|
23930
|
OTHER
|
I&d,upper Arm/elbow,deep Absc Or Hema
|
15
|
11
|
$12,752.00
|
—
|
$250.00
|
$9,053.92
|
$9,053.92
|
2026-07-15
|
|
15820
|
OTHER
|
Blepharoplasty Lower Eyelid
|
14
|
10
|
$11,740.00
|
—
|
$506.01
|
$8,335.40
|
$8,335.40
|
2026-07-15
|
|
15260
|
OTHER
|
Full Thickness Graft, 20sq Cm Or Less
|
15
|
11
|
$10,551.00
|
—
|
$320.00
|
$7,491.21
|
$7,491.21
|
2026-07-15
|
|
43251
|
OTHER
|
Egd W/removal Of Lesion By Snare
|
15
|
11
|
$9,230.00
|
—
|
$243.03
|
$6,553.30
|
$6,553.30
|
2026-07-15
|
|
81162
|
OTHER
|
Brca Panel (brca1,brca2) 91863 Qt
|
17
|
11
|
$5,931.00
|
—
|
$1,623.21
|
$4,211.01
|
$4,211.01
|
2026-07-15
|
|
44141
|
OTHER
|
Inpt Colectomy Prtl W/skin Level Cecost/
|
12
|
8
|
$5,635.00
|
—
|
$1,605.57
|
$4,000.85
|
$4,000.85
|
2026-07-15
|
|
15946
|
OTHER
|
Inpt Remove Hip Pressure Sore
|
17
|
11
|
$5,249.00
|
—
|
$320.00
|
$3,726.79
|
$3,726.79
|
2026-07-15
|
|
36569
|
OTHER
|
Peripherally Inserted Cv Catheter(picc)
|
15
|
11
|
$5,000.00
|
—
|
$83.45
|
$3,550.00
|
$3,550.00
|
2026-07-15
|
|
23472
|
OTHER
|
Inpt Arthroplasty Glenohumeral Joint
|
15
|
11
|
$4,640.00
|
—
|
$363.00
|
$13,270.34
|
$3,294.40
|
2026-07-15
|
|
27486
|
OTHER
|
Inpt Revise/replace Knee Joint
|
13
|
9
|
$4,464.00
|
—
|
$250.00
|
$3,169.44
|
$3,169.44
|
2026-07-15
|
|
44188
|
OTHER
|
Inpt Lap Colostomy / Skin Lvl Cecostomy
|
12
|
8
|
$4,403.00
|
—
|
$1,075.54
|
$3,126.13
|
$3,126.13
|
2026-07-15
|
|
15734
|
OTHER
|
Inpt Muscle-skin Graft Trunk
|
17
|
11
|
$4,342.00
|
—
|
$297.00
|
$3,308.46
|
$3,082.82
|
2026-07-15
|
|
27130
|
OTHER
|
Inpt Total Hip Arthroplasty
|
15
|
11
|
$3,947.00
|
—
|
$320.00
|
$13,270.34
|
$2,802.37
|
2026-07-15
|
|
27244
|
OTHER
|
Inpt Tx Inter/pr/subtrchntric Femoral Fx
|
13
|
9
|
$3,937.00
|
—
|
$363.00
|
$2,795.27
|
$2,795.27
|
2026-07-15
|
|
27245
|
OTHER
|
Inpt Treat Thigh Fracture
|
13
|
9
|
$3,937.00
|
—
|
$363.00
|
$2,795.27
|
$2,795.27
|
2026-07-15
|
|
44140
|
OTHER
|
Inpt Partial Removal Of Colon
|
12
|
8
|
$3,922.00
|
—
|
$1,190.48
|
$2,784.62
|
$2,784.62
|
2026-07-15
|
|
35261
|
OTHER
|
O/r Repair Blood Vessel Lesion
|
14
|
10
|
$3,824.00
|
—
|
$860.32
|
$3,029.72
|
$2,715.04
|
2026-07-15
|
|
44345
|
OTHER
|
Inpt Revision Of Colostomy
|
13
|
9
|
$3,795.00
|
—
|
$363.00
|
$2,694.45
|
$2,694.45
|
2026-07-15
|
|
23071
|
OTHER
|
O/r Exc Shoulder Lesion Soft Tiss Subq 3
|
17
|
11
|
$3,752.00
|
—
|
$320.00
|
$2,663.92
|
$2,663.92
|
2026-07-15
|
|
29806
|
OTHER
|
O/r Shoulder Arthroscopy/surgery
|
17
|
11
|
$3,752.00
|
—
|
$363.00
|
$6,727.30
|
$2,663.92
|
2026-07-15
|
|
15956
|
OTHER
|
Inpt Remove Thigh Pressure Sore
|
17
|
11
|
$3,730.00
|
—
|
$320.00
|
$2,648.30
|
$2,648.30
|
2026-07-15
|
|
27447
|
OTHER
|
Inpt Total Knee Arthroplasty
|
15
|
11
|
$3,698.00
|
—
|
$320.00
|
$13,270.34
|
$2,625.58
|
2026-07-15
|
|
45388
|
OTHER
|
Colonoscopy Flx Ablation Tumor Polyp/oth
|
18
|
9
|
$3,660.00
|
—
|
$71.00
|
$2,598.60
|
$2,598.60
|
2026-07-15
|
|
21936
|
OTHER
|
O/r Rad Resection Tumor Soft Tissue Back
|
17
|
11
|
$3,652.00
|
—
|
$363.00
|
$2,627.26
|
$2,592.92
|
2026-07-15
|
|
27827
|
OTHER
|
O/r Open Treatment Lower Leg Fracture
|
15
|
11
|
$3,618.00
|
—
|
$320.00
|
$13,270.34
|
$2,568.78
|
2026-07-15
|
|
57505
|
OTHER
|
Endocervical Curettage
|
15
|
11
|
$3,608.00
|
—
|
$104.95
|
$2,561.68
|
$2,561.68
|
2026-07-15
|
|
29827
|
OTHER
|
Inpt Arthroscop Rotator Cuff Repr
|
34
|
11
|
$3,541.00
|
$8,200.00
|
$363.00
|
$6,727.30
|
$2,514.11
|
2026-07-15
|
|
27446
|
OTHER
|
O/r Arthrp Knee Condyle&plateau Medial/l
|
15
|
11
|
$3,531.00
|
—
|
$297.00
|
$13,270.34
|
$2,507.01
|
2026-07-15
|
|
29889
|
OTHER
|
O/r Knee Arthroscopy/surgery
|
15
|
11
|
$3,519.00
|
—
|
$297.00
|
$13,270.34
|
$2,498.49
|
2026-07-15
|
|
44320
|
OTHER
|
Inpt Colostomy Or Skin Level Cecostomy
|
12
|
8
|
$3,492.00
|
—
|
$1,063.96
|
$2,479.32
|
$2,479.32
|
2026-07-15
|
|
47600
|
OTHER
|
Inpt Removal Of Gallbladder
|
17
|
11
|
$3,484.00
|
—
|
$950.45
|
$2,518.88
|
$2,473.64
|
2026-07-15
|
|
25023
|
OTHER
|
O/r Decompress Forearm 1 Space W/dbrdmt
|
17
|
11
|
$3,450.00
|
—
|
$363.00
|
$3,027.36
|
$2,449.50
|
2026-07-15
|
|
27647
|
OTHER
|
O/r Resect Talus/calcaneus Tumor
|
14
|
10
|
$3,416.00
|
—
|
$897.09
|
$3,027.36
|
$2,425.36
|
2026-07-15
|
|
29999
|
OTHER
|
O/r Arthroscop Rotator Cuff Repr
|
12
|
9
|
$3,416.00
|
—
|
$182.88
|
$2,425.36
|
$2,425.36
|
2026-07-15
|
|
25609
|
OTHER
|
O/r Open Treat Fx Radial 3+ Frag Interna
|
15
|
11
|
$3,383.00
|
—
|
$297.00
|
$6,727.30
|
$2,401.93
|
2026-07-15
|
|
15738
|
OTHER
|
Inpt 15738lt Muscle-skin Graft Left Leg
|
17
|
11
|
$3,335.00
|
—
|
$363.00
|
$3,308.46
|
$2,367.85
|
2026-07-15
|
|
47610
|
OTHER
|
O/r Cholecystectomy W/exploration Common
|
12
|
8
|
$3,289.00
|
—
|
$1,113.54
|
$2,335.19
|
$2,335.19
|
2026-07-15
|
|
25405
|
OTHER
|
O/r Repair/graft Radius Or Ulna
|
17
|
11
|
$3,289.00
|
—
|
$363.00
|
$6,727.30
|
$2,335.19
|
2026-07-15
|
|
47612
|
OTHER
|
Inpt Cholecystectomy Expl Duct Choledoch
|
12
|
8
|
$3,284.00
|
—
|
$1,131.26
|
$2,331.64
|
$2,331.64
|
2026-07-15
|
|
27429
|
OTHER
|
O/r Reconstruction Knee
|
14
|
10
|
$3,278.00
|
—
|
$1,115.93
|
$13,270.34
|
$2,327.38
|
2026-07-15
|
|
21016
|
OTHER
|
O/r Rad Resection Tumor Soft Tiss Face/s
|
17
|
11
|
$3,272.00
|
—
|
$363.00
|
$2,627.26
|
$2,323.12
|
2026-07-15
|
|
44625
|
OTHER
|
O/r Repair Bowel Opening
|
12
|
8
|
$3,264.00
|
—
|
$897.20
|
$2,317.44
|
$2,317.44
|
2026-07-15
|
|
49203
|
OTHER
|
Inpt Exc/dest Open Abd Tumor 5cm/<
|
12
|
8
|
$3,243.00
|
—
|
$1,062.79
|
$2,302.53
|
$2,302.53
|
2026-07-15
|
|
28415
|
OTHER
|
O/r Open Treatment Calcaneal Fracture
|
17
|
11
|
$3,227.00
|
—
|
$363.00
|
$6,727.30
|
$2,291.17
|
2026-07-15
|
|
29888
|
OTHER
|
O/r Arthroscopically Aided Anterior Cruc
|
15
|
11
|
$3,214.00
|
—
|
$297.00
|
$6,727.30
|
$2,281.94
|
2026-07-15
|
|
25575
|
OTHER
|
O/r Open Tx Radial And Ulnar Shaft Fx In
|
17
|
11
|
$3,188.00
|
—
|
$363.00
|
$6,727.30
|
$2,263.48
|
2026-07-15
|
|
23615
|
OTHER
|
O/r Open Tx Humerus Fracture Inc Fixatio
|
15
|
11
|
$3,188.00
|
—
|
$297.00
|
$13,270.34
|
$2,263.48
|
2026-07-15
|
|
58554
|
OTHER
|
O/r Laps Vaginal Hysterect > 250 Gm Rmvl
|
15
|
11
|
$3,150.00
|
—
|
$363.00
|
$9,242.09
|
$2,236.50
|
2026-07-15
|
|
15937
|
OTHER
|
Inpt Remove Sacrum Pressure Sore
|
17
|
11
|
$3,147.00
|
—
|
$250.00
|
$2,234.37
|
$2,234.37
|
2026-07-15
|
|
15958
|
OTHER
|
Inpt Remove Thigh Pressure Sore
|
17
|
11
|
$3,117.00
|
—
|
$320.00
|
$3,308.46
|
$2,213.07
|
2026-07-15
|
|
29807
|
OTHER
|
O/r Arthroscopy Shoulder Repair Of Slap
|
17
|
11
|
$3,112.00
|
—
|
$363.00
|
$6,727.30
|
$2,209.52
|
2026-07-15
|
|
38220
|
OTHER
|
Bone Marrow Aspiration
|
15
|
11
|
$3,082.00
|
—
|
$91.84
|
$2,188.22
|
$2,188.22
|
2026-07-15
|
|
44050
|
OTHER
|
Reduce Bowel Obstruction
|
13
|
9
|
$3,079.00
|
—
|
$320.00
|
$2,186.09
|
$2,186.09
|
2026-07-15
|
|
29828
|
OTHER
|
O/r Arthroscopy Shoulder Surgical Biceps
|
17
|
11
|
$3,047.00
|
$8,000.00
|
$363.00
|
$6,727.30
|
$2,163.37
|
2026-07-15
|
|
15934
|
OTHER
|
Inpt Remove Sacrum Pressure Sore
|
14
|
10
|
$3,031.00
|
—
|
$840.51
|
$3,308.46
|
$2,152.01
|
2026-07-15
|
|
49010
|
OTHER
|
Inpt Expl Retroperitoneum W/wo Bx Spx
|
13
|
9
|
$3,009.00
|
—
|
$297.00
|
$2,136.39
|
$2,136.39
|
2026-07-15
|
|
27071
|
OTHER
|
Inpt Partial Excision Deep Pelvis
|
13
|
9
|
$2,971.00
|
—
|
$363.00
|
$2,109.41
|
$2,109.41
|
2026-07-15
|
|
24515
|
OTHER
|
O/r Open Tx Of Humeral Shaft Fx
|
15
|
11
|
$2,931.00
|
—
|
$363.00
|
$13,270.34
|
$2,081.01
|
2026-07-15
|
|
81307
|
OTHER
|
Chg 81307 Palb2 Gene Full Seq
|
17
|
11
|
$2,890.00
|
—
|
$282.88
|
$2,051.90
|
$2,051.90
|
2026-07-15
|
|
15944
|
OTHER
|
Inpt Remove Hip Pressure Sore
|
17
|
11
|
$2,888.00
|
—
|
$320.00
|
$3,308.46
|
$2,050.48
|
2026-07-15
|
|
27122
|
OTHER
|
Inpt 27122rt Reconstruction Of Hip Socke
|
13
|
9
|
$2,881.00
|
—
|
$297.00
|
$2,045.51
|
$2,045.51
|
2026-07-15
|
|
15936
|
OTHER
|
Inpt Remove Sacrum Pressure Sore
|
14
|
10
|
$2,872.00
|
—
|
$799.22
|
$2,039.12
|
$2,039.12
|
2026-07-15
|
|
14301
|
OTHER
|
Adjnt Tis Trnsfr/reargmt Any Area 30.1-6
|
26
|
11
|
$11,598.00
|
—
|
$320.00
|
$8,234.58
|
$2,012.14
|
2026-07-15
|
|
27395
|
OTHER
|
Inpt Lengthening Of Thigh Tendons
|
17
|
11
|
$2,821.00
|
—
|
$363.00
|
$3,027.36
|
$2,002.91
|
2026-07-15
|
|
49505
|
OTHER
|
O/r 49505-50 Repair Initial Ing Hern
|
27
|
11
|
$3,384.00
|
$4,200.00
|
$363.00
|
$3,602.26
|
$1,982.63
|
2026-07-15
|
|
44620
|
OTHER
|
Inpt Repair Of Bowel Opening
|
12
|
8
|
$2,783.00
|
—
|
$767.89
|
$1,975.93
|
$1,975.93
|
2026-07-15
|
|
14061
|
OTHER
|
Adjt Tis Reargmt Eye/nose/ear/lip 10.1-3
|
28
|
11
|
$2,777.00
|
—
|
$250.00
|
$4,216.69
|
$1,971.67
|
2026-07-15
|
|
36832
|
OTHER
|
O/r Av Fistula Revision Open
|
17
|
11
|
$2,771.00
|
—
|
$297.00
|
$5,227.30
|
$1,967.41
|
2026-07-15
|
|
29916
|
OTHER
|
O/r Arthroscopy Hip W/labral Repair
|
15
|
11
|
$2,763.00
|
—
|
$297.00
|
$6,727.30
|
$1,961.73
|
2026-07-15
|
|
27822
|
OTHER
|
Inpt Open Treatment Of Ankle Fracture
|
15
|
11
|
$2,749.00
|
—
|
$297.00
|
$6,727.30
|
$1,951.79
|
2026-07-15
|
|
25608
|
OTHER
|
O/r Treat Fx Rad Intra-articular
|
15
|
11
|
$2,744.00
|
—
|
$297.00
|
$6,727.30
|
$1,948.24
|
2026-07-15
|
|
81351
|
OTHER
|
Chg 81351 Tp53 Gene Full Gene Seq
|
17
|
11
|
$2,741.00
|
—
|
$570.92
|
$1,946.11
|
$1,946.11
|
2026-07-15
|
|
49000
|
OTHER
|
Inpt Exploration Of Abdomen Laparotomy
|
13
|
9
|
$2,733.00
|
—
|
$297.00
|
$1,940.43
|
$1,940.43
|
2026-07-15
|
|
29883
|
OTHER
|
O/r Arthroscopy Knee W/meniscus Rpr Medi
|
17
|
11
|
$2,720.00
|
—
|
$297.00
|
$3,027.36
|
$1,931.20
|
2026-07-15
|
|
49565
|
OTHER
|
O/r Repair Recurrent Ventrl Hern Reduce
|
16
|
10
|
$2,718.00
|
—
|
$1,929.78
|
$4,489.64
|
$1,929.78
|
2026-07-15
|
|
28047
|
OTHER
|
O/r Rad Resection Toe Tumor 3 Cm/>
|
17
|
11
|
$2,714.00
|
—
|
$363.00
|
$2,627.26
|
$1,926.94
|
2026-07-15
|
|
15731
|
OTHER
|
Forehead Flap W/preservation Vascular Pe
|
17
|
11
|
$2,694.00
|
—
|
$297.00
|
$3,308.46
|
$1,912.74
|
2026-07-15
|
|
58150
|
OTHER
|
Inpt Total Abdominal Hysterect W/wo Rmvl
|
17
|
11
|
$2,691.00
|
—
|
$908.10
|
$2,518.88
|
$1,910.61
|
2026-07-15
|
|
36833
|
OTHER
|
O/r Av Fistula Revision
|
15
|
11
|
$2,648.00
|
—
|
$250.00
|
$5,227.30
|
$1,880.08
|
2026-07-15
|
|
27590
|
OTHER
|
Inpt Amputate Leg At Thigh
|
12
|
8
|
$2,648.00
|
—
|
$695.41
|
$1,880.08
|
$1,880.08
|
2026-07-15
|
|
19120
|
OTHER
|
Excision Of Cyst,open,1 Or >
|
28
|
11
|
$5,556.00
|
—
|
$320.00
|
$3,944.76
|
$1,865.62
|
2026-07-15
|
|
58552
|
OTHER
|
O/r Laps W/vag Hysterect 250 Gm/&rmvl Tu
|
15
|
11
|
$2,611.00
|
—
|
$363.00
|
$9,242.09
|
$1,853.81
|
2026-07-15
|
|
21280
|
OTHER
|
Medial Canthopexy
|
24
|
10
|
$1,792.00
|
—
|
$515.40
|
$20,045.43
|
$1,849.85
|
2026-07-15
|
|
29914
|
OTHER
|
O/r Hip Arthro W/femoroplasty
|
15
|
11
|
$2,599.00
|
—
|
$297.00
|
$6,727.30
|
$1,845.29
|
2026-07-15
|
|
57280
|
OTHER
|
Inpt Colpopexy Abdominal Approach
|
12
|
8
|
$2,580.00
|
—
|
$865.76
|
$1,831.80
|
$1,831.80
|
2026-07-15
|
|
81321
|
OTHER
|
Chg 81321 Pten Gene Full Seq
|
17
|
11
|
$2,563.00
|
—
|
$450.02
|
$1,819.73
|
$1,819.73
|
2026-07-15
|
|
63688
|
OTHER
|
O/r Revise/remove Neuroreceiver
|
27
|
11
|
$765.00
|
—
|
$250.00
|
$7,100.00
|
$1,776.50
|
2026-07-15
|
|
15574
|
OTHER
|
Formation Direct Or Tubed Pedicle W
|
28
|
11
|
$2,496.00
|
—
|
$297.00
|
$11,164.04
|
$1,772.16
|
2026-07-15
|
|
63650
|
OTHER
|
Implant Spinal Neurostimulator Electrode
|
26
|
11
|
$1,106.00
|
—
|
$297.00
|
$16,948.41
|
$1,757.23
|
2026-07-15
|
|
58262
|
OTHER
|
O/r Vag Hyst 250 Gm/< W/rmvl Tube&/ovary
|
17
|
11
|
$2,473.00
|
—
|
$363.00
|
$4,714.07
|
$1,755.83
|
2026-07-15
|
|
64569
|
OTHER
|
O/r Revision/replmt Neurostimlator Eltrd
|
17
|
11
|
$2,463.00
|
—
|
$681.39
|
$12,156.18
|
$1,748.73
|
2026-07-15
|
|
64614
|
OTHER
|
Chemodenervation Of Muscle;extem/trunk
|
26
|
10
|
$2,448.00
|
—
|
$350.74
|
$2,093.04
|
$1,738.08
|
2026-07-15
|
|
36821
|
OTHER
|
O/r Av Fusion Direct Any Site
|
17
|
11
|
$2,414.00
|
—
|
$320.00
|
$3,029.72
|
$1,713.94
|
2026-07-15
|
|
28715
|
OTHER
|
O/r Arthrodesis Triple
|
15
|
11
|
$2,404.00
|
—
|
$320.00
|
$13,270.34
|
$1,706.84
|
2026-07-15
|
|
27524
|
OTHER
|
Inpt Open Tx Patellar Fx W/int Fixation
|
17
|
11
|
$2,394.00
|
—
|
$363.00
|
$6,727.30
|
$1,699.74
|
2026-07-15
|
|
36430
|
OTHER
|
Blood Transfusion
|
15
|
11
|
$2,391.00
|
—
|
$32.83
|
$1,697.61
|
$1,697.61
|
2026-07-15
|
|
27339
|
OTHER
|
O/r Exc Thigh/knee Tumor Dep 5cm/>
|
17
|
11
|
$2,388.00
|
—
|
$320.00
|
$2,627.26
|
$1,695.48
|
2026-07-15
|
|
24666
|
OTHER
|
O/r Open Tx Radial Head Or Neck Fx Int F
|
15
|
11
|
$2,381.00
|
—
|
$363.00
|
$13,270.34
|
$1,690.51
|
2026-07-15
|
|
28730
|
OTHER
|
O/r Arthrd Midtarsl/tarsometatarsal Mult
|
15
|
11
|
$2,359.00
|
—
|
$297.00
|
$13,270.34
|
$1,674.89
|
2026-07-15
|
|
58550
|
OTHER
|
O/r Laps Vaginal Hysterectomy Uterus 250
|
17
|
11
|
$2,358.00
|
—
|
$363.00
|
$5,300.93
|
$1,674.18
|
2026-07-15
|
|
23630
|
OTHER
|
O/r Open Tx Humerus Fracture
|
17
|
11
|
$2,340.00
|
—
|
$363.00
|
$6,727.30
|
$1,661.40
|
2026-07-15
|
|
24575
|
OTHER
|
O/r Open Tx Humeral Epicondylar Fracture
|
15
|
11
|
$2,330.00
|
—
|
$297.00
|
$13,270.34
|
$1,654.30
|
2026-07-15
|
|
14041
|
OTHER
|
Adjacent Tissue Transfer Or Rearange
|
28
|
11
|
$2,323.00
|
—
|
$320.00
|
$4,047.00
|
$1,649.33
|
2026-07-15
|
|
27027
|
OTHER
|
O/r 27027lt Buttock Fasciotomy
|
14
|
10
|
$2,323.00
|
—
|
$793.67
|
$6,727.30
|
$1,649.33
|
2026-07-15
|
|
27769
|
OTHER
|
O/r Open Tx Post Ankle Malleolus Fx
|
17
|
11
|
$2,311.00
|
—
|
$363.00
|
$6,727.30
|
$1,640.81
|
2026-07-15
|
|
15100
|
OTHER
|
Inpt Split Agrft T/a/l 1st 100 Cm/&/1% B
|
17
|
11
|
$2,310.00
|
—
|
$250.00
|
$1,755.26
|
$1,640.10
|
2026-07-15
|
|
27310
|
OTHER
|
Inpt Expl Knee W/expl, Dr, Or Rmvl Fb
|
17
|
11
|
$2,307.00
|
—
|
$250.00
|
$3,027.36
|
$1,637.97
|
2026-07-15
|
|
15823
|
OTHER
|
Blepharoplasty Upper Eyelid
|
28
|
11
|
$7,132.00
|
—
|
$543.64
|
$5,063.72
|
$1,637.50
|
2026-07-15
|
|
23515
|
OTHER
|
O/r Open Tx Clavicular Fracture Internal
|
17
|
11
|
$2,306.00
|
—
|
$363.00
|
$6,727.30
|
$1,637.26
|
2026-07-15
|
|
28302
|
OTHER
|
O/r Osteotomy Talus
|
15
|
11
|
$2,303.00
|
—
|
$250.00
|
$6,727.30
|
$1,635.13
|
2026-07-15
|
|
27350
|
OTHER
|
O/r Removal Of Kneecap
|
17
|
11
|
$2,300.00
|
—
|
$363.00
|
$6,727.30
|
$1,633.00
|
2026-07-15
|
|
49654
|
OTHER
|
O/r Removal Sweat Gland Lesion
|
16
|
10
|
$2,300.00
|
—
|
$1,633.00
|
$7,902.92
|
$1,633.00
|
2026-07-15
|
|
58180
|
OTHER
|
O/r Supracervical Abdl Hyster W/wo Rmvl
|
17
|
11
|
$2,280.00
|
—
|
$860.01
|
$3,401.44
|
$1,618.80
|
2026-07-15
|
|
27829
|
OTHER
|
O/r Open Tx Lower Leg Joint W/internal F
|
15
|
11
|
$2,276.00
|
—
|
$297.00
|
$6,727.30
|
$1,615.96
|
2026-07-15
|
|
43830
|
OTHER
|
Gastrostomy Tube Placement
|
17
|
11
|
$2,269.00
|
—
|
$297.00
|
$1,771.26
|
$1,610.99
|
2026-07-15
|
|
47480
|
OTHER
|
O/r Cholest W/expl Drg/rmvl St1 Spx
|
12
|
8
|
$2,266.00
|
—
|
$777.62
|
$1,608.86
|
$1,608.86
|
2026-07-15
|
|
36818
|
OTHER
|
Inpt Av Fuse Upper Arm Cephalic
|
17
|
11
|
$2,259.00
|
—
|
$297.00
|
$5,227.30
|
$1,603.89
|
2026-07-15
|
|
27427
|
OTHER
|
O/r Ligamentous Reconstruction Knee Extr
|
17
|
11
|
$2,252.00
|
—
|
$363.00
|
$6,727.30
|
$1,598.92
|
2026-07-15
|
|
28291
|
OTHER
|
O/r Corrj Halux Rigdus W/implt
|
17
|
11
|
$2,243.00
|
—
|
$585.91
|
$6,727.30
|
$1,592.53
|
2026-07-15
|
|
15120
|
OTHER
|
Inpt Split Agrft F/s/n/h/f/g/m/d 1st 100
|
17
|
11
|
$2,236.00
|
—
|
$320.00
|
$3,308.46
|
$1,587.56
|
2026-07-15
|
|
28725
|
OTHER
|
O/r Arthrodesis Subtalar
|
15
|
11
|
$2,231.00
|
—
|
$363.00
|
$13,270.34
|
$1,584.01
|
2026-07-15
|
|
23430
|
OTHER
|
O/r Tendesis Of Long Tendon Of Bicep
|
15
|
11
|
$2,229.00
|
—
|
$250.00
|
$6,727.30
|
$1,582.59
|
2026-07-15
|
|
94003
|
OTHER
|
Vent Assist & Mgmt Subseq Days
|
14
|
10
|
$2,226.00
|
—
|
$57.78
|
$1,580.46
|
$1,580.46
|
2026-07-15
|
|
30130
|
OTHER
|
O/r 3013050 Excision Inferior Turb Bilat
|
27
|
11
|
$2,312.00
|
—
|
$250.00
|
$2,893.49
|
$1,571.74
|
2026-07-15
|
|
56620
|
OTHER
|
Vulvectomy Simple Partial
|
27
|
11
|
$1,536.00
|
—
|
$250.00
|
$7,161.06
|
$1,562.80
|
2026-07-15
|
|
25607
|
OTHER
|
O/r Open Tx Distal Radial Extra-articul
|
15
|
11
|
$2,198.00
|
—
|
$297.00
|
$6,727.30
|
$1,560.58
|
2026-07-15
|
|
27814
|
OTHER
|
Inpt Open Tx Bimalleolar Ankle Fx
|
15
|
11
|
$2,195.00
|
—
|
$297.00
|
$6,727.30
|
$1,558.45
|
2026-07-15
|
|
29862
|
OTHER
|
O/r Arthroscopy Ankle Surgical Synovecto
|
15
|
11
|
$2,188.00
|
—
|
$320.00
|
$6,727.30
|
$1,553.48
|
2026-07-15
|
|
27418
|
OTHER
|
O/r Repair Degenerated Kneecap
|
15
|
11
|
$2,180.00
|
—
|
$320.00
|
$6,727.30
|
$1,547.80
|
2026-07-15
|
|
27640
|
OTHER
|
O/r Partial Excision Bone Tibia
|
17
|
11
|
$2,174.00
|
—
|
$363.00
|
$3,027.36
|
$1,543.54
|
2026-07-15
|
|
25447
|
OTHER
|
O/r Arthrp Interpos Intercarpal/metacarp
|
17
|
11
|
$2,174.00
|
—
|
$297.00
|
$3,027.36
|
$1,543.54
|
2026-07-15
|
|
24665
|
OTHER
|
O/r Open Tx Of Radial Head Or Neck Fract
|
17
|
11
|
$2,162.00
|
—
|
$363.00
|
$6,727.30
|
$1,535.02
|
2026-07-15
|
|
42860
|
OTHER
|
Excision Of Tonsil Tags
|
27
|
11
|
$616.00
|
—
|
$172.10
|
$11,645.42
|
$1,532.80
|
2026-07-15
|
|
25606
|
OTHER
|
Inpt Percutaneous Skeletal Fixation Of D
|
17
|
11
|
$2,142.00
|
—
|
$250.00
|
$3,027.36
|
$1,520.82
|
2026-07-15
|
|
27880
|
OTHER
|
Inpt 27880-50 Amputation Lower Leg Bilat
|
23
|
9
|
$4,260.00
|
—
|
$297.00
|
$3,024.60
|
$1,512.30
|
2026-07-15
|
|
26735
|
OTHER
|
O/r Open Tx Phalangeal Shaft Fracture
|
17
|
11
|
$2,126.00
|
—
|
$250.00
|
$3,027.36
|
$1,509.46
|
2026-07-15
|
|
14040
|
OTHER
|
Adj Tis Transf,head/cheek/c/m/n 10cm<
|
26
|
11
|
$9,213.00
|
—
|
$250.00
|
$6,541.23
|
$1,495.26
|
2026-07-15
|
|
19301
|
OTHER
|
Inpt Partial Mastectomy
|
17
|
11
|
$2,088.00
|
—
|
$320.00
|
$3,496.35
|
$1,482.48
|
2026-07-15
|
|
23552
|
OTHER
|
O/r Open Tx Clavicle Dislocation
|
15
|
11
|
$2,081.00
|
—
|
$297.00
|
$6,727.30
|
$1,477.51
|
2026-07-15
|
|
29877
|
OTHER
|
O/r Arthroscopy Knee Chondroplasty
|
17
|
11
|
$2,080.00
|
$4,000.00
|
$297.00
|
$3,027.36
|
$1,476.80
|
2026-07-15
|
|
21933
|
OTHER
|
Exc Tumor Soft Tiss Back/flank 5 Cm/>
|
27
|
11
|
$1,800.00
|
—
|
$320.00
|
$6,248.00
|
$1,473.63
|
2026-07-15
|
|
27337
|
OTHER
|
Exc Thigh/knee Les Sc 3 Cm/>
|
27
|
11
|
$1,093.00
|
—
|
$320.00
|
$6,248.00
|
$1,473.63
|
2026-07-15
|
|
24071
|
OTHER
|
Exc Arm/elbow Les Sc 3 Cm/>
|
27
|
11
|
$1,053.00
|
—
|
$320.00
|
$6,540.52
|
$1,473.63
|
2026-07-15
|
|
27691
|
OTHER
|
O/r Revise Lower Leg Tendon
|
17
|
11
|
$2,075.00
|
—
|
$363.00
|
$6,727.30
|
$1,473.25
|
2026-07-15
|
|
24076
|
OTHER
|
Exc Tumor Soft Tiss Upper Arm <5cm
|
27
|
11
|
$1,716.00
|
—
|
$297.00
|
$3,562.07
|
$1,462.13
|
2026-07-15
|
|
29823
|
OTHER
|
O/r Arthroscopy Shoulder Surgical Debrid
|
17
|
11
|
$2,057.00
|
—
|
$297.00
|
$3,027.36
|
$1,460.47
|
2026-07-15
|
|
64568
|
OTHER
|
O/r Inc For Impl Of Vagus Nerve Stim
|
12
|
8
|
$2,049.00
|
—
|
$533.51
|
$1,454.79
|
$1,454.79
|
2026-07-15
|
|
24342
|
OTHER
|
O/r Repair Of Ruptured Tendon
|
17
|
11
|
$2,042.00
|
—
|
$363.00
|
$6,727.30
|
$1,449.82
|
2026-07-15
|
|
21336
|
OTHER
|
O/r Open Tx Septal Fx W/wo Stabj
|
17
|
11
|
$2,035.00
|
—
|
$250.00
|
$3,027.36
|
$1,444.85
|
2026-07-15
|
|
49520
|
OTHER
|
O/r Rerepair Ing Hernia Reduce
|
17
|
11
|
$2,031.00
|
—
|
$363.00
|
$3,602.26
|
$1,442.01
|
2026-07-15
|
|
27882
|
OTHER
|
Inpt Amputation Of Lower Leg
|
13
|
9
|
$2,030.00
|
—
|
$297.00
|
$1,441.30
|
$1,441.30
|
2026-07-15
|
|
94002
|
OTHER
|
Vent Assist & Mgmt 1st Day
|
14
|
10
|
$2,021.00
|
—
|
$82.62
|
$1,434.91
|
$1,434.91
|
2026-07-15
|
|
26910
|
OTHER
|
Inpt 26910f7 Amputate Metacarpal Bone
|
17
|
11
|
$2,013.00
|
—
|
$250.00
|
$3,027.36
|
$1,429.23
|
2026-07-15
|
|
26615
|
OTHER
|
O/r Open Tx Metacarpal Fx Incl Internal
|
17
|
11
|
$2,012.00
|
—
|
$250.00
|
$3,027.36
|
$1,428.52
|
2026-07-15
|
|
36831
|
OTHER
|
O/r Open Thrombectomy Av Fistula
|
15
|
11
|
$2,012.00
|
—
|
$250.00
|
$5,227.30
|
$1,428.52
|
2026-07-15
|
|
29882
|
OTHER
|
O/r Arthroscopy Knee W/meniscus Rpr Medi
|
17
|
11
|
$2,000.00
|
—
|
$250.00
|
$3,027.36
|
$1,420.00
|
2026-07-15
|
|
90650
|
OTHER
|
Hpv Vaccine, For IM Use Bivalent
|
12
|
8
|
$1,996.00
|
—
|
$13.14
|
$1,417.16
|
$1,417.16
|
2026-07-15
|
|
27705
|
OTHER
|
O/r Incision Of Tibia
|
15
|
11
|
$1,990.00
|
—
|
$297.00
|
$6,727.30
|
$1,412.90
|
2026-07-15
|
|
14060
|
OTHER
|
Adj Tis Trnf,eye/nose/ear/lip/ 10cm<
|
26
|
11
|
$9,633.00
|
—
|
$320.00
|
$6,839.43
|
$1,412.19
|
2026-07-15
|
|
27766
|
OTHER
|
O/r Optx Medial Ankle Fx
|
15
|
11
|
$1,984.00
|
—
|
$250.00
|
$6,727.30
|
$1,408.64
|
2026-07-15
|
|
29879
|
OTHER
|
O/r Arthroscopy Knee Surgical Abrasion A
|
17
|
11
|
$1,983.00
|
—
|
$297.00
|
$3,027.36
|
$1,407.93
|
2026-07-15
|
|
29824
|
OTHER
|
O/r Arthroscopy Shoulder Surgical Distal
|
17
|
11
|
$1,983.00
|
$4,000.00
|
$297.00
|
$3,027.36
|
$1,407.93
|
2026-07-15
|
|
26990
|
OTHER
|
O/r I&d Pelvis/hip Jt Area Deep Abscess/
|
17
|
11
|
$1,982.00
|
—
|
$297.00
|
$3,027.36
|
$1,407.22
|
2026-07-15
|
|
25545
|
OTHER
|
O/r Open Treatment Of Ulnar Shaft Fractu
|
15
|
11
|
$1,974.00
|
—
|
$297.00
|
$6,727.30
|
$1,401.54
|
2026-07-15
|
|
38740
|
OTHER
|
O/r Remove Armpit Lymph Nodes
|
17
|
11
|
$1,974.00
|
—
|
$320.00
|
$5,300.93
|
$1,401.54
|
2026-07-15
|
|
28805
|
OTHER
|
Inpt Amputation Foot Transmetarsal
|
17
|
11
|
$1,961.00
|
—
|
$297.00
|
$3,027.36
|
$1,392.31
|
2026-07-15
|
|
28292
|
OTHER
|
O/r Correction Hallux Valgus
|
17
|
11
|
$1,952.00
|
—
|
$250.00
|
$3,027.36
|
$1,385.92
|
2026-07-15
|
|
27792
|
OTHER
|
O/r Orif Distal Fibular Fx
|
17
|
11
|
$1,951.00
|
—
|
$363.00
|
$6,727.30
|
$1,385.21
|
2026-07-15
|
|
27420
|
OTHER
|
O/r Revision Of Unstable Kneecap
|
17
|
11
|
$1,950.00
|
—
|
$363.00
|
$6,727.30
|
$1,384.50
|
2026-07-15
|
|
27422
|
OTHER
|
O/r Revision Of Unstable Kneecap
|
17
|
11
|
$1,944.00
|
—
|
$363.00
|
$6,727.30
|
$1,380.24
|
2026-07-15
|
|
30520
|
OTHER
|
O/r Repair Of Nasal Septum
|
17
|
11
|
$1,944.00
|
—
|
$363.00
|
$2,893.49
|
$1,380.24
|
2026-07-15
|
|
24535
|
OTHER
|
Closed Tx,supra/transcondyla Frac
|
17
|
11
|
$1,944.00
|
—
|
$250.00
|
$1,458.96
|
$1,380.24
|
2026-07-15
|
|
14021
|
OTHER
|
Adjt/rearrgmt Scalp/arm/leg 10.1-30.0 Sq
|
28
|
11
|
$1,921.00
|
—
|
$250.00
|
$5,271.04
|
$1,363.91
|
2026-07-15
|
|
45171
|
OTHER
|
Exc Rect Tum Transanal Part
|
17
|
11
|
$1,911.00
|
—
|
$297.00
|
$2,613.23
|
$1,356.81
|
2026-07-15
|
|
44970
|
OTHER
|
Inpt Laparoscopy Appendectomy Surgical
|
17
|
11
|
$1,911.00
|
$6,500.00
|
$363.00
|
$5,300.93
|
$1,356.81
|
2026-07-15
|
|
13160
|
OTHER
|
Inpt Late Closure Of Wound
|
27
|
11
|
$1,900.00
|
—
|
$250.00
|
$4,184.03
|
$1,349.00
|
2026-07-15
|
|
28299
|
OTHER
|
O/r Correction Hallux Valgus
|
17
|
11
|
$1,898.00
|
$7,800.00
|
$363.00
|
$6,727.30
|
$1,347.58
|
2026-07-15
|
|
27385
|
OTHER
|
O/r Suture Of Quadriceps Hamstring Muscl
|
15
|
11
|
$1,897.00
|
—
|
$250.00
|
$6,727.30
|
$1,346.87
|
2026-07-15
|
|
28300
|
OTHER
|
O/r Osteotomy Calcaneus W/wo Internal Fi
|
15
|
11
|
$1,888.00
|
—
|
$250.00
|
$6,727.30
|
$1,340.48
|
2026-07-15
|
|
27654
|
OTHER
|
O/r Repair Secondary Achilles Tendon W/w
|
17
|
11
|
$1,886.00
|
—
|
$363.00
|
$6,727.30
|
$1,339.06
|
2026-07-15
|
|
58662
|
OTHER
|
O/r Laps Fulg/exc Ovary Viscera/peritone
|
17
|
11
|
$1,886.00
|
—
|
$363.00
|
$5,300.93
|
$1,339.06
|
2026-07-15
|
|
27886
|
OTHER
|
Inpt Amputation Follow Up Surgery
|
13
|
9
|
$1,881.00
|
—
|
$250.00
|
$1,335.51
|
$1,335.51
|
2026-07-15
|
|
28750
|
OTHER
|
O/r Arthrodesis Great Toe Joint
|
15
|
11
|
$1,877.00
|
—
|
$250.00
|
$6,727.30
|
$1,332.67
|
2026-07-15
|
|
27005
|
OTHER
|
O/r Tenotomy Hip Flexor Open Separate Pr
|
13
|
9
|
$1,875.00
|
—
|
$250.00
|
$1,331.25
|
$1,331.25
|
2026-07-15
|
|
12037
|
OTHER
|
Inpt Repair Intermediate S/a/t/e >30.0 C
|
17
|
11
|
$1,873.00
|
—
|
$250.00
|
$1,755.26
|
$1,329.83
|
2026-07-15
|
|
28116
|
OTHER
|
O/r Ostectomy Tarsal Coalition
|
17
|
11
|
$1,873.00
|
—
|
$250.00
|
$3,027.36
|
$1,329.83
|
2026-07-15
|
|
49560
|
OTHER
|
O/r Repair Ventral Hern Init Reducible
|
16
|
10
|
$1,872.00
|
—
|
$1,329.12
|
$2,823.01
|
$1,329.12
|
2026-07-15
|
|
47563
|
OTHER
|
O/r Laps Surg Cholecystectomy W/cholangi
|
17
|
11
|
$1,858.00
|
—
|
$363.00
|
$5,300.93
|
$1,319.18
|
2026-07-15
|
|
64570
|
OTHER
|
O/r Removal Crnl Nrv Nstim Eltrds & Puls
|
17
|
11
|
$1,858.00
|
—
|
$650.35
|
$6,283.89
|
$1,319.18
|
2026-07-15
|
|
25020
|
OTHER
|
O/r Dcmprn Fasct F/arm&wrst Flxr/xtnsr
|
17
|
11
|
$1,852.00
|
—
|
$363.00
|
$1,458.96
|
$1,314.92
|
2026-07-15
|
|
57260
|
OTHER
|
O/r Cmbnd Anterpost Colporraphy W/cysto
|
17
|
11
|
$1,850.00
|
—
|
$297.00
|
$4,714.07
|
$1,313.50
|
2026-07-15
|
|
27884
|
OTHER
|
Inpt Amputation Follow-up Surgery
|
17
|
11
|
$1,847.00
|
—
|
$297.00
|
$3,027.36
|
$1,311.37
|
2026-07-15
|
|
27266
|
OTHER
|
Clsd Tx Hip Dislocation
|
17
|
11
|
$1,844.00
|
—
|
$250.00
|
$1,458.96
|
$1,309.24
|
2026-07-15
|
|
26951
|
OTHER
|
Inpt Amputation Of Finger/thumb Any Join
|
17
|
11
|
$1,840.00
|
—
|
$250.00
|
$3,027.36
|
$1,306.40
|
2026-07-15
|
|
28585
|
OTHER
|
O/r Open Treatment Talotarsal Joint Dis
|
17
|
11
|
$1,840.00
|
—
|
$363.00
|
$6,727.30
|
$1,306.40
|
2026-07-15
|
|
28003
|
OTHER
|
Inpt I&d Below Fascia Foot Multiple Area
|
17
|
11
|
$1,837.00
|
—
|
$297.00
|
$3,027.36
|
$1,304.27
|
2026-07-15
|
|
29898
|
OTHER
|
O/r Ankle Arthroscopy Surg Debrid Extens
|
17
|
11
|
$1,828.00
|
—
|
$363.00
|
$3,027.36
|
$1,297.88
|
2026-07-15
|
|
49550
|
OTHER
|
O/r Repair Initial Femoral Hernia Reduci
|
17
|
11
|
$1,827.00
|
—
|
$363.00
|
$3,602.26
|
$1,297.17
|
2026-07-15
|
|
26113
|
OTHER
|
O/r Excision Tumor Soft Tiss Malf Hand/f
|
17
|
11
|
$1,814.00
|
—
|
$320.00
|
$1,525.10
|
$1,287.94
|
2026-07-15
|
|
69436
|
OTHER
|
O/r 6943650 Create Eardrum Opening Bilat
|
17
|
11
|
$1,808.00
|
—
|
$141.45
|
$1,411.79
|
$1,283.68
|
2026-07-15
|
|
28645
|
OTHER
|
O/r Open Tx Metatarsophalangeal Joint Di
|
17
|
11
|
$1,803.00
|
—
|
$363.00
|
$3,027.36
|
$1,280.13
|
2026-07-15
|
|
27685
|
OTHER
|
Lengthening Or Shortening Of Tendon
|
18
|
11
|
$1,798.00
|
—
|
$297.00
|
$3,027.36
|
$1,276.58
|
2026-07-15
|
|
58660
|
OTHER
|
O/r Laparoscopy W/lysis Of Adhesions
|
17
|
11
|
$1,794.00
|
—
|
$363.00
|
$5,300.93
|
$1,273.74
|
2026-07-15
|
|
25350
|
OTHER
|
O/r Osteotomy Radius Distal Third
|
15
|
11
|
$1,771.00
|
—
|
$320.00
|
$6,727.30
|
$1,257.41
|
2026-07-15
|
|
64721
|
OTHER
|
6472150 O/r Neuroplasty & Transposition
|
28
|
11
|
$2,748.00
|
$2,600.00
|
$320.00
|
$1,951.08
|
$1,254.77
|
2026-07-15
|
|
27405
|
OTHER
|
O/r 27405lt Repair Of Knee Ligament
|
15
|
11
|
$1,766.00
|
—
|
$297.00
|
$6,727.30
|
$1,253.86
|
2026-07-15
|
|
27630
|
OTHER
|
Exc Lesion Tendon Sheath/capsule Leg
|
28
|
11
|
$1,168.00
|
—
|
$320.00
|
$6,190.49
|
$1,251.48
|
2026-07-15
|
|
28485
|
OTHER
|
O/r Open Tx Metatarsal Fx
|
17
|
11
|
$1,761.00
|
—
|
$363.00
|
$6,727.30
|
$1,250.31
|
2026-07-15
|
|
30620
|
OTHER
|
O/r Septal/other Intranasal Dermatoplast
|
15
|
11
|
$1,760.00
|
—
|
$250.00
|
$5,430.62
|
$1,249.60
|
2026-07-15
|
|
57288
|
OTHER
|
Inpt Sling Operation Stress Incontinence
|
17
|
11
|
$1,760.00
|
—
|
$320.00
|
$4,714.07
|
$1,249.60
|
2026-07-15
|
|
29881
|
OTHER
|
O/r Arthroscopy Knee Surgical W/meniscet
|
17
|
11
|
$1,758.00
|
$4,000.00
|
$297.00
|
$3,027.36
|
$1,248.18
|
2026-07-15
|
|
29819
|
OTHER
|
O/r Arthroscopy Shoulder W/removal Forei
|
17
|
11
|
$1,752.00
|
—
|
$297.00
|
$3,027.36
|
$1,243.92
|
2026-07-15
|
|
24620
|
OTHER
|
Closed Tx Monteggia Fx Dislocation Elbow
|
17
|
11
|
$1,742.00
|
—
|
$250.00
|
$1,458.96
|
$1,236.82
|
2026-07-15
|
|
27698
|
OTHER
|
O/r Repair Of Ankle Ligament
|
15
|
11
|
$1,737.00
|
—
|
$297.00
|
$6,727.30
|
$1,233.27
|
2026-07-15
|
|
14001
|
OTHER
|
Adjnt Tis Transfr/rearrange Trunk 10.1-3
|
28
|
11
|
$1,736.00
|
—
|
$320.00
|
$4,712.98
|
$1,232.56
|
2026-07-15
|
|
15570
|
OTHER
|
O/r Frmj Direct/tubed Pedicle W/wo Trans
|
14
|
10
|
$1,730.00
|
—
|
$797.50
|
$1,755.26
|
$1,228.30
|
2026-07-15
|
|
22901
|
OTHER
|
O/r Exc Abdl Tum Deep 5 Cm/>
|
17
|
11
|
$1,725.00
|
—
|
$320.00
|
$2,627.26
|
$1,224.75
|
2026-07-15
|
|
47562
|
OTHER
|
Inpt 4756222 Laparoscopic Cholecyst Ext
|
17
|
11
|
$1,725.00
|
$6,500.00
|
$363.00
|
$5,300.93
|
$1,224.75
|
2026-07-15
|
|
58661
|
OTHER
|
O/r 58661lt Laparoscopy W/rmvl Adnexal S
|
17
|
11
|
$1,725.00
|
—
|
$363.00
|
$5,300.93
|
$1,224.75
|
2026-07-15
|
|
29874
|
OTHER
|
O/r Arthroscopy Knee Removal Loose/forei
|
17
|
11
|
$1,721.00
|
—
|
$250.00
|
$3,027.36
|
$1,221.91
|
2026-07-15
|
|
11012
|
OTHER
|
Debride Skin/muscle/bone Fx-pro
|
17
|
11
|
$1,719.00
|
—
|
$250.00
|
$2,627.26
|
$1,220.49
|
2026-07-15
|
|
29820
|
OTHER
|
O/r Shoulder Arthroscopy Synovectomy Par
|
15
|
11
|
$1,717.00
|
—
|
$297.00
|
$6,727.30
|
$1,219.07
|
2026-07-15
|
|
64718
|
OTHER
|
O/r Neuroplasty And/or Tranposition Ulna
|
17
|
11
|
$1,708.00
|
—
|
$320.00
|
$1,828.15
|
$1,212.68
|
2026-07-15
|
|
24685
|
OTHER
|
O/r Open Tx Ulnar Fx Proximal End
|
17
|
11
|
$1,708.00
|
—
|
$363.00
|
$6,727.30
|
$1,212.68
|
2026-07-15
|
|
28465
|
OTHER
|
O/r Open Tx Tarsal Fx Xcp Talus & Calcan
|
17
|
11
|
$1,707.00
|
—
|
$363.00
|
$6,727.30
|
$1,211.97
|
2026-07-15
|
|
27690
|
OTHER
|
O/r Revise Lower Leg Tendon
|
17
|
11
|
$1,691.00
|
—
|
$363.00
|
$6,727.30
|
$1,200.61
|
2026-07-15
|
|
46260
|
OTHER
|
O/r Remove In/ex Hemorrhoid Groups 2+
|
17
|
11
|
$1,686.00
|
—
|
$297.00
|
$2,613.23
|
$1,197.06
|
2026-07-15
|
|
25295
|
OTHER
|
Inpt Release Wrist/forearm Tendon
|
17
|
11
|
$1,679.00
|
—
|
$320.00
|
$3,027.36
|
$1,192.09
|
2026-07-15
|
|
29880
|
OTHER
|
O/r Arthroscopy Knee Surgical With Menisce
|
17
|
11
|
$1,678.00
|
—
|
$297.00
|
$3,027.36
|
$1,191.38
|
2026-07-15
|
|
26665
|
OTHER
|
Inpt Open Treat Thumb Fracture
|
17
|
11
|
$1,675.00
|
—
|
$250.00
|
$3,027.36
|
$1,189.25
|
2026-07-15
|
|
27220
|
OTHER
|
Closed Tx Acetabulum Fx W/out Manip
|
14
|
10
|
$1,674.00
|
—
|
$182.88
|
$1,188.54
|
$1,188.54
|
2026-07-15
|
|
26116
|
OTHER
|
O/r Exc Hand Tum Deep <1.5 Cm
|
17
|
11
|
$1,673.00
|
—
|
$250.00
|
$1,525.10
|
$1,187.83
|
2026-07-15
|
|
27331
|
OTHER
|
O/r Explore/treat Knee Joint
|
17
|
11
|
$1,670.00
|
—
|
$297.00
|
$3,027.36
|
$1,185.70
|
2026-07-15
|
|
49615
|
OTHER
|
O/r Rpr Aa Hernia Recr 3-10 Cm Reducible
|
17
|
11
|
$1,656.00
|
—
|
$363.00
|
$3,602.26
|
$1,175.76
|
2026-07-15
|
|
27301
|
OTHER
|
I&d Deep Abscess,bursa,hema,thigh/knee
|
18
|
11
|
$1,655.00
|
—
|
$250.00
|
$2,627.26
|
$1,175.05
|
2026-07-15
|
|
11646
|
OTHER
|
Excision Malignant Lesion F/e/e/n/l >4.
|
28
|
11
|
$1,283.00
|
—
|
$250.00
|
$7,804.32
|
$1,174.78
|
2026-07-15
|
|
14350
|
OTHER
|
Inpt Filleted Finger/toe Flap
|
17
|
11
|
$1,650.00
|
—
|
$320.00
|
$1,755.26
|
$1,171.50
|
2026-07-15
|
|
57250
|
OTHER
|
Inpt Repair Rectum & Vagina
|
17
|
11
|
$1,645.00
|
—
|
$297.00
|
$4,714.07
|
$1,167.95
|
2026-07-15
|
|
26676
|
OTHER
|
O/r Pin Hand Dislocation
|
17
|
11
|
$1,639.00
|
—
|
$297.00
|
$3,027.36
|
$1,163.69
|
2026-07-15
|
|
20225
|
OTHER
|
Biopsy,bone,trocar,deep
|
26
|
11
|
$10,495.00
|
—
|
$132.25
|
$7,451.45
|
$1,161.56
|
2026-07-15
|
|
29871
|
OTHER
|
Inpt Knee Arthroscopy/drainage
|
17
|
11
|
$1,635.00
|
—
|
$250.00
|
$3,027.36
|
$1,160.85
|
2026-07-15
|
|
28740
|
OTHER
|
O/r Arthrodesis Midtarsometatarsal Singl
|
15
|
11
|
$1,633.00
|
—
|
$250.00
|
$6,727.30
|
$1,159.43
|
2026-07-15
|
|
28298
|
OTHER
|
O/r Corrj Hallux Valgus W/sesmdc W/prox
|
15
|
11
|
$1,632.00
|
—
|
$250.00
|
$6,727.30
|
$1,158.72
|
2026-07-15
|
|
26952
|
OTHER
|
O/r Amp F/th 1/2 Jt/phalanx W/neurect Lo
|
17
|
11
|
$1,630.00
|
—
|
$363.00
|
$3,027.36
|
$1,157.30
|
2026-07-15
|
|
25028
|
OTHER
|
Drainage Of Forearm Lesion
|
17
|
11
|
$1,630.00
|
—
|
$250.00
|
$3,027.36
|
$1,157.30
|
2026-07-15
|
|
29835
|
OTHER
|
O/r Elbow Arthroscopy/surgery
|
17
|
11
|
$1,629.00
|
—
|
$250.00
|
$3,027.36
|
$1,156.59
|
2026-07-15
|
|
25215
|
OTHER
|
O/r Removal Of Wrist Bones
|
17
|
11
|
$1,628.00
|
—
|
$320.00
|
$3,027.36
|
$1,155.88
|
2026-07-15
|
|
40816
|
OTHER
|
Excision Of Mouth Lesion
|
28
|
11
|
$1,008.00
|
—
|
$297.00
|
$10,675.56
|
$1,155.46
|
2026-07-15
|
|
29897
|
OTHER
|
O/r Ankle Arthroscopy Surg Debrid Limite
|
17
|
11
|
$1,627.00
|
—
|
$320.00
|
$3,027.36
|
$1,155.17
|
2026-07-15
|
|
61885
|
OTHER
|
O/r Ins/rplcmt Cranial Neurostim Pulse S
|
12
|
8
|
$1,610.00
|
—
|
$464.83
|
$1,143.10
|
$1,143.10
|
2026-07-15
|
|
40814
|
OTHER
|
Exc Lesion Mucosa & Sbmcsl Vestibule Cpl
|
28
|
11
|
$971.00
|
—
|
$297.00
|
$10,675.56
|
$1,142.33
|
2026-07-15
|
|
28122
|
OTHER
|
Inpt Prtl Exc B1 Tarsal/metar B1 Xcp Tal
|
18
|
11
|
$1,608.00
|
$3,800.00
|
$320.00
|
$3,027.36
|
$1,141.68
|
2026-07-15
|
|
28120
|
OTHER
|
O/r Partial Removal Of Ankle/heel
|
18
|
11
|
$1,607.00
|
—
|
$250.00
|
$3,027.36
|
$1,140.97
|
2026-07-15
|
|
28297
|
OTHER
|
O/r Corrj Hallux Valgus W/sesmdc W/1meta
|
15
|
11
|
$1,599.00
|
—
|
$250.00
|
$6,727.30
|
$1,135.29
|
2026-07-15
|
|
25000
|
OTHER
|
O/r 2500050 Incision Of Tendon Sh Bilat
|
17
|
11
|
$1,586.00
|
—
|
$250.00
|
$1,458.96
|
$1,126.06
|
2026-07-15
|
|
36578
|
OTHER
|
Replace Tunneled Cv Cath
|
28
|
11
|
$809.00
|
—
|
$246.10
|
$3,853.17
|
$1,124.62
|
2026-07-15
|
|
28062
|
OTHER
|
O/r Fasciotomy Plantar Fascia Radical Sp
|
17
|
11
|
$1,582.00
|
—
|
$363.00
|
$3,027.36
|
$1,123.22
|
2026-07-15
|
|
90677
|
OTHER
|
Pneumococcal Conj Vacc(prevnar-20) 0.5ml
|
13
|
9
|
$1,581.00
|
—
|
$13.14
|
$1,122.51
|
$1,122.51
|
2026-07-15
|
|
27550
|
OTHER
|
Closed Tx Of Knee Dislocation
|
14
|
10
|
$1,577.00
|
—
|
$182.88
|
$1,119.67
|
$1,119.67
|
2026-07-15
|
|
44312
|
OTHER
|
Inpt Revision Of Ileostomy
|
14
|
10
|
$1,569.00
|
—
|
$529.44
|
$3,308.46
|
$1,113.99
|
2026-07-15
|
|
27635
|
OTHER
|
O/r Remove Lower Leg Bone Lesion
|
17
|
11
|
$1,564.00
|
—
|
$250.00
|
$3,027.36
|
$1,110.44
|
2026-07-15
|
|
28250
|
OTHER
|
O/r Division Plantar Fascia & Muscle Spx
|
17
|
11
|
$1,556.00
|
—
|
$297.00
|
$3,027.36
|
$1,104.76
|
2026-07-15
|
|
69620
|
OTHER
|
O/r Repair Of Eardrum
|
17
|
11
|
$1,556.00
|
—
|
$363.00
|
$2,893.49
|
$1,104.76
|
2026-07-15
|
|
25565
|
OTHER
|
Closed Tx Radial Shaft Fx
|
38
|
11
|
$1,555.00
|
—
|
$250.00
|
$2,380.63
|
$1,104.05
|
2026-07-15
|
|
15130
|
OTHER
|
O/r Derm Autograft Trnk/arm/leg 1st 100
|
17
|
11
|
$1,553.00
|
—
|
$363.00
|
$1,755.26
|
$1,102.63
|
2026-07-15
|
|
26432
|
OTHER
|
O/r Repair Finger Tendon
|
17
|
11
|
$1,553.00
|
—
|
$250.00
|
$1,458.96
|
$1,102.63
|
2026-07-15
|
|
64712
|
OTHER
|
O/r Revision Of Sciatic Nerve
|
17
|
11
|
$1,553.00
|
—
|
$320.00
|
$1,828.15
|
$1,102.63
|
2026-07-15
|
|
25690
|
OTHER
|
Cls Tx,lunate Dislocation,w/manip
|
17
|
11
|
$1,547.00
|
—
|
$250.00
|
$1,458.96
|
$1,098.37
|
2026-07-15
|
|
49507
|
OTHER
|
Inpt Rpr 1st Ingun Hrna Age 5 Yrs/> Inca
|
17
|
11
|
$1,541.00
|
—
|
$363.00
|
$3,602.26
|
$1,094.11
|
2026-07-15
|
|
23120
|
OTHER
|
O/r Partial Removal Collar Bone
|
17
|
11
|
$1,536.00
|
—
|
$297.00
|
$3,027.36
|
$1,090.56
|
2026-07-15
|
|
26608
|
OTHER
|
O/r Treat Metacarpal Fx Percutaneous Fix
|
17
|
11
|
$1,535.00
|
—
|
$250.00
|
$3,027.36
|
$1,089.85
|
2026-07-15
|
|
29836
|
OTHER
|
O/r Arthroscopy Elbow Surgical Synovecto
|
15
|
11
|
$1,530.00
|
—
|
$297.00
|
$6,727.30
|
$1,086.30
|
2026-07-15
|
|
24605
|
OTHER
|
Treat, Closed Elbow Disloc W Anesth
|
17
|
11
|
$1,523.00
|
—
|
$250.00
|
$1,458.96
|
$1,081.33
|
2026-07-15
|
|
28322
|
OTHER
|
O/r Rpr Non/malunion Metarsal W/wo Bone
|
17
|
11
|
$1,518.00
|
—
|
$363.00
|
$6,727.30
|
$1,077.78
|
2026-07-15
|
|
57522
|
OTHER
|
Conization Cervix Loop Electrode Exc
|
28
|
11
|
$816.00
|
—
|
$268.85
|
$6,887.00
|
$1,075.79
|
2026-07-15
|
|
36593
|
OTHER
|
Declotting By Thrombolytic Agent
|
15
|
11
|
$1,515.00
|
—
|
$27.77
|
$1,075.65
|
$1,075.65
|
2026-07-15
|
|
93017
|
OTHER
|
Stress Test Tracing
|
15
|
11
|
$1,513.00
|
—
|
$30.02
|
$1,074.23
|
$1,074.23
|
2026-07-15
|
|
28160
|
OTHER
|
Partial Removal Of Toe
|
28
|
11
|
$713.00
|
—
|
$250.00
|
$7,535.23
|
$1,072.45
|
2026-07-15
|
|
28289
|
OTHER
|
O/r Hallux Rigidus W/cheilectomy 1st Mp
|
17
|
11
|
$1,509.00
|
—
|
$250.00
|
$3,027.36
|
$1,071.39
|
2026-07-15
|
|
23550
|
OTHER
|
O/r Open Tx Acromioclavicular Dislc
|
15
|
11
|
$1,501.00
|
—
|
$320.00
|
$6,727.30
|
$1,065.71
|
2026-07-15
|
|
11626
|
OTHER
|
Exc Malig Lesion Inc Margins Scalp,n
|
28
|
11
|
$975.00
|
—
|
$250.00
|
$8,630.76
|
$1,065.44
|
2026-07-15
|
|
29805
|
OTHER
|
O/r Arthroscopy Shoulder Dx W/wo Synovia
|
17
|
11
|
$1,497.00
|
—
|
$250.00
|
$3,027.36
|
$1,062.87
|
2026-07-15
|
|
14000
|
OTHER
|
Adjacent Tissue Transfer/reargmt Trunk 1
|
38
|
11
|
$1,495.00
|
—
|
$146.97
|
$4,712.98
|
$1,061.45
|
2026-07-15
|
|
28041
|
OTHER
|
O/r Exc Foot/toe Tumor Dep 1.5cm/>
|
17
|
11
|
$1,492.00
|
—
|
$320.00
|
$2,627.26
|
$1,059.32
|
2026-07-15
|
|
27043
|
OTHER
|
O/r Excision Hip Pelvis Les Sc 3 Cm/>
|
17
|
11
|
$1,486.00
|
—
|
$363.00
|
$2,627.26
|
$1,055.06
|
2026-07-15
|
|
49593
|
OTHER
|
O/r Rpr Aa Hernia 1st 3-10 Cm Reducible
|
17
|
11
|
$1,484.00
|
—
|
$363.00
|
$3,602.26
|
$1,053.64
|
2026-07-15
|
|
25680
|
OTHER
|
Closed Tx Of Trans-scaphoperilunar F
|
17
|
11
|
$1,474.00
|
—
|
$182.88
|
$1,046.54
|
$1,046.54
|
2026-07-15
|
|
25040
|
OTHER
|
O/r Arthrt Rdcrpl/midcarpl Jt W/expl DRG
|
17
|
11
|
$1,472.00
|
—
|
$297.00
|
$3,027.36
|
$1,045.12
|
2026-07-15
|
|
28020
|
OTHER
|
O/r Exploration Of Foot Joint
|
17
|
11
|
$1,464.00
|
$3,800.00
|
$250.00
|
$3,027.36
|
$1,039.44
|
2026-07-15
|
|
37765
|
OTHER
|
O/r Stab Phlebt Varicose Veins 1 Xtr 10-
|
17
|
11
|
$1,460.00
|
—
|
$297.00
|
$3,029.72
|
$1,036.60
|
2026-07-15
|
|
46040
|
OTHER
|
Incision Of Rectal Abscess
|
45
|
11
|
$1,459.00
|
—
|
$250.00
|
$4,282.01
|
$1,035.89
|
2026-07-15
|
|
19125
|
OTHER
|
Excision Breast Lesion
|
17
|
11
|
$1,455.00
|
—
|
$250.00
|
$3,496.35
|
$1,033.05
|
2026-07-15
|
|
25505
|
OTHER
|
Closed Tx Radial Shaft Fx W/manipulation
|
17
|
11
|
$1,448.00
|
—
|
$250.00
|
$1,458.96
|
$1,028.08
|
2026-07-15
|
|
40654
|
OTHER
|
Repair Lip,fullthick;complex
|
17
|
11
|
$1,447.00
|
—
|
$363.00
|
$1,411.79
|
$1,027.37
|
2026-07-15
|
|
49585
|
OTHER
|
O/r Repair Umbilical Hernia Reduc >5y/o
|
16
|
10
|
$1,443.00
|
—
|
$1,024.53
|
$2,823.01
|
$1,024.53
|
2026-07-15
|
|
27842
|
OTHER
|
Closed Tx Ankle Dislocation Req Anesthes
|
17
|
11
|
$1,443.00
|
—
|
$250.00
|
$1,458.96
|
$1,024.53
|
2026-07-15
|
|
41112
|
OTHER
|
Exc Lesion Tongue W/clsr Anterior Two-t
|
28
|
11
|
$656.00
|
—
|
$250.00
|
$7,078.70
|
$1,018.75
|
2026-07-15
|
|
28080
|
OTHER
|
O/r Excision Interdigital Morton Neuroma
|
17
|
11
|
$1,429.00
|
$2,300.00
|
$250.00
|
$1,458.96
|
$1,014.59
|
2026-07-15
|
|
29873
|
OTHER
|
O/r Arthroscopy Knee Lateral Release
|
17
|
11
|
$1,413.00
|
—
|
$297.00
|
$3,027.36
|
$1,003.23
|
2026-07-15
|
|
28035
|
OTHER
|
O/r Decompression Of Tibia Nerve
|
17
|
11
|
$1,413.00
|
$2,500.00
|
$363.00
|
$1,828.15
|
$1,003.23
|
2026-07-15
|