Hospital

Northern Maine Medical Center

Fort Kent, ME · CCN 200052 · Rates published

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You selected 27447 (HCPCS)

ARTHROPLASTY KNEE CONDYLE AND PLATEAU MEDIAL AND LATERAL

This hospital’s price: $2,204 across 4 payers · range $2,095-$2,268

Source: https://nmmc.org/wp-content/uploads/2025/04/010234189_northern-maine-medical-center_standardcharges.csv · observed 2024-07-02

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,747 distinct procedures filed

22 distinct payers

38,434 rate rows

2024-07-02 last MRF observed · ⚠ 25 mo old

Data quality

3,833 of 38,434 rate rows are consumer-grade (10.0%)

34,601 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	24,458
exceeds 10× this hospital's gross charge — excluded from medians	6,394
template filing: same amount across many unrelated codes — excluded	3,749

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 25 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://nmmc.org/wp-content/uploads/2026/05/010234189_northern-maine_medical-center_standardcharges.csv
Found on page	https://nmmc.org/billing-and-financial-services/#pricing-and-estimates
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-08-01
Content fingerprint	9511b2b6a0214e6b… · 66,024,252 bytes · first seen 2026-05-17

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
11604 HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	$2,095.49	$2,268.06	$2,203.96	nat. median $863 outlier · 2.6×
11621 HCPCS	Excision Malignant Lesion Including Margins Scalp Neck H	4	$2,095.49	$2,268.06	$2,203.96	nat. median $740 outlier · 3.0×
11443 HCPCS	Excision Other Benign Lesion Including Margins Except Skin	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,553 1.4× median
11603 HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	$2,095.49	$2,268.06	$2,203.96	nat. median $796 outlier · 2.8×
10061 HCPCS	Incision And Drainage Of Abscess (eg Carbuncle Suppurative	4	$2,095.49	$2,268.06	$2,203.96	nat. median $500 outlier · 4.4×
11606 HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,804 1.2× median
10030 HCPCS	Perc Img-guided Cath Fluid Collection Drainage	4	$2,095.49	$2,268.06	$2,203.96	nat. median $971 outlier · 2.3×
10120 HCPCS	Incision And Removal Of Foreign Body Subcutaneous Tissues	4	$2,095.49	$2,268.06	$2,203.96	nat. median $445 outlier · 4.9×
10121 HCPCS	Incision Removal Foreign Body Subq Tiss Compl	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,662 1.3× median
11602 HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	$2,095.49	$2,268.06	$2,203.96	nat. median $499 outlier · 4.4×
10160 HCPCS	Puncture Aspiration Of Abscess Hematoma Bulla Or Cyst	4	$2,095.49	$2,268.06	$2,203.96	nat. median $441 outlier · 5.0×
11000 HCPCS	Debride Skin Up To 10% Body Surface	4	$2,095.49	$2,268.06	$2,203.96	nat. median $556 outlier · 4.0×
10080 HCPCS	Incision And Drainage Of Pilonidal Cyst Simple	4	$2,095.49	$2,268.06	$2,203.96	nat. median $695 outlier · 3.2×
10021 HCPCS	Fine Needle Aspiration Biopsy Without Imaging Guidance Fir	4	$2,095.49	$2,268.06	$2,203.96	nat. median $440 outlier · 5.0×
10081 HCPCS	Incision And Drainage Of Pilonidal Cyst Complicated	4	$2,095.49	$2,268.06	$2,203.96	nat. median $906 outlier · 2.4×
11012 HCPCS	Debridement Including Removal Of Foreign Material At The Sit	4	$2,095.49	$2,268.06	$2,203.96	nat. median $2,800 0.8× median
11042 HCPCS	Debridement Subcutaneous Tissue (includes Epidermis And Der	4	$2,095.49	$2,268.06	$2,203.96	nat. median $526 outlier · 4.2×
11043 HCPCS	Debridement Muscle And Fascia 20 Sq Cm/<	4	$2,095.49	$2,268.06	$2,203.96	nat. median $781 outlier · 2.8×
11044 HCPCS	Debridement Bone (includes Epidermis Dermis Subcutaneous	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,751 1.3× median
11045 HCPCS	Dbrdmt Subcutaneous Tissue Ea Addl 20 Sq Cm	4	$2,095.49	$2,268.06	$2,203.96	nat. median $386 outlier · 5.7×
10060 HCPCS	Incision And Drainage Of Abscess (eg Carbuncle Suppurative	4	$2,095.49	$2,268.06	$2,203.96	nat. median $295 outlier · 7.5×
11601 HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	$2,095.49	$2,268.06	$2,203.96	nat. median $717 outlier · 3.1×
11056 HCPCS	Paring Skin Lesion 2 To 4 Lesions	4	$2,095.49	$2,268.06	$2,203.96	nat. median $220 outlier · 10.0×
11057 HCPCS	Paring Skin Lsn More Than 4 Lesions	4	$2,095.49	$2,268.06	$2,203.96	nat. median $229 outlier · 9.6×
11102 HCPCS	Tangential Biopsy Of Skin (eg Shave Scoop Saucerize	4	$2,095.49	$2,268.06	$2,203.96	nat. median $276 outlier · 8.0×
11104 HCPCS	Punch Biopsy Of Skin (including Simple Closure When P	4	$2,095.49	$2,268.06	$2,203.96	nat. median $401 outlier · 5.5×
11004 HCPCS	Dbrdmt Skn Subq T/m/f Necro Infctj Gentpr	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,607 1.4× median
11106 HCPCS	Incisional Biopsy Of Skin (eg Wedge) (including Simple Clos	4	$2,095.49	$2,268.06	$2,203.96	nat. median $632 outlier · 3.5×
11010 HCPCS	Dbrdmt W/rmvl Fm Fx/dislc Skinsubq Tissus	4	$2,095.49	$2,268.06	$2,203.96	nat. median $959 outlier · 2.3×
11200 HCPCS	Removal Of Skin Tags Multiple Fibrocutaneous Tags Any Area	4	$2,095.49	$2,268.06	$2,203.96	nat. median $238 outlier · 9.2×
11011 HCPCS	Debridement Including Removal Of Foreign Material At The Sit	4	$2,095.49	$2,268.06	$2,203.96	nat. median $916 outlier · 2.4×
11305 HCPCS	Shaving Of Epidermal Or Dermal Lesion Single Lesion Scalp	4	$2,095.49	$2,268.06	$2,203.96	nat. median $209 outlier · 10.6×
11306 HCPCS	Shaving Of Epidermal Or Dermal Lesion Single Lesion Scalp	4	$2,095.49	$2,268.06	$2,203.96	nat. median $220 outlier · 10.0×
11311 HCPCS	Shaving Of Epidermal Or Dermal Lesion Single Lesion Face	4	$2,095.49	$2,268.06	$2,203.96	nat. median $220 outlier · 10.0×
11400 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $709 outlier · 3.1×
11401 HCPCS	Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 0.6-1.0 Cm	4	$2,095.49	$2,268.06	$2,203.96	nat. median $475 outlier · 4.6×
11402 HCPCS	Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 1.1-2.0 Cm	4	$2,095.49	$2,268.06	$2,203.96	nat. median $755 outlier · 2.9×
11403 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $774 outlier · 2.8×
11404 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,618 1.4× median
11406 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,748 1.3× median
11420 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,513 1.5× median
11421 HCPCS	Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.6-1.0cm	4	$2,095.49	$2,268.06	$2,203.96	nat. median $762 outlier · 2.9×
11422 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,539 1.4× median
11423 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,603 1.4× median
11424 HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	$2,095.49	$2,268.06	$2,203.96	nat. median $1,694 1.3× median
11055 HCPCS	Paring Skin Lsn Single Lesion	4	$2,095.49	$2,268.06	$2,203.96	nat. median $209 outlier · 10.5×
11440 HCPCS	Excision Other Benign Lesion Including Margins Except Skin	4	$2,095.49	$2,268.06	$2,203.96	nat. median $716 outlier · 3.1×
11441 HCPCS	Excision Other Benign Lesion Including Margins Except Skin	4	$2,095.49	$2,268.06	$2,203.96	nat. median $722 outlier · 3.1×
11442 HCPCS	Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 1.1-2.0cm	4	$2,095.49	$2,268.06	$2,203.96	nat. median $769 outlier · 2.9×
11622 HCPCS	Excision Malignant Lesion Including Margins Scalp Neck H	4	$2,095.49	$2,268.06	$2,203.96	nat. median $775 outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 1,747 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

28190	HCPCS	Removal Of Foreign Body Foot Subcutaneous	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28118	HCPCS	Ostectomy Calcaneus	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27818	HCPCS	Closed Treatment Of Trimalleolar Ankle Fracture With Manipu	4	4	$2,821.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28010	HCPCS	Tenotomy Percutaneous Toe Single Tendon	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28039	HCPCS	Excision Tumor Soft Tissue Of Foot Or Toe Subcutaneous 1	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28110	HCPCS	Ostectomy Partial Excision Fifth Metatarsal Head (bunionet	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27750	HCPCS	Closed Treatment Of Tibial Shaft Fracture (with Or Without F	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27814	HCPCS	Open Treatment Of Bimalleolar Ankle Fracture (eg Lateral An	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27842	HCPCS	Closed Treatment Of Ankle Dislocation Requiring Anesthesia	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27840	HCPCS	Closed Treatment Of Ankle Dislocation Without Anesthesia	4	4	$675.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10160	HCPCS	Puncture Aspiration Of Abscess Hematoma Bulla Or Cyst	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28024	HCPCS	Arthrotomy Including Exploration Drainage Or Removal Of L	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28092	HCPCS	Excision Of Lesion Tendon Tendon Sheath Or Capsule (inclu	4	4	$5,021.00	$2,465.28 51% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28104	HCPCS	Excision Or Curettage Of Bone Cyst Or Benign Tumor Tarsal O	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27630	HCPCS	Excision Of Lesion Of Tendon Sheath Or Capsule (eg Cyst Or	4	4	$8,929.98	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27650	HCPCS	Repair Primary Open/prq Ruptured Achilles Tendon	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27760	HCPCS	Closed Treatment Of Medial Malleolus Fracture Without Manip	4	4	$294.19	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27810	HCPCS	Closed Tx Bimalleolar Ankle Fracture W/manj	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27827	HCPCS	Open Treatment Of Fracture Of Weight Bearing Articular Surfa	4	4	$37,780.00	$2,465.28 93% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11045	HCPCS	Dbrdmt Subcutaneous Tissue Ea Addl 20 Sq Cm	4	4	$300.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27828	HCPCS	Open Treatment Of Fracture Of Weight Bearing Articular Surfa	4	4	$37,780.00	$2,465.28 93% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27829	HCPCS	Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Di	4	4	$23,151.00	$2,465.28 89% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11056	HCPCS	Paring Skin Lesion 2 To 4 Lesions	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11057	HCPCS	Paring Skin Lsn More Than 4 Lesions	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10061	HCPCS	Incision And Drainage Of Abscess (eg Carbuncle Suppurative	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11104	HCPCS	Punch Biopsy Of Skin (including Simple Closure When P	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11004	HCPCS	Dbrdmt Skn Subq T/m/f Necro Infctj Gentpr	4	4	$942.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10080	HCPCS	Incision And Drainage Of Pilonidal Cyst Simple	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11010	HCPCS	Dbrdmt W/rmvl Fm Fx/dislc Skinsubq Tissus	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10021	HCPCS	Fine Needle Aspiration Biopsy Without Imaging Guidance Fir	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11011	HCPCS	Debridement Including Removal Of Foreign Material At The Sit	4	4	$1,298.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10081	HCPCS	Incision And Drainage Of Pilonidal Cyst Complicated	4	4	$1,271.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10030	HCPCS	Perc Img-guided Cath Fluid Collection Drainage	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27641	HCPCS	Partial Excision (craterization Saucerization Or Diaphysec	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27752	HCPCS	Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj	4	4	$2,845.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10120	HCPCS	Incision And Removal Of Foreign Body Subcutaneous Tissues	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27780	HCPCS	Closed Treatment Of Proximal Fibula Or Shaft Fracture Witho	4	4	$414.02	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27808	HCPCS	Closed Treatment Of Bimalleolar Ankle Fracture (eg Lateral	4	4	$675.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27822	HCPCS	Open Treatment Of Trimalleolar Ankle Fracture Includes Inte	4	4	$20,522.00	$2,465.28 88% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27823	HCPCS	Open Treatment Of Trimalleolar Ankle Fracture Includes Inte	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11420	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11421	HCPCS	Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.6-1.0cm	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11422	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10060	HCPCS	Incision And Drainage Of Abscess (eg Carbuncle Suppurative	4	4	$271.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11424	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11055	HCPCS	Paring Skin Lsn Single Lesion	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11440	HCPCS	Excision Other Benign Lesion Including Margins Except Skin	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11441	HCPCS	Excision Other Benign Lesion Including Margins Except Skin	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11442	HCPCS	Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 1.1-2.0cm	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11443	HCPCS	Excision Other Benign Lesion Including Margins Except Skin	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11000	HCPCS	Debride Skin Up To 10% Body Surface	4	4	$1,605.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11601	HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11602	HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11603	HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11604	HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11606	HCPCS	Excision Malignant Lesion Including Margins Trunk Arms O	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11621	HCPCS	Excision Malignant Lesion Including Margins Scalp Neck H	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11106	HCPCS	Incisional Biopsy Of Skin (eg Wedge) (including Simple Clos	4	4	$1,605.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11623	HCPCS	Excision Malignant Lesion S/n/h/f/g 2.1-3.0 Cm	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11624	HCPCS	Excision Malignant Lesion Including Margins Scalp Neck H	4	4	$586.07	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11640	HCPCS	Excision Malignant Lesion Including Margins Face Ears Ey	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11200	HCPCS	Removal Of Skin Tags Multiple Fibrocutaneous Tags Any Area	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11642	HCPCS	Excision Malignant Lesion F/e/e/n/l 1.1-2.0 Cm	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11643	HCPCS	Excision Malignant Lesion Including Margins Face Ears Ey	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11644	HCPCS	Excision Malignant Lesion Including Margins Face Ears Ey	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11305	HCPCS	Shaving Of Epidermal Or Dermal Lesion Single Lesion Scalp	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11306	HCPCS	Shaving Of Epidermal Or Dermal Lesion Single Lesion Scalp	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11012	HCPCS	Debridement Including Removal Of Foreign Material At The Sit	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11311	HCPCS	Shaving Of Epidermal Or Dermal Lesion Single Lesion Face	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11730	HCPCS	Avulsion Of Nail Plate Partial Or Complete Simple Single	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11400	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11042	HCPCS	Debridement Subcutaneous Tissue (includes Epidermis And Der	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11750	HCPCS	Excision Of Nail And Nail Matrix Partial Or Complete (eg I	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11401	HCPCS	Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 0.6-1.0 Cm	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11402	HCPCS	Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 1.1-2.0 Cm	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27766	HCPCS	Open Treatment Of Medial Malleolus Fracture Includes Intern	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11043	HCPCS	Debridement Muscle And Fascia 20 Sq Cm/<	4	4	$1,605.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27792	HCPCS	Open Treatment Of Distal Fibular Fracture (lateral Malleolus	4	4	$20,522.00	$2,465.28 88% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11044	HCPCS	Debridement Bone (includes Epidermis Dermis Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11976	HCPCS	Removal Implantable Contraceptive Capsules	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11406	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
10121	HCPCS	Incision Removal Foreign Body Subq Tiss Compl	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12001	HCPCS	Simple Repair Of Superficial Wounds Of Scalp Neck Axillae	4	4	$234.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12002	HCPCS	Simple Repair Of Superficial Wounds Of Scalp Neck Axillae	4	4	$354.32	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12004	HCPCS	Simple Rpr Scalp/neck/ax/genit/trunk 7.6-12.5cm	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12005	HCPCS	Simple Repair Of Superficial Wounds Of Scalp Neck Axillae	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12006	HCPCS	Simple Repair Of Superficial Wounds Of Scalp Neck Axillae	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12011	HCPCS	Simple Repair F/e/e/n/l/m 2.5cm/<	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12013	HCPCS	Simple Repair Of Superficial Wounds Of Face Ears Eyelids	4	4	$354.32	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11423	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12016	HCPCS	Simple Repair Of Superficial Wounds Of Face Ears Eyelids	4	4	$1,306.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12020	HCPCS	Treatment Of Superficial Wound Dehiscence Simple Closure	4	4	$1,716.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12031	HCPCS	Repair Intermediate Wounds Of Scalp Axillae Trunk And/or	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12032	HCPCS	Repair Intermediate Wounds Of Scalp Axillae Trunk And/or	4	4	$678.77	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12034	HCPCS	Repair Intermediate Wounds Of Scalp Axillae Trunk And/or	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12035	HCPCS	Repair Intermediate Wounds Of Scalp Axillae Trunk And/or	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12036	HCPCS	Repair Intermediate Wounds Of Scalp Axillae Trunk And/or	4	4	$1,051.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12041	HCPCS	Repair Intermediate Wounds Of Neck Hands Feet And/or Ext	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12042	HCPCS	Repair Intermediate Wounds Of Neck Hands Feet And/or Ext	4	4	$426.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12044	HCPCS	Repair Intermediate Wounds Of Neck Hands Feet And/or Ext	4	4	$1,051.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12045	HCPCS	Repair Intermediate Wounds Of Neck Hands Feet And/or Ext	4	4	$1,605.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12051	HCPCS	Repair Intermediate F/e/e/n/l And/muc 2.5 Cm/<	4	4	$1,132.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12052	HCPCS	Repair Intermediate Wounds Of Face Ears Eyelids Nose L	4	4	$655.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11102	HCPCS	Tangential Biopsy Of Skin (eg Shave Scoop Saucerize	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12054	HCPCS	12054 Layer Wound Repair Face 7.6 To 12.5 Cm	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12055	HCPCS	Repair Intermediate Wounds Of Face Ears Eyelids Nose L	4	4	$649.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
13121	HCPCS	Repair Complex Scalp Arms And/or Legs 2	4	4	$1,050.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
13122	HCPCS	Repair Complex Scalp Arms And/or Legs Each Additional 5	4	4	$231.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
13131	HCPCS	Repair Complex F/c/c/m/n/ax/g/h/f 1.1-2.5 Cm	4	4	$706.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
13132	HCPCS	Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm	4	4	$574.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
13133	HCPCS	Repair Complex F/c/c/m/n/ax/g/h/f Ea Addl 5 Cm/<	4	4	$1,070.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
13160	HCPCS	Secondary Closure Of Surgical Wound Or Dehiscence Extensive	4	4	$5,612.00	$2,465.28 56% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
14020	HCPCS	Adjacent Tissue Transfer Or Rearrangement Scalp Arms And/o	4	4	$5,248.00	$2,465.28 53% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
14040	HCPCS	Adjacent Tissue Transfer Or Rearrangement Forehead Cheeks	4	4	$5,248.00	$2,465.28 53% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
15100	HCPCS	Split Agrft T/a/l 1st 100 Cm//1% Bdy Inft/chld	4	4	$5,248.00	$2,465.28 53% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
15240	HCPCS	Full Thickness Graft Free Including Direct Closure Of Dono	4	4	$5,248.00	$2,465.28 53% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
16000	HCPCS	In'l Treatment 1st Degree Burn Local Treatement Tech	4	4	$344.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11622	HCPCS	Excision Malignant Lesion Including Margins Scalp Neck H	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
16025	HCPCS	Dressings And/or Debridement Of Partial-thickness Burns Ini	4	4	$344.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
16030	HCPCS	Dressigns /or Debridement Of Partial-thickness Burn	4	4	$269.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17000	HCPCS	Destruct Benign Up Tp 14 Lesions	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17004	HCPCS	Destruct Premalig 15 Or More Lesions	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17110	HCPCS	17110 Destruct Benign Up Tp 14 Lesions	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17111	HCPCS	17111 Destruct Benign 15 Or More Lesions	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11641	HCPCS	Excision Malignant Lesion Including Margins Face Ears Ey	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17260	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17261	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17262	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17263	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17264	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17266	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17271	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11646	HCPCS	Excision Malignant Lesion Including Margins Face Ears Ey	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17276	HCPCS	Dstrj Mal Lesion S/n/h/f/g Lesion Diam > 4.0 Cm	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17280	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17281	HCPCS	17281 Destruction Malignant Lesion Face Ears Eyelids No	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17282	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$1,059.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17999	HCPCS	Unlisted Procedure Skin Mucous Membrane And Subcutaneous T	4	4	$542.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
19083	HCPCS	Biopsy Breast With Placement Of Breast Localization Device	4	4	$402.73	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
19084	HCPCS	Biopsy Breast With Placement Of Breast Localization Device	4	4	$1,941.55	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
19120	HCPCS	Excision Of Cyst Fibroadenoma Or Other Benign Or Malignant	4	4	$9,675.00	$2,465.28 75% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
19303	HCPCS	Mastectomy Simple Complete	4	4	$17,829.00	$2,465.28 86% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
19307	HCPCS	Mastectomy Modified Radical Including Axillary Lymph Nodes	4	4	$16,956.00	$2,465.28 85% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20103	HCPCS	Exploration Of Penetrating Wound (separate Procedure) Extre	4	4	$1,907.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20205	HCPCS	Biopsy Muscle Deep	4	4	$7,750.00	$2,465.28 68% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11740	HCPCS	Evacuation Of Subungual Hematoma	4	4	$369.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20520	HCPCS	Removal Of Foreign Body In Muscle Or Tendon Sheath Simple	4	4	$5,248.00	$2,465.28 53% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20525	HCPCS	Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11760	HCPCS	Repair Of Nail Bed	4	4	$1,716.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20527	HCPCS	Injection Enzyme (eg Collagenase) Palmar Fascial Cord (ie	4	4	$800.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20550	HCPCS	Injection(s) Single Tendon Sheath Or Ligament Aponeurosis	4	4	$480.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11765	HCPCS	Wedge Excision Skin Nail Fold	4	4	$315.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11770	HCPCS	Excision Of Pilonidal Cyst Or Sinus Simple	4	4	$9,041.00	$2,465.28 73% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27762	HCPCS	Closed Treatment Of Medial Malleolus Fracture With Manipula	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11771	HCPCS	Excision Of Pilonidal Cyst Or Sinus Extensive	4	4	$9,041.00	$2,465.28 73% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20605	HCPCS	Arthrocentesis Aspiration And/or Injection Intermediate Jo	4	4	$856.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11403	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$2,039.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27786	HCPCS	Closed Treatment Of Distal Fibular Fracture (lateral Malleol	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20611	HCPCS	Arthrocentesis Aspir And/inj Major Jt/bursa W/us	4	4	$856.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11404	HCPCS	Excision Benign Lesion Including Margins Except Skin Tag (	4	4	$4,610.00	$2,465.28 47% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20670	HCPCS	Removal Of Implant Superficial (eg Buried Wire Pin Or Rod	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20680	HCPCS	Removal Of Implant Deep (eg Buried Wire Pin Screw Metal	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20690	HCPCS	Application Of A Uniplane (pins Or Wires In 1 Plane) Unilat	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21011	HCPCS	Excision Tumor Soft Tissue Of Face Or Scalp Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21012	HCPCS	Excision Tumor Soft Tissue Of Face Or Scalp Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
11982	HCPCS	Removal Non-biodegradable Drug Delivery Implant	4	4	$889.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21552	HCPCS	Excision Tumor Soft Tissue Of Neck Or Anterior Thorax Sub	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21554	HCPCS	Excision Tumor Soft Tissue Of Neck Or Anterior Thorax Sub	4	4	$9,041.00	$2,465.28 73% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21555	HCPCS	Excision Tumor Soft Tissue Of Neck Or Anterior Thorax Sub	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21930	HCPCS	Excision Tumor Soft Tissue Of Back Or Flank Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21931	HCPCS	Excision Tumor Soft Tissue Of Back Or Flank Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21932	HCPCS	Excision Tumor Soft Tissue Of Back Or Flank Subfascial (e	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
21933	HCPCS	Exc Tumor Soft Tiss Back/flank Subfascial 5 Cm/>	4	4	$7,769.00	$2,465.28 68% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
22901	HCPCS	Excision Tumor Soft Tissue Of Abdominal Wall Subfascial (	4	4	$7,750.00	$2,465.28 68% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
22902	HCPCS	Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
22903	HCPCS	Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23071	HCPCS	Excision Tumor Soft Tissue Of Shoulder Area Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23073	HCPCS	Excision Tumor Soft Tissue Of Shoulder Area Subfascial (e	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23075	HCPCS	Excision Tumor Soft Tissue Of Shoulder Area Subcutaneous	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23120	HCPCS	Claviculectomy Partial	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23130	HCPCS	Acromioplasty Or Acromionectomy Partial With Or Without Co	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12014	HCPCS	Simple Repair Of Superficial Wounds Of Face Ears Eyelids	4	4	$361.16	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23410	HCPCS	Repair Of Ruptured Musculotendinous Cuff (eg Rotator Cuff)	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23412	HCPCS	Repair Of Ruptured Musculotendinous Cuff (eg Rotator Cuff)	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23430	HCPCS	Tenodesis Of Long Tendon Of Biceps	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23472	HCPCS	Arthroplasty Glenohumeral Joint Total Shoulder (glenoid An	4	4	$37,780.00	$2,465.28 93% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23505	HCPCS	Closed Treatment Of Clavicular Fracture With Manipulation	4	4	$2,869.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23515	HCPCS	Open Treatment Of Clavicular Fracture Includes Internal Fix	4	4	$23,151.00	$2,465.28 89% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23600	HCPCS	Closed Treatment Of Proximal Humeral (surgical Or Anatomical	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23605	HCPCS	Closed Treatment Of Proximal Humeral (surgical Or Anatomical	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23625	HCPCS	Cltx Grter Humeral Tuberosity Fx W/manipulation	4	4	$667.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23650	HCPCS	Closed Treatment Of Shoulder Dislocation With Manipulation	4	4	$675.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23655	HCPCS	Closed Treatment Of Shoulder Dislocation With Manipulation	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23665	HCPCS	Closed Treatment Of Shoulder Dislocation With Fracture Of G	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23675	HCPCS	Closed Treatment Of Shoulder Dislocation With Surgical Or A	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23700	HCPCS	Manipulation Under Anesthesia Shoulder Joint Including App	4	4	$278.87	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
23931	HCPCS	Incision And Drainage Upper Arm Or Elbow Area Bursa	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24000	HCPCS	Arthrotomy Elbow Including Exploration Drainage Or Remov	4	4	$901.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24075	HCPCS	Exc Tumor Soft Tiss Upper Arm/elbow Subq <3cm	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24105	HCPCS	Excision Olecranon Bursa	4	4	$10,418.00	$2,465.28 76% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24200	HCPCS	Removal Of Foreign Body Upper Arm Or Elbow Area Subcutaneo	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24201	HCPCS	Removal Of Foreign Body Upper Arm Or Elbow Area Deep (subf	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24500	HCPCS	Clsd Tx Humeral Shaft Fracture Without Manipulation	4	4	$676.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24505	HCPCS	Closed Treatment Of Humeral Shaft Fracture With Manipulatio	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24530	HCPCS	Closed Treatment Of Supracondylar Or Transcondylar Humeral F	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24582	HCPCS	Percutaneous Skeletal Fixation Of Humeral Condylar Fracture	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24600	HCPCS	Treatment Closed Elbow Dislocation Without Anes	4	4	$675.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24605	HCPCS	Treatment Of Closed Elbow Dislocation Requiring Anesthesia	4	4	$2,838.68	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24620	HCPCS	Closed Treatment Of Monteggia Type Of Fracture Dislocation A	4	4	$837.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
12053	HCPCS	Repair Intermediate Wounds Of Face Ears Eyelids Nose L	4	4	$679.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
24655	HCPCS	24655 Clsed Treatment Of Radial Head Or Neck Fx Without Manipul	4	4	$2,739.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25000	HCPCS	Incision Extensor Tendon Sheath Wrist (eg De Quervains Di	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25028	HCPCS	Incision And Drainage Forearm And/or Wrist Deep Abscess Or	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25071	HCPCS	Excision Tumor Soft Tissue Of Forearm And/or Wrist Area S	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25075	HCPCS	Excision Tumor Soft Tissue Of Forearm And/or Wrist Area S	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25110	HCPCS	Excision Lesion Of Tendon Sheath Forearm And/or Wrist	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25111	HCPCS	Excision Of Ganglion Wrist (dorsal Or Volar) Primary	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25112	HCPCS	Excision Of Ganglion Wrist (dorsal Or Volar) Recurrent	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25248	HCPCS	Exploration With Removal Of Deep Foreign Body Forearm Or Wr	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25270	HCPCS	Repair Tendon Or Muscle Extensor Forearm And/or Wrist Pr	4	4	$10,418.00	$2,465.28 76% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25405	HCPCS	Repair Of Nonunion Or Malunion Radius Or Ulna With Autogra	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25447	HCPCS	Arthroplasty Interposition Intercarpal Or Carpometacarpal	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25505	HCPCS	Closed Treatment Of Radial Shaft Fracture With Manipulation	4	4	$2,781.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25530	HCPCS	Closed Tx Ulnar Shaft Fracture Without Manipulation	4	4	$502.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25560	HCPCS	Closed Treatment Of Radial And Ulnar Shaft Fractures Withou	4	4	$459.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25565	HCPCS	Closed Tx Radial Andulnar Shaft Fractures W/manj	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25575	HCPCS	Open Treatment Of Radial And Ulnar Shaft Fractures With Int	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25600	HCPCS	Closed Treatment Of Distal Radial Fracture (eg Colles Or Sm	4	4	$675.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25605	HCPCS	Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25606	HCPCS	Percutaneous Skeletal Fixation Of Distal Radial Fracture Or	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25607	HCPCS	Optx Dstl Radl X-artic Fx/epiphysl Sep	4	4	$20,522.00	$2,465.28 88% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25609	HCPCS	Optx Dstl Radl I-artic Fx/epiphysl Sep 3 Frag	4	4	$20,522.00	$2,465.28 88% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25622	HCPCS	Closed Treatment Of Carpal Scaphoid (navicular) Fracture Wi	4	4	$410.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25630	HCPCS	Closed Treatment Of Carpal Bone Fracture (excluding Carpal S	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
25652	HCPCS	Open Treatment Of Ulnar Styloid Fracture	4	4	$19,191.00	$2,465.28 87% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26010	HCPCS	Drainage Of Finger Abscess Simple	4	4	$588.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26020	HCPCS	Drainage Of Tendon Sheath Digit And/or Palm Each	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26055	HCPCS	Tendon Sheath Incision (eg For Trigger Finger)	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26060	HCPCS	Tenotomy Percutaneous Single Each Digit	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26080	HCPCS	Arthrotomy With Exploration Drainage Or Removal Of Loose	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26111	HCPCS	Excision Tumor Or Vascular Malformation Soft Tissue Of Han	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26115	HCPCS	Excision Tumor Or Vascular Malformation Soft Tissue Of Han	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26123	HCPCS	Fasciectomy Partial Palmar With Release Of Single Digit Inc	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26160	HCPCS	Excision Of Lesion Of Tendon Sheath Or Joint Capsule (eg Cy	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26200	HCPCS	Excision/curettage Cyst/tumor Metacarpal	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26236	HCPCS	Partial Excision (craterization Saucerization Or Diaphysec	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26340	HCPCS	Manipulation Finger Joint Under Anesthesia Each Joint	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26341	HCPCS	Manipulation Palmar Fascial Cord (ie Dupuytren's Cord) Po	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26350	HCPCS	Repair Or Advancement Flexor Tendon Not In Zone 2 Digital	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26418	HCPCS	Repair Extensor Tendon Finger Primary Or Secondary Witho	4	4	$5,652.00	$2,465.28 56% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26437	HCPCS	Realignment Of Extensor Tendon Hand Each Tendon	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26455	HCPCS	Tenotomy Flexor Finger Open Each Tendon	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26600	HCPCS	Closed Treatment Of Metacarpal Fracture Single Without Man	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26605	HCPCS	Closed Treatment Of Metacarpal Fracture Single With Manipu	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26608	HCPCS	Percutaneous Skeletal Fixation Of Metacarpal Fracture Each	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26665	HCPCS	Open Treatment Of Carpometacarpal Fracture Dislocation Thum	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26720	HCPCS	Closed Treatment Of Phalangeal Shaft Fracture Proximal Or M	4	4	$272.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26725	HCPCS	Closed Treatment Of Phalangeal Shaft Fracture Proximal Or M	4	4	$675.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26742	HCPCS	Closed Treatment Of Articular Fracture Involving Metacarpop	4	4	$5,021.00	$2,465.28 51% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26750	HCPCS	Closed Treatment Of Distal Phalangeal Fracture Finger Or Th	4	4	$632.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26755	HCPCS	Closed Treatment Of Distal Phalangeal Fracture Finger Or Th	4	4	$414.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26770	HCPCS	Closed Treatment Of Interphalangeal Joint Dislocation Singl	4	4	$549.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26776	HCPCS	Percutaneous Skeletal Fixation Of Interphalangeal Joint Disl	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26860	HCPCS	Arthrodesis Interphalangeal Joint With Or Without Internal	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26951	HCPCS	Amputation Finger Or Thumb Primary Or Secondary Any Joint	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
26991	HCPCS	Id Pelvis/hip Joint Area Infected Bursa	4	4	$995.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27043	HCPCS	Excision Tumor Soft Tissue Of Pelvis And Hip Area Subcuta	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
17272	HCPCS	Destruction Malignant Lesion (eg Laser Surgery Electrosur	4	4	$550.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27096	HCPCS	27096-50 Bilateral Sacroiliac Joint Injection	4	4	$337.84	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27125	HCPCS	Hemiarthroplasty Hip Partial (eg Femoral Stem Prosthesis	4	4	$2,772.76	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27130	HCPCS	Arthroplasty Acetabular And Proximal Femoral Prosthetic Rep	4	4	$37,780.00	$2,465.28 93% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27236	HCPCS	Open Treatment Of Femoral Fracture Proximal End Neck Inte	4	4	$2,927.26	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27244	HCPCS	Treatment Of Intertrochanteric Peritrochanteric Or Subtroc	4	4	$3,009.66	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27245	HCPCS	Treatment Of Intertrochanteric Peritrochanteric Or Subtroc	4	4	$3,010.69	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27250	HCPCS	27250 Clsoed Treatement Of Hip Dislocation Without Anes Tech	4	4	$450.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27252	HCPCS	Closed Treatment Of Hip Dislocation Traumatic Requiring An	4	4	$4,268.00	$2,465.28 42% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27265	HCPCS	Closed Treatment Of Post Hip Arthroplasty Dislocation Witho	4	4	$590.19	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27266	HCPCS	Closed Treatment Of Post Hip Arthroplasty Dislocation Requi	4	4	$4,564.00	$2,465.28 46% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27269	HCPCS	Open Treatment Of Femoral Fracture Proximal End Head Incl	4	4	$2,679.03	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27301	HCPCS	Incision And Drainage Deep Abscess Bursa Or Hematoma Thi	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27327	HCPCS	Excision Tumor Soft Tissue Of Thigh Or Knee Area Subcutan	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27331	HCPCS	Arthrt Kne W/jt Expl Bx/rmvl Loose/fb	4	4	$307.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27337	HCPCS	Excision Tumor Soft Tissue Of Thigh Or Knee Area Subcutan	4	4	$7,265.00	$2,465.28 66% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27340	HCPCS	Excision Prepatellar Bursa	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27380	HCPCS	Suture Infrapatellar Tendon Primary	4	4	$1,180.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27385	HCPCS	Suture Of Quadriceps Or Hamstring Muscle Rupture Primary	4	4	$19,844.00	$2,465.28 88% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27446	HCPCS	Arthroplasty Knee Condyle And Plateau Medial Or Lateral C	4	4	$37,780.00	$2,465.28 93% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27447	HCPCS	Arthroplasty Knee Condyle And Plateau Medial And Lateral	4	4	$37,780.00	$2,465.28 93% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27496	HCPCS	Decompression Fasciotomy Thigh And/or Knee 1 Compartment (	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27502	HCPCS	Closed Treatment Of Femoral Shaft Fracture With Manipulatio	4	4	$1,072.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27511	HCPCS	Open Tx Femoral Supracondylar Fracture Without Xtn	4	4	$1,891.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27514	HCPCS	Open Treatment Of Femoral Fracture Distal End Medial Or La	4	4	$2,295.87	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27524	HCPCS	Open Treatment Of Patellar Fracture With Internal Fixation	4	4	$19,844.00	$2,465.28 88% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
20220	HCPCS	Biopsy Bone Trocar Or Needle Superficial (eg Ilium Ste	4	4	$5,248.00	$2,465.28 53% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27552	HCPCS	Closed Treatment Of Knee Dislocation Requiring Anesthesia	4	4	$1,236.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27560	HCPCS	Closed Treatment Of Patellar Dislocation Without Anesthesia	4	4	$694.00	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27590	HCPCS	Amputation Thigh Through Femur Any Level	4	4	$1,382.26	$2,465.28	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27603	HCPCS	Incision And Drainage Leg Or Ankle Deep Abscess Or Hematom	4	4	$9,041.00	$2,465.28 73% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
27618	HCPCS	Excision Tumor Soft Tissue Of Leg Or Ankle Area Subcutane	4	4	$4,311.00	$2,465.28 43% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02
28208	HCPCS	Repair Tendon Extensor Foot Primary Or Secondary Each T	4	4	$8,677.00	$2,465.28 72% off	$2,095.49	$2,268.06	$2,203.96	2024-07-02

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