Hospital

LA PAZ REGIONAL HOSPITAL

Parker, AZ · CCN 031317 · Rates published

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You selected 482 (MS_DRG)

Hip and femur procedures except major joint without cc/mcc

This hospital’s price: $11,712 across 14 payers · range $6,849-$17,764

Source: https://cdn.accureg.net/trans/lapaz/860260959_La-Paz-Regional-Hospital_standardcharges.json · observed 2026-06-29

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,195 distinct procedures filed

24 distinct payers

65,254 rate rows

2026-06-29 last MRF observed

Data quality

62,315 of 65,254 rate rows are consumer-grade (95.5%)

2,939 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,925
exceeds 10× this hospital's gross charge — excluded from medians	14

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://cdn.accureg.net/trans/lapaz/860260959_La-Paz-Regional-Hospital_standardcharges.json
Found on page	https://pricetransparency.accureg.net/lapaz
Discovered via	Discovered by HANK (automated)
Last fetch	success · 2026-10-09
Content fingerprint	ed56e837611e8872… · 46,843,640 bytes · first seen 2026-10-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
27487 CPT	Revise/replace Knee Joint	22	$239,912.62	$239,912.62	$239,912.62	nat. median $12,000 outlier · 20.0×
27134 CPT	Revise Hip Joint Replacement	22	$95,011.74	$95,011.74	$95,011.74	nat. median $9,350 outlier · 10.2×
27132 CPT	Total Hip Arthroplasty	22	$75,443.13	$75,443.13	$75,443.13	nat. median $9,928 outlier · 7.6×
45111 CPT	Partial Removal Of Rectum	22	$70,947.18	$70,947.18	$70,947.18	nat. median $2,520 outlier · 28.2×
45113 CPT	Partial Proctectomy	22	$70,947.18	$70,947.18	$70,947.18	nat. median $3,489 outlier · 20.3×
45130 CPT	Excision Of Rectal Prolapse	22	$70,947.18	$70,947.18	$70,947.18	nat. median $2,584 outlier · 27.5×
45123 CPT	Partial Proctectomy	22	$70,947.18	$70,947.18	$70,947.18	nat. median $3,309 outlier · 21.4×
45135 CPT	Excision Of Rectal Prolapse	22	$70,947.18	$70,947.18	$70,947.18	nat. median $3,015 outlier · 23.5×
44145 CPT	Partial Removal Of Colon	22	$70,947.18	$70,947.18	$70,947.18	nat. median $3,041 outlier · 23.3×
45114 CPT	Partial Removal Of Rectum	22	$70,947.18	$70,947.18	$70,947.18	nat. median $3,352 outlier · 21.2×
45116 CPT	Partial Removal Of Rectum	22	$70,947.18	$70,947.18	$70,947.18	nat. median $3,178 outlier · 22.3×
35558 CPT	Art Byp Grft Fem-femoral	22	$70,909.52	$70,909.52	$70,909.52	nat. median $3,074 outlier · 23.1×
49905 CPT	Omental Flap Intra-abdom	22	$69,753.29	$69,753.29	$69,753.29	nat. median $1,678 outlier · 41.6×
15847 CPT	Exc Skin Abd Add-on	22	$69,753.29	$69,753.29	$69,753.29	nat. median $2,916 outlier · 23.9×
49412 CPT	Ins Device For Rt Guide Open	22	$69,753.29	$69,753.29	$69,753.29	nat. median $1,442 outlier · 48.4×
50830 CPT	Revise Urine Flow	22	$69,753.29	$69,753.29	$69,753.29	nat. median $3,700 outlier · 18.8×
27125 CPT	Partial Hip Replacement	22	$68,920.26	$68,920.26	$68,920.26	nat. median $6,587 outlier · 10.5×
47612 CPT	Removal Of Gallbladder	22	$68,716.58	$68,716.58	$68,716.58	nat. median $3,452 outlier · 19.9×
47620 CPT	Removal Of Gallbladder	22	$68,716.58	$68,716.58	$68,716.58	nat. median $3,710 outlier · 18.5×
47600 CPT	Removal Of Gallbladder	22	$68,716.58	$68,716.58	$68,716.58	nat. median $2,754 outlier · 25.0×
C1713 HCPCS	Anchor/screw Bn/bntis/bn	22	$86.18	$66,468.17	$66,468.17	nat. median $864 outlier · 76.9×
27236 CPT	Treat Thigh Fracture	22	$60,203.80	$60,203.80	$60,203.80	nat. median $4,896 outlier · 12.3×
27465 CPT	Shortening Of Thigh Bone	22	$60,203.80	$60,203.80	$60,203.80	nat. median $6,154 outlier · 9.8×
27244 CPT	Treat Thigh Fracture	22	$60,203.80	$60,203.80	$60,203.80	nat. median $5,059 outlier · 11.9×
27245 CPT	Treat Thigh Fracture	22	$60,203.80	$60,203.80	$60,203.80	nat. median $4,614 outlier · 13.0×
27254 CPT	Treat Hip Dislocation	22	$60,203.80	$60,203.80	$60,203.80	nat. median $4,839 outlier · 12.4×
27248 CPT	Treat Thigh Fracture	22	$60,203.80	$60,203.80	$60,203.80	nat. median $4,727 outlier · 12.7×
27178 CPT	Treat Slipped Epiphysis	22	$59,195.82	$59,195.82	$59,195.82	nat. median $4,084 outlier · 14.5×
27177 CPT	Treat Slipped Epiphysis	22	$59,195.82	$59,195.82	$59,195.82	nat. median $3,839 outlier · 15.4×
27181 CPT	Treat Slipped Epiphysis	22	$59,195.82	$59,195.82	$59,195.82	nat. median $5,347 outlier · 11.1×
27161 CPT	Incision Of Neck Of Femur	22	$59,195.82	$59,195.82	$59,195.82	nat. median $5,347 outlier · 11.1×
27269 CPT	Optx Thigh Fx	22	$59,195.82	$59,195.82	$59,195.82	nat. median $3,776 outlier · 15.7×
44238 CPT	Laparoscope Proc Intestine	24	$6,579.46	$55,471.71	$55,471.71	nat. median $6,520 outlier · 8.5×
C1776 HCPCS	Fem Lgn Ox Constrained 4rt	22	$578.45	$55,161.20	$55,161.20	nat. median $3,394 outlier · 16.3×
C1722 HCPCS	Aicd Single Chamber	22	$55,089.15	$55,089.15	$55,089.15	nat. median $20,868 outlier · 2.6×
33951 CPT	Ecmo/ecls Insj Prph Cannula	22	$52,474.78	$52,474.78	$52,474.78	nat. median $2,587 outlier · 20.3×
33952 CPT	Ecmo/ecls Insj Prph Cannula	22	$52,474.78	$52,474.78	$52,474.78	nat. median $2,894 outlier · 18.1×
15272 CPT	Skin Sub Graft T/a/l Add-on	22	$52,351.98	$52,351.98	$52,351.98	nat. median $399 outlier · 131.1×
29826 CPT	Shoulder Arthroscopy/surgery	22	$46,364.34	$46,364.34	$46,364.34	nat. median $3,071 outlier · 15.1×
27130 CPT	Total Hip Arthroplasty	24	$2,329.31	$66,775.96	$44,976.58	nat. median $13,097 outlier · 3.4×
27447 CPT	Total Knee Arthroplasty	24	$14,510.03	$44,848.40	$42,952.84	nat. median $12,737 outlier · 3.4×
28750 CPT	Fusion Of Big Toe Joint	24	$8,056.05	$40,496.02	$40,496.02	nat. median $7,000 outlier · 5.8×
33262 CPT	Rmvl& Replc Pulse Gen 1 Lead	24	$25,312.78	$40,200.96	$40,200.96	nat. median $23,285 1.7× median
44146 CPT	Partial Removal Of Colon	22	$38,630.32	$38,630.32	$38,630.32	nat. median $3,479 outlier · 11.1×
15830 CPT	Exc Skin Abd	24	$7,354.31	$38,553.80	$38,553.80	nat. median $6,586 outlier · 5.9×
27792 CPT	Treatment Of Ankle Fracture	24	$8,056.05	$38,470.99	$38,470.99	nat. median $6,936 outlier · 5.5×
51500 CPT	Removal Of Bladder Cyst	24	$6,579.46	$38,166.38	$38,166.38	nat. median $5,814 outlier · 6.6×
49325 CPT	Lap Revision Perm Ip Cath	24	$6,579.46	$38,166.38	$38,166.38	nat. median $6,024 outlier · 6.3×
27654 CPT	Repair Of Achilles Tendon	24	$8,056.05	$38,149.05	$38,149.05	nat. median $6,824 outlier · 5.6×
15005 CPT	Wnd Prep F/n/hf/g Addl Cm	22	$37,840.63	$37,840.63	$37,840.63	nat. median $816 outlier · 46.4×

Other procedures at this hospital

Browse this hospital's 2,195 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

27487	CPT	Revise/replace Knee Joint	29	22	$599,781.56	—	$239,912.62	$239,912.62	$239,912.62	2026-06-29
27134	CPT	Revise Hip Joint Replacement	29	22	$237,529.35	—	$95,011.74	$95,011.74	$95,011.74	2026-06-29
27132	CPT	Total Hip Arthroplasty	29	22	$188,607.83	—	$75,443.13	$75,443.13	$75,443.13	2026-06-29
45111	CPT	Partial Removal Of Rectum	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
45113	CPT	Partial Proctectomy	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
45130	CPT	Excision Of Rectal Prolapse	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
45123	CPT	Partial Proctectomy	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
45135	CPT	Excision Of Rectal Prolapse	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
44145	CPT	Partial Removal Of Colon	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
45114	CPT	Partial Removal Of Rectum	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
45116	CPT	Partial Removal Of Rectum	29	22	$177,367.96	—	$70,947.18	$70,947.18	$70,947.18	2026-06-29
35558	CPT	Art Byp Grft Fem-femoral	29	22	$177,273.81	—	$70,909.52	$70,909.52	$70,909.52	2026-06-29
49905	CPT	Omental Flap Intra-abdom	29	22	$174,383.23	—	$69,753.29	$69,753.29	$69,753.29	2026-06-29
15847	CPT	Exc Skin Abd Add-on	29	22	$174,383.23	—	$69,753.29	$69,753.29	$69,753.29	2026-06-29
49412	CPT	Ins Device For Rt Guide Open	29	22	$174,383.23	—	$69,753.29	$69,753.29	$69,753.29	2026-06-29
50830	CPT	Revise Urine Flow	29	22	$174,383.23	—	$69,753.29	$69,753.29	$69,753.29	2026-06-29
27125	CPT	Partial Hip Replacement	29	22	$172,300.66	—	$68,920.26	$68,920.26	$68,920.26	2026-06-29
47612	CPT	Removal Of Gallbladder	29	22	$171,791.45	—	$68,716.58	$68,716.58	$68,716.58	2026-06-29
47620	CPT	Removal Of Gallbladder	29	22	$171,791.45	—	$68,716.58	$68,716.58	$68,716.58	2026-06-29
47600	CPT	Removal Of Gallbladder	29	22	$171,791.45	—	$68,716.58	$68,716.58	$68,716.58	2026-06-29
C1713	HCPCS	Anchor/screw Bn/bntis/bn	29	22	$166,170.42	—	$86.18	$66,468.17	$66,468.17	2026-06-29
27236	CPT	Treat Thigh Fracture	29	22	$150,509.50	—	$60,203.80	$60,203.80	$60,203.80	2026-06-29
27465	CPT	Shortening Of Thigh Bone	29	22	$150,509.50	—	$60,203.80	$60,203.80	$60,203.80	2026-06-29
27244	CPT	Treat Thigh Fracture	29	22	$150,509.50	—	$60,203.80	$60,203.80	$60,203.80	2026-06-29
27245	CPT	Treat Thigh Fracture	29	22	$150,509.50	—	$60,203.80	$60,203.80	$60,203.80	2026-06-29
27254	CPT	Treat Hip Dislocation	29	22	$150,509.50	—	$60,203.80	$60,203.80	$60,203.80	2026-06-29
27248	CPT	Treat Thigh Fracture	29	22	$150,509.50	—	$60,203.80	$60,203.80	$60,203.80	2026-06-29
27178	CPT	Treat Slipped Epiphysis	29	22	$147,989.56	—	$59,195.82	$59,195.82	$59,195.82	2026-06-29
27177	CPT	Treat Slipped Epiphysis	29	22	$147,989.56	—	$59,195.82	$59,195.82	$59,195.82	2026-06-29
27181	CPT	Treat Slipped Epiphysis	29	22	$147,989.56	—	$59,195.82	$59,195.82	$59,195.82	2026-06-29
27161	CPT	Incision Of Neck Of Femur	29	22	$147,989.56	—	$59,195.82	$59,195.82	$59,195.82	2026-06-29
27269	CPT	Optx Thigh Fx	29	22	$147,989.56	—	$59,195.82	$59,195.82	$59,195.82	2026-06-29
44238	CPT	Laparoscope Proc Intestine	31	24	$260,909.89	—	$6,579.46	$55,471.71	$55,471.71	2026-06-29
C1776	HCPCS	Fem Lgn Ox Constrained 4rt	29	22	$137,903.00	—	$578.45	$55,161.20	$55,161.20	2026-06-29
C1722	HCPCS	Aicd Single Chamber	29	22	$137,722.87	—	$55,089.15	$55,089.15	$55,089.15	2026-06-29
33951	CPT	Ecmo/ecls Insj Prph Cannula	29	22	$131,186.94	—	$52,474.78	$52,474.78	$52,474.78	2026-06-29
33952	CPT	Ecmo/ecls Insj Prph Cannula	29	22	$131,186.94	—	$52,474.78	$52,474.78	$52,474.78	2026-06-29
15272	CPT	Skin Sub Graft T/a/l Add-on	29	22	$130,879.95	—	$52,351.98	$52,351.98	$52,351.98	2026-06-29
29826	CPT	Shoulder Arthroscopy/surgery	30	22	$115,910.84	—	$46,364.34	$46,364.34	$46,364.34	2026-06-29
27130	CPT	Total Hip Arthroplasty	31	24	$188,607.83	—	$2,329.31	$66,775.96	$44,976.58	2026-06-29
27447	CPT	Total Knee Arthroplasty	34	24	$178,489.13	—	$14,510.03	$44,848.40	$42,952.84	2026-06-29
28750	CPT	Fusion Of Big Toe Joint	31	24	$182,339.98	—	$8,056.05	$40,496.02	$40,496.02	2026-06-29
33262	CPT	Rmvl& Replc Pulse Gen 1 Lead	31	24	$137,722.87	—	$25,312.78	$40,200.96	$40,200.96	2026-06-29
44146	CPT	Partial Removal Of Colon	29	22	$96,575.80	—	$38,630.32	$38,630.32	$38,630.32	2026-06-29
15830	CPT	Exc Skin Abd	31	24	$174,383.23	—	$7,354.31	$38,553.80	$38,553.80	2026-06-29
27792	CPT	Treatment Of Ankle Fracture	31	24	$172,214.82	—	$8,056.05	$38,470.99	$38,470.99	2026-06-29
51500	CPT	Removal Of Bladder Cyst	31	24	$174,383.23	—	$6,579.46	$38,166.38	$38,166.38	2026-06-29
49325	CPT	Lap Revision Perm Ip Cath	31	24	$174,383.23	—	$6,579.46	$38,166.38	$38,166.38	2026-06-29
27654	CPT	Repair Of Achilles Tendon	31	24	$170,605.13	—	$8,056.05	$38,149.05	$38,149.05	2026-06-29
15005	CPT	Wnd Prep F/n/hf/g Addl Cm	29	22	$94,601.58	—	$37,840.63	$37,840.63	$37,840.63	2026-06-29
15003	CPT	Wound Prep Addl 100 Cm	29	22	$94,601.58	—	$37,840.63	$37,840.63	$37,840.63	2026-06-29
23615	CPT	Treat Humerus Fracture	31	24	$150,030.69	—	$14,510.03	$37,261.15	$37,261.15	2026-06-29
27446	CPT	Revision Of Knee Joint	31	24	$149,826.79	—	$14,510.03	$37,220.38	$37,220.38	2026-06-29
49429	CPT	Removal Of Shunt	31	24	$174,383.23	—	$3,549.47	$36,651.38	$36,651.38	2026-06-29
23470	CPT	Reconstruct Shoulder Joint	31	24	$146,905.51	—	$14,510.03	$36,636.11	$36,636.11	2026-06-29
28118	CPT	Removal Of Heel Bone	31	24	$170,605.13	—	$3,658.98	$50,451.84	$35,950.51	2026-06-29
27695	CPT	Repair Of Ankle Ligament	31	24	$155,952.41	—	$8,056.05	$35,218.50	$35,218.50	2026-06-29
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	14	14	$409,358.20	—	$20,547.00	$43,421.66	$35,136.00	2026-06-29
24516	CPT	Treat Humerus Fracture	31	24	$138,212.20	—	$14,510.03	$34,897.46	$34,897.46	2026-06-29
28485	CPT	Treat Metatarsal Fracture	31	24	$152,210.90	—	$484.92	$34,470.21	$34,470.21	2026-06-29
11045	CPT	Deb Subq Tissue Add-on	29	22	$84,646.74	—	$33,858.70	$33,858.70	$33,858.70	2026-06-29
27179	CPT	Revise Head/neck Of Femur	31	24	$147,989.56	—	$8,056.05	$33,625.93	$33,625.93	2026-06-29
36000	CPT	Place Needle In Vein	29	22	$79,888.99	—	$31,955.60	$31,955.60	$31,955.60	2026-06-29
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	14	14	$116,758.80	—	$18,264.00	$38,128.44	$31,232.00	2026-06-29
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	14	14	$75,685.13	—	$18,264.00	$34,500.58	$31,232.00	2026-06-29
29898	CPT	Ankle Arthroscopy/surgery	31	24	$138,084.29	—	$3,658.98	$29,446.35	$29,446.35	2026-06-29
36566	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$6,096.06	$29,285.42	$29,285.42	2026-06-29
36557	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$6,096.06	$29,285.42	$29,285.42	2026-06-29
36563	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$6,096.06	$29,285.42	$29,285.42	2026-06-29
36010	CPT	Place Catheter In Vein	29	22	$72,560.71	—	$29,024.28	$29,024.28	$29,024.28	2026-06-29
28505	CPT	Treat Big Toe Fracture	31	24	$133,945.94	—	$3,658.98	$28,618.68	$28,618.68	2026-06-29
36558	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$3,549.47	$28,012.12	$28,012.12	2026-06-29
36561	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$3,549.47	$28,012.12	$28,012.12	2026-06-29
36565	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$3,549.47	$28,012.12	$28,012.12	2026-06-29
36560	CPT	Insert Tunneled Cv Cath	31	24	$131,186.94	—	$3,549.47	$28,012.12	$28,012.12	2026-06-29
49621	CPT	Rpr Parastomal Hernia Rdc	29	22	$69,112.51	—	$27,645.00	$27,645.00	$27,645.00	2026-06-29
264	MS_DRG	Other Circulatory System O.r. Procedures	14	14	$144,817.35	—	$15,981.00	$27,328.00	$27,328.00	2026-06-29
29827	CPT	Arthroscop Rotator Cuff Repr	33	24	$115,910.84	—	$8,056.05	$27,210.19	$27,210.19	2026-06-29
Q4186	HCPCS	Epifix 1 Sq Cm	29	22	$67,315.27	—	$9,781.27	$26,926.11	$26,926.11	2026-06-29
38525	CPT	Biopsy/removal Lymph Nodes	31	24	$118,583.74	—	$4,318.32	$25,875.91	$25,875.91	2026-06-29
19301	CPT	Partial Mastectomy	32	24	$118,583.74	—	$4,318.32	$25,875.91	$25,875.91	2026-06-29
47562	CPT	Laparoscopic Cholecystectomy	31	24	$101,401.11	—	$6,579.46	$41,322.58	$23,569.95	2026-06-29
15853	CPT	Removal Sutr/stapl Xreq Anes	29	22	$58,740.89	—	$6.11	$23,496.36	$23,496.36	2026-06-29
629	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc	14	14	$113,072.40	—	$13,698.00	$23,424.00	$23,424.00	2026-06-29
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	14	14	$191,662.50	—	$13,698.00	$30,026.99	$23,424.00	2026-06-29
617	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…	14	14	$135,453.40	—	$13,698.00	$23,424.00	$23,424.00	2026-06-29
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	14	14	$185,878.15	—	$13,698.00	$27,282.42	$23,424.00	2026-06-29
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	14	14	$181,346.95	—	$13,698.00	$23,424.00	$23,424.00	2026-06-29
23120	CPT	Partial Removal Collar Bone	31	24	$107,747.41	—	$1,070.85	$23,378.97	$23,378.97	2026-06-29
23420	CPT	Repair Of Shoulder	31	24	$96,036.58	—	$8,056.05	$23,235.34	$23,235.34	2026-06-29
44970	CPT	Laparoscopy Appendectomy	31	24	$96,076.59	—	$6,579.46	$40,065.59	$22,505.05	2026-06-29
49594	CPT	Rpr Aa Hrn 1st 3-10 Ncr/strn	31	24	$93,854.82	—	$6,579.46	$22,060.69	$22,060.69	2026-06-29
Q4187	HCPCS	Epicord 1 Sq Cm	29	22	$54,771.30	—	$6,617.19	$21,908.52	$21,908.52	2026-06-29
26615	CPT	Treat Metacarpal Fracture	31	24	$97,249.56	—	$3,658.98	$21,279.40	$21,279.40	2026-06-29
23552	CPT	Treat Clavicle Dislocation	31	24	$84,646.74	—	$8,056.05	$20,957.38	$20,957.38	2026-06-29
23532	CPT	Treat Clavicle Dislocation	31	24	$84,646.74	—	$8,056.05	$20,957.38	$20,957.38	2026-06-29
37761	CPT	Ligate Leg Veins Open	31	24	$94,601.58	—	$3,549.47	$20,695.05	$20,695.05	2026-06-29
37760	CPT	Ligate Leg Veins Radical	31	24	$94,601.58	—	$3,549.47	$20,695.05	$20,695.05	2026-06-29
27615	CPT	Resect Leg/ankle Tum < 5 Cm	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
27619	CPT	Exc Leg/ankle Tum Deep <5 Cm	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
27616	CPT	Resect Leg/ankle Tum 5 Cm/>	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
27339	CPT	Exc Thigh/knee Tum Dep 5cm/>	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
27634	CPT	Exc Leg/ankle Tum Dep 5 Cm/>	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
27337	CPT	Exc Thigh/knee Les Sc 3 Cm/>	31	24	$94,601.58	—	$1,101.27	$20,534.10	$20,534.10	2026-06-29
27364	CPT	Resect Thigh/knee Tum 5 Cm/>	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
27328	CPT	Exc Thigh/knee Tum Deep <5cm	31	24	$94,601.58	—	$3,227.56	$20,534.10	$20,534.10	2026-06-29
28041	CPT	Exc Foot/toe Tum Dep 1.5cm/>	31	24	$92,405.98	—	$3,227.56	$31,187.19	$20,094.97	2026-06-29
15002	CPT	Wound Prep Trk/arm/leg	31	24	$94,601.58	—	$2,062.84	$21,700.37	$19,951.74	2026-06-29
208	MS_DRG	Respiratory System Diagnosis With Ventilator Support <=96 Hours	14	14	$125,378.55	—	$11,415.00	$23,505.98	$19,520.00	2026-06-29
397	MS_DRG	Appendix Procedures With Mcc	14	14	$151,474.87	—	$11,415.00	$20,674.88	$19,520.00	2026-06-29
256	MS_DRG	Upper Limb And Toe Amputation For Circulatory System Disorders With Cc	14	14	$69,932.30	—	$11,415.00	$19,520.00	$19,520.00	2026-06-29
871	MS_DRG	Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	14	14	$130,507.45	—	$11,415.00	$19,520.00	$19,520.00	2026-06-29
623	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	14	14	$302,382.00	—	$11,415.00	$19,520.00	$19,520.00	2026-06-29
571	MS_DRG	Skin Debridement With Cc	14	14	$202,682.70	—	$11,415.00	$19,520.00	$19,520.00	2026-06-29
49593	CPT	Rpr Aa Hrn 1st 3-10 Rdc	31	24	$76,166.26	—	$7,036.63	$18,751.56	$18,751.56	2026-06-29
49615	CPT	Rpr Aa Hrn Rcr 3-10 Rdc	31	24	$75,429.52	—	$7,036.63	$18,604.22	$18,604.22	2026-06-29
28062	CPT	Removal Of Foot Fascia	31	24	$79,669.32	—	$3,658.98	$17,763.35	$17,763.35	2026-06-29
28060	CPT	Partial Removal Foot Fascia	31	24	$79,669.32	—	$3,658.98	$17,763.35	$17,763.35	2026-06-29
15271	CPT	Skin Sub Graft Trnk/arm/leg	31	24	$83,192.42	—	$2,062.84	$20,601.90	$17,669.90	2026-06-29
11426	CPT	Exc H-f-nk-sp B9+marg >4 Cm	31	24	$79,669.32	—	$3,227.56	$17,547.65	$17,547.65	2026-06-29
28039	CPT	Exc Foot/toe Tum Sc 1.5 Cm/>	31	24	$79,669.32	—	$3,227.56	$17,547.65	$17,547.65	2026-06-29
49595	CPT	Rpr Aa Hrn 1st > 10 Rdc	31	24	$69,112.51	—	$7,036.63	$17,340.81	$17,340.81	2026-06-29
11424	CPT	Exc H-f-nk-sp B9+marg 3.1-4	31	24	$79,669.32	—	$1,827.16	$16,847.44	$16,847.44	2026-06-29
11423	CPT	Exc H-f-nk-sp B9+marg 2.1-3	31	24	$79,669.32	—	$1,827.16	$16,847.44	$16,847.44	2026-06-29
11422	CPT	Exc H-f-nk-sp B9+marg 1.1-2	31	24	$79,669.32	—	$1,827.16	$16,847.44	$16,847.44	2026-06-29
11420	CPT	Exc H-f-nk-sp B9+marg 0.5/<	31	24	$79,669.32	—	$1,827.16	$16,847.44	$16,847.44	2026-06-29
28043	CPT	Exc Foot/toe Tum Sc < 1.5 Cm	31	24	$79,669.32	—	$1,827.16	$16,847.44	$16,847.44	2026-06-29
28345	CPT	Repair Webbed Toe(s)	31	24	$79,669.32	—	$1,804.80	$16,836.26	$16,836.26	2026-06-29
45541	CPT	Correct Rectal Prolapse	31	24	$74,991.44	—	$3,092.62	$16,544.60	$16,544.60	2026-06-29
26951	CPT	Amputation Of Finger/thumb	31	24	$69,461.94	—	$3,658.98	$15,721.88	$15,721.88	2026-06-29
391	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc	14	14	$66,514.56	—	$8,646.78	$15,616.00	$15,616.00	2026-06-29
357	MS_DRG	Other Digestive System O.r. Procedures With Cc	14	14	$76,131.27	—	$9,132.00	$23,692.11	$15,616.00	2026-06-29
522	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc	14	14	$171,590.39	—	$9,132.00	$24,314.17	$15,616.00	2026-06-29
291	MS_DRG	Heart Failure And Shock With Mcc	14	14	$54,883.52	—	$9,132.00	$15,616.00	$15,616.00	2026-06-29
580	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures With Cc	14	14	$86,748.50	—	$9,132.00	$15,616.00	$15,616.00	2026-06-29
481	MS_DRG	Hip And Femur Procedures Except Major Joint With Cc	14	14	$152,467.40	—	$9,132.00	$20,989.99	$15,616.00	2026-06-29
C1785	HCPCS	Pacemaker Edora 8 Dr	29	22	$36,752.00	—	$14,700.80	$14,700.80	$14,700.80	2026-06-29
43605	CPT	Biopsy Of Stomach	29	22	$36,711.58	—	$14,684.63	$14,684.63	$14,684.63	2026-06-29
28045	CPT	Exc Foot/toe Tum Deep <1.5cm	31	24	$65,352.57	—	$3,227.56	$14,684.30	$14,684.30	2026-06-29
46260	CPT	Remove In/ex Hem Groups 2+	31	24	$62,910.52	—	$3,092.62	$14,128.42	$14,128.42	2026-06-29
22903	CPT	Exc Abd Les Sc 3 Cm/>	31	24	$62,247.35	—	$3,227.56	$14,063.25	$14,063.25	2026-06-29
C9600	HCPCS	Perc Drug-el Cor Stent Sing	31	24	$38,254.00	—	$12,788.87	$14,045.24	$14,045.24	2026-06-29
25075	CPT	Exc Forearm Les Sc < 3 Cm	31	24	$63,836.27	—	$1,827.16	$13,680.83	$13,680.83	2026-06-29
3130F	CPT	Upper Gi Endoscopy Performed	29	22	$33,341.05	—	$13,336.42	$13,336.42	$13,336.42	2026-06-29
64718	CPT	Revise Ulnar Nerve At Elbow	31	24	$61,175.79	—	$2,202.16	$13,336.24	$13,336.24	2026-06-29
29880	CPT	Knee Arthroscopy/surgery	33	24	$56,570.25	—	$3,658.98	$15,732.66	$13,143.54	2026-06-29
49650	CPT	Lap Ing Hernia Repair Init	31	24	$47,753.10	—	$6,579.46	$21,926.80	$12,840.35	2026-06-29
25071	CPT	Exc Forearm Les Sc 3 Cm/>	31	24	$58,789.91	—	$1,827.16	$12,671.56	$12,671.56	2026-06-29
24105	CPT	Removal Of Elbow Bursa	33	24	$53,917.01	—	$3,658.98	$23,172.90	$12,612.89	2026-06-29
64721	CPT	Carpal Tunnel Surgery	36	24	$56,408.75	—	$445.35	$12,382.83	$12,382.83	2026-06-29
33208	CPT	Insert Pacemaker Atrial/ventr	31	24	$31,031.00	—	$11,801.85	$12,107.12	$12,107.12	2026-06-29
27301	CPT	Drain Thigh/knee Lesion	31	24	$52,387.03	—	$3,227.56	$12,091.18	$12,091.18	2026-06-29
Q4278	HCPCS	Epieffect 3.0x5.0cm	29	22	$29,751.00	—	$11,900.40	$11,900.40	$11,900.40	2026-06-29
33206	CPT	Insert Heart Pm Atrial	2	2	$1,452.00	—	$11,801.85	$11,801.85	$11,801.85	2026-06-29
418	MS_DRG	Laparoscopic Cholecystectomy Without C.d.e. With Cc	14	14	$151,028.80	—	$6,849.00	$13,902.44	$11,712.00	2026-06-29
690	MS_DRG	Kidney And Urinary Tract Infections Without Mcc	14	14	$24,662.72	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
572	MS_DRG	Skin Debridement Without Cc/mcc	14	14	$186,071.90	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
812	MS_DRG	Red Blood Cell Disorders Without Mcc	14	14	$21,708.22	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	14	14	$33,788.70	—	$6,380.59	$11,712.00	$11,712.00	2026-06-29
378	MS_DRG	Gastrointestinal Hemorrhage With Cc	14	14	$13,083.28	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
683	MS_DRG	Renal Failure With Cc	14	14	$54,450.55	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
482	MS_DRG	Hip And Femur Procedures Except Major Joint Without Cc/mcc	14	14	$142,172.90	—	$6,849.00	$17,763.78	$11,712.00	2026-06-29
469	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…	14	14	$256,254.98	—	$6,849.00	$30,026.99	$11,712.00	2026-06-29
638	MS_DRG	Diabetes With Cc	14	14	$44,646.00	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
641	MS_DRG	Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…	14	14	$24,041.31	—	$6,555.29	$11,712.00	$11,712.00	2026-06-29
351	MS_DRG	Inguinal And Femoral Hernia Procedures With Cc	14	14	$8,921.60	—	$6,849.00	$12,993.03	$11,712.00	2026-06-29
660	MS_DRG	Kidney And Ureter Procedures For Non-neoplasm With Cc	14	14	$176,475.51	—	$6,849.00	$18,924.63	$11,712.00	2026-06-29
392	MS_DRG	Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc	14	14	$28,411.28	—	$6,437.74	$11,712.00	$11,712.00	2026-06-29
552	MS_DRG	Medical Back Problems Without Mcc	14	14	$27,438.27	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
603	MS_DRG	Cellulitis Without Mcc	14	14	$54,607.94	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
421	MS_DRG	Hepatobiliary Diagnostic Procedures With Cc	14	14	$157,459.57	—	$6,849.00	$22,671.67	$11,712.00	2026-06-29
194	MS_DRG	Simple Pneumonia And Pleurisy With Cc	14	14	$39,678.31	—	$6,849.00	$11,712.00	$11,712.00	2026-06-29
948	MS_DRG	Signs And Symptoms Without Mcc	14	14	$26,059.10	—	$5,716.08	$11,712.00	$11,712.00	2026-06-29
33228	CPT	Remove Pacemaker Dual Lead Sys	31	24	$28,845.00	—	$11,669.92	$11,801.85	$11,669.92	2026-06-29
15275	CPT	Skin Sub Graft Face/nk/hf/g	31	24	$52,370.01	—	$2,062.84	$19,236.43	$11,505.42	2026-06-29
45100	CPT	Biopsy Of Rectum	31	24	$49,597.49	—	$3,092.62	$11,465.81	$11,465.81	2026-06-29
24071	CPT	Exc Arm/elbow Les Sc 3 Cm/>	31	24	$49,232.98	—	$3,227.56	$11,460.38	$11,460.38	2026-06-29
43212	CPT	Esophagoscop Stent Placement	31	24	$38,081.46	—	$6,713.04	$10,972.81	$10,972.81	2026-06-29
29881	CPT	Knee Arthroscopy/surgery	31	24	$44,880.08	—	$3,658.98	$10,805.50	$10,805.50	2026-06-29
46200	CPT	Removal Of Anal Fissure	31	24	$45,809.18	—	$3,092.62	$10,708.15	$10,708.15	2026-06-29
C1889	HCPCS	Coupler Lgn Offset 6mm	29	22	$26,479.00	—	$6.41	$10,591.60	$10,591.60	2026-06-29
43195	CPT	Esophagoscopy Rigid Balloon	31	24	$38,081.46	—	$4,290.40	$9,761.49	$9,761.49	2026-06-29
33285	CPT	Cl Impl Cardiac Event Recorder	31	24	$25,439.00	—	$9,332.90	$9,754.25	$9,754.25	2026-06-29
43770	CPT	Lap Place Gastr Adj Device	31	24	$19,119.82	—	$9,694.38	$11,740.83	$9,694.38	2026-06-29
43210	CPT	Egd Esophagogastrc Fndoplsty	31	24	$19,119.82	—	$9,694.38	$11,740.83	$9,694.38	2026-06-29
25000	CPT	Incision Of Tendon Sheath	31	24	$43,798.32	—	$1,804.80	$9,662.07	$9,662.07	2026-06-29
26055	CPT	Incise Finger Tendon Sheath	31	24	$42,582.77	—	$345.43	$9,418.95	$9,418.95	2026-06-29
27884	CPT	Amputation Follow-up Surgery	31	24	$37,601.70	—	$3,658.98	$9,349.83	$9,349.83	2026-06-29
37187	CPT	Ir Mechanical Thrombectmy W/gd	31	24	$14,566.00	—	$9,307.64	$12,788.87	$9,307.64	2026-06-29
93456	CPT	R Hrt Coronary Artery Angio	31	24	$36,487.49	—	$3,627.18	$9,111.09	$9,111.09	2026-06-29
93458	CPT	L Hrt Artery/ventricle Angio	31	24	$36,481.53	—	$3,627.18	$9,109.90	$9,109.90	2026-06-29
37238	CPT	Ir	31	24	$12,880.00	—	$8,970.43	$12,788.87	$8,970.43	2026-06-29
43211	CPT	Esophagoscop Mucosal Resect	31	24	$38,081.46	—	$2,139.25	$8,685.92	$8,685.92	2026-06-29
44376	CPT	Small Bowel Endoscopy	31	24	$38,081.46	—	$2,139.25	$8,685.92	$8,685.92	2026-06-29
43206	CPT	Esoph Optical Endomicroscopy	31	24	$38,081.46	—	$2,139.25	$8,685.92	$8,685.92	2026-06-29
44360	CPT	Small Bowel Endoscopy	31	24	$38,081.46	—	$2,139.25	$8,685.92	$8,685.92	2026-06-29
43231	CPT	Esophagoscop Ultrasound Exam	31	24	$38,081.46	—	$2,139.25	$8,685.92	$8,685.92	2026-06-29
43191	CPT	Esophagoscopy Rigid Trnso Dx	31	24	$38,081.46	—	$2,139.25	$8,685.92	$8,685.92	2026-06-29
27570	CPT	Fixation Of Knee Joint	33	24	$38,369.76	—	$1,804.80	$8,576.35	$8,576.35	2026-06-29
43200	CPT	Esophagoscopy Flexible Brush	31	24	$38,081.46	—	$1,057.30	$8,144.94	$8,144.94	2026-06-29
43197	CPT	Esophagoscopy Flex Dx Brush	31	24	$38,081.46	—	$1,057.30	$8,144.94	$8,144.94	2026-06-29
44380	CPT	Small Bowel Endoscopy Br/wa	31	24	$38,081.46	—	$1,057.30	$8,144.94	$8,144.94	2026-06-29
44385	CPT	Endoscopy Of Bowel Pouch	31	24	$38,081.46	—	$1,028.14	$8,130.36	$8,130.36	2026-06-29
25035	CPT	Pf-treat Forearm Bone Lesion	2	2	$887.00	—	$8,056.05	$8,056.05	$8,056.05	2026-06-29
66850	CPT	Removal Of Lens Material	33	24	$33,496.51	—	$2,572.00	$7,985.30	$7,985.30	2026-06-29
310	MS_DRG	Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc	14	14	$11,581.96	—	$4,566.00	$7,808.00	$7,808.00	2026-06-29
352	MS_DRG	Inguinal And Femoral Hernia Procedures Without Cc/mcc	14	14	$109,192.00	—	$4,566.00	$9,358.64	$7,808.00	2026-06-29
379	MS_DRG	Gastrointestinal Hemorrhage Without Cc/mcc	14	14	$15,903.77	—	$4,566.00	$8,098.19	$7,808.00	2026-06-29
399	MS_DRG	Appendix Procedures Without Cc/mcc	14	14	$16,680.80	—	$4,566.00	$11,337.47	$7,808.00	2026-06-29
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	14	14	$37,243.54	—	$4,566.00	$7,808.00	$7,808.00	2026-06-29
804	MS_DRG	Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc	14	14	$95,264.80	—	$4,566.00	$14,522.87	$7,808.00	2026-06-29
349	MS_DRG	Anal And Stomal Procedures Without Cc/mcc	14	14	$67,661.60	—	$4,566.00	$7,812.47	$7,808.00	2026-06-29
470	MS_DRG	Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …	14	14	$18,344.80	—	$4,566.00	$23,827.62	$7,808.00	2026-06-29
941	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…	14	14	$73,879.65	—	$4,566.00	$14,748.18	$7,808.00	2026-06-29
305	MS_DRG	Hypertension Without Mcc	14	14	$55,720.86	—	$4,566.00	$7,808.00	$7,808.00	2026-06-29
581	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/mcc	14	14	$113,347.65	—	$4,566.00	$9,934.98	$7,808.00	2026-06-29
43259	CPT	Egd US Exam Duodenum/jejunum	31	24	$33,341.05	—	$2,139.25	$7,737.84	$7,737.84	2026-06-29
43252	CPT	Egd Optical Endomicroscopy	31	24	$33,341.05	—	$2,139.25	$7,737.84	$7,737.84	2026-06-29
43241	CPT	Egd Tube/cath Insertion	31	24	$33,341.05	—	$2,139.25	$7,737.84	$7,737.84	2026-06-29
43242	CPT	Egd US Fine Needle Bx/aspir	31	24	$33,341.05	—	$2,139.25	$7,737.84	$7,737.84	2026-06-29
43238	CPT	Egd US Fine Needle Bx/aspir	31	24	$33,341.05	—	$2,139.25	$7,737.84	$7,737.84	2026-06-29
43233	CPT	Egd Balloon Dil Esoph30 Mm/>	31	24	$33,341.05	—	$2,139.25	$7,737.84	$7,737.84	2026-06-29
43360	CPT	Gastrointestinal Repair	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
43644	CPT	Lap Gastric Bypass/roux-en-y	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
43645	CPT	Lap Gastr Bypass Incl Smll I	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
43610	CPT	Excision Of Stomach Lesion	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
43775	CPT	Lap Sleeve Gastrectomy	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
43771	CPT	Lap Revise Gastr Adj Device	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
43611	CPT	Excision Of Stomach Lesion	29	22	$19,119.82	—	$7,647.93	$7,647.93	$7,647.93	2026-06-29
58554	CPT	Laparo-vag Hyst W/t/o Compl	31	24	$8,372.00	—	$7,544.81	$11,740.83	$7,544.81	2026-06-29
93452	CPT	Left Hrt Cath W/ventrclgrphy	31	24	$28,279.44	—	$3,627.18	$7,469.48	$7,469.48	2026-06-29
43239	CPT	Egd Biopsy Single/multiple	31	24	$33,341.05	—	$54.62	$7,196.86	$7,196.86	2026-06-29
43236	CPT	Uppr Gi Scope W/submuc Inj	31	24	$33,341.05	—	$1,057.30	$7,196.86	$7,196.86	2026-06-29
43235	CPT	Egd Diagnostic Brush Wash	31	24	$33,341.05	—	$1,057.30	$7,196.86	$7,196.86	2026-06-29
43240	CPT	Egd W/transmural Drain Cyst	31	24	$19,119.82	—	$6,713.04	$7,180.48	$7,180.48	2026-06-29
43266	CPT	Egd Endoscopic Stent Place	31	24	$19,119.82	—	$6,713.04	$7,180.48	$7,180.48	2026-06-29
43659	CPT	Laparoscope Proc Stom	31	24	$19,119.82	—	$6,579.46	$7,113.69	$7,113.69	2026-06-29
43653	CPT	Laparoscopy Gastrostomy	31	24	$19,119.82	—	$6,579.46	$7,113.69	$7,113.69	2026-06-29
43773	CPT	Lap Replace Gastr Adj Device	31	24	$19,119.82	—	$6,579.46	$7,113.69	$7,113.69	2026-06-29
93459	CPT	Heart Cath Lt W/angio Bypass	31	24	$26,131.00	—	$3,627.18	$7,039.79	$7,039.79	2026-06-29
93453	CPT	Heart Cath Lt & Rt W/ventrclgr	31	24	$25,923.00	—	$3,627.18	$6,998.19	$6,998.19	2026-06-29
93460	CPT	Heart Cath Rt & Lt W/angiogram	31	24	$25,866.00	—	$3,627.18	$6,986.79	$6,986.79	2026-06-29
58553	CPT	Laparo-vag Hyst Complex	31	24	$5,310.00	—	$6,932.41	$11,740.83	$6,932.41	2026-06-29
43280	CPT	Laparoscopy Fundoplasty	31	24	$5,227.00	—	$6,915.81	$11,740.83	$6,915.81	2026-06-29
23700	CPT	Fixation Of Shoulder	31	24	$29,939.85	—	$1,804.80	$6,890.37	$6,890.37	2026-06-29
58552	CPT	Laparo-vag Hyst Incl T/o	31	24	$4,675.00	—	$6,805.41	$11,740.83	$6,805.41	2026-06-29
47564	CPT	Laparo Cholecystectomy/explr	31	24	$4,530.00	—	$6,776.41	$11,740.83	$6,776.41	2026-06-29
47563	CPT	Laparo Cholecystectomy/graph	2	2	$731.00	—	$6,579.46	$6,579.46	$6,579.46	2026-06-29
36224	CPT	Ir	31	24	$17,482.00	—	$6,096.06	$6,544.43	$6,544.43	2026-06-29
J1162	HCPCS	Digoxin Immune Fab 40 Mg Vial	31	24	$20,129.00	—	$4,968.58	$6,510.09	$6,510.09	2026-06-29
44144	CPT	Partial Removal Of Colon	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
44322	CPT	Colostomy With Biopsies	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
44320	CPT	Colostomy	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
45126	CPT	Pelvic Exenteration	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
58240	CPT	Removal Of Pelvis Contents	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
57307	CPT	Fistula Repair & Colostomy	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
44605	CPT	Repair Of Bowel Lesion	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
45121	CPT	Removal Of Rectum And Colon	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
44143	CPT	Partial Removal Of Colon	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
44141	CPT	Partial Removal Of Colon	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
45119	CPT	Remove Rectum W/reservoir	29	22	$15,783.64	—	$6,313.46	$6,313.46	$6,313.46	2026-06-29
J0716	HCPCS	Centruroides(scorpn) Antivenom 1 Vial Vial	31	24	$19,408.00	—	$4,855.30	$6,309.25	$6,309.25	2026-06-29
43117	CPT	Partial Removal Of Esophagus	29	22	$15,697.00	—	$6,278.80	$6,278.80	$6,278.80	2026-06-29
33207	CPT	Insert Heart Pm Ventricular	31	24	$1,525.00	—	$6,205.93	$11,801.85	$6,205.93	2026-06-29
12020	CPT	Closure Of Split Wound	31	24	$28,670.05	—	$690.30	$6,079.16	$6,079.16	2026-06-29
36569	CPT	Insj Picc 5 Yr+ Without Imaging	31	24	$25,858.29	—	$1,751.83	$6,047.57	$6,047.57	2026-06-29
37191	CPT	Ins Endovas Vena Cava Filtr	31	24	$14,965.00	—	$6,041.03	$6,096.06	$6,041.03	2026-06-29
43257	CPT	Egd W/thrml Txmnt Gerd	31	24	$19,119.82	—	$4,290.40	$5,969.16	$5,969.16	2026-06-29
43772	CPT	Lap Rmvl Gastr Adj Device	31	24	$19,119.82	—	$4,290.40	$5,969.16	$5,969.16	2026-06-29
43774	CPT	Lap Rmvl Gastr Adj All Parts	31	24	$19,119.82	—	$4,290.40	$5,969.16	$5,969.16	2026-06-29
36223	CPT	Ir	31	24	$13,930.00	—	$5,834.03	$6,096.06	$5,834.03	2026-06-29
64490	CPT	Inj Paravert F Jnt C/t 1 Lev	31	24	$26,059.10	—	$1,003.99	$5,713.81	$5,713.81	2026-06-29
47540	CPT	Ir	31	24	$11,783.00	—	$5,646.33	$6,579.46	$5,646.33	2026-06-29
93455	CPT	Coronary Angiography W/cath	31	24	$19,030.00	—	$3,627.18	$5,619.59	$5,619.59	2026-06-29
20606	CPT	Drain/inj Joint/bursa W/us	31	24	$26,059.10	—	$14.34	$5,602.30	$5,602.30	2026-06-29
C1781	HCPCS	Mesh (implantable)	29	22	$13,675.00	—	$114.56	$5,470.00	$5,470.00	2026-06-29
93454	CPT	Coronary Artery Angio S&i	31	24	$17,409.00	—	$3,627.18	$5,295.39	$5,295.39	2026-06-29
49659	CPT	Laparo Proc Hernia Repair	31	24	$9,018.00	—	$5,093.33	$6,579.46	$5,093.33	2026-06-29
C1874	HCPCS	Stent	29	22	$12,259.00	—	$4,903.60	$4,903.60	$4,903.60	2026-06-29
43249	CPT	Esoph Egd Dilation <30 Mm	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43253	CPT	Egd US Transmural Injxn/mark	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43255	CPT	Egd Control Bleeding Any	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43251	CPT	Egd Remove Lesion Snare	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43270	CPT	Egd Lesion Ablation	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43254	CPT	Egd Endo Mucosal Resection	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43245	CPT	Egd Dilate Stricture	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43246	CPT	Egd Place Gastrostomy Tube	31	24	$19,119.82	—	$43.87	$4,893.59	$4,893.59	2026-06-29
43237	CPT	Endoscopic US Exam Esoph	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43250	CPT	Egd Cautery Tumor Polyp	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43244	CPT	Egd Varices Ligation	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
43243	CPT	Egd Injection Varices	31	24	$19,119.82	—	$2,139.25	$4,893.59	$4,893.59	2026-06-29
24149	CPT	Pf-radical Resection Of Elbow	31	24	$3,825.00	—	$4,793.02	$8,056.05	$4,793.02	2026-06-29
49521	CPT	Rerepair Ing Hernia Blocked	31	24	$6,194.87	—	$4,757.29	$7,036.63	$4,757.29	2026-06-29
49500	CPT	Rpr Ing Hernia Init Reduce	31	24	$6,194.87	—	$4,757.29	$7,036.63	$4,757.29	2026-06-29
60699	CPT	Biopsy Adrenal Gland	31	24	$7,080.00	—	$4,705.73	$6,579.46	$4,705.73	2026-06-29
37239	CPT	Ir	29	22	$11,462.00	—	$4,584.80	$4,584.80	$4,584.80	2026-06-29
66982	CPT	Xcapsl Ctrc Rmvl Cplx Wo Ecp	38	24	$16,126.01	—	$159.66	$4,511.20	$4,511.20	2026-06-29
60240	CPT	Pf-removal Of Thyroid	31	24	$5,860.00	—	$4,461.73	$6,579.46	$4,461.73	2026-06-29
19307	CPT	Mast Mod Rad	31	24	$3,801.00	—	$4,437.35	$7,354.31	$4,437.35	2026-06-29
43248	CPT	Egd Guide Wire Insertion	31	24	$19,119.82	—	$1,057.30	$4,352.61	$4,352.61	2026-06-29

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