Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

FAIRCHILD MEDICAL CENTER

Yreka, CA · CCN 051316 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,665 across 4 payers · range $344-$1,793

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFMCYREKACA&type=CDMWithoutLabel&fileType=CSV · observed 2026-09-24

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.

3,701 distinct procedures filed
5 distinct payers
20,358 rate rows
2026-09-24 last MRF observed
Data quality

19,212 of 20,358 rate rows are consumer-grade (94.4%)

1,146 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 — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,024
template filing: same amount across many unrelated codes — excluded 104
percent-of-charges filed in the dollar field — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFMCYREKACA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/FairChild.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-19
Content fingerprint fea12a96f8b4feb5… · 7,125,909 bytes · first seen 2026-09-25

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
63650
HCPCS 		Insertion Of Spinal Neurostimulator Electrode Array Through Skin 4 $625.89 $61,814.40 $57,408.48 nat. median
$7,298
outlier · 7.9×
33300
HCPCS 		Repair Of Wound To Heart 4 $1,011.91 $33,069.20 $30,712.14 nat. median
$4,128
outlier · 7.4×
20822
HCPCS 		Reattachment Of Part Of Cutoff Finger 4 $2,737.95 $24,192.78 $22,468.40 nat. median
$2,350
outlier · 9.6×
36010208
CDM 		Operating Room Services - General Classification 3 $15,572.32 $17,302.58 $16,566.30 nat. median
$16,566
1.0× median
35188
HCPCS 		Repair Of Abnormal Artery-vein Connection Of Head And Neck 4 $785.55 $17,580.82 $16,327.72 nat. median
$5,482
outlier · 3.0×
61154
HCPCS 		Burr Hole With Removal And/or Drainage Of Blood Accumulation Outside Or Below Br… 4 $1,388.47 $17,552.62 $16,301.53 nat. median
$3,266
outlier · 5.0×
15738
HCPCS 		Creation Of Muscle Graft To Leg 4 $1,349.48 $17,390.00 $16,150.50 nat. median
$3,842
outlier · 4.2×
36010207
CDM 		Operating Room Services - General Classification 3 $14,535.13 $16,150.14 $15,462.90 nat. median
$15,463
1.0× median
36010206
CDM 		Operating Room Services - General Classification 3 $13,496.24 $14,995.82 $14,357.70 nat. median
$14,358
1.0× median
67560
HCPCS 		Removal Or Revision Of Implant Outside Eye Muscles 4 $744.23 $15,126.48 $14,048.31 nat. median
$3,887
outlier · 3.6×
64857
HCPCS 		Suture Of Arm Or Leg Peripheral Nerve 4 $781.46 $14,412.08 $13,384.83 nat. median
$4,797
outlier · 2.8×
33320
HCPCS 		Repair Of Aorta Or Great Vessels With Sutures 4 $699.92 $14,308.68 $13,288.81 nat. median
$3,050
outlier · 4.4×
36010205
CDM 		Operating Room Services - General Classification 3 $12,458.20 $13,842.44 $13,253.40 nat. median
$13,253
1.0× median
64625
HCPCS 		Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 4 $456.79 $13,959.00 $12,964.05 nat. median
$2,481
outlier · 5.2×
J9218
HCPCS 		Leuprolide Acetate, Per 1 Mg 4 $11,670.57 $13,795.00 $12,691.40 nat. median
$326
outlier · 39.0×
15731
HCPCS 		Creation Of Flap Graft To Nose, Forehead, Temple, Or Scalp 4 $1,286.14 $13,551.98 $12,586.04 nat. median
$3,798
outlier · 3.3×
27222
HCPCS 		Closed Treatment Of Broken Hip Socket With Manipulation 4 $556.99 $13,497.46 $12,535.40 nat. median
$1,308
outlier · 9.6×
27240
HCPCS 		Closed Treatment Of Broken Below Neck Of Thigh Bone With Manipulation 4 $400.59 $13,151.54 $12,214.15 nat. median
$2,194
outlier · 5.6×
36010204
CDM 		Operating Room Services - General Classification 3 $11,420.15 $12,689.06 $12,149.10 nat. median
$12,149
1.0× median
21453
HCPCS 		Closed Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device T… 4 $483.82 $12,971.06 $12,046.53 nat. median
$5,919
outlier · 2.0×
45541
HCPCS 		Suture Of Rectum To Sacrum Through Perineum 4 $670.14 $12,947.56 $12,024.70 nat. median
$3,166
outlier · 3.8×
35201
HCPCS 		Repair Of Blood Vessel Of Neck 4 $1,495.28 $12,773.66 $11,863.19 nat. median
$5,514
outlier · 2.2×
24545
HCPCS 		Treatment Of Upper Arm Bone Broken At Elbow 4 $421.82 $12,748.28 $11,839.62 nat. median
$11,397
1.0× median
61108
HCPCS 		Creation Of Opening In Skull For Removal And/or Drainage Of Blood Accumulation O… 4 $505.96 $12,430.56 $11,544.55 nat. median
$2,895
outlier · 4.0×
64635
HCPCS 		Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 4 $195.46 $12,220.00 $11,349.00 nat. median
$2,392
outlier · 4.7×
64633
HCPCS 		Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 4 $199.55 $12,116.60 $11,252.97 nat. median
$2,325
outlier · 4.8×
36010203
CDM 		Operating Room Services - General Classification 3 $10,382.11 $11,535.68 $11,044.80 nat. median
$11,045
1.0× median
14301
HCPCS 		Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 4 $888.68 $11,751.88 $10,914.24 nat. median
$3,781
outlier · 2.9×
72210004
CDM 		Labor Room/delivery - Delivery Room 3 $10,146.08 $11,273.42 $10,793.70 nat. median
$2,629
outlier · 4.1×
64624
HCPCS 		Destruction Of Nerve Branches Of Knee Using Imaging Guidance 4 $375.00 $11,580.80 $10,755.36 nat. median
$2,300
outlier · 4.7×
15260
HCPCS 		Full Thickness Skin Graft To Nose, Ears, Eyelids, Or Lips, 20.0 Sq Cm Or Less 4 $421.82 $11,374.94 $10,564.17 nat. median
$2,200
outlier · 4.8×
33020
HCPCS 		Removal Of Blood Clot Or Foreign Body In Heart Sac 4 $773.64 $11,249.92 $10,448.07 nat. median
$2,550
outlier · 4.1×
26548
HCPCS 		Repair Of Joint Between Finger And Palm 4 $531.36 $11,147.46 $10,352.90 nat. median
$3,588
outlier · 2.9×
26370
HCPCS 		Repair Of Tendon Deep In Underside Of Finger 4 $405.81 $11,000.82 $10,216.72 nat. median
$3,637
outlier · 2.8×
14061
HCPCS 		Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0… 4 $1,062.72 $11,000.82 $10,216.72 nat. median
$2,305
outlier · 4.4×
27503
HCPCS 		Closed Treatment Of Broken Thigh Bone At Far End With Manipulation 4 $466.86 $10,973.56 $10,191.40 nat. median
$1,777
outlier · 5.7×
32160
HCPCS 		Massage Of Heart Muscle Through Chest 4 $558.82 $10,825.98 $10,054.34 nat. median
$2,129
outlier · 4.7×
15240
HCPCS 		Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 4 $483.82 $10,724.46 $9,960.06 nat. median
$2,233
outlier · 4.5×
36010202
CDM 		Operating Room Services - General Classification 3 $9,343.22 $10,381.36 $9,939.60 nat. median
$9,940
1.0× median
15839
HCPCS 		Removal Of Extra Skin And Tissue Of Other Area 4 $9,077.58 $10,730.00 $9,871.60 nat. median
$3,135
outlier · 3.1×
26502
HCPCS 		Repair Of Ligament Surrounding Finger Tendon With Graft 4 $337.30 $10,590.04 $9,835.22 nat. median
$3,554
outlier · 2.8×
22315
HCPCS 		Closed Treatment Of Broken Or Dislocated Spine Bone With Cast Or Brace And Tract… 4 $570.88 $10,558.08 $9,805.53 nat. median
$3,219
outlier · 3.0×
35190
HCPCS 		Repair Of Abnormal Artery-vein Connection In Arm Or Leg 4 $637.75 $10,405.80 $9,664.11 nat. median
$5,617
1.7× median
59510
HCPCS 		Cesarean Delivery With Care Before And After Delivery 5 $95.00 $36,220.08 $9,637.92 nat. median
$3,631
outlier · 2.7×
72210003
CDM 		Labor Room/delivery - Delivery Room 3 $9,053.89 $10,059.88 $9,631.80 nat. median
$2,307
outlier · 4.2×
24341
HCPCS 		Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 4 $449.74 $10,221.56 $9,493.00 nat. median
$7,021
1.4× median
72210002
CDM 		Labor Room/delivery - Delivery Room 3 $8,921.92 $9,913.24 $9,491.40 nat. median
$2,024
outlier · 4.7×
26567
HCPCS 		Partial Removal Of Finger Bone 4 $323.16 $10,067.40 $9,349.83 nat. median
$3,612
outlier · 2.6×
21110
HCPCS 		Application And Removal Of Dental Fixation Device 4 $330.97 $9,995.02 $9,282.61 nat. median
$1,739
outlier · 5.3×
27846
HCPCS 		Treatment Of Dislocated Ankle 4 $725.75 $9,925.46 $9,218.01 nat. median
$6,937
1.3× median

Other procedures at this hospital

Browse this hospital's 3,701 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
63650 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Through Skin 4 4 $65,760.00 $65,760.00 $625.89 $61,814.40 $57,408.48 2026-09-24
33300 HCPCS Repair Of Wound To Heart 4 4 $35,180.00 $35,180.00 $1,011.91 $33,069.20 $30,712.14 2026-09-24
20822 HCPCS Reattachment Of Part Of Cutoff Finger 4 4 $25,737.00 $25,737.00 $2,737.95 $24,192.78 $22,468.40 2026-09-24
36010208 CDM Operating Room Services - General Classification 3 3 $18,407.00 $18,407.00 $15,572.32 $17,302.58 $16,566.30 2026-09-24
35188 HCPCS Repair Of Abnormal Artery-vein Connection Of Head And Neck 4 4 $18,703.00 $18,703.00 $785.55 $17,580.82 $16,327.72 2026-09-24
61154 HCPCS Burr Hole With Removal And/or Drainage Of Blood Accumulation Outside Or Below Br… 4 4 $18,673.00 $18,673.00 $1,388.47 $17,552.62 $16,301.53 2026-09-24
15738 HCPCS Creation Of Muscle Graft To Leg 4 4 $18,500.00 $18,500.00 $1,349.48 $17,390.00 $16,150.50 2026-09-24
36010207 CDM Operating Room Services - General Classification 3 3 $17,181.00 $17,181.00 $14,535.13 $16,150.14 $15,462.90 2026-09-24
36010206 CDM Operating Room Services - General Classification 3 3 $15,953.00 $15,953.00 $13,496.24 $14,995.82 $14,357.70 2026-09-24
67560 HCPCS Removal Or Revision Of Implant Outside Eye Muscles 4 4 $16,092.00 $16,092.00 $744.23 $15,126.48 $14,048.31 2026-09-24
64857 HCPCS Suture Of Arm Or Leg Peripheral Nerve 4 4 $15,332.00 $15,332.00 $781.46 $14,412.08 $13,384.83 2026-09-24
33320 HCPCS Repair Of Aorta Or Great Vessels With Sutures 4 4 $15,222.00 $15,222.00 $699.92 $14,308.68 $13,288.81 2026-09-24
36010205 CDM Operating Room Services - General Classification 3 3 $14,726.00 $14,726.00 $12,458.20 $13,842.44 $13,253.40 2026-09-24
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 4 4 $14,850.00 $14,850.00 $456.79 $13,959.00 $12,964.05 2026-09-24
J9218 HCPCS Leuprolide Acetate, Per 1 Mg 4 4 $13,795.00 $13,795.00 $11,670.57 $13,795.00 $12,691.40 2026-09-24
15731 HCPCS Creation Of Flap Graft To Nose, Forehead, Temple, Or Scalp 4 4 $14,417.00 $14,417.00 $1,286.14 $13,551.98 $12,586.04 2026-09-24
27222 HCPCS Closed Treatment Of Broken Hip Socket With Manipulation 4 4 $14,359.00 $14,359.00 $556.99 $13,497.46 $12,535.40 2026-09-24
27240 HCPCS Closed Treatment Of Broken Below Neck Of Thigh Bone With Manipulation 4 4 $13,991.00 $13,991.00 $400.59 $13,151.54 $12,214.15 2026-09-24
36010204 CDM Operating Room Services - General Classification 3 3 $13,499.00 $13,499.00 $11,420.15 $12,689.06 $12,149.10 2026-09-24
21453 HCPCS Closed Treatment Of Broken Lower Jaw Bone With Placement Of Stabilizing Device T… 4 4 $13,799.00 $13,799.00 $483.82 $12,971.06 $12,046.53 2026-09-24
45541 HCPCS Suture Of Rectum To Sacrum Through Perineum 4 4 $13,774.00 $13,774.00 $670.14 $12,947.56 $12,024.70 2026-09-24
35201 HCPCS Repair Of Blood Vessel Of Neck 4 4 $13,589.00 $13,589.00 $1,495.28 $12,773.66 $11,863.19 2026-09-24
24545 HCPCS Treatment Of Upper Arm Bone Broken At Elbow 4 4 $13,562.00 $13,562.00 $421.82 $12,748.28 $11,839.62 2026-09-24
61108 HCPCS Creation Of Opening In Skull For Removal And/or Drainage Of Blood Accumulation O… 4 4 $13,224.00 $13,224.00 $505.96 $12,430.56 $11,544.55 2026-09-24
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 4 4 $13,000.00 $13,000.00 $195.46 $12,220.00 $11,349.00 2026-09-24
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 4 4 $12,890.00 $12,890.00 $199.55 $12,116.60 $11,252.97 2026-09-24
36010203 CDM Operating Room Services - General Classification 3 3 $12,272.00 $12,272.00 $10,382.11 $11,535.68 $11,044.80 2026-09-24
14301 HCPCS Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 4 4 $12,502.00 $12,502.00 $888.68 $11,751.88 $10,914.24 2026-09-24
72210004 CDM Labor Room/delivery - Delivery Room 3 3 $11,993.00 $11,993.00 $10,146.08 $11,273.42 $10,793.70 2026-09-24
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 4 4 $12,320.00 $12,320.00 $375.00 $11,580.80 $10,755.36 2026-09-24
15260 HCPCS Full Thickness Skin Graft To Nose, Ears, Eyelids, Or Lips, 20.0 Sq Cm Or Less 4 4 $12,101.00 $12,101.00 $421.82 $11,374.94 $10,564.17 2026-09-24
33020 HCPCS Removal Of Blood Clot Or Foreign Body In Heart Sac 4 4 $11,968.00 $11,968.00 $773.64 $11,249.92 $10,448.07 2026-09-24
26548 HCPCS Repair Of Joint Between Finger And Palm 4 4 $11,859.00 $11,859.00 $531.36 $11,147.46 $10,352.90 2026-09-24
14061 HCPCS Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 … 4 4 $11,703.00 $11,703.00 $1,062.72 $11,000.82 $10,216.72 2026-09-24
26370 HCPCS Repair Of Tendon Deep In Underside Of Finger 4 4 $11,703.00 $11,703.00 $405.81 $11,000.82 $10,216.72 2026-09-24
27503 HCPCS Closed Treatment Of Broken Thigh Bone At Far End With Manipulation 4 4 $11,674.00 $11,674.00 $466.86 $10,973.56 $10,191.40 2026-09-24
32160 HCPCS Massage Of Heart Muscle Through Chest 4 4 $11,517.00 $11,517.00 $558.82 $10,825.98 $10,054.34 2026-09-24
15240 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 4 4 $11,409.00 $11,409.00 $483.82 $10,724.46 $9,960.06 2026-09-24
36010202 CDM Operating Room Services - General Classification 3 3 $11,044.00 $11,044.00 $9,343.22 $10,381.36 $9,939.60 2026-09-24
15839 HCPCS Removal Of Extra Skin And Tissue Of Other Area 4 4 $10,730.00 $10,730.00 $9,077.58 $10,730.00 $9,871.60 2026-09-24
26502 HCPCS Repair Of Ligament Surrounding Finger Tendon With Graft 4 4 $11,266.00 $11,266.00 $337.30 $10,590.04 $9,835.22 2026-09-24
22315 HCPCS Closed Treatment Of Broken Or Dislocated Spine Bone With Cast Or Brace And Tract… 4 4 $11,232.00 $11,232.00 $570.88 $10,558.08 $9,805.53 2026-09-24
35190 HCPCS Repair Of Abnormal Artery-vein Connection In Arm Or Leg 4 4 $11,070.00 $11,070.00 $637.75 $10,405.80 $9,664.11 2026-09-24
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 8 5 $10,476.00 $10,476.00 $95.00 $36,220.08 $9,637.92 2026-09-24
72210003 CDM Labor Room/delivery - Delivery Room 3 3 $10,702.00 $10,702.00 $9,053.89 $10,059.88 $9,631.80 2026-09-24
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 4 4 $10,874.00 $10,874.00 $449.74 $10,221.56 $9,493.00 2026-09-24
72210002 CDM Labor Room/delivery - Delivery Room 3 3 $10,546.00 $10,546.00 $8,921.92 $9,913.24 $9,491.40 2026-09-24
26567 HCPCS Partial Removal Of Finger Bone 4 4 $10,710.00 $10,710.00 $323.16 $10,067.40 $9,349.83 2026-09-24
21110 HCPCS Application And Removal Of Dental Fixation Device 4 4 $10,633.00 $10,633.00 $330.97 $9,995.02 $9,282.61 2026-09-24
27846 HCPCS Treatment Of Dislocated Ankle 4 4 $10,559.00 $10,559.00 $725.75 $9,925.46 $9,218.01 2026-09-24
65235 HCPCS Removal Of Foreign Body In Eye Or Lens 4 4 $10,432.00 $10,432.00 $655.25 $9,806.08 $9,107.13 2026-09-24
26540 HCPCS Repair Of Ligament Of Finger Or Hand And Finger Joint 4 4 $10,416.00 $10,416.00 $421.82 $9,791.04 $9,093.17 2026-09-24
27784 HCPCS Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 4 4 $10,334.00 $10,334.00 $337.30 $9,713.96 $9,021.58 2026-09-24
90378 HCPCS Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle 4 4 $10,309.00 $10,309.00 $2,157.72 $9,690.46 $8,999.76 2026-09-24
63685 HCPCS Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 4 4 $10,280.00 $10,280.00 $542.58 $9,663.20 $8,974.44 2026-09-24
26952 HCPCS Amputation Of Finger Or Thumb With Tissue Flap 4 4 $10,172.00 $10,172.00 $445.91 $9,561.68 $8,880.15 2026-09-24
36010201 CDM Operating Room Services - General Classification 3 3 $9,818.00 $9,818.00 $8,306.03 $9,228.92 $8,836.20 2026-09-24
64831 HCPCS Suture Of Hand Or Foot Digital Nerve, First Digital Nerve 4 4 $10,093.00 $10,093.00 $405.33 $9,487.42 $8,811.19 2026-09-24
15760 HCPCS Graft With Closure Of Wound 4 4 $10,073.00 $10,073.00 $605.06 $9,468.62 $8,793.73 2026-09-24
26990 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Pelvis Or Hip Near Joint 4 4 $10,035.00 $10,035.00 $968.72 $9,432.90 $8,760.56 2026-09-24
30520 HCPCS Reshaping Of Nasal Cartilage 4 4 $9,970.00 $9,970.00 $372.30 $9,371.80 $8,703.81 2026-09-24
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 4 4 $9,965.00 $9,965.00 $665.40 $9,367.10 $8,699.44 2026-09-24
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 4 4 $9,926.00 $9,926.00 $483.82 $9,330.44 $8,665.40 2026-09-24
24635 HCPCS Treatment Of Broken And Dislocated Forearm Bones At Elbow 4 4 $9,867.00 $9,867.00 $575.95 $9,274.98 $8,613.89 2026-09-24
15770 HCPCS Creation Of Skin, Fat And Muscle Graft 4 4 $9,715.00 $9,715.00 $640.83 $9,132.10 $8,481.19 2026-09-24
27652 HCPCS Repair Of Ruptured Achilles Tendon With Graft 4 4 $9,578.00 $9,578.00 $846.44 $9,003.32 $8,361.60 2026-09-24
21445 HCPCS Treatment Of Broken Upper Or Lower Jaw Bone 4 4 $9,548.00 $9,548.00 $302.26 $8,975.12 $8,335.41 2026-09-24
25820 HCPCS Fusion Of Part Of Wrist Joint 4 4 $9,539.00 $9,539.00 $725.75 $8,966.66 $8,327.55 2026-09-24
21451 HCPCS Closed Treatment Of Broken Lower Jaw Bone With Manipulation 4 4 $9,495.00 $9,495.00 $543.64 $8,925.30 $8,289.14 2026-09-24
36010225 CDM Operating Room Services - General Classification 3 3 $9,205.00 $9,205.00 $7,787.43 $8,652.70 $8,284.50 2026-09-24
21336 HCPCS Treatment Of Broken Bone And Tissue Separating Nose Airways 4 4 $9,435.00 $9,435.00 $237.53 $8,868.90 $8,236.76 2026-09-24
15576 HCPCS Creation Of Flap Graft To Eyelids, Nose, Ears, Lips, Or Mouth 4 4 $9,372.00 $9,372.00 $316.08 $8,809.68 $8,181.75 2026-09-24
25695 HCPCS Treatment Of Broken Wrist (lunate) Bone 4 4 $9,302.00 $9,302.00 $501.98 $8,743.88 $8,120.64 2026-09-24
25263 HCPCS Secondary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 4 4 $9,298.00 $9,298.00 $395.01 $8,740.12 $8,117.16 2026-09-24
54430 HCPCS Creation Of Blood Flow Tract From Penis To Other Penile Anatomy 4 4 $9,189.00 $9,189.00 $701.71 $8,637.66 $8,022.00 2026-09-24
27552 HCPCS Closed Treatment Of Dislocated Knee Under Anesthesia 9 5 $8,851.00 $8,851.00 $15.00 $8,736.36 $7,862.72 2026-09-24
27087 HCPCS Removal Of Foreign Body In Tissue Or Muscle Of Pelvis Or Hip 4 4 $8,988.00 $8,988.00 $773.80 $8,448.72 $7,846.52 2026-09-24
26410 HCPCS Repair Of Tendon On Top Of Hand 4 4 $8,984.00 $8,984.00 $428.28 $8,444.96 $7,843.03 2026-09-24
36010223 CDM Operating Room Services - General Classification 3 3 $8,591.00 $8,591.00 $7,267.99 $8,075.54 $7,731.90 2026-09-24
45505 HCPCS Repair Of Prolapsed Lining Of Rectum Through Anus 4 4 $8,812.00 $8,812.00 $409.53 $8,283.28 $7,692.88 2026-09-24
21406 HCPCS Treatment Of Broken Eye Bone 4 4 $8,502.00 $8,502.00 $522.34 $7,991.88 $7,422.24 2026-09-24
27532 HCPCS Closed Treatment Of Broken Shin Bone With Traction 4 4 $8,498.00 $8,498.00 $358.87 $7,988.12 $7,418.76 2026-09-24
27756 HCPCS Placement Of Stabilizing Device For Broken Middle Part Of Shin Bone 4 4 $8,488.00 $8,488.00 $725.75 $7,978.72 $7,410.02 2026-09-24
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 4 4 $8,375.00 $8,375.00 $64.26 $7,872.50 $7,311.38 2026-09-24
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 4 4 $8,371.00 $8,371.00 $50.63 $7,868.74 $7,307.89 2026-09-24
24535 HCPCS Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation 4 4 $8,362.00 $8,362.00 $300.82 $7,860.28 $7,300.02 2026-09-24
24620 HCPCS Closed Treatment Of Broken And Dislocated Forearm Bones At Elbow With Manipulati… 4 4 $8,282.00 $8,282.00 $328.42 $7,785.08 $7,230.18 2026-09-24
36010221 CDM Operating Room Services - General Classification 3 3 $7,977.00 $7,977.00 $6,748.54 $7,498.38 $7,179.30 2026-09-24
21440 HCPCS Closed Treatment Of Broken Upper Or Lower Jaw Bone 4 4 $8,178.00 $8,178.00 $132.91 $7,687.32 $7,139.40 2026-09-24
26432 HCPCS Closed Treatment Of Tendon Of Upper Side Of Finger 4 4 $8,130.00 $8,130.00 $359.40 $7,642.20 $7,097.49 2026-09-24
27496 HCPCS Incision Of Connective Tissue Of Thigh And/or Knee To Relieve Pressure 4 4 $8,036.00 $8,036.00 $367.41 $7,553.84 $7,015.43 2026-09-24
27268 HCPCS Closed Treatment Of Broken Head Of Thigh Bone With Manipulation 4 4 $7,977.00 $7,977.00 $378.63 $7,498.38 $6,963.92 2026-09-24
11971 HCPCS Removal Of Tissue Expander 4 4 $7,973.00 $7,973.00 $236.04 $7,494.62 $6,960.43 2026-09-24
21421 HCPCS Closed Treatment Of Broken Roof Of Mouth Or Upper Jaw Bone With Placement Of Sta… 4 4 $7,957.00 $7,957.00 $423.48 $7,479.58 $6,946.46 2026-09-24
64479 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 4 4 $7,920.00 $7,920.00 $154.50 $7,444.80 $6,914.16 2026-09-24
25680 HCPCS Closed Treatment Of Broken And Dislocated Wrist Bones With Manipulation 4 4 $7,801.00 $7,801.00 $253.16 $7,332.94 $6,810.27 2026-09-24
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 4 4 $7,725.00 $7,725.00 $554.74 $7,261.50 $6,743.93 2026-09-24
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 5 5 $7,885.00 $7,885.00 $75.00 $7,411.90 $6,670.71 2026-09-24
36010219 CDM Operating Room Services - General Classification 3 3 $7,363.00 $7,363.00 $6,229.10 $6,921.22 $6,626.70 2026-09-24
26607 HCPCS Closed Treatment Of Broken Hand Bone With Manipulation And Placement Of External… 4 4 $7,535.00 $7,535.00 $406.55 $7,082.90 $6,578.06 2026-09-24
72210001 CDM Labor Room/delivery - Delivery Room 3 3 $7,281.00 $7,281.00 $6,159.73 $6,844.14 $6,552.90 2026-09-24
26591 HCPCS Repair Of Hand Muscle 3 3 $7,271.00 $7,271.00 $6,151.27 $6,834.74 $6,543.90 2026-09-24
42962 HCPCS Complicated Control Of Bleeding Of Throat 4 4 $7,495.00 $7,495.00 $412.51 $7,045.30 $6,543.14 2026-09-24
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 4 4 $7,483.00 $7,483.00 $583.81 $7,034.02 $6,532.66 2026-09-24
802007CFC CDM Hc Catheter Focal 60 Rfa Barrx 3 3 $7,248.00 $7,248.00 $6,131.81 $6,813.12 $6,523.20 2026-09-24
64634 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 4 4 $7,460.00 $7,460.00 $58.95 $7,012.40 $6,512.58 2026-09-24
20661 HCPCS Placement Of Stabilizing Device To Skull 4 4 $7,452.00 $7,452.00 $283.57 $7,004.88 $6,505.60 2026-09-24
26140 HCPCS Removal Of Joint Lining And Repair Of Tendon On The Topside Of Finger 4 4 $7,438.00 $7,438.00 $473.15 $6,991.72 $6,493.38 2026-09-24
58210 HCPCS Removal Of Uterus, Cervix, And Lymph Nodes Of Pelvis With Biopsy Of Lymph Nodes … 5 5 $7,588.00 $7,588.00 $75.00 $7,132.72 $6,419.45 2026-09-24
51045 HCPCS Incision Of Bladder With Insertion Of Tube Or Stent In Ureter 4 4 $7,339.00 $7,339.00 $446.76 $6,898.66 $6,406.94 2026-09-24
21450 HCPCS Closed Treatment Of Broken Lower Jaw Bone 3 3 $7,118.00 $7,118.00 $6,021.83 $6,690.92 $6,406.20 2026-09-24
27508 HCPCS Closed Treatment Of Broken Inside Or Outside Portion Of Lower End Of Thigh Bone 4 4 $7,331.00 $7,331.00 $369.01 $6,891.14 $6,399.97 2026-09-24
27501 HCPCS Closed Treatment Of Broken Thigh Bone At Lower End 4 4 $7,305.00 $7,305.00 $358.52 $6,866.70 $6,377.26 2026-09-24
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 4 4 $7,287.00 $7,287.00 $2,081.66 $6,849.78 $6,361.55 2026-09-24
27842 HCPCS Closed Treatment Of Dislocated Ankle Under Anesthesia 4 4 $7,285.00 $7,285.00 $274.49 $6,847.90 $6,359.81 2026-09-24
24565 HCPCS Closed Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow With Manipulati… 4 4 $7,281.00 $7,281.00 $372.76 $6,844.14 $6,356.31 2026-09-24
25690 HCPCS Closed Treatment Of Dislocated Wrist (lunate) Bone With Manipulation 4 4 $7,237.00 $7,237.00 $231.94 $6,802.78 $6,317.90 2026-09-24
30320 HCPCS Removal Of Foreign Body In Nose By Incision 4 4 $7,232.00 $7,232.00 $333.21 $6,798.08 $6,313.53 2026-09-24
27230 HCPCS Closed Treatment Of Broken Upper Thigh Bone 3 3 $7,010.00 $7,010.00 $5,930.46 $6,589.40 $6,309.00 2026-09-24
27562 HCPCS Closed Treatment Of Dislocated Kneecap Under Anesthesia 4 4 $7,201.00 $7,201.00 $190.62 $6,768.94 $6,286.48 2026-09-24
26235 HCPCS Partial Removal Of Finger Bone Nearest Hand Or Middle Of Finger 4 4 $7,201.00 $7,201.00 $285.18 $6,768.94 $6,286.48 2026-09-24
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 4 4 $7,197.00 $7,197.00 $513.11 $6,765.18 $6,282.98 2026-09-24
27516 HCPCS Closed Treatment Of Thigh Bone Growth Plate Broken At End Of Thigh Bone 4 4 $7,128.00 $7,128.00 $708.65 $6,700.32 $6,222.74 2026-09-24
31295 HCPCS Dilation Of Nasal Sinus Using An Endoscope 4 4 $7,053.00 $7,053.00 $149.29 $6,629.82 $6,157.27 2026-09-24
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 4 4 $7,037.00 $7,037.00 $248.32 $6,614.78 $6,143.30 2026-09-24
64636 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 4 4 $7,000.00 $7,000.00 $51.38 $6,580.00 $6,111.00 2026-09-24
27550 HCPCS Closed Treatment Of Dislocated Knee 4 4 $6,971.00 $6,971.00 $257.37 $6,552.74 $6,085.68 2026-09-24
43659 HCPCS Other Procedure On Stomach Using An Endoscope 5 5 $7,184.00 $7,184.00 $125.00 $6,752.96 $6,077.66 2026-09-24
36010217 CDM Operating Room Services - General Classification 3 3 $6,751.00 $6,751.00 $5,711.35 $6,345.94 $6,075.90 2026-09-24
23333 HCPCS Removal Of Foreign Body Of Shoulder Joint, Accessed Beneath The Tissue Or Muscle 4 4 $6,918.00 $6,918.00 $565.00 $6,502.92 $6,039.41 2026-09-24
20010006 CDM Intensive Care Unit - General Classification 4 4 $6,465.00 $6,465.00 $5,469.39 $6,465.00 $5,947.80 2026-09-24
64620 HCPCS Injection Of Agent To Destroy Rib Nerve 4 4 $6,760.00 $6,760.00 $99.40 $6,354.40 $5,901.48 2026-09-24
26460 HCPCS Incision Of Tendon At Top Of Hand Or Finger 4 4 $6,731.00 $6,731.00 $246.72 $6,327.14 $5,876.16 2026-09-24
73220 HCPCS MRI Scan Of Arm Before And After Contrast 4 4 $6,712.00 $6,712.00 $560.10 $6,309.28 $5,859.58 2026-09-24
57010 HCPCS Incision And Drainage Of Abscess Of Pelvis 4 4 $6,711.00 $6,711.00 $229.54 $6,308.34 $5,858.70 2026-09-24
15050 HCPCS Skin Graft To Tip Of Finger Or Toe, 2.0 Cm Or Less 4 4 $6,711.00 $6,711.00 $227.50 $6,308.34 $5,858.70 2026-09-24
27538 HCPCS Closed Treatment Of Broken Top Of Shin Bone At Knee 4 4 $6,668.00 $6,668.00 $453.83 $6,267.92 $5,821.16 2026-09-24
25660 HCPCS Closed Treatment Of Dislocated Wrist Bones With Manipulation 4 4 $6,608.00 $6,608.00 $167.91 $6,211.52 $5,768.78 2026-09-24
27768 HCPCS Closed Treatment Of Back Portion Of Shin Bone At Ankle With Manipulation 4 4 $6,579.00 $6,579.00 $418.67 $6,184.26 $5,743.47 2026-09-24
26200 HCPCS Removal Of Cyst Or Growth From Hand Bone 4 4 $6,579.00 $6,579.00 $414.40 $6,184.26 $5,743.47 2026-09-24
67950 HCPCS Reconstruction Of Eyelid Margin 4 4 $6,575.00 $6,575.00 $614.67 $6,180.50 $5,739.98 2026-09-24
25624 HCPCS Closed Treatment Of Broken Wrist Bone Near Base Of Thumb With Manipulation 4 4 $6,569.00 $6,569.00 $236.04 $6,174.86 $5,734.74 2026-09-24
59515 HCPCS Cesarean Delivery With Care After Delivery 5 5 $6,778.00 $6,778.00 $90.00 $6,371.32 $5,734.19 2026-09-24
21325 HCPCS Treatment Of Broken Nose Bone 4 4 $6,530.00 $6,530.00 $241.91 $6,138.20 $5,700.69 2026-09-24
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 5 5 $6,732.00 $6,732.00 $130.00 $6,328.08 $5,695.27 2026-09-24
54600 HCPCS Repair Of Twisted Testicle 4 4 $6,515.00 $6,515.00 $483.82 $6,124.10 $5,687.59 2026-09-24
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 4 4 $6,515.00 $6,515.00 $661.42 $6,124.10 $5,687.59 2026-09-24
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 4 4 $6,515.00 $6,515.00 $660.00 $6,124.10 $5,687.59 2026-09-24
27267 HCPCS Closed Treatment Of Broken Head Of Thigh Bone 4 4 $6,472.00 $6,472.00 $441.64 $6,083.68 $5,650.06 2026-09-24
46045 HCPCS Incision And Drainage Of Abscess Within Wall Of Rectum Under Anesthesia 4 4 $6,460.00 $6,460.00 $123.60 $6,072.40 $5,639.58 2026-09-24
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 5 5 $6,659.00 $6,659.00 $60.00 $6,259.46 $5,633.51 2026-09-24
24300 HCPCS Manipulation Of Elbow Under Anesthesia 4 4 $6,392.00 $6,392.00 $433.10 $6,008.48 $5,580.22 2026-09-24
26535 HCPCS Replacement Of Finger Joint 4 4 $6,392.00 $6,392.00 $337.30 $6,008.48 $5,580.22 2026-09-24
47379 HCPCS Other Procedure On Liver Using An Endoscope 4 4 $6,357.00 $6,357.00 $3,178.50 $5,975.58 $5,549.66 2026-09-24
36010215 CDM Operating Room Services - General Classification 3 3 $6,137.00 $6,137.00 $5,191.90 $5,768.78 $5,523.30 2026-09-24
25259 HCPCS Manipulation Of Wrist Under Anesthesia 4 4 $6,318.00 $6,318.00 $298.21 $5,938.92 $5,515.61 2026-09-24
35820 HCPCS Exploration Of Chest For Bleeding, Blood Clot, Or Infection After Surgery 5 5 $6,470.00 $6,470.00 $75.00 $6,081.80 $5,473.62 2026-09-24
67935 HCPCS Repair Of Wound Of Eyelid Margin 4 4 $6,260.00 $6,260.00 $499.85 $5,884.40 $5,464.98 2026-09-24
45000 HCPCS Drainage Of Abscess Of Pelvic Region 4 4 $6,255.00 $6,255.00 $139.24 $5,879.70 $5,460.61 2026-09-24
25635 HCPCS Closed Treatment Of Other Broken Wrist Bone With Manipulation 4 4 $6,245.00 $6,245.00 $230.45 $5,870.30 $5,451.89 2026-09-24
26675 HCPCS Closed Treatment Of Dislocated Hand Bone At Wrist Joint With Manipulation Under … 4 4 $6,230.00 $6,230.00 $221.52 $5,856.20 $5,438.79 2026-09-24
54640 HCPCS Repositioning And Suture Of Misplaced Testicle 4 4 $6,226.00 $6,226.00 $640.83 $5,852.44 $5,435.30 2026-09-24
22510 HCPCS Stabilization Of Upper Spine Bone 4 4 $6,210.00 $6,210.00 $393.89 $5,837.40 $5,421.33 2026-09-24
42305 HCPCS Complicated Drainage Of Abscess Of Saliva Gland 4 4 $6,194.00 $6,194.00 $587.96 $5,822.36 $5,407.36 2026-09-24
46275 HCPCS Repair Of Abnormal Drainage Tract In Anal Sphincter 4 4 $6,190.00 $6,190.00 $507.33 $5,818.60 $5,403.87 2026-09-24
40654 HCPCS Repair Of Vertical Lip Wound Extending To Over Half Of Lip 4 4 $6,162.00 $6,162.00 $538.30 $5,792.28 $5,379.43 2026-09-24
25248 HCPCS Removal Of Deep Foreign Body In Forearm Or Wrist 4 4 $6,162.00 $6,162.00 $668.07 $5,792.28 $5,379.43 2026-09-24
35840 HCPCS Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery 5 5 $6,307.00 $6,307.00 $45.00 $5,928.58 $5,335.72 2026-09-24
12057 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More … 4 4 $6,058.00 $6,058.00 $539.36 $5,694.52 $5,288.64 2026-09-24
27220 HCPCS Closed Treatment Of Broken Hip Socket 4 4 $6,048.00 $6,048.00 $424.05 $5,685.12 $5,279.90 2026-09-24
70553 HCPCS MRI Scan Of Brain Before And After Contrast 4 4 $6,035.00 $6,035.00 $594.39 $5,672.90 $5,268.56 2026-09-24
27831 HCPCS Closed Treatment Of Dislocated Knee Joint Under Anesthesia 4 4 $6,024.00 $6,024.00 $315.34 $5,662.56 $5,258.95 2026-09-24
25675 HCPCS Closed Treatment Of Dislocated Forearm Bone At Wrist With Manipulation 4 4 $5,994.00 $5,994.00 $229.71 $5,634.36 $5,232.76 2026-09-24
54435 HCPCS Redirection Of Blood Flow From Penis With Partial Removal Of Tissue At Head Of P… 4 4 $5,956.00 $5,956.00 $431.87 $5,598.64 $5,199.59 2026-09-24
24655 HCPCS Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Manipulation 4 4 $5,956.00 $5,956.00 $331.63 $5,598.64 $5,199.59 2026-09-24
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 7 4 $6,140.00 $6,140.00 $160.83 $5,771.60 $5,194.44 2026-09-24
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 9 5 $5,748.00 $5,748.00 $55.00 $14,404.56 $5,173.20 2026-09-24
27781 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone With Ma… 4 4 $5,920.00 $5,920.00 $601.85 $5,564.80 $5,168.16 2026-09-24
27372 HCPCS Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee 4 4 $5,882.00 $5,882.00 $342.31 $5,529.08 $5,134.99 2026-09-24
22511 HCPCS Stabilization Of Lower Spine Bone 4 4 $5,852.00 $5,852.00 $370.07 $5,500.88 $5,108.80 2026-09-24
26645 HCPCS Closed Treatment Of Broken Thumb At Wrist With Manipulation 4 4 $5,837.00 $5,837.00 $230.08 $5,486.78 $5,095.70 2026-09-24
57210 HCPCS Suture Of Injury Of Vagina And/or Skin 4 4 $5,789.00 $5,789.00 $147.28 $5,441.66 $5,053.80 2026-09-24
58951 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 5 5 $5,956.00 $5,956.00 $209.77 $5,598.64 $5,038.78 2026-09-24
58200 HCPCS Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 4 4 $5,761.00 $5,761.00 $2,022.44 $5,415.34 $5,029.35 2026-09-24
21282 HCPCS Tightening Of Tendon Of Outer Edge Of Lower Eyelid 4 4 $5,736.00 $5,736.00 $385.70 $5,391.84 $5,007.53 2026-09-24
36010213 CDM Operating Room Services - General Classification 3 3 $5,523.00 $5,523.00 $4,672.46 $5,191.62 $4,970.70 2026-09-24
27246 HCPCS Closed Treatment Of Broken Below Head Of Thigh Bone 4 4 $5,676.00 $5,676.00 $530.83 $5,335.44 $4,955.15 2026-09-24
26705 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation Un… 4 4 $5,676.00 $5,676.00 $203.65 $5,335.44 $4,955.15 2026-09-24
73720 HCPCS MRI Scan Of Leg Before And After Contrast 4 4 $5,674.00 $5,674.00 $560.10 $5,333.56 $4,953.40 2026-09-24
36557 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (younger Than 5 Years) 4 4 $5,663.00 $5,663.00 $138.50 $5,323.22 $4,943.80 2026-09-24
26641 HCPCS Closed Treatment Of Dislocated Thumb At Wrist With Manipulation 4 4 $5,652.00 $5,652.00 $296.92 $5,312.88 $4,934.19 2026-09-24
27232 HCPCS Closed Treatment Of Broken Upper Thigh Bone With Manipulation 9 5 $5,480.00 $5,480.00 $30.00 $10,129.44 $4,932.00 2026-09-24
23575 HCPCS Closed Treatment Of Broken Shoulder Blade With Manipulation 4 4 $5,606.00 $5,606.00 $162.32 $5,269.64 $4,894.04 2026-09-24
12056 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-… 4 4 $5,557.00 $5,557.00 $355.92 $5,223.58 $4,851.26 2026-09-24
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 4 4 $5,391.00 $5,391.00 $457.92 $5,067.54 $4,706.34 2026-09-24
43611 HCPCS Removal Of Malignant Growth Of Stomach 5 5 $5,559.00 $5,559.00 $20.00 $5,225.46 $4,702.91 2026-09-24
23525 HCPCS Closed Treatment Of Dislocated Joint Between Collar And Chest Bone With Manipula… 4 4 $5,351.00 $5,351.00 $142.59 $5,029.94 $4,671.42 2026-09-24
59410 HCPCS Vaginal Delivery With Post Delivery Care 5 5 $5,502.00 $5,502.00 $70.00 $5,171.88 $4,654.69 2026-09-24
27830 HCPCS Closed Treatment Of Dislocated Knee Joint 4 4 $5,323.00 $5,323.00 $531.89 $5,003.62 $4,646.98 2026-09-24
27664 HCPCS Primary Repair Of Tendon On Front Of Leg 4 4 $5,323.00 $5,323.00 $349.25 $5,003.62 $4,646.98 2026-09-24
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 4 4 $5,311.00 $5,311.00 $522.23 $4,992.34 $4,636.50 2026-09-24
61210 HCPCS Burr Hole For Insertion Of Brain Tube Or Monitoring Device 4 4 $5,307.00 $5,307.00 $402.12 $4,988.58 $4,633.01 2026-09-24
27828 HCPCS Treatment Of Broken Lower Weight Bearing Joint Of Both Lower Leg Bones 9 5 $5,145.00 $5,145.00 $192.85 $18,276.42 $4,630.50 2026-09-24
43282 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach With Implantation Of Mesh Us… 4 4 $5,278.00 $5,278.00 $2,531.46 $4,961.32 $4,607.69 2026-09-24
52344 HCPCS Repair Of Stricture Of Ureter Using An Endoscope 4 4 $5,258.00 $5,258.00 $360.01 $4,942.52 $4,590.24 2026-09-24
27257 HCPCS Treatment Of Spontaneous Dislocated Hip Under Anesthesia 4 4 $5,248.00 $5,248.00 $166.05 $4,933.12 $4,581.51 2026-09-24
65436 HCPCS Removal Of Outer Layer Of Cornea With Application Of Chelating Agent 4 4 $5,244.00 $5,244.00 $234.44 $4,929.36 $4,578.01 2026-09-24
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 4 4 $5,222.00 $5,222.00 $499.34 $4,908.68 $4,558.81 2026-09-24
43633 HCPCS Removal Of Lower Portion Of Stomach With Reattachment Of Upper Portion Of Remain… 4 4 $5,220.00 $5,220.00 $2,817.54 $4,906.80 $4,557.06 2026-09-24
26775 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia 4 4 $5,204.00 $5,204.00 $192.85 $4,891.76 $4,543.09 2026-09-24
40652 HCPCS Repair Of Vertical Lip Wound Extending To Half Of Lip 4 4 $5,204.00 $5,204.00 $322.78 $4,891.76 $4,543.09 2026-09-24
23625 HCPCS Closed Treatment Of Upper Arm Bone Broken At Shoulder Joint With Manipulation 4 4 $5,199.00 $5,199.00 $302.26 $4,887.06 $4,538.73 2026-09-24
24530 HCPCS Closed Treatment Of Upper Arm Bone Broken At Elbow 4 4 $5,185.00 $5,185.00 $285.42 $4,873.90 $4,526.51 2026-09-24
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 4 4 $5,169.00 $5,169.00 $592.86 $4,858.86 $4,512.53 2026-09-24
12047 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C… 4 4 $5,159.00 $5,159.00 $493.45 $4,849.46 $4,503.81 2026-09-24
28405 HCPCS Closed Treatment Of Broken Heel Bone With Manipulation 4 4 $5,140.00 $5,140.00 $418.47 $4,831.60 $4,487.22 2026-09-24
55120 HCPCS Removal Of Foreign Body In Scrotum 4 4 $5,111.00 $5,111.00 $281.83 $4,804.34 $4,461.90 2026-09-24
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 4 4 $5,084.00 $5,084.00 $404.21 $4,778.96 $4,438.33 2026-09-24
25001 HCPCS Incision Or The Tendon Covering On The Palm Side Of The Wrist 4 4 $5,077.00 $5,077.00 $251.30 $4,772.38 $4,432.22 2026-09-24
36010211 CDM Operating Room Services - General Classification 3 3 $4,909.00 $4,909.00 $4,153.01 $4,614.46 $4,418.10 2026-09-24
97608 HCPCS Therapy Procedure Using A Special Bandage, Vacuum Pump And Disposable Medical Eq… 4 4 $4,769.00 $4,769.00 $4,034.57 $4,769.00 $4,387.48 2026-09-24
28575 HCPCS Closed Treatment Of Dislocated Ankle Joint Under Anesthesia 4 4 $4,983.00 $4,983.00 $178.37 $4,684.02 $4,350.16 2026-09-24
28435 HCPCS Closed Treatment Of Broken Ankle Joint Bone With Manipulation 9 5 $5,180.00 $5,180.00 $45.00 $4,869.20 $4,338.90 2026-09-24
41017 HCPCS Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Outside Mou… 4 4 $4,959.00 $4,959.00 $253.16 $4,661.46 $4,329.20 2026-09-24
57023 HCPCS Incision And Drainage Of Vaginal Blood Accumulation 4 4 $4,689.00 $4,689.00 $3,966.89 $4,689.00 $4,313.88 2026-09-24
44208 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Openin… 5 5 $5,099.00 $5,099.00 $95.00 $4,793.06 $4,313.75 2026-09-24
24500 HCPCS Closed Treatment Of Broken Middle Part Of Upper Arm Bone 4 4 $4,934.00 $4,934.00 $253.75 $4,637.96 $4,307.38 2026-09-24
12037 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha… 3 3 $4,753.00 $4,753.00 $4,021.04 $4,467.82 $4,277.70 2026-09-24
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 4 4 $4,887.00 $4,887.00 $391.86 $4,593.78 $4,266.35 2026-09-24
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 5 5 $5,009.00 $5,009.00 $130.00 $4,708.46 $4,237.61 2026-09-24
73218 HCPCS MRI Scan Of Arm Without Contrast 4 4 $4,827.00 $4,827.00 $476.22 $4,537.38 $4,213.97 2026-09-24
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 4 4 $4,827.00 $4,827.00 $497.21 $4,537.38 $4,213.97 2026-09-24
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 4 4 $4,827.00 $4,827.00 $442.89 $4,537.38 $4,213.97 2026-09-24
65600 HCPCS Multiple Punctures Of Cornea 4 4 $4,821.00 $4,821.00 $427.22 $4,531.74 $4,208.73 2026-09-24
44144 HCPCS Partial Removal Of Large Bowel With Creation Of 2 Openings From Small Or Large B… 5 5 $4,948.00 $4,948.00 $843.26 $4,651.12 $4,186.01 2026-09-24
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 5 5 $4,948.00 $4,948.00 $45.00 $4,651.12 $4,186.01 2026-09-24
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 4 4 $4,781.00 $4,781.00 $485.48 $4,494.14 $4,173.81 2026-09-24
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 4 4 $4,781.00 $4,781.00 $394.99 $4,494.14 $4,173.81 2026-09-24
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 4 4 $4,762.00 $4,762.00 $265.35 $4,476.28 $4,157.23 2026-09-24
63661 HCPCS Insertion Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance 4 4 $4,758.00 $4,758.00 $688.35 $4,472.52 $4,153.73 2026-09-24
21401 HCPCS Closed Treatment Of Broken Eye Bone With Manipulation 4 4 $4,758.00 $4,758.00 $375.43 $4,472.52 $4,153.73 2026-09-24
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 4 4 $4,740.00 $4,740.00 $822.18 $4,455.60 $4,138.02 2026-09-24
73222 HCPCS MRI Scan Of Arm Joint With Contrast 4 4 $4,740.00 $4,740.00 $494.14 $4,455.60 $4,138.02 2026-09-24
73722 HCPCS MRI Scan Of Leg Joint With Contrast 4 4 $4,740.00 $4,740.00 $654.95 $4,455.60 $4,138.02 2026-09-24
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 4 4 $4,740.00 $4,740.00 $611.50 $4,455.60 $4,138.02 2026-09-24
43644 HCPCS Bypass Of Stomach Using An Endoscope 5 5 $4,863.00 $4,863.00 $130.00 $4,571.22 $4,114.10 2026-09-24
35226 HCPCS Repair Of Blood Vessel Of Leg 12 5 $6,426.00 $6,426.00 $70.00 $11,286.58 $4,112.22 2026-09-24
26418 HCPCS Repair Of Tendon On Top Side Of Finger 12 5 $8,397.00 $8,397.00 $52.00 $8,754.22 $4,096.80 2026-09-24
32652 HCPCS Removal Of Chest Cavity Lining And Lung Lining Using An Endoscope 5 5 $4,819.00 $4,819.00 $40.00 $4,529.86 $4,076.87 2026-09-24
27604 HCPCS Drainage Of Infected Fluid-filled Sac (bursa) Of Leg Or Ankle 4 4 $4,669.00 $4,669.00 $234.18 $4,388.86 $4,076.03 2026-09-24
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 4 4 $4,669.00 $4,669.00 $137.73 $4,388.86 $4,076.03 2026-09-24
43281 HCPCS Repair Of Hernia Of Muscle At Esophagus And Stomach Using An Endoscope 4 4 $4,665.00 $4,665.00 $2,255.50 $4,385.10 $4,072.55 2026-09-24
23545 HCPCS Closed Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Manip… 4 4 $4,665.00 $4,665.00 $131.79 $4,385.10 $4,072.55 2026-09-24
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 4 4 $4,648.00 $4,648.00 $390.06 $4,369.12 $4,057.70 2026-09-24
27198 HCPCS Closed Treatment Of Broken And/or Dislocated Pelvis And/or Sacrum With Manipulat… 4 4 $4,645.00 $4,645.00 $367.41 $4,366.30 $4,055.09 2026-09-24
12046 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 20.1-30.0 Cm 4 4 $4,645.00 $4,645.00 $161.58 $4,366.30 $4,055.09 2026-09-24
44207 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum Using An Endoscope 5 5 $4,788.00 $4,788.00 $238.27 $4,500.72 $4,050.65 2026-09-24
24576 HCPCS Closed Treatment Of Broken Elbow 4 4 $4,630.00 $4,630.00 $303.05 $4,352.20 $4,041.99 2026-09-24
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 5 5 $4,755.00 $4,755.00 $285.55 $4,469.70 $4,022.73 2026-09-24
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 5 5 $4,733.00 $4,733.00 $155.00 $4,449.02 $4,004.12 2026-09-24
70551 HCPCS MRI Scan Of Brain Without Contrast 4 4 $4,585.00 $4,585.00 $439.07 $4,309.90 $4,002.70 2026-09-24
78071 HCPCS Nuclear Medicine Study Of Parathyroid With Spect 4 4 $4,573.00 $4,573.00 $468.70 $4,298.62 $3,992.23 2026-09-24
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 9 5 $4,432.00 $4,432.00 $50.00 $10,429.30 $3,988.80 2026-09-24
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 5 5 $4,693.00 $4,693.00 $1,039.09 $4,411.42 $3,970.28 2026-09-24
40650 HCPCS Repair Of Lip And Border 4 4 $4,542.00 $4,542.00 $381.82 $4,269.48 $3,965.16 2026-09-24
71010113 CDM Recovery Room - General Classification 3 3 $4,404.00 $4,404.00 $3,725.78 $4,139.76 $3,963.60 2026-09-24
71010120 CDM Recovery Room - General Classification 3 3 $4,404.00 $4,404.00 $3,725.78 $4,139.76 $3,963.60 2026-09-24
71010124 CDM Recovery Room - General Classification 3 3 $4,404.00 $4,404.00 $3,725.78 $4,139.76 $3,963.60 2026-09-24
71010117 CDM Recovery Room - General Classification 3 3 $4,404.00 $4,404.00 $3,725.78 $4,139.76 $3,963.60 2026-09-24
71010109 CDM Recovery Room - General Classification 3 3 $4,404.00 $4,404.00 $3,725.78 $4,139.76 $3,963.60 2026-09-24
32220 HCPCS Removal Of Lining Of Lung For Lung Expansion 5 5 $4,673.00 $4,673.00 $843.26 $4,392.62 $3,953.36 2026-09-24
61107 HCPCS Creation Of Opening In Skull For Insertion Of Brain Tube Or Monitoring Device 4 4 $4,527.00 $4,527.00 $312.73 $4,255.38 $3,952.07 2026-09-24
25650 HCPCS Closed Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist 4 4 $4,517.00 $4,517.00 $310.87 $4,245.98 $3,943.34 2026-09-24
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 4 4 $4,499.00 $4,499.00 $340.87 $4,229.06 $3,927.62 2026-09-24
64461 HCPCS Injection Of Anesthetic Agent Into Thoracic Vertebra Using Imaging Guidance, Sin… 4 4 $4,490.00 $4,490.00 $131.42 $4,220.60 $3,919.77 2026-09-24
90375 HCPCS Rabies Immune Globulin For Injection 4 4 $4,486.00 $4,486.00 $395.65 $4,216.84 $3,916.28 2026-09-24
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 5 5 $4,615.00 $4,615.00 $207.00 $4,338.10 $3,904.29 2026-09-24
28605 HCPCS Closed Treatment Of Dislocated Midfoot Joint Under Anesthesia 4 4 $4,472.00 $4,472.00 $221.61 $4,203.68 $3,904.06 2026-09-24
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 9 5 $4,300.00 $4,300.00 $36.00 $10,373.84 $3,870.00 2026-09-24
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 7 4 $6,169.00 $6,169.00 $499.27 $5,798.86 $3,867.16 2026-09-24
31600 HCPCS Incision Of Windpipe For Insertion Of Breathing Tube (older Than 2 Years) 4 4 $4,428.00 $4,428.00 $201.04 $4,162.32 $3,865.64 2026-09-24
0213T OTHER Injections Of Upper Or Middle Spine Joint Or Nerves Using Ultrasound Guidance, S… 4 4 $4,200.00 $4,200.00 $3,553.20 $4,200.00 $3,864.00 2026-09-24
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 9 5 $4,286.00 $4,286.00 $75.00 $15,415.06 $3,857.40 2026-09-24
71552 HCPCS MRI Scan Of Chest Before And After Contrast 4 4 $4,418.00 $4,418.00 $758.14 $4,152.92 $3,856.91 2026-09-24
70552 HCPCS MRI Scan Of Brain With Contrast 4 4 $4,418.00 $4,418.00 $489.84 $4,152.92 $3,856.91 2026-09-24
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 5 5 $4,542.00 $4,542.00 $135.89 $4,269.48 $3,842.53 2026-09-24
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 4 4 $4,173.00 $4,173.00 $3,530.36 $4,173.00 $3,839.16 2026-09-24
44661 HCPCS Closure Of Abnormal Drainage Tract From Small Bowel To Urinary Bladder With Rese… 5 5 $4,525.00 $4,525.00 $50.00 $4,253.50 $3,828.15 2026-09-24
54015 HCPCS Incision And Drainage Of Penis 4 4 $4,379.00 $4,379.00 $220.40 $4,116.26 $3,822.86 2026-09-24
58290 HCPCS Removal Of Uterus Through Vagina, More Than 250.0 G 5 5 $4,518.00 $4,518.00 $40.00 $4,246.92 $3,822.23 2026-09-24
27132 HCPCS Total Hip Replacement After Previous Hip Surgery 5 5 $4,506.00 $4,506.00 $135.00 $4,235.64 $3,812.08 2026-09-24
24560 HCPCS Closed Treatment Of Broken Outer Part Of Upper Arm Bone At Elbow 4 4 $4,360.00 $4,360.00 $165.99 $4,098.40 $3,806.28 2026-09-24
21337 HCPCS Closed Treatment Of Broken Bone Separating Nose Airways 4 4 $4,360.00 $4,360.00 $130.68 $4,098.40 $3,806.28 2026-09-24
22310 HCPCS Closed Treatment Of Broken Spine Bone With Cast Or Brace 4 4 $4,340.00 $4,340.00 $137.01 $4,079.60 $3,788.82 2026-09-24
41015 HCPCS Drainage Of Abscess, Cyst, Or Blood Accumulation Under Tongue From Outside Mouth 4 4 $4,312.00 $4,312.00 $192.25 $4,053.28 $3,764.38 2026-09-24
73719 HCPCS MRI Scan Of Leg With Contrast 4 4 $4,312.00 $4,312.00 $686.07 $4,053.28 $3,764.38 2026-09-24
32110 HCPCS Repair Of Tear Of Lung And/or Control Of Traumatic Bleeding Through Chest 9 5 $4,182.00 $4,182.00 $90.00 $20,021.06 $3,763.80 2026-09-24
52351 HCPCS Diagnostic Exam Of Bladder, Urethra, And Ureter Or Kidney Using An Endoscope 4 4 $4,300.00 $4,300.00 $260.61 $4,042.00 $3,753.90 2026-09-24
27767 HCPCS Closed Treatment Of Back Portion Of Shin Bone At Ankle 4 4 $4,276.00 $4,276.00 $273.96 $4,019.44 $3,732.95 2026-09-24
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 4 4 $4,271.00 $4,271.00 $256.82 $4,014.74 $3,728.59 2026-09-24
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