Hospital

GOODLAND REGIONAL MEDICAL CENTER

Goodland, KS · CCN 171370 · Rates published

1,997 distinct procedures filed

3 distinct payers

11,878 rate rows

2026-03-27 last MRF observed

Data quality

11,871 of 11,878 rate rows are consumer-grade (99.9%)

7 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
exceeds 10× this hospital's gross charge — excluded from medians	5
placeholder amount (≤ $0.02) — excluded from medians	2

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

Source MRF file	https://goodlandregional.slicedhealth.io/pricer/48-0725111_GoodlandRegionalMedicalCenter_StandardCharges.csv
Found on page	https://goodlandregional.slicedhealth.io/home
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-20
Content fingerprint	3dab3446ac3cabf0… · 3,819,080 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
49657 CPT	"or Lap Inc Hern Recur Comp"	2	$9,181.70	$9,721.80	$9,721.80	nat. median $4,436 outlier · 2.2×
28270 CPT	"or Capsulotomy; Metatarsophalangeal Joint, With Or Without Tenorrhaphy, Each Jo…	3	$8,316.34	$9,375.30	$9,114.88	nat. median $3,254 outlier · 2.8×
J1459 HCPCS	"immune Globulin, Gamma 500 Mg Inj (10000 Mg Btl)"	3	$60.59	$36,000.00	$9,000.00	nat. median $968 outlier · 9.3×
J1561 HCPCS	"gamunex-c 5 Gram/50 Ml Vial"	3	$61.49	$18,000.00	$8,750.00	nat. median $994 outlier · 8.8×
49651 CPT	"or Repair Recurrent Ing Hernia La"	3	$7,797.90	$9,475.82	$8,256.60	nat. median $6,367 1.3× median
43280 CPT	"or Nissen Fundoplication"	3	$7,797.90	$11,308.67	$8,256.60	nat. median $10,186 0.8× median
52310 CPT	"spec Clinic Cystourethroscopy, With Removal Of Foreign Body, Calculus, Or Urete…	3	$2,244.28	$8,248.50	$8,019.38	nat. median $2,192 outlier · 3.7×
49652 CPT	"or Lap Vent/abd Hernia Rpr"	2	$3,523.25	$12,973.50	$7,991.62	nat. median $3,425 outlier · 2.3×
19303 CPT	"or Mastectomy Simple Complete"	3	$7,242.71	$8,167.50	$7,940.62	nat. median $6,248 1.3× median
57135 CPT	"or Vag Wall Polypectomy/cryosurge"	3	$6,651.86	$7,504.20	$7,295.75	nat. median $3,216 outlier · 2.3×
49650 CPT	"or Laparoscopy Repair Initial Inguial Hernia, Right"	3	$1,041.25	$19,234.80	$7,195.24	nat. median $5,726 1.3× median
15120 CPT	"or Split-thickness Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits,…	3	$3,840.02	$6,912.00	$6,720.00	nat. median $3,620 1.9× median
63650 CPT	"or Percutaneous Implantation Of Meurostimulator Electrode Anax, Epidural"	3	$3,888.75	$8,820.00	$6,587.22	nat. median $6,691 1.0× median
57522 CPT	"or Conization Of Cervix, Loope Electrode Excision"	3	$3,747.10	$6,745.50	$6,558.12	nat. median $3,326 2.0× median
47563 CPT	"or Pro Fee Lap Chole With Angiogram"	3	$1,763.75	$10,485.00	$6,517.52	nat. median $6,246 1.0× median
44950 CPT	"or Appendectomy"	3	$5,906.48	$6,662.70	$6,477.62	nat. median $5,001 1.3× median
47562 CPT	"or Pro Fee Lap Chole"	3	$1,615.00	$6,579.00	$6,213.50	nat. median $6,043 1.0× median
66850 CPT	"or Removal Lens Fragment"	3	$5,510.56	$6,217.20	$6,044.50	nat. median $2,634 outlier · 2.3×
44970 CPT	"or Laproscopic Appendectomy"	3	$5,451.98	$6,147.90	$5,977.12	nat. median $6,065 1.0× median
49614 CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	3	$2,660.50	$10,633.50	$5,907.49	nat. median $6,305 0.9× median
49321 CPT	"or Laparoscopy W/biopsy"	3	$5,183.32	$5,850.90	$5,688.38	nat. median $6,112 0.9× median
10180 CPT	"or Incision & Drainage , Complex, Postoperative Wound Infection"	3	$416.50	$5,908.50	$5,580.25	nat. median $2,882 1.9× median
58565 CPT	"or Hysterscopy With Bilat Sterilzat"	3	$5,054.04	$5,702.40	$5,544.00	nat. median $5,181 1.1× median
31535 CPT	"or Laryngoscopy, Direct, Operative, With Biopsy"	3	$4,157.16	$5,557.50	$5,403.12	nat. median $3,730 1.4× median
59510 CPT	"pro Fee C-section Delivery (global)"	2	$5,083.00	$5,382.00	$5,382.00	nat. median $3,349 1.6× median
28285 CPT	"or Correction, Hammertoe"	3	$3,595.00	$5,504.40	$5,351.50	nat. median $3,485 1.5× median
47600 CPT	"or Cholecystectomy - Open"	3	$4,874.26	$5,494.50	$5,341.88	nat. median $3,682 1.5× median
58210 CPT	"or Hysterectomy"	3	$4,854.06	$5,474.70	$5,322.62	nat. median $4,588 1.2× median
58671 CPT	"or Lap W Occlsn Of Oviducts W Dev"	3	$4,791.44	$5,425.20	$5,274.50	nat. median $5,708 0.9× median
44180 CPT	"or Laproscopy; Enterolysis"	3	$4,791.44	$5,405.40	$5,255.25	nat. median $6,040 0.9× median
J0132 HCPCS	"acetylcysteine 100 Mg Inj (6000 Mg Vial)"	3	$1.26	$5,400.00	$5,250.00	nat. median $56 outlier · 94.4×
38792 CPT	"or Lymph Node Mapping"	3	$4,751.04	$5,355.90	$5,207.12	nat. median $567 outlier · 9.2×
59400 CPT	"pro Fee Vaginal Delivery (global)"	2	$4,883.25	$5,170.50	$5,170.50	nat. median $2,933 1.8× median
0360 RC		2	$4,600.20	$4,870.80	$4,870.80	nat. median $1,707 outlier · 2.9×
58670 CPT	"or Lap W Falguration Of Oviducts"	3	$4,590.85	$5,096.14	$4,860.90	nat. median $6,176 0.8× median
49520 CPT	"or Repair Recurrent Ing Hernia Bi"	3	$1,542.75	$7,992.00	$4,777.85	nat. median $4,259 1.1× median
46200 CPT	"or Fissurectomy"	3	$3,101.16	$4,880.70	$4,745.12	nat. median $2,957 1.6× median
66984 CPT	"or Cataract Extracapsular W Iol"	3	$2,705.79	$4,870.42	$4,735.13	nat. median $2,550 1.9× median
65140 CPT	"or Insertion Of An Ocular Implant After Enucleation, With Muscles Attached To I…	2	$4,441.25	$4,702.50	$4,702.50	nat. median $4,010 1.2× median
66982 CPT	"or Cataract Ext Cap W Iol Complx"	3	$2,631.05	$4,734.00	$4,602.50	nat. median $2,790 1.6× median
12037 CPT	"er Tech Repair Int Scalp,axil,trk Over"	3	$2,606.81	$4,644.00	$4,515.00	nat. median $1,899 outlier · 2.4×
J1644 HCPCS	"heparin 1000 Unit Inj (25000 Unit/250 Ml Bag)"	3	$0.33	$22,500.00	$4,500.00	nat. median $10 outlier · 438.6×
15275 CPT	"wc Pro Feeapplication Of Skin Substitute Graft To Face,scalp,fee, Etc, Up To 10…	3	$446.25	$6,052.50	$4,483.39	nat. median $1,689 outlier · 2.7×
24357 CPT	"or Tenotomy, Rpr Elbow Perc"	3	$2,868.75	$5,049.00	$4,454.10	nat. median $3,344 1.3× median
81220 CPT	"lab Cystic Fib Profile"	3	$2,371.24	$4,275.00	$4,156.25	nat. median $557 outlier · 7.5×
19120 CPT	"or Excision In Breast"	3	$1,959.25	$7,456.50	$4,142.99	nat. median $3,683 1.1× median
69610 CPT	"or Paper Patch Application"	3	$3,747.10	$4,227.30	$4,109.88	nat. median $1,835 outlier · 2.2×
57520 CPT	"or Cervical Conization"	3	$3,747.10	$4,227.30	$4,109.88	nat. median $3,349 1.2× median
68700 CPT	"or Plastic Repair Of Canaliculi B"	2	$3,825.00	$8,100.00	$4,050.00	nat. median $2,527 1.6× median
68720 CPT	"or Dacryocystorhinostomy Bilatera"	2	$3,825.00	$8,100.00	$4,050.00	nat. median $4,018 1.0× median

Other procedures at this hospital

Browse this hospital's 1,997 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

15271	CPT	"wc Pro Fee Application Of Skin Substitute Graft To Trunk,arms,legs, Up To 100 S…	7	3	$465.00	$418.50	$395.25	$4,072.50	$3,014.85	2026-03-27
15275	CPT	"wc Pro Feeapplication Of Skin Substitute Graft To Face,scalp,fee, Etc, Up To 10…	7	3	$525.00	$472.50	$446.25	$6,052.50	$4,483.39	2026-03-27
36590	CPT	"or Pro Fee Removal Of A Tunneled Central"	7	3	$635.00	$571.50	$539.75	$3,397.50	$1,906.88	2026-03-27
12035	CPT	"ed Pro Fee Layer Closure Of Wound(s)"	7	3	$690.00	$621.00	$586.50	$3,240.00	$1,824.06	2026-03-27
11771	CPT	"or Pro Fee Or Exc Pilonidal Cyst, Exte"	7	3	$825.00	$742.50	$701.25	$4,140.00	$3,068.38	2026-03-27
21552	CPT	"or Pro Fee Exc Sft Tissue Tumors Chest & Neck 3cm Or Greater"	7	3	$1,280.00	$1,152.00	$1,088.00	$5,400.00	$3,079.49	2026-03-27
27825	CPT	"ed Pro Fee Closed Treatment Of Distaltibia Fx W Manipulation"	7	3	$1,380.00	$1,242.00	$1,173.00	$2,880.00	$1,605.90	2026-03-27
49505	CPT	"or Pro Fee Repair Inguinal Hernia, Age 5 Or Older"	7	3	$1,455.00	$1,309.50	$1,236.75	$5,143.50	$3,811.74	2026-03-27
21556	CPT	"or Pro Fee Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial …	7	3	$1,485.00	$1,336.50	$1,262.25	$5,013.00	$2,812.85	2026-03-27
58611	CPT	"or Tubal Lig At Time Of Csec"	8	3	$1,692.00	$1,522.80	$361.25	$2,663.10	$2,356.33	2026-03-27
68815	CPT	"or Nasolacr Probe With Tube Ins Bil"	12	3	$1,720.00	$1,548.00	$655.49	$3,096.00	$1,548.00	2026-03-27
78320	CPT	"nuc Med Bone/joint-spect"	3	2	$1,722.00	$1,549.80	$1,463.70	$1,549.80	$1,549.80	2026-03-27
74170	CPT	"ct Abdomen W/wo Contrast"	4	3	$1,780.00	$1,602.00	$457.53	$1,602.00	$1,557.50	2026-03-27
78707	CPT	"nuc Med Renal Scan Without Pharm"	3	2	$1,798.00	$1,618.20	$1,528.30	$1,618.20	$1,618.20	2026-03-27
0120	RC	—	2	2	$1,800.00	$1,620.00	$1,530.00	$1,620.00	$1,575.00	2026-03-27
0122	RC	—	2	2	$1,800.00	$1,620.00	$1,530.00	$1,620.00	$1,575.00	2026-03-27
68811	CPT	"or Nasolacrimal Probe W/anes Bltr"	11	3	$1,805.00	$1,624.50	$911.02	$3,249.00	$1,624.50	2026-03-27
26080	CPT	"or Ganglion Arthrotomy"	4	3	$1,826.00	$1,643.40	$1,454.40	$1,643.40	$1,597.75	2026-03-27
11421	CPT	"ed Pro Fee Exc H-f-nk-sp B9+marg 0.6-1"	10	3	$1,835.00	$1,651.50	$522.75	$2,205.00	$1,605.62	2026-03-27
26070	CPT	"or Expl/rem Fb Cmc Joint"	4	3	$1,837.00	$1,653.30	$1,454.40	$1,653.30	$1,607.38	2026-03-27
72194	CPT	"ct Pelvis W/wo Contrast"	4	3	$1,842.00	$1,657.80	$457.53	$1,657.80	$1,611.75	2026-03-27
59409	CPT	"pro Fee Vaginal Delivery Only"	3	2	$1,870.00	$1,683.00	$1,589.50	$1,683.00	$1,683.00	2026-03-27
70540	CPT	"mri Orbit/face/neck W/o"	4	3	$1,888.00	$1,699.20	$526.21	$1,699.20	$1,652.00	2026-03-27
19101	CPT	"or Breast Biopsy - Open"	4	3	$1,892.00	$1,702.80	$1,509.95	$1,702.80	$1,655.50	2026-03-27
70498	CPT	"cta Neck W"	4	3	$1,894.00	$1,704.60	$1,159.64	$1,704.60	$1,657.25	2026-03-27
47562	CPT	"or Pro Fee Lap Chole"	7	3	$1,900.00	$1,710.00	$1,615.00	$6,579.00	$6,213.50	2026-03-27
70496	CPT	"cta Head"	4	3	$1,900.00	$1,710.00	$1,158.71	$1,710.00	$1,662.50	2026-03-27
10121	CPT	"er Tech Remove Fb Incision Complex"	7	3	$1,903.00	$1,712.70	$1,517.02	$1,712.70	$1,620.00	2026-03-27
72133	CPT	"ct L-spine W/wo"	4	3	$1,905.00	$1,714.50	$457.53	$1,714.50	$1,666.88	2026-03-27
24075	CPT	"or Exc Tumor, Sft Tis, Up Arm/elb"	4	3	$1,910.00	$1,719.00	$1,284.72	$1,719.00	$1,671.25	2026-03-27
70481	CPT	"ct Orb/sella/pos Foss W/"	4	3	$1,911.00	$1,719.90	$457.53	$1,719.90	$1,672.12	2026-03-27
19302	CPT	"or Lumpectomy With Lymphadenectomy"	4	3	$1,914.00	$1,722.60	$1,626.90	$7,187.16	$1,722.60	2026-03-27
27510	CPT	"ed Pro Fee Femoral Fx Reduction Distal Closed"	7	3	$1,915.00	$1,723.50	$1,454.40	$2,592.00	$1,723.50	2026-03-27
72127	CPT	"ct C-spine W/wo Contrast"	4	3	$1,915.00	$1,723.50	$457.53	$1,723.50	$1,675.62	2026-03-27
72130	CPT	"ct T-spine W/wo Contrast"	4	3	$1,928.00	$1,735.20	$457.53	$1,735.20	$1,687.00	2026-03-27
71275	CPT	"cta Chest W"	4	3	$1,933.00	$1,739.70	$1,143.85	$1,739.70	$1,691.38	2026-03-27
38510	CPT	"or Biopsy Lymph Node"	4	3	$1,936.00	$1,742.40	$1,645.60	$3,959.20	$1,742.40	2026-03-27
57410	CPT	"or Pelvic Exam Under Anesthesia"	4	3	$1,936.00	$1,742.40	$1,538.23	$1,742.40	$1,694.00	2026-03-27
74181	CPT	"mri Abdomen W/o"	4	3	$1,941.00	$1,746.90	$526.21	$1,746.90	$1,698.38	2026-03-27
43270	CPT	"pro Fee Or Egd W Ablation"	7	3	$1,950.00	$1,755.00	$914.05	$1,755.00	$1,629.00	2026-03-27
32551	CPT	"ed Pro Fee Tube Thoracostomy"	6	2	$1,950.50	$1,755.45	$391.00	$3,096.90	$1,669.42	2026-03-27
59514	CPT	"pro Fee C-section Delivery Only"	3	2	$1,964.00	$1,767.60	$1,669.40	$1,767.60	$1,767.60	2026-03-27
73702	CPT	"ct Ext Lower W/wo Bil"	12	3	$1,977.00	$1,779.30	$457.53	$1,779.30	$1,729.88	2026-03-27
43245	CPT	"or Ugi Go Dil For Obstr"	4	3	$1,980.00	$1,782.00	$1,580.65	$1,782.00	$1,732.50	2026-03-27
72191	CPT	"cta Pelvis W"	3	2	$1,996.00	$1,796.40	$1,696.60	$1,796.40	$1,796.40	2026-03-27
67912	CPT	"or Correction Of Lagopthalmos W I"	3	2	$2,000.00	$1,800.00	$1,700.00	$1,800.00	$1,800.00	2026-03-27
19084	CPT	"us Guided Breast Bx, Additional Lesions"	4	3	$2,000.00	$1,800.00	$1,700.00	$1,886.68	$1,800.00	2026-03-27
10081	CPT	"er Tech I&d Pilonidal Complex"	4	3	$2,005.00	$1,804.50	$1,704.25	$1,968.49	$1,804.50	2026-03-27
74175	CPT	"ct Angio Abdom Without & With Contrast"	4	3	$2,005.00	$1,804.50	$1,186.59	$1,804.50	$1,754.38	2026-03-27
73202	CPT	"ct Ext Upper W Without Bilat"	12	3	$2,006.00	$1,805.40	$457.53	$1,805.40	$1,755.25	2026-03-27
67840	CPT	"spec Clinic Excision Lesion On Eyelid"	4	3	$2,021.00	$1,818.90	$481.77	$1,818.90	$1,768.38	2026-03-27
74177	CPT	"ct Abd/pelvis W/contrast"	4	3	$2,039.00	$1,835.10	$457.53	$1,835.10	$1,784.12	2026-03-27
46947	CPT	"or Hemorrhoidepexy By Stapling"	3	2	$2,046.00	$1,841.40	$1,739.10	$1,841.40	$1,841.40	2026-03-27
93925	CPT	"us Arterial Dop Low Ext Bilat"	4	3	$2,070.00	$1,863.00	$480.76	$1,863.00	$1,811.25	2026-03-27
47563	CPT	"or Pro Fee Lap Chole With Angiogram"	7	3	$2,075.00	$1,867.50	$1,763.75	$10,485.00	$6,517.52	2026-03-27
78014	CPT	"nuc Med Thyroid Uptake Mult"	4	3	$2,090.00	$1,881.00	$424.64	$1,881.00	$1,828.75	2026-03-27
12054	CPT	"er Tech Repair Int Face 7.6-12.5cm"	4	3	$2,100.00	$1,890.00	$1,060.50	$1,890.00	$1,837.50	2026-03-27
93975	CPT	"us Pel Doppler Test/ov"	4	3	$2,106.00	$1,895.40	$480.76	$1,895.40	$1,842.75	2026-03-27
11443	CPT	"or Exc Face-m M B9=marg 2.1-cm"	4	3	$2,110.00	$1,899.00	$1,407.94	$1,899.00	$1,846.25	2026-03-27
70482	CPT	"ct Orb/sella/pos Fosa W/wo"	4	3	$2,110.00	$1,899.00	$457.53	$1,899.00	$1,846.25	2026-03-27
70336	CPT	"mri Tmj"	4	3	$2,114.00	$1,902.60	$526.21	$1,902.60	$1,849.75	2026-03-27
72195	CPT	"mri Pelvis W/o"	4	3	$2,115.00	$1,903.50	$526.21	$1,903.50	$1,850.62	2026-03-27
71550	CPT	"mri Chest W/o"	4	3	$2,115.00	$1,903.50	$526.21	$1,903.50	$1,850.62	2026-03-27
73718	CPT	"mri Low Ext/no Jt/ Without Bil"	12	3	$2,115.00	$1,903.50	$526.21	$1,903.50	$1,850.62	2026-03-27
70544	CPT	"mra Head W/o"	4	3	$2,117.00	$1,905.30	$633.27	$1,905.30	$1,852.38	2026-03-27
73218	CPT	"mri Upp Ext/no Jt/ Without Bil"	12	3	$2,117.00	$1,905.30	$526.21	$1,905.30	$1,852.38	2026-03-27
70547	CPT	"mra Neck W/o"	4	3	$2,117.00	$1,905.30	$633.27	$1,905.30	$1,852.38	2026-03-27
70552	CPT	"mri Head W"	4	3	$2,143.00	$1,928.70	$526.21	$1,928.70	$1,875.12	2026-03-27
28820	CPT	"or Amputate Toe Metatars Joint"	4	3	$2,145.00	$1,930.50	$1,823.25	$4,298.56	$1,930.50	2026-03-27
12045	CPT	"er Tech Repair Int Neck,hands,ft 12.6-"	4	3	$2,150.00	$1,935.00	$1,086.76	$1,935.00	$1,881.25	2026-03-27
27252	CPT	"dislocation Hip With Anesthesia"	7	3	$2,155.00	$1,939.50	$1,077.67	$1,939.50	$1,845.00	2026-03-27
72149	CPT	"mri Lumbar Spine W"	4	3	$2,156.00	$1,940.40	$526.21	$1,940.40	$1,886.50	2026-03-27
72147	CPT	"mri Thoracic Spine W"	4	3	$2,176.00	$1,958.40	$526.21	$1,958.40	$1,904.00	2026-03-27
72142	CPT	"mri Cervical Spine W"	4	3	$2,196.00	$1,976.40	$526.21	$1,976.40	$1,921.50	2026-03-27
67400	CPT	"or Orbitotomy Without Bone Flap Bilat"	11	3	$2,200.00	$1,980.00	$1,111.00	$3,960.00	$1,980.00	2026-03-27
22903	CPT	"or Exc Abd Les Sc 3cm>"	4	3	$2,200.00	$1,980.00	$1,870.00	$2,356.33	$1,980.00	2026-03-27
43244	CPT	"or Egd With Banding Of Varices"	8	3	$2,200.00	$1,980.00	$624.75	$3,298.50	$1,850.32	2026-03-27
73206	CPT	"cta Upp Ext W Bilateral"	9	2	$2,205.00	$1,984.50	$1,874.25	$3,969.00	$1,984.50	2026-03-27
57500	CPT	"or Biopsy Of Cervix"	4	3	$2,215.00	$1,993.50	$1,157.46	$1,993.50	$1,938.12	2026-03-27
70542	CPT	"mri Orbit/face/neck W"	4	3	$2,228.00	$2,005.20	$526.21	$2,005.20	$1,949.50	2026-03-27
14040	CPT	"or Att F/c/m/n/a/g/h/f <=10 Sq Cm"	4	3	$2,233.00	$2,009.70	$1,778.61	$2,009.70	$1,953.88	2026-03-27
21012	CPT	"or Excision Face Les Sbq 2cm >"	4	3	$2,255.00	$2,029.50	$1,348.35	$2,029.50	$1,973.12	2026-03-27
31635	CPT	"or Bronchoscopy W/foreign Body Re"	8	3	$2,292.50	$2,063.25	$688.50	$3,397.50	$1,899.81	2026-03-27
73706	CPT	"cta Low Ext W Bilateral"	9	2	$2,300.00	$2,070.00	$1,955.00	$4,140.00	$2,070.00	2026-03-27
58100	CPT	"or Endometrial Biopsy"	4	3	$2,300.00	$2,070.00	$214.32	$2,070.00	$2,012.50	2026-03-27
74178	CPT	"ct Abd/pelvis With Without Contrast"	4	3	$2,301.00	$2,070.90	$457.53	$2,070.90	$2,013.38	2026-03-27
73719	CPT	"mri Low Ext/no Jt/ W Bil"	12	3	$2,301.00	$2,070.90	$526.21	$2,070.90	$2,013.38	2026-03-27
70548	CPT	"mra Neck W"	4	3	$2,301.00	$2,070.90	$633.27	$2,070.90	$2,013.38	2026-03-27
70545	CPT	"mra Head W"	4	3	$2,301.00	$2,070.90	$633.27	$2,070.90	$2,013.38	2026-03-27
72159	CPT	"mra Spinal Canal W,w/o"	4	3	$2,304.00	$2,073.60	$633.27	$2,073.60	$2,016.00	2026-03-27
73225	CPT	"mra Upp Ext/ W,w/o"	4	3	$2,304.00	$2,073.60	$633.27	$2,073.60	$2,016.00	2026-03-27
56810	CPT	"or Perineoplasty"	3	2	$2,310.00	$2,079.00	$1,963.50	$2,079.00	$2,079.00	2026-03-27
58558	CPT	"or Hysteroscopy W Without D & C"	8	3	$2,313.00	$2,081.70	$540.60	$3,591.00	$3,406.45	2026-03-27
78305	CPT	"nuc Med Bone-multiple Areas"	3	2	$2,319.00	$2,087.10	$1,971.15	$2,087.10	$2,087.10	2026-03-27
46922	CPT	"or Excision, Lesion, Anus"	4	3	$2,321.00	$2,088.90	$1,845.27	$2,088.90	$2,030.88	2026-03-27
68326	CPT	"or Conjunctivoplasty, Reconstruction Cul-de-sac; W Conjunctival Graft Or Extens…	3	2	$2,332.00	$2,098.80	$1,982.20	$2,098.80	$2,098.80	2026-03-27
11424	CPT	"or Exc Bles S/n/ex G; 3.1-4.0cm"	4	3	$2,365.00	$2,128.50	$1,801.84	$2,128.50	$2,069.38	2026-03-27
26115	CPT	"or Ex Tumor Hand/finger"	7	3	$2,375.00	$2,137.50	$1,199.88	$2,137.50	$1,678.50	2026-03-27
67902	CPT	"or Pro Fee Repair Of Blepharoptosis; Frontalis Muscle Technique With Autologous…	15	2	$2,381.00	$2,142.90	$1,734.00	$4,285.80	$2,142.90	2026-03-27
75635	CPT	"ct Abdominal Aorta With Runoffs"	4	3	$2,390.00	$2,151.00	$1,249.77	$2,151.00	$2,091.25	2026-03-27
66250	CPT	"or Repair/rev Operati Wound Anter"	6	2	$2,391.00	$2,151.90	$215.05	$4,076.10	$2,038.68	2026-03-27
58120	CPT	"or D & C"	4	3	$2,398.00	$2,158.20	$1,906.88	$2,158.20	$2,098.25	2026-03-27
72196	CPT	"mri Pelvis W"	4	3	$2,419.00	$2,177.10	$526.21	$2,177.10	$2,116.62	2026-03-27
70553	CPT	"mri Head W, W/o"	4	3	$2,445.00	$2,200.50	$526.21	$2,200.50	$2,139.38	2026-03-27
68510	CPT	"or Biopsy Of Lacrimal Gland"	3	2	$2,450.00	$2,205.00	$2,082.50	$2,205.00	$2,205.00	2026-03-27
72158	CPT	"mri Lumbar Spine W,w/o"	4	3	$2,455.00	$2,209.50	$526.21	$2,209.50	$2,148.12	2026-03-27
42826	CPT	"or Tonsil Prim Over 12"	4	3	$2,464.00	$2,217.60	$2,094.40	$2,785.47	$2,217.60	2026-03-27
72156	CPT	"mri Cervical Spine W, W/o"	4	3	$2,465.00	$2,218.50	$526.21	$2,218.50	$2,156.88	2026-03-27
72157	CPT	"mri Thoracic Spine W,w/o"	4	3	$2,471.00	$2,223.90	$526.21	$2,223.90	$2,162.12	2026-03-27
78070	CPT	"nuc Med Parathyroid Img"	3	2	$2,519.00	$2,267.10	$2,141.15	$2,267.10	$2,267.10	2026-03-27
78306	CPT	"nuc Med Bone Scan-joint Img/wb"	4	3	$2,519.00	$2,267.10	$400.49	$2,267.10	$2,204.12	2026-03-27
27768	CPT	"ed Pro Fee Closed Treatment Of Posterior Malleolus Fracture; With Manipulation"	3	2	$2,520.00	$2,268.00	$2,142.00	$2,268.00	$2,268.00	2026-03-27
42821	CPT	"or T & A Over 12"	4	3	$2,530.00	$2,277.00	$2,150.50	$3,439.30	$2,277.00	2026-03-27
49557	CPT	"or Rpr Recr Femoral Hernia Inc/st"	4	3	$2,530.00	$2,277.00	$2,024.04	$2,277.00	$2,213.75	2026-03-27
49553	CPT	"or Repair Femoral Hernia"	4	3	$2,541.00	$2,286.90	$2,024.04	$2,286.90	$2,223.38	2026-03-27
74174	CPT	"cta Abd/pelvis W"	4	3	$2,550.00	$2,295.00	$1,704.15	$2,295.00	$2,231.25	2026-03-27
67901	CPT	"or Rpr Of Blepharoptosis Bilat"	6	2	$2,550.00	$2,295.00	$1,445.00	$3,060.00	$2,210.00	2026-03-27
67950	CPT	"or Canthoplasty Bilateral"	6	2	$2,550.00	$2,295.00	$1,445.00	$3,060.00	$2,210.00	2026-03-27
42820	CPT	"or T & A Under 12"	4	3	$2,563.00	$2,306.70	$2,178.55	$6,386.01	$2,306.70	2026-03-27
27818	CPT	"er Closed Treatment Of Trimalleolar Ankle Fracture"	8	3	$2,592.50	$2,333.25	$1,181.50	$3,415.50	$1,915.97	2026-03-27
26160	CPT	"or Ex Lesion Hand/finger"	4	3	$2,607.00	$2,346.30	$2,074.54	$2,346.30	$2,281.12	2026-03-27
11406	CPT	"or Exc B Lesion Skin > 4cm"	4	3	$2,607.00	$2,346.30	$2,077.57	$2,346.30	$2,281.12	2026-03-27
42830	CPT	"or Adenoidectomy Prim Under 12"	4	3	$2,618.00	$2,356.20	$2,225.30	$3,439.30	$2,356.20	2026-03-27
42825	CPT	"or Tonsil Prim Under 12"	4	3	$2,640.00	$2,376.00	$2,244.00	$6,386.01	$2,376.00	2026-03-27
78451	CPT	"nuc Med Myocard Perf Img-spect Single"	4	3	$2,643.00	$2,378.70	$1,010.00	$2,378.70	$2,312.62	2026-03-27
64721	CPT	"or Carpal Tunnel Release"	8	3	$2,658.50	$2,392.65	$1,624.08	$2,593.80	$2,191.50	2026-03-27
43246	CPT	"or Gastrostomy"	4	3	$2,673.00	$2,405.70	$2,134.13	$2,405.70	$2,338.88	2026-03-27
17111	CPT	"spec Clinic Cryothrpy;benign Les 15> Les"	4	3	$2,700.00	$2,430.00	$1,799.82	$2,430.00	$2,362.50	2026-03-27
28160	CPT	"or Excision Interphalangeal"	4	3	$2,706.00	$2,435.40	$2,157.36	$2,435.40	$2,367.75	2026-03-27
11422	CPT	"or Exc Benign Les Snhfg 1.1-2cm"	10	3	$2,710.00	$2,439.00	$429.25	$3,033.90	$2,371.25	2026-03-27
28150	CPT	"or Excis Phalangectomy, Toe"	4	3	$2,717.00	$2,445.30	$2,309.45	$3,078.48	$2,445.30	2026-03-27
25000	CPT	"or Tendon Sheath Incis Radl Slylo"	4	3	$2,717.00	$2,445.30	$2,165.44	$2,445.30	$2,377.38	2026-03-27
78582	CPT	"nuc Med Vq Lung Scan"	4	3	$2,718.00	$2,446.20	$693.18	$2,446.20	$2,378.25	2026-03-27
53500	CPT	"or Open Transvag Urethrolysis"	3	2	$2,739.00	$2,465.10	$2,328.15	$2,465.10	$2,465.10	2026-03-27
74182	CPT	"mri Abdomen W"	4	3	$2,747.00	$2,472.30	$526.21	$2,472.30	$2,403.62	2026-03-27
70543	CPT	"mri Orbit/face/neck W,w/o"	4	3	$2,753.00	$2,477.70	$526.21	$2,477.70	$2,408.88	2026-03-27
19110	CPT	"or Nipple Expl W/wo Exc Duct Lt"	8	3	$2,761.00	$2,484.90	$2,203.82	$2,484.90	$2,415.88	2026-03-27
73222	CPT	"mri Upp Ext-jt/ W Bil"	12	3	$2,763.00	$2,486.70	$526.21	$2,486.70	$2,417.62	2026-03-27
73722	CPT	"mri Low Ext Joint With Bilat"	12	3	$2,786.00	$2,507.40	$526.21	$2,507.40	$2,437.75	2026-03-27
38500	CPT	"or Biopsy/excision Of Lymph Node,"	4	3	$2,794.00	$2,514.60	$2,227.05	$2,514.60	$2,444.75	2026-03-27
11626	CPT	"or Exc Malignant Lesion < 4c"	4	3	$2,805.00	$2,524.50	$2,384.25	$3,084.55	$2,524.50	2026-03-27
49659	CPT	"or Unlisted Laproscopy Procedure"	4	3	$2,838.00	$2,554.20	$2,258.36	$2,554.20	$2,483.25	2026-03-27
78315	CPT	"nuc Med Bone - Three Phase"	4	3	$2,859.00	$2,573.10	$347.52	$2,573.10	$2,501.62	2026-03-27
14060	CPT	"or Att E/n/e/l; D 10 Sq Cm"	4	3	$2,865.00	$2,578.50	$1,908.45	$2,578.50	$2,506.88	2026-03-27
78264	CPT	"nuc Med Gastric Emptying Study"	4	3	$2,866.00	$2,579.40	$269.47	$2,579.40	$2,507.75	2026-03-27
78290	CPT	"nuc Med Meckels Scan/bowel Img"	3	2	$2,869.00	$2,582.10	$2,438.65	$2,582.10	$2,582.10	2026-03-27
20525	CPT	"er Tech Remove Fb Muscle Complex"	4	3	$2,871.00	$2,583.90	$2,288.66	$2,583.90	$2,512.12	2026-03-27
71555	CPT	"mra Chest W,w/o"	4	3	$2,874.00	$2,586.60	$633.27	$2,586.60	$2,514.75	2026-03-27
67908	CPT	"or Repair Of Blepharoptosis Conjunctivo-tarso-muller's Muscle-levator Resection…	3	2	$2,880.00	$2,592.00	$2,448.00	$2,592.00	$2,592.00	2026-03-27
27502	CPT	"er Tech Closed Treatment Of Femoral Shaft Fracture, With Manipulation, With Or …	7	3	$2,880.00	$2,592.00	$1,454.40	$2,592.00	$1,917.00	2026-03-27
73725	CPT	"mra Lower Extremity"	4	3	$2,884.00	$2,595.60	$633.27	$2,595.60	$2,523.50	2026-03-27
78071	CPT	"nuc Med Parathyroid Img Spect"	3	2	$2,885.00	$2,596.50	$2,452.25	$2,596.50	$2,596.50	2026-03-27
72198	CPT	"mra Pelvis W,w/o"	4	3	$2,891.00	$2,601.90	$633.27	$2,601.90	$2,529.62	2026-03-27
57268	CPT	"or Repair Enterocele Vaginal"	3	2	$2,893.00	$2,603.70	$2,459.05	$2,603.70	$2,603.70	2026-03-27
57240	CPT	"or Anterior Colporrhaphy"	3	2	$2,893.00	$2,603.70	$2,459.05	$2,603.70	$2,603.70	2026-03-27
57250	CPT	"or Posterior Colporrhapy"	3	2	$2,893.00	$2,603.70	$2,459.05	$2,603.70	$2,603.70	2026-03-27
78278	CPT	"nuc Med Gi Bleed Scan"	3	2	$2,895.00	$2,605.50	$2,460.75	$2,605.50	$2,605.50	2026-03-27
74185	CPT	"mra Abdomen W,w/o"	4	3	$2,911.00	$2,619.90	$633.27	$2,619.90	$2,547.12	2026-03-27
72197	CPT	"mri Pelvis W,w/o"	4	3	$2,930.00	$2,637.00	$526.21	$2,637.00	$2,563.75	2026-03-27
15260	CPT	"or Skin Full Graft Een&lips =<20"	4	3	$2,930.00	$2,637.00	$1,477.63	$2,637.00	$2,563.75	2026-03-27
69424	CPT	"or Tube Removal Pe"	4	3	$2,935.00	$2,641.50	$1,957.38	$2,641.50	$2,568.12	2026-03-27
65780	CPT	"or Amniotic Membrane Graft"	3	2	$2,937.00	$2,643.30	$2,496.45	$2,643.30	$2,643.30	2026-03-27
58555	CPT	"or Hysteroscopy Diagnostic"	4	3	$2,937.00	$2,643.30	$2,339.16	$2,643.30	$2,569.88	2026-03-27
74183	CPT	"mri Abdomen W,w/o"	4	3	$2,940.00	$2,646.00	$526.21	$2,646.00	$2,572.50	2026-03-27
73720	CPT	"mri Low Ext/no Jt/ W,without Bil"	12	3	$2,950.00	$2,655.00	$526.21	$2,655.00	$2,581.25	2026-03-27
22900	CPT	"or Excis Abdominal Wall Mass"	4	3	$2,959.00	$2,663.10	$500.96	$2,663.10	$2,589.12	2026-03-27
53600	CPT	"spec Clinic Dilation Of Urethral (male)"	4	3	$2,970.00	$2,673.00	$1,980.61	$2,673.00	$2,598.75	2026-03-27
73219	CPT	"mri Upp Ext/no Jt/ W Bil"	12	3	$2,986.00	$2,687.40	$526.21	$2,687.40	$2,612.75	2026-03-27
67961	CPT	"or Exc&rpr Eyeld To 1/4 Lid Mrgn"	3	2	$3,000.00	$2,700.00	$2,550.00	$2,700.00	$2,700.00	2026-03-27
41110	CPT	"or Excision Of Lesion Of Tongue Without Closure"	7	3	$3,000.00	$2,700.00	$522.75	$3,439.30	$2,550.00	2026-03-27
12046	CPT	"er Tech Repair Int Neck,hand,ft 20.1-3"	4	3	$3,040.00	$2,736.00	$1,538.23	$2,736.00	$2,660.00	2026-03-27
12047	CPT	"er Tech Repair Int Neck,hands,ft Over"	4	3	$3,040.00	$2,736.00	$1,538.23	$2,736.00	$2,660.00	2026-03-27
12018	CPT	"er Tech Repair Simple Face Over 30cm"	4	3	$3,040.00	$2,736.00	$1,538.23	$2,736.00	$2,660.00	2026-03-27
12017	CPT	"er Tech Repair Simple Face 20.1-30cm"	4	3	$3,040.00	$2,736.00	$1,538.23	$2,736.00	$2,660.00	2026-03-27
21015	CPT	"or Resect Face/scalp Tum < 2cm"	4	3	$3,050.00	$2,745.00	$1,538.23	$2,745.00	$2,668.75	2026-03-27
67015	CPT	"or Asp/release Vit,subretinal,cho"	3	2	$3,058.00	$2,752.20	$2,599.30	$2,752.20	$2,752.20	2026-03-27
12034	CPT	"er Tech Closure Layer 7.6-12.5cm"	7	3	$3,060.00	$2,754.00	$765.00	$2,754.00	$1,548.33	2026-03-27
57452	CPT	"or Colposcopy Of The Cervix Including Upper/adjacent Vagina"	4	3	$3,076.00	$2,768.40	$1,538.23	$2,768.40	$2,691.50	2026-03-27
95810	CPT	"sleep Study Baseline"	4	3	$3,080.00	$2,772.00	$1,056.46	$2,772.00	$2,695.00	2026-03-27
43249	CPT	"or Egd W/dilation/balloon <30mm"	7	3	$3,100.00	$2,790.00	$382.50	$2,790.00	$1,566.51	2026-03-27
64719	CPT	"or Neurplsty Transpst Ulnr Nrv Wr"	4	3	$3,113.00	$2,801.70	$2,646.05	$2,801.70	$2,731.02	2026-03-27
64718	CPT	"or Ulnar Nerve Transfer"	4	3	$3,113.00	$2,801.70	$2,479.55	$2,801.70	$2,723.88	2026-03-27
58562	CPT	"or Hysteroscopy, Remvl Inpactd Fb"	4	3	$3,177.00	$2,859.30	$2,700.45	$2,888.09	$2,859.30	2026-03-27
12056	CPT	"er Tech Repair Int Face 20.1-30cm"	4	3	$3,200.00	$2,880.00	$1,605.90	$2,880.00	$2,800.00	2026-03-27
13152	CPT	"er Tech Repair 2.6-7.5cm Cmplx"	7	3	$3,200.00	$2,880.00	$1,236.75	$2,880.00	$1,618.02	2026-03-27
46221	CPT	"or Hemorrhoid Banding"	7	3	$3,230.00	$2,907.00	$663.00	$2,907.00	$1,632.16	2026-03-27
64782	CPT	"or Excis Neuroma H/f Excp Dig Nrv"	4	3	$3,250.00	$2,925.00	$1,624.08	$2,925.00	$2,843.75	2026-03-27
11423	CPT	"or Pro Fee Excision, Benign Lesion Including Margins, Except Skin Tag (unless L…	11	3	$3,250.00	$2,925.00	$382.50	$3,033.90	$2,762.50	2026-03-27
24105	CPT	"or Excision, Olecranon Bursa"	4	3	$3,278.00	$2,950.20	$2,614.89	$2,950.20	$2,868.25	2026-03-27
19083	CPT	"or Bx Breast 1st Les US Imag"	7	3	$3,300.00	$2,970.00	$752.25	$2,970.00	$1,640.24	2026-03-27
36556	CPT	"inf Ins Non-tunnel Cv Cath 5yr>"	13	3	$3,344.00	$3,009.60	$510.00	$4,752.00	$3,009.60	2026-03-27
73723	CPT	"mri Low Ext Joint W,without Bilat"	12	3	$3,363.00	$3,026.70	$526.21	$3,026.70	$2,942.62	2026-03-27
73223	CPT	"mri Upp Ext-jt/ W,without Bil"	12	3	$3,366.00	$3,029.40	$526.21	$3,029.40	$2,945.25	2026-03-27
11623	CPT	"spec Clinic Exc Malig Les Snhf 2.1cm-3cm"	4	3	$3,371.00	$3,033.90	$1,805.43	$3,033.90	$2,949.62	2026-03-27
21555	CPT	"or Pro Fee Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneou…	11	3	$3,371.00	$3,033.90	$726.75	$3,753.00	$2,865.35	2026-03-27
66985	CPT	"or 2nd Degree Iol"	4	3	$3,399.00	$3,059.10	$2,705.79	$3,059.10	$2,974.12	2026-03-27
67904	CPT	"or External Ptosis Bilateral"	3	2	$3,400.00	$3,060.00	$2,890.00	$3,060.00	$3,060.00	2026-03-27
46320	CPT	"excision Of Thrombosed Hemorrhoid, External"	7	3	$3,400.00	$3,060.00	$535.50	$3,060.00	$1,691.75	2026-03-27
71551	CPT	"mri Chest W"	4	3	$3,439.00	$3,095.10	$526.21	$3,095.10	$3,009.12	2026-03-27
54161	CPT	"or Circumcision Exc > 28 Days"	4	3	$3,454.00	$3,108.60	$2,751.24	$3,108.60	$3,022.25	2026-03-27
57460	CPT	"or Colposcopy With Leep"	4	3	$3,509.00	$3,158.10	$2,796.69	$3,158.10	$3,070.38	2026-03-27
20680	CPT	"or Removal Of Implant (deep)"	4	3	$3,531.00	$3,177.90	$2,815.88	$3,177.90	$3,089.62	2026-03-27
28110	CPT	"or Ostectomy, Prtl Excis 5 Met Hd"	4	3	$3,575.00	$3,217.50	$2,847.19	$3,217.50	$3,128.12	2026-03-27
28090	CPT	"or Excision Ganglion Cyst Foot"	4	3	$3,597.00	$3,237.30	$2,865.37	$3,237.30	$3,147.38	2026-03-27
28108	CPT	"or Exc Bone Cyst/ben Tum Phal/ft"	4	3	$3,597.00	$3,237.30	$2,865.37	$3,237.30	$3,147.38	2026-03-27
27704	CPT	"or Removal Of Ankle Implant"	4	3	$3,597.00	$3,237.30	$2,865.37	$3,237.30	$3,147.38	2026-03-27
12057	CPT	"er Tech Repair Int Face Over 30cm"	4	3	$3,600.00	$3,240.00	$1,818.00	$3,240.00	$3,150.00	2026-03-27
49585	CPT	"or Pro Fee Repair Umbilical Hernia, Age 5 Years Or Older; Reducible"	6	2	$3,600.00	$3,240.00	$1,062.50	$5,355.00	$3,091.25	2026-03-27
73220	CPT	"mri Upp Ext/no Jt/ W,without Bil"	12	3	$3,639.00	$3,275.10	$526.21	$3,275.10	$3,184.12	2026-03-27
68325	CPT	"or Conjunctivoplasty; With Buccal Mucous Membrane Graft"	3	2	$3,660.00	$3,294.00	$3,111.00	$3,294.00	$3,294.00	2026-03-27
15273	CPT	"wc Application Of Skin Substitute Graft To Trunk,arms,legs >= 100 Sq Sm - First…	7	3	$3,710.00	$3,339.00	$918.00	$3,339.00	$2,471.47	2026-03-27
49565	CPT	"or Pro Fee Rpr Recur Incis Vent Hernia"	6	2	$3,717.50	$3,345.75	$1,823.25	$4,761.00	$3,213.50	2026-03-27
95811	CPT	"sleep Study Split Night"	4	3	$3,740.00	$3,366.00	$1,056.46	$3,366.00	$3,272.50	2026-03-27
70546	CPT	"mra Head W,w/o"	4	3	$3,802.00	$3,421.80	$633.27	$3,421.80	$3,326.75	2026-03-27
78452	CPT	"nuc Med Myocardial Stress Complete"	4	3	$3,815.00	$3,433.50	$1,468.08	$3,433.50	$3,338.12	2026-03-27
70549	CPT	"mra Neck W, W/o"	4	3	$3,828.00	$3,445.20	$633.27	$3,445.20	$3,349.50	2026-03-27
36558	CPT	"or Ins Tunneled Cv Cath 5yr>"	4	3	$3,850.00	$3,465.00	$3,067.37	$3,465.00	$3,368.75	2026-03-27
78227	CPT	"nuc Med Hida Study W/cck"	4	3	$3,895.00	$3,505.50	$529.64	$3,505.50	$3,408.12	2026-03-27
78814	CPT	"nuc Med PET Nm (limited)"	4	3	$3,900.00	$3,510.00	$1,313.00	$3,510.00	$3,412.50	2026-03-27
11606	CPT	"or Exc Tr Ext Mal + Marg >4cm"	7	3	$3,960.00	$3,564.00	$1,071.00	$3,564.00	$1,998.79	2026-03-27
78815	CPT	"nuc Med PET (standard)"	4	3	$4,000.00	$3,600.00	$1,313.00	$3,600.00	$3,500.00	2026-03-27
46250	CPT	"or Hemorroidectomy-external"	4	3	$4,037.00	$3,633.30	$3,219.88	$3,633.30	$3,532.38	2026-03-27
57455	CPT	"spec Clinic Colposcopy Of The Cervix Including Upper/adjacent Vagina; With Biop…	4	3	$4,066.00	$3,659.40	$358.34	$3,659.40	$3,557.75	2026-03-27
21931	CPT	"or Exc Back Les Sc > 3cm"	7	3	$4,125.00	$3,712.50	$1,147.50	$3,712.50	$2,084.64	2026-03-27
71552	CPT	"mri Chest W,w/o"	4	3	$4,156.00	$3,740.40	$526.21	$3,740.40	$3,636.50	2026-03-27
28289	CPT	"or Repair Hallux Rigidus"	4	3	$4,169.00	$3,752.10	$3,322.90	$3,752.10	$3,647.88	2026-03-27
78816	CPT	"nuc Med PET Nm (entire Body)"	4	3	$4,200.00	$3,780.00	$1,313.00	$3,780.00	$3,675.00	2026-03-27
42831	CPT	"or Adenoidectomy Prim Over 12"	4	3	$4,202.00	$3,781.80	$3,351.18	$3,781.80	$3,676.75	2026-03-27
49322	CPT	"or Lap, Abd Perit Mntm W Asp Cyst"	4	3	$4,235.00	$3,811.50	$3,377.44	$3,811.50	$3,705.62	2026-03-27
24620	CPT	"er Tech Closed Treatment Of Monteggia Type Of Fracture Dislocation At Elbow (fr…	7	3	$4,300.00	$3,870.00	$1,351.50	$3,870.00	$2,167.46	2026-03-27
58600	CPT	"or Tubal Ligation Bilat"	4	3	$4,301.00	$3,870.90	$3,430.97	$3,870.90	$3,763.38	2026-03-27
58353	CPT	"or Endo Abla Therm Without Hyster Gui"	4	3	$4,312.00	$3,880.80	$3,665.20	$5,596.23	$3,880.80	2026-03-27
49320	CPT	"or Laparoscopy Abd"	4	3	$4,334.00	$3,900.60	$3,454.20	$3,900.60	$3,792.25	2026-03-27
28810	CPT	"or Amputatn Metarsal W Toe, Singl"	4	3	$4,356.00	$3,920.40	$3,702.60	$4,907.59	$3,920.40	2026-03-27
28825	CPT	"or Amputation Toe; Ip Joint"	4	3	$4,356.00	$3,920.40	$3,702.60	$3,963.24	$3,920.40	2026-03-27
12036	CPT	"er Tech Repair Int Scalp,axil,trk 20.1"	4	3	$4,360.00	$3,924.00	$2,204.83	$3,924.00	$3,815.00	2026-03-27
11450	CPT	"or Exc Hidrad Axil; Si Rep"	7	3	$4,380.00	$3,942.00	$612.00	$3,942.00	$3,084.55	2026-03-27
65175	CPT	"or Removal Of Ocular Implant"	3	2	$4,390.00	$3,951.00	$3,731.50	$3,951.00	$3,951.00	2026-03-27
49568	CPT	"or Impl Of Mesh, In/ven Hernia Re"	6	2	$4,402.50	$3,962.25	$650.25	$7,236.00	$3,761.25	2026-03-27
58563	CPT	"or Endoablation W Hysteroscopy"	4	3	$4,411.00	$3,969.90	$3,514.80	$3,969.90	$3,859.62	2026-03-27
0720	RC	—	3	2	$4,444.00	$3,999.60	$3,777.40	$3,999.60	$3,999.60	2026-03-27
38525	CPT	"or Lymph Node Bx Deep Axillary"	4	3	$4,455.00	$4,009.50	$3,777.40	$4,009.50	$3,898.12	2026-03-27
28315	CPT	"or Tibial Sesamoidectomy"	4	3	$4,477.00	$4,029.30	$3,568.33	$4,029.30	$3,917.38	2026-03-27
68720	CPT	"or Dacryocystorhinostomy Bilatera"	9	2	$4,500.00	$4,050.00	$3,825.00	$8,100.00	$4,050.00	2026-03-27
68750	CPT	"or Conjunctivorhinostomy W Tube B"	9	2	$4,500.00	$4,050.00	$3,825.00	$8,100.00	$4,050.00	2026-03-27
67966	CPT	"or Exc/rpr Of Eyelid>1/4 Eyelid"	3	2	$4,500.00	$4,050.00	$3,825.00	$4,050.00	$4,050.00	2026-03-27
68700	CPT	"or Plastic Repair Of Canaliculi B"	9	2	$4,500.00	$4,050.00	$3,825.00	$8,100.00	$4,050.00	2026-03-27
68320	CPT	"or Conjunctivoplasty Bilateral"	9	2	$4,500.00	$4,050.00	$607.75	$8,100.00	$4,050.00	2026-03-27
46270	CPT	"or Fistulectomy/fistulotomy"	7	3	$4,580.00	$4,122.00	$1,921.00	$4,122.00	$2,312.90	2026-03-27
25111	CPT	"or Excision Of Ganglion Cyst-wrist Dorsal Or Volar"	7	3	$4,600.00	$4,140.00	$777.75	$4,140.00	$2,330.07	2026-03-27
22902	CPT	"or Exc Abd Les Sc <3cm"	7	3	$4,670.00	$4,203.00	$1,139.00	$4,203.00	$2,356.33	2026-03-27
57520	CPT	"or Cervical Conization"	4	3	$4,697.00	$4,227.30	$3,747.10	$4,227.30	$4,109.88	2026-03-27
69610	CPT	"or Paper Patch Application"	4	3	$4,697.00	$4,227.30	$3,747.10	$4,227.30	$4,109.88	2026-03-27
81220	CPT	"lab Cystic Fib Profile"	4	3	$4,750.00	$4,275.00	$2,371.24	$4,275.00	$4,156.25	2026-03-27
12037	CPT	"er Tech Repair Int Scalp,axil,trk Over"	4	3	$5,160.00	$4,644.00	$2,606.81	$4,644.00	$4,515.00	2026-03-27
65140	CPT	"or Insertion Of An Ocular Implant After Enucleation, With Muscles Attached To I…	3	2	$5,225.00	$4,702.50	$4,441.25	$4,702.50	$4,702.50	2026-03-27
66982	CPT	"or Cataract Ext Cap W Iol Complx"	4	3	$5,260.00	$4,734.00	$2,631.05	$4,734.00	$4,602.50	2026-03-27
49203	CPT	"or Exc/dst Intr Abd,t,c,endmt<5cm"	7	3	$5,300.00	$4,770.00	$2,705.79	$4,770.00	$2,997.00	2026-03-27
58670	CPT	"or Lap W Falguration Of Oviducts"	4	3	$5,401.00	$4,860.90	$4,590.85	$5,096.14	$4,860.90	2026-03-27
66984	CPT	"or Cataract Extracapsular W Iol"	4	3	$5,411.58	$4,870.42	$2,705.79	$4,870.42	$4,735.13	2026-03-27
0360	RC	—	3	2	$5,412.00	$4,870.80	$4,600.20	$4,870.80	$4,870.80	2026-03-27
46200	CPT	"or Fissurectomy"	4	3	$5,423.00	$4,880.70	$3,101.16	$4,880.70	$4,745.12	2026-03-27
24357	CPT	"or Tenotomy, Rpr Elbow Perc"	7	3	$5,610.00	$5,049.00	$2,868.75	$5,049.00	$4,454.10	2026-03-27
49520	CPT	"or Repair Recurrent Ing Hernia Bi"	11	3	$5,621.00	$5,058.90	$1,542.75	$7,992.00	$4,777.85	2026-03-27
46260	CPT	"or Hemorrhoidectomy, Int/ext"	7	3	$5,740.00	$5,166.00	$2,286.50	$5,166.00	$2,869.41	2026-03-27
59400	CPT	"pro Fee Vaginal Delivery (global)"	3	2	$5,745.00	$5,170.50	$4,883.25	$5,170.50	$5,170.50	2026-03-27
38792	CPT	"or Lymph Node Mapping"	4	3	$5,951.00	$5,355.90	$4,751.04	$5,355.90	$5,207.12	2026-03-27
59510	CPT	"pro Fee C-section Delivery (global)"	3	2	$5,980.00	$5,382.00	$5,083.00	$5,382.00	$5,382.00	2026-03-27
J0132	HCPCS	"acetylcysteine 100 Mg Inj (6000 Mg Vial)"	4	3	$6,000.00	$5,400.00	$1.26	$5,400.00	$5,250.00	2026-03-27
44180	CPT	"or Laproscopy; Enterolysis"	4	3	$6,006.00	$5,405.40	$4,791.44	$5,405.40	$5,255.25	2026-03-27
58671	CPT	"or Lap W Occlsn Of Oviducts W Dev"	4	3	$6,028.00	$5,425.20	$4,791.44	$5,425.20	$5,274.50	2026-03-27
58210	CPT	"or Hysterectomy"	4	3	$6,083.00	$5,474.70	$4,854.06	$5,474.70	$5,322.62	2026-03-27
47600	CPT	"or Cholecystectomy - Open"	4	3	$6,105.00	$5,494.50	$4,874.26	$5,494.50	$5,341.88	2026-03-27
28285	CPT	"or Correction, Hammertoe"	4	3	$6,116.00	$5,504.40	$3,595.00	$5,504.40	$5,351.50	2026-03-27
31535	CPT	"or Laryngoscopy, Direct, Operative, With Biopsy"	4	3	$6,175.00	$5,557.50	$4,157.16	$5,557.50	$5,403.12	2026-03-27
36561	CPT	"or Ins Tunneled Cvad W/port 5yr>"	7	3	$6,215.00	$5,593.50	$2,588.25	$5,593.50	$3,585.46	2026-03-27
58565	CPT	"or Hysterscopy With Bilat Sterilzat"	4	3	$6,336.00	$5,702.40	$5,054.04	$5,702.40	$5,544.00	2026-03-27
49321	CPT	"or Laparoscopy W/biopsy"	4	3	$6,501.00	$5,850.90	$5,183.32	$5,850.90	$5,688.38	2026-03-27
10180	CPT	"or Incision & Drainage , Complex, Postoperative Wound Infection"	11	3	$6,565.00	$5,908.50	$416.50	$5,908.50	$5,580.25	2026-03-27
44970	CPT	"or Laproscopic Appendectomy"	4	3	$6,831.00	$6,147.90	$5,451.98	$6,147.90	$5,977.12	2026-03-27
66850	CPT	"or Removal Lens Fragment"	4	3	$6,908.00	$6,217.20	$5,510.56	$6,217.20	$6,044.50	2026-03-27
63650	CPT	"or Percutaneous Implantation Of Meurostimulator Electrode Anax, Epidural"	8	3	$7,187.50	$6,468.75	$3,888.75	$8,820.00	$6,587.22	2026-03-27
44950	CPT	"or Appendectomy"	4	3	$7,403.00	$6,662.70	$5,906.48	$6,662.70	$6,477.62	2026-03-27
57522	CPT	"or Conization Of Cervix, Loope Electrode Excision"	4	3	$7,495.00	$6,745.50	$3,747.10	$6,745.50	$6,558.12	2026-03-27
49591	CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	7	3	$7,625.00	$6,862.50	$1,593.75	$6,862.50	$3,811.74	2026-03-27
15120	CPT	"or Split-thickness Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits, …	4	3	$7,680.00	$6,912.00	$3,840.02	$6,912.00	$6,720.00	2026-03-27
19120	CPT	"or Excision In Breast"	7	3	$8,285.00	$7,456.50	$1,959.25	$7,456.50	$4,142.99	2026-03-27
57135	CPT	"or Vag Wall Polypectomy/cryosurge"	4	3	$8,338.00	$7,504.20	$6,651.86	$7,504.20	$7,295.75	2026-03-27
19303	CPT	"or Mastectomy Simple Complete"	4	3	$9,075.00	$8,167.50	$7,242.71	$8,167.50	$7,940.62	2026-03-27
52310	CPT	"spec Clinic Cystourethroscopy, With Removal Of Foreign Body, Calculus, Or Urete…	4	3	$9,165.00	$8,248.50	$2,244.28	$8,248.50	$8,019.38	2026-03-27
49651	CPT	"or Repair Recurrent Ing Hernia La"	4	3	$9,174.00	$8,256.60	$7,797.90	$9,475.82	$8,256.60	2026-03-27
43280	CPT	"or Nissen Fundoplication"	4	3	$9,174.00	$8,256.60	$7,797.90	$11,308.67	$8,256.60	2026-03-27
49652	CPT	"or Lap Vent/abd Hernia Rpr"	6	2	$9,280.00	$8,352.00	$3,523.25	$12,973.50	$7,991.62	2026-03-27
J1459	HCPCS	"immune Globulin, Gamma 500 Mg Inj (10000 Mg Btl)"	13	3	$10,000.00	$9,000.00	$60.59	$36,000.00	$9,000.00	2026-03-27
J1561	HCPCS	"gamunex-c 5 Gram/50 Ml Vial"	10	3	$10,000.00	$9,000.00	$61.49	$18,000.00	$8,750.00	2026-03-27
28270	CPT	"or Capsulotomy; Metatarsophalangeal Joint, With Or Without Tenorrhaphy, Each Jo…	4	3	$10,417.00	$9,375.30	$8,316.34	$9,375.30	$9,114.88	2026-03-27
49650	CPT	"or Laparoscopy Repair Initial Inguial Hernia, Right"	27	3	$10,685.00	$9,616.50	$1,041.25	$19,234.80	$7,195.24	2026-03-27
49657	CPT	"or Lap Inc Hern Recur Comp"	3	2	$10,802.00	$9,721.80	$9,181.70	$9,721.80	$9,721.80	2026-03-27
49614	CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	7	3	$11,815.00	$10,633.50	$2,660.50	$10,633.50	$5,907.49	2026-03-27
J1644	HCPCS	"heparin 1000 Unit Inj (25000 Unit/250 Ml Bag)"	7	3	$25,000.00	$22,500.00	$0.33	$22,500.00	$4,500.00	2026-03-27

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