Worcestershire Anaesthetic Group

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Home Anaesthetic Fees

Fees Structure

The information contained in this section is intended as a guide for patients and medical secretaries. If you have a query about our fees, please contact the group on 07732 674647.

The Worcestershire Anaesthetic Group is a Limited Liability Partnership that sets its fees for anaesthetic procedures based on the WPA Health Insurance fee schedule. The WPA fee schedule can be viewed at www.wpa.org.uk/medical/MedicalFees.aspx. We bill our patients according to the Voluntary Code of Practice for Billing Private Patients published by The Association of Anaesthetists of Great Britain and Ireland. When more than one surgical procedure is involved we bill for these according to WPA guidelines: the primary code (the code carrying the highest fee) at the full fee, the secondary code at an additional 50% of the fee for that code, and any subsequent supplementary codes at 25% of those fees.

The majority of private health insurance companies cover our fees, but you are advised to check whether this is the case in advance. There can be differences between different insurers and also between different policies offered by the same insurer. In the event that your insurer does not cover the full fee, or there is an excess on your policy, you will be required to pay the shortfall to your anaesthetist.

A selection of procedures is listed below. If you cannot find your procedure code or description please contact the Worcestershire Anaesthetic Group on 0779 0917691.

ABDOMEN (other than urinary & reproductive organs)

OPCS

Description

Anaesthetic Cost

G2331

Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication)

490.00

G6080

Laparoscopically assisted resection of small intestine

550.00

G8082

Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure)

175.00

H0210

Appendicectomy

260.00

H0280

Laparoscopic appendicectomy

260.00

H0610

Extended excision of right hemicolon

400.00

H0700

Right hemicolectomy

340.00

H0750

Laparoscopically assisted right hemicolectomy

350.00

H0800

Excision of transverse colon

240.00

H0900

Excision of left hemicolon

375.00

H1000

Excision of sigmoid colon

340.00

H1542

Closure of colostomy

260.00

H1581

Laparoscopic colostomy and stoma formation (including revision)

275.00

H1880

Laparoscopically assisted left colon resection

400.00

H2002

Diagnostic colonoscopy, includes forceps biopsy of colon and ileum

175.00

H2502

Diagnostic flexible sigmoidoscopy, including forceps biopsy and proctoscopy

175.00

H2503

Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion

160.00

H2510

Rigid sigmoidoscopy including proctoscopy and biopsy

105.00

H3320

Abdominoperineal resection of rectum and anus

605.00

H3322

Laparoscopic abdominoperineal resection

610.00

H3332

Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection)

625.00

H3334

Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection)

645.00

H3362

Hartmann's procedure

540.00

H3363

Colectomy and colostomy and preservation of rectum

540.00

H3364

Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection)

625.00

H3365

Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection)

645.00

H3390

Reversal of Hartmann's procedure

540.00

H3500

Fixation of rectum for prolapse

340.00

H3580

Laparoscopic rectopexy

340.00

H4130

Perianal excision of lesion of rectum (including sigmoidoscopy)

220.00

H4180

Full or partial thickness rectal biopsy

130.00

H4200

Perineal repair of prolapse of rectum

250.00

H4430

Examination of rectum under anaesthetic (as sole procedure)

130.00

H4480

Dilation of stricture of rectum

110.00

H4800

Excision of lesion of anus

120.00

H5020

Repair of anal sphincter (including sigmoidoscopy)

220.00

H5100

Haemorrhoidectomy (including sigmoidoscopy)

180.00

H5240

Banding of haemorrhoids

100.00

H5250

Circular Stapling Haemorrhoidectomy

150.00

H5510

Laying open of low anal fistula (including sigmoidoscopy)

175.00

H5520

Laying open of high anal fistula (including sigmoidoscopy)

210.00

H5620

Lateral sphincterotomy of anus

150.00

H5640

Excision of anal fissure

150.00

H5940

Excision of pilonidal sinus and suture/skin graft

220.00

H6020

Laying open of pilonidal sinus

125.00

J0900

Diagnostic laparoscopy (including any biopsy)

200.00

J1800

Cholecystectomy (including mini-cholecystectomy)

380.00

J1820

Cholecystectomy with exploration of common bile duct

390.00

J1830

Laparoscopic cholecystectomy

475.00

J1880

Laparoscopic cholecystectomy with peri-operative cholangiogram

525.00

J3500

Sphincterotomy of bile duct and pancreatic duct using duodenal approach

250.00

J3900

Therapeutic ERCP (including insertion of biliary or pancreatic prosthesis, sphincterotomy and stone extraction)

200.00

T1900

Simple excision of inguinal hernial sac (herniotomy) - unilateral

185.00

T1910

Simple excision of inguinal hernial sac (herniotomy) - bilateral

345.00

T2000

Primary repair of inguinal hernia

210.00

T2002

Laparoscopic repair of inguinal hernia - unilateral

195.00

T2010

Primary repair of inguinal hernia - bilateral

355.00

T2012

Laparoscopic repair of inguinal hernia - bilateral

350.00

T2080

Primary repair of strangulated inguinal hernia

345.00

T2100

Repair of recurrent inguinal hernia

240.00

T2102

Laparoscopic repair of recurrent inguinal hernia - unilateral

220.00

T2110

Repair of recurrent inguinal hernia - bilateral

340.00

T2112

Laparoscopic repair of recurrent inguinal hernia - bilateral

375.00

T2200

Primary repair of femoral hernia

215.00

T2280

Primary repair of strangulated femoral hernia

345.00

T2300

Repair of recurrent femoral hernia

220.00

T2400

Repair of umbilical hernia (irrespective of age)

200.00

T2500

Primary repair of incisional hernia

270.00

T2502

Laparoscopic repair of incisional hernia

280.00

T2600

Repair of recurrent incisional hernia

300.00

T2720

Repair of ventral hernia requiring mesh

185.00

T3010

Laparotomy for post-operative haemorrhage

375.00

T4130

Freeing of adhesions of peritoneum

235.00

T4300

Laparoscopic adhesiolysis (including biopsy)

210.00

BONES, JOINTS ETC (not elsewhere listed)

OPCS

Description

Cost

T5202

Dupuytren's fasciectomy palm only

200.00

T5900

Excision of ganglion

155.00

T6000

Repeat excision of ganglion

150.00

T6220

Excision of bursa

150.00

T7230

Release of constriction of sheath of tendon (e.g. trigger finger)

165.00

T7910

Open sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excision of distal clavicle

420.00

T7915

Arthroscopic rotator cuff repair greater than 2cm (as sole procedure)

575.00

T7982

Arthroscopic sub-acromial decompression and limited, less than 2cm tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint)

400.00

T7983

Open sub acromial decompression and limited, less than 2cm tear rotator cuff repair

420.00

T7990

Revision rotator cuff repair

350.00

T8050

Surgical release of humeral epicondylitis (lateral or medial) (e.g. "Tennis Elbow")

200.00

W0300

Multiple procedures on forefoot

280.00

W0330

Fusion of first metatarso-phalangeal joint

220.00

W0512

Interpositional silastic arthroplasty of MCP/PIP joint- single

135.00

W0513

Prosthetic interpositional silastic arthroplasty of MCP/PIP joints - multiple

155.00

W0630

Patellectomy

170.00

W0632

Prosthetic patello-femoral replacement (as sole procedure)

450.00

W0640

Total excision of sesamoid bone

145.00

W0860

Metatarso-phalangeal cheilectomy - unilateral

175.00

W0890

Excision distal clavicle, as sole procedure

220.00

W1040

Osteotomy of small bone of foot (including hallux valgus and including internal fixation)

225.00

W3712

Primary total hip replacement with or without cement

400.00

W3713

Complex primary total hip replacement (including bone grafting or femoral osteotomy)

520.00

W3714

Total hip replacement +/- cement, after excision arthroplasty or arthrodesis, including conversion of hemiarthroplasty or revision of other previous hip surgery involving internal fixation

480.00

W3715

Metal on metal hip resurfacing arthroplasty

500.00

W3732

Revision of uncemented or cemented total hip replacement without adjunctive procedures

750.00

W4200

Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy)

400.00

W4210

Total prosthetic replacement of knee joint, with or without cement, +/- patella

400.00

W4230

Revision of total replacement of knee joint

650.00

W4900

Shoulder hemiarthroplasty, as sole procedure

450.00

W5000

Primary total shoulder replacement

465.00

W5030

Revision total shoulder replacement

540.00

W5200

Unicompartmental knee replacement

400.00

W5710

Excision arthroplasty of first metatarso-phalangeal joint, including Keller's

175.00

W5940

Fusion of interphalangeal joint(s) of toe (including internal fixation)

165.00

W7420

Autograft anterior cruciate ligament reconstruction

420.00

W7430

Reconstruction of lateral collateral ligament complex

256.00

W7470

Revision of anterior cruciate ligament reconstruction

440.00

W7480

Posterior cruciate ligament reconstruction (including arthroscopic)

400.00

W7492

Arthroscopic lateral release

200.00

W7910

Metatarsal osteotomy (eg Scarf) for Hallux valgus, +/- internal fixation and soft tissue correction

265.00

W8193

Arthroscopic sub-acromial decompression as sole procedure

400.00

W8194

Arthroscopic sub-acromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint)

425.00

W8200

Arthroscopic meniscectomy (including debridement)

300.00

W8230

Arthroscopic meniscal repair

300.00

W8300

Therapeutic arthroscopic operation on articular cartilage (other than W8200 and W8230) (as sole procedure)

275.00

W8400

Repair of knee ligaments (open or arthroscopic)

200.00

W8500

Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture)

375.00

W8520

Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure)

260.00

W8600

Therapeutic arthroscopic operation on cavity of joint (not otherwise specified) (as sole procedure)

265.00

W8602

Therapeutic arthroscopy of wrist joint (as sole procedure)

300.00

W8603

Therapeutic arthroscopy of shoulder (as sole procedure)

245.00

W8620

Therapeautic arthroscopic examination of hip joint, with or without biopsy

335.00

W8630

Simple therapeutic arthroscopy of ankle with either soft tissue procedures or bony procedures +/- or joint surface procedures (as sole procedure)

245.00

W9112

Manipulation of joint (including intra-articular injection) for "Frozen Shoulder" (as sole procedure)

190.00

W9240

Examination/ manipulation of joint under anaesthetic +/- injection (as sole procedure)

125.00

W0300

Multiple Procedures on Forefoot

280.00

BREASTS

OPCS

Description

Cost

B2700

Subcutaneous mastectomy with immediate implant

245.00

B2742

Modified radical mastectomy including lymph node sampling

300.00

B2743

Modified radical mastectomy excluding lymph node sampling

250.00

B2744

Modified radical mastectomy including lymph node clearance

325.00

B2752

Subcutaneous mastectomy

200.00

B2760

Skin/nipple sparing mastectomy (including axillary node biopsy)

320.00

B2780

Simple mastectomy (including axillary node biopsy) unilateral

275.00

B2782

Prophylactic mastectomy - unilateral

275.00

B2783

Prophylactic mastectomy - bilateral

350.00

B2785

Mastectomy for gynaecomastia - bilateral

365.00

B2800

Excision/biopsy of breast lump/fibroadenoma of breast

190.00

B2820

Wide local excision of lesion of breast

285.00

B2830

Re-excision of lesion of breast if resection margins are not clear (as sole procedure)

175.00

B2880

Excision biopsy of breast lesion after localisation

285.00

B2912

Mastectomy and immediate reconstruction of breast using latissimus dorsi

700.00

B2913

Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction)

450.00

B3012

Mastectomy and immediate reconstruction of breast using expandable prosthesis

400.00

B3032

Removal of prosthesis from breast, including capsulectomy

150.00

B3033

Simple removal of prosthesis from breast

135.00

B3100

Reduction mammoplasty - unilateral

300.00

B3110

Reduction mammoplasty - bilateral (greater than 500g each breast)

500.00

B3180

Implantation of prosthesis into breast as sole procedure

210.00

B3220

Core biopsy of lesion of breast

120.00

B3310

Drainage of breast abscess including haematoma and seroma

120.00

B3440

Microdochotomy

150.00

B3593

Microdochectomy or mammodochectomy (Hadfield's procedure)

140.00

T9000

Sentinel node mapping with blue dye or radioactive probe for breast cancer

250.00

T9020

Sentinel node mapping with blue dye and radioactive probe for breast cancer

300.00

CHRONIC PAIN

OPCS

Description

Procedure Cost

25020

Intravenous regional sympathetic block (guanethidine block) - 1 injection

175.00

25022

Stellate ganglion block (Local Anaesthetic)

150.00

25030

Stellate ganglion block (neurolytic)

180.00

25120

Dorsal root ganglion block (local anaesthetic or neurolytic)

380.00

25130

Dorsal root ganglion block (radiofrequency)

480.00

A5200

Epidural injection (cervical)

250.00

A5210

Epidural injection (lumbar/caudal)

200.00

A5220

Epidural injection (thoracic)

245.00

A5720

Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under X-ray control) - up to 3 joints

475.00

A5730

Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under X-ray control) - 4 to 6 joints

700.00

A5750

Facet joint injection (under X-ray control) - up to 2 joints

255.00

A5760

Facet joint injection (under X-ray control) - 3 to 4 joints

375.00

A5770

Facet joint injection (under X-ray control) - 5 to 6 joints

495.00

A7352

Ultrasound guided nerve block as sole procedure

260.00

T7290

Trigger point injection/Enthesis - 1 injection

125.00

T7292

Trigger point injection/Enthesis - more than 1 injection

160.00

EAR, NOSE AND THROAT

OPCS

Description

Anaesthetic Cost

D0210

Excision of lesion of pinna

150.00

D1010

Radical mastoidectomy (including meatoplasty)

310.00

D1040

Simple mastoidectomy

260.00

D1060

Revision of mastoidectomy (including meatoplasty)

280.00

D1420

Myringoplasty

275.00

D1440

Combined approach tympanoplasty - intact canal wall tympanoplasty

325.00

D1510

Myringotomy and insertion of tube through tympanic membrane (and bilateral)

180.00

D1530

Myringotomy (and bilateral)

105.00

D2030

Removal of grommets

180.00

D2822

Examination of ear under general anaesthetic (as sole procedure)

100.00

E0230

Septorhinoplasty +/- graft/implant following trauma or excision of tumour

345.00

E0260

Rhinoplasty following trauma or excision of tumour

413.00

E0310

Submucous resection of nasal septum

145.00

E0360

Septoplasty of nose (including attention to inferior turbinate)

180.00

E0380

Nasal septum cauterisation (and bilateral)

102.00

E0412

Reduction turbinates of nose (laser, diathermy, out fracture etc)

150.00

E0810

Polypectomy of internal nose (and bilateral, including endoscopic)

145.00

E0910

Excision of lesion of external nose

135.00

E1310

Antral puncture and wash-out (and bilateral)

130.00

E1330

Intranasal antrostomy including endoscopic and antral wash-out (& bilateral)

175.00

E1432

Standard FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy, attention to middle turbinate (bilateral)

370.00

E2010

Adenoidectomy

150.00

E2500

Diagnostic endoscopic examination of pharynx/larynx (including biopsy) (as sole procedure)

145.00

E3520

Microlaryngoscopy/laryngoscopy +/- endoscopic excision of lesion of larynx

280.00

E4990

Panendoscopy +/- incisional biopsy

180.00

F3400

Tonsillectomy - child (and bilateral)

200.00

F3440

Tonsillectomy - adult (and bilateral)

200.00

F3480

Adenotonsillectomy (and bilateral)

220.00

W2620

Manipulation under anaesthesia of fractured nose

120.00

EYE AND ORBITAL CONTENTS

OPCS

Description

Anaesthetic Cost

C7122

Phakoemulsification of lens with implant - unilateral

325.00

C7920

Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy

500.00

C7922

Pars plana vitrectomy/vitreous biopsy

475.00

C7982

Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery

725.00

SKIN AND SUBCUTANEOUS TISSUE

OPCS

Description

Anaesthetic Cost

S0632

Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck

170.00

S0633

Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs

150.00

S0642

Excision of lesion of skin or subcutaneous tissue - four or more, Head & Neck

175.00

S0643

Excision of lesion of skin or subcutaneous tissue - four or more, Trunk & Limbs

190.00

S6400

Excision of nail bed (Zadeks)

170.00

T7790

Excision of benign soft tissue tumour (e.g. glomus, giant cell)

220.00

SPINE, SPINAL CORD AND PERIPHERAL NERVES

OPCS

Description

Anaesthetic Cost

A5210

Epidural injection (lumbar/caudal)

200.00

A5220

Epidural injection (thoracic)

245.00

A6510

Carpal tunnel release, including endoscopic

160.00

A6810

Neurolysis and transposition of peripheral nerve (includes ulnar at elbow)

175.00

V2500

Primary posterior fusion +/- decompression +/- discectomy (lumbar region)

500.00

V2540

Posterior excision of disc prolapse (including microdiscectomy +/- decompression) (lumbar region)

460.00

V2544

Revision of posterior excision of disc prolapse (lumbar region)

460.00

V2560

Decompression for central spinal stenosis (1 or 2 levels)

450.00

V2562

Decompression for central spinal stenosis (3 or more levels)

465.00

THORAX AND INTRA THORACIC ORGANS

OPCS

Description

Anaesthetic Cost

X5020

External cardioversion

150.00

XR915

Insertion of Hickmann Line

410.00

URINARY SYSTEM AND MALE REPRODUCTIVE ORGAN

OPCS

Description

Anaesthetic Cost

M0250

Nephrectomy - unilateral

240.00

M0280

Laparoscopic nephrectomy

540.00

M3000

Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)

145.00

M3202

Operations on ureteric orifice (including endoscopic)

175.00

M4210

Endoscopic resection of lesion of bladder (including cystoscopy)

300.00

M4230

Endoscopic destruction of lesion of bladder (including cystoscopy)

170.00

M4400

Sphincterotomy

150.00

M4410

Resection of bladder neck (including cystoscopy)

230.00

M4420

Endoscopic extraction of calculus of bladder (including cystoscopy)

150.00

M4510

Diagnostic endoscopic examination of bladder (including any biopsy)

165.00

M5820

Dilatation of outlet of female bladder (with cystoscopy)

150.00

M6180

Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy)

550.00

M6530

Endoscopic resection of prostate (TUR) (including cystoscopy)

375.00

M7700

Diagnostic endoscopic examination of urethra (as sole procedure)(including cystoscopy)

95.00

M7920

Dilatation of urethra (including cystoscopy)

125.00

M7940

Internal urethrotomy (including cystoscopy)

160.00

M8120

Meatoplasty

150.00

N0630

Laparoscopic orchidectomy

190.00

N0680

Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis)

160.00

N0820

Orchidopexy - bilateral

375.00

N0920

Orchidopexy

175.00

N1100

Correction of hydrocele

170.00

N1320

Fixation of testis

175.00

N1580

Excision of epididymal cyst

180.00

N1900

Operation(s) on varicocele

195.00

N2780

Operation for Peyronie's disease (e.g. Nesbitt's)

187.00

N2842

Frenuloplasty of penis

160.00

N3030

Circumcision

150.00

VASCULAR SYSTEM (other than intra-thoracic)

OPCS

Description

Anaesthetic Cost

L1680

Axillo-bifemoral bypass

555.00

L1940

Infrarenal abdominal aortic aneurysm tube graft

610.00

L1960

Infrarenal abdominal aortic aneurysm bifurcation graft

625.00

L2950

Carotid endarterectomy

555.00

L5180

Aorto-bifemoral bypass

750.00

L5922

Femoro-popliteal bypass using prosthesis

540.00

L5923

Femoro-popliteal bypass using vein

540.00

L5960

Femoro-distal calf bypass using vein

470.00

L6000

Endarterectomy of femoral artery

425.00

L6710

Biopsy of artery (including temporal) (as sole procedure)

95.00

L8510

Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy)

225.00

L8700

Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy)

270.00

L8750

Local excision (multiple phlebectomy) of varicose vein(s) of leg - unilateral

175.00

T8620

Sampling of axillary lymph nodes

130.00

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W0300


Multiple procedures on forefoot


280.00

 

Worcestershire Anaesthetic Group

52 Fruitlands, Malvern Wells, Wr14 4XA

Email: info@worcestershireanaestheticgroup.co.uk

Telephone: 0773 2674647