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

EVANS MEMORIAL HOSPITAL

Claxton, GA · CCN 110142 · Rates published

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You selected 93306 (CPT)

ECHO COMPLETE W/ DOPPLER/COLOR FLOW

This hospital’s price: $1,156 across 11 payers · range $450-$2,474

Source: https://evansmemorialhospital.slicedhealth.io/pricer/58-2257925-1730110826_EvansMemorialHospital_standardcharges.CSV · observed 2026-03-26

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.

1,974 distinct procedures filed
11 distinct payers
29,155 rate rows
2026-03-26 last MRF observed
Data quality

29,120 of 29,155 rate rows are consumer-grade (99.9%)

35 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
exceeds 10× this hospital's gross charge — excluded from medians 26
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
placeholder amount (≤ $0.02) — excluded from medians 2
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://evansmemorialhospital.slicedhealth.io/pricer/58-2257925-1730110826_EvansMemorialHospital_standardcharges.CSV
Found on page https://evansmemorialhospital.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-10-09
Content fingerprint ce9961dd88e9d816… · 10,335,288 bytes · first seen 2026-10-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
19357
CPT 		Tiss Xpndr Brst Recnstj 11 $6,598.00 $57,294.25 $13,819.93 nat. median
$13,795
1.0× median
J3101
HCPCS 		Tnkase IV (tenecteplase) Inj 50mg 6 $3,147.66 $17,306.00 $12,216.00 nat. median
$3,820
outlier · 3.2×
37244
CPT 		Vasc Embolize/occlude Bleed 11 $4,947.20 $27,200.00 $11,576.83 nat. median
$12,394
0.9× median
Q4100
HCPCS 		Cortiva 1mm Allograft Dermis 16 X 20cm 8 $2,396.30 $42,330.00 $10,737.12 nat. median
$2,016
outlier · 5.3×
43280
CPT 		Laps Esophagogastric Fundoplasty 11 $5,872.48 $32,287.25 $10,659.90 nat. median
$10,126
1.1× median
43282
CPT 		Laps Rpr Paraesoph Her Rpr W/mesh 11 $5,623.58 $30,918.75 $10,659.90 nat. median
$10,342
1.0× median
49592
CPT 		Rpr Aa Hrn 1st < 3 Ncr/strn 11 $3,246.60 $17,850.00 $9,622.80 nat. median
$5,879
1.6× median
49614
CPT 		Rpr Aa Hrn Rcr < 3 Ncr/strn 11 $3,223.41 $17,722.50 $9,580.42 nat. median
$5,973
1.6× median
49594
CPT 		Rpr Aa Hrn 1st 3-10 Ncr/strn 11 $3,223.41 $17,722.50 $9,580.42 nat. median
$5,994
1.6× median
J2993
HCPCS 		Retavase (reteplase) 20 Units Kit 6 $2,275.71 $12,512.00 $8,832.00 nat. median
$3,460
outlier · 2.6×
33210
CPT 		Insert Electrd/pm Cath Sngl 11 $3,749.05 $20,612.50 $8,522.74 nat. median
$8,289
1.0× median
33211
CPT 		Insert Card Electrodes Dual 11 $3,749.05 $20,612.50 $8,522.74 nat. median
$8,240
1.0× median
19325
CPT 		Breast Augmentation W/implt 11 $5,449.65 $29,962.50 $8,464.92 nat. median
$8,839
1.0× median
19342
CPT 		Insj/rplcmt Brst Implt Sepd 11 $5,800.59 $31,892.00 $8,464.92 nat. median
$8,719
1.0× median
19340
CPT 		Insj Breast Implt Sm D Mast 11 $3,861.91 $21,233.00 $8,196.50 nat. median
$6,660
1.2× median
49593
CPT 		Rpr Aa Hrn 1st 3-10 Rdc 11 $2,241.70 $12,325.00 $8,047.98 nat. median
$5,968
1.3× median
49595
CPT 		Repair Umbilical Hernia 11 $2,240.15 $12,316.50 $8,045.16 nat. median
$6,074
1.3× median
33300
CPT 		Repair Of Heart Wound 8 $3,749.05 $20,612.50 $7,664.23 nat. median
$4,112
1.9× median
J1950
HCPCS 		Lupron Depot (leuprolide 3m) Inj: 22.5mg 6 $1,769.06 $10,931.00 $7,503.91 nat. median
$3,902
1.9× median
27792
CPT 		Treatment Of Ankle Fracture 11 $4,075.26 $22,406.00 $7,415.63 nat. median
$6,930
1.1× median
27814
CPT 		Treatment Of Ankle Fracture 11 $4,251.50 $23,375.00 $7,415.63 nat. median
$7,144
1.0× median
25608
CPT 		Optx Dst Rd Xart Fx/epi Sep2 11 $4,406.10 $24,225.00 $7,415.63 nat. median
$7,110
1.0× median
27829
CPT 		Treat Lower Leg Joint 11 $4,075.26 $22,406.00 $7,415.63 nat. median
$6,816
1.1× median
25320
CPT 		Repair/revise Wrist Joint 11 $4,089.17 $22,482.50 $7,415.63 nat. median
$6,954
1.1× median
11970
CPT 		Replcmt Tiss Xpndr Perm Imp 11 $4,074.48 $22,401.75 $7,415.63 nat. median
$7,106
1.0× median
29828
CPT 		Sho Arthrs Srg Bicp Tenodsis 11 $3,105.14 $17,072.25 $7,415.63 nat. median
$7,130
1.0× median
29806
CPT 		Sho Arthrs Srg Capsulorpaphy 11 $4,419.24 $24,297.25 $7,415.63 nat. median
$7,171
1.0× median
24341
CPT 		Rpr Tdn/musc Upr A/e Each 11 $4,096.90 $22,525.00 $7,415.63 nat. median
$7,021
1.1× median
25263
CPT 		Repair Forearm Tendon/muscle Sec 1 Ea Td 11 $2,985.00 $22,489.74 $7,276.73 nat. median
$5,890
1.2× median
44955
CPT 		Appendectomy Add-on 8 $1,932.50 $10,625.00 $7,062.50 nat. median
$929
outlier · 7.6×
19318
CPT 		Breast Mammaplasty 11 $3,682.57 $20,247.00 $6,658.95 nat. median
$6,908
1.0× median
19307
CPT 		Mast Mod Rad 11 $3,653.20 $20,085.50 $6,658.95 nat. median
$6,798
1.0× median
19303
CPT 		Mastectomy Simple Complete 11 $3,861.91 $21,233.00 $6,658.95 nat. median
$6,262
1.1× median
19380
CPT 		Revision Reconstructed Breast 11 $3,682.57 $20,247.00 $6,658.95 nat. median
$6,713
1.0× median
19302
CPT 		Mastectomy Partial W/ln Removal 11 $3,852.63 $21,182.00 $6,658.95 nat. median
$6,521
1.0× median
19316
CPT 		Mastopexy 11 $3,539.57 $19,460.75 $6,658.95 nat. median
$6,532
1.0× median
44950
CPT 		Appendectomy 11 $2,070.09 $11,381.50 $6,492.13 nat. median
$5,991
1.1× median
49521
CPT 		Rerepair Ing Hernia Blocked 11 $2,191.46 $12,048.75 $6,492.13 nat. median
$5,928
1.1× median
49591
CPT 		Rpr Aa Hrn 1st < 3 Cm Rdc 11 $2,191.46 $12,048.75 $6,189.98 nat. median
$3,848
1.6× median
45389
CPT 		Colonoscopy W Stent Placement 11 $2,508.39 $13,791.25 $6,088.07 nat. median
$5,590
1.1× median
43266
CPT 		Egd Endoscopic Stent Placement 11 $2,686.18 $14,768.75 $6,088.07 nat. median
$5,940
1.0× median
43274
CPT 		Ercp Duct Stent Placement 11 $2,508.39 $13,791.25 $6,088.07 nat. median
$6,022
1.0× median
43276
CPT 		Ercp Stent Exchange W/dilate 11 $2,508.39 $13,791.25 $6,088.07 nat. median
$6,055
1.0× median
44970
CPT 		Laparoscopy Appendectomy 11 $3,483.91 $19,154.75 $6,062.63 nat. median
$6,043
1.0× median
49329
CPT 		Unlisted Laparoscopy Abd Perit Oment 11 $3,528.75 $19,401.25 $6,062.63 nat. median
$6,394
0.9× median
44238
CPT 		Laparoscope Proc Intestine 11 $3,292.98 $18,105.00 $6,062.63 nat. median
$6,514
0.9× median
47562
CPT 		Laparoscopy Cholecystecomy 11 $3,882.01 $21,343.50 $6,062.63 nat. median
$5,993
1.0× median
47563
CPT 		Lap; Cholecystecomy W Cholangiogr 11 $3,384.19 $18,606.50 $6,062.63 nat. median
$6,020
1.0× median
49320
CPT 		Lap; Dx Abdomen Perritoneum Omentum 11 $3,483.91 $19,154.75 $6,062.63 nat. median
$5,645
1.1× median
49322
CPT 		Lap; Abd Perit Omentum W Asp Cyst 11 $3,483.91 $19,154.75 $6,062.63 nat. median
$5,636
1.1× median

Other procedures at this hospital

Browse this hospital's 1,974 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
19357 CPT Tiss Xpndr Brst Recnstj 12 11 $67,405.00 — $6,598.00 $57,294.25 $13,819.93 2026-03-26
J3101 HCPCS Tnkase IV (tenecteplase) Inj 50mg 7 6 $20,360.00 — $3,147.66 $17,306.00 $12,216.00 2026-03-26
37244 CPT Vasc Embolize/occlude Bleed 12 11 $32,000.00 — $4,947.20 $27,200.00 $11,576.83 2026-03-26
Q4100 HCPCS Cortiva 1mm Allograft Dermis 16 X 20cm 54 8 $24,567.50 — $2,396.30 $42,330.00 $10,737.12 2026-03-26
43282 CPT Laps Rpr Paraesoph Her Rpr W/mesh 12 11 $36,375.00 — $5,623.58 $30,918.75 $10,659.90 2026-03-26
43280 CPT Laps Esophagogastric Fundoplasty 12 11 $37,985.00 — $5,872.48 $32,287.25 $10,659.90 2026-03-26
49592 CPT Rpr Aa Hrn 1st < 3 Ncr/strn 12 11 $21,000.00 — $3,246.60 $17,850.00 $9,622.80 2026-03-26
49614 CPT Rpr Aa Hrn Rcr < 3 Ncr/strn 12 11 $20,850.00 — $3,223.41 $17,722.50 $9,580.42 2026-03-26
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/strn 12 11 $20,850.00 — $3,223.41 $17,722.50 $9,580.42 2026-03-26
J2993 HCPCS Retavase (reteplase) 20 Units Kit 7 6 $14,720.00 — $2,275.71 $12,512.00 $8,832.00 2026-03-26
33211 CPT Insert Card Electrodes Dual 12 11 $24,250.00 — $3,749.05 $20,612.50 $8,522.74 2026-03-26
33210 CPT Insert Electrd/pm Cath Sngl 12 11 $24,250.00 — $3,749.05 $20,612.50 $8,522.74 2026-03-26
19325 CPT Breast Augmentation W/implt 12 11 $35,250.00 — $5,449.65 $29,962.50 $8,464.92 2026-03-26
19342 CPT Insj/rplcmt Brst Implt Sepd 12 11 $37,520.00 — $5,800.59 $31,892.00 $8,464.92 2026-03-26
19340 CPT Insj Breast Implt Sm D Mast 12 11 $24,980.00 — $3,861.91 $21,233.00 $8,196.50 2026-03-26
49593 CPT Rpr Aa Hrn 1st 3-10 Rdc 12 11 $14,500.00 — $2,241.70 $12,325.00 $8,047.98 2026-03-26
49595 CPT Repair Umbilical Hernia 12 11 $14,490.00 — $2,240.15 $12,316.50 $8,045.16 2026-03-26
33300 CPT Repair Of Heart Wound 9 8 $24,250.00 — $3,749.05 $20,612.50 $7,664.23 2026-03-26
J1950 HCPCS Lupron Depot (leuprolide 3m) Inj: 22.5mg 12 6 $11,225.00 — $1,769.06 $10,931.00 $7,503.91 2026-03-26
27829 CPT Treat Lower Leg Joint 12 11 $26,360.00 — $4,075.26 $22,406.00 $7,415.63 2026-03-26
29828 CPT Sho Arthrs Srg Bicp Tenodsis 12 11 $20,085.00 — $3,105.14 $17,072.25 $7,415.63 2026-03-26
24341 CPT Rpr Tdn/musc Upr A/e Each 12 11 $26,500.00 — $4,096.90 $22,525.00 $7,415.63 2026-03-26
25320 CPT Repair/revise Wrist Joint 12 11 $26,450.00 — $4,089.17 $22,482.50 $7,415.63 2026-03-26
11970 CPT Replcmt Tiss Xpndr Perm Imp 12 11 $26,355.00 — $4,074.48 $22,401.75 $7,415.63 2026-03-26
29806 CPT Sho Arthrs Srg Capsulorpaphy 12 11 $28,585.00 — $4,419.24 $24,297.25 $7,415.63 2026-03-26
25608 CPT Optx Dst Rd Xart Fx/epi Sep2 12 11 $28,500.00 — $4,406.10 $24,225.00 $7,415.63 2026-03-26
27792 CPT Treatment Of Ankle Fracture 12 11 $26,360.00 — $4,075.26 $22,406.00 $7,415.63 2026-03-26
27814 CPT Treatment Of Ankle Fracture 12 11 $27,500.00 — $4,251.50 $23,375.00 $7,415.63 2026-03-26
25263 CPT Repair Forearm Tendon/muscle Sec 1 Ea Td 12 11 $26,458.52 — $2,985.00 $22,489.74 $7,276.73 2026-03-26
44955 CPT Appendectomy Add-on 9 8 $12,500.00 — $1,932.50 $10,625.00 $7,062.50 2026-03-26
19303 CPT Mastectomy Simple Complete 12 11 $24,980.00 — $3,861.91 $21,233.00 $6,658.95 2026-03-26
19380 CPT Revision Reconstructed Breast 12 11 $23,820.00 — $3,682.57 $20,247.00 $6,658.95 2026-03-26
19316 CPT Mastopexy 12 11 $22,895.00 — $3,539.57 $19,460.75 $6,658.95 2026-03-26
19302 CPT Mastectomy Partial W/ln Removal 12 11 $24,920.00 — $3,852.63 $21,182.00 $6,658.95 2026-03-26
19318 CPT Breast Mammaplasty 12 11 $23,820.00 — $3,682.57 $20,247.00 $6,658.95 2026-03-26
19307 CPT Mast Mod Rad 12 11 $23,630.00 — $3,653.20 $20,085.50 $6,658.95 2026-03-26
49521 CPT Rerepair Ing Hernia Blocked 12 11 $14,175.00 — $2,191.46 $12,048.75 $6,492.13 2026-03-26
44950 CPT Appendectomy 12 11 $13,390.00 — $2,070.09 $11,381.50 $6,492.13 2026-03-26
49591 CPT Rpr Aa Hrn 1st < 3 Cm Rdc 12 11 $14,175.00 — $2,191.46 $12,048.75 $6,189.98 2026-03-26
45389 CPT Colonoscopy W Stent Placement 12 11 $16,225.00 — $2,508.39 $13,791.25 $6,088.07 2026-03-26
43266 CPT Egd Endoscopic Stent Placement 12 11 $17,375.00 — $2,686.18 $14,768.75 $6,088.07 2026-03-26
43274 CPT Ercp Duct Stent Placement 12 11 $16,225.00 — $2,508.39 $13,791.25 $6,088.07 2026-03-26
43276 CPT Ercp Stent Exchange W/dilate 12 11 $16,225.00 — $2,508.39 $13,791.25 $6,088.07 2026-03-26
47562 CPT Laparoscopy Cholecystecomy 12 11 $25,110.00 — $3,882.01 $21,343.50 $6,062.63 2026-03-26
58662 CPT Lap W Exc/destr Ovary Pelvic V Lesions 12 11 $20,600.00 — $3,184.76 $17,510.00 $6,062.63 2026-03-26
58661 CPT Laparoscopy Remove Adnexa 12 11 $18,025.00 — $2,786.67 $15,321.25 $6,062.63 2026-03-26
49650 CPT Lap Ing Hernia Repair Init 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
60220 CPT Total Thyroid Lobectomy Unilateral 12 11 $22,860.00 — $3,534.16 $19,431.00 $6,062.63 2026-03-26
49329 CPT Unlisted Laparoscopy Abd Perit Oment 12 11 $22,825.00 — $3,528.75 $19,401.25 $6,062.63 2026-03-26
38745 CPT Remove Armpit Lymph Nodes 12 11 $21,890.00 — $3,384.19 $18,606.50 $6,062.63 2026-03-26
44238 CPT Laparoscope Proc Intestine 12 11 $21,300.00 — $3,292.98 $18,105.00 $6,062.63 2026-03-26
47563 CPT Lap; Cholecystecomy W Cholangiogr 12 11 $21,890.00 — $3,384.19 $18,606.50 $6,062.63 2026-03-26
44180 CPT Lap Enterolysis 12 11 $20,600.00 — $3,184.76 $17,510.00 $6,062.63 2026-03-26
49651 CPT Lap Ing Hernia Repair Recur 12 11 $21,830.00 — $3,374.92 $18,555.50 $6,062.63 2026-03-26
49322 CPT Lap; Abd Perit Omentum W Asp Cyst 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
60212 CPT Partial Thyroid Excision 12 11 $19,055.00 — $2,945.90 $16,196.75 $6,062.63 2026-03-26
58660 CPT Laparoscopy; W Lysis Of Adhesions 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
60240 CPT Thyroidectomy Total 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
60225 CPT Total Thyroidlobectomy; W Csl 12 11 $22,860.00 — $3,534.16 $19,431.00 $6,062.63 2026-03-26
60210 CPT Partial Thyroid Excision 12 11 $18,540.00 — $2,866.28 $15,759.00 $6,062.63 2026-03-26
49320 CPT Lap; Dx Abdomen Perritoneum Omentum 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
44970 CPT Laparoscopy Appendectomy 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
43289 CPT Unlisted Laparoscopy Esophagus 12 11 $22,535.00 — $3,483.91 $19,154.75 $6,062.63 2026-03-26
60260 CPT Thyroidectomy Rmvl Rem Tiss Flwg Prtl Rm 12 11 $21,500.00 — $3,323.90 $18,275.00 $5,936.56 2026-03-26
42415 CPT Exc Parotid Gland/lesion 12 11 $21,375.00 — $3,304.58 $18,168.75 $5,936.56 2026-03-26
21046 CPT Remove Mandible Cyst Complex 12 11 $21,500.00 — $3,323.90 $18,275.00 $5,936.56 2026-03-26
42410 CPT Excise Parotid Gland Lesion 12 11 $21,400.00 — $3,308.44 $18,190.00 $5,936.56 2026-03-26
60500 CPT Explore Parathyroid Glands 12 11 $21,375.00 — $3,304.58 $18,168.75 $5,936.56 2026-03-26
42440 CPT Excision Of Submandibulargland 12 11 $23,820.00 — $3,682.57 $20,247.00 $5,936.56 2026-03-26
60252 CPT Removal Of Thyroid 12 11 $21,375.00 — $3,304.58 $18,168.75 $5,936.56 2026-03-26
49613 CPT Rpr Aa Hrn Rcr < 3 Rdc 12 11 $13,200.00 — $2,040.72 $11,220.00 $5,914.54 2026-03-26
43273 CPT Endoscopic Pancreatoscopy 9 8 $10,145.00 — $1,568.42 $8,623.25 $5,731.93 2026-03-26
32160 CPT Open Chest Heart Massage 9 8 $9,675.00 — $1,495.76 $8,223.75 $5,494.02 2026-03-26
19305 CPT Mast Radical 9 8 $13,845.00 — $2,140.44 $11,768.25 $5,494.02 2026-03-26
44207 CPT L Colectomy/colproctostomy 9 8 $25,750.00 — $3,980.95 $21,887.50 $5,058.33 2026-03-26
44208 CPT L Colectomy/colectmy Prtl W Colostomy 9 8 $22,535.00 — $3,483.91 $19,154.75 $5,058.33 2026-03-26
44205 CPT Lap P Colectomy W Rem Ilevm 9 8 $22,535.00 — $3,483.91 $19,154.75 $5,058.33 2026-03-26
44204 CPT Lap Partial Colectomy 9 8 $12,875.00 — $1,990.48 $10,943.75 $5,058.33 2026-03-26
44213 CPT Laps Mobil Splenic Fl Addon 9 8 $8,370.00 — $1,294.00 $7,114.50 $5,022.00 2026-03-26
58353 CPT Endometr Ablate Thermal 12 11 $19,000.00 — $2,937.40 $16,150.00 $5,016.60 2026-03-26
50590 CPT Lithotripsy 12 11 $26,210.00 — $2,985.00 $22,278.50 $4,132.01 2026-03-26
49505 CPT Prp Ist Igun Hrna 5+ 19 11 $14,490.00 — $2,164.40 $12,316.50 $4,058.86 2026-03-26
19328 CPT Removal Intact Breast Implant 12 11 $13,845.00 — $2,140.44 $11,768.25 $3,957.46 2026-03-26
38525 CPT Open Bx/exc Axillary Node 12 11 $13,845.00 — $2,140.44 $11,768.25 $3,957.46 2026-03-26
38530 CPT Biopsy/removal Lymph Nodes 12 11 $14,225.00 — $2,199.19 $12,091.25 $3,957.46 2026-03-26
38531 CPT Open Bx/exc Inguinofem Nodes 12 11 $14,500.00 — $2,241.70 $12,325.00 $3,957.46 2026-03-26
19120 CPT Removal Of Breast Lesion 1+ 12 11 $13,845.00 — $2,140.44 $11,768.25 $3,957.46 2026-03-26
38500 CPT Open Bx Or Exc Ln; Superficial 12 11 $14,230.00 — $2,199.96 $12,095.50 $3,957.46 2026-03-26
19371 CPT Periprosth Capsulect Breast 12 11 $13,845.00 — $2,140.44 $11,768.25 $3,957.46 2026-03-26
19370 CPT Revj Peri-implt Capsule Brst 12 11 $16,000.00 — $2,473.60 $13,600.00 $3,957.46 2026-03-26
19350 CPT Breast Reconstruction 12 11 $13,750.00 — $2,125.75 $11,687.50 $3,957.46 2026-03-26
19330 CPT Rmvl Ruptured Breast Implant 12 11 $12,900.00 — $1,994.34 $10,965.00 $3,957.46 2026-03-26
19301 CPT Partial Mastectomy 12 11 $13,845.00 — $2,140.44 $11,768.25 $3,957.46 2026-03-26
19300 CPT Removal Of Breast Tissue 12 11 $10,815.00 — $1,672.00 $9,192.75 $3,957.46 2026-03-26
19125 CPT Exc Breastles By N Loc; Sgl 12 11 $11,305.00 — $1,747.75 $9,609.25 $3,957.46 2026-03-26
19110 CPT Nipple Exploration 12 11 $11,305.00 — $1,747.75 $9,609.25 $3,957.46 2026-03-26
19101 CPT Biopsy Breast Open Incisional 12 11 $14,230.00 — $2,199.96 $12,095.50 $3,957.46 2026-03-26
38510 CPT Biopsy/removal Lymph Nodes 12 11 $13,750.00 — $2,125.75 $11,687.50 $3,957.46 2026-03-26
19499 CPT Breast Surgery Procedure 12 11 $13,290.00 — $1,922.00 $11,296.50 $3,926.52 2026-03-26
44602 CPT Suture Small Intestine 12 11 $10,000.00 — $1,546.00 $8,500.00 $3,923.47 2026-03-26
43229 CPT Esophagoscopy Lesion Ablate 12 11 $10,655.00 — $1,647.26 $9,056.75 $3,923.47 2026-03-26
43261 CPT Ercp W Bx Single/multible 12 11 $10,145.00 — $1,568.42 $8,623.25 $3,923.47 2026-03-26
43277 CPT Ercp Ea Duct/ampulla Dilate 12 11 $10,485.00 — $1,620.98 $8,912.25 $3,923.47 2026-03-26
43262 CPT Ercp W Sphincter Papillotomy 12 11 $10,485.00 — $1,620.98 $8,912.25 $3,923.47 2026-03-26
43264 CPT Ercp Remove Duct Calculi 12 11 $10,485.00 — $1,620.98 $8,912.25 $3,923.47 2026-03-26
43260 CPT Ercp W/specimen Collection 12 11 $11,165.00 — $1,726.11 $9,490.25 $3,923.47 2026-03-26
44188 CPT Lap Colostomy 9 8 $6,000.00 — $927.60 $5,100.00 $3,900.00 2026-03-26
49520 CPT Rerepair Ing Hernia Reduce 12 11 $14,175.00 — $2,191.46 $12,048.75 $3,767.56 2026-03-26
55041 CPT Excise Hydrocele; Bilateral 12 11 $11,590.00 — $1,791.81 $9,851.50 $3,767.56 2026-03-26
49507 CPT Prp I/hern Init Block>5 Yr 12 11 $13,225.00 — $2,044.59 $11,241.25 $3,767.56 2026-03-26
49553 CPT Rep Init Fem Hernia Reducable; Incarce 12 11 $14,370.00 — $2,221.60 $12,214.50 $3,767.56 2026-03-26
55040 CPT Removal Of Hydrocele 12 11 $13,185.00 — $2,038.40 $11,207.25 $3,767.56 2026-03-26
14301 CPT Tis Trnfr Any 30-60 Sq Cm 12 11 $14,935.00 — $2,308.95 $12,694.75 $3,746.76 2026-03-26
15771 CPT Grfg Auto L Fat Lipo 50 Cc/< 12 11 $14,820.00 — $2,291.17 $12,597.00 $3,746.76 2026-03-26
15877 CPT Suction Lipectomy Trunk 12 11 $14,935.00 — $2,308.95 $12,694.75 $3,746.76 2026-03-26
15734 CPT Muscle Flap Trunk 12 11 $13,520.00 — $2,090.19 $11,492.00 $3,746.76 2026-03-26
15120 CPT Skin Split A-grft 12 11 $14,935.00 — $2,308.95 $12,694.75 $3,746.76 2026-03-26
15738 CPT Muscle-skin Graft Leg 12 11 $13,025.00 — $2,013.67 $11,071.25 $3,746.76 2026-03-26
29883 CPT Arthrosc Knee; W Men Repair-med/lat 12 11 $22,170.00 — $2,853.26 $18,844.50 $3,602.72 2026-03-26
29880 CPT Knee Arthroscopy/surgery 12 11 $21,245.00 — $2,853.26 $18,058.25 $3,592.74 2026-03-26
29823 CPT Sho Arthrs Srg Xtinsv Drbdmt 12 11 $13,500.00 — $2,087.10 $11,475.00 $3,592.74 2026-03-26
29824 CPT Sho Arthrs Srg Dstl Claviclc 12 11 $17,770.00 — $2,747.24 $15,104.50 $3,592.74 2026-03-26
24120 CPT Exc/crtg B1 Cst/b9 Tum Rds 12 11 $12,500.00 — $1,932.50 $10,625.00 $3,592.74 2026-03-26
24105 CPT Excision Olecranon Bursa 12 11 $12,000.00 — $1,855.20 $10,200.00 $3,592.74 2026-03-26
25272 CPT Repair Forearm Tendon/muscle 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,592.74 2026-03-26
29822 CPT Sho Arthr Srg Lmtd Drbdmt 12 11 $15,710.00 — $2,428.77 $13,353.50 $3,592.74 2026-03-26
29825 CPT Sho Arthrs Srg Lss Rescj Ads 12 11 $18,390.00 — $2,843.09 $15,631.50 $3,592.74 2026-03-26
26608 CPT Treat Metacarpal Fracture 12 11 $13,000.00 — $2,009.80 $11,050.00 $3,592.74 2026-03-26
28285 CPT Hammertoe Op One Toe 12 11 $13,200.00 — $2,040.72 $11,220.00 $3,592.74 2026-03-26
23120 CPT Partial Removal Collar Bone 12 11 $12,500.00 — $1,932.50 $10,625.00 $3,592.74 2026-03-26
29875 CPT Knee Arthroscopy/surgery 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,592.74 2026-03-26
28288 CPT Partial Removal Of Foot Bone 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,592.74 2026-03-26
28124 CPT Partial Exc Phalanx Toe Bone 12 11 $17,065.00 — $2,638.25 $14,505.25 $3,592.74 2026-03-26
28820 CPT Amputation Of Toe 12 11 $12,500.00 — $1,932.50 $10,625.00 $3,592.74 2026-03-26
26990 CPT Drainage Of Pelvis Lesion 12 11 $13,000.00 — $2,009.80 $11,050.00 $3,592.74 2026-03-26
27884 CPT Amputation Follow-up Surgery 12 11 $12,500.00 — $1,932.50 $10,625.00 $3,592.74 2026-03-26
28122 CPT Partial Removal Of Foot Bone 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,592.74 2026-03-26
28825 CPT Partial Amputation Of Toe 12 11 $13,000.00 — $2,009.80 $11,050.00 $3,592.74 2026-03-26
28120 CPT Part Remval Of Ankle/heel 12 11 $7,500.00 — $1,159.50 $6,375.00 $3,592.74 2026-03-26
28008 CPT Incise Foot/toe Fascia 12 11 $17,065.00 — $2,638.25 $14,505.25 $3,592.74 2026-03-26
28810 CPT Amputation Toe & Metatarsal 12 11 $12,400.00 — $1,917.04 $10,540.00 $3,592.74 2026-03-26
28805 CPT Amputation Thru Metatarsal 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,592.74 2026-03-26
27087 CPT Remove Hip Foreign Body 12 11 $9,250.00 — $1,430.05 $7,862.50 $3,592.74 2026-03-26
28289 CPT Corrj Halux Rigdus Without Impct 12 11 $11,495.00 — $1,777.13 $9,770.75 $3,592.74 2026-03-26
28292 CPT Correction Hallux Valgus 12 11 $17,065.00 — $2,638.25 $14,505.25 $3,592.74 2026-03-26
26370 CPT Rpr/advmnt Tdn W/ntc Supfcis Tdn Prim Ea 12 11 $12,975.00 — $2,005.94 $11,028.75 $3,592.74 2026-03-26
26356 CPT Repair Finger/hand Tendon 12 11 $12,975.00 — $2,005.94 $11,028.75 $3,592.74 2026-03-26
26123 CPT Release Palm Contracture 12 11 $12,105.00 — $1,871.43 $10,289.25 $3,592.74 2026-03-26
29882 CPT Knee Arthroscopy/surgery 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,592.74 2026-03-26
29881 CPT Knee Arthroscopy Surgery 12 11 $21,245.00 — $2,853.26 $18,058.25 $3,592.74 2026-03-26
44960 CPT Appy; For Rupt Appendix W Peritonitis 9 8 $22,535.00 — $2,985.00 $19,154.75 $3,553.77 2026-03-26
13160 CPT Sec Clsr Surg Wnd/dehsn Xtn 12 11 $7,000.00 — $1,082.20 $5,950.00 $3,553.74 2026-03-26
55520 CPT Removal Of Sperm Lesion 12 11 $12,875.00 — $1,990.48 $10,943.75 $3,534.94 2026-03-26
36582 CPT Replace Tunneled Cv Cath 12 11 $12,105.00 — $1,871.43 $10,289.25 $3,527.84 2026-03-26
36558 CPT Insert Tunneled Cv Cath 12 11 $12,050.00 — $1,862.93 $10,242.50 $3,527.84 2026-03-26
36571 CPT Insert Picvad Cath 12 11 $7,675.00 — $1,186.56 $6,523.75 $3,527.84 2026-03-26
44146 CPT Partial Removal Of Colon 9 8 $15,000.00 — $2,319.00 $12,750.00 $3,476.25 2026-03-26
44005 CPT Freeing Of Bowel Adhesion 9 8 $12,875.00 — $1,990.48 $10,943.75 $3,476.25 2026-03-26
49020 CPT Drainage Abdom Abscess Open 9 8 $12,500.00 — $1,932.50 $10,625.00 $3,476.25 2026-03-26
44160 CPT Removal Of Colon 9 8 $15,000.00 — $2,319.00 $12,750.00 $3,476.25 2026-03-26
44120 CPT Removal Of Small Intestine 9 8 $10,000.00 — $1,546.00 $8,500.00 $3,476.25 2026-03-26
44140 CPT Partial Removal Of Colon 9 8 $19,055.00 — $2,945.90 $16,196.75 $3,476.25 2026-03-26
44139 CPT Mobilization Of Colon 9 8 $12,875.00 — $1,990.48 $10,943.75 $3,476.25 2026-03-26
44143 CPT Colectomy Partial W/end Colostomy Clsr 9 8 $9,660.00 — $1,493.44 $8,211.00 $3,476.25 2026-03-26
25073 CPT Exc Forearm Tum Deep 3 Cm/> 12 11 $11,500.00 — $1,777.90 $9,775.00 $3,384.56 2026-03-26
11626 CPT Exc S/n/h/f/g Mal+mrg>4cm 12 11 $10,500.00 — $1,623.30 $8,925.00 $3,384.56 2026-03-26
22900 CPT Exc Abdl Tum Ddep < 5cm 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
24201 CPT Rmvl Fb Upper Arm/elbw Deep 12 11 $8,125.00 — $1,256.13 $6,906.25 $3,384.56 2026-03-26
24073 CPT Ex Arm/elbow Tum Deep 5 Cm/> 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
24071 CPT Exc Arm/elbow Les Sc 3 Cm/> 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
11471 CPT Removal Of Sweat Gland Lession 12 11 $9,980.00 — $1,542.91 $8,483.00 $3,384.56 2026-03-26
11470 CPT Exc Skn H/p/p/p/u Smpl/ntrm 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
23073 CPT Exc Shoulder Tum Ddep 5 Cm/> 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
11463 CPT Exc Skn Hdrdnt Ing Complex 12 11 $11,500.00 — $1,777.90 $9,775.00 $3,384.56 2026-03-26
22903 CPT Exc Abd Les Sc 3 Cm > 12 11 $10,045.00 — $1,552.96 $8,538.25 $3,384.56 2026-03-26
11462 CPT Excision Hidradenitis Inguinal Smpl/intr 12 11 $10,625.00 — $1,642.63 $9,031.25 $3,384.56 2026-03-26
22901 CPT Exc Abdl Tum Ddep 5cm/> 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
21936 CPT Resect Back Tum 5 Cm/> 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
21933 CPT Exc Back Tum Deep 5 Cm/> 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
21932 CPT Exc Back Tum Deep <5 Cm 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
11450 CPT Exc Skn Hdrdnt Ax Smpl/ntrm 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
21556 CPT Exc Neck Tum Deep < 5 Cm 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
11446 CPT Exc Face-mm B9 + Marg > 4 Cm 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
21554 CPT Exc Neck Tum Deep 5 Cm/> 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
21552 CPT Exc Neck Les Sc 3 Cm/> 12 11 $10,625.00 — $1,642.63 $9,031.25 $3,384.56 2026-03-26
21014 CPT Exc Face Tum Deep 2 Cm/> 12 11 $11,500.00 — $1,777.90 $9,775.00 $3,384.56 2026-03-26
23076 CPT Exc Shoulder Tum Ddep < 5 Cm 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
21558 CPT Resect Neck Tumor 5cm/> 12 11 $10,465.00 — $1,617.89 $8,895.25 $3,384.56 2026-03-26
11426 CPT Exc H-f-nk-sp B9+marg>4cm 12 11 $10,500.00 — $1,623.30 $8,925.00 $3,384.56 2026-03-26
28041 CPT Exc Foot/toe Tum Dep 1.5cm/> 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
27328 CPT Exc Thigh/knee Tum Deep < 5cm 12 11 $11,500.00 — $1,777.90 $9,775.00 $3,384.56 2026-03-26
27047 CPT Exc Hip/pelvis Les Sc< 3 Cm 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
27043 CPT Exc Hip Pelvis Les Sc 3 Cm/> 12 11 $10,500.00 — $1,623.30 $8,925.00 $3,384.56 2026-03-26
27337 CPT Exc Thigh/knee Les Sc 3 Cm/> 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
11772 CPT Remove Pilonidal Cyst Compl 12 11 $9,250.00 — $1,430.05 $7,862.50 $3,384.56 2026-03-26
11771 CPT Remove Pilonidal Cyst Exten 12 11 $10,850.00 — $1,677.41 $9,222.50 $3,384.56 2026-03-26
11770 CPT Remove Pilonidal Cyst Simple 12 11 $10,350.00 — $1,600.11 $8,797.50 $3,384.56 2026-03-26
57107 CPT Remove Vagina Tissue Part 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,323.72 2026-03-26
59409 CPT Obstetrical Care 12 11 $9,000.00 — $1,391.40 $7,650.00 $3,323.72 2026-03-26
56620 CPT Partial Removal Of Vulva 12 11 $11,925.00 — $1,843.61 $10,136.25 $3,323.72 2026-03-26
57200 CPT Colporrhaphy 12 11 $7,250.00 — $1,120.85 $6,162.50 $3,323.72 2026-03-26
59414 CPT Deliver Placenta 12 11 $9,000.00 — $1,391.40 $7,650.00 $3,323.72 2026-03-26
73725 CPT MRA Lower Ext Without Contrast 14 6 $5,750.00 — $811.65 $5,312.50 $3,281.25 2026-03-26
33020 CPT Incision Of Heart Sac 9 8 $5,000.00 — $773.00 $5,494.02 $3,250.00 2026-03-26
21337 CPT Cl Tx Nasal Septal Fx 12 11 $5,540.00 — $856.48 $4,709.00 $3,150.86 2026-03-26
71555 CPT MRA Chest 7 6 $5,250.00 — $811.65 $4,462.50 $3,150.00 2026-03-26
74185 CPT MRA Abdomen 7 6 $5,250.00 — $811.65 $4,462.50 $3,150.00 2026-03-26
23333 CPT Remove Shoulder Fb Deep 12 11 $8,125.00 — $1,256.13 $6,906.25 $3,135.30 2026-03-26
11047 CPT Dbrdmt Bone Each Addl 9 8 $5,527.49 — $854.55 $4,698.37 $3,123.03 2026-03-26
46945 CPT Int Hrhc Lig 1 Hroid Without Img 12 11 $11,500.00 — $1,777.90 $9,775.00 $3,062.15 2026-03-26
46060 CPT Incision Of Rectal Abscess 12 11 $10,800.00 — $1,669.68 $9,180.00 $3,062.15 2026-03-26
46255 CPT Remove Int/ext Hem 1 Group 12 11 $10,580.00 — $1,635.67 $8,993.00 $3,062.15 2026-03-26
46200 CPT Removal Of Anal Fissure 12 11 $11,000.00 — $1,700.60 $9,350.00 $3,062.15 2026-03-26
46922 CPT Destroy Anal Lesion Simple 12 11 $9,805.00 — $1,515.85 $8,334.25 $3,062.15 2026-03-26
46946 CPT Int Hrhc Lig 2 Hroid Without Img 12 11 $11,035.00 — $1,706.01 $9,379.75 $3,062.15 2026-03-26
46250 CPT Remove Ext Hem Groups 2+ 12 11 $9,985.00 — $1,543.68 $8,487.25 $3,062.15 2026-03-26
45390 CPT Colonoscopy W/resection 12 11 $11,015.00 — $1,702.92 $9,362.75 $3,062.15 2026-03-26
45100 CPT Biopsy Of Anorectal Wall Anal Approach 12 11 $9,805.00 — $1,515.85 $8,334.25 $3,062.15 2026-03-26
46045 CPT Incision Of Rectal Abscess 12 11 $10,275.00 — $1,588.52 $8,733.75 $3,062.15 2026-03-26
45990 CPT Surg Dx Exam Anorectal 12 11 $10,275.00 — $1,588.52 $8,733.75 $3,062.15 2026-03-26
46947 CPT Hemorrhoidopexy By Stapling 12 11 $10,580.00 — $1,635.67 $8,993.00 $3,062.15 2026-03-26
46260 CPT Hemorrhoidectomy Int Xtrnl 12 11 $9,530.00 — $1,473.34 $8,100.50 $3,062.15 2026-03-26
45171 CPT Exc Rect Tum Transanal Part 12 11 $10,275.00 — $1,588.52 $8,733.75 $3,062.15 2026-03-26
64831 CPT Repair Of Digit Nerve 12 11 $7,800.00 — $1,205.88 $6,630.00 $3,043.48 2026-03-26
67715 CPT Canthotomy Separate Procedure 12 11 $7,955.00 — $1,229.84 $6,761.75 $2,798.85 2026-03-26
C9728 HCPCS Marker Breast Biozorb Lp 2cmx2cmx1cm 26 11 $5,385.00 — $803.92 $6,460.00 $2,774.86 2026-03-26
C1776 HCPCS Implant Hammertoe Kit 18 8 $5,650.00 — $675.60 $5,890.50 $2,731.25 2026-03-26
77012 CPT CT Needle Biopsy/jt Inject 7 6 $4,525.00 — $699.57 $3,846.25 $2,715.00 2026-03-26
C1763 HCPCS Fistula Plug Biodesign G53614 18 8 $4,637.50 — $697.25 $4,050.25 $2,692.23 2026-03-26
C1832 HCPCS Auto Cell Process Sys 9 8 $5,000.00 — $773.00 $4,250.00 $2,608.50 2026-03-26
0360 RC — 198 8 $12,862.50 — $37.88 $34,165.75 $2,575.00 2026-03-26
21555 CPT Exc Neck Les Sc < 3 Cm 19 11 $6,000.00 — $922.96 $5,100.00 $2,572.00 2026-03-26
36573 CPT Insj Picc Rs&i 5 Yr + 19 11 $6,000.00 — $697.25 $5,100.00 $2,572.00 2026-03-26
36569 CPT Insj Picc 5yr+ Without Imaging 19 11 $5,925.00 — $916.01 $5,100.00 $2,572.00 2026-03-26
38505 CPT Needle Biopsy Lymph Nodes 19 11 $7,000.00 — $915.23 $5,950.00 $2,572.00 2026-03-26
52310 CPT Cysto With Removal Of Foreign Object 12 11 $4,750.00 — $734.35 $4,037.50 $2,562.00 2026-03-26
50688 CPT Change Of Ureter Tube Stint 12 11 $5,115.00 — $790.78 $4,347.75 $2,562.00 2026-03-26
54700 CPT Drainage Of Scrotum 12 11 $6,630.00 — $1,025.00 $5,635.50 $2,562.00 2026-03-26
J2430 HCPCS Aredia (pamidronate) Inj : 90mg 7 6 $4,255.00 — $10.03 $3,616.75 $2,553.00 2026-03-26
27086 CPT Removal Of Foreign Body Pelvis Or Hip 12 11 $3,840.00 — $593.66 $3,546.17 $2,552.49 2026-03-26
14061 CPT Att E/n/e/l;d 10.1-30sqcm 12 11 $8,370.00 — $1,294.00 $7,114.50 $2,545.46 2026-03-26
14041 CPT Att F/c/c/m/n/a/g/h/f; 10.1-30sqcm 12 11 $8,370.00 — $1,294.00 $7,114.50 $2,545.46 2026-03-26
14021 CPT Tis Trnfr S/a/l 10.3-30sqcm 12 11 $7,000.00 — $1,082.20 $5,950.00 $2,545.46 2026-03-26
14001 CPT Tis Trnfr Trunk 10.1-30sqcm 12 11 $6,925.00 — $1,070.61 $5,886.25 $2,545.46 2026-03-26
14000 CPT Tis Trnfr Trunk 10 Sq Cm/< 12 11 $6,925.00 — $1,070.61 $5,886.25 $2,545.46 2026-03-26
12047 CPT Intmd Rpr N-hf/genit >30.0cm 12 11 $5,215.00 — $806.24 $4,432.75 $2,545.46 2026-03-26
15620 CPT Delay Flap F/c/c/n/ax/g/h/g 12 11 $7,500.00 — $1,159.50 $6,375.00 $2,545.46 2026-03-26
15240 CPT Fth Gr Fr F/c/c/m/n/ax/g/h/f 12 11 $7,000.00 — $1,082.20 $5,950.00 $2,545.46 2026-03-26
15100 CPT Skin Split Grft Trunk/arm/leg 12 11 $7,210.00 — $1,114.67 $6,128.50 $2,545.46 2026-03-26
46910 CPT Destruction Of Anal Lesion(s) 12 11 $9,530.00 — $1,473.34 $8,100.50 $2,545.46 2026-03-26
J1162 HCPCS Digibind (dig Immune Fab) Inj 38mg 7 6 $4,195.00 — $648.55 $3,565.75 $2,517.00 2026-03-26
64782 CPT Remove Limb Nerve Lesion 12 11 $7,500.00 — $1,159.50 $6,375.00 $2,477.98 2026-03-26
64719 CPT Revise Ulnar Nerve At Wrist 12 11 $7,358.52 — $1,137.63 $6,254.74 $2,477.98 2026-03-26
64721 CPT Carpal Tunnel Surgery 12 11 $7,358.52 — $1,137.63 $6,254.74 $2,477.98 2026-03-26
64704 CPT Revise Hand/foot Nerve 12 11 $7,500.00 — $1,159.50 $6,375.00 $2,477.98 2026-03-26
64726 CPT Decompress Plantar Digital Nerve 12 11 $7,440.00 — $1,150.22 $6,324.00 $2,477.98 2026-03-26
64772 CPT Incision Of Spinal Nerve 12 11 $7,725.00 — $1,194.29 $6,566.25 $2,477.98 2026-03-26
43220 CPT Esophagoscopy With Balloon <30mm 12 11 $6,430.00 — $994.08 $5,465.50 $2,457.33 2026-03-26
44360 CPT Small Bowel Endoscopy 12 11 $6,765.00 — $1,045.87 $5,750.25 $2,457.33 2026-03-26
43244 CPT Egd W/band Ligation And/or Gastric Vari 12 11 $6,430.00 — $994.08 $5,465.50 $2,457.33 2026-03-26
43215 CPT Esophagoscopy Flex Remove Fb 12 11 $7,590.00 — $1,173.41 $6,451.50 $2,457.33 2026-03-26
43270 CPT Egd With Lesion Ablation 12 11 $6,430.00 — $994.08 $5,465.50 $2,457.33 2026-03-26
43243 CPT Egd Injection Varices 12 11 $6,430.00 — $994.08 $5,465.50 $2,457.33 2026-03-26
32556 CPT Insert Cath Pleura Without Image 12 11 $6,835.00 — $1,056.69 $5,809.75 $2,457.33 2026-03-26
43233 CPT Egd Balloon Dil Esoph 30 Mm/> 12 11 $7,500.00 — $1,159.50 $6,375.00 $2,457.33 2026-03-26
44376 CPT Small Intestinal Endo 12 11 $4,870.00 — $752.90 $4,139.50 $2,457.33 2026-03-26
43202 CPT Esophagoscopy Flex Biospsy 12 11 $4,835.00 — $747.49 $4,109.75 $2,457.33 2026-03-26
44366 CPT Enteroscopy W Bleed Control 12 11 $7,105.00 — $1,098.43 $6,039.25 $2,457.33 2026-03-26
43245 CPT Egd Dilate Stricture 12 11 $6,430.00 — $994.08 $5,465.50 $2,457.33 2026-03-26
19083 CPT Biopsy Breast W Localization Device 19 11 $4,095.00 — $633.09 $4,492.25 $2,457.00 2026-03-26
59300 CPT Episiotomy/vaginal Repair 12 11 $3,300.00 — $510.18 $3,951.99 $2,419.55 2026-03-26
43246 CPT Egd Place Gastrostomy Tube 19 11 $8,370.00 — $569.70 $7,114.50 $2,342.66 2026-03-26
L8641 HCPCS Implant Metal Hemiarthroplasty 9 8 $4,480.00 — $692.61 $3,808.00 $2,337.22 2026-03-26
25071 CPT Exc Forearm Les Sc 3 Cm/> 12 11 $6,250.00 — $966.25 $5,312.50 $2,294.16 2026-03-26
11606 CPT Excision Malignant Lesion 12 11 $5,925.00 — $916.01 $5,036.25 $2,294.16 2026-03-26
24200 CPT Rmvl Fb Upper Arm/elbw Subq 12 11 $4,650.00 — $718.89 $3,952.50 $2,294.16 2026-03-26
24075 CPT Excision Tumor Upper Arm < 3 Cm 12 11 $5,115.00 — $790.78 $4,347.75 $2,294.16 2026-03-26
27618 CPT Exc Leg/ankle Tum < 3 Cm 12 11 $7,500.00 — $1,159.50 $6,375.00 $2,294.16 2026-03-26
11044 CPT Dbrdmt Bone 1st 20 Sq Cm/< 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
23071 CPT Exc Shoulder Les Sc 3 Cm/> 12 11 $7,500.00 — $1,159.50 $6,375.00 $2,294.16 2026-03-26
22902 CPT Exc Abd Les Sc < 3cm 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
21931 CPT Exc Back Les Sc 3 Cm/> 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
21930 CPT Exc Back Les Sc < 3cm 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
21550 CPT Sft Tissue Bx Neck/thorax 12 11 $5,475.00 — $846.44 $4,653.75 $2,294.16 2026-03-26
11443 CPT Exc Face-mm B9+marg 2.1-3cm 12 11 $6,250.00 — $966.25 $5,312.50 $2,294.16 2026-03-26
28043 CPT Exc Foot/toe Tum Sc < 1.5 Cm 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
21012 CPT Exc Face Les Sbq 2 Cm/> 12 11 $6,500.00 — $1,004.90 $5,525.00 $2,294.16 2026-03-26
37609 CPT Temporal Artery Procedure 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
11424 CPT Exc H-f-nk-sp B9+marg 3.1-4 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
11423 CPT Exc H-f-nk-sp B9+marg 2.1-3 12 11 $6,500.00 — $1,004.90 $5,525.00 $2,294.16 2026-03-26
11422 CPT Exc H-f-nk-sp B9+marg 1.1-2 12 11 $6,500.00 — $1,004.90 $5,525.00 $2,294.16 2026-03-26
11406 CPT Exc Tr-ext B9+marg>4.0cm 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
10121 CPT Inc&rmvl Fb Subq Tiss Comp 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
11404 CPT Exc Tr-ext B9+marg 3.1-4 Cm 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
28192 CPT Removal Of Foot Foreign Body 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
19020 CPT Mastomy W/exploration/drainage Abscess 12 11 $7,725.00 — $1,194.29 $6,566.25 $2,294.16 2026-03-26
27327 CPT Exc Thigh/knee Les Sc < 3 Cm 12 11 $6,250.00 — $966.25 $5,312.50 $2,294.16 2026-03-26
28193 CPT Removal Of Foot Foreign Body 12 11 $6,000.00 — $927.60 $5,100.00 $2,294.16 2026-03-26
26113 CPT Exc Hand Tum Deep 1.5 Cm/> 12 11 $6,250.00 — $966.25 $5,312.50 $2,294.16 2026-03-26
0750 RC — 108 8 $4,417.50 — $465.35 $4,874.75 $2,276.95 2026-03-26
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