Transparency in Health Care Prices Act
Senate Bill 17-065 Effective January 1, 2018
Standard Fees effective October 1, 2025
If you have health insurance coverage, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office. If you do not have health insurance coverage, you are strongly encouraged to contact our business office personnel at (720) 979-0010 to discuss payment options and/or financial resources prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility. Actual services provided during a surgical procedure may vary from the scheduled procedure and price quote, including but not limited to the medically necessary use of high cost drugs, implants, supplies and any procedures other than the original quote based on individual circumstances for each patient case.
| Billed CPT Code | Billed CPT Name | Standard Fee |
|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $12,969 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | $4,750 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | $4,750 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $12,969 |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | $4,750 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | $12,969 |
| 64491 | Injection of upper or middle spine facet joint using imaging guidance, second level | $4,750 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | $12,969 |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | $12,969 |
| G0260 | Injection procedure for sacroiliac joint | $12,969 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | $14,149 |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | $14,149 |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | $12,969 |
| 30140 | Removal of nasal air passage under lining tissue | $23,541 |
| 64634 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | $12,969 |
| 31267 | Removal of nasal sinus tissue using an endoscope | $24,363 |
| 30520 | Reshaping of nasal cartilage | $17,953 |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | $34,194 |
| 31259 | Removal of tissue from sphenoid sinus using an endoscope | $25,033 |
| 31276 | Exploration of nasal sinus using an endoscope | $28,212 |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | $34,869 |
| 29881 | Removal of knee cartilage using an endoscope | $48,040 |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | $46,188 |
| 22856 | Insertion of artificial upper spine disc, anterior approach | $92,007 |
| 64492 | Injection of upper or middle spine facet joint using imaging guidance, third and any additional level | $5,225 |
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