Code |
|
Description |
Old Price |
New Price |
Allowable |
30000 |
|
Drainage Hematoma Nasal Intern |
$110.00 |
|
$88.43 |
30100 |
|
Biopsy Intranasal |
$154.00 |
|
$97.93 |
30117 |
|
Excision or Destruction intranasal lesion; Internal |
$987.00 |
|
$905.62 |
30120 |
|
Planing of Skin of Nose |
$987.00 |
|
$905.62 |
30130 |
|
EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE |
$987.00 |
|
$905.62 |
30140 |
|
Nose Submucous Resect Turbinate |
$987.00 |
|
$905.62 |
30410 |
|
Repair Elevation Nasal |
$2,250.00 |
|
$2,037.71 |
30465 |
|
Repair Nasal Stenosis |
$2,250.00 |
|
$2,037.71 |
30620 |
|
Septal/Intranasal Dermatoplasty |
$2,340.00 |
|
$2,037.71 |
30903 |
|
Control Nasal Bleeding/Anterio |
$82.00 |
|
$52.04 |
30930 |
|
FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC |
$987.00 |
|
$905.62 |
30999 |
|
Middle Turbinate |
$700.00 |
|
|
31000 |
|
Lavage By Cannulatio Maxillary |
$201.00 |
|
$88.43 |
31020 |
|
Accessory Sinuses Maxillary |
$987.00 |
|
$905.62 |
31075 |
|
Incision Transorbital Lynch |
$2,250.00 |
|
$2,037.71 |
31080 |
|
Sinus Open W/outo-plasti Flap |
$2,250.00 |
|
$2,037.71 |
31205 |
|
Ethmoidectomy; Extranasal, Tot |
$987.00 |
|
$905.62 |
31231 |
|
Nasal Endoscopy |
$94.00 |
|
$77.83 |