Hospital

MORRISON COMMUNITY HOSPITAL

Morrison, IL · CCN 141329 · Rates published

Your selected procedure

You selected 27447 (CPT)

ARTHR KNEE COND/PL MD/LT COMP

This hospital’s price: $17,972 across 19 payers · range $7,705-$20,824

Source: https://machine-readable-files.com/morrisoncommunityhospital/586001207_Morrison-Community-Hospital-District_standardcharges.csv · observed 2026-03-13

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.

6,971 distinct procedures filed

22 distinct payers

501,272 rate rows

2026-03-13 last MRF observed

Data quality

389,964 of 501,272 rate rows are consumer-grade (77.8%)

111,308 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
professional (physician) fee — not the facility price	111,066
percent-of-charges filed in the dollar field — excluded from medians	72
per-diem day rate — not a per-procedure price	64
exceeds 10× this hospital's gross charge — excluded from medians	40
placeholder amount (≤ $0.02) — excluded from medians	36
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	18
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	12

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

Source MRF file	https://machine-readable-files.com/morrisoncommunityhospital/586001207_Morrison-Community-Hospital-District_standardcharges.csv
Found on page	https://ezcost.info/Morrison-Community-Hospital
Discovered via	CMS hospital list
Last fetch	success · 2026-08-11
Content fingerprint	9c5b32355020d539… · 82,696,841 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
4230940 CDM	Generator Sentiva Duo M1000d	21	$42,050.22	$113,649.25	$87,339.45	nat. median $87,339 1.0× median
4230118 CDM	Generator Sentiva M1000	21	$42,050.22	$113,649.25	$87,339.45	nat. median $87,339 1.0× median
4230585 CDM	Generator Aspiresr M 106	21	$37,375.83	$101,015.75	$77,630.60	nat. median $77,631 1.0× median
C1767 HCPCS	Generator Sentiva M1000	21	$20,914.57	$113,649.25	$66,000.00	nat. median $23,668 outlier · 2.8×
4230464 CDM	Generator Demipulse Duo M104	21	$27,564.08	$74,497.50	$57,251.33	nat. median $57,251 1.0× median
4230882 CDM	Cust Imp Xcharcot Aoci-oxxx	21	$25,437.50	$68,750.00	$52,834.38	nat. median $52,834 1.0× median
L8686 HCPCS	Generator Demipulse Duo M104	21	$22,198.52	$74,497.50	$52,472.37	nat. median $7,230 outlier · 7.3×
4231302 CDM	Percept Pc Neurostim B35200	21	$24,420.00	$66,000.00	$50,721.00	nat. median $50,721 1.0× median
4231033 CDM	Generator Symmetry 8103	21	$22,198.52	$59,996.00	$46,106.93	nat. median $46,107 1.0× median
4231373 CDM	Ats Sys 30x30x25mm Ats-3030250	21	$21,520.13	$58,162.50	$44,697.88	nat. median $44,698 1.0× median
4230429 CDM	Infinity Adaptis Fll Ankle Imp	21	$14,973.16	$40,468.00	$31,099.66	nat. median $31,100 1.0× median
4230609 CDM	Nail Dyna 10x22cm 1200-01-1022	21	$14,194.13	$38,362.50	$29,481.58	nat. median $29,482 1.0× median
4231038 CDM	Flatcut Talar Dm Sz2 33680032	21	$14,070.79	$38,029.15	$29,225.40	nat. median $29,225 1.0× median
4230851 CDM	Flatcut Talar Dm Sz3 33680033	21	$14,070.79	$38,029.15	$29,225.40	nat. median $29,225 1.0× median
4230792 CDM	Flatcut Talar Dm Sz1 33680031	21	$14,070.79	$38,029.15	$29,225.40	nat. median $29,225 1.0× median
4230967 CDM	Flatcut Talar Dm Sz4 33680034	21	$13,660.96	$36,921.50	$28,374.17	nat. median $5 outlier · 5187.2×
4230917 CDM	Inf Adapts Tib Sz4 Lg 33680014	21	$13,261.71	$35,842.46	$27,544.93	nat. median $27,545 1.0× median
4230855 CDM	Infin Adaptis Tib Sz3 33680003	21	$13,261.71	$35,842.46	$27,544.93	nat. median $27,545 1.0× median
4231221 CDM	Infin Adaptis Tib Sz1 33680001	21	$13,261.71	$35,842.46	$27,544.93	nat. median $33 outlier · 842.9×
4231220 CDM	Infin Adaptis Tib Sz4 33680004	21	$13,261.71	$35,842.46	$27,544.93	nat. median $27,545 1.0× median
4230942 CDM	Phasix 12x12in 1193030	21	$12,609.88	$34,080.75	$26,191.06	nat. median $26,191 1.0× median
4230966 CDM	Inf Adapts Tib Sz5 Lg 33680015	21	$12,499.99	$33,783.75	$25,962.82	nat. median $25,963 1.0× median
4230801 CDM	Axonics Neurostimulator 4101	21	$12,362.63	$33,412.50	$25,677.50	nat. median $9 outlier · 2812.4×
4230850 CDM	Inf Adapts Tib Sz3 Lg 33680013	21	$12,135.72	$32,799.25	$25,206.22	nat. median $12,136 outlier · 2.1×
4230834 CDM	Nl Trwy Arthr 10x200 N20 St102	21	$11,899.66	$32,161.25	$24,715.93	nat. median $24,716 1.0× median
4230519 CDM	Nail Trwy Arthr Ttc N20 St121	21	$11,899.66	$32,161.25	$24,715.93	nat. median $24,716 1.0× median
4230537 CDM	Nail Trw Arthr 160mm N20 St101	21	$11,899.66	$32,161.25	$24,715.93	nat. median $24,716 1.0× median
4230791 CDM	Infin Adaptis Tib Sz2 33680002	21	$11,668.69	$31,537.00	$24,236.19	nat. median $24,236 1.0× median
4230856 CDM	Axonics Neurostimulator 5101	21	$11,406.18	$30,827.50	$23,690.93	nat. median $23,691 1.0× median
4230877 CDM	Fbrgrf Aerd Mx 12.5cc 73000125	21	$10,578.95	$28,591.75	$21,972.76	nat. median $21,973 1.0× median
4230756 CDM	Phasix 10x12in 1190500	21	$10,073.25	$27,225.00	$20,922.42	nat. median $20,922 1.0× median
C1820 HCPCS	Axonics Neurostimulator 1101	21	$8,295.40	$33,412.50	$20,878.62	nat. median $22,838 0.9× median
4230703 CDM	Perenniaflex 20-lead 304	21	$9,661.16	$26,111.25	$20,066.50	nat. median $20,066 1.0× median
20692 CPT	Appl Multipln Uni Ext Fix Sys	21	$9,521.49	$25,733.75	$19,892.19	nat. median $8,448 outlier · 2.4×
4201020 CDM	Appl Multipln Uni Ext Fix Sys	21	$9,521.49	$25,733.75	$19,892.19	nat. median $19,892 1.0× median
4231161 CDM	Inbn Evrlst Sz2 10mm 22023310	21	$8,928.66	$24,131.50	$18,545.06	nat. median $18,545 1.0× median
4200839 CDM	Rev/rpl Crn Nrv Neur El Ext Ge	21	$8,837.73	$23,885.75	$18,463.68	nat. median $18,464 1.0× median
64569 CPT	Rev/rpl Crn Nrv Neur El Ext Ge	21	$8,837.73	$23,885.75	$18,463.68	nat. median $11,560 1.6× median
4231036 CDM	Inbn Evrlst Sz2+ 10mm 22023210	21	$8,669.10	$23,430.00	$18,005.96	nat. median $18,006 1.0× median
64568 CPT	Inc Opn Imp Crn Nrv Neur Elect	21	$8,493.72	$22,956.00	$17,744.99	nat. median $27,651 0.6× median
4200793 CDM	Inc Opn Imp Crn Nrv Neur Elect	21	$8,493.72	$22,956.00	$17,744.99	nat. median $17,745 1.0× median
4230720 CDM	Axonics Neurostimulator 1101	21	$8,295.40	$22,420.00	$17,229.77	nat. median $17,230 1.0× median
6500115 CDM	Alteplase Vl [100mg] /1mg	21	$8,147.73	$22,020.90	$16,923.06	nat. median $16,923 1.0× median
4231300 CDM	Modex Pl 7x9x28mm17d 1937928p2	21	$8,140.00	$22,000.00	$16,907.00	nat. median $16,907 1.0× median
4231292 CDM	Modex Pl 7x9x24mm17d 1937924p2	21	$8,140.00	$22,000.00	$16,907.00	nat. median $16,907 1.0× median
4230841 CDM	Fbrgrf Bg Mtrx 12.5cc 74000125	21	$8,025.02	$21,689.25	$16,668.19	nat. median $16,668 1.0× median
4200985 CDM	Percut 1 Vert Augm Thoracic	21	$7,929.56	$21,431.25	$16,566.36	nat. median $16,566 1.0× median
22513 CPT	Percut 1 Vert Augm Thoracic	21	$7,929.56	$21,431.25	$16,566.36	nat. median $8,294 2.0× median
22514 CPT	Prq Vrt Algn Uni/bi Cann Lmbr	21	$7,929.56	$21,431.25	$16,566.36	nat. median $8,313 2.0× median
4201013 CDM	Prq Vrt Algn Uni/bi Cann Lmbr	21	$7,929.56	$21,431.25	$16,566.36	nat. median $16,566 1.0× median

Other procedures at this hospital

Browse this hospital's 6,971 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

4230118	CDM	Generator Sentiva M1000	48	21	$113,649.25	$113,649.25	$42,050.22	$113,649.25	$87,339.45	2026-03-13
4230940	CDM	Generator Sentiva Duo M1000d	48	21	$113,649.25	$113,649.25	$42,050.22	$113,649.25	$87,339.45	2026-03-13
4230585	CDM	Generator Aspiresr M 106	48	21	$101,015.75	$101,015.75	$37,375.83	$101,015.75	$77,630.60	2026-03-13
C1767	HCPCS	Generator Sentiva M1000	136	21	$101,015.75	$101,015.75	$20,914.57	$113,649.25	$66,000.00	2026-03-13
4230464	CDM	Generator Demipulse Duo M104	48	21	$74,497.50	$74,497.50	$27,564.08	$74,497.50	$57,251.33	2026-03-13
4230882	CDM	Cust Imp Xcharcot Aoci-oxxx	48	21	$68,750.00	$68,750.00	$25,437.50	$68,750.00	$52,834.38	2026-03-13
L8686	HCPCS	Generator Demipulse Duo M104	92	21	$74,497.50	$74,497.50	$22,198.52	$74,497.50	$52,472.37	2026-03-13
4231302	CDM	Percept Pc Neurostim B35200	48	21	$66,000.00	$66,000.00	$24,420.00	$66,000.00	$50,721.00	2026-03-13
4231033	CDM	Generator Symmetry 8103	48	21	$59,996.00	$59,996.00	$22,198.52	$59,996.00	$46,106.93	2026-03-13
4231373	CDM	Ats Sys 30x30x25mm Ats-3030250	48	21	$58,162.50	$58,162.50	$21,520.13	$58,162.50	$44,697.88	2026-03-13
4230429	CDM	Infinity Adaptis Fll Ankle Imp	48	21	$40,468.00	$40,468.00	$14,973.16	$40,468.00	$31,099.66	2026-03-13
4230609	CDM	Nail Dyna 10x22cm 1200-01-1022	48	21	$38,362.50	$38,362.50	$14,194.13	$38,362.50	$29,481.58	2026-03-13
4231038	CDM	Flatcut Talar Dm Sz2 33680032	48	21	$38,029.15	$38,029.15	$14,070.79	$38,029.15	$29,225.40	2026-03-13
4230792	CDM	Flatcut Talar Dm Sz1 33680031	48	21	$38,029.15	$38,029.15	$14,070.79	$38,029.15	$29,225.40	2026-03-13
4230851	CDM	Flatcut Talar Dm Sz3 33680033	48	21	$38,029.15	$38,029.15	$14,070.79	$38,029.15	$29,225.40	2026-03-13
4230967	CDM	Flatcut Talar Dm Sz4 33680034	48	21	$36,921.50	$36,921.50	$13,660.96	$36,921.50	$28,374.17	2026-03-13
4231220	CDM	Infin Adaptis Tib Sz4 33680004	48	21	$35,842.46	$35,842.46	$13,261.71	$35,842.46	$27,544.93	2026-03-13
4230855	CDM	Infin Adaptis Tib Sz3 33680003	48	21	$35,842.46	$35,842.46	$13,261.71	$35,842.46	$27,544.93	2026-03-13
4230917	CDM	Inf Adapts Tib Sz4 Lg 33680014	48	21	$35,842.46	$35,842.46	$13,261.71	$35,842.46	$27,544.93	2026-03-13
4231221	CDM	Infin Adaptis Tib Sz1 33680001	48	21	$35,842.46	$35,842.46	$13,261.71	$35,842.46	$27,544.93	2026-03-13
4230942	CDM	Phasix 12x12in 1193030	48	21	$34,080.75	$34,080.75	$12,609.88	$34,080.75	$26,191.06	2026-03-13
4230966	CDM	Inf Adapts Tib Sz5 Lg 33680015	48	21	$33,783.75	$33,783.75	$12,499.99	$33,783.75	$25,962.82	2026-03-13
4230801	CDM	Axonics Neurostimulator 4101	48	21	$33,412.50	$33,412.50	$12,362.63	$33,412.50	$25,677.50	2026-03-13
4230850	CDM	Inf Adapts Tib Sz3 Lg 33680013	48	21	$32,799.25	$32,799.25	$12,135.72	$32,799.25	$25,206.22	2026-03-13
4230537	CDM	Nail Trw Arthr 160mm N20 St101	48	21	$32,161.25	$32,161.25	$11,899.66	$32,161.25	$24,715.93	2026-03-13
4230834	CDM	Nl Trwy Arthr 10x200 N20 St102	48	21	$32,161.25	$32,161.25	$11,899.66	$32,161.25	$24,715.93	2026-03-13
4230519	CDM	Nail Trwy Arthr Ttc N20 St121	48	21	$32,161.25	$32,161.25	$11,899.66	$32,161.25	$24,715.93	2026-03-13
4230791	CDM	Infin Adaptis Tib Sz2 33680002	48	21	$31,537.00	$31,537.00	$11,668.69	$31,537.00	$24,236.19	2026-03-13
4230856	CDM	Axonics Neurostimulator 5101	48	21	$30,827.50	$30,827.50	$11,406.18	$30,827.50	$23,690.93	2026-03-13
4230877	CDM	Fbrgrf Aerd Mx 12.5cc 73000125	48	21	$28,591.75	$28,591.75	$10,578.95	$28,591.75	$21,972.76	2026-03-13
4230756	CDM	Phasix 10x12in 1190500	48	21	$27,225.00	$27,225.00	$10,073.25	$27,225.00	$20,922.42	2026-03-13
C1820	HCPCS	Axonics Neurostimulator 1101	136	21	$30,827.50	$30,827.50	$8,295.40	$33,412.50	$20,878.62	2026-03-13
4230703	CDM	Perenniaflex 20-lead 304	48	21	$26,111.25	$26,111.25	$9,661.16	$26,111.25	$20,066.50	2026-03-13
20692	CPT	Appl Multipln Uni Ext Fix Sys	48	21	$25,733.75	$25,733.75	$9,521.49	$25,733.75	$19,892.19	2026-03-13
4201020	CDM	Appl Multipln Uni Ext Fix Sys	48	21	$25,733.75	$25,733.75	$9,521.49	$25,733.75	$19,892.19	2026-03-13
4231161	CDM	Inbn Evrlst Sz2 10mm 22023310	48	21	$24,131.50	$24,131.50	$8,928.66	$24,131.50	$18,545.06	2026-03-13
4200839	CDM	Rev/rpl Crn Nrv Neur El Ext Ge	48	21	$23,885.75	$23,885.75	$8,837.73	$23,885.75	$18,463.68	2026-03-13
64569	CPT	Rev/rpl Crn Nrv Neur El Ext Ge	48	21	$23,885.75	$23,885.75	$8,837.73	$23,885.75	$18,463.68	2026-03-13
4231036	CDM	Inbn Evrlst Sz2+ 10mm 22023210	48	21	$23,430.00	$23,430.00	$8,669.10	$23,430.00	$18,005.96	2026-03-13
4200793	CDM	Inc Opn Imp Crn Nrv Neur Elect	48	21	$22,956.00	$22,956.00	$8,493.72	$22,956.00	$17,744.99	2026-03-13
64568	CPT	Inc Opn Imp Crn Nrv Neur Elect	48	21	$22,956.00	$22,956.00	$8,493.72	$22,956.00	$17,744.99	2026-03-13
4230720	CDM	Axonics Neurostimulator 1101	48	21	$22,420.00	$22,420.00	$8,295.40	$22,420.00	$17,229.77	2026-03-13
6500115	CDM	Alteplase Vl [100mg] /1mg	48	21	$22,020.90	$22,020.90	$8,147.73	$22,020.90	$16,923.06	2026-03-13
4231292	CDM	Modex Pl 7x9x24mm17d 1937924p2	48	21	$22,000.00	$22,000.00	$8,140.00	$22,000.00	$16,907.00	2026-03-13
4231300	CDM	Modex Pl 7x9x28mm17d 1937928p2	48	21	$22,000.00	$22,000.00	$8,140.00	$22,000.00	$16,907.00	2026-03-13
4230841	CDM	Fbrgrf Bg Mtrx 12.5cc 74000125	48	21	$21,689.25	$21,689.25	$8,025.02	$21,689.25	$16,668.19	2026-03-13
22513	CPT	Percut 1 Vert Augm Thoracic	48	21	$21,431.25	$21,431.25	$7,929.56	$21,431.25	$16,566.36	2026-03-13
4201013	CDM	Prq Vrt Algn Uni/bi Cann Lmbr	48	21	$21,431.25	$21,431.25	$7,929.56	$21,431.25	$16,566.36	2026-03-13
4200985	CDM	Percut 1 Vert Augm Thoracic	48	21	$21,431.25	$21,431.25	$7,929.56	$21,431.25	$16,566.36	2026-03-13
22514	CPT	Prq Vrt Algn Uni/bi Cann Lmbr	48	21	$21,431.25	$21,431.25	$7,929.56	$21,431.25	$16,566.36	2026-03-13
4201016	CDM	Lam Exc Les Ot/th Neo Idrl Lmb	48	21	$20,994.75	$20,994.75	$7,768.06	$20,994.75	$16,228.94	2026-03-13
63272	CPT	Lam Exc Les Ot/th Neo Idrl Lmb	48	21	$20,994.75	$20,994.75	$7,768.06	$20,994.75	$16,228.94	2026-03-13
4200615	CDM	Arthr Knee Cond/pl Md/lt Comp	48	21	$20,824.50	$20,824.50	$7,705.07	$20,824.50	$16,097.34	2026-03-13
27447	CPT	Arthr Knee Cond/pl Md/lt Comp	48	21	$20,824.50	$20,824.50	$7,705.07	$20,824.50	$16,097.34	2026-03-13
4231181	CDM	Cerament G 10ml A0535-05	48	21	$20,451.75	$20,451.75	$7,567.15	$20,451.75	$15,717.17	2026-03-13
27415	CPT	Opn Knee Proc W/osteoch Allgrf	48	21	$20,235.50	$20,235.50	$7,487.14	$20,235.50	$15,642.04	2026-03-13
4200792	CDM	Opn Knee Proc W/osteoch Allgrf	48	21	$20,235.50	$20,235.50	$7,487.14	$20,235.50	$15,642.04	2026-03-13
4200680	CDM	Rev/rmv Cran Neur Pls Gen/rcvr	48	21	$19,883.25	$19,883.25	$7,356.80	$19,883.25	$15,369.76	2026-03-13
61888	CPT	Rev/rmv Cran Neur Pls Gen/rcvr	48	21	$19,883.25	$19,883.25	$7,356.80	$19,883.25	$15,369.76	2026-03-13
4200975	CDM	Arthr Pst/pstlt/pstinbd Lumbar	48	21	$19,798.00	$19,798.00	$7,325.26	$19,798.00	$15,303.85	2026-03-13
22633	CPT	Arthr Pst/pstlt/pstinbd Lumbar	48	21	$19,798.00	$19,798.00	$7,325.26	$19,798.00	$15,303.85	2026-03-13
4200731	CDM	Opn Tx Tib Shft Fx With Int Fxtn	48	21	$19,787.75	$19,787.75	$7,321.47	$19,787.75	$15,295.93	2026-03-13
27758	CPT	Opn Tx Tib Shft Fx With Int Fxtn	48	21	$19,787.75	$19,787.75	$7,321.47	$19,787.75	$15,295.93	2026-03-13
4231160	CDM	Inbn Tib Tr Sz3 Lt 200252903	48	21	$19,610.53	$19,610.53	$7,255.90	$19,610.53	$15,070.69	2026-03-13
29867	CPT	Arthr Knee W/osteoch Allogrf	48	21	$19,122.50	$19,122.50	$7,075.33	$19,122.50	$14,781.69	2026-03-13
4200769	CDM	Arthr Knee W/osteoch Allogrf	48	21	$19,122.50	$19,122.50	$7,075.33	$19,122.50	$14,781.69	2026-03-13
4231037	CDM	Inbn Tib Tr Lt Sz3lg 220252903	48	21	$19,038.25	$19,038.25	$7,044.15	$19,038.25	$14,630.90	2026-03-13
27702	CPT	Arthroplasty, Ankle With Implant	48	21	$18,918.25	$18,918.25	$6,999.75	$18,918.25	$14,623.81	2026-03-13
4200514	CDM	Arthroplasty, Ankle With Implant	48	21	$18,918.25	$18,918.25	$6,999.75	$18,918.25	$14,623.81	2026-03-13
4231196	CDM	Osa Talus Rt 32647001	48	21	$18,837.50	$18,837.50	$6,969.88	$18,837.50	$14,476.62	2026-03-13
47563	CPT	Lap Chole W/cholangiography	48	21	$16,201.75	$16,201.75	$5,994.65	$16,201.75	$13,982.11	2026-03-13
4200557	CDM	Orif Trimalleolar Ankle	48	21	$17,976.50	$17,976.50	$6,651.31	$17,976.50	$13,895.83	2026-03-13
27822	CPT	Orif Trimalleolar Ankle	48	21	$17,976.50	$17,976.50	$6,651.31	$17,976.50	$13,895.83	2026-03-13
4200951	CDM	Arthr Pst/pstlat Ea Addl	48	21	$17,964.25	$17,964.25	$6,646.77	$17,964.25	$13,886.37	2026-03-13
22614	CPT	Arthr Pst/pstlat Ea Addl	48	21	$17,964.25	$17,964.25	$6,646.77	$17,964.25	$13,886.37	2026-03-13
4200950	CDM	Arthr Pst/pstlat Lumbar	48	21	$17,904.25	$17,904.25	$6,624.57	$17,904.25	$13,839.99	2026-03-13
22630	CPT	Arthr Posterior Intbdy Lumbar	48	21	$17,904.25	$17,904.25	$6,624.57	$17,904.25	$13,839.99	2026-03-13
4200969	CDM	Arthr Posterior Intbdy Lumbar	48	21	$17,904.25	$17,904.25	$6,624.57	$17,904.25	$13,839.99	2026-03-13
22612	CPT	Arthr Pst/pstlat Lumbar	48	21	$17,904.25	$17,904.25	$6,624.57	$17,904.25	$13,839.99	2026-03-13
4231148	CDM	Nl Vl Lt 11.5x150mm 415101115l	48	21	$17,977.88	$17,977.88	$6,651.82	$17,977.88	$13,816.01	2026-03-13
4200804	CDM	Insj/rpl Per/gstr Neur Gen/rcv	48	21	$17,294.75	$17,294.75	$6,399.06	$17,294.75	$13,368.85	2026-03-13
64590	CPT	Insj/rpl Per/gstr Neur Gen/rcv	48	21	$17,294.75	$17,294.75	$6,399.06	$17,294.75	$13,368.85	2026-03-13
22551	CPT	Arthr Ant Dcmp Cerv Blw C2	48	21	$17,245.50	$17,245.50	$6,380.84	$17,245.50	$13,330.77	2026-03-13
4200949	CDM	Arthr Ant Dcmp Cerv Blw C2	48	21	$17,245.50	$17,245.50	$6,380.84	$17,245.50	$13,330.77	2026-03-13
4200684	CDM	Arthr Knee Ant Crc Lig Rp/recs	48	21	$17,181.00	$17,181.00	$6,356.97	$17,181.00	$13,280.92	2026-03-13
29888	CPT	Arthr Knee Ant Crc Lig Rp/recs	48	21	$17,181.00	$17,181.00	$6,356.97	$17,181.00	$13,280.92	2026-03-13
28615	CPT	Optx Tarsometatarsal Jt Disloc	48	21	$17,120.50	$17,120.50	$6,334.59	$17,120.50	$13,234.15	2026-03-13
4200563	CDM	Optx Tarsometatarsal Jt Disloc	48	21	$17,120.50	$17,120.50	$6,334.59	$17,120.50	$13,234.15	2026-03-13
4200505	CDM	Arthrodesis - Ankle, Open	48	21	$17,079.50	$17,079.50	$6,319.42	$17,079.50	$13,202.45	2026-03-13
28725	CPT	Arthrodesis - Subtalar	48	21	$17,079.50	$17,079.50	$6,319.42	$17,079.50	$13,202.45	2026-03-13
27870	CPT	Arthrodesis - Ankle, Open	48	21	$17,079.50	$17,079.50	$6,319.42	$17,079.50	$13,202.45	2026-03-13
4200506	CDM	Arthrodesis - Subtalar	48	21	$17,079.50	$17,079.50	$6,319.42	$17,079.50	$13,202.45	2026-03-13
4230962	CDM	Evns Wdg 18x18x8 08.844.108s	48	21	$17,149.00	$17,149.00	$6,345.13	$17,149.00	$13,179.00	2026-03-13
29866	CPT	Arthr Knee W/osteoch Autogrf	48	21	$16,951.00	$16,951.00	$6,271.87	$16,951.00	$13,103.12	2026-03-13
4200683	CDM	Arthr Knee W/osteoch Autogrf	48	21	$16,951.00	$16,951.00	$6,271.87	$16,951.00	$13,103.12	2026-03-13
4230617	CDM	Nail Dyna Hyb 100 2601-00-7100	48	21	$17,036.25	$17,036.25	$6,303.41	$17,036.25	$13,092.36	2026-03-13
4231008	CDM	Evns Wdg 20x20x8 08.844.208s	48	21	$16,515.68	$16,515.68	$6,110.80	$16,515.68	$12,692.30	2026-03-13
4231333	CDM	Spcr 8x22 7-13mm 8d 1172.0021s	48	21	$16,500.00	$16,500.00	$6,105.00	$16,500.00	$12,680.25	2026-03-13
4231319	CDM	Spcr 8x22 6-12mm 8d 1172.0010s	48	21	$16,500.00	$16,500.00	$6,105.00	$16,500.00	$12,680.25	2026-03-13
60271	CPT	Thyroidectomy Subst Cerv Appr	48	21	$16,344.75	$16,344.75	$6,047.56	$16,344.75	$12,634.49	2026-03-13
4200790	CDM	Thyroidectomy Subst Cerv Appr	48	21	$16,344.75	$16,344.75	$6,047.56	$16,344.75	$12,634.49	2026-03-13
69643	CPT	Tympanoplasty With Mastoidectomy	48	21	$16,344.75	$16,344.75	$6,047.56	$16,344.75	$12,634.49	2026-03-13
4200763	CDM	Tympanoplasty With Mastoidectomy	48	21	$16,344.75	$16,344.75	$6,047.56	$16,344.75	$12,634.49	2026-03-13
60240	CPT	Thyroidectomy, Total Or Comp	48	21	$16,262.50	$16,262.50	$6,017.13	$16,262.50	$12,570.92	2026-03-13
4200714	CDM	Thyroidectomy, Total Or Comp	48	21	$16,262.50	$16,262.50	$6,017.13	$16,262.50	$12,570.92	2026-03-13
4230861	CDM	Evns Wdg 20x20x12 08.844.212s	48	21	$16,332.25	$16,332.25	$6,042.93	$16,332.25	$12,551.33	2026-03-13
4200362	CDM	Lap Chole W/cholangiography	48	21	$16,201.75	$16,201.75	$5,994.65	$16,201.75	$12,523.95	2026-03-13
4200787	CDM	Optx Post Mall Fx W/int Fix	48	21	$16,089.00	$16,089.00	$5,952.93	$16,089.00	$12,436.80	2026-03-13
27769	CPT	Optx Post Mall Fx W/int Fix	48	21	$16,089.00	$16,089.00	$5,952.93	$16,089.00	$12,436.80	2026-03-13
4200515	CDM	Bone Graft-any Area, Major/lrg	48	21	$16,084.75	$16,084.75	$5,951.36	$16,084.75	$12,433.51	2026-03-13
20902	CPT	Bone Graft-any Area, Major/lrg	48	21	$16,084.75	$16,084.75	$5,951.36	$16,084.75	$12,433.51	2026-03-13
4230713	CDM	Sidekck Steripk 25mm Xpck1002	48	21	$16,159.00	$16,159.00	$5,978.83	$16,159.00	$12,418.19	2026-03-13
22558	CPT	Arth Ant Intb W/min Discectomy	48	21	$15,925.50	$15,925.50	$5,892.44	$15,925.50	$12,310.41	2026-03-13
4201002	CDM	Arth Ant Intb W/min Discectomy	48	21	$15,925.50	$15,925.50	$5,892.44	$15,925.50	$12,310.41	2026-03-13
4400998	CDM	Bn Hrvt Kit Ria 03.404.000s	48	21	$15,680.50	$15,680.50	$5,801.79	$15,680.50	$12,050.47	2026-03-13
4200679	CDM	Mastoidectomy Modified Radical	48	21	$15,588.25	$15,588.25	$5,767.65	$15,588.25	$12,049.72	2026-03-13
4200657	CDM	Exc Par Tum/parotid Glnd; Tot	48	21	$15,588.25	$15,588.25	$5,767.65	$15,588.25	$12,049.72	2026-03-13
42420	CPT	Exc Par Tum/parotid Glnd; Tot	48	21	$15,588.25	$15,588.25	$5,767.65	$15,588.25	$12,049.72	2026-03-13
69505	CPT	Mastoidectomy Modified Radical	48	21	$15,588.25	$15,588.25	$5,767.65	$15,588.25	$12,049.72	2026-03-13
4200300	CDM	Optx Medial Malleolus Fx	48	21	$15,565.25	$15,565.25	$5,759.14	$15,565.25	$12,031.94	2026-03-13
27766	CPT	Optx Medial Malleolus Fx	48	21	$15,565.25	$15,565.25	$5,759.14	$15,565.25	$12,031.94	2026-03-13
44143	CPT	Prtl Col W/en Col/cls Dist Seg	48	21	$15,432.25	$15,432.25	$5,709.93	$15,432.25	$11,929.13	2026-03-13
4200853	CDM	Prtl Col W/en Col/cls Dist Seg	48	21	$15,432.25	$15,432.25	$5,709.93	$15,432.25	$11,929.13	2026-03-13
29827	CPT	Arthr Shoulder Rotatr Cuff Rpr	48	21	$15,431.75	$15,431.75	$5,709.75	$15,431.75	$11,928.74	2026-03-13
4200604	CDM	Arthr Shoulder Rotatr Cuff Rpr	48	21	$15,431.75	$15,431.75	$5,709.75	$15,431.75	$11,928.74	2026-03-13
49618	CPT	Rpr Aa Her A Ap Rc 10cm+ In/st	48	21	$15,386.50	$15,386.50	$5,693.01	$15,386.50	$11,893.76	2026-03-13
4200908	CDM	Rpr Aa Her A Ap Rc 10cm+ In/st	48	21	$15,386.50	$15,386.50	$5,693.01	$15,386.50	$11,893.76	2026-03-13
4200976	CDM	Lam Exc/ev Les Ot/thn Neo Lmbr	48	21	$15,299.75	$15,299.75	$5,660.91	$15,299.75	$11,826.71	2026-03-13
63267	CPT	Lam Exc/ev Les Ot/thn Neo Lmbr	48	21	$15,299.75	$15,299.75	$5,660.91	$15,299.75	$11,826.71	2026-03-13
27691	CPT	Revision Sngl Tendon, Deep	48	21	$15,276.75	$15,276.75	$5,652.40	$15,276.75	$11,808.93	2026-03-13
4200858	CDM	Revision Sngl Tendon, Deep	48	21	$15,276.75	$15,276.75	$5,652.40	$15,276.75	$11,808.93	2026-03-13
29806	CPT	Arthr Shoulder Capsulrrhaphy	48	21	$15,080.00	$15,080.00	$5,579.60	$15,080.00	$11,656.84	2026-03-13
4200601	CDM	Arthr Shoulder Capsulrrhaphy	48	21	$15,080.00	$15,080.00	$5,579.60	$15,080.00	$11,656.84	2026-03-13
4231266	CDM	Mobi-c 15x15 Mb3555	48	21	$15,125.00	$15,125.00	$5,596.25	$15,125.00	$11,623.56	2026-03-13
4200055	CDM	Tot Thyr Lobect Uni W/wo Isthm	48	21	$14,851.75	$14,851.75	$5,495.15	$14,851.75	$11,480.40	2026-03-13
4200438	CDM	Prtl Colectomy W/coloproctstmy	48	21	$14,851.75	$14,851.75	$5,495.15	$14,851.75	$11,480.40	2026-03-13
44145	CPT	Prtl Colectomy W/coloproctstmy	48	21	$14,851.75	$14,851.75	$5,495.15	$14,851.75	$11,480.40	2026-03-13
60220	CPT	Tot Thyr Lobect Uni W/wo Isthm	48	21	$14,851.75	$14,851.75	$5,495.15	$14,851.75	$11,480.40	2026-03-13
58291	CPT	Vag Hyst >250g With Rem Tbs&/ovr	48	21	$14,809.50	$14,809.50	$5,479.52	$14,809.50	$11,447.74	2026-03-13
4200994	CDM	Vag Hyst >250g With Rem Tbs&/ovr	48	21	$14,809.50	$14,809.50	$5,479.52	$14,809.50	$11,447.74	2026-03-13
4231201	CDM	Mini Core 12mm 15-20mm 5962152	48	21	$14,781.25	$14,781.25	$5,469.06	$14,781.25	$11,359.40	2026-03-13
4200560	CDM	Op Tx Dist Tibfibular Jt Disr	48	21	$14,690.75	$14,690.75	$5,435.58	$14,690.75	$11,355.95	2026-03-13
27829	CPT	Op Tx Dist Tibfibular Jt Disr	48	21	$14,690.75	$14,690.75	$5,435.58	$14,690.75	$11,355.95	2026-03-13
20900	CPT	Bone Graft-any Area, Minor/sm	48	21	$14,623.00	$14,623.00	$5,410.51	$14,623.00	$11,303.58	2026-03-13
4200496	CDM	Bone Graft-any Area, Minor/sm	48	21	$14,623.00	$14,623.00	$5,410.51	$14,623.00	$11,303.58	2026-03-13
4230876	CDM	Fbrgrf Aerd Mx 6.25cc 73000063	48	21	$14,676.75	$14,676.75	$5,430.40	$14,676.75	$11,279.08	2026-03-13
4200957	CDM	Lam Fac/for 1sgm Lumbar	48	21	$14,557.00	$14,557.00	$5,386.09	$14,557.00	$11,252.56	2026-03-13
63047	CPT	Lam Fac/for 1sgm Lumbar	48	21	$14,557.00	$14,557.00	$5,386.09	$14,557.00	$11,252.56	2026-03-13
4400637	CDM	Amniofix 9cm X 9cm Ah-5990	48	21	$14,547.50	$14,547.50	$5,382.58	$14,547.50	$11,179.76	2026-03-13
31591	CPT	Laryngoplasty Medializ Unil	48	21	$14,441.50	$14,441.50	$5,343.36	$14,441.50	$11,163.28	2026-03-13
4200717	CDM	Laryngoplasty Medializ Unil	48	21	$14,441.50	$14,441.50	$5,343.36	$14,441.50	$11,163.28	2026-03-13
29828	CPT	Arthr Shoulder Bicep Tendones	48	21	$14,352.00	$14,352.00	$5,310.24	$14,352.00	$11,094.10	2026-03-13
4200603	CDM	Arthr Shoulder Bicep Tendones	48	21	$14,352.00	$14,352.00	$5,310.24	$14,352.00	$11,094.10	2026-03-13
28305	CPT	Osteot Trsl Bones W/autogr	48	21	$14,287.50	$14,287.50	$5,286.38	$14,287.50	$11,044.24	2026-03-13
4201019	CDM	Osteot Trsl Bones W/autogr	48	21	$14,287.50	$14,287.50	$5,286.38	$14,287.50	$11,044.24	2026-03-13
4200830	CDM	Lap Rpr Parae Hern W/fund Without	48	21	$14,190.75	$14,190.75	$5,250.58	$14,190.75	$10,969.45	2026-03-13
43281	CPT	Lap Rpr Parae Hern W/fund Without	48	21	$14,190.75	$14,190.75	$5,250.58	$14,190.75	$10,969.45	2026-03-13
4200764	CDM	Opn Tx Fx Distal Tibia&fibula	48	21	$14,023.50	$14,023.50	$5,188.70	$14,023.50	$10,840.17	2026-03-13
27828	CPT	Opn Tx Fx Distal Tibia&fibula	48	21	$14,023.50	$14,023.50	$5,188.70	$14,023.50	$10,840.17	2026-03-13
49596	CPT	Rpr Aa Her A Ap In 10cm+ In/st	48	21	$13,987.50	$13,987.50	$5,175.38	$13,987.50	$10,812.34	2026-03-13
4200871	CDM	Rpr Aa Her A Ap In 10cm+ In/st	48	21	$13,987.50	$13,987.50	$5,175.38	$13,987.50	$10,812.34	2026-03-13
27698	CPT	Rpr Ankle Liga, Sec Disrupted	48	21	$13,887.75	$13,887.75	$5,138.47	$13,887.75	$10,735.24	2026-03-13
4200487	CDM	Rpr Ankle Liga, Sec Disrupted	48	21	$13,887.75	$13,887.75	$5,138.47	$13,887.75	$10,735.24	2026-03-13
4200838	CDM	Lap W/vag Hyst >250g W/tub/ov	48	21	$13,820.75	$13,820.75	$5,113.68	$13,820.75	$10,683.44	2026-03-13
58554	CPT	Lap W/vag Hyst >250g W/tub/ov	48	21	$13,820.75	$13,820.75	$5,113.68	$13,820.75	$10,683.44	2026-03-13
63081	CPT	Vert Corpect Dcmp Crv 1sgm	48	21	$13,788.00	$13,788.00	$5,101.56	$13,788.00	$10,658.12	2026-03-13
4200972	CDM	Vert Corpect Dcmp Crv 1sgm	48	21	$13,788.00	$13,788.00	$5,101.56	$13,788.00	$10,658.12	2026-03-13
23462	CPT	Capsul Ant With Cora Proc Trns	48	21	$13,705.75	$13,705.75	$5,071.13	$13,705.75	$10,594.55	2026-03-13
4200797	CDM	Capsul Ant With Cora Proc Trns	48	21	$13,705.75	$13,705.75	$5,071.13	$13,705.75	$10,594.55	2026-03-13
19303	CPT	Mastectomy, Simple Complete	48	21	$13,660.50	$13,660.50	$5,054.39	$13,660.50	$10,559.57	2026-03-13
4200682	CDM	Mastectomy, Simple Complete	48	21	$13,660.50	$13,660.50	$5,054.39	$13,660.50	$10,559.57	2026-03-13
4231101	CDM	Osa Talus Lt 32647002	48	21	$13,700.00	$13,700.00	$5,069.00	$13,700.00	$10,528.45	2026-03-13
4231223	CDM	Infin Evrlst Sz2+ 8mm 33683208	48	21	$13,672.48	$13,672.48	$5,058.82	$13,672.48	$10,507.31	2026-03-13
4231222	CDM	Inf Evrlst Sz1/1+ 8mm 33681108	48	21	$13,672.48	$13,672.48	$5,058.82	$13,672.48	$10,507.31	2026-03-13
57425	CPT	Lap Colpopexy (susp Vag Apex)	48	21	$13,592.50	$13,592.50	$5,029.23	$13,592.50	$10,507.01	2026-03-13
4200984	CDM	Lap Colpopexy (susp Vag Apex)	48	21	$13,592.50	$13,592.50	$5,029.23	$13,592.50	$10,507.01	2026-03-13
22842	CPT	Post Instr 3-6 Vert Sgm	48	21	$13,575.75	$13,575.75	$5,023.03	$13,575.75	$10,494.06	2026-03-13
4200963	CDM	Post Instr 3-6 Vert Sgm	48	21	$13,575.75	$13,575.75	$5,023.03	$13,575.75	$10,494.06	2026-03-13
38724	CPT	Cervlymph Mod Rad Nck Dsj	48	21	$13,537.75	$13,537.75	$5,008.97	$13,537.75	$10,464.69	2026-03-13
4200775	CDM	Cervlymph Mod Rad Nck Dsj	48	21	$13,537.75	$13,537.75	$5,008.97	$13,537.75	$10,464.69	2026-03-13
4200363	CDM	Lap Prtl Colectomy W/anastamos	48	21	$13,502.00	$13,502.00	$4,995.74	$13,502.00	$10,437.05	2026-03-13
4200417	CDM	Lap Rpr Hernia Inguin, Recur	48	21	$13,502.00	$13,502.00	$4,995.74	$13,502.00	$10,437.05	2026-03-13
49651	CPT	Lap Rpr Hernia Inguin, Recur	48	21	$13,502.00	$13,502.00	$4,995.74	$13,502.00	$10,437.05	2026-03-13
4200361	CDM	Lap Fulg/exc Les Ovar/pel/peri	48	21	$13,502.00	$13,502.00	$4,995.74	$13,502.00	$10,437.05	2026-03-13
44204	CPT	Lap Prtl Colectomy W/anastamos	48	21	$13,502.00	$13,502.00	$4,995.74	$13,502.00	$10,437.05	2026-03-13
58662	CPT	Lap Fulg/exc Les Ovar/pel/peri	48	21	$13,502.00	$13,502.00	$4,995.74	$13,502.00	$10,437.05	2026-03-13
29823	CPT	Arthr Shoulder Dbrd Extensive	48	21	$13,360.50	$13,360.50	$4,943.39	$13,360.50	$10,327.67	2026-03-13
4200602	CDM	Arthr Shoulder Dbrd Extensive	48	21	$13,360.50	$13,360.50	$4,943.39	$13,360.50	$10,327.67	2026-03-13
28730	CPT	Arthr Midtrsl/tars Mlt/trnsvrs	48	21	$13,291.25	$13,291.25	$4,917.76	$13,291.25	$10,274.14	2026-03-13
4200565	CDM	Arthr Midtrsl/tars Mlt/trnsvrs	48	21	$13,291.25	$13,291.25	$4,917.76	$13,291.25	$10,274.14	2026-03-13
22845	CPT	Ant Instr 2-3 Vert Sgm	48	21	$13,216.75	$13,216.75	$4,890.20	$13,216.75	$10,216.55	2026-03-13
4200953	CDM	Ant Instr 2-3 Vert Sgm	48	21	$13,216.75	$13,216.75	$4,890.20	$13,216.75	$10,216.55	2026-03-13
4200959	CDM	P/post Facet Uni/bi Lumbar	48	21	$13,168.25	$13,168.25	$4,872.25	$13,168.25	$10,179.06	2026-03-13
0221T	CPT	P/post Facet Uni/bi Lumbar	48	21	$13,168.25	$13,168.25	$4,872.25	$13,168.25	$10,179.06	2026-03-13
22846	CPT	Ant Instr 4-7 Vert Sgm	48	21	$13,137.50	$13,137.50	$4,860.88	$13,137.50	$10,155.29	2026-03-13
4200954	CDM	Ant Instr 4-7 Vert Sgm	48	21	$13,137.50	$13,137.50	$4,860.88	$13,137.50	$10,155.29	2026-03-13
49595	CPT	Rp Aa Hr Any Ap In >10cm Rd	48	21	$12,822.00	$12,822.00	$4,744.14	$12,822.00	$9,911.40	2026-03-13
4200935	CDM	Rp Aa Hr Any Ap Rc 3-10cm Rd	48	21	$12,822.00	$12,822.00	$4,744.14	$12,822.00	$9,911.40	2026-03-13
49615	CPT	Rp Aa Hr Any Ap Rc 3-10cm Rd	48	21	$12,822.00	$12,822.00	$4,744.14	$12,822.00	$9,911.40	2026-03-13
4200934	CDM	Rp Aa Hr Any Ap In >10cm Rd	48	21	$12,822.00	$12,822.00	$4,744.14	$12,822.00	$9,911.40	2026-03-13
4230918	CDM	Inf Evrlst Sz 3+ 9mm 33684309	48	21	$12,886.50	$12,886.50	$4,768.01	$12,886.50	$9,903.27	2026-03-13
4230968	CDM	Infin Evrlst Sz4+ 7mm 33685407	48	21	$12,886.50	$12,886.50	$4,768.01	$12,886.50	$9,903.27	2026-03-13
4230969	CDM	Infin Evrlst Sz4+ 9mm 33685409	48	21	$12,886.50	$12,886.50	$4,768.01	$12,886.50	$9,903.27	2026-03-13
4200583	CDM	Opn Tx Fx Distal Tibia Only	48	21	$12,748.50	$12,748.50	$4,716.95	$12,748.50	$9,854.59	2026-03-13
27827	CPT	Opn Tx Fx Distal Tibia Only	48	21	$12,748.50	$12,748.50	$4,716.95	$12,748.50	$9,854.59	2026-03-13
4200875	CDM	Rpr Aa Her A Ap In 3-10cm In/s	48	21	$12,716.25	$12,716.25	$4,705.01	$12,716.25	$9,829.67	2026-03-13
49594	CPT	Rpr Aa Her A Ap In 3-10cm In/s	48	21	$12,716.25	$12,716.25	$4,705.01	$12,716.25	$9,829.67	2026-03-13
29807	CPT	Arthr Shoulder Slap Repair	48	21	$12,682.00	$12,682.00	$4,692.34	$12,682.00	$9,803.18	2026-03-13
4200598	CDM	Arthr Shoulder Slap Repair	48	21	$12,682.00	$12,682.00	$4,692.34	$12,682.00	$9,803.18	2026-03-13
4200725	CDM	Arthr W/tn Lng Mid/tar Nav/cun	48	21	$12,603.25	$12,603.25	$4,663.20	$12,603.25	$9,742.32	2026-03-13
28737	CPT	Arthr W/tn Lng Mid/tar Nav/cun	48	21	$12,603.25	$12,603.25	$4,663.20	$12,603.25	$9,742.32	2026-03-13
4230898	CDM	Nl W Cr Scr 8x110mm 2380-0811s	48	21	$12,674.75	$12,674.75	$4,689.66	$12,674.75	$9,740.55	2026-03-13
4230897	CDM	Nl W Cmp Scrw 8x9mm 2380-0809s	48	21	$12,674.75	$12,674.75	$4,689.66	$12,674.75	$9,740.55	2026-03-13
4201009	CDM	Ethmoidectomy, Intranasal Ant	48	21	$12,438.50	$12,438.50	$4,602.25	$12,438.50	$9,614.96	2026-03-13
31200	CPT	Ethmoidectomy, Intranasal Ant	48	21	$12,438.50	$12,438.50	$4,602.25	$12,438.50	$9,614.96	2026-03-13
4230852	CDM	Infin Evrlst Sz3 8mm 33683308	48	21	$12,509.75	$12,509.75	$4,628.61	$12,509.75	$9,613.74	2026-03-13
4200516	CDM	Opn Prtl Colectomy W/anast	48	21	$12,377.25	$12,377.25	$4,579.58	$12,377.25	$9,567.61	2026-03-13
44140	CPT	Opn Prtl Colectomy W/anast	48	21	$12,377.25	$12,377.25	$4,579.58	$12,377.25	$9,567.61	2026-03-13
4200007	CDM	Lap Cholecystectomy	48	21	$12,376.75	$12,376.75	$4,579.40	$12,376.75	$9,567.23	2026-03-13
4200413	CDM	Laparoscopic Appendectomy	48	21	$12,376.75	$12,376.75	$4,579.40	$12,376.75	$9,567.23	2026-03-13
47562	CPT	Lap Cholecystectomy	48	21	$12,376.75	$12,376.75	$2,599.12	$12,376.75	$9,567.23	2026-03-13
44970	CPT	Laparoscopic Appendectomy	48	21	$12,376.75	$12,376.75	$4,579.40	$12,376.75	$9,567.23	2026-03-13
4200390	CDM	Mastec Part W/axill Lymphad	48	21	$12,307.00	$12,307.00	$4,553.59	$12,307.00	$9,513.31	2026-03-13
38720	CPT	Cerv Lymphadenectomy Comp	48	21	$12,307.00	$12,307.00	$4,553.59	$12,307.00	$9,513.31	2026-03-13
19302	CPT	Mastec Part W/axill Lymphad	48	21	$12,307.00	$12,307.00	$4,553.59	$12,307.00	$9,513.31	2026-03-13
4200359	CDM	Cerv Lymphadenectomy Comp	48	21	$12,307.00	$12,307.00	$4,553.59	$12,307.00	$9,513.31	2026-03-13
4200970	CDM	Tmpp Arthr/mastoid Prosth Torp	48	21	$12,281.50	$12,281.50	$4,544.16	$12,281.50	$9,493.60	2026-03-13
69637	CPT	Tmpp Arthr/mastoid Prosth Torp	48	21	$12,281.50	$12,281.50	$4,544.16	$12,281.50	$9,493.60	2026-03-13
4200716	CDM	Arthr Knee Rpr W/menisc Md&lt	48	21	$12,272.00	$12,272.00	$4,540.64	$12,272.00	$9,486.26	2026-03-13
29883	CPT	Arthr Knee Rpr W/menisc Md&lt	48	21	$12,272.00	$12,272.00	$4,540.64	$12,272.00	$9,486.26	2026-03-13
22856	CPT	Tot Disc Arthrp 1 Ntrspc Crv	48	21	$12,269.25	$12,269.25	$4,539.62	$12,269.25	$9,484.14	2026-03-13
4200982	CDM	Tot Disc Arthrp 1 Ntrspc Crv	48	21	$12,269.25	$12,269.25	$4,539.62	$12,269.25	$9,484.14	2026-03-13
4230518	CDM	Nanobone Sbx 10ml 200046	48	21	$12,333.75	$12,333.75	$4,563.49	$12,333.75	$9,478.49	2026-03-13
4200098	CDM	Diag. Laparoscopy W Biops	48	21	$12,232.50	$12,232.50	$4,526.03	$12,232.50	$9,455.73	2026-03-13
49321	CPT	Diag. Laparoscopy W Biops	48	21	$12,232.50	$12,232.50	$4,526.03	$12,232.50	$9,455.73	2026-03-13
6501884	CDM	Leuprolide Act 22.5mgvl /7.5mg	48	21	$12,264.55	$12,264.55	$4,537.88	$12,264.55	$9,425.31	2026-03-13
J9217	HCPCS	Leuprolide Act 22.5mgvl /7.5mg	48	21	$12,264.55	$12,264.55	$4,537.88	$12,264.55	$9,425.31	2026-03-13
22515	CPT	Prq Vrt Algn Uni/bi Cann Ea Ad	48	21	$12,186.25	$12,186.25	$4,508.91	$12,186.25	$9,419.97	2026-03-13
4201014	CDM	Prq Vrt Algn Uni/bi Cann Ea Ad	48	21	$12,186.25	$12,186.25	$4,508.91	$12,186.25	$9,419.97	2026-03-13
29870	CPT	Arthr Knee Diag W/wo Synov Bx	48	21	$12,117.75	$12,117.75	$4,483.57	$12,117.75	$9,367.03	2026-03-13
4200616	CDM	Arthr Knee Diag W/wo Synov Bx	48	21	$12,117.75	$12,117.75	$4,483.57	$12,117.75	$9,367.03	2026-03-13
58553	CPT	Lap W/vag Hyst Uter >250g	48	21	$11,960.75	$11,960.75	$4,425.48	$11,960.75	$9,245.66	2026-03-13
4200933	CDM	Lap W/vag Hyst Uter >250g	48	21	$11,960.75	$11,960.75	$4,425.48	$11,960.75	$9,245.66	2026-03-13
29882	CPT	Arthr Knee W/mnsc Rpr Md/lt	48	21	$11,960.00	$11,960.00	$4,425.20	$11,960.00	$9,245.08	2026-03-13
4200613	CDM	Arthr Knee W/mnsc Rpr Md/lt	48	21	$11,960.00	$11,960.00	$4,425.20	$11,960.00	$9,245.08	2026-03-13
6502087	CDM	Certolizumab Kit [400mg] /1mg	48	21	$11,998.90	$11,998.90	$4,439.59	$11,998.90	$9,221.15	2026-03-13
J0717	HCPCS	Certolizumab Kit [400mg] /1mg	48	21	$11,998.90	$11,998.90	$4,439.59	$11,998.90	$9,221.15	2026-03-13
44157	CPT	Col Tot Abd W/proct Ileo Aa	48	21	$11,871.25	$11,871.25	$4,392.36	$11,871.25	$9,176.48	2026-03-13
4200895	CDM	Col Tot Abd W/proct Ileo Aa	48	21	$11,871.25	$11,871.25	$4,392.36	$11,871.25	$9,176.48	2026-03-13
4230512	CDM	Actishield 4.8cm Am20-4x08	48	21	$11,910.25	$11,910.25	$4,406.79	$11,910.25	$9,153.03	2026-03-13
4200922	CDM	Rpr Paraes Htl Her W/fund W/om	48	21	$11,825.75	$11,825.75	$4,375.53	$11,825.75	$9,141.31	2026-03-13
43336	CPT	Rpr Paraes Htl Her W/fund W/om	48	21	$11,825.75	$11,825.75	$4,375.53	$11,825.75	$9,141.31	2026-03-13
29876	CPT	Arthr Knee Synov Mj 2+ Compart	48	21	$11,786.50	$11,786.50	$2,379.93	$11,786.50	$9,110.97	2026-03-13
4200618	CDM	Arthr Knee Synov Mj 2+ Compart	48	21	$11,786.50	$11,786.50	$4,361.01	$11,786.50	$9,110.97	2026-03-13
4200595	CDM	Hall Rig W/cheil 1st Mpj W/imp	48	21	$11,780.75	$11,780.75	$4,358.88	$11,780.75	$9,106.52	2026-03-13
28291	CPT	Hall Rig W/cheil 1st Mpj W/imp	48	21	$11,780.75	$11,780.75	$4,358.88	$11,780.75	$9,106.52	2026-03-13
4200956	CDM	Lam W/dcmp Nrv Rt 1 Int Lmbr	48	21	$11,779.75	$11,779.75	$4,358.51	$11,779.75	$9,105.75	2026-03-13
63030	CPT	Lam W/dcmp Nrv Rt 1 Int Lmbr	48	21	$11,779.75	$11,779.75	$4,358.51	$11,779.75	$9,105.75	2026-03-13
4231370	CDM	Nl Vl Lt 10x150mm 415101015l	48	21	$11,779.35	$11,779.35	$4,358.36	$11,779.35	$9,052.43	2026-03-13
61500	CPT	Craniectomy W/exc Tum/ls Skull	48	21	$11,707.00	$11,707.00	$4,331.59	$11,707.00	$9,049.51	2026-03-13
4200881	CDM	Craniectomy W/exc Tum/ls Skull	48	21	$11,707.00	$11,707.00	$4,331.59	$11,707.00	$9,049.51	2026-03-13
49593	CPT	Rpr Aa Her Any Ap In 3-10cm Rd	48	21	$11,656.25	$11,656.25	$4,312.81	$11,656.25	$9,010.28	2026-03-13
4200863	CDM	Rpr Aa Her Any Ap In 3-10cm Rd	48	21	$11,656.25	$11,656.25	$4,312.81	$11,656.25	$9,010.28	2026-03-13
27792	CPT	Opn Tx Dist Fib Fx W/int Fxtn	48	21	$11,654.25	$11,654.25	$4,312.07	$11,654.25	$9,008.74	2026-03-13
4200540	CDM	Opn Tx Dist Fib Fx W/int Fxtn	48	21	$11,654.25	$11,654.25	$4,312.07	$11,654.25	$9,008.74	2026-03-13
4231235	CDM	Mod Xl 10x18x55mm10d 1181055p2	48	21	$11,687.50	$11,687.50	$4,324.38	$11,687.50	$8,981.85	2026-03-13
4231322	CDM	Mod Xl 10x18x50mm10d 1181050p2	48	21	$11,687.50	$11,687.50	$4,324.38	$11,687.50	$8,981.85	2026-03-13
C1831	HCPCS	Mod Xl 10x18x55mm10d 1181055p2	48	21	$11,687.50	$11,687.50	$4,324.38	$11,687.50	$8,981.85	2026-03-13
4231323	CDM	Mod Xl 8x8x50mm10d 1181850p2	48	21	$11,687.50	$11,687.50	$4,324.38	$11,687.50	$8,981.85	2026-03-13
4231394	CDM	Mod Xl 8x8x55mm10d 1181855p2	48	21	$11,687.50	$11,687.50	$4,324.38	$11,687.50	$8,981.85	2026-03-13
44160	CPT	Prtl Col W/rem Ileum & Ileocol	48	21	$11,612.50	$11,612.50	$4,296.63	$11,612.50	$8,976.47	2026-03-13
4200991	CDM	Prtl Col W/rem Ileum & Ileocol	48	21	$11,612.50	$11,612.50	$4,296.63	$11,612.50	$8,976.47	2026-03-13
4230447	CDM	Pstp Subtal Pk Sz15 M20 Sp015	48	21	$11,675.81	$11,675.81	$4,320.05	$11,675.81	$8,972.86	2026-03-13
60252	CPT	Thyroidectomy, Tot/sbt Mal	48	21	$11,606.00	$11,606.00	$4,294.22	$11,606.00	$8,971.44	2026-03-13
4200927	CDM	Thyroidectomy, Tot/sbt Mal	48	21	$11,606.00	$11,606.00	$4,294.22	$11,606.00	$8,971.44	2026-03-13
4200915	CDM	Rpr Aa Her A Ap Int <3cm In/st	48	21	$11,560.25	$11,560.25	$4,277.29	$11,560.25	$8,936.08	2026-03-13
49592	CPT	Rpr Aa Her A Ap Int <3cm In/st	48	21	$11,560.25	$11,560.25	$4,277.29	$11,560.25	$8,936.08	2026-03-13
4231009	CDM	Mesh, Phasix St 3x4in 1200710	48	21	$11,587.50	$11,587.50	$4,287.38	$11,587.50	$8,904.99	2026-03-13
4200806	CDM	Lap W/vag Hyst <=250g W/tb/ov	48	21	$11,517.00	$11,517.00	$4,261.29	$11,517.00	$8,902.64	2026-03-13
58552	CPT	Lap W/vag Hyst <=250g W/tb/ov	48	21	$11,517.00	$11,517.00	$2,325.54	$11,517.00	$8,902.64	2026-03-13
4230793	CDM	Inf Evrlst Sz1/1+ 6mm 33681106	48	21	$11,583.00	$11,583.00	$4,285.71	$11,583.00	$8,901.53	2026-03-13
27814	CPT	Opn Tx Bimall Ank Fx W/int Fix	48	21	$11,488.50	$11,488.50	$4,250.75	$11,488.50	$8,880.61	2026-03-13
4200543	CDM	Opn Tx Bimall Ank Fx W/int Fix	48	21	$11,488.50	$11,488.50	$4,250.75	$11,488.50	$8,880.61	2026-03-13
27696	CPT	Rpr Ankle Lig, Both Collateral	48	21	$11,473.75	$11,473.75	$4,245.29	$11,473.75	$8,869.21	2026-03-13
4200882	CDM	Rpr Ankle Lig, Both Collateral	48	21	$11,473.75	$11,473.75	$4,245.29	$11,473.75	$8,869.21	2026-03-13
50590	CPT	Lithotr Extracorporeal Shock	48	21	$11,452.00	$11,452.00	$4,237.24	$11,452.00	$8,852.40	2026-03-13
4200427	CDM	Lithotr Extracorporeal Shock	48	21	$11,452.00	$11,452.00	$4,237.24	$11,452.00	$8,852.40	2026-03-13
28210	CPT	Rpr Tn Ext Ft Sec W/grf Ea Tn	48	21	$11,413.50	$11,413.50	$4,223.00	$11,413.50	$8,822.64	2026-03-13
4200564	CDM	Rpr Tn Ext Ft Sec W/grf Ea Tn	48	21	$11,413.50	$11,413.50	$4,223.00	$11,413.50	$8,822.64	2026-03-13
0335T	CPT	Subfix Implant 11.5 Sut0115	48	21	$11,440.00	$11,440.00	$4,232.80	$11,440.00	$8,791.64	2026-03-13
4230735	CDM	Subfix Implant 11.5 Sut0115	48	21	$11,440.00	$11,440.00	$4,232.80	$11,440.00	$8,791.64	2026-03-13
28899	CPT	Joint Unl Proc, Foot Or Toes	92	21	$10,402.75	$10,402.75	$3,818.03	$10,402.75	$8,765.30	2026-03-13
4230732	CDM	Aug Bn Inject 3.0cc K30003010	48	21	$11,398.75	$11,398.75	$4,217.54	$11,398.75	$8,759.94	2026-03-13
4200655	CDM	Exc Par Tum/par Glnd Lat Lob	48	21	$11,330.50	$11,330.50	$4,192.29	$11,330.50	$8,758.48	2026-03-13
42415	CPT	Exc Par Tum/par Glnd Lat Lob	48	21	$11,330.50	$11,330.50	$4,192.29	$11,330.50	$8,758.48	2026-03-13
60260	CPT	Thyroidectomy Rmvl Flwg Prtl	48	21	$11,273.00	$11,273.00	$4,171.01	$11,273.00	$8,714.03	2026-03-13
4201023	CDM	Thyroidectomy Rmvl Flwg Prtl	48	21	$11,273.00	$11,273.00	$4,171.01	$11,273.00	$8,714.03	2026-03-13
4200990	CDM	Maxillectomy Without Orbit Exenter	48	21	$11,258.00	$11,258.00	$4,165.46	$11,258.00	$8,702.44	2026-03-13
31225	CPT	Maxillectomy Without Orbit Exenter	48	21	$11,258.00	$11,258.00	$4,165.46	$11,258.00	$8,702.44	2026-03-13
4230767	CDM	Fbrgrf Bg Mx 6.25cc 74000063	48	21	$11,316.25	$11,316.25	$4,187.01	$11,316.25	$8,696.54	2026-03-13

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