Hospital

ARKANSAS SURGICAL HOSPITAL

No Little Rock, AR · CCN 040147 · Rates published

7,290 distinct procedures filed

140 distinct payers

280,950 rate rows

2026-05-09 last MRF observed

Data quality

272,986 of 280,950 rate rows are consumer-grade (97.2%)

7,964 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
exceeds 10× this hospital's gross charge — excluded from medians	6,854
template filing: same amount across many unrelated codes — excluded	930
placeholder amount (≤ $0.02) — excluded from medians	180

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

Source MRF file	https://clariti-health.com/csp/clariti/machinereadable/v2/710858717_Arkansas-Surgical-Hospital-LLC_standardcharges.csv
Found on page	https://arksurgicalhospital.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	4aec1fc61feed2ed… · 47,185,018 bytes · first seen 2026-05-09

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
4114117 CPT	Knee Rev Press-fit	18	$48,870.80	$58,644.96	$48,870.80	—
4112248 CPT	Maci Graft Implant	18	$45,215.00	$54,258.00	$45,215.00	—
4114831 CPT	Fem Whl Con Fs/a Rt	18	$44,660.00	$53,592.00	$44,660.00	—
4111728 CPT	Kit Montage Ipg	18	$41,800.00	$50,160.00	$41,800.00	—
4114373 CPT	Nipg Stimulator Kit	18	$41,483.25	$49,779.90	$41,483.25	—
4114811 CPT	Kit Wavewriter Alpha	18	$40,700.00	$48,840.00	$40,700.00	—
4099446 CPT	Kit Ultrasurg Medtr	18	$39,600.00	$47,520.00	$39,600.00	—
4114137 CPT	Kit Novi Boston Scie	18	$39,600.00	$47,520.00	$39,600.00	—
4111727 CPT	Kit Montage Ipg Bost	18	$38,060.00	$45,672.00	$38,060.00	—
4114158 CPT	Psn Knee Rev Cap	18	$36,750.00	$44,100.00	$36,750.00	—
4114634 CPT	Revision Total Knee	18	$36,750.00	$44,100.00	$36,750.00	—
4114115 CPT	Hinged Knee Revision	18	$35,200.00	$42,240.00	$35,200.00	—
4113368 CPT	Tot Knee Rev W Cones	18	$35,000.00	$42,000.00	$35,000.00	—
4110483 CPT	Ipg Kit	18	$34,744.50	$41,693.40	$34,744.50	—
4114290 CPT	Ipg Kit	18	$34,744.50	$41,693.40	$34,744.50	—
63048 CPT	Remv Spinal Lamina	74	$92.00	$38,407.95	$33,652.68	nat. median $3,386 outlier · 9.9×
22614 CPT	Spine Fus Extra Seg	74	$92.00	$38,407.95	$33,652.68	nat. median $2,234 outlier · 15.1×
4110455 CPT	Battery Proclaim 5 E	18	$32,670.00	$39,204.00	$32,670.00	—
4110456 CPT	Battery Proclaim 7 E	18	$32,670.00	$39,204.00	$32,670.00	—
4111137 CPT	Stimulator 2x12 Puls	18	$31,240.00	$37,488.00	$31,240.00	—
4111881 CPT	Ipg Battery Stimulat	18	$29,612.00	$35,534.40	$29,612.00	—
4112883 CPT	Battery Intellislt	18	$28,600.00	$34,320.00	$28,600.00	—
4097668 CPT	Tok Knee Rev Exactec	18	$28,000.00	$33,600.00	$28,000.00	—
4112910 CPT	Maci Graft Implant 2	18	$27,080.00	$32,496.00	$27,080.00	—
4113531 CPT	Maci 2 Membrane #1	18	$27,080.00	$32,496.00	$27,080.00	—
4111934 CPT	Plate 4h Lapidus Lt	18	$26,950.00	$32,340.00	$26,950.00	—
4099555 CPT	Medtronic Battery	18	$26,400.00	$31,680.00	$26,400.00	—
4092527 CPT	Condyle Fem Hemi Med	18	$25,674.00	$30,808.80	$25,674.00	—
4113364 CPT	Lt Medial Condyle Fr	18	$25,674.00	$30,808.80	$25,674.00	—
4114832 CPT	Fem Whl Con Fs/a Lt	18	$25,638.75	$30,766.50	$25,638.75	—
4114793 CPT	Patella Bn Fs/a Lt	18	$25,638.75	$30,766.50	$25,638.75	—
4093607 CPT	Patella W Attach Rt	18	$25,638.75	$30,766.50	$25,638.75	—
4113650 CPT	Condyle Hemi Fem Lat	18	$25,544.25	$30,653.10	$25,544.25	—
4098376 CPT	Reverse Shoulder	18	$25,200.00	$30,240.00	$25,200.00	—
4092045 CPT	Condyle Femoral Hemi	18	$25,135.00	$30,162.00	$25,135.00	—
4111862 CPT	Lima Reverse Tsa	18	$24,850.00	$29,820.00	$24,850.00	—
4100954 CPT	Reverse Tsa Arthrex	18	$24,500.00	$29,400.00	$24,500.00	—
22856 CPT	Cerv Artific Diskectomy	140	$850.00	$38,343.90	$23,020.03	nat. median $16,926 1.4× median
4110446 CPT	Total Hip Rev Exac	18	$22,750.00	$27,300.00	$22,750.00	—
4114189 CPT	Pcf Decompression	18	$22,400.00	$26,880.00	$22,400.00	—
4114761 CPT	Total Hip Dual Mobil	18	$22,000.00	$26,400.00	$22,000.00	—
4090481 CPT	Synchromed 8637-40	18	$22,000.00	$26,400.00	$22,000.00	—
4092094 CPT	Synchromed Medtronic	18	$22,000.00	$26,400.00	$22,000.00	—
4112212 CPT	Broach Body S/o Arco	18	$21,593.25	$25,911.90	$21,593.25	—
28725 CPT	Fus Of Foot Bnes	140	$850.00	$34,962.90	$20,994.86	nat. median $10,168 outlier · 2.1×
4110192 CPT	Pump Prometra Ii	18	$20,680.00	$24,816.00	$20,680.00	—
4114712 CPT	Pump Prometra Ii 20m	18	$20,680.00	$24,816.00	$20,680.00	—
4114495 CPT	Screw 4.5x50 Cortex	18	$20,572.48	$24,686.97	$20,572.48	—
4112916 CPT	Screw Locking 4.0x38	18	$20,564.58	$24,677.50	$20,564.58	—
4112755 CPT	Humeral Head 52mm	18	$20,563.78	$24,676.53	$20,563.78	—

Other procedures at this hospital

Browse this hospital's 7,290 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

4114117	CPT	Knee Rev Press-fit	18	18	$97,741.60	—	$48,870.80	$58,644.96	$48,870.80	2026-05-09
4112248	CPT	Maci Graft Implant	18	18	$90,430.00	—	$45,215.00	$54,258.00	$45,215.00	2026-05-09
4114831	CPT	Fem Whl Con Fs/a Rt	18	18	$89,320.00	—	$44,660.00	$53,592.00	$44,660.00	2026-05-09
4111728	CPT	Kit Montage Ipg	18	18	$83,600.00	—	$41,800.00	$50,160.00	$41,800.00	2026-05-09
4114373	CPT	Nipg Stimulator Kit	18	18	$82,966.50	—	$41,483.25	$49,779.90	$41,483.25	2026-05-09
4114811	CPT	Kit Wavewriter Alpha	18	18	$81,400.00	—	$40,700.00	$48,840.00	$40,700.00	2026-05-09
4114137	CPT	Kit Novi Boston Scie	18	18	$79,200.00	—	$39,600.00	$47,520.00	$39,600.00	2026-05-09
4099446	CPT	Kit Ultrasurg Medtr	18	18	$79,200.00	—	$39,600.00	$47,520.00	$39,600.00	2026-05-09
4111727	CPT	Kit Montage Ipg Bost	18	18	$76,120.00	—	$38,060.00	$45,672.00	$38,060.00	2026-05-09
4114158	CPT	Psn Knee Rev Cap	18	18	$73,500.00	—	$36,750.00	$44,100.00	$36,750.00	2026-05-09
4114634	CPT	Revision Total Knee	18	18	$73,500.00	—	$36,750.00	$44,100.00	$36,750.00	2026-05-09
4114115	CPT	Hinged Knee Revision	18	18	$70,400.00	—	$35,200.00	$42,240.00	$35,200.00	2026-05-09
4113368	CPT	Tot Knee Rev W Cones	18	18	$70,000.00	—	$35,000.00	$42,000.00	$35,000.00	2026-05-09
4114290	CPT	Ipg Kit	18	18	$69,489.00	—	$34,744.50	$41,693.40	$34,744.50	2026-05-09
4110483	CPT	Ipg Kit	18	18	$69,489.00	—	$34,744.50	$41,693.40	$34,744.50	2026-05-09
63048	CPT	Remv Spinal Lamina	102	74	$9,675.00	$40,383.22	$92.00	$38,407.95	$33,652.68	2026-05-09
22614	CPT	Spine Fus Extra Seg	102	74	$9,675.00	$40,383.22	$92.00	$38,407.95	$33,652.68	2026-05-09
4110456	CPT	Battery Proclaim 7 E	18	18	$65,340.00	—	$32,670.00	$39,204.00	$32,670.00	2026-05-09
4110455	CPT	Battery Proclaim 5 E	18	18	$65,340.00	—	$32,670.00	$39,204.00	$32,670.00	2026-05-09
4111137	CPT	Stimulator 2x12 Puls	18	18	$62,480.00	—	$31,240.00	$37,488.00	$31,240.00	2026-05-09
4111881	CPT	Ipg Battery Stimulat	18	18	$59,224.00	—	$29,612.00	$35,534.40	$29,612.00	2026-05-09
4112883	CPT	Battery Intellislt	18	18	$57,200.00	—	$28,600.00	$34,320.00	$28,600.00	2026-05-09
4097668	CPT	Tok Knee Rev Exactec	18	18	$56,000.00	—	$28,000.00	$33,600.00	$28,000.00	2026-05-09
4112910	CPT	Maci Graft Implant 2	18	18	$54,160.00	—	$27,080.00	$32,496.00	$27,080.00	2026-05-09
4113531	CPT	Maci 2 Membrane #1	18	18	$54,160.00	—	$27,080.00	$32,496.00	$27,080.00	2026-05-09
4111934	CPT	Plate 4h Lapidus Lt	18	18	$53,900.00	—	$26,950.00	$32,340.00	$26,950.00	2026-05-09
4099555	CPT	Medtronic Battery	18	18	$52,800.00	—	$26,400.00	$31,680.00	$26,400.00	2026-05-09
4113364	CPT	Lt Medial Condyle Fr	18	18	$51,348.00	—	$25,674.00	$30,808.80	$25,674.00	2026-05-09
4092527	CPT	Condyle Fem Hemi Med	18	18	$51,348.00	—	$25,674.00	$30,808.80	$25,674.00	2026-05-09
4114793	CPT	Patella Bn Fs/a Lt	18	18	$51,277.50	—	$25,638.75	$30,766.50	$25,638.75	2026-05-09
4093607	CPT	Patella W Attach Rt	18	18	$51,277.50	—	$25,638.75	$30,766.50	$25,638.75	2026-05-09
4114832	CPT	Fem Whl Con Fs/a Lt	18	18	$51,277.50	—	$25,638.75	$30,766.50	$25,638.75	2026-05-09
4113650	CPT	Condyle Hemi Fem Lat	18	18	$51,088.50	—	$25,544.25	$30,653.10	$25,544.25	2026-05-09
4098376	CPT	Reverse Shoulder	18	18	$50,400.00	—	$25,200.00	$30,240.00	$25,200.00	2026-05-09
4092045	CPT	Condyle Femoral Hemi	18	18	$50,270.00	—	$25,135.00	$30,162.00	$25,135.00	2026-05-09
4111862	CPT	Lima Reverse Tsa	18	18	$49,700.00	—	$24,850.00	$29,820.00	$24,850.00	2026-05-09
4100954	CPT	Reverse Tsa Arthrex	18	18	$49,000.00	—	$24,500.00	$29,400.00	$24,500.00	2026-05-09
22856	CPT	Cerv Artific Diskectomy	275	140	$42,472.69	$40,315.87	$850.00	$38,343.90	$23,020.03	2026-05-09
4110446	CPT	Total Hip Rev Exac	18	18	$45,500.00	—	$22,750.00	$27,300.00	$22,750.00	2026-05-09
4114189	CPT	Pcf Decompression	18	18	$44,800.00	—	$22,400.00	$26,880.00	$22,400.00	2026-05-09
4092094	CPT	Synchromed Medtronic	18	18	$44,000.00	—	$22,000.00	$26,400.00	$22,000.00	2026-05-09
4114761	CPT	Total Hip Dual Mobil	18	18	$44,000.00	—	$22,000.00	$26,400.00	$22,000.00	2026-05-09
4090481	CPT	Synchromed 8637-40	18	18	$44,000.00	—	$22,000.00	$26,400.00	$22,000.00	2026-05-09
4112212	CPT	Broach Body S/o Arco	18	18	$43,186.50	—	$21,593.25	$25,911.90	$21,593.25	2026-05-09
28725	CPT	Fus Of Foot Bnes	275	140	$20,854.90	$36,760.99	$850.00	$34,962.90	$20,994.86	2026-05-09
4110192	CPT	Pump Prometra Ii	18	18	$41,360.00	—	$20,680.00	$24,816.00	$20,680.00	2026-05-09
4114712	CPT	Pump Prometra Ii 20m	18	18	$41,360.00	—	$20,680.00	$24,816.00	$20,680.00	2026-05-09
4114495	CPT	Screw 4.5x50 Cortex	18	18	$41,144.95	—	$20,572.48	$24,686.97	$20,572.48	2026-05-09
4112916	CPT	Screw Locking 4.0x38	18	18	$41,129.16	—	$20,564.58	$24,677.50	$20,564.58	2026-05-09
4112755	CPT	Humeral Head 52mm	18	18	$41,127.55	—	$20,563.78	$24,676.53	$20,563.78	2026-05-09
4112536	CPT	Adapter 55mm Femoral	18	18	$40,036.50	—	$20,018.25	$24,021.90	$20,018.25	2026-05-09
4113457	CPT	Broach Body 16x210	18	18	$39,564.00	—	$19,782.00	$23,738.40	$19,782.00	2026-05-09
4110923	CPT	Femur 67.5 Large	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4110765	CPT	Femur R 70mm Ssk	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4110110	CPT	Femur 67.5 Right	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4100991	CPT	Femur 65mm Vngrd 360	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4111489	CPT	Ssk 60mm Fem L Vngd	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4111552	CPT	Femur 57.5 Ssk 360	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4112001	CPT	Fem 75mm Ssk R	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4111349	CPT	Femur 65mm Ssk	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
4111705	CPT	Femur Lg 70mm	18	18	$39,543.00	—	$19,771.50	$23,725.80	$19,771.50	2026-05-09
63685	CPT	Insrt/redo Spine N Generator	275	140	$86,722.94	$20,773.97 76% off	$850.00	$62,884.24	$19,757.85	2026-05-09
4100481	CPT	Femur 55 Large	18	18	$37,660.00	—	$18,830.00	$22,596.00	$18,830.00	2026-05-09
4100784	CPT	Adapter 5.75mm Femor	18	18	$37,660.00	—	$18,830.00	$22,596.00	$18,830.00	2026-05-09
4100736	CPT	Adapter 60mm Femoral	18	18	$37,660.00	—	$18,830.00	$22,596.00	$18,830.00	2026-05-09
4114112	CPT	Femur 72.5mm Ssk	18	18	$37,380.00	—	$18,690.00	$22,428.00	$18,690.00	2026-05-09
4112395	CPT	Acros Brch Szb 60mm	18	18	$37,201.50	—	$18,600.75	$22,320.90	$18,600.75	2026-05-09
4099324	CPT	Total Shoulder	18	18	$37,100.00	—	$18,550.00	$22,260.00	$18,550.00	2026-05-09
4114494	CPT	Gmrs Distal Fem 65mm	18	18	$35,265.12	—	$17,632.56	$21,159.07	$17,632.56	2026-05-09
4114718	CPT	Osteochondral Pat Rt	18	18	$35,200.00	—	$17,600.00	$21,120.00	$17,600.00	2026-05-09
4114008	CPT	Fem Condyle Medial R	18	18	$35,200.00	—	$17,600.00	$21,120.00	$17,600.00	2026-05-09
4114089	CPT	Osteoch Trochlea Rt	18	18	$35,200.00	—	$17,600.00	$21,120.00	$17,600.00	2026-05-09
4114142	CPT	Condyle Lt Med Hemi	18	18	$35,200.00	—	$17,600.00	$21,120.00	$17,600.00	2026-05-09
4114321	CPT	Condyle Lt Lat Hemi	18	18	$35,200.00	—	$17,600.00	$21,120.00	$17,600.00	2026-05-09
4114088	CPT	Fem Condyle Rt Later	18	18	$35,200.00	—	$17,600.00	$21,120.00	$17,600.00	2026-05-09
22612	CPT	Lumbar Spine Fus	209	140	$33,936.44	$26,724.74 21% off	$850.00	$38,407.95	$17,532.35	2026-05-09
27279	CPT	Arthrodesis Sacroiliac Joint	209	140	$58,654.80	$26,724.74 54% off	$850.00	$38,407.95	$17,532.35	2026-05-09
4097838	CPT	Primary Should Exact	18	18	$34,650.00	—	$17,325.00	$20,790.00	$17,325.00	2026-05-09
4097631	CPT	Rvrs Shdr Exactech	18	18	$34,650.00	—	$17,325.00	$20,790.00	$17,325.00	2026-05-09
63655	CPT	Implant Neuroelectrodes	280	140	$95,490.25	$23,516.09 75% off	$320.00	$57,069.15	$17,311.64	2026-05-09
4111089	CPT	Lima Total Shoulder	18	18	$34,300.00	—	$17,150.00	$20,580.00	$17,150.00	2026-05-09
4098576	CPT	Femur 72.5 Vang	18	18	$34,153.00	—	$17,076.50	$20,491.80	$17,076.50	2026-05-09
4098598	CPT	Adapter 5.0 Tibial	18	18	$34,153.00	—	$17,076.50	$20,491.80	$17,076.50	2026-05-09
22633	CPT	Lumbar Spine Fusion Combined	135	135	$49,898.38	$26,724.74 46% off	$15,899.00	$37,949.06	$16,866.25	2026-05-09
62361	CPT	Implant Spine Infusion Pump	275	140	$9,675.00	$20,773.97	$850.00	$36,471.69	$16,778.09	2026-05-09
4111143	CPT	Total Elbow Tornier	18	18	$33,000.00	—	$16,500.00	$19,800.00	$16,500.00	2026-05-09
4097817	CPT	Total Ankle Tornier	18	18	$33,000.00	—	$16,500.00	$19,800.00	$16,500.00	2026-05-09
62362	CPT	Implant Infusion Pum	280	140	$77,561.00	$20,723.18 73% off	$250.00	$46,536.60	$16,493.86	2026-05-09
23470	CPT	Reconstr Shldr Jnt	275	140	$39,048.59	$27,425.57 30% off	$850.00	$26,551.53	$16,367.09	2026-05-09
19357	CPT	Brst Recont	280	140	$9,300.00	$20,567.76	$320.00	$35,902.62	$15,956.72	2026-05-09
4113122	CPT	Prodics C Large 7	18	18	$31,500.00	—	$15,750.00	$18,900.00	$15,750.00	2026-05-09
4113022	CPT	Prodics C Med 7 Deep	18	18	$31,500.00	—	$15,750.00	$18,900.00	$15,750.00	2026-05-09
4112949	CPT	Prodisc C 6mm Large	18	18	$31,500.00	—	$15,750.00	$18,900.00	$15,750.00	2026-05-09
4112217	CPT	1 Lvl Disc Arthoplas	18	18	$31,500.00	—	$15,750.00	$18,900.00	$15,750.00	2026-05-09
4114598	CPT	Insert 12mm Sz 4 Tib	18	18	$31,350.00	—	$15,675.00	$18,810.00	$15,675.00	2026-05-09
4110675	CPT	Lima Reverse Tsa	18	18	$31,240.00	—	$15,620.00	$18,744.00	$15,620.00	2026-05-09
4112443	CPT	Wound Matrix 4x10	18	18	$31,240.00	—	$15,620.00	$18,744.00	$15,620.00	2026-05-09
4112574	CPT	Broach Body 16x175mm	18	18	$31,150.00	—	$15,575.00	$18,690.00	$15,575.00	2026-05-09
24515	CPT	Trt Hum Fx	275	140	$33,561.58	$26,514.77 21% off	$850.00	$26,551.53	$15,421.62	2026-05-09
27870	CPT	Fus Of Akl Jnt	275	140	$23,032.19	$26,514.77	$850.00	$26,551.53	$15,421.62	2026-05-09
4114412	CPT	Stem Sz 14 O/s	18	18	$30,592.80	—	$15,296.40	$18,355.68	$15,296.40	2026-05-09
4093851	CPT	Implant Legion 5 Lt	18	18	$30,437.00	—	$15,218.50	$18,262.20	$15,218.50	2026-05-09
4114709	CPT	Implant Legion 3 Lt	18	18	$30,437.00	—	$15,218.50	$18,262.20	$15,218.50	2026-05-09
22551	CPT	Neck Spine Fuse&remov Bel C2	275	140	$27,814.84	$27,165.02	$850.00	$26,551.53	$15,205.81	2026-05-09
4114455	CPT	Cervical Disc M6 6mm	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4113734	CPT	Cervical Disc 7mm M	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4113481	CPT	Cervical Disc M6-c 6	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4113896	CPT	Cervical Disc 7mm Ll	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4113885	CPT	Cervical Disc 7mm	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4114198	CPT	Cervical Disc M6 6mm	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4113735	CPT	Cervical Disc 6mm Ml	18	18	$30,100.00	—	$15,050.00	$18,060.00	$15,050.00	2026-05-09
4112483	CPT	Wedge Sz8 Plasma X/o	18	18	$29,994.30	—	$14,997.15	$17,996.58	$14,997.15	2026-05-09
4112105	CPT	Stem Sz16 S/o Std Cl	18	18	$29,751.75	—	$14,875.88	$17,851.05	$14,875.88	2026-05-09
23585	CPT	Trt Scapula Fx	275	140	$33,166.92	$27,425.57	$850.00	$26,084.10	$14,741.55	2026-05-09
27814	CPT	Trt Of Akl Fx	275	140	$29,576.90	$26,514.77	$850.00	$25,217.85	$14,741.55	2026-05-09
63005	CPT	Remv Of Spinal Lami	275	140	$17,685.49	$33,135.46	$850.00	$31,514.70	$14,741.55	2026-05-09
27698	CPT	Rep Of Akl Lig	275	140	$23,037.84	$36,760.99	$850.00	$34,962.90	$14,741.55	2026-05-09
23412	CPT	Rep Rotator Cuff Ch	275	140	$22,609.41	$27,425.57	$850.00	$26,084.10	$14,741.55	2026-05-09
63001	CPT	Remv Of Spinal Lami	275	140	$21,285.83	$32,627.62	$850.00	$31,031.70	$14,741.55	2026-05-09
63020	CPT	Nk Spine Disk Surg	280	140	$21,063.24	$24,194.32	$320.00	$38,343.90	$14,741.55	2026-05-09
28300	CPT	In Of Hl Bne	280	140	$15,696.66	$22,416.88	$250.00	$34,962.90	$14,741.55	2026-05-09
20900	CPT	Remv Of Bne For Grf	280	140	$9,300.00	$22,416.88	$320.00	$34,962.90	$14,741.55	2026-05-09
27766	CPT	Trt Of Akl Fx	280	140	$11,063.00	$22,416.88	$250.00	$34,962.90	$14,741.55	2026-05-09
28103	CPT	Remv/grft Foot Les	275	140	$21,652.00	$36,760.99	$850.00	$34,962.90	$14,741.55	2026-05-09
27638	CPT	Remv/grft Leg Bne L	275	140	$22,875.92	$36,760.99	$850.00	$34,962.90	$14,741.55	2026-05-09
27335	CPT	Remv Knee Jnt Lin	275	140	$26,824.67	$29,472.38	$850.00	$28,030.80	$14,741.55	2026-05-09
28715	CPT	Fus Of Foot Bnes	280	140	$16,269.19	$20,275.67	$320.00	$26,551.53	$14,504.42	2026-05-09
20690	CPT	App Bne Fix Dev	275	140	$9,675.00	$24,626.93	$850.00	$23,422.35	$14,504.42	2026-05-09
4113115	CPT	Liner Extcov G7 36	18	18	$29,008.00	—	$14,504.00	$17,404.80	$14,504.00	2026-05-09
4113171	CPT	Liner 10 Deg	18	18	$29,008.00	—	$14,504.00	$17,404.80	$14,504.00	2026-05-09
4096434	CPT	Shoulder Rev Aeq	18	18	$28,600.00	—	$14,300.00	$17,160.00	$14,300.00	2026-05-09
4113524	CPT	Stem 17x245 Std Rev	18	18	$28,000.00	—	$14,000.00	$16,800.00	$14,000.00	2026-05-09
4113307	CPT	Stem Rev Mono 17x195	18	18	$28,000.00	—	$14,000.00	$16,800.00	$14,000.00	2026-05-09
4112850	CPT	Liner Gp4 32mm	18	18	$27,580.00	—	$13,790.00	$16,548.00	$13,790.00	2026-05-09
4112624	CPT	Graft Sm Proc Cr 17	18	18	$27,571.50	—	$13,785.75	$16,542.90	$13,785.75	2026-05-09
4112646	CPT	Med Mis L Lv W Mon	18	18	$27,300.00	—	$13,650.00	$16,380.00	$13,650.00	2026-05-09
4100998	CPT	Knee Oxford Biomet	18	18	$27,300.00	—	$13,650.00	$16,380.00	$13,650.00	2026-05-09
4114569	CPT	Persona Uni Kn Cemtd	18	18	$27,300.00	—	$13,650.00	$16,380.00	$13,650.00	2026-05-09
4113086	CPT	Body Brch Std 16x210	18	18	$27,145.80	—	$13,572.90	$16,287.48	$13,572.90	2026-05-09
4122675	CPT	Broach Body Offset	18	18	$27,145.80	—	$13,572.90	$16,287.48	$13,572.90	2026-05-09
4099800	CPT	2 Level Mis Lum Fus	18	18	$26,796.00	—	$13,398.00	$16,077.60	$13,398.00	2026-05-09
4113191	CPT	Med Mis 2level	18	18	$26,670.00	—	$13,335.00	$16,002.00	$13,335.00	2026-05-09
4114358	CPT	Femoral Comp Med Lt	18	18	$26,664.00	—	$13,332.00	$15,998.40	$13,332.00	2026-05-09
4113758	CPT	Persona Diff Primary	18	18	$26,600.00	—	$13,300.00	$15,960.00	$13,300.00	2026-05-09
4114866	CPT	Cage Vbr 16-25 Sm 0d	18	18	$26,400.00	—	$13,200.00	$15,840.00	$13,200.00	2026-05-09
22523	CPT	Kyphoplasty Thor 1	158	140	$26,028.00	$16,498.18 37% off	$850.00	$15,691.20	$13,014.00	2026-05-09
4113444	CPT	Femur Rev Sl	18	18	$25,836.80	—	$12,918.40	$15,502.08	$12,918.40	2026-05-09
4098514	CPT	Femure 62.5	18	18	$25,616.50	—	$12,808.25	$15,369.90	$12,808.25	2026-05-09
4113733	CPT	Total Hip With Ox Head	18	18	$25,550.00	—	$12,775.00	$15,330.00	$12,775.00	2026-05-09
4114107	CPT	Pcf 3 Lvl Nexxt Spin	18	18	$25,550.00	—	$12,775.00	$15,330.00	$12,775.00	2026-05-09
63017	CPT	Remv Of Spinal Lami	275	140	$29,538.41	$21,733.34 26% off	$850.00	$20,670.30	$12,665.51	2026-05-09
27427	CPT	Recont Knee	275	140	$31,830.33	$23,256.86 27% off	$850.00	$22,119.30	$12,623.76	2026-05-09
27350	CPT	Remv Of Kncap	275	140	$22,814.12	$23,256.86	$850.00	$22,119.30	$12,623.76	2026-05-09
4113598	CPT	Femur Cemented Std 7	18	18	$25,080.00	—	$12,540.00	$15,048.00	$12,540.00	2026-05-09
4113856	CPT	Femur Std Cem Sz 5	18	18	$25,080.00	—	$12,540.00	$15,048.00	$12,540.00	2026-05-09
4099785	CPT	2 Lvl Olf	18	18	$24,906.00	—	$12,453.00	$14,943.60	$12,453.00	2026-05-09
4113184	CPT	Cone Body 50mm	18	18	$24,750.00	—	$12,375.00	$14,850.00	$12,375.00	2026-05-09
4114293	CPT	Total Hip Mulit Hole	18	18	$24,500.00	—	$12,250.00	$14,700.00	$12,250.00	2026-05-09
4100611	CPT	Total Hip Stryker	18	18	$24,500.00	—	$12,250.00	$14,700.00	$12,250.00	2026-05-09
4099872	CPT	Total Hip	18	18	$24,500.00	—	$12,250.00	$14,700.00	$12,250.00	2026-05-09
4099273	CPT	Total Knee Pat Fem	18	18	$24,500.00	—	$12,250.00	$14,700.00	$12,250.00	2026-05-09
27130	CPT	Total Hip Arthroplasty	280	140	$48,506.64	$18,349.19 62% off	$320.00	$28,878.98	$12,110.57	2026-05-09
23615	CPT	Trt Hum Fx	275	140	$38,599.86	$20,773.97 46% off	$850.00	$26,551.53	$12,110.57	2026-05-09
29807	CPT	Shldr Arthscpy/surg	275	140	$20,502.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27033	CPT	In Of Hip Tend	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23552	CPT	Trt Clavicle Dis	275	140	$26,986.00	$20,773.97 23% off	$850.00	$19,757.85	$12,110.57	2026-05-09
29820	CPT	Shldr Arthscpy/surg	275	140	$13,350.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23515	CPT	Trt Clavicle Fx	275	140	$28,262.32	$20,773.97 26% off	$850.00	$19,757.85	$12,110.57	2026-05-09
24342	CPT	Rep Of Ruptured Ten	275	140	$21,098.80	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23462	CPT	Rep Shldr Capsule	275	140	$24,869.66	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
29806	CPT	Shldr Arthscpy/surg	275	140	$21,764.70	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
19307	CPT	Mast Mod Rad	275	140	$30,903.80	$20,773.97 33% off	$850.00	$19,757.85	$12,110.57	2026-05-09
23420	CPT	Rep Of Shldr	275	140	$19,257.12	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27440	CPT	Rev Of Knee Jnt	275	140	$28,523.00	$20,773.97 27% off	$850.00	$26,551.53	$12,110.57	2026-05-09
23415	CPT	Rel Of Shldr Lig	275	140	$21,287.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
19302	CPT	P-mastectomy W/ln Removal	275	140	$13,325.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
62350	CPT	Implant Spinal Cana	275	140	$48,810.89	$20,773.97 57% off	$850.00	$19,757.85	$12,110.57	2026-05-09
26531	CPT	Revs Knuckle With I	275	140	$32,824.72	$20,773.97 37% off	$850.00	$19,757.85	$12,110.57	2026-05-09
23410	CPT	Rep Of Tend(s)	275	140	$26,201.54	$20,773.97 21% off	$850.00	$19,757.85	$12,110.57	2026-05-09
27827	CPT	Trt Lwer Leg Fx	280	140	$36,389.17	$18,349.19 50% off	$320.00	$26,551.53	$12,110.57	2026-05-09
27416	CPT	Osteochondral Knee Autograft	275	140	$15,936.28	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
19126	CPT	Ex Addl Brst Les	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
28755	CPT	Fus Of Big Toe Jnt	280	140	$22,871.12	$14,423.37 37% off	$250.00	$19,757.85	$12,110.57	2026-05-09
27652	CPT	Rep/grft Achl Tend	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23107	CPT	Expl Trt Shldr Jnt	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28760	CPT	Fus Of Big Toe Jnt	275	140	$16,400.60	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23105	CPT	Remv Shldr Jnt Lin	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28737	CPT	Rev Of Foot Bnes	275	140	$20,915.09	$20,773.97	$850.00	$26,551.53	$12,110.57	2026-05-09
63664	CPT	Revise Spine Eltrd Plate	275	140	$105,790.00	$20,773.97 80% off	$850.00	$63,024.00	$12,110.57	2026-05-09
27524	CPT	Trt Kncap Fx	275	140	$24,096.33	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28615	CPT	Rep Foot Dis	275	140	$11,130.55	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
24149	CPT	Radical Resection Of Elbow	275	140	$20,625.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28291	CPT	Corrj Halux Rigdus W/implt	275	140	$20,026.88	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
26125	CPT	Rel Palm Contr	173	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
65760	CPT	Rev Of Cornea	168	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28730	CPT	Fus Of Foot Bnes	275	140	$19,933.60	$20,773.97	$850.00	$26,551.53	$12,110.57	2026-05-09
22554	CPT	Neck Spine Fusion	275	140	$26,783.92	$20,773.97 22% off	$850.00	$26,551.53	$12,110.57	2026-05-09
29888	CPT	Knee Arthscpy/surg	275	140	$29,531.45	$20,773.97 30% off	$850.00	$19,757.85	$12,110.57	2026-05-09
63057	CPT	Decom Spine Cord Ad	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
28322	CPT	Rep Of Metats	275	140	$10,633.35	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28415	CPT	Trt Hl Fx	275	140	$18,464.20	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
22515	CPT	Kyphoplsty Add Level	168	140	$6,507.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
22514	CPT	Kyphoplasty Lum 1	275	140	$35,895.00	$20,773.97 42% off	$850.00	$21,537.00	$12,110.57	2026-05-09
28445	CPT	Trt Akl Fx	275	140	$10,307.32	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
22513	CPT	Kyphoplasty Thor 1	275	140	$37,990.93	$20,773.97 45% off	$850.00	$22,794.56	$12,110.57	2026-05-09
63055	CPT	Decom Spinal Cord	275	140	$38,900.00	$20,773.97 47% off	$850.00	$19,757.85	$12,110.57	2026-05-09
25628	CPT	Trt Wrist Bne Fx	275	140	$15,914.84	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25609	CPT	Treat Fx Radial 3+ Frag	275	140	$22,972.31	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25608	CPT	Treat Fx Rad Intra-articul	275	140	$53,757.43	$20,773.97 61% off	$850.00	$31,804.46	$12,110.57	2026-05-09
25607	CPT	Treat Fx Rad Extra-articul	275	140	$20,547.55	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
29855	CPT	Tibial Arthscpy/sur	280	140	$23,236.37	$14,423.37 38% off	$320.00	$19,757.85	$12,110.57	2026-05-09
29861	CPT	Hip Arthscpy/surg	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
22102	CPT	Remv Part Lumbar Ve	275	140	$13,325.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28202	CPT	Rep/grft Of Foot Te	275	140	$17,617.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25575	CPT	Trt Fx Rad/ulna	275	140	$21,162.04	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25545	CPT	Trt Fx Of Ulna	275	140	$17,342.16	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
21462	CPT	Trt Lwer Jaw Fx	275	140	$20,625.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
25320	CPT	Rep/revs Wrist Jnt	275	140	$27,925.00	$20,773.97 26% off	$850.00	$19,757.85	$12,110.57	2026-05-09
21453	CPT	Trt Lwer Jaw Fx	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28750	CPT	Fus Of Big Toe Jnt	280	140	$22,891.89	$14,423.37 37% off	$250.00	$19,757.85	$12,110.57	2026-05-09
21196	CPT	Reconst Lwr Jaw W/fixation	262	140	$24,275.00	$20,773.97	$320.00	$19,757.85	$12,110.57	2026-05-09
21120	CPT	Recont Of Chin	275	140	$20,650.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28485	CPT	Trt Metat Fx	275	140	$17,479.88	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
28299	CPT	Corec Of Bunion	275	140	$17,020.45	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
63003	CPT	Remv Of Spinal Lami	275	140	$21,515.89	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
64857	CPT	Rep Arm/leg Nrv	275	140	$16,975.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
G0260	CPT	In Si Jnt Arthrogra	251	140	$1,947.00	$20,773.97	$635.14	$18,165.86	$12,110.57	2026-05-09
13133	CPT	Rep Wnd/les Add-on	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
29828	CPT	Arthroscopy Biceps Tenodesis	275	140	$18,873.29	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27822	CPT	Trt Of Akl Fx	275	140	$28,591.88	$20,773.97 27% off	$850.00	$19,757.85	$12,110.57	2026-05-09
24685	CPT	Trt Ulnar Fx	275	140	$30,304.23	$20,773.97 31% off	$850.00	$19,757.85	$12,110.57	2026-05-09
64787	CPT	Impl Nrv End	173	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
24665	CPT	Trt Rad Fx	275	140	$29,421.53	$20,773.97 29% off	$850.00	$19,757.85	$12,110.57	2026-05-09
24545	CPT	Trt Hum Fx	275	140	$48,223.28	$20,773.97 57% off	$850.00	$26,551.53	$12,110.57	2026-05-09
28297	CPT	Corec Of Bunion	280	140	$23,558.58	$14,423.37 39% off	$250.00	$26,551.53	$12,110.57	2026-05-09
63650	CPT	Implant Neuroelectr	275	140	$67,162.80	$20,773.97 69% off	$850.00	$19,757.85	$12,110.57	2026-05-09
27566	CPT	Trt Kncap Dis	275	140	$13,350.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27654	CPT	Rep Of Achl Tend	275	140	$19,668.33	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
64636	CPT	Rf Facet Lumbar Add	101	99	$1,470.00	$20,773.97	$92.00	$14,524.82	$12,110.57	2026-05-09
27447	CPT	Total Knee Arthroplasty	280	140	$49,130.39	$18,349.19 63% off	$320.00	$29,253.23	$12,110.57	2026-05-09
27446	CPT	Rev Of Knee Jnt	275	140	$36,003.47	$20,773.97 42% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27442	CPT	Rev Of Knee Jnt	275	140	$35,702.70	$20,773.97 42% off	$850.00	$26,551.53	$12,110.57	2026-05-09
29914	CPT	Hip Arthro W/femoroplasty	275	140	$35,386.14	$20,773.97 41% off	$850.00	$20,781.68	$12,110.57	2026-05-09
13102	CPT	Rep Wnd/les Add-on	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
27428	CPT	Recont Knee	275	140	$32,447.80	$20,773.97 36% off	$850.00	$26,551.53	$12,110.57	2026-05-09
63015	CPT	Remv Of Spinal Lami	275	140	$24,300.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27415	CPT	Osteochondral Knee Allograft	275	140	$66,030.52	$20,773.97 69% off	$850.00	$39,168.31	$12,110.57	2026-05-09
27759	CPT	Trt Of Tibia Fx	275	140	$40,235.03	$20,773.97 48% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27420	CPT	Rev Of Unstable Knc	275	140	$16,975.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
24341	CPT	Rep Arm Tend/musc	280	140	$20,831.62	$14,423.37 31% off	$250.00	$19,757.85	$12,110.57	2026-05-09
24340	CPT	Rep Of Biceps Tend	275	140	$29,806.33	$20,773.97 30% off	$850.00	$19,757.85	$12,110.57	2026-05-09
27412	CPT	Autochondrocyte Implant Knee	275	140	$123,698.98	$20,773.97 83% off	$850.00	$73,769.39	$12,110.57	2026-05-09
27792	CPT	Trt Of Akl Fx	275	140	$23,482.73	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27386	CPT	Rep/grft Of Thgh Mu	275	140	$29,963.78	$20,773.97 31% off	$850.00	$19,757.85	$12,110.57	2026-05-09
64837	CPT	Rep Nrv Add-on	168	140	$9,675.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
24366	CPT	Reconstr Hd Of Rad	275	140	$38,213.27	$20,773.97 46% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27705	CPT	In Of Tibia	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27356	CPT	Remv Femur Les/grft	275	140	$18,003.50	$20,773.97	$850.00	$26,551.53	$12,110.57	2026-05-09
64834	CPT	Rep Of H& Or Foot N	275	140	$9,675.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
29889	CPT	Knee Arthscpy/surg	275	140	$35,122.39	$20,773.97 41% off	$850.00	$26,551.53	$12,110.57	2026-05-09
27829	CPT	Trt Lwer Leg Jnt	275	140	$17,065.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
27695	CPT	Rep Of Akl Lig	275	140	$13,475.50	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
0232T	CPT	Prp Inject > 1 Site	257	140	$12,304.00	$20,773.97	$92.00	$19,757.85	$12,110.57	2026-05-09
27691	CPT	Revs Lwer Leg Tend	275	140	$18,449.00	$20,773.97	$850.00	$19,757.85	$12,110.57	2026-05-09
23670	CPT	Trt Dis/fx	275	140	$28,186.20	$20,773.97 26% off	$850.00	$19,757.85	$12,110.57	2026-05-09
62310	CPT	Inject Spine C/t	87	85	$1,345.00	$20,773.97	$672.50	$12,110.57	$12,110.57	2026-05-09
4098698	CPT	Sho Ascend Tornier	18	18	$24,200.00	—	$12,100.00	$14,520.00	$12,100.00	2026-05-09
4113009	CPT	Zimmer Lateral Fusio	18	18	$24,200.00	—	$12,100.00	$14,520.00	$12,100.00	2026-05-09
4114071	CPT	Psn Rev Femur Rt 5	18	18	$24,156.00	—	$12,078.00	$14,493.60	$12,078.00	2026-05-09
4114090	CPT	Persona Knee With Cps	18	18	$24,150.00	—	$12,075.00	$14,490.00	$12,075.00	2026-05-09
4114325	CPT	Lum Fusion 2lvl Mis	18	18	$23,800.00	—	$11,900.00	$14,280.00	$11,900.00	2026-05-09
4110447	CPT	Uni Knee Arthrex	18	18	$23,800.00	—	$11,900.00	$14,280.00	$11,900.00	2026-05-09
4097507	CPT	Comp #1 Stabilizer	18	18	$23,728.50	—	$11,864.25	$14,237.10	$11,864.25	2026-05-09
27385	CPT	Rep Of Thigh Musc	280	140	$20,140.00	$14,423.37 28% off	$250.00	$19,757.85	$11,859.00	2026-05-09
4114183	CPT	Ijs Plate Assembly	18	18	$23,712.48	—	$11,856.24	$14,227.49	$11,856.24	2026-05-09
4110719	CPT	Total Hip Partial Bm	18	18	$23,689.75	—	$11,844.88	$14,213.85	$11,844.88	2026-05-09
4099001	CPT	Adapter 60mm Fem	18	18	$23,672.00	—	$11,836.00	$14,203.20	$11,836.00	2026-05-09
4110591	CPT	Lead Kit 65cm Medtro	18	18	$23,320.00	—	$11,660.00	$13,992.00	$11,660.00	2026-05-09
4113173	CPT	Lead Kit 90cm	18	18	$23,320.00	—	$11,660.00	$13,992.00	$11,660.00	2026-05-09
27650	CPT	Rep Achl Tend	280	140	$19,680.86	$14,423.37 27% off	$250.00	$19,757.85	$11,583.52	2026-05-09
4113331	CPT	Head Femoral 36mm	18	18	$22,853.60	—	$11,426.80	$13,712.16	$11,426.80	2026-05-09
4114338	CPT	Cone 60mm Sz C Arcos	18	18	$22,669.00	—	$11,334.50	$13,601.40	$11,334.50	2026-05-09
4114355	CPT	Rev Mod Cone 50mm	18	18	$22,669.00	—	$11,334.50	$13,601.40	$11,334.50	2026-05-09
4114817	CPT	Cone Arcos Prox 80mm	18	18	$22,668.80	—	$11,334.40	$13,601.28	$11,334.40	2026-05-09
4114815	CPT	Rev Cone 600 Sz B	18	18	$22,668.80	—	$11,334.40	$13,601.28	$11,334.40	2026-05-09
4114836	CPT	Cone 70mm Sx C	18	18	$22,668.80	—	$11,334.40	$13,601.28	$11,334.40	2026-05-09
4114677	CPT	Cone Arcos Mod 70mm	18	18	$22,668.80	—	$11,334.40	$13,601.28	$11,334.40	2026-05-09
4114126	CPT	Arcos Con 80mm Std	18	18	$22,668.80	—	$11,334.40	$13,601.28	$11,334.40	2026-05-09
4114042	CPT	Psn Rev Fem Cmt Sd 9	18	18	$22,572.00	—	$11,286.00	$13,543.20	$11,286.00	2026-05-09
4114064	CPT	Femur Cmt Sz7 Lt	18	18	$22,572.00	—	$11,286.00	$13,543.20	$11,286.00	2026-05-09
4099728	CPT	Implant 60mm Knee	18	18	$22,541.00	—	$11,270.50	$13,524.60	$11,270.50	2026-05-09
4114291	CPT	Lum Fusion Mis 2l	18	18	$22,400.00	—	$11,200.00	$13,440.00	$11,200.00	2026-05-09
4113567	CPT	Tlif 3lvl Medtronic	18	18	$22,088.00	—	$11,044.00	$13,252.80	$11,044.00	2026-05-09
4122672	CPT	Coroent Xlf 8x18x55	18	18	$22,000.00	—	$11,000.00	$13,200.00	$11,000.00	2026-05-09
4112140	CPT	Reverse Tsa Flex 2	18	18	$22,000.00	—	$11,000.00	$13,200.00	$11,000.00	2026-05-09
4113982	CPT	Pcf 3 Lvl Zimmer	18	18	$22,000.00	—	$11,000.00	$13,200.00	$11,000.00	2026-05-09
4113393	CPT	Cartimax	18	18	$21,780.00	—	$10,890.00	$13,068.00	$10,890.00	2026-05-09
4112380	CPT	Cone Id 18 Short Lgn	18	18	$21,710.92	—	$10,855.46	$13,026.55	$10,855.46	2026-05-09
4113695	CPT	Interspace Kit 41mm	18	18	$21,700.00	—	$10,850.00	$13,020.00	$10,850.00	2026-05-09
4100786	CPT	Implant Fem 62.5 Lt	18	18	$21,630.00	—	$10,815.00	$12,978.00	$10,815.00	2026-05-09

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