Hospital

LAWRENCE COUNTY MEMORIAL HOSPITAL

Lawrenceville, IL · CCN 141344 · Rates published

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You selected 93306 (CPT)

Tte w/doppler complete

This hospital’s price: $595 across 16 payers

Source: https://cdn.accureg.net/trans/lawrencecountymemorialhospital/80-0618988_Lawrence-County-Memorial-Hospital_standardcharges.csv · observed 2026-10-09

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.

2,666 distinct procedures filed

43 distinct payers

141,672 rate rows

2026-10-09 last MRF observed

Data quality

139,282 of 141,672 rate rows are consumer-grade (98.3%)

2,390 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,346
exceeds 10× this hospital's gross charge — excluded from medians	44

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

Source MRF file	https://cdn.accureg.net/trans/lawrencecountymemorialhospital/80-0618988_Lawrence-County-Memorial-Hospital_standardcharges.csv
Found on page	https://lcmhosp.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	success · 2026-10-09
Content fingerprint	afeda24263bfaabf… · 24,467,000 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
01480 CPT	Anesth Lower Leg Bone Surg	27	$72,588.41	$113,937.74	$93,263.08	nat. median $219 outlier · 425.3×
28715 CPT	Fusion Of Foot Bones	43	$13,974.25	$63,956.00	$63,956.00	nat. median $11,408 outlier · 5.6×
28725 CPT	Fusion Of Foot Bones	43	$13,974.25	$58,521.58	$49,369.32	nat. median $10,564 outlier · 4.7×
63685 CPT	Implant Neuroreciever Stimultr	43	$33,096.42	$48,503.83	$48,503.83	nat. median $20,965 outlier · 2.3×
27691 CPT	Revise Lower Leg Tendon	43	$7,758.58	$44,853.50	$44,853.50	nat. median $6,958 outlier · 6.4×
28615 CPT	Repair Foot Dislocation	43	$7,758.58	$73,902.65	$40,486.61	nat. median $6,809 outlier · 5.9×
28730 CPT	Fusion Of Foot Bones	43	$13,974.25	$77,010.48	$40,320.24	nat. median $10,685 outlier · 3.8×
27659 CPT	Repair Of Leg Tendon Each	43	$7,758.58	$43,143.58	$37,269.14	nat. median $6,158 outlier · 6.1×
28300 CPT	Incision Of Heel Bone	43	$7,758.58	$36,513.05	$35,015.44	nat. median $6,697 outlier · 5.2×
64580 CPT	Implant Neuroelectrodes	43	$23,290.09	$33,870.92	$33,870.92	nat. median $17,832 1.9× median
27698 CPT	Repair Of Ankle Ligament	43	$7,758.58	$41,423.21	$32,905.31	nat. median $6,552 outlier · 5.0×
28310 CPT	Revision Of Big Toe	43	$7,758.58	$32,885.58	$32,885.58	nat. median $6,166 outlier · 5.3×
27620 CPT	Explore/treat Ankle Joint	43	$3,523.87	$30,508.46	$30,508.46	nat. median $3,478 outlier · 8.8×
27676 CPT	Repair Lower Leg Tendons	43	$7,758.58	$41,624.86	$29,508.85	nat. median $6,423 outlier · 4.6×
29897 CPT	Ankle Arthroscopy/surgery	43	$3,523.87	$34,584.35	$29,123.42	nat. median $3,840 outlier · 7.6×
27658 CPT	Repair Of Leg Tendon Each	43	$3,523.87	$29,123.42	$29,123.42	nat. median $3,321 outlier · 8.8×
28465 CPT	Treat Midfoot Fracture Each	43	$7,758.58	$46,019.85	$28,126.37	nat. median $7,001 outlier · 4.0×
62362 CPT	Implant Spinal Infusion Pump Np	43	$19,195.31	$28,081.78	$28,081.78	nat. median $16,427 1.7× median
29898 CPT	Ankle Arthroscopy/surgery	43	$3,523.87	$35,251.62	$26,826.14	nat. median $3,893 outlier · 6.9×
27687 CPT	Revision Of Calf Tendon	43	$3,523.87	$29,982.35	$26,728.17	nat. median $3,554 outlier · 7.5×
27695 CPT	Repair Of Ankle Ligament	43	$7,758.58	$60,848.16	$25,522.69	nat. median $6,583 outlier · 3.9×
28485 CPT	Treat Metatarsal Fracture	43	$7,758.58	$30,961.37	$25,206.18	nat. median $7,171 outlier · 3.5×
27422 CPT	Revision Of Unstable Kneecap	43	$7,758.58	$23,605.31	$23,605.31	nat. median $7,011 outlier · 3.4×
28740 CPT	Fusion Of Foot Bones	43	$7,758.58	$43,321.58	$22,797.98	nat. median $6,866 outlier · 3.3×
27766 CPT	Optx Medial Ankle Fx	43	$7,758.58	$22,779.75	$22,779.75	nat. median $6,986 outlier · 3.3×
28124 CPT	Partial Removal Of Toe	43	$3,523.87	$22,187.22	$22,187.22	nat. median $3,324 outlier · 6.7×
28755 CPT	Fusion Of Big Toe Joint	43	$7,758.58	$21,936.13	$21,936.13	nat. median $6,231 outlier · 3.5×
27654 CPT	Repair Of Achilles Tendon	43	$7,758.58	$24,027.40	$21,847.34	nat. median $6,823 outlier · 3.2×
27870 CPT	Arthrodesis Ankle Open	43	$13,974.25	$21,104.00	$21,104.00	nat. median $10,917 1.9× median
11107 CPT	Incal Bx Skn Ea Sep/addl	27	$20,454.60	$20,454.60	$20,454.60	nat. median $218 outlier · 93.8×
11105 CPT	Punch Bx Skin Ea Sep/addl	27	$20,454.60	$20,454.60	$20,454.60	nat. median $167 outlier · 122.7×
11001 CPT	Debride Infected Skin Add-on	27	$20,454.60	$20,454.60	$20,454.60	nat. median $133 outlier · 154.1×
17312 CPT	Mohs Addl Stage	27	$20,454.60	$20,454.60	$20,454.60	nat. median $879 outlier · 23.3×
17315 CPT	Mohs Surg Addl Block	27	$20,454.60	$20,454.60	$20,454.60	nat. median $791 outlier · 25.9×
15570 CPT	Skin Pedicle Flap Trunk	43	$1,986.67	$19,781.75	$19,781.75	nat. median $2,186 outlier · 9.0×
28118 CPT	Removal Of Heel Bone	43	$3,523.87	$19,729.99	$19,729.99	nat. median $3,411 outlier · 5.8×
28415 CPT	Treat Heel Fracture	43	$7,758.58	$19,358.40	$19,358.40	nat. median $7,347 outlier · 2.6×
64553 CPT	Implant Neuroelectrodes	43	$13,543.62	$18,966.44	$18,966.44	nat. median $11,302 1.7× median
64575 CPT	Implant Neuroelectrodes	43	$13,543.62	$18,966.44	$18,966.44	nat. median $11,873 1.6× median
28750 CPT	Fusion Of Big Toe Joint	43	$7,758.58	$27,324.69	$18,900.08	nat. median $6,995 outlier · 2.7×
24341 CPT	Repair Arm Tendon/muscle	43	$7,758.58	$18,758.22	$18,758.22	nat. median $7,021 outlier · 2.7×
27792 CPT	Treatment Of Ankle Fracture	43	$7,758.58	$18,570.90	$18,570.90	nat. median $6,930 outlier · 2.7×
36000 CPT	Place Needle In Vein	27	$17,253.56	$17,253.56	$17,253.56	nat. median $168 outlier · 102.7×
36500 CPT	Insertion Of Catheter Vein	27	$17,253.56	$17,253.56	$17,253.56	nat. median $933 outlier · 18.5×
28120 CPT	Part Removal Of Ankle/heel	43	$3,523.87	$30,872.06	$17,169.43	nat. median $3,518 outlier · 4.9×
28308 CPT	Incision Of Metatarsal	43	$3,523.87	$16,845.05	$16,845.05	nat. median $3,489 outlier · 4.8×
24105 CPT	Removal Of Elbow Bursa	43	$3,523.87	$16,640.87	$16,640.87	nat. median $3,343 outlier · 5.0×
27665 CPT	Repair Of Leg Tendon Each	43	$7,758.58	$57,297.73	$16,412.19	nat. median $6,481 outlier · 2.5×
28288 CPT	Partial Removal Of Foot Bone	43	$3,523.87	$16,362.25	$16,362.25	nat. median $3,429 outlier · 4.8×
44970 CPT	Laparoscopy Appendectomy	43	$6,336.52	$16,213.32	$16,213.32	nat. median $6,043 outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 2,666 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

01480	CPT	Anesth Lower Leg Bone Surg	68	27	$124,350.76	—	$72,588.41	$113,937.74	$93,263.08	2026-10-09
28715	CPT	Fusion Of Foot Bones	112	43	$151,916.98	—	$13,974.25	$63,956.00	$63,956.00	2026-10-09
28725	CPT	Fusion Of Foot Bones	168	43	$128,641.11	—	$13,974.25	$58,521.58	$49,369.32	2026-10-09
63685	CPT	Implant Neuroreciever Stimultr	56	43	$85,215.00	—	$33,096.42	$48,503.83	$48,503.83	2026-10-09
27691	CPT	Revise Lower Leg Tendon	112	43	$109,264.57	—	$7,758.58	$44,853.50	$44,853.50	2026-10-09
28615	CPT	Repair Foot Dislocation	168	43	$133,748.01	—	$7,758.58	$73,902.65	$40,486.61	2026-10-09
28730	CPT	Fusion Of Foot Bones	112	43	$137,808.63	—	$13,974.25	$77,010.48	$40,320.24	2026-10-09
27659	CPT	Repair Of Leg Tendon Each	112	43	$96,872.19	—	$7,758.58	$43,143.58	$37,269.14	2026-10-09
28300	CPT	Incision Of Heel Bone	112	43	$85,026.55	—	$7,758.58	$36,513.05	$35,015.44	2026-10-09
64580	CPT	Implant Neuroelectrodes	56	43	$59,269.00	—	$23,290.09	$33,870.92	$33,870.92	2026-10-09
27698	CPT	Repair Of Ankle Ligament	168	43	$85,976.11	—	$7,758.58	$41,423.21	$32,905.31	2026-10-09
28310	CPT	Revision Of Big Toe	56	43	$77,350.10	—	$7,758.58	$32,885.58	$32,885.58	2026-10-09
27620	CPT	Explore/treat Ankle Joint	112	43	$76,657.38	—	$3,523.87	$30,508.46	$30,508.46	2026-10-09
27676	CPT	Repair Lower Leg Tendons	168	43	$84,279.42	—	$7,758.58	$41,624.86	$29,508.85	2026-10-09
27658	CPT	Repair Of Leg Tendon Each	56	43	$72,963.94	—	$3,523.87	$29,123.42	$29,123.42	2026-10-09
29897	CPT	Ankle Arthroscopy/surgery	134	43	$87,526.44	—	$3,523.87	$34,584.35	$29,123.42	2026-10-09
28465	CPT	Treat Midfoot Fracture Each	168	43	$112,374.83	—	$7,758.58	$46,019.85	$28,126.37	2026-10-09
62362	CPT	Implant Spinal Infusion Pump Np	56	43	$49,291.00	—	$19,195.31	$28,081.78	$28,081.78	2026-10-09
29898	CPT	Ankle Arthroscopy/surgery	168	43	$70,347.22	—	$3,523.87	$35,251.62	$26,826.14	2026-10-09
27687	CPT	Revision Of Calf Tendon	134	43	$75,254.44	—	$3,523.87	$29,982.35	$26,728.17	2026-10-09
27695	CPT	Repair Of Ankle Ligament	168	43	$62,592.09	—	$7,758.58	$60,848.16	$25,522.69	2026-10-09
28485	CPT	Treat Metatarsal Fracture	168	43	$72,218.88	—	$7,758.58	$30,961.37	$25,206.18	2026-10-09
27422	CPT	Revision Of Unstable Kneecap	112	43	$52,602.70	—	$7,758.58	$23,605.31	$23,605.31	2026-10-09
28740	CPT	Fusion Of Foot Bones	112	43	$77,814.64	—	$7,758.58	$43,321.58	$22,797.98	2026-10-09
27766	CPT	Optx Medial Ankle Fx	112	43	$50,401.22	—	$7,758.58	$22,779.75	$22,779.75	2026-10-09
28124	CPT	Partial Removal Of Toe	56	43	$54,467.43	—	$3,523.87	$22,187.22	$22,187.22	2026-10-09
28755	CPT	Fusion Of Big Toe Joint	56	43	$48,151.58	—	$7,758.58	$21,936.13	$21,936.13	2026-10-09
27654	CPT	Repair Of Achilles Tendon	168	43	$53,728.29	—	$7,758.58	$24,027.40	$21,847.34	2026-10-09
27870	CPT	Arthrodesis Ankle Open	56	43	$37,645.00	—	$13,974.25	$21,104.00	$21,104.00	2026-10-09
11001	CPT	Debride Infected Skin Add-on	34	27	$27,272.80	—	$20,454.60	$20,454.60	$20,454.60	2026-10-09
11105	CPT	Punch Bx Skin Ea Sep/addl	34	27	$27,272.80	—	$20,454.60	$20,454.60	$20,454.60	2026-10-09
17315	CPT	Mohs Surg Addl Block	34	27	$27,272.80	—	$20,454.60	$20,454.60	$20,454.60	2026-10-09
17312	CPT	Mohs Addl Stage	34	27	$27,272.80	—	$20,454.60	$20,454.60	$20,454.60	2026-10-09
11107	CPT	Incal Bx Skn Ea Sep/addl	34	27	$27,272.80	—	$20,454.60	$20,454.60	$20,454.60	2026-10-09
15570	CPT	Skin Pedicle Flap Trunk	56	43	$50,102.44	—	$1,986.67	$19,781.75	$19,781.75	2026-10-09
28118	CPT	Removal Of Heel Bone	112	43	$47,914.80	—	$3,523.87	$19,729.99	$19,729.99	2026-10-09
28415	CPT	Treat Heel Fracture	112	43	$41,277.62	—	$7,758.58	$19,358.40	$19,358.40	2026-10-09
64575	CPT	Implant Neuroelectrodes	56	43	$32,519.00	—	$13,543.62	$18,966.44	$18,966.44	2026-10-09
64553	CPT	Implant Neuroelectrodes	56	43	$32,519.00	—	$13,543.62	$18,966.44	$18,966.44	2026-10-09
28750	CPT	Fusion Of Big Toe Joint	168	43	$53,796.37	—	$7,758.58	$27,324.69	$18,900.08	2026-10-09
24341	CPT	Repair Arm Tendon/muscle	112	43	$39,677.16	—	$7,758.58	$18,758.22	$18,758.22	2026-10-09
27792	CPT	Treatment Of Ankle Fracture	112	43	$39,177.61	—	$7,758.58	$18,570.90	$18,570.90	2026-10-09
36000	CPT	Place Needle In Vein	34	27	$23,004.74	—	$17,253.56	$17,253.56	$17,253.56	2026-10-09
36500	CPT	Insertion Of Catheter Vein	34	27	$23,004.74	—	$17,253.56	$17,253.56	$17,253.56	2026-10-09
28120	CPT	Part Removal Of Ankle/heel	168	43	$64,800.47	—	$3,523.87	$30,872.06	$17,169.43	2026-10-09
28308	CPT	Incision Of Metatarsal	112	43	$40,221.64	—	$3,523.87	$16,845.05	$16,845.05	2026-10-09
24105	CPT	Removal Of Elbow Bursa	56	43	$39,677.16	—	$3,523.87	$16,640.87	$16,640.87	2026-10-09
27665	CPT	Repair Of Leg Tendon Each	112	43	$87,935.12	—	$7,758.58	$57,297.73	$16,412.19	2026-10-09
28288	CPT	Partial Removal Of Foot Bone	112	43	$38,934.18	—	$3,523.87	$16,362.25	$16,362.25	2026-10-09
44970	CPT	Laparoscopy Appendectomy	56	43	$34,786.82	—	$6,336.52	$16,213.32	$16,213.32	2026-10-09
28110	CPT	Part Removal Of Metatarsal	112	43	$36,753.48	—	$3,523.87	$15,544.49	$15,544.49	2026-10-09
27635	CPT	Remove Lower Leg Bone Lesion	112	43	$34,461.51	—	$3,523.87	$14,685.00	$14,685.00	2026-10-09
28297	CPT	Correction Hallux Valgus	56	43	$20,038.00	—	$13,974.25	$14,501.38	$14,501.38	2026-10-09
28810	CPT	Amputation Toe & Metatarsal	56	43	$32,237.08	—	$3,523.87	$13,850.84	$13,850.84	2026-10-09
22513	CPT	Perq Vertebral Augmentation	78	43	$18,131.00	—	$7,758.58	$13,974.25	$13,786.25	2026-10-09
22515	CPT	Perq Vertebral Augmentation	34	27	$18,131.00	—	$13,598.25	$13,598.25	$13,598.25	2026-10-09
47562	CPT	Laparoscopic Cholecystectomy	56	43	$25,366.21	—	$6,336.52	$12,680.59	$12,680.59	2026-10-09
47563	CPT	Laparo Cholecystectomy/graph	56	43	$23,770.40	—	$6,336.52	$12,082.16	$12,082.16	2026-10-09
28296	CPT	Correction Hallux Valgus	112	43	$27,342.27	—	$3,523.87	$12,015.28	$12,015.28	2026-10-09
11626	CPT	Exc S/n/h/f/g Mal+mrg >4 Cm	56	43	$27,272.80	—	$3,108.38	$11,781.49	$11,781.49	2026-10-09
11426	CPT	Exc H-f-nk-sp B9+marg >4 Cm	56	43	$27,272.80	—	$3,108.38	$11,781.49	$11,781.49	2026-10-09
27726	CPT	Repair Fibula Nonunion	56	43	$20,038.00	—	$7,758.58	$11,393.54	$11,393.54	2026-10-09
27696	CPT	Repair Of Ankle Ligaments	56	43	$20,038.00	—	$7,758.58	$11,393.54	$11,393.54	2026-10-09
26530	CPT	Planter Plate Repair	56	43	$20,038.00	—	$7,758.58	$11,393.54	$11,393.54	2026-10-09
28238	CPT	Exc Accessory Navicular	56	43	$19,827.00	—	$7,758.58	$11,314.42	$11,314.42	2026-10-09
43659	CPT	Laparoscope Proc Stom	56	43	$21,591.84	—	$6,336.52	$11,265.20	$11,265.20	2026-10-09
49592	CPT	Rpr Aa Hrn 1st < 3 Ncr/strn	56	43	$21,560.73	—	$6,336.52	$11,253.53	$11,253.53	2026-10-09
15040	CPT	Harvest Cultured Skin Graft	56	43	$27,272.80	—	$1,986.67	$11,220.64	$11,220.64	2026-10-09
11420	CPT	Exc H-f-nk-sp B9+marg 0.5/<	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
11422	CPT	Exc H-f-nk-sp B9+marg 1.1-2	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
11423	CPT	Exc H-f-nk-sp B9+marg 2.1-3	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
11620	CPT	Exc H-f-nk-sp Mal+marg 0.5/<	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
11623	CPT	Exc S/n/h/f/g Mal+mrg 2.1-3	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
11624	CPT	Exc S/n/h/f/g Mal+mrg 3.1-4	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
11424	CPT	Exc H-f-nk-sp B9+marg 3.1-4	56	43	$27,272.80	—	$1,759.69	$11,107.15	$11,107.15	2026-10-09
28200	CPT	Repair Of Foot Tendon	134	43	$24,849.13	—	$3,523.87	$11,080.36	$11,080.36	2026-10-09
35556	CPT	Art Byp Grft Fem-popliteal	34	27	$14,771.00	—	$11,078.25	$11,078.25	$11,078.25	2026-10-09
29806	CPT	Arthroscopy Shoulder Capsulorrhapy	56	43	$19,084.00	—	$7,758.58	$11,035.79	$11,035.79	2026-10-09
28445	CPT	Open Treatment Of Talus Fracture/int Fix	56	43	$19,084.00	—	$7,758.58	$11,035.79	$11,035.79	2026-10-09
19305	CPT	Mast Radical	34	27	$14,315.00	—	$10,736.25	$10,736.25	$10,736.25	2026-10-09
28306	CPT	Incision Of Metatarsal	56	43	$18,231.00	—	$7,758.58	$10,715.92	$10,715.92	2026-10-09
20900	CPT	Bone Graft Any Donor Area Minor Or Small	56	43	$18,231.00	—	$7,758.58	$10,715.92	$10,715.92	2026-10-09
22514	CPT	Perq Vertebral Augmentation	56	43	$18,131.00	—	$7,758.58	$10,678.42	$10,678.42	2026-10-09
47564	CPT	Lap Chole With Exp Of Common Duct	56	43	$13,327.00	—	$10,651.27	$11,307.30	$10,651.27	2026-10-09
49594	CPT	Rpr Aa Hrn 1st 3-10 Ncr/strn	56	43	$19,824.23	—	$6,336.52	$10,602.34	$10,602.34	2026-10-09
28111	CPT	Part Removal Of Metatarsal	112	43	$45,003.22	—	$3,523.87	$26,864.56	$10,411.73	2026-10-09
64636	CPT	Destroy L/s Facet Jnt Addl	68	27	$13,736.74	—	$9,255.10	$11,350.01	$10,302.56	2026-10-09
62350	CPT	Continous Epidural	56	43	$18,192.10	—	$6,955.26	$10,299.67	$10,299.67	2026-10-09
28112	CPT	Part Removal Of Metatarsal	112	43	$44,827.79	—	$3,523.87	$26,864.56	$10,280.16	2026-10-09
63650	CPT	Imp. Neuroelectrodes (leads)	56	43	$17,830.00	—	$7,127.76	$10,250.13	$10,250.13	2026-10-09
64561	CPT	Implant Neuroelectrodes	56	43	$17,830.00	—	$7,127.76	$10,250.13	$10,250.13	2026-10-09
64555	CPT	Implant Neuroelectrodes	56	43	$17,830.00	—	$7,127.76	$10,250.13	$10,250.13	2026-10-09
63663	CPT	Revise Spine Eltrd Perq Aray	56	43	$17,830.00	—	$7,127.76	$10,250.13	$10,250.13	2026-10-09
35656	CPT	Art Byp Femoral-popliteal	34	27	$13,341.00	—	$10,005.75	$10,005.75	$10,005.75	2026-10-09
35647	CPT	Aortofemerol Bypass	34	27	$13,341.00	—	$10,005.75	$10,005.75	$10,005.75	2026-10-09
28820	CPT	Amputation Of Toe	56	43	$21,912.88	—	$3,523.87	$9,979.26	$9,979.26	2026-10-09
28240	CPT	Release Of Big Toe	112	43	$21,472.03	—	$3,523.87	$9,813.94	$9,813.94	2026-10-09
57522	CPT	Conization Of Cervix	56	43	$21,345.23	—	$3,453.19	$9,731.06	$9,731.06	2026-10-09
62365	CPT	Remove Spinal Infusion Device	56	43	$16,497.00	—	$6,955.26	$9,664.00	$9,664.00	2026-10-09
28045	CPT	Exc Foot/toe Tum Deep <1.5cm	112	43	$21,613.01	—	$3,108.38	$9,659.07	$9,659.07	2026-10-09
44140	CPT	Colon Resect With Colostomy	34	27	$12,774.00	—	$9,580.50	$9,580.50	$9,580.50	2026-10-09
28039	CPT	Exc Foot/toe Tum Sc 1.5 Cm/>	112	43	$21,134.13	—	$3,108.38	$9,479.49	$9,479.49	2026-10-09
25350	CPT	Ostectomy Dist Radius	56	43	$14,631.00	—	$7,758.58	$9,365.92	$9,365.92	2026-10-09
57460	CPT	Bx Of Cervix W/scope Leep	56	43	$20,050.79	—	$3,453.19	$9,245.64	$9,245.64	2026-10-09
49593	CPT	Rpr Aa Hrn 1st 3-10 Rdc	56	43	$15,322.60	—	$6,776.80	$9,134.38	$9,134.38	2026-10-09
43259	CPT	Egd US Exam Duodenum/jejunum	56	43	$21,591.84	—	$2,060.26	$9,127.07	$9,127.07	2026-10-09
43255	CPT	Egd Control Bleeding Any	56	43	$21,591.84	—	$2,060.26	$9,127.07	$9,127.07	2026-10-09
43242	CPT	Egd US Fine Needle Bx/aspir	56	43	$21,591.84	—	$2,060.26	$9,127.07	$9,127.07	2026-10-09
43237	CPT	Endoscopic US Exam Esoph	56	43	$21,591.84	—	$2,060.26	$9,127.07	$9,127.07	2026-10-09
43253	CPT	Egd US Transmural Injxn/mark	56	43	$21,591.84	—	$2,060.26	$9,127.07	$9,127.07	2026-10-09
43238	CPT	Egd US Fine Needle Bx/aspir	56	43	$21,591.84	—	$2,060.26	$9,127.07	$9,127.07	2026-10-09
15830	CPT	Abdominoplasty	56	43	$14,606.00	—	$7,082.76	$9,018.63	$9,018.63	2026-10-09
19307	CPT	Mast Mod Rad	56	43	$14,606.00	—	$7,082.76	$9,018.63	$9,018.63	2026-10-09
42415	CPT	Exc Parotid/gland W Nerve Dissect	56	43	$15,344.00	—	$6,424.81	$8,966.41	$8,966.41	2026-10-09
58671	CPT	Lap Tubal Ligation	56	43	$15,397.00	—	$6,336.52	$8,942.14	$8,942.14	2026-10-09
45110	CPT	Abdominal-perineal Resect	34	27	$11,899.00	—	$8,924.25	$8,924.25	$8,924.25	2026-10-09
14301	CPT	Tis Trnfr Any 30.1-60 Sq Cm	56	43	$18,490.97	—	$3,976.07	$8,922.15	$8,922.15	2026-10-09
49614	CPT	Abd Hernia Rpr Rec Less 3cm Incar Strang	56	43	$15,316.00	—	$6,336.52	$8,911.76	$8,911.76	2026-10-09
49329	CPT	Lap Lysis Of Adheasions	56	43	$15,039.00	—	$6,336.52	$8,807.89	$8,807.89	2026-10-09
48140	CPT	Pancreatectomy Distal W/wo Splenectomy	34	27	$11,663.00	—	$8,747.25	$8,747.25	$8,747.25	2026-10-09
35091	CPT	Rep Pseudo Aneurysm	34	27	$11,663.00	—	$8,747.25	$8,747.25	$8,747.25	2026-10-09
49650	CPT	Lap Ing Hernia Repair Init	112	43	$16,480.12	—	$6,336.52	$9,952.46	$8,744.16	2026-10-09
49322	CPT	Diag Lap With Cyst Removal	56	43	$14,663.00	—	$6,336.52	$8,666.89	$8,666.89	2026-10-09
30580	CPT	Repair Fistula Oromaxillary	56	43	$14,516.00	—	$6,424.81	$8,655.91	$8,655.91	2026-10-09
49507	CPT	Prp I/hern Init Block >5 Yr	112	43	$20,653.58	—	$3,832.80	$10,776.94	$8,546.05	2026-10-09
G0104	HCPCS	Ca Screen;flexi Sigmoidscope	34	27	$11,378.74	—	$8,534.06	$8,534.06	$8,534.06	2026-10-09
60252	CPT	Removal Of Thyroid	56	43	$13,825.00	—	$6,424.81	$8,396.78	$8,396.78	2026-10-09
44180	CPT	Lap Enterolysis	56	43	$13,643.00	—	$6,336.52	$8,284.39	$8,284.39	2026-10-09
46260	CPT	Remove In/ex Hem Groups 2+	56	43	$17,965.37	—	$2,978.42	$8,226.23	$8,226.23	2026-10-09
28113	CPT	Part Removal Of Metatarsal	112	43	$41,909.40	—	$3,523.87	$26,864.56	$8,091.36	2026-10-09
28232	CPT	Anklearthroscopy/surgery W/out Fixation	56	43	$19,084.00	—	$1,738.16	$8,025.58	$8,025.58	2026-10-09
49591	CPT	Rpr Aa Hrn 1st < 3 Cm Rdc	56	43	$16,203.28	—	$3,832.80	$7,992.63	$7,992.63	2026-10-09
39540	CPT	Rep Diaphragmatic Hernia	34	27	$10,587.00	—	$7,940.25	$7,940.25	$7,940.25	2026-10-09
44050	CPT	Red/rep Int Hernia Open	34	27	$10,587.00	—	$7,940.25	$7,940.25	$7,940.25	2026-10-09
44150	CPT	Removal Of Colon	34	27	$10,554.00	—	$7,915.50	$7,915.50	$7,915.50	2026-10-09
45342	CPT	Sigmoidoscopy W/us Guide Bx	56	43	$19,350.75	—	$1,280.56	$7,896.81	$7,896.81	2026-10-09
45380	CPT	Colonoscopy And Biopsy	56	43	$19,350.75	—	$1,280.56	$7,896.81	$7,896.81	2026-10-09
14000	CPT	Tis Trnfr Trunk 10 Sq Cm/<	56	43	$18,374.00	—	$1,986.67	$7,883.59	$7,883.59	2026-10-09
28104	CPT	Removal Of Foot Lesion	168	43	$19,891.29	—	$3,523.87	$9,221.17	$7,857.38	2026-10-09
26615	CPT	Open Metacarpal Fx Sngl Int Fixa	56	43	$15,998.00	—	$3,523.87	$7,761.19	$7,761.19	2026-10-09
45331	CPT	Sigmoidoscopy And Biopsy	56	43	$19,350.75	—	$990.18	$7,751.62	$7,751.62	2026-10-09
29894	CPT	Ankle Arthroscopy/surgery	112	43	$15,825.00	—	$3,523.87	$7,696.31	$7,696.31	2026-10-09
45130	CPT	Excision Of Rectal Prolapse	34	27	$10,186.00	—	$7,639.50	$7,639.50	$7,639.50	2026-10-09
27385	CPT	Repair Of Thigh Muscle	56	43	$9,965.00	—	$7,616.16	$7,758.58	$7,616.16	2026-10-09
19303	CPT	Mast Simple Complete	56	43	$10,814.00	—	$7,082.76	$7,596.63	$7,596.63	2026-10-09
57288	CPT	Repair Bladder Defect	56	43	$13,022.00	—	$5,361.33	$7,563.91	$7,563.91	2026-10-09
58552	CPT	Lap Assisted Vag Hyster W/tubes & Ovarie	56	43	$5,025.00	—	$7,538.02	$11,307.30	$7,538.02	2026-10-09
G0105	HCPCS	Colorectal Scrn; Hi Risk Ind	34	27	$9,902.24	—	$7,426.68	$7,426.68	$7,426.68	2026-10-09
58565	CPT	Hysteroscopy Sterilization	56	43	$12,613.00	—	$5,361.33	$7,410.54	$7,410.54	2026-10-09
58150	CPT	Tah With Bso	34	27	$9,844.00	—	$7,383.00	$7,383.00	$7,383.00	2026-10-09
58542	CPT	Laparoscopy Hysterectomy W/tubes & Ovari	56	43	$4,468.00	—	$7,329.15	$11,307.30	$7,329.15	2026-10-09
15275	CPT	Skin Sub Graft Face/nk/hf/g	56	43	$16,878.48	—	$1,986.67	$7,322.77	$7,322.77	2026-10-09
49617	CPT	Abd Hernia Rpr Rec Great 10cm Reducible	34	27	$9,763.00	—	$7,322.25	$7,322.25	$7,322.25	2026-10-09
49618	CPT	Abd Hernia Rec Great 10cm Incar Strang	34	27	$9,763.00	—	$7,322.25	$7,322.25	$7,322.25	2026-10-09
49596	CPT	Abd Hernia Int Great 10cm Incar Strang	34	27	$9,763.00	—	$7,322.25	$7,322.25	$7,322.25	2026-10-09
49616	CPT	Abd Hernia Rpr Rec 3-10 Cm Incarc Strang	34	27	$9,763.00	—	$7,322.25	$7,322.25	$7,322.25	2026-10-09
58925	CPT	Removal Of Ovarian Cyst	56	43	$12,346.00	—	$5,361.33	$7,310.41	$7,310.41	2026-10-09
00142	CPT	Anesth Lens Surgery	34	27	$9,731.70	—	$7,298.78	$7,298.78	$7,298.78	2026-10-09
00812	CPT	Anes Lwr Intst Scr Colsc	34	27	$9,689.05	—	$7,266.79	$7,266.79	$7,266.79	2026-10-09
27829	CPT	Open Txt Distal Tibfib Joint Disrupt	56	43	$9,017.00	—	$7,260.66	$7,758.58	$7,260.66	2026-10-09
14020	CPT	Tis Trnfr S/a/l 10 Sq Cm/<	56	43	$16,621.50	—	$1,986.67	$7,226.40	$7,226.40	2026-10-09
66180	CPT	Aqueous Shunt Eye W/graft	56	43	$11,780.00	—	$5,603.80	$7,219.40	$7,219.40	2026-10-09
45126	CPT	Pelvic Exenteration	34	27	$9,545.00	—	$7,158.75	$7,158.75	$7,158.75	2026-10-09
G0121	HCPCS	Colon Ca Scrn Not Hi Rsk Ind	34	27	$9,532.61	—	$7,149.46	$7,149.46	$7,149.46	2026-10-09
58541	CPT	Laparoscopy Hysterectomysupracervical	56	43	$3,964.00	—	$7,140.15	$11,307.30	$7,140.15	2026-10-09
58670	CPT	Laparoscopy Tubal Cautery	56	43	$10,419.00	—	$6,336.52	$7,075.39	$7,075.39	2026-10-09
49595	CPT	Abd Hernia Rpr Int Great 10cm Reducible	56	43	$9,763.00	—	$6,776.80	$7,049.52	$7,049.52	2026-10-09
49615	CPT	Abd Hernia Rpr Rec 3- 10 Cm Reducible	56	43	$9,763.00	—	$6,776.80	$7,049.52	$7,049.52	2026-10-09
47610	CPT	Open Chole W/cbe W/stone	34	27	$9,336.00	—	$7,002.00	$7,002.00	$7,002.00	2026-10-09
35082	CPT	Direct Repair Ruptured Aneurysm Abd Aort	34	27	$9,182.00	—	$6,886.50	$6,886.50	$6,886.50	2026-10-09
29880	CPT	Knee Arthroscopy/surgery	112	43	$13,567.17	—	$3,523.87	$6,849.62	$6,849.62	2026-10-09
65105	CPT	Enucleation W Implant Muscles Attached	56	43	$12,717.00	—	$4,095.57	$6,816.66	$6,816.66	2026-10-09
65103	CPT	Enucleation W Implant Muscles Not Attchd	56	43	$12,717.00	—	$4,095.57	$6,816.66	$6,816.66	2026-10-09
47760	CPT	Anastomosis Ducts And Gi Tract	34	27	$9,009.00	—	$6,756.75	$6,756.75	$6,756.75	2026-10-09
29881	CPT	Knee Arthroscopy/surgery	168	43	$13,669.63	—	$3,523.87	$7,498.05	$6,739.97	2026-10-09
28298	CPT	Correction Hallux Valgus	56	43	$7,621.00	—	$6,737.16	$7,758.58	$6,737.16	2026-10-09
44120	CPT	Removal Of Small Intestine	34	27	$8,905.00	—	$6,678.75	$6,678.75	$6,678.75	2026-10-09
62327	CPT	Insert Spinal Canal Cath (pump Or Stimu	56	43	$16,497.00	—	$966.92	$6,669.84	$6,669.84	2026-10-09
15004	CPT	Wound Prep F/n/hf/g	56	43	$16,878.48	—	$664.82	$6,661.84	$6,661.84	2026-10-09
35558	CPT	Art Byp Grft Fem-femoral	34	27	$8,859.00	—	$6,644.25	$6,644.25	$6,644.25	2026-10-09
35221	CPT	Rep Intraabd Blood Vessel	34	27	$8,859.00	—	$6,644.25	$6,644.25	$6,644.25	2026-10-09
64634	CPT	Destroy C/th Facet Jnt Addl	102	27	$8,846.70	—	$6,073.93	$6,635.03	$6,635.03	2026-10-09
44005	CPT	Enterolysis	34	27	$8,787.00	—	$6,590.25	$6,590.25	$6,590.25	2026-10-09
43632	CPT	Gastrectomy Prtl Distal W/gastrojejunost	34	27	$8,784.00	—	$6,588.00	$6,588.00	$6,588.00	2026-10-09
58260	CPT	Vaginal Hyst	56	43	$10,272.00	—	$5,361.33	$6,532.66	$6,532.66	2026-10-09
57260	CPT	A&p Repair	56	43	$10,272.00	—	$5,361.33	$6,532.66	$6,532.66	2026-10-09
42820	CPT	Remove Tonsils And Adenoids	56	43	$8,743.00	—	$6,424.81	$6,491.03	$6,491.03	2026-10-09
42825	CPT	Removal Of Tonsils	56	43	$8,743.00	—	$6,424.81	$6,491.03	$6,491.03	2026-10-09
11400	CPT	Exc Tr-ext B9+marg 0.5 Cm<	56	43	$16,181.58	—	$764.15	$6,450.17	$6,450.17	2026-10-09
20240	CPT	Bone Biopsy Open Superficial	112	43	$12,864.72	—	$3,108.38	$6,378.46	$6,378.46	2026-10-09
11643	CPT	Exc F/e/e/n/l Mal+mrg 2.1-3	56	43	$14,653.65	—	$1,759.69	$6,374.97	$6,374.97	2026-10-09
57550	CPT	Exc Cervical Stump Vaginal	56	43	$9,783.00	—	$5,361.33	$6,349.29	$6,349.29	2026-10-09
49320	CPT	Diag Laparo Separate Proc	56	43	$8,423.00	—	$6,326.89	$6,336.52	$6,326.89	2026-10-09
27590	CPT	Above Knee Amputation	34	27	$8,398.00	—	$6,298.50	$6,298.50	$6,298.50	2026-10-09
46200	CPT	Removal Of Anal Fissure	56	43	$12,810.63	—	$2,978.42	$6,293.19	$6,293.19	2026-10-09
27332	CPT	Menisectomy Lat Or Med	56	43	$12,063.00	—	$3,523.87	$6,285.56	$6,285.56	2026-10-09
27886	CPT	Amp Leg & Fibula	34	27	$8,372.00	—	$6,279.00	$6,279.00	$6,279.00	2026-10-09
28289	CPT	Corrj Halux Rigdus Without Implt	112	43	$16,228.71	—	$3,523.87	$9,426.83	$6,268.57	2026-10-09
49321	CPT	Lapar Bx Abd Perit Oment	56	43	$8,113.00	—	$6,210.64	$6,336.52	$6,210.64	2026-10-09
64718	CPT	Revise Ulnar Nerve At Elbow	56	43	$13,698.88	—	$2,120.84	$6,197.50	$6,197.50	2026-10-09
45388	CPT	Colonoscopy W/ablation	56	43	$14,738.40	—	$1,280.56	$6,167.18	$6,167.18	2026-10-09
11646	CPT	Exc F/e/e/n/l Mal+mrg >4 Cm	56	43	$12,264.80	—	$3,108.38	$6,153.49	$6,153.49	2026-10-09
45385	CPT	Colonoscopy W/lesion Removal	56	43	$14,594.00	—	$1,280.56	$6,113.03	$6,113.03	2026-10-09
49651	CPT	Lap Ing Hernia Repair Recur	56	43	$7,782.00	—	$6,086.51	$6,336.52	$6,086.51	2026-10-09
51860	CPT	Cystorrhaphy Simple	56	43	$2,793.00	—	$6,068.90	$10,043.04	$6,068.90	2026-10-09
66982	CPT	Xcapsl Ctrc Rmvl Cplx Wo Ecp	168	43	$14,067.42	—	$2,477.03	$6,518.85	$6,063.82	2026-10-09
30400	CPT	Nasal Airway Reconst	56	43	$7,571.00	—	$6,051.53	$6,424.81	$6,051.53	2026-10-09
43840	CPT	Gastrorraphy	34	27	$8,021.00	—	$6,015.75	$6,015.75	$6,015.75	2026-10-09
47100	CPT	Bx Liver Wedge	34	27	$8,021.00	—	$6,015.75	$6,015.75	$6,015.75	2026-10-09
43832	CPT	Gastrostomy Open Const Gast Tube	34	27	$8,021.00	—	$6,015.75	$6,015.75	$6,015.75	2026-10-09
43820	CPT	Fusion Of Stomach And Bowel	34	27	$8,021.00	—	$6,015.75	$6,015.75	$6,015.75	2026-10-09
28505	CPT	Treat Big Toe Fracture	56	43	$11,157.45	—	$3,523.87	$5,945.98	$5,945.98	2026-10-09
27333	CPT	Menisectomy Med & Lat	56	43	$11,016.00	—	$3,523.87	$5,892.94	$5,892.94	2026-10-09
47490	CPT	Cholescystostomy Tube Placement	56	43	$10,575.00	—	$3,832.80	$5,882.02	$5,882.02	2026-10-09
19120	CPT	Removal Of Breast Lesion	56	43	$10,123.65	—	$4,158.86	$5,875.80	$5,875.80	2026-10-09
49521	CPT	Ing Hernia Repair Recurr	56	43	$6,498.00	—	$5,825.15	$6,776.80	$5,825.15	2026-10-09
58661	CPT	Laparoscopic Removal Of Adenexal Structu	56	43	$7,040.00	—	$5,808.26	$6,336.52	$5,808.26	2026-10-09
47605	CPT	Open Chole W/intraop Chol	34	27	$7,726.00	—	$5,794.50	$5,794.50	$5,794.50	2026-10-09
64635	CPT	Destroy Lumb/sac Facet Jnt	224	43	$12,519.56	—	$2,120.84	$5,954.75	$5,712.07	2026-10-09
24357	CPT	Repair Elbow Perc	56	43	$10,491.00	—	$3,523.87	$5,696.06	$5,696.06	2026-10-09
15273	CPT	App Skin Graft Leg > Sa100 1st 100sqcm	56	43	$9,854.00	—	$3,976.07	$5,683.28	$5,683.28	2026-10-09
11403	CPT	Exc Tr-ext B9+marg 2.1-3cm	56	43	$14,103.48	—	$764.15	$5,670.88	$5,670.88	2026-10-09
49900	CPT	Repair Of Abdominal Wall	34	27	$7,560.00	—	$5,670.00	$5,670.00	$5,670.00	2026-10-09
28122	CPT	Partial Removal Of Foot Bone	168	43	$10,370.80	—	$3,523.87	$18,736.90	$5,650.98	2026-10-09
60210	CPT	Partial Thyroid Excision	56	43	$6,525.00	—	$5,615.14	$6,336.52	$5,615.14	2026-10-09
15650	CPT	Transfer Skin Pedicle Flap	56	43	$12,291.00	—	$1,986.67	$5,602.46	$5,602.46	2026-10-09
56620	CPT	Partial Removal Of Vulva	56	43	$10,272.00	—	$3,453.19	$5,578.60	$5,578.60	2026-10-09
57520	CPT	Conization Of Cervix	56	43	$10,272.00	—	$3,453.19	$5,578.60	$5,578.60	2026-10-09
49613	CPT	Abd Hernia Rpr Rec Less 3cm Reducible	56	43	$9,763.00	—	$3,832.80	$5,577.52	$5,577.52	2026-10-09
28060	CPT	Partial Removal Foot Fascia	168	43	$76,741.92	—	$3,523.87	$30,540.15	$5,569.06	2026-10-09
55110	CPT	Explore Scrotum	56	43	$9,818.00	—	$3,745.82	$5,554.66	$5,554.66	2026-10-09
29875	CPT	Knee Arth Synovectomy Limited	56	43	$10,096.00	—	$3,523.87	$5,547.94	$5,547.94	2026-10-09
19101	CPT	Biopsy Breast Open Incisional	56	43	$9,207.00	—	$4,158.86	$5,532.06	$5,532.06	2026-10-09
43247	CPT	Egd Remove Foreign Body	56	43	$13,376.31	—	$1,018.25	$5,525.24	$5,525.24	2026-10-09
38500	CPT	Biopsy/removal Lymph Node	56	43	$9,164.00	—	$4,158.86	$5,515.93	$5,515.93	2026-10-09
58662	CPT	Laparoscopy Excise Lesions	56	43	$6,225.00	—	$5,502.64	$6,336.52	$5,502.64	2026-10-09
43202	CPT	Esophagoscopy Flex Biopsy	56	43	$11,890.27	—	$2,060.26	$5,488.98	$5,488.98	2026-10-09
43232	CPT	Esophagoscopy W/us Needle Bx	56	43	$11,890.27	—	$2,060.26	$5,488.98	$5,488.98	2026-10-09
43193	CPT	Esophagoscp Rig Trnso Biopsy	56	43	$11,890.27	—	$2,060.26	$5,488.98	$5,488.98	2026-10-09
15734	CPT	Muscle-skin Graft Trunk	56	43	$9,266.00	—	$3,976.07	$5,462.78	$5,462.78	2026-10-09
49418	CPT	Insert Tun Ip Cath Perc	56	43	$9,449.00	—	$3,832.80	$5,459.77	$5,459.77	2026-10-09
38308	CPT	Incision Of Lymph Channels	56	43	$8,986.00	—	$4,158.86	$5,449.18	$5,449.18	2026-10-09
49000	CPT	Exploration Of Abdomen	34	27	$7,259.00	—	$5,444.25	$5,444.25	$5,444.25	2026-10-09
49553	CPT	Repair Initial Femoral Hernia Incar/stra	56	43	$9,405.00	—	$3,832.80	$5,443.27	$5,443.27	2026-10-09
15958	CPT	Ex Troch Press Ulcer W/ostectomy	56	43	$9,204.00	—	$3,976.07	$5,439.53	$5,439.53	2026-10-09
27880	CPT	Amputation Of Lower Leg	34	27	$7,237.00	—	$5,427.75	$5,427.75	$5,427.75	2026-10-09
63688	CPT	Revise/remove Neuroreceiver	56	43	$9,479.00	—	$3,735.00	$5,422.12	$5,422.12	2026-10-09
27596	CPT	Amputation Follow-up Surg	34	27	$7,174.00	—	$5,380.50	$5,380.50	$5,380.50	2026-10-09
44144	CPT	Colectomy Prtl W/colos/ileost & Mucofist	34	27	$7,158.00	—	$5,368.50	$5,368.50	$5,368.50	2026-10-09
44800	CPT	Excision Of Bowel Pouch	34	27	$7,091.00	—	$5,318.25	$5,318.25	$5,318.25	2026-10-09
49659	CPT	Laparo Proc Hernia Repair	56	43	$5,660.00	—	$5,290.76	$6,336.52	$5,290.76	2026-10-09
11603	CPT	Exc Tr-ext Mal+marg 2.1-3 Cm	56	43	$12,998.56	—	$764.15	$5,256.53	$5,256.53	2026-10-09
29895	CPT	Ankle Arthroscopy/surgery	56	43	$9,282.00	—	$3,523.87	$5,242.69	$5,242.69	2026-10-09
11772	CPT	Remove Pilonidal Cyst Compl	56	43	$9,771.87	—	$3,108.38	$5,218.64	$5,218.64	2026-10-09
58660	CPT	Laparoscopy Lysis	56	43	$5,447.00	—	$5,210.89	$6,336.52	$5,210.89	2026-10-09
11406	CPT	Exc Tr-ext B9+marg >4.0 Cm	56	43	$11,530.99	—	$1,759.69	$5,203.97	$5,203.97	2026-10-09
A4642	HCPCS	In111 Satumomab	34	27	$6,923.00	—	$5,192.25	$5,192.25	$5,192.25	2026-10-09
26350	CPT	Repair Finger/hand Tendon	56	43	$9,076.00	—	$3,523.87	$5,165.44	$5,165.44	2026-10-09
28825	CPT	Amputation Toe Interphalangeal Joint	56	43	$9,043.00	—	$3,523.87	$5,153.06	$5,153.06	2026-10-09
28805	CPT	Amputation Foot Transmetatarsal	56	43	$9,043.00	—	$3,523.87	$5,153.06	$5,153.06	2026-10-09
28100	CPT	Exc Bone Cyst/benign Tumor	56	43	$9,017.00	—	$3,523.87	$5,143.31	$5,143.31	2026-10-09
29893	CPT	Endoscopic Plantar Fasciotomy	56	43	$9,017.00	—	$3,523.87	$5,143.31	$5,143.31	2026-10-09
28313	CPT	Recon Angular Deformity Toe St Only	56	43	$9,017.00	—	$3,523.87	$5,143.31	$5,143.31	2026-10-09
58940	CPT	Bilateral Oopherectomy	34	27	$6,850.00	—	$5,137.50	$5,137.50	$5,137.50	2026-10-09
44950	CPT	Appendectomy	56	43	$4,582.00	—	$5,106.65	$6,776.80	$5,106.65	2026-10-09
44603	CPT	Suture Sm Intestine Mult Perforations	34	27	$6,808.00	—	$5,106.00	$5,106.00	$5,106.00	2026-10-09
38760	CPT	Inguinofemoral Lymphadectomysuperficial	56	43	$4,131.00	—	$5,090.51	$7,082.76	$5,090.51	2026-10-09
28315	CPT	Removal Of Sesamoid Bone	56	43	$8,839.65	—	$3,523.87	$5,076.81	$5,076.81	2026-10-09
28153	CPT	Partial Removal Of Toe	56	43	$8,839.65	—	$3,523.87	$5,076.81	$5,076.81	2026-10-09
21235	CPT	Cart Graft From Ear	56	43	$4,959.00	—	$5,072.03	$6,424.81	$5,072.03	2026-10-09
42830	CPT	Adenoidectomy Age 12 Or Younger	56	43	$8,743.00	—	$3,522.20	$5,039.73	$5,039.73	2026-10-09
51840	CPT	Attach Bladder/urethra	34	27	$6,695.00	—	$5,021.25	$5,021.25	$5,021.25	2026-10-09
36561	CPT	Insert Tunneled Cv Cath	56	43	$8,826.60	—	$3,418.40	$5,019.18	$5,019.18	2026-10-09
59120	CPT	Treat Ectopic Pregnancy	34	27	$6,682.00	—	$5,011.50	$5,011.50	$5,011.50	2026-10-09
29805	CPT	Arthroscopy Shoulder Dx W Without Bx	56	43	$8,588.00	—	$3,523.87	$4,982.44	$4,982.44	2026-10-09
28292	CPT	Bunionectomy With Sesamoidectomy	56	43	$8,588.00	—	$3,523.87	$4,982.44	$4,982.44	2026-10-09
28114	CPT	Ostectomy All Metatsal Heads	56	43	$8,588.00	—	$3,523.87	$4,982.44	$4,982.44	2026-10-09
29891	CPT	Ankle Arthroscopy/surgery	56	43	$8,588.00	—	$3,523.87	$4,982.44	$4,982.44	2026-10-09
26587	CPT	Reconstruct Extra Finger	56	43	$8,579.00	—	$3,523.87	$4,979.06	$4,979.06	2026-10-09
43198	CPT	Esophagosc Flex Trnsn Biopsy	56	43	$11,890.27	—	$1,018.25	$4,967.98	$4,967.98	2026-10-09
46257	CPT	Removal Hemorrhoid & Fiss	56	43	$9,209.00	—	$2,978.42	$4,942.59	$4,942.59	2026-10-09
11606	CPT	Exc Tr-ext Mal+marg >4 Cm	56	43	$10,790.78	—	$1,759.69	$4,926.39	$4,926.39	2026-10-09
58555	CPT	Hysteroscopy Dx Sep Proc	56	43	$8,520.00	—	$3,453.19	$4,921.60	$4,921.60	2026-10-09
29870	CPT	Arthroscopy Knee Diagnostic W Wo Bx	56	43	$8,372.00	—	$3,523.87	$4,901.44	$4,901.44	2026-10-09
44661	CPT	Close Enterovesical Fistula With Intestine	34	27	$6,530.00	—	$4,897.50	$4,897.50	$4,897.50	2026-10-09
29874	CPT	Knee Arthroscopy/surgery	56	43	$8,339.00	—	$3,523.87	$4,889.06	$4,889.06	2026-10-09
29876	CPT	Knee Arth Synovectomy 2+ Comp	56	43	$8,339.00	—	$3,523.87	$4,889.06	$4,889.06	2026-10-09
64484	CPT	Inj Foramen Epidural Add-on	34	27	$6,501.24	—	$4,875.93	$4,875.93	$4,875.93	2026-10-09
36578	CPT	Replace Cath Only Cva Devise W Port Pump	56	43	$8,422.00	—	$3,418.40	$4,867.45	$4,867.45	2026-10-09
27889	CPT	Amputation Of Foot At Ankle	56	43	$2,632.00	—	$4,866.29	$7,758.58	$4,866.29	2026-10-09
66984	CPT	Xcapsl Ctrc Rmvl Without Ecp	168	43	$10,407.68	—	$2,477.03	$5,342.19	$4,840.77	2026-10-09
27685	CPT	Revision Of Lower Leg Tendon	56	43	$8,205.00	—	$3,523.87	$4,838.81	$4,838.81	2026-10-09
26735	CPT	Open Red Phal Shft Fx W Int Fixation	56	43	$8,194.00	—	$3,523.87	$4,834.69	$4,834.69	2026-10-09
26765	CPT	Treat Finger Fracture Each	56	43	$8,189.00	—	$3,523.87	$4,832.81	$4,832.81	2026-10-09
35184	CPT	Repair Av Fistula Extremities	56	43	$8,304.00	—	$3,418.40	$4,823.20	$4,823.20	2026-10-09
57265	CPT	Cmbn Ap Colprhy W/ntrcl Rpr	56	43	$5,697.00	—	$4,817.04	$5,361.33	$4,817.04	2026-10-09
42420	CPT	Excise Parotid Gland/lesion	56	43	$4,269.00	—	$4,813.28	$6,424.81	$4,813.28	2026-10-09
44141	CPT	Colectomy Partial W Skin Level Cecostomy	34	27	$6,393.00	—	$4,794.75	$4,794.75	$4,794.75	2026-10-09
27380	CPT	Repair Of Kneecap Tendon	56	43	$2,416.00	—	$4,785.29	$7,758.58	$4,785.29	2026-10-09
47600	CPT	Open Chole Without Cholangio	34	27	$6,380.00	—	$4,785.00	$4,785.00	$4,785.00	2026-10-09

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