|
49596
|
CPT
|
Rpr A/abd Hern Init In/st>10cm
|
16
|
4
|
$15,760.50
|
—
|
$100.00
|
$15,376.00
|
$15,376.00
|
2026-07-28
|
|
49592
|
CPT
|
Rpr A/abd Hern Init Inc/st<3cm
|
23
|
4
|
$15,086.00
|
—
|
$100.00
|
$15,086.00
|
$15,086.00
|
2026-07-28
|
|
32550
|
CPT
|
Insert Chest Tube Without Imag
|
12
|
4
|
$7,217.50
|
—
|
$7,041.00
|
$7,041.00
|
$7,041.00
|
2026-07-28
|
|
54435
|
CPT
|
Priapism Mgnt
|
14
|
4
|
$7,054.50
|
—
|
$900.00
|
$6,882.00
|
$6,882.00
|
2026-07-28
|
|
59409
|
CPT
|
Vaginal Delivery Prof
|
26
|
4
|
$7,820.00
|
—
|
$900.00
|
$7,820.00
|
$6,866.00
|
2026-07-28
|
|
32505
|
CPT
|
Fx Clavicle W Mnp
|
12
|
4
|
$6,636.00
|
—
|
$6,474.00
|
$6,474.00
|
$6,474.00
|
2026-07-28
|
|
26727
|
CPT
|
Fx Phalng Shft Pq Sk Fix W/mnp
|
12
|
4
|
$6,636.00
|
—
|
$6,474.00
|
$6,474.00
|
$6,474.00
|
2026-07-28
|
|
27532
|
CPT
|
Fx Tib Plat Clsd Tx With Skel Tr
|
12
|
4
|
$6,636.00
|
—
|
$6,474.00
|
$6,474.00
|
$6,474.00
|
2026-07-28
|
|
36581
|
CPT
|
Repl Tunnel Cv Cath Without Port
|
12
|
4
|
$6,437.00
|
—
|
$6,280.00
|
$6,280.00
|
$6,280.00
|
2026-07-28
|
|
20525
|
CPT
|
Rem Fb Muscle/tendon Complex
|
14
|
4
|
$5,769.00
|
—
|
$900.00
|
$5,628.00
|
$5,628.00
|
2026-07-28
|
|
44143
|
CPT
|
Colectomy- Partial W/end Colos
|
6
|
4
|
$4,661.00
|
—
|
$4,661.00
|
$4,661.00
|
$4,661.00
|
2026-01-21
|
|
44145
|
CPT
|
Colectomy-partl W/coloproctost
|
6
|
4
|
$4,647.00
|
—
|
$4,647.00
|
$4,647.00
|
$4,647.00
|
2026-01-21
|
|
36555
|
CPT
|
Insert Non-tnl Cent Cath <5 Yr
|
16
|
4
|
$6,437.00
|
—
|
$1,400.00
|
$6,280.00
|
$4,390.00
|
2026-07-28
|
|
44204
|
CPT
|
Lap Colectomy- Partial W/anast
|
6
|
4
|
$4,324.00
|
—
|
$4,324.00
|
$4,324.00
|
$4,324.00
|
2026-01-21
|
|
12016
|
CPT
|
Simp Rep 12.6 - 20.0 Cm
|
16
|
4
|
$590.50
|
—
|
$576.00
|
$5,400.00
|
$4,300.00
|
2026-07-28
|
|
12035
|
CPT
|
Int Rep 12.6 - 20.0 Cm
|
16
|
4
|
$955.50
|
—
|
$932.00
|
$5,400.00
|
$4,300.00
|
2026-07-28
|
|
12045
|
CPT
|
Intmd Rpr N-hf/genit 12.6 - 20
|
16
|
4
|
$817.00
|
—
|
$797.00
|
$5,400.00
|
$4,300.00
|
2026-07-28
|
|
12055
|
CPT
|
Int Rep12.6 To 20.0 Cm
|
16
|
4
|
$796.50
|
—
|
$777.00
|
$5,400.00
|
$4,300.00
|
2026-07-28
|
|
58956
|
CPT
|
Bso Omentectomy With Tah
|
6
|
4
|
$3,828.00
|
—
|
$3,828.00
|
$3,828.00
|
$3,828.00
|
2026-01-21
|
|
58146
|
CPT
|
Myomectomy Abd Approach >=5
|
8
|
4
|
$3,213.00
|
—
|
$1,359.60
|
$5,100.00
|
$3,789.50
|
2026-01-21
|
|
58546
|
CPT
|
Laproscopy Myomectomy >5>250
|
8
|
4
|
$3,161.00
|
—
|
$1,359.60
|
$5,100.00
|
$3,789.50
|
2026-01-21
|
|
32556
|
CPT
|
Insert Chest Tube Perc Without Img
|
12
|
4
|
$3,880.00
|
—
|
$3,785.00
|
$3,785.00
|
$3,785.00
|
2026-07-28
|
|
44140
|
CPT
|
Colectomy- Partial W/anastomos
|
6
|
4
|
$3,785.00
|
—
|
$3,785.00
|
$3,785.00
|
$3,785.00
|
2026-01-21
|
|
44205
|
CPT
|
Lap Colectomy- Partial W/ileum
|
6
|
4
|
$3,753.00
|
—
|
$3,753.00
|
$3,753.00
|
$3,753.00
|
2026-01-21
|
|
58554
|
CPT
|
Lap W/vag HYST>250g;RM Tube/ov
|
6
|
4
|
$3,691.00
|
—
|
$3,691.00
|
$3,691.00
|
$3,691.00
|
2026-01-21
|
|
20102
|
CPT
|
Expl Wnd Abdomen/flank/back
|
14
|
4
|
$3,741.50
|
—
|
$900.00
|
$3,650.00
|
$3,650.00
|
2026-07-28
|
|
20101
|
CPT
|
Expl Pend Wnd Chest
|
14
|
4
|
$3,741.50
|
—
|
$900.00
|
$3,650.00
|
$3,650.00
|
2026-07-28
|
|
10140
|
CPT
|
I&d Skin; Hema/seroma
|
14
|
4
|
$3,686.00
|
—
|
$900.00
|
$3,596.00
|
$3,596.00
|
2026-07-28
|
|
78452
|
CPT
|
Ht Muscle Image Spect Mult
|
18
|
4
|
$3,647.00
|
—
|
$1,500.00
|
$3,558.00
|
$3,558.00
|
2026-07-28
|
|
58291
|
CPT
|
Hyst Vag >250g With Rem Tub/ov
|
6
|
4
|
$3,530.00
|
—
|
$3,530.00
|
$3,530.00
|
$3,530.00
|
2026-01-21
|
|
49618
|
CPT
|
Rpr A/abd Hern Rcr Inc/st>10cm
|
8
|
4
|
$3,529.00
|
—
|
$100.00
|
$3,529.00
|
$3,529.00
|
2026-01-21
|
|
44160
|
CPT
|
Colectomy-partl W/rem Term Ilm
|
6
|
4
|
$3,502.00
|
—
|
$3,502.00
|
$3,502.00
|
$3,502.00
|
2026-01-21
|
|
58294
|
CPT
|
Vag Hyst W/enterocele Comp
|
6
|
4
|
$3,454.00
|
—
|
$3,454.00
|
$3,454.00
|
$3,454.00
|
2026-01-21
|
|
G0390
|
HCPCS
|
Full Trauma Activation
|
16
|
4
|
$6,328.50
|
—
|
$500.00
|
$6,174.00
|
$3,407.50
|
2026-07-28
|
|
19307
|
CPT
|
Mastectomy- Mod Rad W/ax Nodes
|
6
|
4
|
$3,323.00
|
—
|
$3,323.00
|
$3,323.00
|
$3,323.00
|
2026-01-21
|
|
13160
|
CPT
|
Secondary Closure Surg Wound
|
14
|
4
|
$3,341.50
|
—
|
$900.00
|
$3,260.00
|
$3,260.00
|
2026-07-28
|
|
20520
|
CPT
|
Rem Fb Muscle/tendon Simple
|
14
|
4
|
$3,321.00
|
—
|
$900.00
|
$3,240.00
|
$3,240.00
|
2026-07-28
|
|
48100
|
CPT
|
US Biopsy Pancreas
|
18
|
4
|
$3,313.00
|
—
|
$250.00
|
$3,232.00
|
$3,232.00
|
2026-07-28
|
|
21550
|
CPT
|
US Biopsy Soft Tissue Of Neck
|
18
|
4
|
$3,313.00
|
—
|
$250.00
|
$3,232.00
|
$3,232.00
|
2026-07-28
|
|
10121
|
CPT
|
Remove Fb Subq Complex
|
14
|
4
|
$3,313.00
|
—
|
$900.00
|
$3,232.00
|
$3,232.00
|
2026-07-28
|
|
20103
|
CPT
|
Wound Exploratation Extremity
|
14
|
4
|
$3,313.00
|
—
|
$900.00
|
$3,232.00
|
$3,232.00
|
2026-07-28
|
|
69205
|
CPT
|
Rem Fb Ext Ear Canal With Anes
|
12
|
4
|
$3,313.00
|
—
|
$3,232.00
|
$3,232.00
|
$3,232.00
|
2026-07-28
|
|
23520
|
CPT
|
Disloc St Joint No Reduct
|
16
|
4
|
$3,274.00
|
—
|
$100.00
|
$3,194.00
|
$3,194.00
|
2026-07-28
|
|
25505
|
CPT
|
Fx Radial Shft Clsd Tx With Manp
|
12
|
4
|
$3,274.00
|
—
|
$3,194.00
|
$3,194.00
|
$3,194.00
|
2026-07-28
|
|
23605
|
CPT
|
Fx Humerus Closed With Manip
|
12
|
4
|
$3,274.00
|
—
|
$3,194.00
|
$3,194.00
|
$3,194.00
|
2026-07-28
|
|
47605
|
CPT
|
Cholecystect W/cholangiography
|
6
|
4
|
$3,190.00
|
—
|
$3,190.00
|
$3,190.00
|
$3,190.00
|
2026-01-21
|
|
58553
|
CPT
|
Lap W/vag HYST>250g
|
6
|
4
|
$3,178.00
|
—
|
$3,178.00
|
$3,178.00
|
$3,178.00
|
2026-01-21
|
|
36556
|
CPT
|
Insert Non-tnl Cent Cath >5 Yr
|
30
|
4
|
$3,514.00
|
—
|
$900.00
|
$3,514.00
|
$3,166.00
|
2026-07-28
|
|
32557
|
CPT
|
Insert Cath Pleura With Image
|
12
|
4
|
$3,177.50
|
—
|
$3,100.00
|
$3,100.00
|
$3,100.00
|
2026-07-28
|
|
58152
|
CPT
|
Ttl Abdominal Hyst With Marsha
|
24
|
5
|
$2,113.00
|
—
|
$1,400.00
|
$3,744.61
|
$3,100.00
|
2026-07-28
|
|
36580
|
CPT
|
Repl Non-tunn Cv Cath Without Port
|
12
|
4
|
$3,177.50
|
—
|
$3,100.00
|
$3,100.00
|
$3,100.00
|
2026-07-28
|
|
58563
|
CPT
|
Hysteroscopy W Endome Ablation
|
24
|
5
|
$12,777.00
|
—
|
$1,400.00
|
$3,886.00
|
$3,100.00
|
2026-07-28
|
|
58280
|
CPT
|
Vag Hyst, With Tot Or Part Vagi
|
6
|
4
|
$3,004.00
|
—
|
$3,004.00
|
$3,004.00
|
$3,004.00
|
2026-01-21
|
|
19081
|
CPT
|
Bx Breast 1st Lesion Stereotac
|
46
|
5
|
$3,394.00
|
—
|
$750.00
|
$3,744.61
|
$3,000.00
|
2026-07-28
|
|
36569
|
CPT
|
Picc Line Placement >5 Yr
|
55
|
5
|
$4,102.00
|
—
|
$250.00
|
$4,483.00
|
$3,000.00
|
2026-07-28
|
|
27632
|
CPT
|
Exc Leg/ankle Les Sc <3
|
8
|
4
|
$959.00
|
—
|
$959.00
|
$4,200.00
|
$2,850.00
|
2026-01-21
|
|
27618
|
CPT
|
Exc Leg.ankle Tum <3
|
8
|
4
|
$720.00
|
—
|
$720.00
|
$4,200.00
|
$2,850.00
|
2026-01-21
|
|
58263
|
CPT
|
Tvh w/Rep Enterocele 250g Or L
|
6
|
4
|
$2,816.00
|
—
|
$2,816.00
|
$2,816.00
|
$2,816.00
|
2026-01-21
|
|
97607
|
CPT
|
Neg Prs Wnd Thr Ndme<=50sqcm
|
6
|
4
|
$971.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,800.00
|
2026-01-21
|
|
99496
|
CPT
|
Trans Care Mgmt High F2f 7d
|
6
|
4
|
$534.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,800.00
|
2026-01-21
|
|
99495
|
CPT
|
Trans Care Mgmt Mod F2f 14d
|
6
|
4
|
$392.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,800.00
|
2026-01-21
|
|
36585
|
CPT
|
Replacet, Compl Picc, W/sub P
|
6
|
4
|
$3,470.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,800.00
|
2026-01-21
|
|
36576
|
CPT
|
Picc Line Replacement >5 Yr
|
16
|
4
|
$3,177.50
|
—
|
$1,400.00
|
$3,100.00
|
$2,800.00
|
2026-07-28
|
|
36589
|
CPT
|
Rem Tunneled Cv Cath Without Port
|
6
|
4
|
$663.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,800.00
|
2026-01-21
|
|
97608
|
CPT
|
Wound Vac Disposable >= 50 Sqc
|
6
|
4
|
$881.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,800.00
|
2026-01-21
|
|
58275
|
CPT
|
Vag Hyst, With Tot Or Partial V
|
6
|
4
|
$2,797.00
|
—
|
$2,797.00
|
$2,797.00
|
$2,797.00
|
2026-01-21
|
|
58552
|
CPT
|
Lap W/vag HSYT<250g;RM Tube/ov
|
6
|
4
|
$2,776.00
|
—
|
$2,776.00
|
$2,776.00
|
$2,776.00
|
2026-01-21
|
|
36561
|
CPT
|
Insert Tunnel Cv Cath >5 Yr
|
26
|
5
|
$8,462.00
|
—
|
$928.00
|
$5,100.00
|
$2,700.00
|
2026-07-28
|
|
58262
|
CPT
|
Hyst Vag <250g With Rem Tub/ov
|
6
|
4
|
$2,623.00
|
—
|
$2,623.00
|
$2,623.00
|
$2,623.00
|
2026-01-21
|
|
78802
|
CPT
|
Rp Locl Tumor Whbdy 1 D Img
|
18
|
4
|
$2,671.50
|
—
|
$1,500.00
|
$2,606.00
|
$2,606.00
|
2026-07-28
|
|
78804
|
CPT
|
Rp Locl Tumor Whbdy 2+d Img
|
18
|
4
|
$2,671.50
|
—
|
$1,500.00
|
$2,606.00
|
$2,606.00
|
2026-07-28
|
|
78803
|
CPT
|
Rp Locl Tumor Spect 1 Area
|
18
|
4
|
$2,671.50
|
—
|
$1,500.00
|
$2,606.00
|
$2,606.00
|
2026-07-28
|
|
78830
|
CPT
|
Nm Brain Flow
|
34
|
4
|
$2,670.50
|
—
|
$1,500.00
|
$2,606.00
|
$2,604.00
|
2026-07-28
|
|
78075
|
CPT
|
Nm Adrenal Scan
|
18
|
4
|
$2,669.50
|
—
|
$1,500.00
|
$2,604.00
|
$2,604.00
|
2026-07-28
|
|
19302
|
CPT
|
Mastectomy Partial With Axillary
|
6
|
4
|
$2,556.00
|
—
|
$2,556.00
|
$2,556.00
|
$2,556.00
|
2026-01-21
|
|
49615
|
CPT
|
Rpr A/abd Hern Rcr Rdcb 3-10cm
|
26
|
5
|
$10,252.00
|
—
|
$1,019.70
|
$4,200.00
|
$2,550.00
|
2026-07-28
|
|
49594
|
CPT
|
Rpr A/abd Hern Init I/s 3-10cm
|
26
|
5
|
$15,086.00
|
—
|
$1,019.70
|
$4,200.00
|
$2,550.00
|
2026-07-28
|
|
49593
|
CPT
|
Rpr A/abd Hern Init Rdc 3-10cm
|
26
|
5
|
$10,252.00
|
—
|
$1,019.70
|
$4,200.00
|
$2,550.00
|
2026-07-28
|
|
99291
|
CPT
|
Critical Care First Hour
|
16
|
4
|
$2,770.00
|
—
|
$1,500.00
|
$2,702.00
|
$2,543.50
|
2026-07-28
|
|
58270
|
CPT
|
Hyst Vag <250g W/enterocel Rep
|
6
|
4
|
$2,534.00
|
—
|
$2,534.00
|
$2,534.00
|
$2,534.00
|
2026-01-21
|
|
36568
|
CPT
|
Picc Line Placement <5 Yr
|
34
|
5
|
$4,102.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,500.00
|
2026-07-28
|
|
58550
|
CPT
|
Lap W/vag HYST<250g
|
6
|
4
|
$2,495.00
|
—
|
$2,495.00
|
$2,495.00
|
$2,495.00
|
2026-01-21
|
|
44960
|
CPT
|
Appendectomy;rupt W/absc/perit
|
6
|
4
|
$2,482.00
|
—
|
$2,482.00
|
$2,482.00
|
$2,482.00
|
2026-01-21
|
|
28820
|
CPT
|
Amputate Toe Metatarsophal Jnt
|
18
|
5
|
$8,298.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29879
|
CPT
|
Arthro Knee Abrasn Arthroplsty
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
28285
|
CPT
|
Repair Of Hammertoe
|
18
|
5
|
$8,298.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27829
|
CPT
|
Rpr Disrpt Dist Tib/fib Jnt Op
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
58548
|
CPT
|
Laparoscopy, Surgical, With Ra
|
9
|
5
|
$5,295.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-01-21
|
|
27814
|
CPT
|
Fx Bimalleolar Ankle Open Tx
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
14000
|
CPT
|
Adjac Tissue Transfer/rearrang
|
18
|
5
|
$4,676.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27766
|
CPT
|
Fx Med Malleo Open Tx With Ifix
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000996
|
CDM
|
Pacu Acuity Lvl 3 Addt'l 30min
|
18
|
5
|
$458.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
55520
|
CPT
|
Exc Les Spermat Crd Sprte Proc
|
18
|
5
|
$8,938.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27425
|
CPT
|
Lateral Retinacular Release Op
|
18
|
5
|
$8,298.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27299
|
CPT
|
It Band Release Pelvis/hip
|
18
|
5
|
$606.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
11044
|
CPT
|
Debride Bone < 20 Cm2
|
18
|
5
|
$4,157.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27110
|
CPT
|
Transfer Of Iliopsoas Muscle S
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27848
|
CPT
|
Open Tx Ankle Dislocation,w &w
|
18
|
5
|
$10,558.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26785
|
CPT
|
Open Tx Of Interphalangeal Joi
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
55250
|
CPT
|
Vasectomy; Unilat/bilat
|
18
|
5
|
$5,222.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29824
|
CPT
|
Arthro Shoulder Mumford
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
47562
|
CPT
|
Lap Cholecystectomy
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49655
|
CPT
|
Lap, surg,Rep, Incisional He
|
18
|
5
|
$26,984.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49553
|
CPT
|
Rep Init Femoral Hernia
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
11042
|
CPT
|
Debride Subq Tissue <20 Cm2
|
18
|
5
|
$1,055.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26685
|
CPT
|
Open Tx Metacarpal Not Thumb
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43249
|
CPT
|
Esoph Egd With Dilation < 30 Mm
|
18
|
5
|
$4,879.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26765
|
CPT
|
Fx Distal Phal Open Tx Inc Fix
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27062
|
CPT
|
Remove Femur Lesion/bursa Sn
|
18
|
5
|
$8,298.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49591
|
CPT
|
Rpr A/abd Hern Init Rdcbl <3cm
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43266
|
CPT
|
Egd Stent Placement
|
18
|
5
|
$12,173.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27422
|
CPT
|
Reconstruct Dislocating Patell
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27455
|
CPT
|
Osteotomy Prx Tba With Fib Exc
|
18
|
5
|
$7,862.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43653
|
CPT
|
Lap, Surg Gastrostomy, Without
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29826
|
CPT
|
Arthro Shoulder Acromioplasty
|
18
|
5
|
$7,249.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000994
|
CDM
|
Pacu Acuity Lvl 1 Addt'l 30min
|
18
|
5
|
$1,098.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49657
|
CPT
|
Lap, surg,Rep, Recurrent Inc
|
18
|
5
|
$26,984.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27769
|
CPT
|
Open Tx Post Malleolus
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29882
|
CPT
|
Arthro Knee Menisc Rpr M Or L
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27822
|
CPT
|
Fx Trimal Ankle Open Without Fix
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26011
|
CPT
|
I&d Finger Abscess Complicated
|
18
|
5
|
$3,313.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27846
|
CPT
|
Open Tx Ankle Dislocation, W &
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
62320
|
CPT
|
Inj Epidural Crv/thrc Without Img
|
18
|
5
|
$1,761.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
7011055
|
CDM
|
Surgery Level 3
|
18
|
5
|
$12,915.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
7780019
|
CDM
|
Sigmoidoscopy Flexible
|
18
|
5
|
$1,846.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49650
|
CPT
|
Lap Inguinal Hernia Init
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000993
|
CDM
|
Pacu Acuity Lvl 4
|
18
|
5
|
$1,453.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29876
|
CPT
|
Arthro Knee Synovectomy Ext
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29822
|
CPT
|
Arthro Shoulder Debridmnt, Lmt
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25609
|
CPT
|
Fx Distl Rad Intra Art Open 3f
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25608
|
CPT
|
Fx Distl Rad Intra Art Open 2f
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25607
|
CPT
|
Fx Distl Rad Extra Art Open
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25575
|
CPT
|
Fx Radius&ulna Open Tx; Fix 2
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25545
|
CPT
|
Fx Ulnar Shaft Open Tx
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
58558
|
CPT
|
Hysteroscopy Biopsy/polypc D&c
|
18
|
5
|
$7,989.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
38500
|
CPT
|
Bx/exc Lymph Nodes Open Supf
|
18
|
5
|
$9,567.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000995
|
CDM
|
Pacu Acuity Lvl 2 Addt'l 30min
|
18
|
5
|
$1,098.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
7011052
|
CDM
|
Surgery Level 1
|
18
|
5
|
$2,397.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25525
|
CPT
|
Open Tx Of Radial Shaft Fractu
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25515
|
CPT
|
Fx Radial Shaft Open Tx
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49550
|
CPT
|
Rep Init Femoral Hernia
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
44970
|
CPT
|
Lap Appendectomy
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43270
|
CPT
|
Egd With Avm Ablation
|
18
|
5
|
$3,880.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29875
|
CPT
|
Arthro Knee Synovectomy Lmt
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
64702
|
CPT
|
Revise Finger/toe Nerve
|
18
|
5
|
$4,951.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49595
|
CPT
|
Rpr A/abd Hern Init Rdcbl>10cm
|
18
|
5
|
$10,508.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000992
|
CDM
|
Pacu Acuity Lvl 3
|
18
|
5
|
$1,300.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
64721
|
CPT
|
Carpal Tunnel Surgery
|
18
|
5
|
$4,840.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
23430
|
CPT
|
Tenodesis Long Tendon Biceps
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
23420
|
CPT
|
Reconstruct Rotr Cuff; Chronic
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
10180
|
CPT
|
I&d Postop Wound Inf; Complex
|
18
|
5
|
$5,853.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
14040
|
CPT
|
Skin Trans Fac/hf/gn<10 Cm2
|
18
|
5
|
$4,676.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
23410
|
CPT
|
Rpr Rotator Cuff,open, Acute
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
44180
|
CPT
|
Lap Enterolysis
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49505
|
CPT
|
Rpr Ing Hern Init Rducibl >5yr
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49651
|
CPT
|
Lap Inguinal Hernia Rcr
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
20680
|
CPT
|
Rem Bone Support Implant Deep
|
18
|
5
|
$7,285.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
7011057
|
CDM
|
Surgery Level 4
|
18
|
5
|
$10,704.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29855
|
CPT
|
Arthro Aided Treatment Of Tibi
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
20611
|
CPT
|
Arthro Inj Lrg Joint With US
|
18
|
5
|
$753.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49654
|
CPT
|
Lap, surg,Rep, Incisional He
|
18
|
5
|
$26,984.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
62321
|
CPT
|
Inj Epidural Crv/thrc With Img
|
18
|
5
|
$1,761.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000997
|
CDM
|
Pacu Acuity Lvl 4 Addt'l 30min
|
18
|
5
|
$566.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
7011053
|
CDM
|
Surgery Level 2
|
18
|
5
|
$6,491.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
47600
|
CPT
|
Cholecystectomy
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000985
|
CDM
|
Surgery Lvl 1 Addt'l 30 Min
|
18
|
5
|
$748.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
51703
|
CPT
|
Catherization - Complicated
|
5
|
3
|
$342.00
|
—
|
$1,400.00
|
$3,400.00
|
$2,400.00
|
2026-01-21
|
|
360000989
|
CDM
|
Minor
|
18
|
5
|
$1,614.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29866
|
CPT
|
Autgrft Implnt Knee W/scope
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
21931
|
CPT
|
Exc Tumor Back Subq 3+ Cm
|
18
|
5
|
$8,070.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
36572
|
CPT
|
Picc Line With Imaging <5 Yr
|
18
|
5
|
$4,205.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
23400
|
CPT
|
Fixation Of Shoulder Blade
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
38525
|
CPT
|
Bx/exc Axil Nodes Open Deep
|
18
|
5
|
$9,567.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
23412
|
CPT
|
Rpr Rotator Cuff,open, Chronic
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
69000
|
CPT
|
I&d External Ear Absc; Simple
|
18
|
5
|
$1,439.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49656
|
CPT
|
Lap, surg,Rep, Recurrent Inc
|
18
|
5
|
$26,984.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49440
|
CPT
|
Place Gastrostomy Tube Perc
|
18
|
5
|
$3,880.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
11772
|
CPT
|
Excision Pilonidal Cyst Compl
|
18
|
5
|
$7,184.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
67700
|
CPT
|
Blepharotomy;drain Absc Eyelid
|
18
|
5
|
$612.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29868
|
CPT
|
Arthro, Knee, Surg
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
11771
|
CPT
|
Excision Pilonidal Cyst Extens
|
18
|
5
|
$7,184.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
44950
|
CPT
|
Appendectomy
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
23700
|
CPT
|
Fixation Shoulder With Manp Anes
|
18
|
5
|
$4,120.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
31505
|
CPT
|
Laryngoscopy Direct Aspir
|
18
|
5
|
$398.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29885
|
CPT
|
Arthro Knee Drill Osteochondri
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29884
|
CPT
|
Arthro Knee Lysis Of Adhesions
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29883
|
CPT
|
Arthro Knee W Menis Rpr Med &
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
11770
|
CPT
|
Excision Pilonidal Cyst Simple
|
18
|
5
|
$7,184.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
19303
|
CPT
|
Mastectomy, Simp, Compl
|
18
|
5
|
$16,767.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25526
|
CPT
|
Open Tx, Radial Shaft Fracture
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29877
|
CPT
|
Arthro Knee Chondroplasty
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43244
|
CPT
|
Egd B& Ligation Esophgeal
|
18
|
5
|
$4,879.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
19301
|
CPT
|
Mastectomy Partial
|
18
|
5
|
$9,567.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29873
|
CPT
|
Arthro Knee With Lat Release
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
19300
|
CPT
|
Mastectomy For Gynecomastia
|
18
|
5
|
$9,567.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49507
|
CPT
|
Rpr Ing Hern Init Inc/str >5yr
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29886
|
CPT
|
Knee Arthro/surg
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
25628
|
CPT
|
Fx Wrist Bone Open Tx
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
62322
|
CPT
|
Inj Epidural Lum/sac Without Imag
|
18
|
5
|
$1,761.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26010
|
CPT
|
I&d Finger Abscess Simple
|
18
|
5
|
$407.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29805
|
CPT
|
Arthro, Shoulder, Diagnostic
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26055
|
CPT
|
Incise Finger Tendon Sheath
|
18
|
5
|
$4,006.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29870
|
CPT
|
Arthro Knee Diagnostic
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29867
|
CPT
|
Allgrft Implnt Knee W/scope
|
18
|
5
|
$30,030.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26615
|
CPT
|
Fx Metacarpal Open Tx Incl Fix
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26665
|
CPT
|
Open Tx Carpometacarpal
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
19125
|
CPT
|
Exc Breast Lesion
|
18
|
5
|
$9,567.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
19120
|
CPT
|
Exc Breast Mass
|
18
|
5
|
$9,567.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26715
|
CPT
|
Open Tx Metacarpophalangeal
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49446
|
CPT
|
Place Duodenostomy Tube
|
18
|
5
|
$3,880.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29827
|
CPT
|
Arthro Shoulder Rotr Cuff Rpr
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000990
|
CDM
|
Pacu Acuity Lvl 1
|
18
|
5
|
$1,117.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26735
|
CPT
|
Fx Phalng Shft Open Tx Inc Fix
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
26746
|
CPT
|
Open Tx Of Articular Fracture
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000991
|
CDM
|
Pacu Acuity Lvl 2
|
18
|
5
|
$1,285.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29825
|
CPT
|
Shoulder Arthro/surg
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29823
|
CPT
|
Arthro Shoulder Debridmnt, Ext
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49520
|
CPT
|
Rpr Ing Hern Recur Reducible
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49521
|
CPT
|
Rpr Ing Hern Recur Incar/strng
|
18
|
5
|
$9,640.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29821
|
CPT
|
Arthro, Shoulder Surg
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29820
|
CPT
|
Shoulder Arthro/surg
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27096
|
CPT
|
Sacroiliac Joint Injection
|
18
|
5
|
$1,761.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29819
|
CPT
|
Arthro Shoulder With Fb Rem
|
18
|
5
|
$7,847.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
360000986
|
CDM
|
Surgery Lvl 2 Addt'l 30 Min
|
18
|
5
|
$1,947.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
19020
|
CPT
|
Mastotomy Exp/drain Abs; Deep
|
18
|
5
|
$4,264.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
36566
|
CPT
|
Insert Of Tunneled Centrall
|
18
|
5
|
$14,089.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
44392
|
CPT
|
Colonoscopy Thru Stoma
|
18
|
5
|
$3,142.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
49653
|
CPT
|
Lap, surg,Rep, Ventral, Umbi
|
18
|
5
|
$15,330.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27520
|
CPT
|
Fx Patella Clsd Tx Without Manip
|
18
|
5
|
$491.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
11646
|
CPT
|
Exc Malig Fa/no/lip > 4cm
|
18
|
5
|
$7,184.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29828
|
CPT
|
Arthro Shoulder Biceps Tendsis
|
18
|
5
|
$18,341.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29807
|
CPT
|
Arthro Shoulder Rpr Slap Lesn
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29874
|
CPT
|
Arthro Knee Loose/fb Rem
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29871
|
CPT
|
Knee Arthro/drainage
|
18
|
5
|
$7,781.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43830
|
CPT
|
Gastrostomy, Open
|
18
|
5
|
$4,921.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
28825
|
CPT
|
Amputate Toe Interphalang Jnt
|
18
|
5
|
$8,298.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
43250
|
CPT
|
Upper Gi Endo Rem Les
|
18
|
5
|
$4,921.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
29881
|
CPT
|
Arthro, Knee, Surg +meniscecto
|
18
|
5
|
$3,502.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
7018526
|
CDM
|
Minor
|
18
|
5
|
$1,614.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
36571
|
CPT
|
Picc Line Placement Tunnel>5yr
|
18
|
5
|
$7,761.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
46945
|
CPT
|
Hemorrhoidectomy, Intl
|
18
|
5
|
$5,429.50
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
27823
|
CPT
|
Open Tx Trimalleolar Ankle Fra
|
18
|
5
|
$16,632.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,400.00
|
2026-07-28
|
|
99285
|
CPT
|
Emergency Dept Visit Level 5
|
14
|
4
|
$2,430.50
|
—
|
$849.75
|
$2,371.00
|
$2,371.00
|
2026-07-28
|
|
45915
|
CPT
|
Rem Fecal Impaction/fb W/anes
|
12
|
4
|
$2,411.00
|
—
|
$2,352.00
|
$2,352.00
|
$2,352.00
|
2026-07-28
|
|
46260
|
CPT
|
Hemorrhoidectomy Int/ext 2+ Gp
|
26
|
5
|
$7,220.00
|
—
|
$849.75
|
$3,744.61
|
$2,344.10
|
2026-07-28
|
|
46255
|
CPT
|
Hemorrhoidectomy Int/ext 1 Gp
|
26
|
5
|
$7,220.00
|
—
|
$623.15
|
$3,744.61
|
$2,344.10
|
2026-07-28
|
|
14001
|
CPT
|
Adjac Tissue Trans/rearrange T
|
26
|
5
|
$4,562.00
|
—
|
$623.15
|
$3,744.61
|
$2,344.10
|
2026-07-28
|
|
360000988
|
CDM
|
Surgery Lvl 4 Each Addt'l Min
|
16
|
4
|
$360.00
|
—
|
$1,400.00
|
$3,400.00
|
$2,344.10
|
2026-07-28
|
|
45330
|
CPT
|
Sigmoidoscopy Diagnostic
|
23
|
5
|
$2,286.00
|
—
|
$154.00
|
$3,744.61
|
$2,288.19
|
2026-07-28
|
|
43235
|
CPT
|
Egd
|
23
|
5
|
$2,267.00
|
—
|
$339.00
|
$3,744.61
|
$2,288.19
|
2026-07-28
|
|
29580
|
CPT
|
Apply Unna Boot
|
13
|
4
|
$331.00
|
—
|
$1,400.00
|
$3,200.00
|
$2,288.19
|
2026-07-28
|
|
29540
|
CPT
|
Strapping Ankle/foot
|
13
|
4
|
$331.00
|
—
|
$1,400.00
|
$3,200.00
|
$2,288.19
|
2026-07-28
|
|
43246
|
CPT
|
Upper Gi Endo With Gast Tube Plc
|
24
|
5
|
$3,585.00
|
—
|
$558.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
58661
|
CPT
|
Lap W/removal Adnexal Structur
|
24
|
5
|
$15,085.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
45990
|
CPT
|
Anorectal Exam W/anesthesia
|
24
|
5
|
$7,420.00
|
—
|
$294.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
46040
|
CPT
|
I&d Ischio/perirectal Abscess
|
26
|
5
|
$2,352.00
|
—
|
$906.40
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43236
|
CPT
|
Upper Gi Endo With Submucosa Inj
|
24
|
5
|
$2,203.00
|
—
|
$381.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43251
|
CPT
|
Upper Gi Endo Rem Les With Snare
|
24
|
5
|
$4,801.00
|
—
|
$543.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
36573
|
CPT
|
Picc Line With Imaging >5 Yr
|
24
|
5
|
$3,506.00
|
—
|
$236.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
36590
|
CPT
|
Rem Tunneled Cv Cath With Port
|
24
|
5
|
$4,157.00
|
—
|
$529.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43239
|
CPT
|
Upper Gi Endo With Biopsy
|
24
|
5
|
$1,839.00
|
—
|
$383.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
45338
|
CPT
|
Sigmoidoscopy W/tumor Removal
|
24
|
5
|
$3,364.00
|
—
|
$333.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
44394
|
CPT
|
Colonscopy With Snare
|
24
|
5
|
$3,065.00
|
—
|
$627.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43248
|
CPT
|
Upper Gi Endo With Gdwire Esoph
|
24
|
5
|
$1,839.00
|
—
|
$460.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43255
|
CPT
|
Esoph Egd With Control Bleeding
|
24
|
5
|
$3,585.00
|
—
|
$555.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
58662
|
CPT
|
Lap W/fulguration / Exc Lesion
|
24
|
5
|
$15,086.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
36558
|
CPT
|
Ins Tnl Cv Cath >5 Yr Without Port
|
24
|
5
|
$8,462.00
|
—
|
$724.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
47563
|
CPT
|
Lap Cholecyst W/cholangiograph
|
24
|
5
|
$14,956.00
|
—
|
$1,400.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43245
|
CPT
|
Upper Gi Endo With Dilate Strict
|
24
|
5
|
$3,585.00
|
—
|
$488.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43247
|
CPT
|
Upper Gi Endo With Fb Removal
|
24
|
5
|
$2,098.00
|
—
|
$490.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
43241
|
CPT
|
Egd
|
24
|
5
|
$4,801.00
|
—
|
$393.00
|
$3,744.61
|
$2,277.10
|
2026-07-28
|
|
46600
|
CPT
|
Anoscopy Diagnostic
|
19
|
4
|
$320.00
|
—
|
$114.00
|
$3,200.00
|
$2,266.00
|
2026-07-28
|
|
45385
|
CPT
|
Colonoscopy;rem Les W/snare
|
27
|
5
|
$2,367.00
|
—
|
$705.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
45388
|
CPT
|
Colonoscopy W/ablation
|
27
|
5
|
$2,843.00
|
—
|
$753.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
45382
|
CPT
|
Colonoscopy/control Bleeding
|
27
|
5
|
$2,835.00
|
—
|
$718.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
45398
|
CPT
|
Colonoscopy With Hemorrhoid B&in
|
27
|
5
|
$2,367.00
|
—
|
$657.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
45380
|
CPT
|
Colonoscopy With Biopsy
|
27
|
5
|
$2,985.00
|
—
|
$557.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
44388
|
CPT
|
Colonoscopy Stomal Dx
|
27
|
5
|
$2,346.00
|
—
|
$435.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
45381
|
CPT
|
Colonoscopy With Tumor Mrkr
|
27
|
5
|
$2,367.00
|
—
|
$556.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
41800
|
CPT
|
I&d Gums Absc/hema/cyst
|
10
|
4
|
$264.50
|
—
|
$1,400.00
|
$2,400.00
|
$2,266.00
|
2026-07-28
|
|
45378
|
CPT
|
Colonoscopy Diagnostic
|
27
|
5
|
$1,801.00
|
—
|
$512.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
44389
|
CPT
|
Colonoscopy W Biopsy
|
27
|
5
|
$3,065.00
|
—
|
$477.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
11406
|
CPT
|
Exc Benign Tr/arm/leg > 4cm
|
27
|
5
|
$4,160.00
|
—
|
$689.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
11404
|
CPT
|
Exc Benign Tr/arm/leg 3.1-4cm
|
27
|
5
|
$3,938.00
|
—
|
$454.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
45379
|
CPT
|
Colonoscopy W/fb Removal
|
27
|
5
|
$3,065.00
|
—
|
$662.00
|
$3,744.61
|
$2,266.00
|
2026-07-28
|
|
29530
|
CPT
|
Strapping Knee
|
10
|
4
|
$264.50
|
—
|
$1,400.00
|
$2,400.00
|
$2,266.00
|
2026-07-28
|
|
29240
|
CPT
|
Strapping Shoulder
|
10
|
4
|
$264.50
|
—
|
$1,400.00
|
$2,400.00
|
$2,266.00
|
2026-07-28
|
|
15854
|
CPT
|
Removal Of Sut And Stap W/anes
|
10
|
4
|
$254.50
|
—
|
$1,400.00
|
$2,400.00
|
$2,266.00
|
2026-07-28
|
|
65435
|
CPT
|
Rmvl Of Corneal Epithelium
|
14
|
4
|
$2,274.50
|
—
|
$900.00
|
$2,219.00
|
$2,219.00
|
2026-07-28
|
|
28190
|
CPT
|
Rem Fb Foot Subq
|
14
|
4
|
$2,149.50
|
—
|
$900.00
|
$2,097.00
|
$2,097.00
|
2026-07-28
|
|
6100017
|
CDM
|
Room-bd_iso
|
16
|
4
|
$3,687.00
|
—
|
$500.00
|
$3,474.00
|
$2,057.50
|
2026-07-28
|
|
6100019
|
CDM
|
Room/bed: Swing Bed Iso
|
16
|
4
|
$3,687.00
|
—
|
$500.00
|
$3,474.00
|
$2,057.50
|
2026-07-28
|
|
99284
|
CPT
|
99284 Bill Only
|
16
|
4
|
$2,092.50
|
—
|
$849.75
|
$2,041.00
|
$2,041.00
|
2026-07-28
|
|
7297617
|
CDM
|
Cv Echo With Cont Compl
|
18
|
4
|
$2,059.50
|
—
|
$250.00
|
$2,009.00
|
$2,009.00
|
2026-07-28
|
|
7297618
|
CDM
|
US Echo Compl With Cont Eo
|
18
|
4
|
$2,059.50
|
—
|
$250.00
|
$2,009.00
|
$2,009.00
|
2026-07-28
|
|
11006
|
CPT
|
Debride Genit/per/abdom Wall
|
8
|
4
|
$1,979.00
|
—
|
$225.00
|
$1,979.00
|
$1,979.00
|
2026-01-21
|
|
7291008
|
CDM
|
US Echo Compl With Bubble + Cont
|
18
|
4
|
$1,994.00
|
—
|
$250.00
|
$1,945.00
|
$1,945.00
|
2026-07-28
|
|
19285
|
CPT
|
US Breast Ndl Loc Place Lt
|
18
|
4
|
$1,983.50
|
—
|
$250.00
|
$1,935.00
|
$1,935.00
|
2026-07-28
|
|
19083
|
CPT
|
US Breast Biopsy 1st Lesion Lt
|
18
|
4
|
$1,983.50
|
—
|
$250.00
|
$1,935.00
|
$1,935.00
|
2026-07-28
|
|
58660
|
CPT
|
Lap W/lysis Adhesions
|
6
|
4
|
$1,931.00
|
—
|
$1,931.00
|
$1,931.00
|
$1,931.00
|
2026-01-21
|