447 Total Knee Arthroplasty/ Replacement (TKA/TKR)  $21,500

27446 or 27438 Partial or Unicompartmental Knee Arthroplasty/ Replacement (PKA/PKR/UKA/UKR)  $21,500

27822 Ankle Fracture Fixation $7500

29888 ACL Anterior Cruciate Ligament Recontruction with Allograft $15,500

29880 Both MEDIAL AND LATERAL Meniscus Tears / Partial Meniscectomies $5000

29881 Single MEDIAL OR LATERAL Meniscus Tear / Partial Meniscectomy $4800